Performance evaluation of the Ortho VITROS SARS-CoV-2 Spike-Specific Quantitative IgG test by comparison with the surrogate virus neutralizing antibody test and clinical assessment

Despite the worldwide campaigns of COVID-19 vaccinations, the pandemic is still a major medical and social problem. The Ortho VITROS SARS-CoV-2 spike-specific quantitative IgG (VITROS S-IgG) assay has been developed to assess neutralizing antibody (NT antibody) against SARS-CoV-2 spike (S) antibodie...

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Veröffentlicht in:PloS one 2023-01, Vol.18 (1), p.e0279779-e0279779
Hauptverfasser: Takahashi, Maika, Saito, Kaori, Ai, Tomohiko, Nojiri, Shuko, Khasawneh, Abdullah, Paran, Faith Jessica, Horiuchi, Yuki, Takei, Satomi, Yamamoto, Takamasa, Wakita, Mitsuru, Hiki, Makoto, Miida, Takashi, Naito, Toshio, Takahashi, Kazuhisa, Tabe, Yoko
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container_start_page e0279779
container_title PloS one
container_volume 18
creator Takahashi, Maika
Saito, Kaori
Ai, Tomohiko
Nojiri, Shuko
Khasawneh, Abdullah
Paran, Faith Jessica
Horiuchi, Yuki
Takei, Satomi
Yamamoto, Takamasa
Wakita, Mitsuru
Hiki, Makoto
Miida, Takashi
Naito, Toshio
Takahashi, Kazuhisa
Tabe, Yoko
description Despite the worldwide campaigns of COVID-19 vaccinations, the pandemic is still a major medical and social problem. The Ortho VITROS SARS-CoV-2 spike-specific quantitative IgG (VITROS S-IgG) assay has been developed to assess neutralizing antibody (NT antibody) against SARS-CoV-2 spike (S) antibodies. However, it has not been evaluated in Japan, where the total cases and death toll are lower than the rest of the world. The clinical performance of VITROS S-IgG was evaluated by comparing with the NT antibody levels measured by the surrogate virus neutralizing antibody test (sVNT). A total of 332 serum samples from 188 individuals were used. Of these, 219 samples were from 75 COVID-19 patients: 96 samples from 20 severe/critical cases (Group S), and 123 samples from 55 mild/moderate cases (Group M). The remaining 113 samples were from 113 healthcare workers who had received 2 doses of the BNT162b2 vaccine. VITROS S-IgG showed good correlation with the cPass sVNT assay (Spearman rho = 0.91). Both VITROS S-IgG and cPass sVNT showed significantly higher plateau levels of antibodies in Group S compared to Group M. Regarding the humoral immune responses after BNT162b2 vaccination, individuals who were negative for SARS-CoV-2 nucleocapsid (N)-specific antibodies had statistically lower titers of both S-IgG and sVNT compared to individuals with a history of COVID-19 and individuals who were positive for N-specific antibodies without history of COVID-19. In individuals who were positive for N-specific antibodies, S-IgG and sVNT titers were similar to individuals with a history of COVID-19. Although the automated quantitative immunoassay VITROS S-IgG showed a reasonable correlation with sVNT antibodies, there is some discrepancy between Vitros S-IgG and cPass sVNT in milder cases. Thus, VITROS S-IgG can be a useful diagnostic tool in assessing the immune responses to vaccination and herd immunity. However, careful analysis is necessary to interpret the results.
