目的建立重组Omicron BA.4/5-Delta株新冠疫苗体外相对效力的检测方法,并进行验证,以期为替代体内效力检测奠定基础。方法以人源单克隆抗体GH4作为包被抗体,HRP标记的CB6人源单克隆抗体作为酶标抗体的双抗体夹心ELISA法为基础,确定疫苗...目的建立重组Omicron BA.4/5-Delta株新冠疫苗体外相对效力的检测方法,并进行验证,以期为替代体内效力检测奠定基础。方法以人源单克隆抗体GH4作为包被抗体,HRP标记的CB6人源单克隆抗体作为酶标抗体的双抗体夹心ELISA法为基础,确定疫苗解吸附方法;再以该解吸附方法结合双抗体夹心ELISA法建立体外相对效力检测方法。并验证方法的线性范围、专属性、准确性、精密性、耐用性及定量限。采用建立的方法检测3批供试品重组Omicron BA.4/5-Delta株新冠疫苗的体外相对效力。结果确定解吸附方法为:将疫苗与处理液(1.25 mL 20%二乙醇胺,0.20 mL 10%Triton X-100,8.55 mL PBS)按等体积分数混合,于25℃解离30 min,解吸附率可达95%以上。疫苗参考品在1~26 ng/mL浓度范围内,与A_(450)呈良好的线性关系,线性方程为log(y)=1.447 log(x)-1.643,R^(2)为0.998;可特异性检测疫苗参考品的体外相对效力;90000、50000和20000 ng/mL浓度疫苗参比品检测结果的回收率均在80%~120%范围内;重复性及中间精密性验证相对标准偏差(relative standard deviation,RSD)均<20%;解离条件、检测体系孵育时间和显色时间发生微小变动时,检测结果不受影响;定量限为0.2。批号为J202301002、J202301003、J202301004供试品的体外相对效力分别为1.0,1.0和0.8,RSD为11%。结论建立的用于检测体外相对效力的方法具有良好的准确性、精密性、专属性和耐用性,可用于重组Omicron BA.4/5-Delta株新冠疫苗体外相对效力的检测。展开更多
Large population passages of the SARS-CoV-2 in the past two and a half years have allowed the circulating virus to accumulate an increasing number of mutations in its genome. The most recently emerging Omicron subvari...Large population passages of the SARS-CoV-2 in the past two and a half years have allowed the circulating virus to accumulate an increasing number of mutations in its genome. The most recently emerging Omicron subvariants have the highest number of mutations in the Spike (S) protein gene and these mutations mainly occur in the receptor-binding domain (RBD) and the N-terminal domain (NTD) of the S gene. The European Centre for Disease Prevention and Control (eCDC) and the World Health Organization (WHO) recommend partial Sanger sequencing of the SARS-CoV-2 S gene RBD and NTD on the polymerase chain reaction (PCR)-positive samples in diagnostic laboratories as a practical means of determining the variants of concern to monitor possible increased transmissibility, increased virulence, or reduced effectiveness of vaccines against them. The author’s diagnostic laboratory has implemented the eCDC/WHO recommendation by sequencing a 398-base segment of the N gene for the definitive detection of SARS-CoV-2 in clinical samples, and sequencing a 445-base segment of the RBD and a 490 - 509-base segment of the NTD for variant determination. This paper presents 5 selective cases to illustrate the challenges of using Sanger sequencing to diagnose Omicron subvariants when the samples harbor a high level of co-existing minor subvariant sequences with multi-allelic single nucleotide polymorphisms (SNPs) or possible recombinant Omicron subvariants containing a BA.2 RBD and an atypical BA.1 NTD, which can only be detected by using specially designed PCR primers. In addition, Sanger sequencing may reveal unclassified subvariants, such as BA.4/BA.5 with L84I mutation in the S gene NTD. The current large-scale surveillance programs using next-generation sequencing (NGS) do not face similar problems because NGS focuses on deriving consensus sequence.展开更多
文摘目的建立重组Omicron BA.4/5-Delta株新冠疫苗体外相对效力的检测方法,并进行验证,以期为替代体内效力检测奠定基础。方法以人源单克隆抗体GH4作为包被抗体,HRP标记的CB6人源单克隆抗体作为酶标抗体的双抗体夹心ELISA法为基础,确定疫苗解吸附方法;再以该解吸附方法结合双抗体夹心ELISA法建立体外相对效力检测方法。并验证方法的线性范围、专属性、准确性、精密性、耐用性及定量限。采用建立的方法检测3批供试品重组Omicron BA.4/5-Delta株新冠疫苗的体外相对效力。结果确定解吸附方法为:将疫苗与处理液(1.25 mL 20%二乙醇胺,0.20 mL 10%Triton X-100,8.55 mL PBS)按等体积分数混合,于25℃解离30 min,解吸附率可达95%以上。疫苗参考品在1~26 ng/mL浓度范围内,与A_(450)呈良好的线性关系,线性方程为log(y)=1.447 log(x)-1.643,R^(2)为0.998;可特异性检测疫苗参考品的体外相对效力;90000、50000和20000 ng/mL浓度疫苗参比品检测结果的回收率均在80%~120%范围内;重复性及中间精密性验证相对标准偏差(relative standard deviation,RSD)均<20%;解离条件、检测体系孵育时间和显色时间发生微小变动时,检测结果不受影响;定量限为0.2。批号为J202301002、J202301003、J202301004供试品的体外相对效力分别为1.0,1.0和0.8,RSD为11%。结论建立的用于检测体外相对效力的方法具有良好的准确性、精密性、专属性和耐用性,可用于重组Omicron BA.4/5-Delta株新冠疫苗体外相对效力的检测。
文摘Large population passages of the SARS-CoV-2 in the past two and a half years have allowed the circulating virus to accumulate an increasing number of mutations in its genome. The most recently emerging Omicron subvariants have the highest number of mutations in the Spike (S) protein gene and these mutations mainly occur in the receptor-binding domain (RBD) and the N-terminal domain (NTD) of the S gene. The European Centre for Disease Prevention and Control (eCDC) and the World Health Organization (WHO) recommend partial Sanger sequencing of the SARS-CoV-2 S gene RBD and NTD on the polymerase chain reaction (PCR)-positive samples in diagnostic laboratories as a practical means of determining the variants of concern to monitor possible increased transmissibility, increased virulence, or reduced effectiveness of vaccines against them. The author’s diagnostic laboratory has implemented the eCDC/WHO recommendation by sequencing a 398-base segment of the N gene for the definitive detection of SARS-CoV-2 in clinical samples, and sequencing a 445-base segment of the RBD and a 490 - 509-base segment of the NTD for variant determination. This paper presents 5 selective cases to illustrate the challenges of using Sanger sequencing to diagnose Omicron subvariants when the samples harbor a high level of co-existing minor subvariant sequences with multi-allelic single nucleotide polymorphisms (SNPs) or possible recombinant Omicron subvariants containing a BA.2 RBD and an atypical BA.1 NTD, which can only be detected by using specially designed PCR primers. In addition, Sanger sequencing may reveal unclassified subvariants, such as BA.4/BA.5 with L84I mutation in the S gene NTD. The current large-scale surveillance programs using next-generation sequencing (NGS) do not face similar problems because NGS focuses on deriving consensus sequence.
