2021
DOI: 10.1371/journal.pone.0252621
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Validation of a multiplex flow immunoassay for detection of IgG antibodies against SARS-CoV-2 in dried blood spots

Abstract: Background Dried blood spots (DBS) are an established specimen type for clinical testing given their low cost, ease of collection and storage, and convenient shipping capabilities through the postal system. These attributes are complementary to the expansion of SARS-CoV-2 serologic testing, which may be used to inform community seroprevalence rates. Methods The Luminex xMAP SARS-CoV-2 Multi-Antigen assay utilizes magnetic beads labeled with three viral antigens (nucleocapsid [NC], receptor binding domain [RB… Show more

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Cited by 16 publications
(13 citation statements)
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“…For SARS-CoV-2 studies, adoption of DBS may reduce frontline worker demand, improve sampling in resource-limited areas, and increase study enrollment. Though prior work with DBS and plasma pairs has supported the suitability of DBS for SARS-CoV-2 antibody binding assays ( 27 36 ), important gaps remained that prevented the broad implementation of this sample type. For example, most studies used DBS with venous ( 27 , 30 ) or fingerstick blood collected at the clinic with the assistance of a phlebotomist ( 29 , 31 33 , 35 ), which does not account for variables introduced with self-sampling or ambient shipping.…”
Section: Discussionmentioning
confidence: 99%
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“…For SARS-CoV-2 studies, adoption of DBS may reduce frontline worker demand, improve sampling in resource-limited areas, and increase study enrollment. Though prior work with DBS and plasma pairs has supported the suitability of DBS for SARS-CoV-2 antibody binding assays ( 27 36 ), important gaps remained that prevented the broad implementation of this sample type. For example, most studies used DBS with venous ( 27 , 30 ) or fingerstick blood collected at the clinic with the assistance of a phlebotomist ( 29 , 31 33 , 35 ), which does not account for variables introduced with self-sampling or ambient shipping.…”
Section: Discussionmentioning
confidence: 99%
“…Prior studies often elute DBS discs in volumes that prepare samples directly for testing in a single assay format ( 27 , 29 , 31 , 32 , 34 , 36 ). Because we sought to employ DBS for various assays, we first measured total IgG levels in DBS eluate and plasma pairs to estimate the volume of plasma extracted from each disc, to ultimately inform sample dilutions and data normalization approaches.…”
Section: Discussionmentioning
confidence: 99%
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“…108 neg. Venous serum antibody measurements NPA: 98.0% PPA: 100% TA: 99.4% Imprecision 18 *Borderline measurements were treated as negative for ease of method comparison. † DBS samples were self-collected by the patient.…”
Section: Introductionmentioning
confidence: 99%
“… 32 A flow immunoassay using magnetic beads for the detection of IgG antibodies against SARS-CoV-2 was also validated. 33 All diagnoses recently applied prove that this technology has been successful in detecting SARS-CoV-2 antibody. On the other hand, the serodiagnosis still needs improvement to guaranty appropriate sensitivity and specificity.…”
Section: Introductionmentioning
confidence: 99%