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Surrogate Virus Neutralisation Test Based on Nanoluciferase-Tagged Antigens to Quantify Inhibitory Antibodies against SARS-CoV-2 and Characterise Omicron-Specific Reactivity in a Vaccination Cohort

ORCID
0000-0002-3064-4152
Affiliation
Institute of Virology, Department of Molecular Virology, University of Muenster, Von-Esmarch-Str. 56, D-48149 Muenster, Germany;(M.S.);(E.R.H.);(S.L.)
Schoefbaenker, Michael;
Affiliation
Institute of Virology, Department of Clinical Virology, University of Muenster, Von-Stauffenberg-Str. 36, D-48151 Muenster, Germany;(R.N.);(T.G.);(M.M.M.);(M.-L.R.);(N.C.);(M.T.H.);(J.E.K.)
Neddermeyer, Rieke;
Affiliation
Institute of Virology, Department of Clinical Virology, University of Muenster, Von-Stauffenberg-Str. 36, D-48151 Muenster, Germany;(R.N.);(T.G.);(M.M.M.);(M.-L.R.);(N.C.);(M.T.H.);(J.E.K.)
Guenther, Theresa;
Affiliation
Institute of Virology, Department of Clinical Virology, University of Muenster, Von-Stauffenberg-Str. 36, D-48151 Muenster, Germany;(R.N.);(T.G.);(M.M.M.);(M.-L.R.);(N.C.);(M.T.H.);(J.E.K.)
Mueller, Marlin M.;
Affiliation
Institute of Virology, Department of Clinical Virology, University of Muenster, Von-Stauffenberg-Str. 36, D-48151 Muenster, Germany;(R.N.);(T.G.);(M.M.M.);(M.-L.R.);(N.C.);(M.T.H.);(J.E.K.)
Romberg, Marie-Luise;
ORCID
0000-0002-2745-5748
Affiliation
Institute of Virology, Department of Clinical Virology, University of Muenster, Von-Stauffenberg-Str. 36, D-48151 Muenster, Germany;(R.N.);(T.G.);(M.M.M.);(M.-L.R.);(N.C.);(M.T.H.);(J.E.K.)
Classen, Nica;
Affiliation
Institute of Virology, Department of Clinical Virology, University of Muenster, Von-Stauffenberg-Str. 36, D-48151 Muenster, Germany;(R.N.);(T.G.);(M.M.M.);(M.-L.R.);(N.C.);(M.T.H.);(J.E.K.)
Hennies, Marc T.;
ORCID
0000-0003-3145-5887
Affiliation
Institute of Virology, Department of Molecular Virology, University of Muenster, Von-Esmarch-Str. 56, D-48149 Muenster, Germany;(M.S.);(E.R.H.);(S.L.)
Hrincius, Eike R.;
ORCID
0000-0003-4490-3052
Affiliation
Institute of Virology, Department of Molecular Virology, University of Muenster, Von-Esmarch-Str. 56, D-48149 Muenster, Germany;(M.S.);(E.R.H.);(S.L.)
Ludwig, Stephan;
ORCID
0000-0003-2992-1471
Affiliation
Institute of Virology, Department of Clinical Virology, University of Muenster, Von-Stauffenberg-Str. 36, D-48151 Muenster, Germany;(R.N.);(T.G.);(M.M.M.);(M.-L.R.);(N.C.);(M.T.H.);(J.E.K.)
Kuehn, Joachim E.;
ORCID
0000-0002-5570-1897
Affiliation
Institute of Virology, Department of Clinical Virology, University of Muenster, Von-Stauffenberg-Str. 36, D-48151 Muenster, Germany;(R.N.);(T.G.);(M.M.M.);(M.-L.R.);(N.C.);(M.T.H.);(J.E.K.)
Lorentzen, Eva U.

Virus-specific antibodies are crucial for protective immunity against SARS-CoV-2. Assessing functional antibodies through conventional or pseudotyped virus neutralisation tests (pVNT) requires high biosafety levels. Alternatively, the virus-free surrogate virus neutralisation test (sVNT) quantifies antibodies interfering with spike binding to angiotensin-converting enzyme 2. We evaluated secreted nanoluciferase-tagged spike protein fragments as diagnostic antigens in the sVNT in a vaccination cohort. Initially, spike fragments were tested in a capture enzyme immunoassay (EIA), identifying the receptor binding domain (RBD) as the optimal diagnostic antigen. The sensitivity of the in-house sVNT applying the nanoluciferase-labelled RBD equalled or surpassed that of a commercial sVNT ( cPass , GenScript Diagnostics) and an in-house pVNT four weeks after the first vaccination (98% vs. 94% and 72%, respectively), reaching 100% in all assays four weeks after the second and third vaccinations. When testing serum reactivity with Omicron BA.1 spike, the sVNT and pVNT displayed superior discrimination between wild-type- and variant-specific serum reactivity compared to a capture EIA. This was most pronounced after the first and second vaccinations, with the third vaccination resulting in robust, cross-reactive BA.1 construct detection. In conclusion, utilising nanoluciferase-labelled antigens permits the quantification of SARS-CoV-2-specific inhibitory antibodies. Designed as flexible modular systems, the assays can be readily adjusted for monitoring vaccine efficacy.

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