RT Journal Article SR Electronic T1 High-Accuracy Multiplexed SARS-CoV-2 Antibody Assay with Avidity and Saliva Capability on a Nano-Plasmonic Platform JF bioRxiv FD Cold Spring Harbor Laboratory SP 2020.06.16.155580 DO 10.1101/2020.06.16.155580 A1 Tiancheng Liu A1 Jessica Hsiung A1 Su Zhao A1 Jessica Kost A1 Deepika Sreedhar A1 Kjerstie Olson A1 Douglas Keare A1 John Roche A1 Carl V. Hanson A1 Cynthia Press A1 John Boggs A1 Jorge P. Rodriguez-Soto A1 Jose G. Montoya A1 Meijie Tang A1 Hongjie Dai YR 2020 UL http://biorxiv.org/content/early/2020/06/17/2020.06.16.155580.abstract AB The outbreak and rapid spread of SARS-CoV-2 virus has led to a dire global pandemic with millions of people infected and ~ 400,000 deaths thus far. Highly accurate detection of antibodies for COVID-19 is an indispensable part of the effort to combat the pandemic1,2. Here we developed two-plex antibody detection against SARS-CoV-2 spike proteins3 (the S1 subunit and receptor binding domain RBD) in human serum and saliva on a near-infrared nano-plasmonic gold (pGOLD) platform4–8. By testing nearly 600 serum samples, pGOLD COVID-19 assay achieved ~ 99.78 % specificity for detecting both IgG and IgM with 100 % sensitivity in sera collected > 14 days post disease symptom onset, with zero cross-reactivity to other diseases. Two-plex correlation analysis revealed higher binding of serum IgM to RBD than to S1. IgG antibody avidity toward multiple antigens were measured, shedding light on antibody maturation in COVID-19 patients and affording a powerful tool for differentiating recent from remote infections and identifying re-infection by SARS-CoV-2. Just as important, due to high analytical sensitivity, the pGOLD COVID-19 assay detected minute amounts of antibodies in human saliva, offering the first non-invasive detection of SARS-CoV-2 antibodies.Competing Interest StatementH. D. worked on this project as a consultant for Nirmidas Biotech Inc. independent of Stanford projects.