Even after over 2 years of the COVID-19 pandemic, research on rapid, inexpensive, and
accurate tests remains essential for controlling and avoiding the global spread of
SARS-CoV-2 across the planet during a potential reappearance in future global waves or
regional outbreaks. Assessment of serological responses for COVID-19 can be beneficial
for population-level surveillance purposes, supporting the development of novel vaccines
and evaluating the efficacy of different immunization programs. This can be especially
relevant for broadly used inactivated whole virus vaccines, such as CoronaVac, which
produced lower titers of neutralizing antibodies. and showed lower efficacy for specific
groups such as the elderly and immunocompromised. We developed an impedimetric biosensor
based on the immobilization of SARS-CoV-2 recombinant trimeric spike protein (S protein)
on zinc oxide nanorod (ZnONR)-modified fluorine-doped tin oxide substrates for COVID-19
serology testing. Due to electrostatic interactions, the negatively charged S protein
was immobilized via physical adsorption. The electrochemical response of the
immunosensor was measured at each modification step and characterized by scanning
electron microscopy and electrochemical techniques. We successfully evaluated the
applicability of the modified ZnONR electrodes using serum samples from COVID-19
convalescent individuals, CoronaVac-vaccinated with or without positive results for
SARS-CoV-2 infection, and pre-pandemic samples from healthy volunteers as controls.
ELISA for IgG anti-SARS-CoV-2 spike protein was performed for comparison, and ELISA for
IgG anti-RBDs of seasonal coronavirus (HCoVs) was used to test the specificity of
immunosensor detection. No cross-reactivity with HCoVs was detected using the ZnONR
immunosensor, and more interestingly, the sensor presented higher sensitivity when
compared to negative ELISA results. The results demonstrate that the
ZnONRs/spike-modified electrode displayed sensitive results for convalescents and
vaccinated samples and shows excellent potential as a tool for the population’s
assessment and monitoring of seroconversion and seroprevalence.