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      Method for the Rapid Detection of SARS-CoV-2-Neutralizing Antibodies Using a Nanogel-Based Surface Plasmon Resonance Biosensor

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          Abstract

          The efficacy of coronavirus disease 2019 (COVID-19) vaccination is closely related to the serum levels of SARS-CoV-2-neutralizing antibodies (NAb) that bind to the receptor-binding domain (RBD) of the SARS-CoV-2 spike protein. Therefore, the rapid and quantitative measurement of SARS-CoV-2 NAb in the sera of vaccinated individuals is essential to develop an effective vaccine and further achieve population immunity, that is, herd immunity. The plaque reduction neutralization test, the gold standard for NAb effectiveness in serological tests, is accurate but requires biosafety level 3 facilities because of the use of the virus, which hampers its application in common laboratories and clinical practice. Here, we developed a bioresponsive nanogel-based surface plasmon resonance (nSPR) platform that detects SARS-CoV-2 NAb in clinical samples without complicated pretreatment. We found that multivalent protein binding (MPB) between the nanogel-conjugated RBD protein and SARS-CoV-2 NAb yields significantly enhanced SPR signals compared to the nonspecific interference from serum proteins in the nSPR assay. The excellence of our nanogel-based SARS-CoV-2 NAb test is due to its selectivity for NAb, with resistance to all other proteins, allowing the rapid detection and quantification of NAbs in each individual. Importantly, this nSPR assay provides a NAb detection platform for easier and safer COVID-19 vaccination strategies.

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          Most cited references24

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          Neutralizing antibody levels are highly predictive of immune protection from symptomatic SARS-CoV-2 infection

          Predictive models of immune protection from COVID-19 are urgently needed to identify correlates of protection to assist in the future deployment of vaccines. To address this, we analyzed the relationship between in vitro neutralization levels and the observed protection from severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection using data from seven current vaccines and from convalescent cohorts. We estimated the neutralization level for 50% protection against detectable SARS-CoV-2 infection to be 20.2% of the mean convalescent level (95% confidence interval (CI) = 14.4-28.4%). The estimated neutralization level required for 50% protection from severe infection was significantly lower (3% of the mean convalescent level; 95% CI = 0.7-13%, P = 0.0004). Modeling of the decay of the neutralization titer over the first 250 d after immunization predicts that a significant loss in protection from SARS-CoV-2 infection will occur, although protection from severe disease should be largely retained. Neutralization titers against some SARS-CoV-2 variants of concern are reduced compared with the vaccine strain, and our model predicts the relationship between neutralization and efficacy against viral variants. Here, we show that neutralization level is highly predictive of immune protection, and provide an evidence-based model of SARS-CoV-2 immune protection that will assist in developing vaccine strategies to control the future trajectory of the pandemic.
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            SARS-CoV-2 RBD antibodies that maximize breadth and resistance to escape

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              Is Open Access

              Serological assays for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), March 2020

              Background The ongoing coronavirus disease (COVID-19) pandemic has major impacts on health systems, the economy and society. Assessing infection attack rates in the population is critical for estimating disease severity and herd immunity which is needed to calibrate public health interventions. We have previously shown that it is possible to achieve this in real time to impact public health decision making. Aim Our objective was to develop and evaluate serological assays applicable in large-scale sero-epidemiological studies. Methods We developed an ELISA to detect IgG and IgM antibodies to the receptor-binding domain (RBD) of the spike protein of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). We evaluated its sensitivity and specificity in combination with confirmatory microneutralisation (MN) and 90% plaque reduction neutralisation tests (PRNT90) in 51 sera from 24 patients with virologically confirmed COVID-19 and in age-stratified sera from 200 healthy controls. Results IgG and IgM RBD ELISA, MN and PRNT90 were reliably positive after 29 days from illness onset with no detectable cross-reactivity in age-stratified controls. We found that PRNT90 tests were more sensitive in detecting antibody than MN tests carried out with the conventional 100 tissue culture infectious dose challenge. Heparinised plasma appeared to reduce the infectivity of the virus challenge dose and may confound interpretation of neutralisation test. Conclusion Using IgG ELISA based on the RBD of the spike protein to screen sera for SARS-CoV-2 antibody, followed by confirmation using PRNT90, is a valid approach for large-scale sero-epidemiology studies.
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                Author and article information

                Journal
                ACS Appl Polym Mater
                ACS Appl Polym Mater
                ap
                aapmcd
                ACS Applied Polymer Materials
                American Chemical Society
                2637-6105
                23 February 2023
                : acsapm.2c02187
                Affiliations
                []R&D Center, Scholar Foxtrot Co. Ltd. , Seoul 02796, Republic of Korea
                []Department of Biomedical Sciences, College of Medicine, Korea University , Seoul 02841, Republic of Korea
                [§ ]Seoul Metropolitan Government Research Institute of Public Health and Environment , Seoul 13818, Republic of Korea
                []Division of Hematology, Department of Internal Medicine, Anam Hospital Korea University Medical Center , Seoul 02841, Republic of Korea
                []Division of Infectious Diseases, Department of Internal Medicine, Anam Hospital Korea University Medical Center , Seoul 02841, Republic of Korea
                Author notes
                Author information
                https://orcid.org/0000-0001-5289-7313
                https://orcid.org/0000-0003-3822-4651
                https://orcid.org/0000-0001-9595-2765
                Article
                10.1021/acsapm.2c02187
                9969888
                37552750
                9fc44668-512b-4733-b505-c11e29e0160e
                © 2023 American Chemical Society

                This article is made available via the PMC Open Access Subset for unrestricted RESEARCH re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.

                History
                : 19 December 2022
                : 15 February 2023
                Funding
                Funded by: Korea Health Industry Development Institute, doi 10.13039/501100003710;
                Award ID: HE21C0001
                Funded by: National Research Foundation of Korea, doi 10.13039/501100003725;
                Award ID: NRF-2022R1I1A1A01064249
                Funded by: Korea Health Industry Development Institute, doi 10.13039/501100003710;
                Award ID: HV20C0054
                Funded by: Korea Health Industry Development Institute, doi 10.13039/501100003710;
                Award ID: HR14C0007
                Categories
                Article
                Custom metadata
                ap2c02187
                ap2c02187

                nanogel,surface plasmon resonance (spr),sars-cov-2,neutralizing antibody,biosensor

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