BioTechniques (Sep 2022)

Methods to evaluate the impact of SARS-CoV-2 nucleocapsid mutations on antigen detection by rapid diagnostic tests

  • Bryan C Tieman,
  • Stephen Kovacs,
  • Mary A Rodgers,
  • Aurash Mohaimani,
  • Svetoslava Gregory,
  • David Christensen,
  • Jeffrey A Moore,
  • Lici Schurig-Briccio,
  • James Hartnett,
  • Alak Kar,
  • Aaron Leeman,
  • Angel Palmer,
  • Lauren Rogers,
  • Brian Dragoo,
  • Steven Muszynski,
  • Deborah Noblesmith,
  • Samantha Gardner,
  • Abigail Snipe-Bushey,
  • Anna Kill,
  • Xinxin Luo,
  • Sneha Cherukuri,
  • Tracey Rae,
  • Christopher C Marohnic,
  • Gavin A Cloherty,
  • Anthony Scott Muerhoff,
  • Philip M Hemken

DOI
https://doi.org/10.2144/btn-2022-0020
Journal volume & issue
Vol. 73, no. 3
pp. 136 – 141

Abstract

Read online

Mutations in the nucleocapsid of SARS-CoV-2 may interfere with antigen detection by diagnostic tests. We used several methods to evaluate the effect of various SARS-CoV-2 nucleocapsid mutations on the performance of the Panbio™ and BinaxNOW™ lateral flow rapid antigen tests and a prototype high-throughput immunoassay that utilizes Panbio antibodies. Variant detection was also evaluated by immunoblot and BIAcore™ assay. A panel of 23 recombinant nucleocapsid antigens (rAgs) were produced that included mutations found in circulating SARS-CoV-2 variants, including variants of concern. All mutant rAgs were detected by all assays, at a sensitivity equivalent to wild-type control (Wuhan strain). Thus, using a rAg approach, we found that the SARS-CoV-2 nucleocapsid mutations examined do not directly impact antigen detection or antigen assay performance.

Keywords