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.
Scientific Reports,
Journal Year:
2023,
Volume and Issue:
13(1)
Published: Dec. 9, 2023
Serological
assays
measuring
antibodies
against
SARS-CoV-2
are
key
to
describe
the
epidemiology,
pathobiology
or
induction
of
immunity
after
infection
vaccination.
Of
those,
multiplex
targeting
multiple
antigens
especially
helpful
as
closely
related
coronaviruses
other
can
be
analysed
simultaneously
from
small
sample
volumes,
hereby
shedding
light
on
patterns
in
immune
response
that
would
otherwise
remain
undetected.
We
established
a
bead-based
17-plex
assay
detecting
all
pathogenic
for
humans:
SARS-CoV-2,
SARS-CoV,
MERS-CoV,
HCoV
strains
229E,
OC43,
HKU1,
and
NL63.
The
was
validated
five
commercial
serological
immunoassays,
surrogate
virus
neutralisation
test,
assay,
SARS-CoV-2.
It
found
highly
versatile
shown
by
antibody
detection
both
serum
dried
blot
spots
three
case
studies.
First,
we
followed
seroconversion
four
endemic
an
outbreak
study
day-care
centres
children.
Second,
were
able
link
more
severe
clinical
course
stronger
IgG
with
this
17-plex-assay,
which
IgG1
IgG3
dominated.
Finally,
our
discriminate
recent
previous
infections
calculating
IgG/IgM
ratio
N
antigen
antibodies.
In
conclusion,
due
comprehensive
method
comparison,
thorough
validation,
proven
versatility,
is
valuable
tool
studies
coronavirus
serology.
Microbiology Spectrum,
Journal Year:
2022,
Volume and Issue:
10(2)
Published: March 10, 2022
We
investigate
the
diagnostic
accuracy
and
predictive
value
of
finger
prick
capillary
dried
blood
spot
(DBS)
samples
tested
by
a
quantitative
multiplex
anti-immunoglobulin
G
(IgG)
assay
to
detect
severe
acute
respiratory
syndrome
coronavirus
2
(SARS-CoV-2)
antibodies
after
infection
or
vaccination.
This
cross-sectional
study
involved
participants
(n
=
6,841)
from
several
serological
surveys
conducted
in
nonhospitalized
children
adults
throughout
2020
2021
British
Columbia
(BC),
Canada.
Analysis
used
paired
DBS
serum
subset
642)
prior
vaccination
establish
signal
thresholds
calculate
logistic
regression.
Discrimination
regression
model
was
assessed
receiver
operator
curve
(ROC)
analysis
an
n
2,000
bootstrap
sample
642).
The
cross-validated
vaccinated
persons
90).
Unpaired
6,723)
were
evaluate
anti-IgG
distributions.
In
comparison
serum,
unvaccinated
population
possessed
sensitivity
79%
(95%
confidence
interval
[95%
CI]:
58
91%)
specificity
97%
CI:
95
98%).
ROC
found
that
accurately
classify
SARS-CoV-2
seroconversion
at
88%
percent
rate
(area
under
[AUC]
80
95%]).
disease
2019
(COVID-19)
vaccine
dose
one
two
recipients,
testing
increased
83
99%)
100%
88
100%).
Modeling
possesses
high
positive
(98%
97
98%])
with
75%
seroprevalence.
demonstrate
should
be
considered
reliably
seropositivity
natural
IMPORTANCE
Dried
have
comparable
collected
venipuncture
when
electrochemiluminescent
for
following
and/or
Diagnostics,
Journal Year:
2022,
Volume and Issue:
12(8), P. 1857 - 1857
Published: July 31, 2022
The
Coronavirus
Disease
2019
(COVID-19)
pandemic
forced
researchers
to
reconsider
in-person
assessments
due
transmission
risk.
We
conducted
a
pilot
study
evaluate
the
feasibility
of
using
Tasso-SST
(Tasso,
Inc,
Seattle,
Washington)
device
for
blood
self-collection
use
in
SARS-CoV-2
antibody
testing
an
ongoing
COVID-19
prevalence
and
immunity
research
study.
100
participants
were
recruited
between
January
March
2021
from
previously
identified
sub-cohort
Cabarrus
County
Prevalence
Immunity
(C3PI)
Study
who
under-going
bimonthly
testing.
Participants
given
kit
asked
self-collect
during
scheduled
visit
where
trained
laboratory
personnel
performed
routine
phlebotomy.
All
completed
after-visit
survey
about
their
experience.
Overall,
70.0%
able
collect
adequate
sample
device.
Among
those
with
sample,
there
was
high
concordance
results
phlebotomy
collection
methods
(Cohen’s
kappa
coefficient
=
0.88,
Interclass
correlation
0.98
[0.97,
0.99],
p
<
0.0001).
received
high-level
(90.0%)
acceptance
among
all
participants.
could
prove
be
valuable
tool
seroprevalence
However,
future
studies
larger,
diverse
populations
over
longer
periods
may
provide
better
understanding
usability
older
comorbidities
various
scenarios.
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.