A comparison of four serological assays for detecting anti–SARS-CoV-2 antibodies in human serum samples from different populations

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Grzelak, Ludivine | Temmam, Sarah | Planchais, Cyril | Demeret, Caroline | Tondeur, Laura | Huon, Christèle | Guivel-Benhassine, Florence | Staropoli, Isabelle | Chazal, Maxime | Dufloo, Jeremy | Planas, Delphine | Buchrieser, Julian | Rajah, Maaran Michael | Robinot, Remy | Porrot, Françoise | Albert, Mélanie | Chen, Kuang-Yu | Crescenzo-Chaigne, Bernadette | Donati, Flora | Anna, François | Souque, Philippe | Gransagne, Marion | Bellalou, Jacques | Nowakowski, Mireille | Backovic, Marija | Bouadma, Lila | Le Fevre, Lucie | Le Hingrat, Quentin | Descamps, Diane | Pourbaix, Annabelle | Laouénan, Cédric | Ghosn, Jade | Yazdanpanah, Yazdan | Besombes, Camille | Jolly, Nathalie | Pellerin-Fernandes, Sandrine | Cheny, Olivia | Ungeheuer, Marie-Noëlle | Mellon, Guillaume | Morel, Pascal | Rolland, Simon | Rey, Felix | Behillil, Sylvie | Enouf, Vincent | Lemaitre, Audrey | Créach, Marie-Aude | Pêtres, Stéphane | Escriou, Nicolas | Charneau, Pierre | Fontanet, Arnaud | Hoen, Bruno | Bruel, Timothée | Eloit, Marc | Mouquet, Hugo | Schwartz, Olivier | van Der Werf, Sylvie

Edité par CCSD ; American Association for the Advancement of Science (AAAS) -

International audience. It is of paramount importance to evaluate the prevalence of both asymptomatic and symptomatic cases of SARS-CoV-2 infection and their differing antibody response profiles. Here, we performed a pilot study of four serological assays to assess the amounts of anti-SARS-CoV-2 antibodies in serum samples obtained from 491 healthy individuals before the SARS-CoV-2 pandemic, 51 individuals hospitalized with COVID-19, 209 suspected cases of COVID-19 with mild symptoms, and 200 healthy blood donors. We used two ELISA assays that recognized the full-length nucleoprotein (N) or trimeric spike (S) protein ectodomain of SARS-CoV-2. In addition, we developed the S-Flow assay that recognized the S protein expressed at the cell surface using flow cytometry, and the luciferase immunoprecipitation system (LIPS) assay that recognized diverse SARS-CoV-2 antigens including the S1 domain and the carboxyl-terminal domain of N by immunoprecipitation. We obtained similar results with the four serological assays. Differences in sensitivity were attributed to the technique and the antigen used. High anti-SARS-CoV-2 antibody titers were associated with neutralization activity, which was assessed using infectious SARS-CoV-2 or lentiviral-S pseudotype virus. In hospitalized patients with COVID-19, seroconversion and virus neutralization occurred between 5 and 14 days after symptom onset, confirming previous studies. Seropositivity was detected in 32% of mildly symptomatic individuals within 15 days of symptom onset and in 3% of healthy blood donors. The four antibody assays that we used enabled a broad evaluation of SARS-CoV-2 seroprevalence and antibody profiling in different subpopulations within one region.

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