Development of a high-throughput SARS-CoV-2 antibody testing pathway using dried blood spot specimens.

Development of a high-throughput SARS-CoV-2 antibody testing pathway using dried blood spot specimens.
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利用干血斑标本建立高通量SARS-CoV-2抗体检测途径。

DOI:
10.1177/0004563220981106
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发表时间:
2021-03
影响因子:
2.2
通讯作者:
Jolles S
Jolles S
中科院分区:
医学4区
文献类型:
--
作者:
Moat SJ;Zelek WM;Carne E;Ponsford MJ;Bramhall K;Jones S;El-Shanawany T;Wise MP;Thomas A;George C;Fegan C;Steven R;Webb R;Weeks I;Morgan BP;Jolles S

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严重急性呼吸道综合征冠状病毒2型(SARS-CoV-2)的血清学检测在血清流行病学、恢复期血浆检测、抗体持久性和疫苗研究中发挥作用。目前,SARS-CoV-2血清学是使用静脉穿刺收集的血清/血浆进行的。干血斑(DBS)测试提供了显着的优势,因为它是微创的,避免了静脉穿刺与标本邮寄到实验室。开发了一种利用新生儿筛查实验室基础设施的途径,使用酶联免疫吸附试验检测DBS标本中SARS-CoV-2刺突蛋白受体结合域的IgG抗体。检测了SARS-CoV-2抗体阳性和阴性受试者以及聚合酶链反应阳性受试者的配对血浆和DBS标本。还评价了DBS样本稳定性、血量和穿孔位置的影响。来自抗体阴性(n = 85)和抗体阳性(n = 35)受试者以及聚合酶链反应阳性受试者(n = 11)的DBS标本的平均(SD;范围)光密度(OD)分别为0.14(0.046; 0.03-0.27)、0.98(0.41; 0.31-1.64)和1.12(0.37; 0.49-1.54)。行动值OD >0.28正确分配所有情况。用于比较DBS和血浆测定的加权德明回归得出:y = 0.004041 + 1.005x,r = 0.991,Sy/x 0.171,n = 82。从DBS标本中提取抗体的效率> 99%。DBS样本在环境室温和湿度下可稳定至少28天。在DBS标本中可以可靠地检测到SARS-CoV-2 IgG受体结合域抗体。DBS血清学检测的成本低于需要患者旅行、抽血和医院/诊所资源的护理点或血清/血浆测定; DBS测定的开发对于资源匮乏的环境可能特别重要。
Serological assays for Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) have roles in seroepidemiology, convalescent plasma-testing, antibody durability and vaccine studies. Currently, SARS-CoV-2 serology is performed using serum/plasma collected by venepuncture. Dried blood spot (DBS) testing offers significant advantages as it is minimally invasive, avoids venepuncture with specimens being mailed to the laboratory. A pathway utilizing a newborn screening laboratory infrastructure was developed using an enzyme-linked immunosorbent assay to detect IgG antibodies against the receptor-binding domain of the SARS-CoV-2 spike protein in DBS specimens. Paired plasma and DBS specimens from SARS-CoV-2 antibody-positive and -negative subjects and polymerase chain reaction positive subjects were tested. DBS specimen stability, effect of blood volume and punch location were also evaluated. DBS specimens from antibody-negative (n = 85) and -positive (n = 35) subjects and polymerase chain reaction positive subjects (n = 11) had a mean (SD; range) optical density (OD) of 0.14 (0.046; 0.03–0.27), 0.98 (0.41; 0.31–1.64) and 1.12 (0.37; 0.49–1.54), respectively. An action value OD >0.28 correctly assigned all cases. The weighted Deming regression for comparison of the DBS and the plasma assay yielded: y = 0.004041 + 1.005x, r = 0.991, Sy/x 0.171, n = 82. Extraction efficiency of antibodies from DBS specimens was >99%. DBS specimens were stable for at least 28 days at ambient room temperature and humidity. SARS-CoV-2 IgG receptor-binding domain antibodies can be reliably detected in DBS specimens. DBS serological testing offers lower costs than either point of care or serum/plasma assays that require patient travel, phlebotomy and hospital/clinic resources; the development of a DBS assay may be particularly important for resource poor settings.
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