Evidence map›Paper›PMID 33521709›Full record

ArticleThe Lancet. Microbe2021

Multiplex assays for the identification of serological signatures of SARS-CoV-2 infection: an antibody-based diagnostic and machine learning study.

Jason Rosado, Stéphane Pelleau, Charlotte Cockram, Sarah Hélène Merkling, Narimane Nekkab, Caroline Demeret, Annalisa Meola, Solen Kerneis, Benjamin Terrier, Samira Fafi-Kremer and 9 more

Open access · goldAbstract read
In one paragraph

Article in The Lancet. Microbe, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 85 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
85citing papers in PubMed, 3 pooled it
2.2field-weighted citation impact, top 7% 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

85 citing papers in PubMed, 3 syntheses or guidelines pooled it, 121 citations in OpenAlex.

  1. Pooled it
  2. SARS-CoV-2 seroprevalence worldwide: a systematic review and meta-analysis.Clinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases · 2021
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25 more citing papers are in PubMed but not listed here.

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

19 authors at 11 institutions in 2 countries.

Jason RosadoMalaria: Parasites and Hosts Unit, Department of Parasites and Insect Vectors, Institut Pasteur, Paris, France.
Stéphane PelleauMalaria: Parasites and Hosts Unit, Department of Parasites and Insect Vectors, Institut Pasteur, Paris, France.
Charlotte CockramSpatial Regulation of Genomes Unit, Department of Genomes and Genetics, Institut Pasteur, Paris, France.
Sarah Hélène MerklingInsect-Virus Interactions Unit, Department of Virology, Institut Pasteur, Paris, France.
Narimane NekkabMalaria: Parasites and Hosts Unit, Department of Parasites and Insect Vectors, Institut Pasteur, Paris, France.
Caroline DemeretMolecular Genetics of RNA Viruses Unit, Department of Virology, Institut Pasteur, Paris, France.
Annalisa MeolaStructural Virology Unit, Department of Virology and CNRS UMR 3569, Institut Pasteur, Paris, France.
Solen KerneisEpidemiology and Modelling of Bacterial Escape to Antimicrobials Unit, Department of Global Health, Institut Pasteur, Paris, France.
Benjamin TerrierDepartment of Internal Medicine, National Referral Center for Rare Systemic Autoimmune Diseases, Assistance Publique Hôpitaux de Paris-Centre (APHP-CUP), Université de Paris, Paris, France.
Samira Fafi-KremerCHU de Strasbourg, Laboratoire de Virologie, Strasbourg, France.
Jerome de SezeCentre d'Investigation Clinique - INSERM CIC-1434, Strasbourg, France.
Timothée BruelVirus and Immunity Unit, Department of Virology, Institut Pasteur, Paris, France.
François DejardinProduction and Purification of Recombinant Proteins Technological Platform, Center for Technological Resources and Research, Institut Pasteur, Paris, France.
Stéphane PetresProduction and Purification of Recombinant Proteins Technological Platform, Center for Technological Resources and Research, Institut Pasteur, Paris, France.
Rhea LongleyDivision of Population Health and Immunity, The Walter and Eliza Hall Institute, Melbourne, VIC, Australia.
Arnaud FontanetEpidemiology of Emerging Diseases Unit, Department of Global Health, Institut Pasteur, Paris, France.
Marija BackovicStructural Virology Unit, Department of Virology and CNRS UMR 3569, Institut Pasteur, Paris, France.
Ivo MuellerMalaria: Parasites and Hosts Unit, Department of Parasites and Insect Vectors, Institut Pasteur, Paris, France.
Michael T WhiteMalaria: Parasites and Hosts Unit, Department of Parasites and Insect Vectors, Institut Pasteur, Paris, France.
Institut Pasteur · FRAssistance Publique – Hôpitaux de Paris · FRCentre d’Investigation Clinique des Hôpitaux Universitaires de StrasbourgCentre National de la Recherche Scientifique · FRConservatoire National des Arts et Métiers · FRDepartment of Genomes & Genetics · FRDepartment of Virology · FRInstitut de Virologie · FRInstitut thématique Santé Publique · FRUniversité Paris Cité · FRUniversity of Melbourne · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInfection with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) induces an antibody response targeting multiple antigens that changes over time. This study aims to take advantage of this complexity to develop more accurate serological diagnostics.

methodsA multiplex serological assay was developed to measure IgG and IgM antibody responses to seven SARS-CoV-2 spike or nucleoprotein antigens, two antigens for the nucleoproteins of the 229E and NL63 seasonal coronaviruses, and three non-coronavirus antigens. Antibodies were measured in serum samples collected up to 39 days after symptom onset from 215 adults in four French hospitals (53 patients and 162 health-care workers) with quantitative RT-PCR-confirmed SARS-CoV-2 infection, and negative control serum samples collected from healthy adult blood donors before the start of the SARS-CoV-2 epidemic (335 samples from France, Thailand, and Peru). Machine learning classifiers were trained with the multiplex data to classify individuals with previous SARS-CoV-2 infection, with the best classification performance displayed by a random forests algorithm. A Bayesian mathematical model of antibody kinetics informed by prior information from other coronaviruses was used to estimate time-varying antibody responses and assess the sensitivity and classification performance of serological diagnostics during the first year following symptom onset. A statistical estimator is presented that can provide estimates of seroprevalence in very low-transmission settings.

findingsIgG antibody responses to trimeric spike protein (S

interpretationSerological signatures based on antibody responses to multiple antigens can provide accurate and robust serological classification of individuals with previous SARS-CoV-2 infection. This provides potential solutions to two pressing challenges for SARS-CoV-2 serological surveillance: classifying individuals who were infected more than 6 months ago and measuring seroprevalence in serological surveys in very low-transmission settings.

fundingEuropean Research Council. Fondation pour la Recherche Médicale. Institut Pasteur Task Force COVID-19.

Indexed as

COVID-19AdultAntibodies, ViralBayes TheoremHumansImmunoglobulin GImmunoglobulin MMachine LearningSARS-CoV-2Sensitivity and SpecificitySeroepidemiologic StudiesAntibodies, ViralImmunoglobulin GImmunoglobulin M

Identifiers

PMID33521709
PMCPMC7837364
OpenAlexW3116955314

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.