{"id":31613,"date":"2020-05-05T14:00:01","date_gmt":"2020-05-05T20:00:01","guid":{"rendered":"https:\/\/www.uchealth.org\/today\/?p=31613"},"modified":"2025-02-28T11:35:56","modified_gmt":"2025-02-28T18:35:56","slug":"colorado-team-creating-high-quality-covid-19-antibody-tests","status":"publish","type":"post","link":"https:\/\/www.uchealth.org\/today\/colorado-team-creating-high-quality-covid-19-antibody-tests\/","title":{"rendered":"Colorado team creating &#8216;farm-to-table&#8217; COVID-19 antibody tests to boost quality and bypass shortages"},"content":{"rendered":"<div style=\"margin-top: 0px; margin-bottom: 0px;\" class=\"sharethis-inline-share-buttons\" ><\/div><figure id=\"attachment_31600\" aria-describedby=\"caption-attachment-31600\" style=\"width: 600px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-31600 size-full\" src=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2020\/05\/05112026\/Team-photo-tiny.webp\" alt=\"A team at the Anschutz Medical Campus is working to create COVID-19 antibody testing in Colorado.\" width=\"600\" height=\"399\" srcset=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2020\/05\/05112026\/Team-photo-tiny.webp 600w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2020\/05\/05112026\/Team-photo-tiny-300x200.webp 300w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2020\/05\/05112026\/Team-photo-tiny-150x100.webp 150w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2020\/05\/05112026\/Team-photo-tiny-200x133.webp 200w\" sizes=\"auto, (max-width: 600px) 100vw, 600px\" \/><figcaption id=\"caption-attachment-31600\" class=\"wp-caption-text\">A team at the Anschutz Medical Campus in Colorado is racing to create high-quality COVID-19 antibody tests. Ashley Frazer-Abel, center, stands in her lab with her team, including: Dara Aisner, left; Brian Harry, right; and Thomas &#8220;Tem&#8221; Morrison, back, right. Photos by Scott Arnold, SRA Photo, courtesy of the University of Colorado Anschutz Medical Campus Office of Communications.<\/figcaption><\/figure>\n<p>By Katie Kerwin McCrimmon and Lindsey Reznicek<\/p>\n<p>A team of scientists at the <a href=\"https:\/\/www.uchealth.org\/locations\/uchealth-at-university-of-colorado-anschutz-medical-campus\/\">Anschutz Medical Campus<\/a> is racing to create a new, high-quality antibody test that could be scaled to provide plenty of tests to people throughout Colorado in the coming months.<\/p>\n<p>For updated information on <a href=\"https:\/\/www.uchealth.org\/services\/infectious-diseases\/coronavirus-covid-19\/covid-19-testing\/\">COVID-19 testing through UCHealth<\/a>, please click <a href=\"https:\/\/www.uchealth.org\/services\/infectious-diseases\/coronavirus-covid-19\/covid-19-testing\/\">here<\/a>. For information on community testing locations throughout Colorado, please click <a href=\"https:\/\/cdphe.colorado.gov\/covid-19\/data\" target=\"_blank\" rel=\"noopener noreferrer\">here<\/a>.<div class=\"su-callout-box col-xs-6 col-sm-6 right\" style=\"background-color:#dce4e7; color:#2e3b44;\">\n<h3><strong>Antibody Testing \u2013 Frequently asked questions<\/strong><\/h3>\n<p><strong>What are antibodies? <\/strong><\/p>\n<p>When we get infections, our bodies create proteins to fight infections. These are called antibodies.<\/p>\n<p><strong>What\u2019s the difference between an antibody test and a test for COVID-19?<\/strong><\/p>\n<p>A test for COVID-19 detects the presence of the virus itself whereas an antibody test detects antibodies to the virus. Antibody tests can show that a person had an infection in the past. But, it\u2019s possible for people who still test positive to COVID-19 through a viral test to also test positive for antibodies. Medical providers should not use antibody tests to determine if a person has COVID-19. And, some commercial antibody tests have been inaccurate.<\/p>\n<p><strong>How long does it take for a person to create antibodies?<\/strong><\/p>\n<p>It can take days or weeks for a person to develop antibodies.