<!DOCTYPE article
PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Archiving and Interchange DTD with MathML3 v1.2 20190208//EN" "JATS-archivearticle1-mathml3.dtd">
<article xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:mml="http://www.w3.org/1998/Math/MathML" article-type="research-article"><?properties open_access?><front><journal-meta><journal-id journal-id-type="nlm-ta">Emerg Infect Dis</journal-id><journal-id journal-id-type="iso-abbrev">Emerg Infect Dis</journal-id><journal-id journal-id-type="publisher-id">EID</journal-id><journal-title-group><journal-title>Emerging Infectious Diseases</journal-title></journal-title-group><issn pub-type="ppub">1080-6040</issn><issn pub-type="epub">1080-6059</issn><publisher><publisher-name>Centers for Disease Control and Prevention</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">33900184</article-id><article-id pub-id-type="pmc">8084487</article-id><article-id pub-id-type="publisher-id">20-4055</article-id><article-id pub-id-type="doi">10.3201/eid2705.204055</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research</subject></subj-group><subj-group subj-group-type="article-type"><subject>Research</subject></subj-group><subj-group subj-group-type="TOC-title"><subject>Serologic Screening of Severe Acute Respiratory Syndrome Coronavirus 2 Infection in Cats and Dogs during First Coronavirus Disease Wave, the Netherlands</subject></subj-group></article-categories><title-group><article-title>Serologic Screening of Severe Acute Respiratory Syndrome Coronavirus 2 Infection in Cats and Dogs during First Coronavirus Disease Wave, the Netherlands</article-title><alt-title alt-title-type="running-head">Serologic Screening of SARS-CoV-2 in Cats and Dogs</alt-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Zhao</surname><given-names>Shan</given-names></name></contrib><contrib contrib-type="author"><name><surname>Schuurman</surname><given-names>Nancy</given-names></name></contrib><contrib contrib-type="author"><name><surname>Li</surname><given-names>Wentao</given-names></name></contrib><contrib contrib-type="author"><name><surname>Wang</surname><given-names>Chunyan</given-names></name></contrib><contrib contrib-type="author"><name><surname>Smit</surname><given-names>Lidwien A.M.</given-names></name></contrib><contrib contrib-type="author"><name><surname>Broens</surname><given-names>Els M.</given-names></name></contrib><contrib contrib-type="author"><name><surname>Wagenaar</surname><given-names>Jaap A.</given-names></name></contrib><contrib contrib-type="author"><name><surname>van Kuppeveld</surname><given-names>Frank J.M.</given-names></name></contrib><contrib contrib-type="author"><name><surname>Bosch</surname><given-names>Berend-Jan</given-names></name></contrib><contrib contrib-type="author" corresp="yes"><name><surname>Egberink</surname><given-names>Herman</given-names></name></contrib><aff id="aff1">Utrecht University, Utrecht, the Netherlands</aff></contrib-group><author-notes><corresp id="cor1">Address for correspondence: Herman Egberink, Department of Biomolecular Health Sciences, Infectious Diseases and Immunology, Virology Division, Faculty of Veterinary Medicine, Utrecht University, Utrecht, the Netherlands; email: <email xlink:href="h.f.egberink@uu.nl">h.f.egberink@uu.nl</email></corresp></author-notes><pub-date pub-type="ppub"><month>5</month><year>2021</year></pub-date><volume>27</volume><issue>5</issue><fpage>1362</fpage><lpage>1370</lpage><abstract><p>Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) can infect many animal species, including minks, cats, and dogs. To gain insights into SARS-CoV-2 infections in cats and