Critical Reviews in Clinical Laboratory Sciences,
Journal Year:
2023,
Volume and Issue:
61(1), P. 70 - 88
Published: Oct. 6, 2023
AbstractLaboratory
testing
has
been
a
key
tool
in
managing
the
SARS-CoV-2
global
pandemic.
While
rapid
antigen
and
PCR
proven
useful
for
diagnosing
acute
infections,
additional
methods
are
required
to
understand
long-term
impact
of
infections
on
immune
response.
Serological
testing,
well-documented
laboratory
practice,
measures
presence
antibodies
sample
uncover
information
about
host
immunity.
Although
proposed
applications
serological
clinical
use
have
previously
limited,
current
research
into
shown
growing
utility
these
settings.
To
name
few,
used
identify
patients
with
past
active
disease
monitor
vaccine
efficacy.
Test
result
interpretation,
however,
often
complicated
by
factors
that
include
poor
test
sensitivity
early
infection,
lack
response
some
individuals,
overlying
infection
vaccination
responses,
standardization
antibody
titers/levels
between
instruments,
unknown
titers
confer
protection,
large
between-individual
biological
variation
following
or
vaccination.
Thus,
three
major
components
this
review
will
examine
(1)
affect
utility:
performance,
matrices,
seroprevalence
concerns
viral
variants,
(2)
patient
response:
timing
sampling,
age,
sex,
body
mass
index,
immunosuppression
vaccination,
(3)
informative
testing:
identifying
surveillance
guide
health
practices,
examination
protective
should
be
beneficial
care
if
it
is
implemented
appropriately.
However,
as
other
developed
tests,
serology
modality
warrants
careful
consideration
limitations
evaluation
its
utility.Keywords:
SARS-CoV-2COVID-19serologyimmunityantibody
Disclosure
statementJT
receives
in-kind
support
from
Roche
Diagnostics.Additional
informationFundingThis
open-access
article
supported
funding
Canadian
Institutes
Health
Research
(Funding
Reference
Number
VR4-172753,
VS1-175526,
VS2-175572.
Microbiology Spectrum,
Journal Year:
2024,
Volume and Issue:
12(4)
Published: March 1, 2024
ABSTRACT
SARS-CoV-2
spreads
pandemically
since
2020;
in
2021,
effective
vaccinations
became
available
and
vaccination
campaigns
commenced.
Still,
it
is
hard
to
track
the
spread
of
infection
or
assess
success
broader
population.
Measuring
specific
anti-SARS-CoV-2
antibodies
most
tool
successful
vaccinations.
The
need
for
venous-blood
sampling
however
poses
a
significant
barrier
large
studies.
Dried-blood-spots
on
filter-cards
(DBS)
have
been
used
serology
our
laboratory,
but
so
far
not
follow
quantitative
anti-spike
reactivity
longitudinal
cohort.
We
developed
semi-automated
protocol
from
self-sampled
DBS,
validating
cohort
matched
DBS
samples
(
n
=
825).
investigated
chromatographic
effects,
reproducibility,
carry-over
effects
calculated
positivity
threshold
as
well
conversion
formula
determine
binding
units
with
confidence
intervals.
Sensitivity
specificity
reached
96.63%
97.81%,
respectively,
compared
same
test
performed
paired
venous
samples.
Between
signal
0.018
250
U/mL,
we
correction
formula.
during
vaccinations,
demonstrated
relative
changes
titers
over
time
several
individuals
four
follow-ups.
has
proven
itself
anti-nucleocapsid
serosurveys
laboratory.
Similarly,
high-throughput
feasible
complementary
assay.
Quantitative
measurements
are
accurate
enough
titer
dynamics
populations
also
after
campaigns.
This
work
was
supported
by
Bavarian
State
Ministry
Science
Arts;
LMU
University
Hospital,
Munich;
Helmholtz
Center
Bonn;
Bielefeld;
German
Education
Research
(proj.
nr.:
01KI20271
others)
Medical
Biodefense
Program
Bundeswehr
Service.
Roche
Diagnostics
provided
kits
machines
analyses
at
discounted
rates.
project
funded
European-wide
Consortium
ORCHESTRA.
ORCHESTRA
received
funding
European
Union’s
Horizon
2020
research
innovation
program
under
grant
agreement
No
101016167.
views
expressed
this
publication
sole
responsibility
author,
Commission
responsible
any
use
that
may
be
made
information
contains.
IMPORTANCE
spreading
globally
pandemic
2020.
To
prevalence
among
populations,
public
health
measuring
induced
vaccination.
However,
conducting
large-scale
studies
involve
challenging
due
associated
feasibility
cost
issues.
A
more
cost-efficient
less
invasive
method
serological
testing
using
Dried-Blood-Spots
filter
cards
(DBS).
In
paper,
quantifying
self-collected
DBS.
Our
laboratory
previously
successfully
antibody
surveys.
