Table 1: Blind panel test results for Delta Diagnostics’ test and the Wantai test.
The panel consisted out of 5 sera drawn before the COVID-19 pandemic, classified as negative, and 5 sera of individuals with PCR-confirmed COVID-19, classified as positive. Results of all negatives and 4 out of 5 positives obtained with the Delta Diagnostics test matched the WTA laboratory test. Solely sample 9 tested negative at Delta Diagnostics, while the WTA-test was positive. This result is likely due to the fact that IgG antibodies are typically developed later than 8 days after onset of symptoms: The WTA-test is sensitive for all immunoglobulins, including IgM which is typically developed earlier, while the Delta Diagnostics test in this set-up specifically detects IgG.
Next Steps
Currently available point-of-care antibody tests do not have the performance required for individual diagnostic use. As our chips carry multiple individually addressable sensors, it is relatively straight-forward to develop a test able to detect antibodies against different parts of the virus. Such multiplexed tests have been shown to be able to reach very high specificity.
In addition, contrary to current point-of-care tests, our test provides quantitative information about the amount and/or quality of the antibodies, which allows monitoring of changes in a person’s immune status over time.
Finally, the ability of our sensors to simultaneously detect different biomarkers would allow the development of a test that is sensitive to antibodies raised against different virus variants, potentially useful to determine with which variant the patient has been infected, or a test that can distinguish between different antibody types (IgG, IgA and IgM) providing more clinical information.
Acknowledgements
We would like to thank the Reinier Haga Medical Diagnostics Center for providing the reference tested patient sera and our partner Covalab (FR) for providing the RBD and SARS-CoV-2 monoclonal antibodies used in this study.