CVR - Coronavirus Vaccines R&D Roadmap

Nasal swab / wash / nasosorptionELISA for anti-S/anti-RBD IgA/IgG; secretory IgA; pseudovirus/live-virus neutralization

Paired with serum/saliva to quantify mucosal Ig and function in the upper airway

Nasosorption or swab eluates frequently used

Adler 2024

Chwa 2024

Darling 2024 

Hassan 2021

Pachuh 2023

Sterlin 2021

SalivaELISA for anti-S/anti-RBD IgA/IgG; neutralizationAccessible mucosal proxy; early, strong sIgA often detected (often correlates with faster viral clearance)

Pisanic 2024

Sterlin 2021

Varadhachary 2020

Bronchoalveolar lavage (BAL)Flow cytometry/ICS of SARS-CoV-2-specific T cells; ELISA/neutralization on BALF

Direct lower-airway immune profiling

Enriched virus-specific T cells and antibodies relative to blood

Arunachalam 2021

Hassan 2021

Moliva 2023

Zhu 2025

Tear / conjunctival fluidELISA for anti-SARS-CoV-2 IgA/IgG; multiplex cytokines

Non-invasive ocular mucosal sampling via Schirmer strips

Local sIgA often detectable

Muyldermans 2021

Niedźwiedź 2022

Soffritti 2023 

StoolELISA for antiviral IgA/IgG; cytokines; viral RNA by RT-qPCR

GI mucosal humoral readouts

Stool sIgA reported in acute disease and after maternal vaccination

Britton 2021

Natarajan 2022

Stafford 2023

MilkELISA for anti-S/anti-RBD IgA/IgG; neutralizationPost-infection or vaccination milk contains SARS-CoV-2-specific AbsStafford 2023
Oropharyngeal / nasopharyngeal swab eluate/ nasal turbinatesELISA for local Ig; sometimes neutralizationUsed to detect local antibodies (especially post-exposure) even when serum is negative

Adler 2024

Baldeon Vaca 2023

Chwa 2024

Lung tissue / airway-draining LNsFlow cytometry (tissue-resident memory T/B cells), ELISpot; immunohistologyDemonstrates local TRM and antibody-secreting cells after mucosal vaccination/challenge; often correlated with sterilizing protection

Diallo 2023

Leekha 2024

Serum / PlasmaSpike (S) ELISA; RBD ELISA; Nucleocapsid (N) ELISAQuantitative binding ELISAs

Azizi, Kamuyu 2024

Azizi, Ogbeni 2024

Manak 2024

SerumMicroneutralization assay (MNA; live virus)Live-virus neutralization assays

Azizi, Kamuyu 2024

Azizi, Ogbeni 2024

Manak 2024

SerumPseudovirus neutralization assay (PNA; VSV backbone)

Pseudotyped-virus neutralization assay

Good correlation with MNA and with S-ELISA across clinical samples

Azizi, Kamuyu 2024

Azizi, Ogbeni 2024

Denani 2025

Manak 2024

Peripheral Blood Mononuclear Cells (PBMCs)IFN-γ / IL-5 ELISpot

Qualified T-cell ELISpot assay

Proficiency testing uses blinded PBMC panels

Usually applied as secondary/exploratory endpoints

Azizi, Kamuyu 2024

Azizi, Ogbeni 2024

Manak 2024