Sep 08, 2020

Public workspaceSARS-CoV-2 Milk ELISA

  • Powell RL1
  • 1Icahn School of Medicine at Mount Sinai
  • XPRIZE Rapid Covid Testing
  • Powell Lab/Lactiga Collab
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Protocol CitationPowell RL 2020. SARS-CoV-2 Milk ELISA. protocols.io https://dx.doi.org/10.17504/protocols.io.bk2skyee
Manuscript citation:
https://www.medrxiv.org/content/10.1101/2020.05.04.20089995v1
License: This is an open access protocol distributed under the terms of the Creative Commons Attribution License,  which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited
Protocol status: Working
We use this protocol and it's working
Created: September 08, 2020
Last Modified: September 08, 2020
Protocol Integer ID: 41778
Keywords: SARS-CoV-2, ELISA, milk, IgA, sIgA,
Abstract
Currently, the COVID-19 diagnostics sector includes Point-of-Care and ELISA tests for IgG and IgM that can assess saliva or blood as described by the CDC [Centers for Disease Control and Prevention]. Similarly, the FDA webpage for EUA Authorized Serology Test Performance makes no reference to IgA COVID-19 assays [Food and Drug Administration]. Taken together, there are no direct competitors in the mucosal IgA quantitative diagnostics space.
To address this gap in diagnostic coverage we have generated a novel proof-of-concept dataset on the use of COVID-specific IgA antibodies as a marker of infection. As described below, our assay dataset demonstrates utility across several parameters:
-Highly specific
-Highly sensitive
-Works with undiluted human milk, simplifying sample collection and processing
-Defines a novel correlation between COVID-specific IgA and Secretory Component (SC), where SC is a known surrogate for dimeric IgA, the predominant IgA type in mucosal secretions
-Establishes that dimeric IgA antibodies detected by the assay are capable of neutralizing SARS-CoV-2
Guidelines
keep milk at room temperature for no more than 5 hours, or else keep at 4C for up to 5 days or freeze.
Materials
MATERIALS
ReagentSulfuric acidFisher ScientificCatalog #A300C-212
ReagentCorning® 96-Well High-Binding Flat-Bottom Microplates 6 Plates/Pack Stemcell TechnologiesCatalog #38019
ReagentGibco™ (Phosphate Buffered Saline) Solution, pH 7.4 (PBS)Fisher ScientificCatalog # 10010-049
ReagentLab Vision™ Tween™ 20 DetergentThermo Fisher ScientificCatalog #cat# TA-125-TW
ReagentBSAFitzgeraldCatalog #30-AB79
ReagentSkim Milk Powder
Reagent1-Step™ Ultra TMB-ELISA Substrate SolutionThermo FisherCatalog #34028
ReagentNormal Goat SerumThermo FisherCatalog #PCN5000
ReagentFalcon 50mL Conical Centrifuge TubesFisher ScientificCatalog #14-432-22
ReagentMilliporeSigma™ Goat anti-Human IgA alpha-Chain Specific Peroxidase Secondary AntibodyMillipore SigmaCatalog #40-113-52ML
ReagentSpike proteinGenscriptCatalog #Z03501
STEP MATERIALS
ReagentTween 20Sigma AldrichCatalog #P7949
ReagentPBS pH 7.4
ReagentNormal Goat SerumThermo FisherCatalog #PCN5000
ReagentSkim Milk Powder
ReagentTween 20Sigma AldrichCatalog #P7949
ReagentBSASigma Aldrich
ReagentMilliporeSigma™ Goat anti-Human IgA alpha-Chain Specific Peroxidase Secondary AntibodyMillipore SigmaCatalog #40-113-52ML
ReagentBSASigma Aldrich
Reagent1-Step™ Ultra TMB-ELISA Substrate SolutionThermo FisherCatalog #34028
Reagent Sulfuric acidSigma – AldrichCatalog #258105

