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Volume 28, Number 3—March 2022
Research

Evaluation of Commercially Available High-Throughput SARS-CoV-2 Serologic Assays for Serosurveillance and Related Applications

Mars Stone1Comments to Author , Eduard Grebe1, Hasan Sulaeman, Clara Di Germanio, Honey Dave, Kathleen Kelly, Brad J. Biggerstaff, Bridgit O. Crews, Nam Tran, Keith R. Jerome, Thomas N. Denny, Boris Hogema, Mark Destree, Jefferson M. Jones, Natalie Thornburg, Graham Simmons, Mel Krajden, Steve Kleinman, Larry J. Dumont, and Michael P. Busch
Author affiliations: Vitalant Research Institute, San Francisco, California, USA (M. Stone, E. Grebe, H. Sulaeman, C. Di Germanio, H. Dave, K. Kelly, G. Simmons, L.J. Dumont, M.P. Busch); University of California–San Francisco, San Francisco (M. Stone, E. Grebe, G. Simmons, M.P. Busch); South African Centre for Epidemiological Modelling and Analysis, Stellenbosch University, Stellenbosch, South Africa (E. Grebe); Centers for Disease Control and Prevention, Fort Collins, Colorado, USA (B.J. Biggerstaff); University of California Irvine Medical Center, Orange, California, USA (B.O. Crews); University of California–Davis, Davis, California, USA (N. Tran); Fred Hutchinson Cancer Research Center, University of Washington, Seattle, Washington, USA (K.R. Jerome); Duke Human Vaccine Institute, Duke University, Durham, North Carolina, USA (T.N. Denny); Sanquin Research, Amsterdam, the Netherlands (B. Hogema); BloodWorks NorthWest, Seattle (M. Destree); Centers for Disease Control and Prevention, Atlanta, Georgia, USA (J.M. Jones, N. Thornburg); British Columbia Centre for Disease Control, Vancouver, British Columbia, Canada (M. Krajden); University of British Columbia, Vancouver (S. Kleinman); University of Colorado School of Medicine, Denver, Colorado, USA (L.J. Dumont)

Main Article

Table 1

Key characteristics of assays evaluated in study of commercially available high-throughput SARS-CoV-2 assays for serosurveillance*

Manufacturer Assay† Ig target Antigen Assay format Reported units Testing laboratory
Ortho
VITROS Immunodiagnostic Products Anti-SARS-CoV-2 Total Ig Total Ig S1 Double-antigen sandwich CLIA S/CO Vitalant Research Institute
VITROS Immunodiagnostic Products Anti-SARS-CoV-2 IgG
IgG
S1
Double-antigen sandwich CLIA
S/CO
CTS
EUROIMMUN
Anti-SARS-CoV-2 NCP ELISA IgG N Indirect IgG EIA S/CO Advent Health
Anti-SARS-CoV-2 ELISA IgG S1 Antigen sandwich ELISA S/CO
Anti-SARS-CoV-2 QuantiVac ELISA IgG S1 Antigen sandwich ELISA RU/mL
Anti-SARS-CoV-2 ELISA
IgA
S1
Antigen sandwich ELISA
S/CO
Roche
Elecsys Anti-SARS-CoV-2 N on cobas Total Ig N Double-antigen sandwich CLIA COI University of California–Davis
Elecsys Anti-SARS-CoV-2 S on cobas
Total Ig
S1/S2/RBD
Double-antigen sandwich CLIA
U/mL
DiaSorin
LIAISON 28 SARS-CoV-2 TrimericS IgG
IgG
TrimericS
IgG magnetic particle CLIA
AU/mL
British Columbia Centers for Disease Control and Prevention
Siemens
ADVIA Centaur SARS-CoV-2 Total Ig Total Ig S1/RBD Ag sandwich CLIA S/CO
ADVIA Centaur SARS-CoV-2 IgG
IgG
S1/RBD
Ag sandwich CLIA
Index
Abbott
SARS-CoV-2 IgG N on ARCHITECT IgG N CMIA AU/mL Duke Human Vaccine institute
SARS-CoV-2 IgG S1 on ARCHITECT IgG S1 CMIA S/CO
SARS-CoV-2 IgG N on Alinity IgG N CMIA S/CO Fred Hutchinson Cancer Research Center
SARS-CoV-2 IgG S1 on Alinity
IgG
S1
CMIA
AU/mL
Bio-Rad
Platelia SARS-CoV-2 Total Ab (Evolis) Total Ig N One-step antigen capture S/CO BloodWorks NorthWest
BioPlex 2200 SARS-CoV-2 IgG Panel
IgG
RBD, S1, S2, N
Multiplexed microbeads two-step assay
S/CO
Quotient
MosaiQ COVID-19 Antibody Microarray
IgM/IgG
S1/S2
Array
Qualitative only
Diazyme DZ-Lite SARS CoV-2 IgG N & S1/S2 IgG microbead CLIA S/CO
Beckman Coulter Access SARS-CoV-2 IgG IgG S1 RBD IgG 2-step paramagnetic particle CLIA S/CO University of California–Irvine
Wantai SARS-CoV-2 Total Ig Total Ig S1 RBD Total Ig sandwich ELISA S/CO Sanquin

*Ab, antibody; Ag, antigen; AU, arbitrary units; CMIA, chemiluminescent microparticle immunoassay; CLIA, chemiluminescent immunoassay;.COVID-19, coronavirus disease; EIA, enzyme immunoassay; Ig, immunoglobulin; N, nucleocapsid; RBD, receptor binding domain; RU, relative units; S, spike protein; SARS-CoV-2, severe acute respiratory syndrome coronavirus 2; S/CO, signal to cutoff ratio; †Current US regulatory status available at https://www.fda.gov/medical-devices/coronavirus-disease-2019-covid-19-emergency-use-authorizations-medical-devices/in-vitro-diagnostics-euas-serology-and-other-adaptive-immune-response-tests-sars-cov-2.

Main Article

1These first authors contributed equally to this article.

Page created: January 12, 2022
Page updated: February 21, 2022
Page reviewed: February 21, 2022
The conclusions, findings, and opinions expressed by authors contributing to this journal do not necessarily reflect the official position of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.
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