Clinical evaluation of commercial SARS-CoV-2 serological assays in a malaria endemic setting

被引:3
作者
Dabitao, Djeneba [1 ,2 ,6 ,7 ]
Shaw-Saliba, Kathryn [3 ]
Konate, Drissa S. [1 ,2 ]
Highbarger, Helene C. [4 ]
Lallemand, Perrine [4 ]
Sanogo, Ibrahim [1 ,2 ]
Rehman, Tauseef [4 ]
Wague, Mamadou [1 ,2 ]
Coulibaly, Nadie [1 ,2 ]
Kone, Bourahima [1 ,2 ]
Baya, Bocar [1 ,2 ]
Diakite, Seidina A. S. [1 ,2 ]
Samake, Seydou [1 ,2 ]
Akpa, Esther [3 ]
Tounkara, Moctar [1 ,2 ]
Laverdure, Sylvain [5 ]
Doumbia, Seydou [1 ,2 ]
Lane, H. Clifford [3 ]
Diakite, Mahamadou [1 ,2 ]
Dewar, Robin L. [4 ]
机构
[1] Univ Sci Tech & Technol Bamako USTTB, Univ Clin Res Ctr UCRC, Fac Pharm, Bamako, Mali
[2] Univ Sci Tech & Technol Bamako USTTB, Fac Med & Odonto Stomatol, Bamako, Mali
[3] NIAID, Collaborat Clin Res Branch CCRB, Div Clin Res DCR, Bethesda, MD USA
[4] Virus Isolat & Serol Lab, Frederick Natl Lab FNL, Frederick, MD USA
[5] Frederick Natl Lab FNL, Lab Human Retrovirol & Immunoinformat, Frederick, MD USA
[6] Univ Sci Tech & Technol Bamako USTTB, Univ Clin Res Ctr UCRC, Fac Pharm, BP 1805, Bamako, Mali
[7] Univ Sci Tech & Technol Bamako USTTB, Fac Med & Odonto Stomatol, BP 1805, Bamako, Mali
基金
美国国家卫生研究院;
关键词
COVID-19; Antibodies; Validation; Plasmodium falciparum; Mali; REACTIVITY; COVID-19;
D O I
10.1016/j.jim.2023.113488
中图分类号
Q5 [生物化学];
学科分类号
071010 ; 081704 ;
摘要
The levels of immune response to SARS-CoV-2 infection or vaccination are poorly understood in African populations and is complicated by cross-reactivity to endemic pathogens as well as differences in host responsiveness. To begin to determine the best approach to minimize false positive antibody levels to SARS-CoV-2 in an African population, we evaluated three commercial assays, namely Bio-Rad Platelia SARS-CoV-2 Total Antibody (Platelia), Quanterix Simoa Semi-Quantitative SARS-CoV-2 IgG Antibody Test (anti-Spike), and the GenScript cPassTM SARS-CoV-2 Neutralization Antibody Detection Kit (cPass) using samples collected in Mali in West Africa prior to the emergence of SARS-CoV-2. A total of one hundred samples were assayed. The samples were categorized in two groups based on the presence or absence of clinical malaria. Overall, thirteen out of one hundred (13/100) samples were false positives with the Bio-Rad Platelia assay and one of the same one hundred (1/100) was a false positive with the anti-Spike IgG Quanterix assay. None of the samples tested with the GenScript cPass assay were positive. False positives were more common in the clinical malaria group, 10/50 (20%) vs. the nonmalaria group 3/50 (6%); p = 0.0374 using the Bio-Rad Platelia assay. Association between false positive results and parasitemia by Bio-Rad remained evident, after adjusting for age and sex in multivariate analyses. In summary, the impact of clinical malaria on assay performance appears to depend on the assay and/or antigen being used. A careful evaluation of any given assay in the local context is a prerequisite for reliable serological assessment of anti-SARS-CoV-2 humoral immunity.
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页数:7
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