Evidence map›Paper›PMID 34187827›Full record

ArticleBMJ open2021

Evaluation of the IgG antibody response to SARS CoV-2 infection and performance of a lateral flow immunoassay: cross-sectional and longitudinal analysis over 11 months.

Louise J Robertson, Julie S Moore, Kevin Blighe, Kok Yew Ng, Nigel Quinn, Fergal Jennings, Gary Warnock, Peter Sharpe, Mark Clarke, Kathryn Maguire and 13 more

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.2field-weighted citation impact, top 17% 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

14 citing papers in PubMed, 25 citations in OpenAlex.

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  8. Screening and confirmation tests for SARS-CoV-2: benefits and drawbacks.Beni-Suef University journal of basic and applied sciences · 2023
    Review
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  11. Observational
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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

23 authors at 4 institutions in 6 countries.

Louise J RobertsonBiomedical Sciences Research Institute, Ulster University, Coleraine, UK.ORCID 0000-0003-2926-1231
Julie S MooreBiomedical Sciences Research Institute, Ulster University, Coleraine, UK.
Kevin BligheBiomedical Sciences Research Institute, Ulster University, Coleraine, UK.ORCID 0000-0002-6322-6571
Kok Yew NgNanotechnology and Integrated Bioengineering Centre, Ulster University-Jordanstown Campus, Newtownabbey, UK.ORCID 0000-0003-1465-0592
Nigel QuinnClinical Biochemistry Laboratory, Southern Health and Social Care Trust, Portadown, UK.
Fergal JenningsClinical Biochemistry Laboratory, Southern Health and Social Care Trust, Portadown, UK.
Gary WarnockMicrobiology Laboratory, Southern Health and Social Care Trust, Portadown, UK.
Peter SharpeClinical Biochemistry Laboratory, Southern Health and Social Care Trust, Portadown, UK.
Mark ClarkeNorthern Ireland Blood Transfusion Service, Belfast City Hospital, Belfast, UK.
Kathryn MaguireNorthern Ireland Blood Transfusion Service, Belfast City Hospital, Belfast, UK.
Sharon RaineyNorthern Ireland Blood Transfusion Service, Belfast City Hospital, Belfast, UK.
Ruth K PriceBiomedical Sciences Research Institute, Ulster University, Coleraine, UK.ORCID 0000-0001-8765-2842
William P BurnsNanotechnology and Integrated Bioengineering Centre, Ulster University-Jordanstown Campus, Newtownabbey, UK.ORCID 0000-0002-6146-3434
Amanda M KowalczykBiomedical Sciences Research Institute, Ulster University, Coleraine, UK.
Agnes AwuahBiomedical Sciences Research Institute, Ulster University, Coleraine, UK.ORCID 0000-0002-4068-2216
Sara E McNameeNanotechnology and Integrated Bioengineering Centre, Ulster University-Jordanstown Campus, Newtownabbey, UK.ORCID 0000-0003-1711-2714
Gayle E WallaceRoyal Victoria Hospital, Belfast Health and Social Care Trust, Belfast, UK.
David HunterRoyal Victoria Hospital, Belfast Health and Social Care Trust, Belfast, UK.
Steve SagerBiomedical Sciences Research Institute, Ulster University, Coleraine, UK.
Connie Chao ShernR&D, Avellino Labs USA, Menlo Park, California, USA.ORCID 0000-0002-2772-9235
M Andrew NesbitBiomedical Sciences Research Institute, Ulster University, Coleraine, UK.ORCID 0000-0001-7222-4124
James A D McLaughlinNanotechnology and Integrated Bioengineering Centre, Ulster University-Jordanstown Campus, Newtownabbey, UK.ORCID 0000-0001-6026-8971
Tara MooreBiomedical Sciences Research Institute, Ulster University, Coleraine, UK tara.moore@ulster.ac.uk.ORCID 0000-0002-7659-9326
University of Ulster · GBLaboratoire de Biologie Structurale de la Cellule · FRBelfast Health and Social Care Trust · GBCzech Academy of Sciences, Institute of Microbiology · CZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the dynamics and longevity of the humoral immune response to SARS-CoV-2 infection and assess the performance of professional use of the UK-RTC AbC-19 Rapid Test lateral flow immunoassay (LFIA) for the target condition of SARS-CoV-2 spike protein IgG antibodies.

designNationwide serological study.

settingNorthern Ireland, UK, May 2020-February 2021.

participantsPlasma samples were collected from a diverse cohort of individuals from the general public (n=279), Northern Ireland healthcare workers (n=195), pre-pandemic blood donations and research studies (n=223) and through a convalescent plasma programme (n=183). Plasma donors (n=101) were followed with sequential samples over 11 months post-symptom onset.

main outcome measuresSARS-CoV-2 antibody levels in plasma samples using Roche Elecsys Anti-SARS-CoV-2 IgG/IgA/IgM, Abbott SARS-CoV-2 IgG and EuroImmun IgG SARS-CoV-2 ELISA immunoassays over time. UK-RTC AbC-19 LFIA sensitivity and specificity, estimated using a three-reference standard system to establish a characterised panel of 330 positive and 488 negative SARS-CoV-2 IgG samples.

resultsWe detected persistence of SARS-CoV-2 IgG antibodies for up to 10 months post-infection, across a minimum of two laboratory immunoassays. On the known positive cohort, the UK-RTC AbC-19 LFIA showed a sensitivity of 97.58% (95.28% to 98.95%) and on known negatives, showed specificity of 99.59% (98.53 % to 99.95%).

conclusionsThrough comprehensive analysis of a cohort of pre-pandemic and pandemic individuals, we show detectable levels of IgG antibodies, lasting over 46 weeks when assessed by EuroImmun ELISA, providing insight to antibody levels at later time points post-infection. We show good laboratory validation performance metrics for the AbC-19 rapid test for SARS-CoV-2 spike protein IgG antibody detection in a laboratory-based setting.

Indexed as

COVID-19Immunoglobulin GAntibodies, ViralAntibody FormationCOVID-19 SerotherapyCross-Sectional StudiesHumansImmunization, PassiveImmunoassayNorthern IrelandSARS-CoV-2Sensitivity and SpecificitySpike Glycoprotein, CoronavirusAntibodies, ViralImmunoglobulin GSpike Glycoprotein, Coronavirusspike protein, SARS-CoV-2COVID-19diagnostic microbiologymolecular diagnostics

Identifiers

PMID34187827
PMCPMC8245291
OpenAlexW3177025789

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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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.