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  4. A high-throughput cell- and virus-free assay shows reduced neutralization of SARS-CoV-2 variants by COVID-19 convalescent plasma
 
research article

A high-throughput cell- and virus-free assay shows reduced neutralization of SARS-CoV-2 variants by COVID-19 convalescent plasma

Fenwick, Craig
•
Turelli, Priscilla  
•
Pellaton, Celine
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August 4, 2021
Science Translational Medicine

The detection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)-specific antibodies in the serum of an individual indicates previous infection or vaccination. However, it provides limited insight into the protective nature of this immune response. Neutralizing antibodies recognizing the viral spike protein are more revealing, yet their measurement traditionally requires virus- and cell-based systems that are costly, time-consuming, inflexible, and potentially biohazardous. Here, we present a cell-free quantitative neutralization assay based on the competitive inhibition of trimeric SARS-CoV-2 spike protein binding to the angiotensin-converting enzyme 2 (ACE2) receptor. This high-throughput method matches the performance of the gold standard live virus infection assay, as verified with a panel of 206 seropositive donors with varying degrees of infection severity and virus-specific immunoglobulin G titers, achieving 96.7% sensitivity and 100% specificity. Furthermore, it allows for the parallel assessment of neutralizing activities against multiple SARS-CoV-2 spike protein variants of concern. We used our assay to profile serum samples from 59 patients hospitalized with coronavirus disease 2019 (COVID-19). We found that although most sera had high activity against the 2019-nCoV parental spike protein and, to a lesser extent, the alpha (B.1.1.7) variant, only 58% of serum samples could efficiently neutralize a spike protein derivative containing mutations present in the beta (B.1.351) variant. Thus, we have developed an assay that can evaluate effective neutralizing antibody responses to SARS-CoV-2 spike protein variants of concern after natural infection and that can be applied to characterize vaccine-induced antibody responses or to assess the potency of monoclonal antibodies.

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Type
research article
DOI
10.1126/scitranslmed.abi8452
Web of Science ID

WOS:000682265600001

Author(s)
Fenwick, Craig
Turelli, Priscilla  
Pellaton, Celine
Farina, Alex
Campos, Jeremy
Raclot, Charlene  
Pojer, Florence  
Cagno, Valeria
Nussle, Semira Gonseth
D'Acremont, Valerie
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Date Issued

2021-08-04

Publisher

AMER ASSOC ADVANCEMENT SCIENCE

Published in
Science Translational Medicine
Volume

13

Issue

605

Article Number

eabi8452

Subjects

Cell Biology

•

Medicine, Research & Experimental

•

Research & Experimental Medicine

•

spike

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coronavirus

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protection

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mutations

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binding

Editorial or Peer reviewed

REVIEWED

Written at

EPFL

EPFL units
LVG  
PTPSP  
Available on Infoscience
August 28, 2021
Use this identifier to reference this record
https://infoscience.epfl.ch/handle/20.500.14299/181024
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