Evidence map›Paper›PMID 34498761›Full record

ArticleTransfusion2021

A novel competition ELISA for the rapid quantification of SARS-CoV-2 neutralizing antibodies in convalescent plasma.

Elise Wouters, Caro Verbrugghe, Rosalie Devloo, Isabelle Debruyne, Dorien De Clippel, Leen Van Heddegem, Kristin Van Asch, Véronique Van Gaver, Miek Vanbrabant, An Muylaert and 2 more

Open access · bronzeAbstract read
In one paragraph

Article in Transfusion, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 30% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
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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

12 authors at 3 institutions in 2 countries.

Elise WoutersTransfusion Research Center, Belgian Red Cross-Flanders, Ghent, Belgium.ORCID 0000-0001-9117-4759
Caro VerbruggheTransfusion Research Center, Belgian Red Cross-Flanders, Ghent, Belgium.
Rosalie DevlooTransfusion Research Center, Belgian Red Cross-Flanders, Ghent, Belgium.
Isabelle DebruyneBlood Service of the Belgian Red Cross-Flanders, Mechelen, Belgium.
Dorien De ClippelBlood Service of the Belgian Red Cross-Flanders, Mechelen, Belgium.ORCID 0000-0003-3884-8018
Leen Van HeddegemBlood Service of the Belgian Red Cross-Flanders, Mechelen, Belgium.
Kristin Van AschBlood Service of the Belgian Red Cross-Flanders, Mechelen, Belgium.
Véronique Van GaverBlood Service of the Belgian Red Cross-Flanders, Mechelen, Belgium.
Miek VanbrabantBlood Service of the Belgian Red Cross-Flanders, Mechelen, Belgium.
An MuylaertBlood Service of the Belgian Red Cross-Flanders, Mechelen, Belgium.
Veerle CompernolleTransfusion Research Center, Belgian Red Cross-Flanders, Ghent, Belgium.
Hendrik B FeysTransfusion Research Center, Belgian Red Cross-Flanders, Ghent, Belgium.ORCID 0000-0003-0052-8852
Beijing Red Cross Blood Center · CNGhent University · BECrossLang (Belgium) · BE

Funding

Foundation for Scientific Research of the Belgian Red Cross-FlandersHorizon 2020 Framework Programme 101015756
6 · The paper itself

Abstract

backgroundCOVID-19 convalescent plasma (CCP) ideally contains high titers of (neutralizing) anti-SARS-CoV-2 antibodies. Several scalable immunoassays for CCP selection have been developed. We designed an enzyme-linked immunosorbent assay (ELISA) that measures neutralizing antibodies (of all isotypes) in plasma by determining the level of competition between CCP and a mouse neutralizing antibody for binding to the receptor binding domain (RBD) of SARS-CoV-2.

methodsPlasma was collected from 72 convalescent individuals and inhibition of viral infection was determined by plaque reduction neutralization (PRNT50). The level of neutralizing antibodies was measured in the novel competition ELISA and in a commercially available ELISA that measures inhibition of recombinant ACE2 binding to immobilized RBD. These results were compared with a high throughput chemiluminescent microparticle immunoassay (CMIA).

resultsThe results from both ELISAs were correlating, in particular for high titer CCP (PRNT50 ≥ 1:160) (Spearman r = .73, p < .001). Moderate correlation was found between the competition ELISA and CMIA (r = .57 for high titer and r = .62 for low titer CCP, p < .001). Receiver operator characteristic analysis showed that the competition ELISA selected CCP with a sensitivity and specificity of 61% and 100%, respectively. However, discrimination between low and high titer CCP had a lower resolution (sensitivity: 34% and specificity: 89%).

conclusionThe competition ELISA screens for neutralizing antibodies in CCP by competition for just a single epitope. It exerts a sensitivity of 61% with no false identifications. These ELISA designs can be used for epitope mapping or for selection of CCP.

Indexed as

Antibodies, NeutralizingAntibodies, ViralCOVID-19COVID-19 Serological TestingEnzyme-Linked Immunosorbent AssayHumansSARS-CoV-2Antibodies, NeutralizingAntibodies, ViralCCPcompetition ELISAconvalescent plasmaCOVID-19neutralizing antibodySARS-CoV-2

Identifiers

PMID34498761
PMCPMC8662007
OpenAlexW3196691388

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.