For avidity ELISA, serum samples were applied to wells in duplicate. After one-hour incubation, one set of samples was incubated with wash buffer and another with 4M urea (Sigma-Aldrich, St. Louis, MO, USA) for 5 min and washed twice with wash buffer, and the ELISA protocol was completed as described. The avidity index (AI) was calculated as previously described32 (link) for the lowest dilution (1:2500) as AI = (U+/U-) ×100, where ‘U+’ is the OD490 for wells washed with urea and ‘U-‘ is the OD490 for wells washed with PBST.
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