Evaluation of Commercially Available High-Throughput SARS-CoV-2 Serologic Assays for Serosurveillance and Related Applications.

dc.contributor.author

Stone, Mars

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Grebe, Eduard

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Sulaeman, Hasan

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Di Germanio, Clara

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Dave, Honey

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Kelly, Kathleen

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Biggerstaff, Brad J

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Crews, Bridgit O

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Tran, Nam

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Jerome, Keith R

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Denny, Thomas N

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Hogema, Boris

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Destree, Mark

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Jones, Jefferson M

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Thornburg, Natalie

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Simmons, Graham

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Krajden, Mel

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Kleinman, Steve

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Dumont, Larry J

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Busch, Michael P

dc.date.accessioned

2022-05-03T18:38:26Z

dc.date.available

2022-05-03T18:38:26Z

dc.date.issued

2022-03

dc.date.updated

2022-05-03T18:38:26Z

dc.description.abstract

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) serosurveys can estimate cumulative incidence for monitoring epidemics, requiring assessment of serologic assays to inform testing algorithm development and interpretation of results. We conducted a multilaboratory evaluation of 21 commercial high-throughput SARS-CoV-2 serologic assays using blinded panels of 1,000 highly characterized specimens. Assays demonstrated a range of sensitivities (96%-63%), specificities (99%-96%), and precision (intraclass correlation coefficient 0.55-0.99). Durability of antibody detection was dependent on antigen and immunoglobulin targets; antispike and total Ig assays demonstrated more stable longitudinal reactivity than antinucleocapsid and IgG assays. Assays with high sensitivity, specificity, and durable antibody detection are ideal for serosurveillance, but assays demonstrating waning reactivity are appropriate for other applications, including correlation with neutralizing activity and detection of anamnestic boosting by reinfections. Assay performance must be evaluated in context of intended use, particularly in the context of widespread vaccination and circulation of SARS-CoV-2 variants.

dc.identifier.issn

1080-6040

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1080-6059

dc.identifier.uri

https://hdl.handle.net/10161/25001

dc.language

eng

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Centers for Disease Control and Prevention (CDC)

dc.relation.ispartof

Emerging infectious diseases

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10.3201/eid2803.211885

dc.subject

Humans

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Antibodies, Viral

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Serologic Tests

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Sensitivity and Specificity

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COVID-19

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SARS-CoV-2

dc.title

Evaluation of Commercially Available High-Throughput SARS-CoV-2 Serologic Assays for Serosurveillance and Related Applications.

dc.type

Journal article

pubs.begin-page

672

pubs.end-page

683

pubs.issue

3

pubs.organisational-group

Duke

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School of Medicine

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Staff

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Clinical Science Departments

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Institutes and Centers

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Medicine

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Medicine, Duke Human Vaccine Institute

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Duke Human Vaccine Institute

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Institutes and Provost's Academic Units

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University Institutes and Centers

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Duke Global Health Institute

pubs.publication-status

Published

pubs.volume

28

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