Serologic Detection of Middle East Respiratory Syndrome Coronavirus Functional Antibodies
Nisreen M.A. Okba, Ivy Widjaja, Wentao Li, Corine H. GeurtsvanKessel, Elmoubasher A.B.A. Farag, Mohammed Al-Hajri, Wan Beom Park, Myoung-don Oh, Chantal B.E.M. Reusken, Marion P.G. Koopmans, Berend-Jan Bosch
, and Bart L. Haagmans
Author affiliations: Erasmus Medical Center, Rotterdam, the Netherlands (N.M.A. Okba, C.H. GeurtsvanKessel, C.B.E.M. Reusken, M.P.G. Koopmans, B.L. Haagmans); Utrecht University, Utrecht, the Netherlands (I. Widjaja, W. Li, B.-J. Bosch); Ministry of Public Health, Doha, Qatar (E.A.B.A. Farag, M. Al-Hajri); Seoul National University College of Medicine, Seoul, South Korea (W.B. Park, M.-d. Oh); Center for Infectious Disease Control, Bilthoven, the Netherlands (C.B.E.M. Reusken)
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Figure
Figure. MERS-CoV–specific RBI and HI assays for MERS-CoV human diagnostics. A) Validation of the specificity of the RBI assay for the detection of MERS-CoV–specific antibodies in humans. Red dots indicate severe illness. Green dots indicate mild illness. B) Correlation between neutralizing and RBI antibody responses after MERS-CoV infection. C) Hemagglutination of turkey erythrocytes using S1A-nanoparticles. S1A-, S1B-, or empty self-assembling lumazine synthase nanoparticles were serially diluted and tested for the ablity to agglutinate turkey RBCs. D) Specificity of the HI assay for the detection of MERS-CoV S1A–directed antibodies. Rabbit anti-S1A, anti S1B, or anti-S1 serum samples were serially diluted and tested for the ability to block S1A-nanoparticles–induced hemagglutination of turkey RBCs. E) Validation of HI assay for the detection of MERS-CoV–specific antibodies in humans. F) Scatter plot correlating PRNT90 neutralization titers and HI titers after MERS-CoV infection. CoV, human coronavirus; HI, hemagglutination inhibition; MERS-CoV, Middle East respiratory syndrome coronavirus; PRNT90, 90% reduction in plaque reduction neutralization test; RBI, receptor-binding inhibition.
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