Likewise,
an
additional
can
sample
preparation
analysis.
obtained
levels
even
Vaccines,
Journal Year:
2024,
Volume and Issue:
12(4), P. 352 - 352
Published: March 25, 2024
Knowledge
of
the
antibody
response
to
third
dose
inactivated
SARS-CoV-2
vaccines
is
crucial
because
it
subject
one
largest
global
vaccination
programs.
This
study
integrated
microsampling
with
optical
biosensors
profile
neutralizing
antibodies
(NAbs)
in
fifteen
vaccinated
healthy
donors,
followed
by
application
machine
learning
predict
at
given
timepoints.
Over
a
nine-month
duration,
and
venipuncture
were
conducted
seven
individual
A
refined
iteration
fiber
optic
biolayer
interferometry
(FO-BLI)
biosensor
was
designed,
enabling
rapid
multiplexed
biosensing
NAbs
both
wild-type
Omicron
variants
minutes.
Findings
revealed
strong
correlation
(Pearson
r
0.919,
specificity
100%)
between
variant
NAb
levels
microsamples
sera.
Following
dose,
sera
increased
2.9-fold
after
days
3.3-fold
within
month,
subsequently
waning
becoming
undetectable
three
months.
Considerable
but
incomplete
evasion
latest
subvariants
from
booster
vaccine-elicited
confirmed,
although
higher
number
binding
(BAbs)
identified
another
FO-BLI
Significantly,
highly
correlated
pseudovirus
neutralization
assay
identifying
capacities
0.983).
Additionally,
demonstrated
exceptional
accuracy
predicting
levels,
an
error
level
<5%
for
BAbs
across
multiple
Microsample-driven
enables
individuals
access
their
results
hours
self-collection,
while
precise
models
could
guide
personalized
strategies.
The
technology’s
innate
adaptability
means
has
potential
effective
translation
disease
prevention
vaccine
development.
EBioMedicine,
Journal Year:
2021,
Volume and Issue:
70, P. 103502 - 103502
Published: July 29, 2021
Since
2020
SARS-CoV-2
spreads
pandemically,
infecting
more
than
119
million
people,
causing
>2·6
fatalities.
Symptoms
of
infection
vary
greatly,
ranging
from
asymptomatic
to
fatal.
Different
populations
react
differently
the
disease,
making
it
very
hard
track
spread
in
a
population.
Measuring
specific
anti-SARS-CoV-2
antibodies
is
an
important
tool
assess
or
successful
vaccinations.
To
achieve
sufficient
sample
numbers,
alternatives
venous
blood
sampling
are
needed
not
requiring
medical
personnel
cold-chains.
Dried-blood-spots
(DBS)
on
filter-cards
have
been
used
for
different
studies,
but
routinely
serology.
Journal of Clinical Microbiology,
Journal Year:
2021,
Volume and Issue:
59(6)
Published: April 2, 2021
Serological
testing
of
large
representative
populations
for
antibodies
to
SARS-CoV-2
is
needed
estimate
seroprevalence,
transmission
dynamics,
and
the
duration
antibody
responses
from
natural
infection
vaccination.
In
this
study,
a
high-throughput
multiplex
microsphere
immunoassay
(MMIA)
was
developed
receptor
binding
domain
(RBD)
nucleocapsid
(N)
that
more
sensitive
than
enzyme-linked
immunosorbent
assay
(ELISA)
(98%
versus
87%).
Microbiology Spectrum,
Journal Year:
2021,
Volume and Issue:
9(2)
Published: Oct. 25, 2021
Plasma
and
sera
isolated
from
venous
blood
represent
conventional
sample
types
used
for
the
evaluation
of
SARS-CoV-2
antibody
responses
after
infection
or
vaccination.
However,
collection
these
samples
is
invasive
requires
trained
personnel
equipment
immediate
processing.
Viruses,
Journal Year:
2021,
Volume and Issue:
13(6), P. 962 - 962
Published: May 22, 2021
Dried
blood
spots
(DBS)
are
commonly
used
for
serologic
testing
viruses
and
provide
an
alternative
collection
method
when
phlebotomy
and/or
conventional
laboratory
not
readily
available.
DBS
could
be
to
facilitate
widespread
SARS-CoV-2
antibodies
document
past
infection,
vaccination,
potentially
immunity.
We
investigated
the
characteristics
of
Roche's
Anti-SARS-CoV-2
(S)
assay,
a
quantitative
commercial
assay
against
spike
glycoprotein.
Antibody
levels
were
reduced
relative
plasma
following
elution
from
DBS.
Quantitative
results
samples
highly
correlated
with
values
(r2
=
0.98),
allowing
extrapolation
using
accurately
estimate
antibody
levels.
High
concordance
between
fingerpick
was
observed
in
PCR-confirmed
COVID-19
patients
tested
90
days
or
more
after
diagnosis
(45/46
matched;
1/46
mismatched
vs.
DBS).
The
assessment
responses
may
feasible
anti-S
although
false
negatives
rarely
occur
those
very
low