<\/p>\n<p><strong>Does a positive result from an antibody test mean a person is immune to COVID-19? <\/strong><\/p>\n<p>Even if a test is accurate, medical experts don\u2019t know yet if antibodies for COVID-19 will prevent future infections. More research is needed into the virus that causes COVID-19, antibodies, and possible immunity.<\/p>\n<p><strong>Should I buy an antibody test at a pharmacy and count on its results?<\/strong><\/p>\n<p>No. You should be very cautious about antibody testing. Work with your doctor if you think you need antibody testing.<\/p>\n<p><strong>If I have a positive result from an antibody test, am I immune? Will I be protected from getting COVID-19 in the future?<\/strong><\/p>\n<p>Until antibody testing and immunities related to COVID-19 are much better understood, you should continue to follow all recommended precautions to avoid catching or spreading COVID-19, even if you think you have had COVID-19 in the past or even if you\u2019ve gotten a positive result to an antibody test.<\/p>\n<p>Wash your hands regularly. Keep at least 6 feet away from people in public. And, if you are sick, stay home. If you need medical advice, please consult with your provider. If you are concerned about going out for a doctor\u2019s visit, you can easily do a <a href=\"https:\/\/www.uchealth.org\/services\/virtual-visit\/\">Virtual Visit<\/a>.<\/p>\n<\/div>\n<p>Many challenges have slowed the development of antibody tests for COVID-19 in the U.S. After tightly controlling testing for COVID-19, the U.S. Food and Drug Administration relaxed requirements for antibody testing. That has led to some questionable tests, which have yielded inaccurate results. In addition, shortages in raw materials have slowed the development of antibody tests.<\/p>\n<p>To bypass these problems, researchers and scientists at Anschutz are growing their own ingredients. That will allow them to guarantee that they\u2019ll have enough raw materials to create the tests, while also assuring that the tests are accurate.<\/p>\n<p>You could think of this team as gourmet chefs who are making an antibody test from scratch.<\/p>\n<p>\u201cThis is farm to table testing,\u201d said <a href=\"https:\/\/www.uchealth.org\/provider\/brian-harry-md-phd\/\">Dr. Brian Harry<\/a>, medical director of special chemistry at <a href=\"https:\/\/www.uchealth.org\/locations\/uchealth-university-of-colorado-hospital-uch\/\">UCHealth University of Colorado Hospital<\/a> and an <a href=\"http:\/\/www.ucdenver.edu\/academics\/colleges\/medicalschool\/departments\/Pathology\/aboutus\/faculty\/Pages\/Brian-Harry.aspx\" target=\"_blank\" rel=\"noopener noreferrer\">associate professor of pathology at the University of Colorado School of Medicine<\/a>.<\/p>\n<p>\u201cWe have an on-campus garden,\u201d Harry said.<\/p>\n<p>But, rather than growing vegetables, this garden is producing viral proteins in a lab at the <a href=\"https:\/\/medschool.cuanschutz.edu\/colorado-cancer-center\" target=\"_blank\" rel=\"noopener noreferrer\">University of Colorado Cancer Center<\/a>.<\/p>\n<p><a href=\"https:\/\/www.uchealth.org\/innovation\/\">UCHealth\u2019s CARE Innovation Center<\/a> is funding the efforts to create the new test.<\/p>\n<p>\u201cWe\u2019ve been working very hard at building capacity to do antibody testing,\u201d said <a href=\"https:\/\/www.uchealth.org\/provider\/richard-zane-md-emergency-medicine\/\">Dr. Richard Zane, UCHealth\u2019s Chief Innovation Officer<\/a> and director of the Innovation Center.<\/p>\n<p>In addition to the test that Anschutz scientists are creating, Zane said his team is working to validate the few commercially available tests that may be reliable.<\/p>\n<p>\u201cWe are thinking very carefully about how to deploy antibody tests,\u201d he said.<\/p>\n<p>The Anschutz team has been keeping Colorado Gov. Jared Polis&#8217; testing experts apprised of their progress and the governor&#8217;s policy experts are eager to have a new supply of high-quality antibody tests to deploy in Colorado.<\/p>\n<p>&#8220;Antibody tests that measure the body\u2019s response to COVID-19 will likely be an important tool to understand where the virus has been, how it has spread and how effective our transmission-reduction strategies have been,&#8221; said Sarah Tuneberg, director of Colorado&#8217;s Innovation Response Team.