Dynamics of SARS-CoV-2 seroassay sensitivity: a systematic review and modelling study

Owusu-Boaitey, Nana - Russell, Timothy W - Meyerowitz-Katz, Gideon - Levin, Andrew T . - Herrera Espósito, Daniel

Resumen:

Background: Serological surveys have been the gold standard to estimate numbers of SARS-CoV-2 infections, the dynamics of the epidemic, and disease severity. Serological assays have decaying sensitivity with time that can bias their results, but there is a lack of guidelines to account for this phenomenon for SARS-CoV-2. Aim: Our goal was to assess the sensitivity decay of seroassays for detecting SARS-CoV-2 infections, the dependence of this decay on assay characteristics, and to provide a simple method to correct for this phenomenon. Methods: We performed a systematic review and metaanalysis of SARS-CoV-2 serology studies. We included studies testing previously diagnosed, unvaccinated individuals, and excluded studies of cohorts highly unrepresentative of the general population (e.g. hospitalised patients). Results: Of the 488 screened studies, 76 studies reporting on 50 different seroassays were included in the analysis. Sensitivity decay depended strongly on the antigen and the analytic technique used by the assay, with average sensitivities ranging between 26% and 98% at 6 months after infection, depending on assay characteristics. We found that a third of the included assays departed considerably from manufacturer specifications after 6 months. Conclusions: Seroassay sensitivity decay depends on assay characteristics, and for some types of assays, it can make manufacturer specifications highly unreliable. We provide a tool to correct for this phenomenon and to assess the risk of decay for a given assay. Our analysis can guide the design and interpretation of serosurveys for SARS-CoV-2 and other pathogens and quantify systematic biases in the existing serology literature.


Detalles Bibliográficos
2023
SARS-CoV-2
Seroassays
Inglés
Universidad de la República
COLIBRI
https://hdl.handle.net/20.500.12008/43365
Acceso abierto
Licencia Creative Commons Atribución (CC - By 4.0)
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author Owusu-Boaitey, Nana
author2 Russell, Timothy W
Meyerowitz-Katz, Gideon
Levin, Andrew T .
Herrera Espósito, Daniel
author2_role author
author
author
author
author_facet Owusu-Boaitey, Nana
Russell, Timothy W
Meyerowitz-Katz, Gideon
Levin, Andrew T .
Herrera Espósito, Daniel
author_role author
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collection COLIBRI
dc.contributor.filiacion.none.fl_str_mv Owusu-Boaitey Nana
Russell Timothy W
Meyerowitz-Katz Gideon
Levin Andrew T .
Herrera Espósito Daniel, Universidad de la República (Uruguay). Facultad de Ciencias. Instituto de Biología.
dc.creator.none.fl_str_mv Owusu-Boaitey, Nana
Russell, Timothy W
Meyerowitz-Katz, Gideon
Levin, Andrew T .
Herrera Espósito, Daniel
dc.date.accessioned.none.fl_str_mv 2024-04-08T12:39:10Z
dc.date.available.none.fl_str_mv 2024-04-08T12:39:10Z
dc.date.issued.none.fl_str_mv 2023
dc.description.abstract.none.fl_txt_mv Background: Serological surveys have been the gold standard to estimate numbers of SARS-CoV-2 infections, the dynamics of the epidemic, and disease severity. Serological assays have decaying sensitivity with time that can bias their results, but there is a lack of guidelines to account for this phenomenon for SARS-CoV-2. Aim: Our goal was to assess the sensitivity decay of seroassays for detecting SARS-CoV-2 infections, the dependence of this decay on assay characteristics, and to provide a simple method to correct for this phenomenon. Methods: We performed a systematic review and metaanalysis of SARS-CoV-2 serology studies. We included studies testing previously diagnosed, unvaccinated individuals, and excluded studies of cohorts highly unrepresentative of the general population (e.g. hospitalised patients). Results: Of the 488 screened studies, 76 studies reporting on 50 different seroassays were included in the analysis. Sensitivity decay depended strongly on the antigen and the analytic technique used by the assay, with average sensitivities ranging between 26% and 98% at 6 months after infection, depending on assay characteristics. We found that a third of the included assays departed considerably from manufacturer specifications after 6 months. Conclusions: Seroassay sensitivity decay depends on assay characteristics, and for some types of assays, it can make manufacturer specifications highly unreliable. We provide a tool to correct for this phenomenon and to assess the risk of decay for a given assay. Our analysis can guide the design and interpretation of serosurveys for SARS-CoV-2 and other pathogens and quantify systematic biases in the existing serology literature.
dc.format.extent.es.fl_str_mv 13 h.
