Implementation and Extended Evaluation of the Euroimmun Anti-SARS-CoV-2 IgG Assay and Its Contribution to the United Kingdom's COVID-19 Public Health Response

Ashley David Otter*, Abbie Bown, Silvia D'Arcangelo, Daniel Bailey, Amanda Semper, Jacqueline Hewson, Matthew Catton, Prem Perumal, Angela Sweed, Deborah Fox McKee, Jessica Jones, Heli Harvala, Abigail Lamikanra, Maria Zambon, Nick Andrews, Heather Whitaker, Ezra Linley, Alexander J. Mentzer, Donal Skelly, Julian C. KnightPaul Klenerman, Gayatri Amirthalingam, Stephen Taylor, Cathy Rowe, Richard Vipond, Tim Brooks

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

4 Citations (Scopus)

Abstract

In March 2020, the Rare and Imported Pathogens Laboratory at the UK Health Security Agency (UKHSA) (formerly Public Health England [PHE]) Porton Down, was tasked by the Department of Health and Social Care with setting up a national surveillance laboratory facility to study SARS-CoV-2 antibody responses and populationlevel sero-surveillance in response to the growing SARS-CoV-2 outbreak. In the following 12 months, the laboratory tested more than 160,000 samples, facilitating a wide range of research and informing UKHSA, DHSC, and UK government policy. Here we describe the implementation and use of the Euroimmun anti-SARS-CoV-2 IgG assay and provide an extended evaluation of its performance. We present a markedly improved overall sensitivity of 91.39% (=14 days 92.74%, $21 days 93.59%) compared to our small-scale early study, and a specificity of 98.56%. In addition, we detail extended characteristics of the Euroimmun assay: Intra- and interassay precision, correlation to neutralization, and assay linearity.

Original languageEnglish
Article numbere02289-21
JournalMicrobiology Spectrum
Volume10
Issue number1
DOIs
Publication statusPublished - Feb 2022

Bibliographical note

Funding Information:
This project was funded as part of the DHSC serological assay evaluation procedure. A.J.M. and D.T.S. are funded by the ISARIC-4C Medical Research Council (grant MC_PC_19059) as part of the ISARIC Coronavirus Clinical Characterization Consortium (ISARIC-4C), COMBAT Consortium, OUH clinical and research staff, and patients.

Publisher Copyright:
© 2022 American Society for Microbiology. All rights reserved.

Keywords

  • Assay development
  • Coronavirus
  • Immunoassays
  • Neutralizing antibodies
  • SARS-CoV-2

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