1. Vertical Flow Cellulose-Based Assays for SARS-CoV-2 Antibody Detection in Human Serum
- Author
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Emma H. Yee, Eric A. Miller, Yining Hao, Peter R. Preiser, Dousabel M Y Tay, Patthara Kongsuphol, Huan Jia, Seunghyeon Kim, Megan E. McBee, and Hadley D. Sikes
- Subjects
paper-based assay ,serology ,Bioengineering ,02 engineering and technology ,Antibodies, Viral ,Sensitivity and Specificity ,01 natural sciences ,Article ,Serology ,Antigen ,Seroepidemiologic Studies ,antibody ,vertical flow ,medicine ,Humans ,Seroprevalence ,Cellulose ,Pandemics ,Instrumentation ,cellulose-binding domain ,Point of care ,Immunoassay ,Fluid Flow and Transfer Processes ,medicine.diagnostic_test ,biology ,SARS-CoV-2 ,horseradish peroxidase ,Chemistry ,Process Chemistry and Technology ,010401 analytical chemistry ,COVID-19 ,021001 nanoscience & nanotechnology ,Virology ,0104 chemical sciences ,Nucleic acid ,biology.protein ,Antibody ,0210 nano-technology - Abstract
Rapid and inexpensive serological tests for severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) antibodies are essential to conduct large-scale seroprevalence surveys and can potentially complement nucleic acid or antigen tests at the point of care. During the COVID-19 pandemic, extreme demand for traditional lateral flow tests has stressed manufacturing capacity and supply chains. Motivated by this limitation, we developed a SARS-CoV-2 antibody test using cellulose, an alternative membrane material, and a double-antigen sandwich format. Functionalized SARS-CoV-2 antigens were used as both capture and reporter binders, replacing the anti-human antibodies currently used in lateral flow tests. The test could provide enhanced sensitivity because it labels only antibodies against SARS-CoV-2 and the signal intensity is not diminished due to other human antibodies in serum. Three-dimensional channels in the assay were designed to have consistent flow rates and be easily manufactured by folding wax-printed paper. We demonstrated that this simple, vertical flow, cellulose-based assay could detect SARS-CoV-2 antibodies in clinical samples within 15 min, and the results were consistent with those from a laboratory, bead-based chemiluminescence immunoassay that was granted emergency use approval by the US FDA.
- Published
- 2021
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