RT journal article T1 Development and Validation of a Highly Sensitive Multiplex Immunoassay for SARS-CoV-2 Humoral Response Monitorization: A Study of the Antibody Response in COVID-19 Patients with Different Clinical Profiles during the First and Second Waves in Cadiz, Spain A1 Olvera Collantes, Lucía A1 Moares Fernández, Noelia del Carmen A1 Fernández Cisnal, R. A1 Muñoz Miranda, Juan Pedro A1 González García, Pablo A1 Gabucio López, Antonio A1 Freyre Carrillo, Carolina A1 Jordan-Chaves, Juan de Dios A1 Trujillo-Soto, Teresa A1 Rodriguez-Martinez, María P. A1 Martin-Rubio, Maria I. A1 Escuer, Eva A1 Rodríguez Iglesias, Manuel Antonio A1 Fernández Ponce, Cecilia Matilde A1 García Cózar, Francisco José A2 BiomedicinaBiotecnología y Salud Pública K1 antibody response K1 COVID-19 K1 IgG antibodies K1 monitoring tool K1 multiplex immunoassay K1 SARS-CoV-2 AB There is still a long way ahead regarding the COVID-19 pandemic, since emerging waves remain a daunting challenge to the healthcare system. For this reason, the development of new preventive tools and therapeutic strategies to deal with the disease have been necessary, among which serological assays have played a key role in the control of COVID-19 outbreaks and vaccine development. Here, we have developed and evaluated an immunoassay capable of simultaneously detecting multiple IgG antibodies against different SARS-CoV-2 antigens through the use of Bio-PlexTM technology. Additionally, we have analyzed the antibody response in COVID-19 patients with different clinical profiles in Cadiz, Spain. The multiplex immunoassay presented is a high-throughput and robust immune response monitoring tool capable of concurrently detecting anti-S1, anti-NC and anti-RBD IgG antibodies in serum with a very high sensitivity (94.34–97.96%) and specificity (91.84–100%). Therefore, the immunoassay proposed herein may be a useful monitoring tool for individual humoral immunity against SARS-CoV-2, as well as for epidemiological surveillance. In addition, we show the values of antibodies against multiple SARS-CoV-2 antigens and their correlation with the different clinical profiles of unvaccinated COVID-19 patients in Cadiz, Spain, during the first and second waves of the pandemic. PB Multidisciplinary Digital Publishing Institute (MDPI) SN 2076-2607 YR 2023 FD 2023 LK http://hdl.handle.net/10498/32425 UL http://hdl.handle.net/10498/32425 LA eng DS Repositorio Institucional de la Universidad de Cádiz RD 08-nov-2026