Towards Quantitative and Standardized Serological and Neutralization Assays for COVID-19

Linhua Tian1, Elzafir B Elsheikh1, Paul N Patrone2

  • 1Biosystems and Biomaterials Division, National Institute of Standards and Technology (NIST), Gaithersburg, MD 20899, USA.

Insights

New quantitative serology assays using flow cytometry can measure antibodies against SARS-CoV-2 spike proteins. These assays are specific and correlate with neutralizing antibody levels, aiding COVID-19 research.

Area of Science:

  • Immunology
  • Virology
  • Biotechnology

Background:

  • Quantitative serology assays are crucial for COVID-19 diagnostics, surveillance, and vaccine development.
  • Robust and reliable antibody measurements are needed to understand immune responses to SARS-CoV-2.

Purpose of the Study:

  • To develop and validate quantitative, multiplexed flow cytometry-based serological and neutralization assays for SARS-CoV-2.
  • To assess the specificity and accuracy of these novel assays against various coronaviruses and reference standards.

Main Methods:

  • Development of flow cytometry assays to detect IgG and IgM antibodies against full-length spike and receptor binding domain (RBD) antigens.
  • Quantification of anti-SARS-CoV-2 RBD antibody titers using a reference standard.
  • Testing for cross-reactivity with spike proteins from MERS, SARS1, OC43, and HKU1 viruses.
  • Correlation analysis between anti-RBD antibody titers and neutralizing antibody titers.

Main Results:

  • The developed assays accurately quantified anti-SARS-CoV-2 RBD antibody titers within a defined range (37.6 µg/mL to 31.0 ng/mL).
  • The assays demonstrated high specificity, showing no cross-reactivity with other common coronavirus spike proteins.
  • A good correlation was observed between quantified anti-RBD antibody titers and neutralizing antibody titers.

Conclusions:

  • This proof-of-concept demonstrates a quantitative, multiplexed flow cytometry approach for serological and neutralization assays.
  • These assays enhance measurement confidence and provide foundational tools for COVID-19 clinical and epidemiological studies.
  • The developed assays are specific, quantitative, and correlate with functional neutralization, supporting their utility in global health initiatives.

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