doi_str_mv 10.1371/journal.pone.0279779
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The Ortho VITROS SARS-CoV-2 spike-specific quantitative IgG (VITROS S-IgG) assay has been developed to assess neutralizing antibody (NT antibody) against SARS-CoV-2 spike (S) antibodies. However, it has not been evaluated in Japan, where the total cases and death toll are lower than the rest of the world. The clinical performance of VITROS S-IgG was evaluated by comparing with the NT antibody levels measured by the surrogate virus neutralizing antibody test (sVNT). A total of 332 serum samples from 188 individuals were used. Of these, 219 samples were from 75 COVID-19 patients: 96 samples from 20 severe/critical cases (Group S), and 123 samples from 55 mild/moderate cases (Group M). The remaining 113 samples were from 113 healthcare workers who had received 2 doses of the BNT162b2 vaccine. VITROS S-IgG showed good correlation with the cPass sVNT assay (Spearman rho = 0.91). Both VITROS S-IgG and cPass sVNT showed significantly higher plateau levels of antibodies in Group S compared to Group M. Regarding the humoral immune responses after BNT162b2 vaccination, individuals who were negative for SARS-CoV-2 nucleocapsid (N)-specific antibodies had statistically lower titers of both S-IgG and sVNT compared to individuals with a history of COVID-19 and individuals who were positive for N-specific antibodies without history of COVID-19. In individuals who were positive for N-specific antibodies, S-IgG and sVNT titers were similar to individuals with a history of COVID-19. Although the automated quantitative immunoassay VITROS S-IgG showed a reasonable correlation with sVNT antibodies, there is some discrepancy between Vitros S-IgG and cPass sVNT in milder cases. Thus, VITROS S-IgG can be a useful diagnostic tool in assessing the immune responses to vaccination and herd immunity. 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Collection</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>Engineering Collection</collection><collection>Environmental Science Collection</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Takahashi, Maika</au><au>Saito, Kaori</au><au>Ai, Tomohiko</au><au>Nojiri, Shuko</au><au>Khasawneh, Abdullah</au><au>Paran, Faith Jessica</au><au>Horiuchi, Yuki</au><au>Takei, Satomi</au><au>Yamamoto, Takamasa</au><au>Wakita, Mitsuru</au><au>Hiki, Makoto</au><au>Miida, Takashi</au><au>Naito, Toshio</au><au>Takahashi, Kazuhisa</au><au>Tabe, Yoko</au><au>Ito, Etsuro</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Performance evaluation of the Ortho VITROS SARS-CoV-2 Spike-Specific Quantitative IgG test by comparison with the surrogate virus neutralizing antibody test and clinical assessment</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2023-01-24</date><risdate>2023</risdate><volume>18</volume><issue>1</issue><spage>e0279779</spage><epage>e0279779</epage><pages>e0279779-e0279779</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Despite the worldwide campaigns of COVID-19 vaccinations, the pandemic is still a major medical and social problem. The Ortho VITROS SARS-CoV-2 spike-specific quantitative IgG (VITROS S-IgG) assay has been developed to assess neutralizing antibody (NT antibody) against SARS-CoV-2 spike (S) antibodies. However, it has not been evaluated in Japan, where the total cases and death toll are lower than the rest of the world. The clinical performance of VITROS S-IgG was evaluated by comparing with the NT antibody levels measured by the surrogate virus neutralizing antibody test (sVNT). A total of 332 serum samples from 188 individuals were used. Of these, 219 samples were from 75 COVID-19 patients: 96 samples from 20 severe/critical cases (Group S), and 123 samples from 55 mild/moderate cases (Group M). The remaining 113 samples were from 113 healthcare workers who had received 2 doses of the BNT162b2 vaccine. VITROS S-IgG showed good correlation with the cPass sVNT assay (Spearman rho = 0.91). Both VITROS S-IgG and cPass sVNT showed significantly higher plateau levels of antibodies in Group S compared to Group M. Regarding the humoral immune responses after BNT162b2 vaccination, individuals who were negative for SARS-CoV-2 nucleocapsid (N)-specific antibodies had statistically lower titers of both S-IgG and sVNT compared to individuals with a history of COVID-19 and individuals who were positive for N-specific antibodies without history of COVID-19. In individuals who were positive for N-specific antibodies, S-IgG and sVNT titers were similar to individuals with a history of COVID-19. Although the automated quantitative immunoassay VITROS S-IgG showed a reasonable correlation with sVNT antibodies, there is some discrepancy between Vitros S-IgG and cPass sVNT in milder cases. Thus, VITROS S-IgG can be a useful diagnostic tool in assessing the immune responses to vaccination and herd immunity. However, careful analysis is necessary to interpret the results.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>36693058</pmid><doi>10.1371/journal.pone.0279779</doi><tpages>e0279779</tpages><orcidid>https://orcid.org/0000-0003-1646-9930</orcidid><orcidid>https://orcid.org/0000-0003-1149-5048</orcidid><orcidid>https://orcid.org/0000-0002-4294-8030</orcidid><orcidid>https://orcid.org/0000-0002-8324-4048</orcidid><orcidid>https://orcid.org/0000-0002-3734-0346</orcidid><oa>free_for_read</oa></addata></record>
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subjects Antibodies
Antibodies, Blocking
Antibodies, Neutralizing
Antibodies, Viral
Antigens
Biology and Life Sciences
Blood Group Antigens
BNT162 Vaccine
Coronaviruses
Correlation
COVID-19
COVID-19 Testing
COVID-19 vaccines
Enzymes
Fatalities
Health aspects
Herd immunity
Humans
Immune response (humoral)
Immunization
Immunoassay
Immunoglobulin G
Infections
Kruskal-Wallis test
Medical personnel
Medicine and Health Sciences
Neutralizing
Nucleocapsids
Pandemics
People and Places
Performance evaluation
Pneumonia
Proteins
Reagents
Research and Analysis Methods
SARS-CoV-2
Serology
Severe acute respiratory syndrome coronavirus 2
Vaccines
Variance analysis
Viral antibodies
Viral diseases
Viruses
title Performance evaluation of the Ortho VITROS SARS-CoV-2 Spike-Specific Quantitative IgG test by comparison with the surrogate virus neutralizing antibody test and clinical assessment
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