ORF8 and ORF3b antibodies are accurate serological markers of early and late SARS-CoV-2 infection

被引:185
作者
Hachim, Asmaa [1 ]
Kavian, Niloufar [1 ,2 ,3 ]
Cohen, Carolyn A. [1 ]
Chin, Alex W. H. [4 ]
Chu, Daniel K. W. [4 ]
Mok, Chris K. P. [1 ]
Tsang, Owen T. Y. [5 ]
Yeung, Yiu Cheong [5 ]
Perera, Ranawaka A. P. M. [4 ]
Poon, Leo L. M. [1 ,4 ]
Peiris, J. S. Malik [1 ,4 ]
Valkenburg, Sophie A. [1 ]
机构
[1] Univ Hong Kong, Li Ka Shing Fac Med, Sch Publ Hlth, HKU Pasteur Res Pole, Hong Kong, Peoples R China
[2] Univ Paris 05, Ctr Hosp Univ Cochin, AP HP, Fac Med,Sorbonne Paris Cite,Hop Univ Paris Ctr, Paris, France
[3] Univ Paris 05, Inst Cochin, INSERM U1016, Sorbonne Paris Cite, Paris, France
[4] Univ Hong Kong, Li Ka Shing Fac Med, Sch Publ Hlth, Div Publ Hlth Lab Sci, Hong Kong, Peoples R China
[5] Princess Margaret Hosp, Hosp Author Hong Kong, Infect Dis Ctr, Hong Kong, Peoples R China
关键词
D O I
10.1038/s41590-020-0773-7
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Accurate serology testing is urgently needed to help diagnose SARS-CoV-2 infection. Here Valkenburg and colleagues use a luciferase immunoprecipitation system to assess the antibody responses to 15 different SARS-CoV-2 antigens in patients with COVID-19 and find ORF8 and ORF3b antibodies, taken together as a cluster of points, identified 96.5% of COVID-19 samples at early and late time points of disease with 99.5% specificity The SARS-CoV-2 virus emerged in December 2019 and has caused a worldwide pandemic due to the lack of any pre-existing immunity. Accurate serology testing is urgently needed to help diagnose infection, determine past exposure of populations and assess the response to a future vaccine. The landscape of antibody responses to SARS-CoV-2 is unknown. In this study, we utilized the luciferase immunoprecipitation system to assess the antibody responses to 15 different SARS-CoV-2 antigens in patients with COVID-19. We identified new targets of the immune response to SARS-CoV-2 and show that nucleocapsid, open reading frame (ORF)8 and ORF3b elicit the strongest specific antibody responses. ORF8 and ORF3b antibodies, taken together as a cluster of points, identified 96.5% of COVID-19 samples at early and late time points of disease with 99.5% specificity. Our findings could be used to develop second-generation diagnostic tests to improve serological assays for COVID-19 and are important in understanding pathogenicity.
引用
收藏
页码:1293 / +
页数:18
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