A Peptide-Based Magnetic Chemiluminescence Enzyme Immunoassay for Serological Diagnosis of Coronavirus Disease 2019

J Infect Dis. 2020 Jun 29;222(2):189-193. doi: 10.1093/infdis/jiaa243.

Abstract

Background: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), a novel β-coronavirus, causes severe pneumonia and has spread throughout the globe rapidly. The disease associated with SARS-CoV-2 infection is named coronavirus disease 2019 (COVID-19). To date, real-time reverse-transcription polymerase chain reaction (RT-PCR) is the only test able to confirm this infection. However, the accuracy of RT-PCR depends on several factors; variations in these factors might significantly lower the sensitivity of detection.

Methods: In this study, we developed a peptide-based luminescent immunoassay that detected immunoglobulin (Ig)G and IgM. The assay cutoff value was determined by evaluating the sera from healthy and infected patients for pathogens other than SARS-CoV-2.

Results: To evaluate assay performance, we detected IgG and IgM in the sera from confirmed patients. The positive rate of IgG and IgM was 71.4% and 57.2%, respectively.

Conclusions: Therefore, combining our immunoassay with real-time RT-PCR might enhance the diagnostic accuracy of COVID-19.

Keywords: COVID-19; SARS-CoV-2; chemiluminescence immunoassay; serological test.

MeSH terms

  • Adult
  • Antibodies, Viral / blood*
  • Betacoronavirus / immunology*
  • COVID-19
  • COVID-19 Testing
  • COVID-19 Vaccines
  • Clinical Laboratory Techniques / methods*
  • Coronavirus Infections / diagnosis*
  • Coronavirus Infections / immunology
  • Female
  • Humans
  • Immunoenzyme Techniques / methods*
  • Immunoglobulin G / blood
  • Immunoglobulin M / blood
  • Luminescent Measurements
  • Male
  • Middle Aged
  • Pandemics
  • Peptides / immunology
  • Pneumonia, Viral / diagnosis*
  • Pneumonia, Viral / immunology
  • Real-Time Polymerase Chain Reaction
  • Reverse Transcriptase Polymerase Chain Reaction
  • SARS-CoV-2
  • Sensitivity and Specificity
  • Serologic Tests / methods*
  • Viral Proteins / immunology

Substances

  • Antibodies, Viral
  • COVID-19 Vaccines
  • Covid-19 aAPC vaccine
  • Immunoglobulin G
  • Immunoglobulin M
  • Peptides
  • Viral Proteins