Evidence map›Paper›PMID 33905505›Full record

ArticleThe Journal of infectious diseases2021

A Combination of N and S Antigens With IgA and IgG Measurement Strengthens the Accuracy of SARS-CoV-2 Serodiagnostics.

Pinja Jalkanen, Arja Pasternack, Sari Maljanen, Krister Melén, Pekka Kolehmainen, Moona Huttunen, Rickard Lundberg, Lav Tripathi, Hira Khan, Mikael A Ritvos and 15 more

Open access · hybridAbstract read
In one paragraph

Article in The Journal of infectious diseases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
2.1field-weighted citation impact, top 10% 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

22 citing papers in PubMed, 35 citations in OpenAlex.

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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

25 authors at 4 institutions in 2 countries.

Pinja JalkanenInstitute of Biomedicine, Infections and Immunology Unit, University of Turku, Turku, Finland.
Arja PasternackDepartment of Physiology, Biomedicum, University of Helsinki, Helsinki, Finland.
Sari MaljanenInstitute of Biomedicine, Infections and Immunology Unit, University of Turku, Turku, Finland.
Krister MelénInstitute of Biomedicine, Infections and Immunology Unit, University of Turku, Turku, Finland.
Pekka KolehmainenInstitute of Biomedicine, Infections and Immunology Unit, University of Turku, Turku, Finland.
Moona HuttunenInstitute of Biomedicine, Infections and Immunology Unit, University of Turku, Turku, Finland.
Rickard LundbergInstitute of Biomedicine, Infections and Immunology Unit, University of Turku, Turku, Finland.
Lav TripathiInstitute of Biomedicine, Infections and Immunology Unit, University of Turku, Turku, Finland.
Hira KhanInstitute of Biomedicine, Infections and Immunology Unit, University of Turku, Turku, Finland.
Mikael A RitvosDepartment of Physiology, Biomedicum, University of Helsinki, Helsinki, Finland.
Rauno NavesDepartment of Physiology, Biomedicum, University of Helsinki, Helsinki, Finland.
Anu HaveriFinnish Institute for Health and Welfare, Helsinki, Finland.
Pamela ÖsterlundFinnish Institute for Health and Welfare, Helsinki, Finland.
Suvi KuivanenDepartment of Virology, University of Helsinki, Helsinki, Finland.
Anne J JääskeläinenHUS Diagnostic Center, HUSLAB, Clinical Microbiology, University of Helsinki and Helsinki University Hospital, Finland.
Satu KurkelaHUS Diagnostic Center, HUSLAB, Clinical Microbiology, University of Helsinki and Helsinki University Hospital, Finland.
Maija LappalainenHUS Diagnostic Center, HUSLAB, Clinical Microbiology, University of Helsinki and Helsinki University Hospital, Finland.
Kaisa RantasärkkäTurku University Hospital, Clinical Microbiology, Turku, Finland.
Tytti VuorinenInstitute of Biomedicine, Infections and Immunology Unit, University of Turku, Turku, Finland.
Jukka HytönenInstitute of Biomedicine, Infections and Immunology Unit, University of Turku, Turku, Finland.
Matti WarisInstitute of Biomedicine, Infections and Immunology Unit, University of Turku, Turku, Finland.
Sisko TauriainenInstitute of Biomedicine, Infections and Immunology Unit, University of Turku, Turku, Finland.
Olli RitvosDepartment of Physiology, Biomedicum, University of Helsinki, Helsinki, Finland.
Laura KakkolaInstitute of Biomedicine, Infections and Immunology Unit, University of Turku, Turku, Finland.
Ilkka JulkunenInstitute of Biomedicine, Infections and Immunology Unit, University of Turku, Turku, Finland.
University of Turku · FIUniversity of Helsinki · FITurku University Hospital · FIFinnish Institute for Health and Welfare · FI

Funding

Finnish Cultural FoundationJane and Aatos Erkko Foundation 3067-84b53Medical Research Council of the Academy of Finland 297329Sigrid Juselius Foundation
6 · The paper itself

Abstract

backgroundPrimary diagnosis of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection is based on detection of virus RNA in nasopharyngeal swab samples. In addition, analysis of humoral immunity against SARS-CoV-2 has an important role in viral diagnostics and seroprevalence estimates.

methodsWe developed and optimized an enzyme immunoassays (EIA) using SARS-CoV-2 nucleoprotein (N), S1 and receptor binding domain (RBD) of the viral spike protein, and N proteins from SARS, Middle East respiratory syndrome (MERS), and 4 low-pathogenic human CoVs. Neutralizing antibody activity was compared with SARS-CoV-2 IgG, IgA, and IgM EIA results.

resultsThe sensitivity of EIA for detecting immune response in COVID-19 patients (n = 101) was 77% in the acute phase and 100% in the convalescent phase of SARS-CoV-2 infection when N and RBD were used as antigens in IgG and IgA specific EIAs. SARS-CoV-2 infection significantly increased humoral immune responses against the 229E and NL63 N proteins. S1 and RBD-based EIA results had a strong correlation with microneutralization test results.

conclusionsThe data indicate a combination of SARS-CoV-2 S1 or RBD and N proteins and analysis of IgG and IgA immunoglobulin classes in sera provide an excellent basis for specific and sensitive serological diagnostics of COVID-19.

Indexed as

Antibodies, NeutralizingAntibodies, ViralCoronavirus Nucleocapsid ProteinsCOVID-19COVID-19 Serological TestingHumansImmunoenzyme TechniquesImmunoglobulin AImmunoglobulin GImmunoglobulin MNeutralization TestsPhosphoproteinsSARS-CoV-2Sensitivity and SpecificitySpike Glycoprotein, CoronavirusAntibodies, NeutralizingAntibodies, ViralCoronavirus Nucleocapsid ProteinsImmunoglobulin AImmunoglobulin GImmunoglobulin Mnucleocapsid phosphoprotein, SARS-CoV-2PhosphoproteinsSpike Glycoprotein, Coronavirusspike protein, SARS-CoV-2antibodiescoronavirus proteinsCOVID-19enzyme immunoassayneutralizing antibodiesrespiratory infectionSARS-CoV-2serology

Identifiers

PMID33905505
PMCPMC8135300
OpenAlexW3159056384

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.