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Development and clinical application of a rapid IgM-IgG combined antibody test for SARS-CoV-2 infection diagnosis.

Identifieur interne : 000576 ( PubMed/Checkpoint ); précédent : 000575; suivant : 000577

Development and clinical application of a rapid IgM-IgG combined antibody test for SARS-CoV-2 infection diagnosis.

Auteurs : Zhengtu Li [République populaire de Chine] ; Yongxiang Yi [République populaire de Chine] ; Xiaomei Luo [République populaire de Chine] ; Nian Xiong [République populaire de Chine] ; Yang Liu [République populaire de Chine] ; Shaoqiang Li [République populaire de Chine] ; Ruilin Sun [République populaire de Chine] ; Yanqun Wang [République populaire de Chine] ; Bicheng Hu [République populaire de Chine] ; Wei Chen [République populaire de Chine] ; Yongchen Zhang [République populaire de Chine] ; Jing Wang [République populaire de Chine] ; Baofu Huang [République populaire de Chine] ; Ye Lin [République populaire de Chine] ; Jiasheng Yang [République populaire de Chine] ; Wensheng Cai [République populaire de Chine] ; Xuefeng Wang [République populaire de Chine] ; Jing Cheng [République populaire de Chine] ; Zhiqiang Chen [République populaire de Chine] ; Kangjun Sun [République populaire de Chine] ; Weimin Pan [République populaire de Chine] ; Zhifei Zhan [République populaire de Chine] ; Liyan Chen [République populaire de Chine] ; Feng Ye [République populaire de Chine]

Source :

RBID : pubmed:32104917

Abstract

The outbreak of the novel coronavirus disease (COVID-19) quickly spread all over China and to more than 20 other countries. Although the virus (severe acute respiratory syndrome coronavirus [SARS-Cov-2]) nucleic acid real-time polymerase chain reaction (PCR) test has become the standard method for diagnosis of SARS-CoV-2 infection, these real-time PCR test kits have many limitations. In addition, high false-negative rates were reported. There is an urgent need for an accurate and rapid test method to quickly identify a large number of infected patients and asymptomatic carriers to prevent virus transmission and assure timely treatment of patients. We have developed a rapid and simple point-of-care lateral flow immunoassay that can detect immunoglobulin M (IgM) and IgG antibodies simultaneously against SARS-CoV-2 virus in human blood within 15 minutes which can detect patients at different infection stages. With this test kit, we carried out clinical studies to validate its clinical efficacy uses. The clinical detection sensitivity and specificity of this test were measured using blood samples collected from 397 PCR confirmed COVID-19 patients and 128 negative patients at eight different clinical sites. The overall testing sensitivity was 88.66% and specificity was 90.63%. In addition, we evaluated clinical diagnosis results obtained from different types of venous and fingerstick blood samples. The results indicated great detection consistency among samples from fingerstick blood, serum and plasma of venous blood. The IgM-IgG combined assay has better utility and sensitivity compared with a single IgM or IgG test. It can be used for the rapid screening of SARS-CoV-2 carriers, symptomatic or asymptomatic, in hospitals, clinics, and test laboratories.

