Clinical sensitivity and specificity of a high-throughput microfluidic nano-immunoassay combined with capillary blood microsampling for the identification of anti-SARS-CoV-2 Spike IgG serostatus

<h4>Objectives</h4> We evaluate the diagnostic performance of dried blood microsampling combined with a high-throughput microfluidic nano-immunoassay (NIA) for the identification of anti-SARS-CoV-2 Spike IgG seropositivity. <h4>Methods</h4> We conducted a serological study am...

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Main Authors: Grégoire Michielin, Fatemeh Arefi, Olha Puhach, Mathilde Bellon, Pascale Sattonnet-Roche, Arnaud G. L’Huillier, Isabella Eckerle, Benjamin Meyer, Sebastian J. Maerkl
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2023-01-01
Series:PLoS ONE
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10035827/?tool=EBI
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author Grégoire Michielin
Fatemeh Arefi
Olha Puhach
Mathilde Bellon
Pascale Sattonnet-Roche
Arnaud G. L’Huillier
Isabella Eckerle
Benjamin Meyer
Sebastian J. Maerkl
author_facet Grégoire Michielin
Fatemeh Arefi
Olha Puhach
Mathilde Bellon
Pascale Sattonnet-Roche
Arnaud G. L’Huillier
Isabella Eckerle
Benjamin Meyer
Sebastian J. Maerkl
author_sort Grégoire Michielin
collection DOAJ
description <h4>Objectives</h4> We evaluate the diagnostic performance of dried blood microsampling combined with a high-throughput microfluidic nano-immunoassay (NIA) for the identification of anti-SARS-CoV-2 Spike IgG seropositivity. <h4>Methods</h4> We conducted a serological study among 192 individuals with documented prior SARS-CoV-2 infection and 44 SARS-CoV-2 negative individuals. Participants with prior SARS-CoV-2 infection had a long interval of 11 months since their qRT-PCR positive test. Serum was obtained after venipuncture and tested with an automated electrochemiluminescence anti-SARS-CoV-2 S total Ig reference assay, a commercial ELISA anti-S1 IgG assay, and the index test NIA. In addition, 109 participants from the positive cohort and 44 participants from the negative cohort participated in capillary blood collection using three microsampling devices: Mitra, repurposed glucose test strips, and HemaXis. Samples were dried, shipped by regular mail, extracted, and measured with NIA. <h4>Results</h4> Using serum samples, we achieve a clinical sensitivity of 98·33% and specificity of 97·62% on NIA, affirming the high performance of NIA in participants 11 months post infection. Combining microsampling with NIA, we obtain a clinical sensitivity of 95·05% using Mitra, 61·11% using glucose test strips, 83·16% using HemaXis, and 91·49% for HemaXis after automated extraction, without any drop in specificity. <h4>Discussion</h4> High sensitivity and specificity was demonstrated when testing micro-volume capillary dried blood samples using NIA, which is expected to facilitate its use in large-scale studies using home-based sampling or samples collected in the field.
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spelling doaj.art-dd4365c9b2b944a58d2a3084681195292023-03-26T05:32:08ZengPublic Library of Science (PLoS)PLoS ONE1932-62032023-01-01183Clinical sensitivity and specificity of a high-throughput microfluidic nano-immunoassay combined with capillary blood microsampling for the identification of anti-SARS-CoV-2 Spike IgG serostatusGrégoire MichielinFatemeh ArefiOlha PuhachMathilde BellonPascale Sattonnet-RocheArnaud G. L’HuillierIsabella EckerleBenjamin MeyerSebastian J. Maerkl<h4>Objectives</h4> We evaluate the diagnostic performance of dried blood microsampling combined with a high-throughput microfluidic nano-immunoassay (NIA) for the identification of anti-SARS-CoV-2 Spike IgG seropositivity. <h4>Methods</h4> We conducted a serological study among 192 individuals with documented prior SARS-CoV-2 infection and 44 SARS-CoV-2 negative individuals. Participants with prior SARS-CoV-2 infection had a long interval of 11 months since their qRT-PCR positive test. Serum was obtained after venipuncture and tested with an automated electrochemiluminescence anti-SARS-CoV-2 S total Ig reference assay, a commercial ELISA anti-S1 IgG assay, and the index test NIA. In addition, 109 participants from the positive cohort and 44 participants from the negative cohort participated in capillary blood collection using three microsampling devices: Mitra, repurposed glucose test strips, and HemaXis. Samples were dried, shipped by regular mail, extracted, and measured with NIA. <h4>Results</h4> Using serum samples, we achieve a clinical sensitivity of 98·33% and specificity of 97·62% on NIA, affirming the high performance of NIA in participants 11 months post infection. Combining microsampling with NIA, we obtain a clinical sensitivity of 95·05% using Mitra, 61·11% using glucose test strips, 83·16% using HemaXis, and 91·49% for HemaXis after automated extraction, without any drop in specificity. <h4>Discussion</h4> High sensitivity and specificity was demonstrated when testing micro-volume capillary dried blood samples using NIA, which is expected to facilitate its use in large-scale studies using home-based sampling or samples collected in the field.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10035827/?tool=EBI
spellingShingle Grégoire Michielin
Fatemeh Arefi
Olha Puhach
Mathilde Bellon
Pascale Sattonnet-Roche
Arnaud G. L’Huillier
Isabella Eckerle
Benjamin Meyer
Sebastian J. Maerkl
Clinical sensitivity and specificity of a high-throughput microfluidic nano-immunoassay combined with capillary blood microsampling for the identification of anti-SARS-CoV-2 Spike IgG serostatus
PLoS ONE
title Clinical sensitivity and specificity of a high-throughput microfluidic nano-immunoassay combined with capillary blood microsampling for the identification of anti-SARS-CoV-2 Spike IgG serostatus
title_full Clinical sensitivity and specificity of a high-throughput microfluidic nano-immunoassay combined with capillary blood microsampling for the identification of anti-SARS-CoV-2 Spike IgG serostatus
title_fullStr Clinical sensitivity and specificity of a high-throughput microfluidic nano-immunoassay combined with capillary blood microsampling for the identification of anti-SARS-CoV-2 Spike IgG serostatus
title_full_unstemmed Clinical sensitivity and specificity of a high-throughput microfluidic nano-immunoassay combined with capillary blood microsampling for the identification of anti-SARS-CoV-2 Spike IgG serostatus
title_short Clinical sensitivity and specificity of a high-throughput microfluidic nano-immunoassay combined with capillary blood microsampling for the identification of anti-SARS-CoV-2 Spike IgG serostatus
title_sort clinical sensitivity and specificity of a high throughput microfluidic nano immunoassay combined with capillary blood microsampling for the identification of anti sars cov 2 spike igg serostatus
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10035827/?tool=EBI
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