dogs, we developed and validated a set of serologic assays, including ELISA and virus neutralization. Evaluation of samples from animals before they acquired coronavirus disease and samples from cats roaming SARS-CoV-2&#x02013;positive mink farms confirmed the suitability of these assays for specific antibody detection. Furthermore, our findings exclude SARS-CoV-2 nucleocapsid protein as an antigen for serologic screening of cat and dog samples. We analyzed 500 serum samples from domestic cats and dogs in the Netherlands during April&#x02013;May 2020. We showed 0.4% of cats and 0.2% of dogs were seropositive. Although seroprevalence in cats and dogs that had unknown SARS-CoV-2 exposure was low during the first coronavirus disease wave, our data stress the need for development of continuous serosurveillance for SARS-CoV-2 in these 2 animal species.</p></abstract><kwd-group kwd-group-type="author"><title>Keywords: </title><kwd>severe acute respiratory syndrome coronavirus 2</kwd><kwd>SARS-CoV-2</kwd><kwd>coronaviruses</kwd><kwd>viruses</kwd><kwd>coronavirus disease</kwd><kwd>COVID-19</kwd><kwd>respiratory infections</kwd><kwd>cats</kwd><kwd>dogs</kwd><kwd>serologic screening</kwd><kwd>ELISA</kwd><kwd>virus neutralization</kwd><kwd>receptor-binding domain</kwd><kwd>nucleocapsid protein</kwd><kwd>zoonoses</kwd><kwd>the Netherlands</kwd></kwd-group></article-meta></front><body><p>A novel human coronavirus (HCoV), severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), emerged in Wuhan, China, during December 2019 and caused a severe pandemic of coronavirus disease (COVID-19) (<xref rid="R1" ref-type="bibr"><italic>1</italic></xref>,<xref rid="R2" ref-type="bibr"><italic>2</italic></xref>). As of January 2021, SARS-CoV-2 had spread to 223 countries and caused &#x0003e;88 million infections, which occurred by human-to-human transmission and mostly affected elderly and immunocompromised persons (<xref rid="R3" ref-type="bibr"><italic>3</italic></xref>).</p><p>SARS-CoV-2 is a zoonotic virus and was shown able to infect many animal species, such as cats, dogs, ferrets, fruit bats, hamsters, and several nonhuman primates under experimental condition (<xref rid="R4" ref-type="bibr"><italic>4</italic></xref>&#x02013;<xref rid="R6" ref-type="bibr"><italic>6</italic></xref>). Recently, transmission of SARS-CoV-2 from humans to cats and dogs shown by viral RNA or antibody detection has been reported, resulting in asymptomatic infections in dogs, and symptomatic and asymptomatic infections in cats (<xref rid="R7" ref-type="bibr"><italic>7</italic></xref>&#x02013;<xref rid="R15" ref-type="bibr"><italic>15</italic></xref>). There is currently no evidence that pets play a role in spread of the virus. Nevertheless, close contacts between owners and pets and interactions between dogs and cats from different households raise the question about the role of these animals in SARS-CoV-2 transmission.</p><p>Diagnosis of SARS-CoV-2 is currently made by using molecular assays, such as real-time PCR. However, viral nucleic acid is only detectable within a limited timeframe after infection, and serologic screening of SARS-CoV-2&#x02013;specific antibodies in cats and dogs is needed for insights into the prevalence of this infection and possible modes of transmission (human-to-animal, animal-to-animal, and animal-to-human).