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Low agreement and frequent invalid controls in two SARS-CoV-2 T-cell assays in people with compromised immune function

Title: Low agreement and frequent invalid controls in two SARS-CoV-2 T-cell assays in people with compromised immune function
Authors: Audigé, Annette; Amstutz, Alain; Schuurmans, Macé M; Amico, Patrizia; Braun, Dominique L; Stoeckle, Marcel P; Hasse, Barbara; Hage, René; Damm, Dominik; Tamm, Michael; Mueller, Nicolas J; Günthard, Huldrych F; Koller, Michael T; Schönenberger, Christof M; Griessbach, Alexandra; Labhardt, Niklaus D; Kouyos, Roger D; Trkola, Alexandra; Huber, Michael; Kusejko, Katharina; Bucher, Heiner C; Abela, Irene A; Briel, Matthias; Chammartin, Frédérique; Speich, Benjamin; Swiss HIV Cohort Study; Swiss Transplant Cohort Study
Source: Audigé, Annette; Amstutz, Alain; Schuurmans, Macé M; Amico, Patrizia; Braun, Dominique L; Stoeckle, Marcel P; Hasse, Barbara; Hage, René; Damm, Dominik; Tamm, Michael; Mueller, Nicolas J; Günthard, Huldrych F; Koller, Michael T; Schönenberger, Christof M; Griessbach, Alexandra; Labhardt, Niklaus D; Kouyos, Roger D; Trkola, Alexandra; Huber, Michael; Kusejko, Katharina; Bucher, Heiner C; Abela, Irene A; Briel, Matthias; Chammartin, Frédérique; Speich, Benjamin; Swiss HIV Cohort Study; Swiss Transplant Cohort Study; et al (2025). Low agreement and frequent invalid controls in two SARS-CoV-2 T-cell assays in people with compromised immune function. PLoS ONE, 20(1):e0317965.
Publisher Information: Public Library of Science (PLoS)
Publication Year: 2025
Collection: University of Zurich (UZH): ZORA (Zurich Open Repository and Archive
Subject Terms: Clinic for Infectious Diseases; Institute of Medical Virology; 570 Life sciences; biology; 610 Medicine & health
Description: T-cell response plays an important role in SARS-CoV-2 immunogenicity. For people living with HIV (PWH) and solid organ transplant (SOT) recipients there is limited evidence on the reliability of commercially available T-cell tests. We assessed 173 blood samples from 81 participants (62 samples from 35 PWH; 111 samples from 46 SOT recipients [lung and kidney]) with two commercial SARS-CoV-2 Interferon-γ (IFN-γ) release assays (IGRA; SARS-CoV-2 IGRA by Euroimmun, and IGRA SARS-CoV-2 by Roche). The reliability between the tests was judged as low (Cohen's kappa [κ] = 0.20; overall percent agreement [OPA] = 66%). A high proportion of tests were invalid (22% Euroimmun; 8% Roche). When excluding these invalid tests, the agreement was higher (κ = 0.43; OPA = 90%). The low reliability between the two T-cell tests indicates that results should be interpreted with caution in SOT recipients and PWH and that SARS-CoV-2 T-cell tests need to be optimized and further validated for use in vulnerable patient populations.
Document Type: article in journal/newspaper
File Description: application/pdf
Language: English
ISSN: 1932-6203
Relation: https://www.zora.uzh.ch/id/eprint/275961/1/journal.pone.0317965.pdf; info:pmid/39854310; urn:issn:1932-6203
DOI: 10.1371/journal.pone.0317965
Availability: https://www.zora.uzh.ch/id/eprint/275961/; https://www.zora.uzh.ch/id/eprint/275961/1/journal.pone.0317965.pdf; https://doi.org/10.1371/journal.pone.0317965
Rights: info:eu-repo/semantics/openAccess ; Creative Commons: Attribution 4.0 International (CC BY 4.0) ; http://creativecommons.org/licenses/by/4.0/
Accession Number: edsbas.D73F4607
Database: BASE