Serological assays to measure dimeric IgA antibodies in SARS‐CoV‐2 infections
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Author(s)
Type
Journal Article
Abstract
Current serological tests cannot differentiate between total immunoglobulin A (IgA) and dimeric IgA (dIgA) associated with mucosal immunity. Here, we describe two new assays, dIgA‐ELISA and dIgA‐multiplex bead assay (MBA), that utilize the preferential binding of dIgA to a chimeric form of secretory component, allowing the differentiation between dIgA and monomeric IgA. dIgA responses elicited through severe acute respiratory syndrome coronavirus 2 (SARS‐CoV‐2) infection were measured in (i) a longitudinal panel, consisting of 74 samples (<jats:italic>n</jats:italic> = 20 individuals) from hospitalized cases of coronavirus disease 2019 (COVID‐19); (ii) a longitudinal panel, consisting of 96 samples (<jats:italic>n</jats:italic> = 10 individuals) from individuals with mild COVID‐19; (iii) a cross‐sectional panel with PCR‐confirmed SARS‐CoV‐2 infection with mild COVID‐19 (<jats:italic>n</jats:italic> = 199) and (iv) pre–COVID‐19 samples (<jats:italic>n</jats:italic> = 200). The dIgA‐ELISA and dIgA‐MBA demonstrated a specificity for dIgA of 99% and 98.5%, respectively. Analysis of dIgA responses in the longitudinal panels revealed that 70% (ELISA) and 50% (MBA) of patients elicited a dIgA response by day 20 after PCR diagnosis with a SARS‐CoV‐2 infection. Individuals with mild COVID‐19 displayed increased levels of dIgA within the first 3 weeks after diagnosis but responses appeared to be short lived, compared with sustained IgA levels. However, in samples from hospitalized patients with COVID‐19 we observed high and sustained levels of dIgA, up to 245 days after PCR diagnosis. Our results suggest that severe COVID‐19 infections are associated with sustained levels of plasma dIgA compared with mild cases.
Date Issued
2023-10-01
Date Acceptance
2023-08-01
Citation
Immunology & Cell Biology, 2023, 101 (9), pp.857-866
ISSN
0818-9641
Publisher
Wiley
Start Page
857
End Page
866
Journal / Book Title
Immunology & Cell Biology
Volume
101
Issue
9
Copyright Statement
© 2023 The Authors. Immunology & Cell Biology published by John Wiley & Sons Australia, Ltd on behalf of the Australian and New Zealand Society for Immunology, Inc. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
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Subjects
Humans
Immunoglobulin A
Immunoglobulin M
Antibodies, Viral
Cross-Sectional Studies
COVID-19
SARS-CoV-2
Publication Status
Published
Date Publish Online
2023-08-18