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dc.identifier.citation.es.fl_str_mv Owusu-Boaitey, N, Russell, T, Meyerowitz-Katz, G [y otros autores]. "Dynamics of SARS-CoV-2 seroassay sensitivity: a systematic review and modelling study". Eurosurveilance. [en línea] 2023, 28(21): 2200809. 13 h. DOI: 10.2807/1560-7917.ES.2023.28.21.2200809.
dc.identifier.doi.none.fl_str_mv 10.2807/1560-7917.ES.2023.28.21.2200809
dc.identifier.issn.none.fl_str_mv 1560-7917
dc.identifier.uri.none.fl_str_mv https://hdl.handle.net/20.500.12008/43365
dc.language.iso.none.fl_str_mv en
eng
dc.publisher.es.fl_str_mv European Centre for Disease Prevention and Control
dc.relation.ispartof.es.fl_str_mv Eurosurveillance, 2023, 28(21): 2200809.
dc.rights.license.none.fl_str_mv Licencia Creative Commons Atribución (CC - By 4.0)
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
dc.source.none.fl_str_mv reponame:COLIBRI
instname:Universidad de la República
instacron:Universidad de la República
dc.subject.es.fl_str_mv SARS-CoV-2
Seroassays
dc.title.none.fl_str_mv Dynamics of SARS-CoV-2 seroassay sensitivity: a systematic review and modelling study
dc.type.es.fl_str_mv Artículo
dc.type.none.fl_str_mv info:eu-repo/semantics/article
dc.type.version.none.fl_str_mv info:eu-repo/semantics/publishedVersion
description Background: Serological surveys have been the gold standard to estimate numbers of SARS-CoV-2 infections, the dynamics of the epidemic, and disease severity. Serological assays have decaying sensitivity with time that can bias their results, but there is a lack of guidelines to account for this phenomenon for SARS-CoV-2. Aim: Our goal was to assess the sensitivity decay of seroassays for detecting SARS-CoV-2 infections, the dependence of this decay on assay characteristics, and to provide a simple method to correct for this phenomenon. Methods: We performed a systematic review and metaanalysis of SARS-CoV-2 serology studies. We included studies testing previously diagnosed, unvaccinated individuals, and excluded studies of cohorts highly unrepresentative of the general population (e.g. hospitalised patients). Results: Of the 488 screened studies, 76 studies reporting on 50 different seroassays were included in the analysis. Sensitivity decay depended strongly on the antigen and the analytic technique used by the assay, with average sensitivities ranging between 26% and 98% at 6 months after infection, depending on assay characteristics. We found that a third of the included assays departed considerably from manufacturer specifications after 6 months. Conclusions: Seroassay sensitivity decay depends on assay characteristics, and for some types of assays, it can make manufacturer specifications highly unreliable. We provide a tool to correct for this phenomenon and to assess the risk of decay for a given assay. Our analysis can guide the design and interpretation of serosurveys for SARS-CoV-2 and other pathogens and quantify systematic biases in the existing serology literature.
eu_rights_str_mv openAccess
format article
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identifier_str_mv Owusu-Boaitey, N, Russell, T, Meyerowitz-Katz, G [y otros autores]. "Dynamics of SARS-CoV-2 seroassay sensitivity: a systematic review and modelling study". Eurosurveilance. [en línea] 2023, 28(21): 2200809. 13 h. DOI: 10.2807/1560-7917.ES.2023.28.21.2200809.
