Non-Invasive Antibody Assessment in Saliva to Determine SARS-CoV-2 Exposure in Young Children

oleh: Constanze Heinzel, Yudi T. Pinilla, Käthe Elsner, Evelyn Friessinger, Benjamin Mordmüller, Benjamin Mordmüller, Benjamin Mordmüller, Benjamin Mordmüller, Peter G. Kremsner, Peter G. Kremsner, Peter G. Kremsner, Jana Held, Jana Held, Jana Held, Rolf Fendel, Rolf Fendel, Rolf Fendel, Andrea Kreidenweiss, Andrea Kreidenweiss, Andrea Kreidenweiss

Format: Article
Diterbitkan: Frontiers Media S.A. 2021-10-01

Deskripsi

Saliva is a body fluid with hitherto unused potential for the assessment of SARS-CoV-2 antibodies. Specific antibodies can indicate a past SARS-CoV-2 infection and allow to estimate the proportion of individuals with a potential protective immunity. First, we carefully characterized plasma samples obtained from adult control groups with and without prior SARS-CoV-2 infection using certified reference ELISAs. Simultaneously collected saliva samples of confirmed convalescent and negative individuals where then used to validate the herein newly developed ELISA for the detection of SARS-CoV-2 IgG antibodies in saliva. The saliva ELISA was applied to assess SARS-CoV-2 exposure in young children (N = 837) in the age between 1 and 10 years in Tübingen, Germany, towards the end of the first pandemic year 2020. Sensitivity and specificity of the new saliva ELISA was 87% and 100%, respectively. With 12% of all Tübingen children sampled via their respective educational institutions, estimates of SARS-CoV-2 antibody prevalence was 1.6%. Interestingly, only 0.4% preschool kids were positive compared to 3.0% of primary school children. Less than 20% of positive children self-reported symptoms within two months prior to saliva sampling that could be associated - but not exclusively - with a SARS-CoV-2 infection. The saliva ELISA is a valid and suitable protocol to enable population-based surveys for SARS-CoV-2 antibodies. Using non-invasive sampling and saliva ELISA testing, we found that prevalence of SARS-CoV-2 antibodies was significantly lower in young children than in primary school children.