<\/p>\n<p>&#8220;We\u2019re excited about the promising work the team at UCHealth has undertaken,&#8221; she said. &#8220;Once complete, their new ELISA (enzyme-linked immunosorbent assay) platform will set the standard for antibody tests that are more accurate and less dependent on commercial supply chains.&#8221;<\/p>\n<h3>New, more reliable antibody tests coming soon to Colorado<\/h3>\n<p>Antibodies are the proteins that the body makes to fight invaders like the new coronavirus. Antibody tests for COVID-19 aim to detect antibodies that the body creates in response to the infection. (Click <a href=\"https:\/\/www.uchealth.org\/today\/viruses-101-why-the-new-coronavirus-is-so-contagious-how-to-fight-it\/\">here<\/a> to learn more about viruses.)<\/p>\n<p>Antibody tests could be valuable both for researchers who are trying to understand the percentage of people who have been infected with the new coronavirus and policy makers who are trying to reopen economies while keeping people safe.<\/p>\n<p>In addition, since there are no cures and no vaccine yet for COVID-19, medical providers are using transfusions of plasma from people who have recovered from COVID-19 to help those who are critically ill. People who think they had COVID-19, but never were able to get tested may be able to get antibody testing in the future to determine if they can donate what\u2019s known as convalescent plasma. (Click <a href=\"https:\/\/www.uchealth.org\/today\/colorados-first-convalescent-plasma-recipient-leaves-icu-after-34-days-on-ventilator\/\">here<\/a> to learn more about the first patient who received convalescent plasma in Colorado. And, click <a href=\"https:\/\/www.uchealth.org\/today\/donating-covid-19-convalescent-plasma-colorado\/\">here<\/a> to learn more about donating plasma.)<\/p>\n<p>The team creating Colorado\u2019s homegrown antibody test is on track to have tests ready by mid-May. The first tests likely will go to health workers. The team will keep refining their recipes to boost the quality of the antibody testing in the coming months. And, ultimately, the Anschutz researchers hope to scale their production of the tests so they can provide enough antibody tests to support Colorado\u2019s efforts to fight the pandemic.<\/p>\n<h3>Antibody testing challenging because inaccurate tests can incorrectly flag other viruses<\/h3>\n<p>For now, UCHealth isn\u2019t offering antibody tests to members of the public for a variety of reasons.<\/p>\n<p>\u201cEven if you have been exposed to COVID-19, that doesn\u2019t tell you that you have immunity or how long it will last,\u201d Zane said.<\/p>\n<p>The other problem with antibody testing stems from the poor quality.<\/p>\n<p>One group of researchers <a href=\"https:\/\/www.nytimes.com\/2020\/04\/24\/health\/coronavirus-antibody-tests.html\" target=\"_blank\" rel=\"noopener noreferrer\">tested 14 commercial tests and found that only three were reliable<\/a>. Even the best tests had problems, researchers found.<\/p>\n<p>Many of the commercial antibody tests have produced \u201cfalse positives,\u201d indicating that a person has antibodies to the new coronavirus, SARS-CoV-2, when they actually have antibodies to something else, such as coronaviruses that cause the common cold.<\/p>\n<figure id=\"attachment_31598\" aria-describedby=\"caption-attachment-31598\" style=\"width: 600px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-31598\" src=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2020\/05\/05112018\/Frazer-lab-closeup-tiny.webp\" alt=\"antibody tests for COVID-19 in Colorado. \" width=\"600\" height=\"399\" srcset=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2020\/05\/05112018\/Frazer-lab-closeup-tiny.webp 600w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2020\/05\/05112018\/Frazer-lab-closeup-tiny-300x200.webp 300w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2020\/05\/05112018\/Frazer-lab-closeup-tiny-150x100.webp 150w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2020\/05\/05112018\/Frazer-lab-closeup-tiny-200x133.webp 200w\" sizes=\"auto, (max-width: 600px) 100vw, 600px\" \/><figcaption id=\"caption-attachment-31598\" class=\"wp-caption-text\">Researchers at Anschutz are creating a homegrown antibody test for Colorado.