Evidence map›Paper›PMID 38045864›Full record

ArticleIJID regions2024

Usefulness of receptor binding domain protein-based serodiagnosis of COVID-19.

Larissa de Carvalho Medrado Vasconcelos, Leonardo Maia Leony, Aquiles Assunção Camelier, André Costa Meireles, André Luiz Freitas de Oliveira Júnior, Antônio Carlos Bandeira, Yasmin Santos Freitas Macedo, Alan Oliveira Duarte, Wesley Van Voorhis, Isadora Cristina de Siqueira and 1 more

Open access · goldAbstract read
In one paragraph

Article in IJID regions, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.4field-weighted citation impact, top 39% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Article
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

11 authors at 5 institutions in 2 countries.

Larissa de Carvalho Medrado VasconcelosAdvanced Public Health Laboratory, Gonçalo Moniz Institute (IGM), Oswaldo Cruz Foundation (FIOCRUZ-RJ), Salvador, Brazil.
Leonardo Maia LeonyAdvanced Public Health Laboratory, Gonçalo Moniz Institute (IGM), Oswaldo Cruz Foundation (FIOCRUZ-RJ), Salvador, Brazil.
Aquiles Assunção CamelierAliança D'Or Hospital, Salvador, Brazil.
André Costa MeirelesAliança D'Or Hospital, Salvador, Brazil.
André Luiz Freitas de Oliveira JúniorAliança D'Or Hospital, Salvador, Brazil.
Antônio Carlos BandeiraAeroporto Hospital, Lauro de Freitas, Brazil.
Yasmin Santos Freitas MacedoLaboratory of Experimental Pathology, Institute Gonçalo Moniz, Oswaldo Cruz Foundation (FIOCRUZ-BA), Salvador, Brazil.
Alan Oliveira DuarteLaboratory of Experimental Pathology, Institute Gonçalo Moniz, Oswaldo Cruz Foundation (FIOCRUZ-BA), Salvador, Brazil.
Wesley Van VoorhisDepartment of Medicine, University of Washington, Seattle, USA.
Isadora Cristina de SiqueiraLaboratory of Experimental Pathology, Institute Gonçalo Moniz, Oswaldo Cruz Foundation (FIOCRUZ-BA), Salvador, Brazil.
Fred Luciano Neves SantosAdvanced Public Health Laboratory, Gonçalo Moniz Institute (IGM), Oswaldo Cruz Foundation (FIOCRUZ-RJ), Salvador, Brazil.
Fundação Oswaldo Cruz · BRHospital São Rafael · BRAcademia da Força Aérea · BRUniversidade do Estado da Bahia · BRUniversity of Washington · US

Funding

University of Washington Arboviral Research Network (UWARN)U01AI151698 · NIAID · UNIVERSITY OF WASHINGTON · PI Michael Gale, PETER MACGARR RABINOWITZ · 2020 to 2026
$13.3M
NIAID NIH HHS U01 AI151698
6 · The paper itself

Abstract

Objectives: This study evaluated the performance of recombinant receptor binding domain (RBD) protein-based enzyme-linked immunosorbent assays (RBD-ELISAs) for detecting anti-SARS-CoV-2 immunoglobulin (Ig) G and IgM antibodies. Methods: In this study, 705 sera from SARS-CoV-2-infected individuals and 315 sera from healthy individuals were analyzed. Results: The RBD-ELISA IgG exhibited high specificity (99.1%) and moderate sensitivity (48.0%), with an overall diagnostic accuracy of 73.5%. RBD-ELISA IgM demonstrated specificity at 94.6% and sensitivity at 51.1%, with an accuracy of 72.8%. Both assays displayed improved performance when analyzing samples collected 15-21 days post-symptom onset, achieving sensitivity and accuracy exceeding 88% and 90%, respectively. Combining RBD-ELISA IgG and IgM in parallel analysis enhanced sensitivity to 98.6% and accuracy to 96.2%. Comparing these RBD-ELISAs with commercially available tests, the study found overlapping sensitivity and similar specificity values. Notably, the combined RBD-ELISA IgG and IgM showed superior performance. Cross-reactivity analysis revealed low false-positive rates (4.4% for IgG, 3.7% for IgM), primarily with viral infections. Conclusion: This research underscores the potential of RBD-based ELISAs for COVID-19 diagnosis, especially when assessing samples collected 15-21 days post-symptom onset and utilizing a parallel testing approach. The RBD protein's immunogenicity and specificity make it a valuable tool for serodiagnosis, offering an alternative to polymerase chain reaction-based methods, particularly in resource-limited settings.

Indexed as

Antibody detectionDiagnostic performanceRecombinant RBD proteinSARS-CoV-2Serodiagnosis

Identifiers

PMID38045864
PMCPMC10687696
OpenAlexW4388451096

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.