Development of a recombinant nucleocapsid protein-based ELISA for the detection of IgM and IgG antibodies to SARS-CoV-2

Biotechnol Appl Biochem. 2022 Dec;69(6):2592-2598. doi: 10.1002/bab.2308. Epub 2022 Jan 13.

Abstract

Coronavirus 2019 (COVID-19) is a global concern for public health. Thus, early and accurate diagnosis is a critical step in management of this infectious disease. Currently, RT-PCR is routine diagnosis test for COVID-19, but it has some limitations and false negative results. enzyme-linked immunosorbent assay (ELISA) against SARS-CoV-2 antigens seems to be an appropriate approach for serodiagnosis of COVID-19. In the current study, an ELISA system, using a recombinant nucleocapsid (N) protein, was developed for the detection of IgM and IgG antibodies to SARS-CoV-2. The related protein was expressed, purified, and used in an ELISA system. Sera samples (67) for COVID-19 patients, as well as sera samples from healthy volunteers (112), along with sera samples from non-COVID-19 patients were examined by the ELISA system. The expression and purity of the recombinant N protein were approved by SDS-PAGE and Western blotting. The sensitivity of ELISA system was 91.04 and 92.53% for the detection of IgG and IgM antibodies, respectively. Moreover, the specificity of the developed ELISA system for IgG and IgM were 98.21 and 97.32%, respectively. Our developed ELISA system showed satisfactory sensitivity and specificity for the detection of antiSARS-CoV-2 IgM and IgG antibodies and could be used as a complementary approach for proper diagnosis of COVID-19.

Keywords: COVID-19; ELISA; SARS-CoV-2; antibodies; nucleocapsid; recombinant.

MeSH terms

  • COVID-19* / diagnosis
  • Enzyme-Linked Immunosorbent Assay
  • Humans
  • Immunoglobulin G
  • Immunoglobulin M
  • Nucleocapsid
  • Nucleocapsid Proteins
  • Recombinant Proteins
  • SARS-CoV-2*
  • Sensitivity and Specificity

Substances

  • Nucleocapsid Proteins
  • Immunoglobulin G
  • Recombinant Proteins
  • Immunoglobulin M