1. Academic Validation
  2. Quantification of anti-SARS-CoV-2 antibodies in human serum with LC-QTOF-MS

Quantification of anti-SARS-CoV-2 antibodies in human serum with LC-QTOF-MS

  • J Pharm Biomed Anal. 2021 Oct 25;205:114319. doi: 10.1016/j.jpba.2021.114319.
Karen A M de Jong 1 Hilde Rosing 2 Marit Vermunt 2 Alwin D R Huitema 3 Jos H Beijnen 4
Affiliations

Affiliations

  • 1 Department of Pharmacy & Pharmacology, Antoni van Leeuwenhoek/The Netherlands Cancer Institute, Amsterdam, The Netherlands. Electronic address: Ka.d.jong@nki.nl.
  • 2 Department of Pharmacy & Pharmacology, Antoni van Leeuwenhoek/The Netherlands Cancer Institute, Amsterdam, The Netherlands.
  • 3 Department of Pharmacy & Pharmacology, Antoni van Leeuwenhoek/The Netherlands Cancer Institute, Amsterdam, The Netherlands; Department of Clinical Pharmacy, University Medical Center Utrecht, Utrecht, The Netherlands; Department of Pharmacology, Princess Máxima Center for Pediatric Oncology, Utrecht, The Netherlands.
  • 4 Department of Pharmacy & Pharmacology, Antoni van Leeuwenhoek/The Netherlands Cancer Institute, Amsterdam, The Netherlands; Division of Pharmacoepidemiology and Clinical Pharmacology, Faculty of Science, Department of Pharmaceutical Sciences, Utrecht University, The Netherlands.
Abstract

The aim of this study was to develop the first quantitative serological test for anti-SARS-CoV-2 Antibodies in human serum with liquid chromatography - quadrupole time-of-flight mass spectrometry (LC-QTOF-MS). Other assays, mostly immunoassays, are only qualitative or semi-quantitative, and hence, actual antibody concentrations after SARS-CoV-2 Infection are unknown. In our assay, anti-SARS-CoV-2 Antibodies were isolated with spike protein subunit 1 (S1) coupled to Magnetic Beads. IgG1 signature peptide GPSVFPLAPSSK was selected for quantification using ipilimumab calibration standards and SILuMAb K1 as the stable-isotope labeled internal standard. The anti-SARS-CoV-2 IgG1 calibration range was from 1.35 to 135 nM. Inter-assay accuracies were between 98.8%- 107% with inter-assay precisions between 8.37%- 13.5% measured at 3 concentration levels on three separate occasions. Anti-SARS-CoV-2 IgG1 Antibodies were quantified in PCR-positive patients with mild to severe symptoms. IgM signature peptide DGFFGVPR was detected in patients that recently recovered from COVID-19. A unique and quantitative LC-QTOF-MS method to quantify anti-SARS-CoV-2 IgG1 in serum was successfully developed and its clinical applicability has been demonstrated.

Keywords

Anti-SARS-CoV-2 antibodies; COVID-19; LC-QTOF-MS; Mass spectrometry; SARS-CoV-2; Spike protein.

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