[PDF][PDF] ReScan, a multiplex diagnostic pipeline, pans human sera for SARS-CoV-2 antigens

CR Zamecnik, JV Rajan, KA Yamauchi, SA Mann… - Cell Reports …, 2020 - cell.com
Cell Reports Medicine, 2020cell.com
Comprehensive understanding of the serological response to SARS-CoV-2 infection is
important for both pathophysiologic insight and diagnostic development. Here, we generate
a pan-human coronavirus programmable phage display assay to perform proteome-wide
profiling of coronavirus antigens enriched by 98 COVID-19 patient sera. Next, we use
ReScan, a method to efficiently sequester phage expressing the most immunogenic
peptides and print them onto paper-based microarrays using acoustic liquid handling, which …
Summary
Comprehensive understanding of the serological response to SARS-CoV-2 infection is important for both pathophysiologic insight and diagnostic development. Here, we generate a pan-human coronavirus programmable phage display assay to perform proteome-wide profiling of coronavirus antigens enriched by 98 COVID-19 patient sera. Next, we use ReScan, a method to efficiently sequester phage expressing the most immunogenic peptides and print them onto paper-based microarrays using acoustic liquid handling, which isolates and identifies nine candidate antigens, eight of which are derived from the two proteins used for SARS-CoV-2 serologic assays: spike and nucleocapsid proteins. After deployment in a high-throughput assay amenable to clinical lab settings, these antigens show improved specificity over a whole protein panel. This proof-of-concept study demonstrates that ReScan will have broad applicability for other emerging infectious diseases or autoimmune diseases that lack a valid biomarker, enabling a seamless pipeline from antigen discovery to diagnostic using one recombinant protein source.
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