<\/figcaption><\/figure>\n<p>High quality antibody tests must have both high sensitivity and specificity. They must be sensitive enough to detect antibodies, but they also must be \u201cspecific\u201d enough to detect the new coronavirus that matters now. Many of the antibody tests that were rushed to market have a higher probability of being wrong than right, at least at this point in the pandemic.<\/p>\n<p>\u201cTo the layperson, a specificity of 92% may sound really good, but it\u2019s actually horrible,\u201d Zane said.<\/p>\n<p>He urged people to be extremely cautious about running to the drug store and getting any antibody test they find. He urged people to work closely with their doctors.<\/p>\n<p>\u201cYou may be able to walk into a pharmacy and get your own test or even go to a local clinic offering antibody testing, but most are not FDA approved and are not good enough to make any medical decisions,\u201d Zane said.<\/p>\n<h3>So-called &#8216;Immunity passports&#8217; unlikely any time soon<\/h3>\n<p>\u201cAntibody tests may be valuable in providing an epidemiological perspective,\u201d he said. \u201cWhat worries me is that people will feel they have won the lottery: \u2018I have antibodies. I\u2019m safe. I\u2019m protected.\u2019\u201d<\/p>\n<p>But researchers don\u2019t yet know whether a positive result to an antibody test means that a person will be immune from COVID-19 in the future. Many infectious disease experts worry that positive antibody tests will give people a false sense of security.<\/p>\n<p>If people believe they are immune to COVID-19 when they are not, they could get sick or infect others.<\/p>\n<p>\u201cIt has to be a good test. If not, it\u2019s beyond worthless,\u201d Zane said.<\/p>\n<p>\u201cBased on what we know about coronaviruses in general, there\u2019s a high probability that someone who has had COVID could be infected again. If they get re-infected, we don\u2019t know if it would be more mild or nonexistent. Having antibodies may provide some level of immunity. But, we don\u2019t know how long it will last, and if the virus changes, to what degree the antibodies will work,\u201d he said.<\/p>\n<p>\u201cThe concept of an \u2018immunity passport\u2019 could be very dangerous,\u201d Zane said.<\/p>\n<p>Despite the uncertainties about how protective antibodies will be, Harry and his colleagues believe it\u2019s important to have high quality antibody tests in quantities which would allow broad use.<\/p>\n<p>That\u2019s why leaders at the Anschutz Medical Campus and UCHealth\u2019s CARE Innovation Center are investing in the effort to create tests from scratch.<\/p>\n<p>\u201cAlthough it remains unclear if antibody testing will have a role in caring for individual patients, it is an important tool to help epidemiologists detect and describe the way the virus is spreading, and that alone more than warrants the investment,\u201d Zane said.<\/p>\n<h3><strong>Homegrown antibody tests will provide affordable, renewable supply of antibody tests<\/strong><\/h3>\n<p>Dr. Harry said the system that the Anschutz team is using is appealing because it\u2019s relatively inexpensive. And, if everything works properly, the team can easily scale their system to produce plenty of tests to support Colorado health systems and community leaders.<\/p>\n<p>\u201cThis is a cost effective approach,\u201d Harry said. \u201cYou\u2019re not paying someone to do all of these independent steps for you. It\u2019s similar to cooking at home. You have the recipe. You have all the ingredients and you put it all together.\u201d<\/p>\n<p>Getting fancy food at a restaurant or even a meal kit delivered to your door is much more expensive than buying your own ingredients and cooking from scratch.<\/p>\n<p>The same is true in creating antibody test kits, Harry said.