Evaluation of SARS-CoV-2 Specific Antibodies in Recovered Patients by Different ELISA Kits

Alireza Fereidouni1, Hamidreza Safari2, Hadis Rezapoor1

  • 1Student Research Committee, Birjand University of Medical Sciences, Birjand, Iran.

Insights

Three enzyme-linked immunosorbent assay (ELISA) kits were compared for detecting Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) IgG antibodies in recovered COVID-19 patients. Domestic kits showed variable but acceptable sensitivity for IgG detection.

Area of Science:

  • Immunology
  • Infectious Diseases
  • Diagnostic Assays

Background:

  • The COVID-19 pandemic, caused by SARS-CoV-2, has led to millions of infections and deaths globally.
  • Accurate diagnostic methods and immune response evaluation are crucial for managing the pandemic and post-vaccination assessment.
  • Various diagnostic and serological assays have been developed to detect SARS-CoV-2 infection and immunity.

Purpose of the Study:

  • To compare the performance of three different enzyme-linked immunosorbent assay (ELISA) kits in measuring Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) specific IgG antibodies.
  • To evaluate the sensitivity and reliability of domestic ELISA kits for detecting IgG antibodies in individuals who have recovered from COVID-19.

Main Methods:

  • A cross-sectional study was conducted using sera from RT-PCR confirmed COVID-19 recovered patients in Birjand, Iran.
  • SARS-CoV-2 anti-nucleocapsid (N) and spike (S) protein IgG levels were quantified using three distinct commercial ELISA kits.
  • Statistical analysis, including one-way ANOVA and Tukey post hoc tests, was employed for group comparisons.

Main Results:

  • One domestic ELISA kit (PishtazTeb Diagnostics) showed a significantly higher mean titer of anti-N IgG compared to another (Ideal Tashkhis Atieh).
  • No significant correlation was observed between the titers of anti-N IgG and anti-S IgG antibodies across the tested kits.
  • The results indicate variability in the performance of different ELISA kits for SARS-CoV-2 IgG detection.

Conclusions:

  • Domestic ELISA kits demonstrate variable, yet acceptable, sensitivity for detecting SARS-CoV-2 specific IgG antibodies.
  • The findings suggest that while these kits can be useful, careful consideration of their performance characteristics is necessary.
  • Further validation and standardization of diagnostic assays are important for reliable COVID-19 serological testing.
Abstract