Optimization and evaluation of a live virus SARS-CoV-2 neutralization assay.

Virus neutralization assays provide a means to quantitate functional antibody responses that block virus infection. These assays are instrumental in defining vaccine and therapeutic antibody potency, immune evasion by viral variants, and post-infection immunity. Here we describe the development, opt...

Full description

Bibliographic Details
Main Authors: Anders Frische, Patrick Terrence Brooks, Mikkel Gybel-Brask, Susanne Gjørup Sækmose, Bitten Aagaard Jensen, Susan Mikkelsen, Mie Topholm Bruun, Lasse Boding, Charlotta Polacek Strandh, Charlotte Sværke Jørgensen, Karen Angeliki Krogfelt, Anders Fomsgaard, Ria Lassauniere
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2022-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0272298
_version_ 1811214685648715776
author Anders Frische
Patrick Terrence Brooks
Mikkel Gybel-Brask
Susanne Gjørup Sækmose
Bitten Aagaard Jensen
Susan Mikkelsen
Mie Topholm Bruun
Lasse Boding
Charlotta Polacek Strandh
Charlotte Sværke Jørgensen
Karen Angeliki Krogfelt
Anders Fomsgaard
Ria Lassauniere
author_facet Anders Frische
Patrick Terrence Brooks
Mikkel Gybel-Brask
Susanne Gjørup Sækmose
Bitten Aagaard Jensen
Susan Mikkelsen
Mie Topholm Bruun
Lasse Boding
Charlotta Polacek Strandh
Charlotte Sværke Jørgensen
Karen Angeliki Krogfelt
Anders Fomsgaard
Ria Lassauniere
author_sort Anders Frische
collection DOAJ
description Virus neutralization assays provide a means to quantitate functional antibody responses that block virus infection. These assays are instrumental in defining vaccine and therapeutic antibody potency, immune evasion by viral variants, and post-infection immunity. Here we describe the development, optimization and evaluation of a live virus microneutralization assay specific for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). In this assay, SARS-CoV-2 clinical isolates are pre-incubated with serial diluted antibody and added to Vero E6 cells. Replicating virus is quantitated by enzyme-linked immunosorbent assay (ELISA) targeting the SARS-CoV-2 nucleocapsid protein and the standardized 50% virus inhibition titer calculated. We evaluated critical test parameters that include virus titration, assay linearity, number of cells, viral dose, incubation period post-inoculation, and normalization methods. Virus titration at 96 hours was determined optimal to account for different growth kinetics of clinical isolates. Nucleocapsid protein levels directly correlated with virus inoculum, with the strongest correlation at 24 hours post-inoculation. Variance was minimized by infecting a cell monolayer, rather than a cell suspension. Neutralization titers modestly decreased with increasing numbers of Vero E6 cells and virus amount. Application of two different normalization models effectively reduced the intermediate precision coefficient of variance to <16.5%. The SARS-CoV-2 microneutralization assay described and evaluated here is based on the influenza virus microneutralization assay described by WHO, and are proposed as a standard assay for comparing neutralization investigations.
first_indexed 2024-04-12T06:08:17Z
format Article
id doaj.art-710168d165e6428c9e88698f5035b509
institution Directory Open Access Journal
issn 1932-6203
language English
last_indexed 2024-04-12T06:08:17Z
publishDate 2022-01-01
publisher Public Library of Science (PLoS)
record_format Article
series PLoS ONE