</p><p>We developed and validated SARS-CoV-2&#x02013;specific serologic assays. Serum samples were first tested with ELISAs by using different antigens, including spike protein subunit (S1) of endemic feline and canine coronaviruses and SARS-CoV-2 antigens (S1, receptor binding domain [RBD], and nucleocapsid [N] protein), and subsequently analyzed by using virus neutralization titer (VN) assays with SARS-CoV-2 spike pseudotyped virus. Using these assay platforms, we conducted serosurveillance study of SARS-CoV-2 in cats and dogs of unknown SARS-CoV-2 exposure during the first wave of COVID-19 pandemic (April&#x02013;May 2020) in the Netherlands.</p><sec sec-type="materials|methods"><title>Materials and Methods</title><sec><title>Serum Samples</title><p>Cat and dog serum samples collected during 2019 (pre&#x02013;COVID-19 cohort, n = 45 each) were obtained from the serum bank of Utrecht University (Utrecht, the Netherlands). Paired and postinfection serum samples of feline coronavirus (FCoV) type I&#x02013;infected specific pathogen-free (SPF) cats (n = 9) were obtained from SPF cats infected with FCoV strain UU2 or RM in a previous study (<xref rid="R16" ref-type="bibr"><italic>16</italic></xref>). The SARS-CoV-2&#x02013;exposed cohort consisted of 44 serum samples from stray cats roaming on SARS-CoV-2&#x02013;positive mink farms (<xref rid="R17" ref-type="bibr"><italic>17</italic></xref>) and 1 serum sample of a dog from a COVID-19&#x02013;confirmed household. The 2020 cohort is composed of domestic cat and dog serum or plasma samples (n = 500 each) that were sent to the University Veterinary Diagnostic Laboratory or the Veterinary Microbiological Diagnostic Center at Utrecht University for routine diagnostics during April&#x02013;May 2020. Data on SARS-CoV-2 exposure of these animals was not available. All samples were stored at &#x02212;20&#x000b0;C until use and heat-inactivated at 56&#x000b0;C for 30 min before use.</p></sec><sec><title>Antigen Preparation</title><p>We produced streptavidin&#x02013;tagged SARS-CoV-2 S1 and RBD proteins in eukaryotic cells as described (<xref rid="R18" ref-type="bibr"><italic>18</italic></xref>,<xref rid="R19" ref-type="bibr"><italic>19</italic></xref>), and cloned and similarly produced streptavidin-tagged bovine coronavirus (BCoV) S1 and HCoV-229E S1. SARS-CoV-2 N protein was obtained from Sino Biological (<ext-link ext-link-type="uri" xlink:href="https://www.sinobiological.com">https://www.sinobiological.com</ext-link>). We produced mouse Fc-tagged FCoV type I S1, FCoV type II S1, or BCoV S1 proteins as described (<xref rid="R20" ref-type="bibr"><italic>20</italic></xref>). Vesicular stomatitis virus (VSV) pseudotyped with SARS-CoV-2 S protein (SARS2-VSV) was prepared as described (<xref rid="R18" ref-type="bibr"><italic>18</italic></xref>) and titrated on Vero E6 cells.</p></sec><sec><title>ELISA</title><p>We first screened samples from the 3 cohorts with indirect ELISAs for the different proteins as described (<xref rid="R20" ref-type="bibr"><italic>20</italic></xref>). In brief, high-binding microtiter plates were coated with equal molar amounts of protein (1 pmol/ well after optimizing by using checkerboard titration), diluted in phosphate-buffered saline, and blocked with blocking buffer (phosphate-buffered saline containing 0.05% Tween-20 and 5% milk powder). A standard 1:50 dilution of serum samples or serial 2-fold dilutions of serum samples starting at a 1:50 dilution were added to the wells. After incubation for 1 h at 37&#x000b0;C, plates were washed and subsequently incubated with horseradish peroxidase (HRP)&#x02013;conjugated secondary antibody (1:4,000 for goat anti-cat IgG/HRP; Rockland Immunochemicals, Inc., <ext-link ext-link-type="uri" xlink:href="https://rockland-inc.com">https://rockland-inc.com</ext-link>) and 1:6,000 for goat anti-dog IgG/HRP; Cappel, <ext-link ext-link-type="uri" xlink:href="http://ziobio.com">http://ziobio.com</ext-link>) diluted in blocking buffer for 1 h at 37&#x000b0;C. Peroxidase reactions were visualized by incubation with 3,3&#x02032;,5,5&#x02032;-tetramethylbenzidine (10 min at room temperature) and quenching with sulfuric acid. Optical densities (ODs) were measured at 450 nm. Cutoff values were determined at 6-fold SDs above the mean value of reactivity of all negative serum samples from the pre&#x02013;COVID-19 cohort (<xref rid="R19" ref-type="bibr"><italic>19</italic></xref>).