A fluorescent microspheres-based microfluidic test system for the detection of immunoglobulin G to SARS-CoV-2

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Abstract

Background: The pandemic of the new coronavirus infection, COVID-19, is currently ongoing in the world. Over the years, the pathogen, SARS-CoV-2, has undergone a series of mutational genome changes, which has led to the spread of various genetic variants of the virus. Meanwhile, the methods used to diagnose SARS-CoV-2, to establish the disease stage and to assess the immunity, are nonspecific to SARS-CoV-2 variants and time-consumable. Thus, the development of new methods for diagnosing COVID-19, as well as their implementation in practice, is currently an important direction. In particular, application of systems based on chemically modified fluorescent microspheres (with a multiplex assay for target protein molecules) opens great opportunities.

Aim: development of a microfluidic diagnostic test system based on fluorescent microspheres for the specific detection of immunoglobulins G (IgG) to SARS-CoV-2.

Methods: A collection of human serum samples was characterized using enzyme-linked immunosorbent assay (ELISA) and commercially available reagent kits. IgG to SARS-CoV-2 in the human serum were detected by the developed immunofluorescent method using microspheres containing the chemically immobilized RBD fragment of the SARS-CoV-2 (“Kappa” variant) viral S-protein.

Results: The level of IgG in the blood serum of recovered volunteers was 9-300 times higher than that in apparently healthy volunteers, according to ELISA (p<0.001). Conjugates of fluorescent microspheres with the RBD-fragment of the S-protein, capable of specifically binding IgG from the blood serum, have been obtained. The immune complexes formation was confirmed by the fluorescence microscopy data; the fluorescence intensity of secondary antibodies in the immune complexes formed on the surface of microspheres was proportional to the content of IgG (r 0.963). The test system had a good predictive value (AUC 70.3%).

Conclusion: A test system has been developed, based on fluorescent microspheres containing the immobilized RBD fragment of the SARS-CoV-2 S-protein, for the immunofluorescent detection of IgG in the human blood serum. When testing the system on samples with different levels of IgG to SARS-CoV-2, its prognostic value was shown. The obtained results allow us to present the test system as a method to assess the level of immunoglobulins to SARS-CoV-2 in the human blood serum for the implementation in clinical practice. The test system can also be integrated into various microfluidic systems to create chips and devices for the point-of-care diagnostics.

About the authors

Ruslan I. Shakurov

Lopukhin Federal Research and Clinical Center of Physical-Chemical Medicine

Author for correspondence.
Email: ruslan.shakurov@rcpcm.org
ORCID iD: 0000-0002-5986-0676
SPIN-code: 9576-8093

Junior Research Associate

Russian Federation, 1a Malaya Pirogovskaya street, 119435 Moscow

Yaroslav D. Shansky

Lopukhin Federal Research and Clinical Center of Physical-Chemical Medicine

Email: yar.shansky@rcpcm.org
ORCID iD: 0000-0003-4672-2474
SPIN-code: 7640-5940

PhD, Research Associate

Russian Federation, 1a Malaya Pirogovskaya street, 119435 Moscow

Kirill A. Prusakov

Lopukhin Federal Research and Clinical Center of Physical-Chemical Medicine

Email: k.prusakov@rcpcm.org
ORCID iD: 0000-0002-7244-5741
SPIN-code: 9244-6581

Research Associate

Russian Federation, 1a Malaya Pirogovskaya street, 119435 Moscow

Svetlana V. Sizova

Lopukhin Federal Research and Clinical Center of Physical-Chemical Medicine; Shemyakin & Ovchinnikov Institute of Bioorganic Chemistry

Email: sv.sizova@gmail.com
ORCID iD: 0000-0003-0846-4670
SPIN-code: 4322-1945

PhD, Research Associate

Russian Federation, 1a Malaya Pirogovskaya street, 119435 Moscow; Moscow

Stepan P. Dudik

Lopukhin Federal Research and Clinical Center of Physical-Chemical Medicine

Email: stepan.dudik@rcpcm.org
ORCID iD: 0000-0002-3157-5902
SPIN-code: 8007-1870
Russian Federation, 1a Malaya Pirogovskaya street, 119435 Moscow

Lyudmila V. Plotnikova

Mendeleev University of Chemical Technology of Russia

Email: ntmdfs@gmail.com
Russian Federation, Moscow

Valentin A. Manuvera

Lopukhin Federal Research and Clinical Center of Physical-Chemical Medicine

Email: vmanuvera@yandex.ru
ORCID iD: 0000-0002-2471-0563
SPIN-code: 9010-4521

PhD, Senior Research Assistant

Russian Federation, 1a Malaya Pirogovskaya street, 119435 Moscow

Dmitry V. Klinov

Lopukhin Federal Research and Clinical Center of Physical-Chemical Medicine

Email: klinov.dmitry@mail.ru
ORCID iD: 0000-0001-8288-2198
SPIN-code: 9830-8561

PhD

Russian Federation, 1a Malaya Pirogovskaya street, 119435 Moscow

Vassili N. Lazarev

Lopukhin Federal Research and Clinical Center of Physical-Chemical Medicine

Email: lazar0@mail.ru
ORCID iD: 0000-0003-0042-966X
SPIN-code: 1578-8932

PhD

Russian Federation, 1a Malaya Pirogovskaya street, 119435 Moscow

Julia A. Bespyatykh

Lopukhin Federal Research and Clinical Center of Physical-Chemical Medicine; Mendeleev University of Chemical Technology of Russia

Email: JuliaBes@rcpcm.org
ORCID iD: 0000-0002-4408-503X
SPIN-code: 6003-9246

PhD

Russian Federation, 1a Malaya Pirogovskaya street, 119435 Moscow; Moscow

Dmitriy V. Basmanov

Lopukhin Federal Research and Clinical Center of Physical-Chemical Medicine

Email: dmitry.basmanov@rcpcm.org
ORCID iD: 0000-0001-6620-7360
SPIN-code: 1801-6408

Research Associate

Russian Federation, 1a Malaya Pirogovskaya street, 119435 Moscow

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Supplementary files

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2. Fig. 1. A multilayered microfluidic chip: a layer-by-layer model (а), a photo image (б), and а schematic model (в).

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3. Fig. 2. Comparison of IgG CoP in the serum samples by groups. Note: The points are raw data. Box plots: line — the median; box borders — the 25% and 75% quartiles; whiskers — the non-outlier range.

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4. Fig. 3. The reaction membrane of a microfluidic chip with detected fluorescent microspheres on the membrane (a fragment of the membrane is magnified, ×4). The image was obtained in the ‘passport’ channel of microspheres.

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5. Fig. 4. Comparison of the fluorescence intensity of secondary anti-IgG antibodies in the immune complexes formed on the microspheres’ surface in the groups with low (IgG(-)) and high (IgG(+)) IgG CoP values. Note: The points are raw data. Box plots: line — the median; box borders — the 25% and 75% quartiles; whiskers — the non-outlier range.

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6. Fig. 5. A ROC curve for the test system.

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Copyright (c) 2023 Shakurov R.I., Shansky Y.D., Prusakov K.A., Sizova S.V., Dudik S.P., Plotnikova L.V., Manuvera V.A., Klinov D.V., Lazarev V.N., Bespyatykh J.A., Basmanov D.V.

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This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

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