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Comparative Study
. 2021 Jul;100(3):115370.
doi: 10.1016/j.diagmicrobio.2021.115370. Epub 2021 Mar 13.

Clinical evaluation of the antibody response in patients with COVID-19 using automated high-throughput immunoassays

Affiliations
Comparative Study

Clinical evaluation of the antibody response in patients with COVID-19 using automated high-throughput immunoassays

Katsumi Kubota et al. Diagn Microbiol Infect Dis. 2021 Jul.

Abstract

Several automated high-throughput immunoassays for detecting anti-SARS-CoV-2 antibodies by a semi-quantitative approach have been commercialized. In this study, we describe the timeline of the antibody response in patients with RT-PCR-confirmed COVID-19. A total of 292 sequential serum samples from 33 Japanese patients were retrospectively analyzed using four test kits for SARS-CoV-2: the Abbott SARS-CoV-2 IgG assay (Abbott), Elecsys® Anti-SARS-CoV-2 assay (Roche Diagnostic), and VITROS® Anti-SARS-CoV-2 Total and IgG assays (Ortho Clinical Diagnostics). All automated immunoassays could equivalently identify positive sera collected within 2 weeks after symptom onset (99.3%-100%). In addition, the S protein-based automated immunoassay, the VITROS® Anti-SARS-CoV-2 Total assay, may play a complementary role in evaluating passive antibody therapies or vaccines against SARS-CoV-2, although further research is required.

Keywords: Antibodies; CLIA; COVID-19; ECLIA; Immunoassay; SARS-cov-2.

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Conflict of interest statement

Declaration of competing interest The authors declare that they have no competing interests.

Figures

Fig 1
Fig. 1
Kinetics of anti-SARS-CoV-2 antibodies in 33 patients with COVID-19. a) Signal/cutoff (S/CO) values from the Abbott SARS-CoV-2 IgG assay, b) signal sample/cutoff (COI) values from the Elecsys® anti-SARS-CoV-2 assay, c) signal/cutoff (S/C) values from the VITROS® Anti-SARS-CoV-2 Total assay, d) signal/cutoff (S/C) values from the VITROS® Anti-SARS-CoV-2 IgG assay.

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