DOI: 10.1002/jmv.25727
PubMed: 32104917


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<name sortKey="Chen, Wei" sort="Chen, Wei" uniqKey="Chen W" first="Wei" last="Chen">Wei Chen</name>
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<div type="abstract" xml:lang="en">The outbreak of the novel coronavirus disease (COVID-19) quickly spread all over China and to more than 20 other countries. Although the virus (severe acute respiratory syndrome coronavirus [SARS-Cov-2]) nucleic acid real-time polymerase chain reaction (PCR) test has become the standard method for diagnosis of SARS-CoV-2 infection, these real-time PCR test kits have many limitations. In addition, high false-negative rates were reported. There is an urgent need for an accurate and rapid test method to quickly identify a large number of infected patients and asymptomatic carriers to prevent virus transmission and assure timely treatment of patients. We have developed a rapid and simple point-of-care lateral flow immunoassay that can detect immunoglobulin M (IgM) and IgG antibodies simultaneously against SARS-CoV-2 virus in human blood within 15 minutes which can detect patients at different infection stages. With this test kit, we carried out clinical studies to validate its clinical efficacy uses. The clinical detection sensitivity and specificity of this test were measured using blood samples collected from 397 PCR confirmed COVID-19 patients and 128 negative patients at eight different clinical sites. The overall testing sensitivity was 88.66% and specificity was 90.63%. In addition, we evaluated clinical diagnosis results obtained from different types of venous and fingerstick blood samples. The results indicated great detection consistency among samples from fingerstick blood, serum and plasma of venous blood. The IgM-IgG combined assay has better utility and sensitivity compared with a single IgM or IgG test. It can be used for the rapid screening of SARS-CoV-2 carriers, symptomatic or asymptomatic, in hospitals, clinics, and test laboratories.</div>
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<Title>Journal of medical virology</Title>
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<ArticleTitle>Development and clinical application of a rapid IgM-IgG combined antibody test for SARS-CoV-2 infection diagnosis.</ArticleTitle>
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<AbstractText>The outbreak of the novel coronavirus disease (COVID-19) quickly spread all over China and to more than 20 other countries. Although the virus (severe acute respiratory syndrome coronavirus [SARS-Cov-2]) nucleic acid real-time polymerase chain reaction (PCR) test has become the standard method for diagnosis of SARS-CoV-2 infection, these real-time PCR test kits have many limitations. In addition, high false-negative rates were reported. There is an urgent need for an accurate and rapid test method to quickly identify a large number of infected patients and asymptomatic carriers to prevent virus transmission and assure timely treatment of patients. We have developed a rapid and simple point-of-care lateral flow immunoassay that can detect immunoglobulin M (IgM) and IgG antibodies simultaneously against SARS-CoV-2 virus in human blood within 15 minutes which can detect patients at different infection stages. With this test kit, we carried out clinical studies to validate its clinical efficacy uses. The clinical detection sensitivity and specificity of this test were measured using blood samples collected from 397 PCR confirmed COVID-19 patients and 128 negative patients at eight different clinical sites. The overall testing sensitivity was 88.66% and specificity was 90.63%. In addition, we evaluated clinical diagnosis results obtained from different types of venous and fingerstick blood samples. The results indicated great detection consistency among samples from fingerstick blood, serum and plasma of venous blood. The IgM-IgG combined assay has better utility and sensitivity compared with a single IgM or IgG test. It can be used for the rapid screening of SARS-CoV-2 carriers, symptomatic or asymptomatic, in hospitals, clinics, and test laboratories.</AbstractText>
<CopyrightInformation>© 2020 The Authors. Journal of Medical Virology Published by Wiley Periodicals, Inc.</CopyrightInformation>
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</Reference>
</ReferenceList>
</PubmedData>
</pubmed>
<affiliations>
<list>
<country>
<li>République populaire de Chine</li>
</country>
<region>
<li>Guangdong</li>
<li>Hubei</li>
<li>Jiangxi</li>
</region>
<settlement>
<li>Jiangmen</li>
<li>Nanchang</li>
<li>Wuhan</li>
</settlement>
</list>
<tree>
<country name="République populaire de Chine">
<region name="Guangdong">
<name sortKey="Li, Zhengtu" sort="Li, Zhengtu" uniqKey="Li Z" first="Zhengtu" last="Li">Zhengtu Li</name>
</region>
<name sortKey="Cai, Wensheng" sort="Cai, Wensheng" uniqKey="Cai W" first="Wensheng" last="Cai">Wensheng Cai</name>
<name sortKey="Chen, Liyan" sort="Chen, Liyan" uniqKey="Chen L" first="Liyan" last="Chen">Liyan Chen</name>
<name sortKey="Chen, Wei" sort="Chen, Wei" uniqKey="Chen W" first="Wei" last="Chen">Wei Chen</name>
<name sortKey="Chen, Zhiqiang" sort="Chen, Zhiqiang" uniqKey="Chen Z" first="Zhiqiang" last="Chen">Zhiqiang Chen</name>
<name sortKey="Cheng, Jing" sort="Cheng, Jing" uniqKey="Cheng J" first="Jing" last="Cheng">Jing Cheng</name>
<name sortKey="Hu, Bicheng" sort="Hu, Bicheng" uniqKey="Hu B" first="Bicheng" last="Hu">Bicheng Hu</name>
<name sortKey="Huang, Baofu" sort="Huang, Baofu" uniqKey="Huang B" first="Baofu" last="Huang">Baofu Huang</name>
<name sortKey="Li, Shaoqiang" sort="Li, Shaoqiang" uniqKey="Li S" first="Shaoqiang" last="Li">Shaoqiang Li</name>
<name sortKey="Lin, Ye" sort="Lin, Ye" uniqKey="Lin Y" first="Ye" last="Lin">Ye Lin</name>
<name sortKey="Liu, Yang" sort="Liu, Yang" uniqKey="Liu Y" first="Yang" last="Liu">Yang Liu</name>
<name sortKey="Luo, Xiaomei" sort="Luo, Xiaomei" uniqKey="Luo X" first="Xiaomei" last="Luo">Xiaomei Luo</name>
<name sortKey="Pan, Weimin" sort="Pan, Weimin" uniqKey="Pan W" first="Weimin" last="Pan">Weimin Pan</name>
<name sortKey="Sun, Kangjun" sort="Sun, Kangjun" uniqKey="Sun K" first="Kangjun" last="Sun">Kangjun Sun</name>
<name sortKey="Sun, Ruilin" sort="Sun, Ruilin" uniqKey="Sun R" first="Ruilin" last="Sun">Ruilin Sun</name>
<name sortKey="Wang, Jing" sort="Wang, Jing" uniqKey="Wang J" first="Jing" last="Wang">Jing Wang</name>
<name sortKey="Wang, Xuefeng" sort="Wang, Xuefeng" uniqKey="Wang X" first="Xuefeng" last="Wang">Xuefeng Wang</name>
<name sortKey="Wang, Yanqun" sort="Wang, Yanqun" uniqKey="Wang Y" first="Yanqun" last="Wang">Yanqun Wang</name>
<name sortKey="Xiong, Nian" sort="Xiong, Nian" uniqKey="Xiong N" first="Nian" last="Xiong">Nian Xiong</name>
<name sortKey="Yang, Jiasheng" sort="Yang, Jiasheng" uniqKey="Yang J" first="Jiasheng" last="Yang">Jiasheng Yang</name>
<name sortKey="Ye, Feng" sort="Ye, Feng" uniqKey="Ye F" first="Feng" last="Ye">Feng Ye</name>
<name sortKey="Yi, Yongxiang" sort="Yi, Yongxiang" uniqKey="Yi Y" first="Yongxiang" last="Yi">Yongxiang Yi</name>
<name sortKey="Zhan, Zhifei" sort="Zhan, Zhifei" uniqKey="Zhan Z" first="Zhifei" last="Zhan">Zhifei Zhan</name>
<name sortKey="Zhang, Yongchen" sort="Zhang, Yongchen" uniqKey="Zhang Y" first="Yongchen" last="Zhang">Yongchen Zhang</name>
</country>
</tree>
</affiliations>
</record>

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