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Evaluation of the Diagnostic Performances of Spike Antigen for Diagnosis of Coronavirus 2019 Disease in Egyptian Patients

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Last updated: 03 Jan 2025

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Abstract

The Coronavirus Disease 2019 (COVID-19) has created serious risks to human health and public safety. Hence, there is a pressing demand for uncomplicated and precise diagnostic assays to ensure accurate identification of the infection. SARS-CoV-2, like other coronaviruses, is classified as a single-stranded, positive-sense RNA virus with four key structural proteins: the spike (S), envelope (E), membrane (M), and nucleocapsid (N) proteins. The spike protein holds significant importance in early diagnosis of SARS-COV-2 infection due to its role in viral attachment, fusion, and cellular entry. In the current study, the diagnostic performance of SARS-CoV-2 Spike Protein S1 RBD was evaluated. Clinical samples (n =75) (nasopharyngeal and blood specimens) were collected from confirmed infected patients using reverse transcription polymerase chain reaction RT-PCR. In addition, 25 healthy participants were included as controls. Routine laboratory markers were evaluated for all participants and the SARS-CoV-2 Spike Protein S1 RBD was determined using sandwich ELISA for all participants. The result showed that the spike protein level demonstrated a statistically significant difference (p < 0.0001) in COVID-19 patients compared to healthy participants. Furthermore, the variables D-Dimer and CRP demonstrated a statistically significant difference (p < 0.0001) with the existence of COVID-19. In contrast, the analysis revealed no differences regarding LDH, body mass index, or gender among the studied groups. In addition, there was a significant positive correlation between D-dimer (r = 0.57, p<0.0001) and spike antigen. Spike antigen was the most effective biomarker in distinguishing COVID from healthy participants, with an AUC of 0.99, sensitivity of 98%, and specificity of 94%. Additionally, D-dimer has a sensitivity of 93%, a specificity of 92%, and an AUC of 0.96, and CRP has a sensitivity of 87%, a specificity of 80%, AUC=0.88. And finally, ferritin has a sensitivity of 61%, a specificity of 64%, and an AUC of 0.64. SARS-COV-2.Spike antigen can be used as a suitable diagnostic test for identifying COVID-19 infection with higher sensitivity and specificity.

DOI

10.21608/eajbsc.2024.381635

Keywords

SARS-CoV-2 Spike Protein S1 RBD, Severe acute respiratory syndrome coronavirus 2, Sandwich ELISA, reverse transcription polymerase chain reaction RT-PCR

Authors

First Name

Mayada

Last Name

Soliman

MiddleName

A.

Affiliation

Bioassay lab, Central administration of biological and innovative products and clinical studies, Egyptian Drug Authority, Cairo, Egypt.

Email

mayadaawad88@gmail.com

City

Egypt

Orcid

0009-0001-0902-0784

First Name

Amal

Last Name

Mohammed

MiddleName

A.

Affiliation

Biochemistry Department, National Hepatology and Tropical Medicine Research Institute, Cairo, Egypt.

Email

-

City

Cairo

Orcid

-

First Name

Manar

Last Name

Foda

MiddleName

S.

Affiliation

Chemistry Department, Faculty of Science, Helwan University, Ain Helwan, Cairo, Egypt.

Email

m.fouda6980@gmail.com

City

Cairo

Orcid

-

First Name

Hala

Last Name

Eldeeb

MiddleName

H.

Affiliation

Clinical and Chemical Pathology Department, El Sahel Teaching Hospital, Egypt.

Email

hala.eldeeb11@gmail.com

City

-

Orcid

-

First Name

Wafaa

Last Name

Hegab

MiddleName

S. M.

Affiliation

Internal Medicine Department, National Institute of Diabetes, Egypt.

Email

wafaahegab@yahoo.com

City

-

Orcid

-

First Name

Azza

Last Name

Fared

MiddleName

M.

Affiliation

Tropical Medicine Department, National Hepatology and Tropical Medicine Research Institute, Cairo, Egypt.

Email

dr.azzafared@gmail.com

City

-

Orcid

-

First Name

Aya

Last Name

Khalil

MiddleName

H.

Affiliation

Teaching Radiology department, Sahel Teaching Hospital, Egypt.

Email

university.aya.hassan.k@gmail.com

City

-

Orcid

-

First Name

Mohammed

Last Name

Omran

MiddleName

M.

Affiliation

Chemistry Department, Faculty of Science, Helwan University, Ain Helwan, 11795, Cairo, Egypt.

Email

-

City

-

Orcid

-

Volume

16

Article Issue

2

Related Issue

48899

Issue Date

2024-12-01

Receive Date

2024-08-17

Publish Date

2024-09-29

Page Start

181

Page End

194

Print ISSN

2090-0767

Online ISSN

2090-083X

Link

https://eajbsc.journals.ekb.eg/article_381635.html

Detail API

https://eajbsc.journals.ekb.eg/service?article_code=381635

Order

381,635

Type

Original Article

Type Code

673

Publication Type

Journal

Publication Title

Egyptian Academic Journal of Biological Sciences. C, Physiology and Molecular Biology

Publication Link

https://eajbsc.journals.ekb.eg/

MainTitle

Evaluation of the Diagnostic Performances of Spike Antigen for Diagnosis of Coronavirus 2019 Disease in Egyptian Patients

Details

Type

Article

Created At

24 Dec 2024