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ABSTRACT: Objectives
To evaluate and compare the performances of five commercial ELISA assays (EDI, AnshLabs, Dia.Pro, NovaTec, and Lionex) for detecting anti-SARS-CoV-2 IgG.Methods
Seventy negative control samples (collected before the COVID-19 pandemic) and samples from 101 RT-PCR-confirmed SARS-CoV-2 patients (collected at different time points from symptom onset: ≤7, 8-14 and >14 days) were used to compare the sensitivity, specificity, agreement, and positive and negative predictive values of each assay with RT-PCR. A concordance assessment between the five assays was also conducted. Cross-reactivity with other HCoV, non-HCoV respiratory viruses, non-respiratory viruses, and nuclear antigens was investigated.Results
Lionex showed the highest specificity (98.6%; 95% CI 92.3-99.8), followed by EDI and Dia.Pro (97.1%; 95% CI 90.2-99.2), NovaTec (85.7%; 95% CI 75.7-92.1), then AnshLabs (75.7%; 95% CI 64.5-84.2). All ELISA kits cross-reacted with one anti-MERS IgG-positive sample, except Lionex. The sensitivity was low during the early stages of the disease but improved over time. After 14 days from symptom onset, Lionex and NovaTec showed the highest sensitivity at 87.9% (95% CI 72.7-95.2) and 86.4% (95% CI 78.5-91.7), respectively. The agreement with RT-PCR results based on Cohen's kappa was as follows: Lionex (0.89) > NovaTec (0.70) > Dia.Pro (0.69) > AnshLabs (0.63) > EDI (0.55).Conclusion
The Lionex and NovaLisa IgG ELISA kits, demonstrated the best overall performance.
SUBMITTER: Yassine HM
PROVIDER: S-EPMC7590641 | biostudies-literature | 2021 Jan
REPOSITORIES: biostudies-literature
Yassine Hadi M HM Al-Jighefee Hadeel H Al-Sadeq Duaa W DW Dargham Soha R SR Younes Salma N SN Shurrab Farah F Marei Reham M RM Hssain Ali Ait AA Taleb Sara S Alhussain Hashim H Al-Nesf Maryam A MA Al-Khal Abdullatif A Qotba Hamda H Althani Asmaa A AA Tang Patrick P Abu-Raddad Laith J LJ Nasrallah Gheyath K GK
International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases 20201027
<h4>Objectives</h4>To evaluate and compare the performances of five commercial ELISA assays (EDI, AnshLabs, Dia.Pro, NovaTec, and Lionex) for detecting anti-SARS-CoV-2 IgG.<h4>Methods</h4>Seventy negative control samples (collected before the COVID-19 pandemic) and samples from 101 RT-PCR-confirmed SARS-CoV-2 patients (collected at different time points from symptom onset: ≤7, 8-14 and >14 days) were used to compare the sensitivity, specificity, agreement, and positive and negative predictive va ...[more]