Cell Reports Medicine (Oct 2020)

ReScan, a Multiplex Diagnostic Pipeline, Pans Human Sera for SARS-CoV-2 Antigens

  • Colin R. Zamecnik,
  • Jayant V. Rajan,
  • Kevin A. Yamauchi,
  • Sabrina A. Mann,
  • Rita P. Loudermilk,
  • Gavin M. Sowa,
  • Kelsey C. Zorn,
  • Bonny D. Alvarenga,
  • Christian Gaebler,
  • Marina Caskey,
  • Mars Stone,
  • Philip J. Norris,
  • Wei Gu,
  • Charles Y. Chiu,
  • Dianna Ng,
  • James R. Byrnes,
  • Xin X. Zhou,
  • James A. Wells,
  • Davide F. Robbiani,
  • Michel C. Nussenzweig,
  • Joseph L. DeRisi,
  • Michael R. Wilson

Journal volume & issue
Vol. 1, no. 7
p. 100123

Abstract

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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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