</p></sec><sec><title>S1 Adsorption Assay</title><p>To verify that the 2 betacoronavirus infections in dogs (SARS-CoV-2 and canine respiratory coronavirus [CRCoV]) can be distinguished serologically, we designed an antigen S1 adsorption assay. We incubated serum samples with Strep-Tactin Sepharose Beads (IBA Lifesciences, <ext-link ext-link-type="uri" xlink:href="https://www.iba-lifesciences.com">https://www.iba-lifesciences.com</ext-link>) conjugated with S1 protein of SARS-CoV-2, BCoV, or HCoV-229E and titrated mock-absorbed and protein-absorbed serum samples in the ELISA. We expressed IgG titers as the reciprocal of highest serum dilution resulting in OD values above the cutoff value.</p></sec><sec><title>Virus Neutralization Assay</title><p>We conducted a VN assay by using luciferase-encoding VSV particles pseudotyped with S protein of SARS-CoV-2 (SARS2-VSV), which was conducted on Vero E6 cells in a 96-well plate (<xref rid="R18" ref-type="bibr"><italic>18</italic></xref>). Antigenicity of SARS2-VSV was validated previously, and VN titers (VNTs) for SARS2-VSV correlated well with those for live SARS-CoV-2 (<xref rid="R18" ref-type="bibr"><italic>18</italic></xref>). Samples (starting at a 1:8 dilution) were serial diluted 2-fold and mixed 1:1 with SARS-2-VSV. Mixtures were preincubated at 37&#x000b0;C for 1 h and used for inoculation on cells. Twenty-four hours postinfection, cells were lysed and relative luminescence units (RLU) of luciferase activity was determined as described (<xref rid="R18" ref-type="bibr"><italic>18</italic></xref>). RLU reduction rates of samples were calculated by using the formula (<xref ref-type="fig" rid="F6">Figure 6</xref>)</p><fig id="F6" fig-type="figure" position="float"><label>Figure 6</label><caption><p>RLU reduction rates of samples were calculated by using this formula.</p></caption><graphic xlink:href="20-4055-F6"/></fig><p>Sample neutralization titers were determined by using the reciprocal of the highest dilution that resulted in &#x0003e;50% reduction of luciferase activity. A VNT <underline>&#x0003e;</underline>16 was considered positive (<xref rid="R21" ref-type="bibr"><italic>21</italic></xref>).</p></sec><sec><title>Statistical Analyses</title><p>All statistical analyses were performed by using Prism version 7.04 for Windows (GraphPad, <ext-link ext-link-type="uri" xlink:href="https://www.graphpad.com">https://www.graphpad.com</ext-link>). The Pearson correlation coefficient was calculated to determine the correlation between different ELISA ODs and VNTs. The 95% CIs were determined by using the modified Wald method.</p></sec></sec><sec sec-type="results"><title>Results</title><sec><title>Pre&#x02013;COVID-19 Cohort</title><p>Serum samples from the pre&#x02013;COVID-19 cohort were tested against SARS-CoV-2 antigens to screen for potential cross-reactive antibodies elicited by endemic coronaviruses in cats and dogs because they are natural reservoirs of several coronaviruses (i.e., FCoV [genus <italic>Alphacoronavirus</italic>] in cats, canine coronavirus [CCoV; genus <italic>Alphacoronavirus</italic>] and CRCoV [genus <italic>Betacoronavirus</italic>] in dogs) (<xref