<\/p>\n<figure id=\"attachment_31599\" aria-describedby=\"caption-attachment-31599\" style=\"width: 509px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-31599 size-full\" src=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2020\/05\/05112022\/Holding-vial-tiny.webp\" alt=\"Researchers at the Anschutz Medical Campus are creating a homegrown antibody test.\" width=\"509\" height=\"764\" srcset=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2020\/05\/05112022\/Holding-vial-tiny.webp 509w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2020\/05\/05112022\/Holding-vial-tiny-200x300.webp 200w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2020\/05\/05112022\/Holding-vial-tiny-100x150.webp 100w\" sizes=\"auto, (max-width: 509px) 100vw, 509px\" \/><figcaption id=\"caption-attachment-31599\" class=\"wp-caption-text\">A homegrown antibody test for COVID-19 will provide a cost-effective, renewable supply of antibody tests for epidemiologists and Colorado leaders.<\/figcaption><\/figure>\n<p>\u201cIn this case, you\u2019re building or buying all the ingredients yourself,\u201d he said.<\/p>\n<p>The key ingredient that the team needed first was a viral protein. That\u2019s where <a href=\"https:\/\/medschool.cuanschutz.edu\/immunology-and-microbiology\/faculty\/primary-faculty\/morrison\" target=\"_blank\" rel=\"noopener noreferrer\">Thomas \u201cTem\u201d Morrison<\/a> stepped up. Morrison is an associate professor of immunology and microbiology at the <a href=\"https:\/\/medschool.cuanschutz.edu\" target=\"_blank\" rel=\"noopener noreferrer\">University of Colorado School of Medicine<\/a>.<\/p>\n<p>Antibodies do their work by attaching themselves to proteins. In order to create a test that can find antibodies in a person\u2019s blood, the Anschutz team needed plenty of proteins to attract antibodies.<\/p>\n<p>\u201cThe supply chain for laboratory reagents (substances that trigger chemical reactions) has been unreliable and unstable. So, in order to make sure we had access to testing that we could offer in the long term and reliably to patients, we needed viral proteins for the antibodies to bind to,\u201d Harry said.<\/p>\n<h3>Making antibody tests from scratch starts with homegrown viral proteins<\/h3>\n<p>To start the process, Morrison had to pick a good viral protein.<\/p>\n<p>\u201cIt\u2019s the key ingredient for any test looking for COVID antibodies. Antibodies are the proteins that our body makes to help provide protection from an outside source. Those antibodies should bind to the virus,\u201d Harry said.<\/p>\n<p>The quality of the protein will affect the quality of the test.<\/p>\n<p>\u201cThe key thing is choosing the protein,\u201d Harry said.<\/p>\n<p>Morrison is a virologist and helped the team focus on what\u2019s known as a \u201cspike protein.\u201d<\/p>\n<p>That was step 1. Step 2 was growing the protein so the team would have plenty of proteins to create plenty of antibody tests.<\/p>\n<p>Morrison started growing the proteins in a lab at the University of Colorado Cancer Center.<\/p>\n<p>\u201cWhen you grow proteins, you use genetic instructions to grow the proteins in cells. \u00a0Morrison is an expert virologist who has been a key part of of this team, in part by providing those instructions in the form of plasmids,\u201d Harry said.<\/p>\n<p>The lab technicians who tend the cells add plasmids to help the cells grow. That\u2019s the gardening part of creating the antibody tests.<\/p>\n<p>The next part is figuring out how to carry out the testing. To do that, the team is using what\u2019s called an ELISA assay.<\/p>\n<p>ELISA stands for enzyme-linked immunosorbent assay. It\u2019s a type of test that can measure antibodies, antigens and proteins in biological samples. These tests are common. They\u2019re used to determine if a woman is pregnant or a person has HIV. If the test is positive, the color in the sample changes. Click <a href=\"https:\/\/www.youtube.com\/watch?v=RRbuz3VQ100\" target=\"_blank\" rel=\"noopener noreferrer\">here<\/a> to see an animation showing how ELISA assays work.