spelling doaj.art-710168d165e6428c9e88698f5035b5092022-12-22T03:44:46ZengPublic Library of Science (PLoS)PLoS ONE1932-62032022-01-01177e027229810.1371/journal.pone.0272298Optimization and evaluation of a live virus SARS-CoV-2 neutralization assay.Anders FrischePatrick Terrence BrooksMikkel Gybel-BraskSusanne Gjørup SækmoseBitten Aagaard JensenSusan MikkelsenMie Topholm BruunLasse BodingCharlotta Polacek StrandhCharlotte Sværke JørgensenKaren Angeliki KrogfeltAnders FomsgaardRia LassauniereVirus neutralization assays provide a means to quantitate functional antibody responses that block virus infection. These assays are instrumental in defining vaccine and therapeutic antibody potency, immune evasion by viral variants, and post-infection immunity. Here we describe the development, optimization and evaluation of a live virus microneutralization assay specific for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). In this assay, SARS-CoV-2 clinical isolates are pre-incubated with serial diluted antibody and added to Vero E6 cells. Replicating virus is quantitated by enzyme-linked immunosorbent assay (ELISA) targeting the SARS-CoV-2 nucleocapsid protein and the standardized 50% virus inhibition titer calculated. We evaluated critical test parameters that include virus titration, assay linearity, number of cells, viral dose, incubation period post-inoculation, and normalization methods. Virus titration at 96 hours was determined optimal to account for different growth kinetics of clinical isolates. Nucleocapsid protein levels directly correlated with virus inoculum, with the strongest correlation at 24 hours post-inoculation. Variance was minimized by infecting a cell monolayer, rather than a cell suspension. Neutralization titers modestly decreased with increasing numbers of Vero E6 cells and virus amount. Application of two different normalization models effectively reduced the intermediate precision coefficient of variance to <16.5%. The SARS-CoV-2 microneutralization assay described and evaluated here is based on the influenza virus microneutralization assay described by WHO, and are proposed as a standard assay for comparing neutralization investigations.https://doi.org/10.1371/journal.pone.0272298
spellingShingle Anders Frische
Patrick Terrence Brooks
Mikkel Gybel-Brask
Susanne Gjørup Sækmose
Bitten Aagaard Jensen
Susan Mikkelsen
Mie Topholm Bruun
Lasse Boding
Charlotta Polacek Strandh
Charlotte Sværke Jørgensen
Karen Angeliki Krogfelt
Anders Fomsgaard
Ria Lassauniere
Optimization and evaluation of a live virus SARS-CoV-2 neutralization assay.
PLoS ONE
title Optimization and evaluation of a live virus SARS-CoV-2 neutralization assay.
title_full Optimization and evaluation of a live virus SARS-CoV-2 neutralization assay.
title_fullStr Optimization and evaluation of a live virus SARS-CoV-2 neutralization assay.
title_full_unstemmed Optimization and evaluation of a live virus SARS-CoV-2 neutralization assay.
title_short Optimization and evaluation of a live virus SARS-CoV-2 neutralization assay.
title_sort optimization and evaluation of a live virus sars cov 2 neutralization assay
url https://doi.org/10.1371/journal.pone.0272298
work_keys_str_mv AT andersfrische optimizationandevaluationofalivevirussarscov2neutralizationassay
AT patrickterrencebrooks optimizationandevaluationofalivevirussarscov2neutralizationassay
AT mikkelgybelbrask optimizationandevaluationofalivevirussarscov2neutralizationassay
AT susannegjørupsækmose optimizationandevaluationofalivevirussarscov2neutralizationassay
AT bittenaagaardjensen optimizationandevaluationofalivevirussarscov2neutralizationassay
AT susanmikkelsen optimizationandevaluationofalivevirussarscov2neutralizationassay
AT mietopholmbruun optimizationandevaluationofalivevirussarscov2neutralizationassay
AT lasseboding optimizationandevaluationofalivevirussarscov2neutralizationassay
AT charlottapolacekstrandh optimizationandevaluationofalivevirussarscov2neutralizationassay
AT charlottesværkejørgensen optimizationandevaluationofalivevirussarscov2neutralizationassay
AT karenangelikikrogfelt optimizationandevaluationofalivevirussarscov2neutralizationassay
AT andersfomsgaard optimizationandevaluationofalivevirussarscov2neutralizationassay
AT rialassauniere optimizationandevaluationofalivevirussarscov2neutralizationassay