Evidence map›Paper›PMID 33453299›Full record

ArticleJournal of virological methods2021

Nucleoprotein-based ELISA for detection of SARS-COV-2 IgG antibodies: Could an old assay be suitable for serodiagnosis of the new coronavirus?

Tania Regina Tozetto-Mendoza, Kelly Aparecida Kanunfre, Lucy Santos Vilas-Boas, Evelyn Patricia Sanchez Espinoza, Heuder Gustavo Oliveira Paião, Mussya Cisotto Rocha, Anderson Vicente de Paula, Maura Salaroli de Oliveira, Daniella Bosco Zampelli, José Mauro Vieira and 6 more

Open access · greenAbstract readEvaluation Study
In one paragraph

Article in Journal of virological methods, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
1.4field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 22 citations in OpenAlex.

  1. Article
  2. Article
  3. Seroepidemiology forPathogens (Basel, Switzerland) · 2024
    Article
  4. Article
  5. Article
  6. Seroprevalence of SARS-CoV-2 in hospital workers in the southern region of Minas Gerais state in Brazil: An analysis of the pre-vaccine period.Brazilian journal of microbiology : [publication of the Brazilian Society for Microbiology] · 2023
    Article
  7. Review
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors at 2 institutions in 2 countries.

Tania Regina Tozetto-MendozaLIM-52, Institute of Tropical Medicine, School of Medicine, Clinical Hospital, University of São Paulo, Brazil. Electronic address: tozetto@usp.br.
Kelly Aparecida KanunfreLIM-48, Clinical Hospital, School of Medicine, University of São Paulo, Brazil; Laboratory of Seroepidemiology and Immunobiology, Institute of Tropical Medicine, School of Medicine, University of São Paulo, Brazil.
Lucy Santos Vilas-BoasLIM-52, Institute of Tropical Medicine, School of Medicine, Clinical Hospital, University of São Paulo, Brazil.
Evelyn Patricia Sanchez EspinozaLIM-49, Institute of Tropical Medicine, School of Medicine, University of São Paulo, Brazil; Department of Infection Diseases, Clinical Hospital, School of Medicine, University of São Paulo, Brazil.
Heuder Gustavo Oliveira PaiãoLIM-52, Institute of Tropical Medicine, School of Medicine, Clinical Hospital, University of São Paulo, Brazil; Department of Infection Diseases, Clinical Hospital, School of Medicine, University of São Paulo, Brazil.
Mussya Cisotto RochaLIM-48, Clinical Hospital, School of Medicine, University of São Paulo, Brazil; Laboratory of Seroepidemiology and Immunobiology, Institute of Tropical Medicine, School of Medicine, University of São Paulo, Brazil.
Anderson Vicente de PaulaLIM-52, Institute of Tropical Medicine, School of Medicine, Clinical Hospital, University of São Paulo, Brazil.
Maura Salaroli de OliveiraDepartment of Infection control- Clinical Hospital, School of Medicine, University of São Paulo, Brazil; Hospital Sírio Libanês, Brazil.
Daniella Bosco ZampelliHospital Sírio Libanês, Brazil.
José Mauro VieiraHospital Sírio Libanês, Brazil.
Lewis BussDepartment of Infection Diseases, Clinical Hospital, School of Medicine, University of São Paulo, Brazil.
Silvia Figueiredo CostaLIM-49, Institute of Tropical Medicine, School of Medicine, University of São Paulo, Brazil; Department of Infection Diseases, Clinical Hospital, School of Medicine, University of São Paulo, Brazil.
Ester Cerdeira SabinoDepartment of Infection Diseases, Clinical Hospital, School of Medicine, University of São Paulo, Brazil; LIM-46, Institute of Tropical Medicine, School of Medicine, University of São Paulo, Brazil.
Steven S WitkinLIM-52, Institute of Tropical Medicine, School of Medicine, Clinical Hospital, University of São Paulo, Brazil; Department of Obstetrics and Gynecology, Weill Cornell Medicine, New York, New York, United States.
Thelma Suely OkayLaboratory of Seroepidemiology and Immunobiology, Institute of Tropical Medicine, School of Medicine, University of São Paulo, Brazil; Department of Pediatrics, School of Medicine, University of São Paulo, Brazil.
Maria Cassia Mendes-CorreaLIM-52, Institute of Tropical Medicine, School of Medicine, Clinical Hospital, University of São Paulo, Brazil; Department of Infection Diseases, Clinical Hospital, School of Medicine, University of São Paulo, Brazil.
Universidade de São Paulo · BRHospital Sírio-Libanês · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesWe evaluated the performance of a nucleoprotein-based enzyme-linked immunosorbent assay (ELISA) for detection of IgG antibodies to SARS-CoV-2.

methodsThe ELISA was based on serum IgG reactivity to a 46-kDa protein derived from the recombinant SARS-CoV2 nucleoprotein. Assay sensitivity was assessed using serum samples from 134 COVID-19 confirmed cases obtained > 15 days after symptom onset. Specificity was determined by testing sera from 94 healthy controls. Cross-reactivity was evaluated with sera from 96 individuals with previous dengue or zika virus-confirmed infections, with 44 sera from individuals with confirmed infections to other respiratory viruses or with bacterial and fungal infections that cause pneumonia and with 40 sera negative for SARS-CoV-2 nucleoprotein by commercial ELISA kits.

resultsThe majority of subjects were male and ≥ 60 years old. Assay sensitivity was 90.3 % (95 % confidence interval 84.1 %-94.2 %) and specificity was 97.9 % (92.6 %-99.4 %). There was no cross-reactivity with sera from individuals diagnosed with dengue, zika virus, influenza virus, rhinovirus, adenovirus, respiratory syncytial virus, seasonal coronavirus, Mycobacterium tuberculosis, Staphylococcus (S. aureus and coagulase-negative), Streptococcus pneumoniae, Klebsiella pneumoniae and the fungus Aspergillus fumigatus. The level of concordance of our test with results from commercial ELISA kits was 100 %.

conclusionThe nucleoprotein-based ELISA was specific for detection of IgG anti-nucleoprotein antibodies to SARS-CoV-2. It utilizes a frequently employed low expense assay protocol and is easier to perform than other currently available commercial SARS-CoV2 antibody detection tests.

Indexed as

COVID-19 Serological TestingEnzyme-Linked Immunosorbent AssayAdultAgedAntibodies, ViralCoronavirus Nucleocapsid ProteinsCOVID-19FemaleHumansImmunoglobulin GMaleMiddle AgedPhosphoproteinsSARS-CoV-2Sensitivity and SpecificityAntibodies, ViralCoronavirus Nucleocapsid ProteinsImmunoglobulin Gnucleocapsid phosphoprotein, SARS-CoV-2PhosphoproteinsCOVID-19ELISAIgG antibodyNucleoprotein antigenSARS-CoV-2

Identifiers

PMID33453299
PMCPMC7804377
OpenAlexW3118944411

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.