<\/p>\n<h3>The art of creating antibody tests: Colorado team tapping FDA-approved assay from Mt. Sinai<\/h3>\n<p>While the tests are common, there\u2019s an art to creating them well. To move the process along faster in Colorado, the team is using <a href=\"https:\/\/www.mountsinai.org\/about\/newsroom\/2020\/mount-sinais-blood-test-to-detect-antibodies-to-covid19-receives-emergency-use-authorization-from-us-food-and-drug-administration-pr\" target=\"_blank\" rel=\"noopener noreferrer\">an assay that a team at Mt. Sinai created.<\/a> The Mount Sinai assay has already received emergency use authorization from the FDA.<\/p>\n<p>\u201cThe fact that it has been executed and approved gives us a high degree of confidence that it will work here as well,\u201d Harry said. \u201cThere\u2019s a lot of nuance that contributes to the power of the assay.\u201d<\/p>\n<p>Harry and Morrison have been working with <a href=\"http:\/\/www.ucdenver.edu\/academics\/colleges\/medicalschool\/departments\/Pathology\/aboutus\/faculty\/Pages\/Ashwood_E.aspx\" target=\"_blank\" rel=\"noopener noreferrer\">Dr. Edward Ashwood, a professor and vice chair for clinical pathology<\/a>, <a href=\"http:\/\/www.ucdenver.edu\/academics\/colleges\/medicalschool\/departments\/Pathology\/aboutus\/faculty\/Pages\/aisner_d.aspx\" target=\"_blank\" rel=\"noopener noreferrer\">Dr. Dara Aisner, an associate professor of pathology and laboratory medicine<\/a> and <a href=\"https:\/\/www.cumedicine.us\/providers\/medicine\/ashley-frazer-abel\">Dr. Ashley Frazer-Abel<\/a>, an assistant professor who has a lab on the Anschutz campus where she will evaluate how well the tests are working.<\/p>\n<p>Frazer-Abel\u2019s lab meets the highest standards for clinical lab testing. It is certified by the federal government under the Clinical Laboratory Improvement Amendments of 1988, known as <a href=\"https:\/\/www.cdc.gov\/clia\/LabSearch.html\" target=\"_blank\" rel=\"noopener noreferrer\">CLIA<\/a>. And the lab is accredited by the <a href=\"https:\/\/www.cap.org\/laboratory-improvement\/accreditation\/laboratory-accreditation-program\" target=\"_blank\" rel=\"noopener noreferrer\">College of American Pathologists or CAP<\/a>.<\/p>\n<figure id=\"attachment_31601\" aria-describedby=\"caption-attachment-31601\" style=\"width: 600px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-31601\" src=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2020\/05\/05112945\/Vials-tiny.webp\" alt=\"antibody testing for COVID-19 in Colorado\" width=\"600\" height=\"399\" srcset=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2020\/05\/05112945\/Vials-tiny.webp 600w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2020\/05\/05112945\/Vials-tiny-300x200.webp 300w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2020\/05\/05112945\/Vials-tiny-150x100.webp 150w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2020\/05\/05112945\/Vials-tiny-200x133.webp 200w\" sizes=\"auto, (max-width: 600px) 100vw, 600px\" \/><figcaption id=\"caption-attachment-31601\" class=\"wp-caption-text\">Because the Colorado team is making antibody tests from scratch, they can control the quality and can make large supplies as necessary.<\/figcaption><\/figure>\n<p>One of the problems with some commercial antibody tests is that they may reveal a positive result even though a patient has not previously had COVID-19, so-called false-positives.<\/p>\n<p>\u201cThe big issue is specificity, developing and optimizing tests so we have the ability to tell if someone is a true positive,\u201d Harry said. \u201cThat would indeed mean that they have had the viral infection before.<\/p>\n<p>\u201cAs we try to make these important decisions about social interactions, one of the biggest risks is a false positive. The risk of that is especially high right now given that the percentage of people who have had COVID-19 in various studies appears low,\u201d Harry said.<\/p>\n<h3><strong>After creating the test, scientists will refine it, then ramp up production fast<\/strong><\/h3>\n<p>Early research is showing that fewer than 5% of people have been infected with the new coronavirus, although we still don\u2019t know much about the state of Colorado.<\/p>\n<p>\u201cThe bottom line is that most people probably haven\u2019t had the infection yet,\u201d Harry said.