1560-7917
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publishDate 2023
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repository.mail.fl_str_mv mabel.seroubian@seciu.edu.uy
repository.name.fl_str_mv COLIBRI - Universidad de la República
repository_id_str 4771
rights_invalid_str_mv Licencia Creative Commons Atribución (CC - By 4.0)
spelling Owusu-Boaitey NanaRussell Timothy WMeyerowitz-Katz GideonLevin Andrew T .Herrera Espósito Daniel, Universidad de la República (Uruguay). Facultad de Ciencias. Instituto de Biología.2024-04-08T12:39:10Z2024-04-08T12:39:10Z2023Owusu-Boaitey, N, Russell, T, Meyerowitz-Katz, G [y otros autores]. "Dynamics of SARS-CoV-2 seroassay sensitivity: a systematic review and modelling study". Eurosurveilance. [en línea] 2023, 28(21): 2200809. 13 h. DOI: 10.2807/1560-7917.ES.2023.28.21.2200809.1560-7917https://hdl.handle.net/20.500.12008/4336510.2807/1560-7917.ES.2023.28.21.2200809Background: Serological surveys have been the gold standard to estimate numbers of SARS-CoV-2 infections, the dynamics of the epidemic, and disease severity. Serological assays have decaying sensitivity with time that can bias their results, but there is a lack of guidelines to account for this phenomenon for SARS-CoV-2. Aim: Our goal was to assess the sensitivity decay of seroassays for detecting SARS-CoV-2 infections, the dependence of this decay on assay characteristics, and to provide a simple method to correct for this phenomenon. Methods: We performed a systematic review and metaanalysis of SARS-CoV-2 serology studies. We included studies testing previously diagnosed, unvaccinated individuals, and excluded studies of cohorts highly unrepresentative of the general population (e.g. hospitalised patients). Results: Of the 488 screened studies, 76 studies reporting on 50 different seroassays were included in the analysis. Sensitivity decay depended strongly on the antigen and the analytic technique used by the assay, with average sensitivities ranging between 26% and 98% at 6 months after infection, depending on assay characteristics. We found that a third of the included assays departed considerably from manufacturer specifications after 6 months. Conclusions: Seroassay sensitivity decay depends on assay characteristics, and for some types of assays, it can make manufacturer specifications highly unreliable. We provide a tool to correct for this phenomenon and to assess the risk of decay for a given assay. Our analysis can guide the design and interpretation of serosurveys for SARS-CoV-2 and other pathogens and quantify systematic biases in the existing serology literature.Submitted by Pintos Natalia (nataliapintosmvd@gmail.com) on 2024-04-04T15:03:32Z No. of bitstreams: 2 license_rdf: 24251 bytes, checksum: 71ed42ef0a0b648670f707320be37b90 (MD5) 10.2807.1560-7917.ES.2023.28.21.2200809.pdf: 1059592 bytes, checksum: 6853a6d10a1e35e6d3ae19f06a0688d8 (MD5)Approved for entry into archive by Faget Cecilia (lfaget@fcien.edu.uy) on 2024-04-08T12:35:47Z (GMT) No. of bitstreams: 2 license_rdf: 24251 bytes, checksum: 71ed42ef0a0b648670f707320be37b90 (MD5) 10.2807.1560-7917.ES.2023.28.21.2200809.pdf: 1059592 bytes, checksum: 6853a6d10a1e35e6d3ae19f06a0688d8 (MD5)Made available in DSpace by Luna Fabiana (fabiana.luna@seciu.edu.uy) on 2024-04-08T12:39:10Z (GMT). No. of bitstreams: 2 license_rdf: 24251 bytes, checksum: 71ed42ef0a0b648670f707320be37b90 (MD5) 10.2807.1560-7917.ES.2023.28.21.2200809.pdf: 1059592 bytes, checksum: 6853a6d10a1e35e6d3ae19f06a0688d8 (MD5) Previous issue date: 202313 h.application/pdfenengEuropean Centre for Disease Prevention and ControlEurosurveillance, 2023, 28(21): 2200809.Las obras depositadas en el Repositorio se rigen por la Ordenanza de los Derechos de la Propiedad Intelectual de la Universidad de la República.(Res. Nº 91 de C.D.C. de 8/III/1994 – D.O. 7/IV/1994) y por la Ordenanza del Repositorio Abierto de la Universidad de la República (Res. 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- Universidad de la Repúblicafalse
spellingShingle Dynamics of SARS-CoV-2 seroassay sensitivity: a systematic review and modelling study
Owusu-Boaitey, Nana
SARS-CoV-2
Seroassays
status_str publishedVersion
title Dynamics of SARS-CoV-2 seroassay sensitivity: a systematic review and modelling study
title_full Dynamics of SARS-CoV-2 seroassay sensitivity: a systematic review and modelling study
title_fullStr Dynamics of SARS-CoV-2 seroassay sensitivity: a systematic review and modelling study
title_full_unstemmed Dynamics of SARS-CoV-2 seroassay sensitivity: a systematic review and modelling study
title_short Dynamics of SARS-CoV-2 seroassay sensitivity: a systematic review and modelling study
title_sort Dynamics of SARS-CoV-2 seroassay sensitivity: a systematic review and modelling study
topic SARS-CoV-2
Seroassays
url https://hdl.handle.net/20.500.12008/43365