Usefulness of a multiplex immunodot in case of discordant results between automated COVID-19 serological assays.

J Virol Methods

Department of Laboratory Medicine, Microbiology Service, Cliniques universitaires Saint-Luc and Université Catholique de Louvain, Brussels, Belgium; Scientific Research Pole of Medical Microbiology, Institute of Experimental and Clinical Research, Université Catholique de Louvain, Brussels, Belgiu

Published: June 2021


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Article Abstract

Background: At present, the only reliable test for COVID-19 diagnosis is RT-qPCR. Serological assays have been widely used to increase the detection sensitivity of infected population. Hereby, we report the performance of a new pan-IgG multiplex Enzyme Immunoassay (immunodot) method for exploration of discrepant SARS-COV-2 serological results.

Methods: A retrospective study on 38 residual serum samples from recovered COVID-19 subjects with discordant serological results on Roche and Snibe platforms, were reanalyzed on a new semi-automated pan-IgG immunodot Enzyme Immunoassay, namely COVIDOT-TEST, in order to find the source of discrepancies and to evaluate the latter method. All samples were analyzed on the BlueDiver® Instrument and all strips were read by the BlueScan® Scanner using Dr DOT® Software.

Results: Based on our data, subject samples showed specific IgG reactions on ≥  2 different antigens on immunodot strips. Of these 38 samples, 97.4 % of samples showed specific IgG reaction against S1 + S2 antigens, 89.5 % showed against RBD antigen, 86.8 % against S2 antigen reaction on the COVIDOT-TEST kit. Specific IgG-S1 antigen and IgG-N antigen reactions were detected in 73.7 % and 65.8 % of the samples, respectively.

Conclusion: The new semi-automated pan-IgG immunodot Enzyme Immunoassay method appeared to be a reliable assay to confirm suspicious COVID-19 serological screening results.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7970791PMC
http://dx.doi.org/10.1016/j.jviromet.2021.114129DOI Listing

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