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ELISpot Immunoassay for SARS-CoV-2-specific T-cell Responses Evaluation

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Vivian Creative
ELISpot Immunoassay for SARS-CoV-2-specific T-cell Responses Evaluation

Though with millions of cured cases, COVID-19, a complex and highly variable syndrome, is still spreading globally and continues to cause infection and deaths worldwide. Researchers believe that methods that can evaluate the antigen-specific T-cell immunity in patients, survivors, and vaccinees can effectively help understand the immune persistence, prognosis assessment, and vaccine development for COVID-19. And evaluation of virus-specific immune function from both humoral and cellular immunity is equally important, in which techniques based on humoral immunity, such as virus-specific antibody neutralization tests using serum, have already been widely investigated. On the contrary, cellular immunity detecting methods, due to complex operations and specialized facilities, have not been standardized.

 

The enzyme-linked immunospot (ELISpot) assay, as one of the most sensitive cellular immunoassays that can detect the functional cytokine producing T-cells even at the single-cell level, has been adjusted by researchers to measure the cytokines released by T-cells in responses to SARS-CoV-2-specific immune responses.

 

ELISA vs. ELISpot

 

ELISpot is a method based on ELISA used for the detection of secreted proteins of cells, such as cytokines and growth factors. ELISpot usually uses a PVDF or nitrocellulose (NC) membrane 96-well plate that is pre-coated with an antibody specific to the secreted protein. Then, the cells required to be evaluated are added to the plate and attached to the coated membrane. After being stimulated, cells would secret proteins that can bind to the antibody, and a detection antibody is added finally. An antibody complex would form in this process and it can be detected either through enzymatic action to produce a colored substrate or with fluorescent tags. The membrane can be analyzed by manually counting the spots or with an automated reader designed for this purpose. Each secreting cell appears as a spot of color or fluorescence, thus this is a quantitative method for evaluating protein secretion.

 

Compared to ELISA assays that determine the total concentration of secreted signaling proteins leveraging the antibody/antigen binding principle, ELISpot is also an enzyme-linked immunosorbent assay but it detects individual cytokine-secreting cells. Another difference between ELISA and ELISpot assays is that the antigen should be firstly immobilized onto the microlitre wells for ELISA tests while ELISpot tests required firstly immobilizing the antibody onto the microlitre wells.

 

Adjusted ELISpot-based Immunoassay for SARS-CoV-2-specific T-cell Responses

 

However, researchers shortly notice the main limitation of ELISpot technology that ELISpot lacks the ability to detect cytokines released by T-cells in responses to specific immune responses once T-cells simultaneously produce multiple cytokines. The human interferon-γ (IFN-γ) enzyme-linked immunospot (ELISpot) assay is commonly used with the stimulation of pathogen-specific peptides, such as mycobacterium tuberculosis. Therefore, researchers in a recently published study evaluated an empirically adjusted human interferon-γ (IFN-γ) enzyme-linked immunospot assay for detecting SARS-CoV-2-specific T-cell immunity in 175 peripheral blood samples from COVID-19 convalescents and healthy individuals who were neither infected with SARS-CoV-2 nor vaccinated against COVID-19.

 

Researchers can quantify the SARS-CoV-2-specific T-cell responses by subtracting the number of spots counted by the ELISpot Reader system in the negative control from the corresponding experimental well. The results showed that this adjusted T-cell immunity detection assay based on ELISpot can effectively evaluate SARS-CoV-2-specific responses with high sensitivity and specificity. Though with some deficiencies like the insufficient number of blood samples and healthy controls as well as the lack of repeated measurements after ELISpot troubleshooting, this study is still significantly important to promote the standardized assessment of immune responses to SARS-CoV-2 variants, vaccines, and diagnostics.


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