A serological assay to detect SARS-CoV-2 seroconversion in humans
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Abstract
Here, we describe a serological enzyme-linked immunosorbent assay for the screening and identification of human SARS-CoV-2 seroconverters. This assay does not require the handling of infectious virus, can be adjusted to detect different antibody types in serum and plasma and is amenable to scaling. Serological assays are of critical importance to help define previous exposure to SARS-CoV-2 in populations, identify highly reactive human donors for convalescent plasma therapy and investigate correlates of protection.
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The ELISA was validated with 910 prepandemic serum samples, 174 PCR-defined SARS-CoV-2 case sera, and a five-sera NIBSC panel.
“We validated a widely used enzyme-linked immunosorbent assay (ELISA) for SARS-CoV-2 IgG (15) with 910 serum samples from the prepandemic period and 174 sera from polymerase chain reaction (PCR)–defined SARS-CoV-2 cases, and a well-characterized five-sera panel from the National Institute of Biological Standards and Control (NIBSC) in the UK.”
From Seroprevalence of anti–SARS-CoV-2 IgG antibodies in Kenyan blood donors (2021) · cites this paper as [15]
The RBD and whole-spike ELISA responses were highly correlated, with very little interassay variation.
“As previously noted (15), the RBD and whole-spike ELISA responses were highly correlated (fig. S3C), with very little interassay variation (fig. S4).”
From Seroprevalence of anti–SARS-CoV-2 IgG antibodies in Kenyan blood donors (2021) · cites this paper as [15]
The common cold coronavirus HCoV-229E generates antigenic variants that resist older sera yet stay sensitive to current sera.
“but the common cold coronavirus HCoV-229E evolves antigenic variants that are comparatively resistant to the older sera but remain sensitive to contemporaneous sera50.”
From mRNA vaccine-elicited antibodies to SARS-CoV-2 and circulating variants (2021) · cites this paper as [50]
Both the full-length S protein and the RBD itself are immunogenic and induce a strong protective neutralizing antibody response after recognition by the immune system.
“Both the full-length S protein and the RBD itself are immunogenic and induce a strong protective neutralizing antibody response after recognition by the immune system.62,63”
From COVID-19 mRNA vaccines: Platforms and current developments (2022) · cites this paper as [62]
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- Authors
- Amanat, F., Stadlbauer, D., Strohmeier, S., Nguyen, T. H. O., Chromikova, V., McMahon, M., Jiang, K., Arunkumar, G. A., Jurczyszak, D., Polanco, J., Bermudez-Gonzalez, M., Kleiner, G., Aydillo, T., Miorin, L., Fierer, D. S., Lugo, L. A., Kojic, E. M., Stoever, J., Liu, S. T. H., Cunningham-Rundles, C., Felgner, P. L., Moran, T., García-Sastre, A., Caplivski, D., Cheng, A. C., Kedzierska, K., Vapalahti, O., Hepojoki, J. M., Simon, V., & Krammer, F.
- Affiliations
- Icahn School of Medicine at Mount Sinai (US)
- BOKU University (AT)
- The University of Melbourne (AU)
- Mount Sinai Health System (US)
- University of California, Irvine (US)
- Alfred Health (AU)
- University of Helsinki (FI)
- Corresponding author
- Krammer, Florian
- ORCID
- Amanat, Fatima
- Stadlbauer, Daniel
- Strohmeier, Shirin
- Nguyen, Thi H. O.
- Chromikova, Veronika
- McMahon, Meagan
- Jiang, Kaijun
- Arunkumar, Guha Asthagiri
- Jurczyszak, Denise
- Kleiner, Giulio
- Aydillo, Teresa
- Miorin, Lisa
- Fierer, Daniel S.
- Stoever, Jonathan
- Liu, Sean T. H.
- Felgner, Philip L.
- Moran, Thomas
- García-Sastre, Adolfo
- Kedzierska, Katherine
- Vapalahti, Olli
- Hepojoki, Jussi M.
- Simon, Viviana
- Krammer, Florian
- Venue
- Nature Medicine
- Published
- 2020-05-12
- Volume
- 26
- Issue
- 7
- Pages
- 1033-1036
- ISSN
- 1078-8956 (ISSN-L)
- 1546-170X
- PMC
- PMC8183627
- OpenAlex
- W3025631553
- Cited by
- 1,769
- References
- 37
- Citations by year
- 2026: 36 · 2025: 56 · 2024: 98 · 2023: 192 · 2022: 340 · 2021: 609 · 2020: 434 · 2019: 2 · 2018: 1
- FWCI
- 51.86
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Nature Medicine (publishedVersion)
- medRxiv (acceptedVersion, cc-by-nc)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- PubMed Central (submittedVersion, cc-by-nc)
- Työväentutkimus Vuosikirja (submittedVersion)
- Zurich Open Repository and Archive (University of Zurich) (submittedVersion)
- Funders
- U.S. Department of Health & Human Services | NIH | National Institute of Allergy and Infectious Diseases (HHSN272201400008C, 75N93019C00051)
- Department of Health | National Health and Medical Research Council (1071916, 1102792)
- Academy of Finland (TYH2018322)
- Topics
- Health Sciences › Medicine › Infectious Diseases › SARS-CoV-2 and COVID-19 Research
- Health Sciences › Medicine › Infectious Diseases › SARS-CoV-2 detection and testing
- Health Sciences › Medicine › Infectious Diseases › COVID-19 Clinical Research Studies
- Keywords
- SARS-CoV-2, seroconversion, serological assays, ELISA, spike protein antibodies, antibody detection, convalescent plasma, correlates of protection
- MeSH terms
- Seroconversion, Betacoronavirus, COVID-19, SARS-CoV-2, COVID-19 Testing, COVID-19 Serotherapy, Adult, Electrophoresis, Polyacrylamide Gel, Enzyme-Linked Immunosorbent Assay, Humans, Immunization, Passive, Longitudinal Studies, Middle Aged, Neutralization Tests, Pneumonia, Viral, Case-Control Studies, Coronavirus Infections, Clinical Laboratory Techniques, Young Adult, Pandemics
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