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Evaluation of the SARS-CoV-2-IgG response in outpatients by five commercial immunoassays

機(jī)譯:用五種商業(yè)免疫測定的門診患者SARS-COV-2-IgG反應(yīng)的評價

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摘要

Commercially available immunoassays have been developed for sensitive and specific detection of antibodies against SARS-CoV-2. While high sensitivity has been reported in hospitalized COVID-19 patients, little is known about the performance of the assays in ambulatory patients. Therefore, we evaluated the SARS-CoV-2-IgG response in 51 SASR-CoV-2-PCR-confirmed outpatients with five commercial immunoassays. The sensitivity in serum samples, collected at a median of 24 days after onset of symptoms, detected by the Anti-SARS-CoV-2-ELISA IgG (Euroimmun), EDI? Novel Coronavirus COVID-19 IgG ELISA (Epitope Diagnostics), Liaison? SARS-CoV-2 S1/S2 IgG (Diasorin), SARS-CoV-2 IgG on the Architect? i2000 (Abbott), and Elecsys? Anti-SARS-CoV-2 (IgM/IgA/IgG) on the cobas? e801 (Roche) was 84.3%, 78.4%, 74.5%, 86.3%, and 88.2%, respectively. The sensitivity in serum samples, collected >20 days after onset of symptoms, varied between 75.0% and 90.0%, and in samples, collected at least 28 days after onset of symptoms, did not increase, except in the Anti-SARS-CoV-2-ELISA IgG by Euroimmun (90.0%). There was not an obvious association between the type of the antigen (N versus S protein) and the overall sensitivity of the assays. Our results show significant individual differences of the IgG response against SARS-CoV-2, additionally confirmed in three patients with follow-up serum samples and seven asymptomatic but PCR-positive contact persons. In conclusion, our study shows that commercially available immunoassays detect SARS-CoV-2-IgG or total antibodies in outpatients with a satisfying sensitivity, but lower than that reported for hospitalized patients. In asymptomatic persons the SARS-CoV-2-IgG response may even be absent in a relevant percentage of persons.
機(jī)譯:已經(jīng)開發(fā)了可商購的免疫測定,用于對SARS-COV-2的抗體進(jìn)行敏感和特異性檢測。雖然在住院的Covid-19患者中報(bào)告了高敏感性,但關(guān)于動態(tài)患者中的測定的性能很少。因此,我們在51例SASR-COV-2-2-PCR確認(rèn)的外分門診患者中評估了SARS-COV-2-IgG響應(yīng),具有五種商業(yè)免疫測定。血清樣品中的敏感性,在癥狀發(fā)生后24天的中位數(shù),由抗SARS-COV-2-ELISA IGG(Euroimmun),EDI?新型冠狀病毒Covid-19 IgG Elisa(表位診斷),聯(lián)絡(luò)?SARS-COV-2 S1 / S2 IgG(DiaSorin),SARS-COV-2 IGG在ArterCl?I2000(Abbott)和COBAS?上的Elecsys?Act-SARS-COV-2(IGM / IGA / IGG)上E801(Roche)分別為84.3%,78.4%,74.5%,86.3%和88.2%。血清樣品中的敏感性,癥狀發(fā)生后20天,在75.0%和90.0%之間變化,在樣品中,至少在癥狀發(fā)作后至少28天收集,除非抗SARS-COV - 2-Elisa Igg由Euroimmun(90.0%)??乖∟與S蛋白質(zhì))的類型與測定的整體敏感性之間沒有明顯的關(guān)聯(lián)。我們的結(jié)果表明,對SARS-COV-2的IgG反應(yīng)的顯著性差異,另外在三個隨訪血清樣本和七個無癥狀但PCR陽性接觸人的患者中確認(rèn)。總之,我們的研究表明,商業(yè)上可獲得的免疫測定檢測SARS-COV-2-IgG或全抗體,以滿足敏感性,但低于住院患者的患者。在無癥狀的人中,SARS-COV-2-IgG反應(yīng)甚至可以在相關(guān)百分比中缺席。

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