Evidence map›Paper›PMID 33621972›Full record

ArticleInternational archives of allergy and immunology2021

Quantitative Measurement of IgG to Severe Acute Respiratory Syndrome Coronavirus-2 Proteins Using ImmunoCAP.

Behnam Keshavarz, Joesph R Wiencek, Lisa J Workman, Matthew D Straesser, Lyndsey M Muehling, Glenda Canderan, Fabrizio Drago, Catherine A Bonham, Jeffrey M Sturek, Chintan Ramani and 5 more

Abstract read
In one paragraph

Article in International archives of allergy and immunology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
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

13 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors.

Behnam KeshavarzDivision of Allergy & Clinical Immunology, Department of Medicine, University of Virginia, Charlottesville, Virginia, USA.
Joesph R WiencekDepartment of Pathology, University of Virginia, Charlottesville, Virginia, USA.
Lisa J WorkmanDivision of Allergy & Clinical Immunology, Department of Medicine, University of Virginia, Charlottesville, Virginia, USA.
Matthew D StraesserDivision of Allergy & Clinical Immunology, Department of Medicine, University of Virginia, Charlottesville, Virginia, USA.
Lyndsey M MuehlingDivision of Allergy & Clinical Immunology, Department of Medicine, University of Virginia, Charlottesville, Virginia, USA.
Glenda CanderanDivision of Allergy & Clinical Immunology, Department of Medicine, University of Virginia, Charlottesville, Virginia, USA.
Fabrizio DragoDivision of Cardiovascular Medicine and the Robert M. Berne Cardiovascular Center, University of Virginia, Charlottesville, Virginia, USA.
Catherine A BonhamDivision of Pulmonary and Critical Care, Department of Medicine, University of Virginia, Charlottesville, Virginia, USA.
Jeffrey M SturekDivision of Pulmonary and Critical Care, Department of Medicine, University of Virginia, Charlottesville, Virginia, USA.
Chintan RamaniDivision of Pulmonary and Critical Care, Department of Medicine, University of Virginia, Charlottesville, Virginia, USA.
Coleen A McNamaraDivision of Cardiovascular Medicine and the Robert M. Berne Cardiovascular Center, University of Virginia, Charlottesville, Virginia, USA.
Judith A WoodfolkDivision of Allergy & Clinical Immunology, Department of Medicine, University of Virginia, Charlottesville, Virginia, USA.
Alexandra KadlDivision of Pulmonary and Critical Care, Department of Medicine, University of Virginia, Charlottesville, Virginia, USA.
Thomas A E Platts-MillsDivision of Allergy & Clinical Immunology, Department of Medicine, University of Virginia, Charlottesville, Virginia, USA.
Jeffrey M WilsonDivision of Allergy & Clinical Immunology, Department of Medicine, University of Virginia, Charlottesville, Virginia, USA, jmw2gc@virginia.edu.

Funding

The integrated Translational Health Research Institute of Virginia (iTHRIV): Using Data to Improve HealthUL1TR003015 · NCATS · UNIVERSITY OF VIRGINIA · PI BROWN, DONALD E, JOHNSTON, KAREN C. · 2019 to 2023
$20.3M
INTERDISCIPLINARY TRAINING PROGRAM IN IMMUNOLOGYT32AI007496 · NIAID · UNIVERSITY OF VIRGINIA CHARLOTTESVILLE · PI Michael G. Brown, Coleen A McNamara · 1995 to 2026
$10.2M
IgE antibodies to the mammalian oligosaccharide galactose-alpha-1, 3-galactose (alpha-gal): immunology, epidemiology and relevance to allergic and inflammatory diseaseR37AI020565 · NIAID · UNIVERSITY OF VIRGINIA CHARLOTTESVILLE · PI THOMAS A. PLATTS-MILLS · 1992 to 2026
$8.4M
Institutional Career Development CoreKL2TR003016 · NCATS · UNIVERSITY OF VIRGINIA · PI PAPIN, JASON, WORRALL, BRADFORD B · 2019 to 2023
$3.9M
Interdisciplinary Training in Systems & Biomolecular Data ScienceT32GM145443 · NIGMS · UNIVERSITY OF VIRGINIA · PI Kevin A Janes, Jason Papin · 2022 to 2026
$1.5M
T cells in idiopathic pulmonary fibrosisK23HL143135 · NHLBI · UNIVERSITY OF VIRGINIA · PI BONHAM, CATHERINE ANN · 2018 to 2021
$662k
NCATS NIH HHS KL2 TR003016NCATS NIH HHS UL1 TR003015NHLBI NIH HHS K23 HL143135NHLBI NIH HHS L30 HL134087NIAID NIH HHS R37 AI020565NIAID NIH HHS T32 AI007496NIGMS NIH HHS T32 GM145443
6 · The paper itself

Abstract

backgroundDetailed understanding of the immune response to severe acute respiratory syndrome coronavirus (SARS-CoV)-2, the cause of coronavirus disease 2019 (CO-VID-19) has been hampered by a lack of quantitative antibody assays.

objectiveThe objective was to develop a quantitative assay for IgG to SARS-CoV-2 proteins that could be implemented in clinical and research laboratories.

methodsThe biotin-streptavidin technique was used to conjugate SARS-CoV-2 spike receptor-binding domain (RBD) or nucleocapsid protein to the solid phase of the ImmunoCAP. Plasma and serum samples from patients hospitalized with COVID-19 (n = 60) and samples from donors banked before the emergence of COVID-19 (n = 109) were used in the assay. SARS-CoV-2 IgG levels were followed longitudinally in a subset of samples and were related to total IgG and IgG to reference antigens using an ImmunoCAP 250 platform.

resultsAt a cutoff of 2.5 μg/mL, the assay demonstrated sensitivity and specificity exceeding 95% for IgG to both SARS-CoV-2 proteins. Among 36 patients evaluated in a post-hospital follow-up clinic, median levels of IgG to spike-RBD and nucleocapsid were 34.7 μg/mL (IQR 18-52) and 24.5 μg/mL (IQR 9-59), respectively. Among 17 patients with longitudinal samples, there was a wide variation in the magnitude of IgG responses, but generally the response to spike-RBD and to nucleocapsid occurred in parallel, with peak levels approaching 100 μg/mL, or 1% of total IgG.

conclusionsWe have described a quantitative assay to measure IgG to SARS-CoV-2 that could be used in clinical and research laboratories and implemented at scale. The assay can easily be adapted to measure IgG to mutated COVID-19 proteins, has good performance characteristics, and has a readout in standardized units.

Indexed as

Antibodies, ViralBiomarkersCOVID-19COVID-19 Serological TestingHumansImmunoglobulin GLongitudinal StudiesSARS-CoV-2Sensitivity and SpecificityAntibodies, ViralBiomarkersImmunoglobulin GAntibody assayCOVID-19IgGNucleocapsidSpike receptor-binding domain

Identifiers

PMID33621972
PMCPMC8018212

What OpenQuestion holds

Textmetadata
LicenceTDM
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.