Reagent or ConsumableSupplierCatalog #
TextTextNumeric
Thermo Scientific 50mL Conical Sterile Polypropylene Centrifuge TubesFisher12-565-270
Corning™ 96-Well, High Binding, Flat-Bottom, Half-Area MicroplateFisher07-200-37
Gibco™ PBS, pH 7.4Fisher10-010-023
Tween™ 20, Fisher BioReagentsFisherBP337-100
MilliporeSigma™ Calbiochem™BSA, 30% Sterile-Filtered Aqueous Solution, Preservative-FreeFisher12-662-650ML
Gibco™ Normal Goat SerumFisherPCN5000
MilliporeSigma™ Calbiochem™ OmniPur™ Nonfat Powdered MilkFisher62-501-0GM
Pierce 1-Step Ultra TMB-ELISA Substrate SolutionFisherPI34028
Sulfuric Acid, Fisher ChemicalFisherA510-P500
MilliporeSigma™ Goat anti-Human IgA, alpha-Chain Specific, Peroxidase, Secondary AntibodyFisher40-113-52ML
Spike protein (1mg = 1000000ng)GenscriptZ03501
Protocol materials
ReagentSkim Milk Powder
ReagentTween 20Merck MilliporeSigma (Sigma-Aldrich)Catalog #P7949
ReagentBSAMerck MilliporeSigma (Sigma-Aldrich)
ReagentBSAMerck MilliporeSigma (Sigma-Aldrich)
Reagent1-Step™ Ultra TMB-ELISA Substrate SolutionThermo FisherCatalog #34028
ReagentSulfuric acidFisher ScientificCatalog #A300C-212
ReagentSpike proteinGenscriptCatalog #Z03501
ReagentMilliporeSigma™ Goat anti-Human IgA alpha-Chain Specific Peroxidase Secondary AntibodyMerck MilliporeSigma (Sigma-Aldrich)Catalog #40-113-52ML
ReagentNormal Goat SerumThermo FisherCatalog #PCN5000
ReagentFalcon 50mL Conical Centrifuge TubesFisher ScientificCatalog #14-432-22
ReagentCorning® 96-Well High-Binding Flat-Bottom Microplates 6 Plates/Pack STEMCELL Technologies Inc.Catalog #38019
ReagentTween 20Merck MilliporeSigma (Sigma-Aldrich)Catalog #P7949
ReagentNormal Goat SerumThermo FisherCatalog #PCN5000
ReagentSkim Milk Powder
Reagent1-Step™ Ultra TMB-ELISA Substrate SolutionThermo FisherCatalog #34028
ReagentPBS pH 7.4
ReagentGibco™ (Phosphate Buffered Saline) Solution, pH 7.4 (PBS)Fisher ScientificCatalog # 10010-049
Reagent Sulfuric acidMerck MilliporeSigma (Sigma-Aldrich)Catalog #258105
ReagentLab Vision™ Tween™ 20 DetergentThermo Fisher ScientificCatalog #cat# TA-125-TW
ReagentBSAFitzgeraldCatalog #30-AB79
ReagentMilliporeSigma™ Goat anti-Human IgA alpha-Chain Specific Peroxidase Secondary AntibodyMerck MilliporeSigma (Sigma-Aldrich)Catalog #40-113-52ML
ReagentSpike proteinGenscriptCatalog #Z03501
ReagentTween 20Merck MilliporeSigma (Sigma-Aldrich)Catalog #P7949
ReagentPBS pH 7.4
ReagentSkim Milk Powder
ReagentTween 20Merck MilliporeSigma (Sigma-Aldrich)Catalog #P7949
ReagentNormal Goat SerumThermo FisherCatalog #PCN5000
ReagentBSAMerck MilliporeSigma (Sigma-Aldrich)
ReagentMilliporeSigma™ Goat anti-Human IgA alpha-Chain Specific Peroxidase Secondary AntibodyMerck MilliporeSigma (Sigma-Aldrich)Catalog #40-113-52ML
ReagentBSAMerck MilliporeSigma (Sigma-Aldrich)
Reagent1-Step™ Ultra TMB-ELISA Substrate SolutionThermo FisherCatalog #34028
Reagent Sulfuric acidMerck MilliporeSigma (Sigma-Aldrich)Catalog #258105
Safety warnings
Handle biological samples in a biological containment hood
Milk Processing
Milk Processing
1h
1h
Duration00:15:00
Centrifigation800 x g, 22°C, 00:15:00

Pour fresh milk into 50mL conical tube and centrifuge at 800g for 15min at room temperature
Equipment
new equipment
NAME
Centrifuge
BRAND
-
SKU

remove fat using a sterile spatula
carefully pour skim milk into a clean 50mL tube
repeat centrifugation and fat removal 2x
Day 1
Day 1
5m
5m
Coat half-area 96-well plates with 50ng SARS-CoV-2 spike protein in 50ul PBS Concentration0.001 mg/mL
Amount50 µL

ReagentSpike proteinGenscriptCatalog #Z03501

over and store overnight at 4CDurationOvernight
Temperature4 °C

Day 2
Day 2
5h
5h
Wash plates with 100ul 0.1% Tween 20/PBS (PBS-T) 6x Amount100 µL
Concentration0.1 % volume
Equipment
405 TS Washer
NAME
plate washer
TYPE
Biotek
BRAND
405 TS
SKU

ReagentTween 20Merck MilliporeSigma (Sigma-Aldrich)Catalog #P7949

ReagentPBS pH 7.4


Block plates with 100ul 3% goat serum/0.5% milk powder/3.5% PBS-T for 1h at room temperatureAmount100 µL
Duration01:00:00
TemperatureRoom temperature

ReagentNormal Goat SerumThermo FisherCatalog #PCN5000

ReagentSkim Milk Powder

ReagentTween 20Merck MilliporeSigma (Sigma-Aldrich)Catalog #P7949

Wash as above
Add 50ul milk undiluted or diluted with 1%BSA/PBS to each well in duplicateAmount50 µL
Concentration1 % volume

ReagentBSAMerck MilliporeSigma (Sigma-Aldrich)

Incubate at room temperature for 2hDuration02:00:00
TemperatureRoom temperature

Wash as above
Add 50ul Amount50 µL horseradish peroxidase (HRP)-conjugated secondary antibody: goat anti-human-IgA at 1/3000 in 1%BSA/PBS.

ReagentMilliporeSigma™ Goat anti-Human IgA alpha-Chain Specific Peroxidase Secondary AntibodyMerck MilliporeSigma (Sigma-Aldrich)Catalog #40-113-52ML

ReagentBSAMerck MilliporeSigma (Sigma-Aldrich)

Incubate at room temperature for 1hDuration01:00:00 TemperatureRoom temperature

Wash as above
Add 50u Pierce 1-Step Ultra TMB-ELISA Substrate Solution
Reagent1-Step™ Ultra TMB-ELISA Substrate SolutionThermo FisherCatalog #34028
Amount50 µL
Reagent Sulfuric acidMerck MilliporeSigma (Sigma-Aldrich)Catalog #258105
followed by 50ul 2N hydrochloric acid (HCl)

Measure OD at 450nm on an ELISA plate reader
Equipment
800 TS Absorbance Reader
NAME
Plate reader
TYPE
BioTek
BRAND
800 TS
SKU