Performance evaluation of an automatic chemiluminescence immune platform for SARS-CoV-2 neutralizing antibody after vaccination in real world

Abstract Objective Reliable high-throughput serological assays for SARS-CoV-2 antibodies present an important role in the strength and duration of immunity after vaccination. The study investigated the analytical and clinical performances of neutralizing antibodies (NTAb) assay by chemiluminescent (...

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Main Authors: Min Li, Ruiwei Jiang, Enyun Wang, Dan Xiong, Tong Ou, Xiuming Zhang, Xiaowen Dou
Format: Article
Language:English
Published: BMC 2022-02-01
Series:BMC Infectious Diseases
Subjects:
Online Access:https://doi.org/10.1186/s12879-022-07141-8
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author Min Li
Ruiwei Jiang
Enyun Wang
Dan Xiong
Tong Ou
Xiuming Zhang
Xiaowen Dou
author_facet Min Li
Ruiwei Jiang
Enyun Wang
Dan Xiong
Tong Ou
Xiuming Zhang
Xiaowen Dou
author_sort Min Li
collection DOAJ
description Abstract Objective Reliable high-throughput serological assays for SARS-CoV-2 antibodies present an important role in the strength and duration of immunity after vaccination. The study investigated the analytical and clinical performances of neutralizing antibodies (NTAb) assay by chemiluminescent (CLIA), and SARS-CoV-2 neutralizing antibody after vaccination in real world. Methods The analytical performances of CLIA for SARS-CoV-2 NTAb were evaluated, followed by the sensitivity and specificity identified with a PRNT test from 50 volunteers. Then, a cohort of vaccine recipients (n = 37) were tracked with SARS-CoV-2 NTAb assay at prior to vaccination, one, three and six months post two doses. In real world, a total of 737 cases were recruited from physical examination center in Shenzhen Luohu People’s Hospital (from Jun to August 2021) to analyze vaccination status. Results Serological assays on the CLIA were found with excellent characteristics including imprecision, repeatability and linearity. Besides, it was robust to icterus, lipemia and hemolysis. The good sensitivity and specificity were obtained at 98% and 100%, respectively. NTAb results showed a high correlation with PRNT50 titers (r 0.61). Until July 2021, the BBIBP-CorV (76.3%) and Sinovac CoronaVac (20.5%) were the predominant vaccines injection in Shenzhen, China. Adolescent less than 18 years was the main unvaccinated group (52.1%). The seropositive rate of inactive SRAR-CoV-2 vaccines exceeded 97% after inoculation. The NTAb generated by Sinovac CoronaVac with the schedule of 0–56 days was found significantly lower than that by BBIBP-CorV (P < 0.001). The follow-up of NTAb changes in a cohort and the dynamic variation of NTAb in real world disclosed steep downward by almost three times for NTAb level occurred at three months post twice vaccinations. The seropositive ratio was at least 50% over 6 months. Conclusions SARS-CoV-2 neutralizing antibodies assay show excellent analytical and clinical performances, and a high correlation with neutralizing activity. Anti-epidemic measures and the urgent trial of SARS-CoV-2 vaccine was calling for adolescents.
