Evidence map›Paper›PMID 41094578›Full record

ArticleVirology journal2025

The establishment of a universal standard for both viral antigen and nucleid acid detection based on digital PCR.

Manyu Li, Siyuan Yang, Tingting Ma, Alimire Abulikemu, Chunlei Zhang, Xun Cheng, Jing Li, Jia Lu, Pengfei Wang, Yong Guo and 3 more

Abstract read
In one paragraph

Article in Virology journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

13 authors.

Manyu Li *Institute for In Vitro Diagnostics Control, National Institutes for Food and Drug Control, Beijing, China.
Siyuan Yang *Beijing Key Laboratory of Emerging Infectious Diseases, Institute of Infectious Diseases, Beijing Key Laboratory of Viral Infectious Diseases, Beijing Ditan Hospital, Capital Medical University, Beijing, China.
Tingting Ma *Institute for In Vitro Diagnostics Control, National Institutes for Food and Drug Control, Beijing, China.
Alimire AbulikemuInstitute for In Vitro Diagnostics Control, National Institutes for Food and Drug Control, Beijing, China.
Chunlei ZhangShanghai BioGerm Medical Technology Co., Ltd, Shanghai, China.
Xun ChengDepartment of Biomedical Engineering, School of Medicine, Tsinghua University, Beijing, China.
Jing LiSinovac Research & Development Co., Ltd, Beijing, China.
Jia LuWuhan Institute of Biological Products Co., Ltd, Wuhan, China.
Pengfei WangInstitute for In Vitro Diagnostics Control, National Institutes for Food and Drug Control, Beijing, China.
Yong GuoDepartment of Biomedical Engineering, School of Medicine, Tsinghua University, Beijing, China.
Donglai LiuInstitute for In Vitro Diagnostics Control, National Institutes for Food and Drug Control, Beijing, China. liudonglai@nifdc.org.cn.
Linghang WangBeijing Ditan Hospital, National Center for Infectious Diseases, Capital Medical University, Beijing, China. 13611176751@163.com.
Haiwei ZhouInstitute for In Vitro Diagnostics Control, National Institutes for Food and Drug Control, Beijing, China. zhouhaiwei@nifdc.org.cn.

Funding

National Key Research and Development Program of China 2021YFC2400904State Key Laboratory of Drug Regulatory Science 2025SKLDRS0321
6 · The paper itself

Abstract

backgroundViral antigen rapid detection tests (Ag-RDTs) and PCR-based nucleic acid amplification tests (NAATs) are essential for diagnosing infections like SARS-CoV-2. However, unlike nucleic acids which can be quantified precisely in copies, viral antigens lack a standardized unit of measurement, hindering precise analytical evaluation of Ag-RDTs and comparison with NAATs.

methodsWe established a universal national standard for SARS-CoV-2 antigen and nucleic acid based on an Omicron BA.1 strain, inactivated using β-propiolactone (BPL). Its concentration was assigned via multi-laboratory digital PCR (dPCR). Clinical samples were tested with Ag-RDTs and NAATs. We also compared the impact of heat and BPL inactivation on detection using dPCR, qPCR, and sequencing. The standard was then used to evaluate the limits of detection (LoDs) of commercial Ag-RDTs and NAATs using a common unitage.

resultsClinical samples' results showed that antigen positivity was correlated with higher nucleic acid titers. Both BPL inactivation and heat inactivation maintained comparable nucleic acid titers, but BPL inactivation preserved better antigen activity. The national standard concentration was assigned as 1.04 × 10

conclusionWe established and validated a BPL-inactivated universal national standard specifically designed to overcome the difficulties in quantifying antigen and enabling direct sensitivity comparison between SARS-CoV-2 Ag-RDTs and NAATs.

Indexed as

Antigens, ViralCOVID-19COVID-19 Nucleic Acid TestingCOVID-19 Serological TestingPolymerase Chain ReactionSARS-CoV-2HumansLimit of DetectionNucleic Acid Amplification TechniquesPropiolactoneReference StandardsRNA, ViralSensitivity and SpecificityAntigens, ViralPropiolactoneRNA, ViralAntigenNucleic acidSARS-CoV-2StandardVirus

Identifiers

PMID41094578
PMCPMC12523171

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Registered trials

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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.