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Development and Performance Evaluation of a Rapid Antigen Test for SARS-CoV-2 |
ZHANG Sai1,WANG Gang1,LIU Zhong-ming2,LI Hui-jun3,WANG Da-ming4,QIAN Chun-gen5,**() |
1 Shenzhen YHLO Biotech Co., Ltd., Shenzhen 518116, China 2 General Hospital of Southern Theater Command, Guangzhou 510010, China 3 Tongji Hospital affiliated to Huazhong University of Science and Technology, Wuhan 430030, China 4 Suzhou Institute of Biomedical Engineering and Technology, Chinese Academy of Sciences, Suzhou 215163, China 5 College of Life Science and Technology, Huazhong University of Science and Technology, Wuhan 430074, China |
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Abstract Objective: To establish a colloidal gold technique assay for the rapid detection of antigen against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and to evaluate its clinical performance. Methods: The colloidal gold was prepared by trisodium citrate reduction. The monoclonal antibody of mouse anti-SARS-CoV-2 nucleocapsid protein (NP) and dinitrophenol-bovine serum albumin (DNP-BSA) were labeled with colloidal gold nanoparticles. The monoclonal antibody of mouse anti-nucleocapsid protein and rabbit anti DNP polyclonal antibody were coated on the nitrocellulose membrane as detection line and quality control line to prepare immunofluorescence test strip. The performance of the limit of detection, cross-reactivity, accelerated stability, sensitivity and specificity of clinical diagnosis were evaluated. Results: The limit of detection for heat inactivated SARS-CoV-2 was 2.0×102 TCID50/mL. There were no cross reaction with high concentration samples or cultured virus of 16 common pathogens. The kit was stable after 8 weeks accelerated at 50℃. Nasopharyngeal swab samples of clinical and healthy people were tested, the sensitivity was 96.67% (29/30), the specificity was 99.23% (129/130), the total coincidence rate was 98.75% (158/160), and the Kappa consistency test had a Kappa value of 0.959 0 (P<0.05). Conclusion: The SARS-CoV-2 antigen detection reagent (colloidal gold method) has the advantages of high sensitivity and specificity, fast detection speed, portable operation, no need for equipment and naked eye observation, which can be used as a supplementary method for the existing SARS-CoV-2 nucleic acid detection method.
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Received: 22 February 2021
Published: 01 June 2021
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Corresponding Authors:
Chun-gen QIAN
E-mail: chungen_qian@hust.edu.cn
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