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spelling doaj.art-96ba38986b0244ee8453773f5c9dd2292022-12-21T17:25:05ZengBMCBMC Infectious Diseases1471-23342022-02-012211810.1186/s12879-022-07141-8Performance evaluation of an automatic chemiluminescence immune platform for SARS-CoV-2 neutralizing antibody after vaccination in real worldMin Li0Ruiwei Jiang1Enyun Wang2Dan Xiong3Tong Ou4Xiuming Zhang5Xiaowen Dou6Medical Laboratory of Shenzhen Luohu People’s HospitalMedical Laboratory of Shenzhen Luohu People’s HospitalMedical Laboratory of Shenzhen Luohu People’s HospitalMedical Laboratory of Shenzhen Luohu People’s HospitalMedical Laboratory of Shenzhen Luohu People’s HospitalMedical Laboratory of Shenzhen Luohu People’s HospitalMedical Laboratory of Shenzhen Luohu People’s HospitalAbstract Objective Reliable high-throughput serological assays for SARS-CoV-2 antibodies present an important role in the strength and duration of immunity after vaccination. The study investigated the analytical and clinical performances of neutralizing antibodies (NTAb) assay by chemiluminescent (CLIA), and SARS-CoV-2 neutralizing antibody after vaccination in real world. Methods The analytical performances of CLIA for SARS-CoV-2 NTAb were evaluated, followed by the sensitivity and specificity identified with a PRNT test from 50 volunteers. Then, a cohort of vaccine recipients (n = 37) were tracked with SARS-CoV-2 NTAb assay at prior to vaccination, one, three and six months post two doses. In real world, a total of 737 cases were recruited from physical examination center in Shenzhen Luohu People’s Hospital (from Jun to August 2021) to analyze vaccination status. Results Serological assays on the CLIA were found with excellent characteristics including imprecision, repeatability and linearity. Besides, it was robust to icterus, lipemia and hemolysis. The good sensitivity and specificity were obtained at 98% and 100%, respectively. NTAb results showed a high correlation with PRNT50 titers (r 0.61). Until July 2021, the BBIBP-CorV (76.3%) and Sinovac CoronaVac (20.5%) were the predominant vaccines injection in Shenzhen, China. Adolescent less than 18 years was the main unvaccinated group (52.1%). The seropositive rate of inactive SRAR-CoV-2 vaccines exceeded 97% after inoculation. The NTAb generated by Sinovac CoronaVac with the schedule of 0–56 days was found significantly lower than that by BBIBP-CorV (P < 0.001). The follow-up of NTAb changes in a cohort and the dynamic variation of NTAb in real world disclosed steep downward by almost three times for NTAb level occurred at three months post twice vaccinations. The seropositive ratio was at least 50% over 6 months. Conclusions SARS-CoV-2 neutralizing antibodies assay show excellent analytical and clinical performances, and a high correlation with neutralizing activity. Anti-epidemic measures and the urgent trial of SARS-CoV-2 vaccine was calling for adolescents.https://doi.org/10.1186/s12879-022-07141-8SARS-CoV-2 vaccineImmunoassaysNeutralizing antibodiesSerological assayPlaque reduction neutralization testReal world
spellingShingle Min Li
Ruiwei Jiang
Enyun Wang
Dan Xiong
Tong Ou
Xiuming Zhang
Xiaowen Dou
Performance evaluation of an automatic chemiluminescence immune platform for SARS-CoV-2 neutralizing antibody after vaccination in real world
BMC Infectious Diseases
SARS-CoV-2 vaccine
Immunoassays
Neutralizing antibodies
Serological assay
Plaque reduction neutralization test
Real world
title Performance evaluation of an automatic chemiluminescence immune platform for SARS-CoV-2 neutralizing antibody after vaccination in real world
title_full Performance evaluation of an automatic chemiluminescence immune platform for SARS-CoV-2 neutralizing antibody after vaccination in real world
title_fullStr Performance evaluation of an automatic chemiluminescence immune platform for SARS-CoV-2 neutralizing antibody after vaccination in real world
title_full_unstemmed Performance evaluation of an automatic chemiluminescence immune platform for SARS-CoV-2 neutralizing antibody after vaccination in real world
title_short Performance evaluation of an automatic chemiluminescence immune platform for SARS-CoV-2 neutralizing antibody after vaccination in real world
title_sort performance evaluation of an automatic chemiluminescence immune platform for sars cov 2 neutralizing antibody after vaccination in real world
topic SARS-CoV-2 vaccine
Immunoassays
Neutralizing antibodies
Serological assay
Plaque reduction neutralization test
Real world
url https://doi.org/10.1186/s12879-022-07141-8
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