Utility of Roche Elecsys anti-SARS-CoV-2 S in ascertaining post-vaccine neutralizing antibodies

With widespread global COVID-19 vaccine coverage, a scalable, cost-effective, and standardized tool to ascertain post-vaccine immunity is a dire need. Neither clinical evaluations of vaccine efficacy, nor live virus antibody neutralization assays fulfill these criteria. Commercially available anti-S...

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Main Authors: Javeria Aijaz, Fatima Kanani, Fouzia Naseer
Format: Article
Language:English
Published: Elsevier 2023-02-01
Series:Journal of Clinical Virology Plus
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2667038023000042
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author Javeria Aijaz
Fatima Kanani
Fouzia Naseer
author_facet Javeria Aijaz
Fatima Kanani
Fouzia Naseer
author_sort Javeria Aijaz
collection DOAJ
description With widespread global COVID-19 vaccine coverage, a scalable, cost-effective, and standardized tool to ascertain post-vaccine immunity is a dire need. Neither clinical evaluations of vaccine efficacy, nor live virus antibody neutralization assays fulfill these criteria. Commercially available anti-S binding immunological assays have the potential to fill this gap, but need to be systematically evaluated for their utility to serve as surrogates for the aforementioned, widely accepted tools of determining vaccine efficacy. In this study, we evaluated an anti-S binding immunological assay (Roche Elecsys Anti-SARS-CoV-2 S) by utilizing two hundred and fifty-five archived serum specimens, either pre-pandemic, or those exposed to natural infections or vaccines with their neutralizing titers pre-determined through a live virus, pseudotyped antibody neutralization assay. Roche Elecsys Anti-SARS-CoV-2 S demonstrated good sensitivity (98%) and specificity (99%), just as has been reported in some other previously conducted studies using this assay. Only a mild correlation, however, with the live virus pseudotyped lentivirus antibody neutralization assay (Spearman's r = 0.26) was observed. We conclude that, as such, Elecsys Anti-SARS-CoV-2 S has a high sensitivity and specificity for detecting anti-SARS-CoV-2 S proteins, though the assay does not always correlate well with live virus assays for quantitative outcomes.
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spelling doaj.art-f68d85fe983f4136908c75d6a760b77a2023-01-17T04:07:35ZengElsevierJournal of Clinical Virology Plus2667-03802023-02-0131100137Utility of Roche Elecsys anti-SARS-CoV-2 S in ascertaining post-vaccine neutralizing antibodiesJaveria Aijaz0Fatima Kanani1Fouzia Naseer2Molecular Biology Section, Pathology Department, Indus Hospital and Health Network, Plot C-76, Sector 31/5, Opposite، Crossing، Darussalam Society Sector 39 Korangi, Karachi, Sindh, Pakistan; Corresponding author.Chemical Pathology Section, Pathology Department, Indus Hospital & Health Network, Karachi, PakistanMolecular Biology Section, Pathology Department, Indus Hospital and Health Network, Plot C-76, Sector 31/5, Opposite، Crossing، Darussalam Society Sector 39 Korangi, Karachi, Sindh, PakistanWith widespread global COVID-19 vaccine coverage, a scalable, cost-effective, and standardized tool to ascertain post-vaccine immunity is a dire need. Neither clinical evaluations of vaccine efficacy, nor live virus antibody neutralization assays fulfill these criteria. Commercially available anti-S binding immunological assays have the potential to fill this gap, but need to be systematically evaluated for their utility to serve as surrogates for the aforementioned, widely accepted tools of determining vaccine efficacy. In this study, we evaluated an anti-S binding immunological assay (Roche Elecsys Anti-SARS-CoV-2 S) by utilizing two hundred and fifty-five archived serum specimens, either pre-pandemic, or those exposed to natural infections or vaccines with their neutralizing titers pre-determined through a live virus, pseudotyped antibody neutralization assay. Roche Elecsys Anti-SARS-CoV-2 S demonstrated good sensitivity (98%) and specificity (99%), just as has been reported in some other previously conducted studies using this assay. Only a mild correlation, however, with the live virus pseudotyped lentivirus antibody neutralization assay (Spearman's r = 0.26) was observed. We conclude that, as such, Elecsys Anti-SARS-CoV-2 S has a high sensitivity and specificity for detecting anti-SARS-CoV-2 S proteins, though the assay does not always correlate well with live virus assays for quantitative outcomes.http://www.sciencedirect.com/science/article/pii/S2667038023000042RocheElecsysCOVID-19AntibodiesNeutralizing
spellingShingle Javeria Aijaz
Fatima Kanani
Fouzia Naseer
Utility of Roche Elecsys anti-SARS-CoV-2 S in ascertaining post-vaccine neutralizing antibodies
Journal of Clinical Virology Plus
Roche
Elecsys
COVID-19
Antibodies
Neutralizing
title Utility of Roche Elecsys anti-SARS-CoV-2 S in ascertaining post-vaccine neutralizing antibodies
title_full Utility of Roche Elecsys anti-SARS-CoV-2 S in ascertaining post-vaccine neutralizing antibodies
title_fullStr Utility of Roche Elecsys anti-SARS-CoV-2 S in ascertaining post-vaccine neutralizing antibodies
title_full_unstemmed Utility of Roche Elecsys anti-SARS-CoV-2 S in ascertaining post-vaccine neutralizing antibodies
title_short Utility of Roche Elecsys anti-SARS-CoV-2 S in ascertaining post-vaccine neutralizing antibodies
title_sort utility of roche elecsys anti sars cov 2 s in ascertaining post vaccine neutralizing antibodies
topic Roche
Elecsys
COVID-19
Antibodies
Neutralizing
url http://www.sciencedirect.com/science/article/pii/S2667038023000042
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