Development of a SARS-CoV-2 rapid antibody detection kit and study on dynamic changes in antibodies in infected patients

Clin Respir J. 2021 May;15(5):499-505. doi: 10.1111/crj.13331. Epub 2021 Feb 4.

Abstract

Introduction: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has spread rapidly to 185 regions and countries around the world with more than 2.8 million confirmed infections and 203,044 deaths. Respiratory diseases caused by SARS-CoV-2 are serious threats to human health.

Objectives: To develop a rapid detection kit for new coronavirus antibodies and use it to study the dynamic changes in antibodies in clinically confirmed SARS-CoV-2-infected patients.

Methods: The SARS-CoV-2 IgM/IgG antibody test kit (colloidal gold method) was developed. Serum SARS-CoV-2 IgM and IgG antibodies were tested in SARS-CoV-2- and non-SARS-CoV-2-infected persons, respectively.

Results and conclusion: The sensitivities of the SARS-CoV-2 IgM/IgG antibody test kit (colloidal gold method) were 50%, 70%, 92.5% and 97.5% after 1-3 days, 4-6 days, 7-9 days and >9 days of admission, respectively, and the specificities of the IgM, IgG and IgM + IgG antibodies were all 100%. Using the SARS-CoV-2 IgM/IgG antibody test kit (colloidal gold method), the positive rates of SARS-CoV-2 IgM and IgG antibodies increased from 50% to 92.5% after 1-3 days, 4-6 days and 7-9 days of admission, which showed an increasing trend. The titers of the SARS-CoV-2 IgM and IgG antibodies in the positive specimens increased with the length of admission.

Keywords: COVID-19; SARS-CoV-2; antibody; colloidal gold immunochromatography; infection.

MeSH terms

  • Adult
  • Antibodies, Viral / blood*
  • COVID-19 / diagnosis*
  • COVID-19 / epidemiology
  • Female
  • Humans
  • Immunoglobulin G / blood*
  • Immunoglobulin M / blood
  • Immunoglobulin M / immunology*
  • Male
  • Pandemics
  • SARS-CoV-2 / immunology*

Substances

  • Antibodies, Viral
  • Immunoglobulin G
  • Immunoglobulin M