<\/p>\n<p>The high risk of infection means the accuracy of the testing is especially important.<\/p>\n<p>Once the team has a good system in place, they can do a lot of tests.<\/p>\n<p>\u201cWe can perform thousands of tests using our homegrown operation,\u201d Harry said. \u201cThe longer term plan would be to scale our operation significantly as needed in coordination with local public health authorities.\u201d<\/p>\n<p>While world leaders, U.S. governors and health systems around the world are competing with one another to get supplies like masks, cotton swabs and commercial reagents, Harry said the homegrown antibody tests are very appealing because the team can keep resupplying themselves.<\/p>\n<p>\u201cIt\u2019s highly sustainable. You can grow your own proteins. They are not a limited resource,\u201d Harry said. \u201cWe envision these tests as being extremely important.\u201d<\/p>\n<p>Assuming that high quality antibody testing becomes available, Harry said the tests \u2014\u00a0in combination with adequate testing to determine if people currently have COVID-19 \u2014\u00a0can help boost safety.<\/p>\n<p>\u201cThe goal is to make sure leaders in Colorado know that we can create access to high quality testing,\u201d Harry said.<\/p>\n<p>The Anschutz team is briefing Gov. Jared Polis\u2019 testing task force, known as the Mass Testing and Innovation Response Team.<\/p>\n<p>The test could be ready for members of the public in weeks. In the meantime, Harry said UCHealth labs are working to get adequate supplies of the most accurate commercial antibody tests.<\/p>\n<p>\u201cWe want to help our patients and serve our health care workers,\u201d Harry said. \u201cWe could supply lots and lots of tests by using this assay and available commercial platforms.\u201d<\/p>\n<p>Other countries with more centralized forms of government have used testing much more aggressively than the U.S. In the U.S. each state is taking its own approach.<\/p>\n<p>Harry said the Anschutz team has worked quickly thanks to a network of people with varied and valuable expertise.<\/p>\n<p>\u201cThis is a very unique collaboration,\u201d Harry said.<\/p>\n<p>While the first goal is to create a highly accurate test, the second step will be to keep refining it. In the future, the team is considering conducting \u201cside-by-side\u201d testing. The team could explore using two different viral proteins. With one blood draw, a test subject\u2019s blood could go into two, side by side tests to help reduce the chances of false positive results.<\/p>\n<p>For now, the first job is to keep \u201cfarming\u201d proteins.<\/p>\n<p>\u201cWe\u2019re calling this the homegrown ELISA,\u201d Harry said. \u201cIt\u2019s very exciting &#8230; We want to meet the needs of our institution and our state.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"<p>By Katie Kerwin McCrimmon and Lindsey Reznicek A team of scientists at the Anschutz Medical Campus is racing to create a new, high-quality antibody test that could be scaled to provide plenty of tests to people throughout Colorado in the coming months. For updated information on COVID-19 testing through UCHealth, please click here. For information [&hellip;]<\/p>\n","protected":false},"author":2123,"featured_media":31600,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","footnotes":""},"categories":[8],"tags":[4859,4860,162,257],"class_list":["post-31613","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news","tag-coronavirus","tag-covid-19","tag-infectious-diseases","tag-virus-prevention"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Colorado team creating COVID-19 antibody tests - UCHealth Today<\/title>\n<meta name=\"description\" content=\"A team at the Anschutz Medical Campus is racing to create high-quality COVID-19 antibody tests, making their own proteins to bypass shortages.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.uchealth.org\/today\/colorado-team-creating-high-quality-covid-19-antibody-tests\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Colorado team creating &#039;farm-to-table&#039; 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