rid="R20" ref-type="bibr"><italic>20</italic></xref>,<xref rid="R22" ref-type="bibr"><italic>22</italic></xref>,<xref rid="R23" ref-type="bibr"><italic>23</italic></xref>). We summarized sequence identities of SARS-CoV-2 antigens used and matching endemic coronavirus antigens (<xref rid="T1" ref-type="table">Table 1</xref>). FCoV type I S1 was used as an additional antigen to assess the reactivity of cat serum samples. For dog serologic analysis, FCoV type II S1 (92.1% similar to S1 of CCoV) was used as a proxy antigen for CCoV, and BCoV S1 (95.7% similar to S1 of CRCoV) was used as a proxy antigen for CRCoV. Many serum samples were positive for FCoV and BCoV S1, but all samples were negative for antibodies against SARS-CoV-2 S1 and RBD (<xref ref-type="fig" rid="F1">Figure 1</xref>). Because of limited sample volumes, a selection of serum samples (n = 34 for cats and n = 24 for dogs) was tested for SARS-CoV-2 S&#x02013;bearing VSV pseudovirus (SARS2-VSV) neutralization, and all showed negative results (VNT &#x0003c;16).</p><table-wrap id="T1" position="float"><label>Table 1</label><caption><title>Percentage amino acid identity of canine and feline coronavirus spike and nucleocapsid proteins with SARS-CoV-2 proteins, the Netherlands*</title></caption><table frame="hsides" rules="groups"><col width="80" span="1"/><col width="80" span="1"/><col width="80" span="1"/><col width="80" span="1"/><col width="80" span="1"/><col width="80" span="1"/><thead><tr><th rowspan="2" valign="bottom" align="left" scope="col" colspan="1">Genus</th><th rowspan="2" valign="bottom" align="center" scope="col" colspan="1">Virus</th><th valign="bottom" colspan="4" align="center" scope="colgroup" rowspan="1">SARS-CoV-2<hr/></th></tr><tr><th valign="bottom" colspan="1" align="center" scope="colgroup" rowspan="1">N</th><th valign="bottom" align="center" scope="col" rowspan="1" colspan="1">S</th><th valign="bottom" align="center" scope="col" rowspan="1" colspan="1">S1</th><th valign="bottom" align="center" scope="col" rowspan="1" colspan="1">RBD</th></tr></thead><tbody><tr><td valign="top" align="left" scope="row" rowspan="1" colspan="1">Betacoronavirus</td><td valign="top" align="center" rowspan="1" colspan="1">CRCoV</td><td valign="top" align="center" rowspan="1" colspan="1">32.4</td><td valign="top" align="center" rowspan="1" colspan="1">28.5</td><td valign="top" align="center" rowspan="1" colspan="1">20.0</td><td valign="top" align="center" rowspan="1" colspan="1">15.6</td></tr><tr><td valign="top" align="left" scope="row" rowspan="1" colspan="1">Alphacoronavirus</td><td valign="top" align="center" rowspan="1" colspan="1">FCoV type I</td><td valign="top" align="center" rowspan="1" colspan="1">29.0</td><td valign="top" align="center" rowspan="1" colspan="1">24.0</td><td valign="top" align="center" rowspan="1" colspan="1">16.8</td><td valign="top" align="center" rowspan="1" colspan="1">7.7</td></tr><tr><td valign="top" align="left" scope="row" rowspan="1" colspan="1">Alphacoronavirus</td><td valign="top" align="center" rowspan="1" colspan="1">FcoV type II</td><td valign="top" align="center" rowspan="1" colspan="1">27.8</td><td valign="top" align="center" rowspan="1" colspan="1">25.3</td><td valign="top" align="center" rowspan="1" colspan="1">17.7</td><td valign="top" align="center" rowspan="1" colspan="1">8.9</td></tr><tr><td valign="top" align="left" scope="row" rowspan="1" colspan="1">Alphacoronavirus</td><td valign="top" align="center" rowspan="1" colspan="1">CCoV</td><td valign="top" align="center" rowspan="1" colspan="1">28.0</td><td valign="top" align="center" rowspan="1" colspan="1">25.1</td><td valign="top" align="center" rowspan="1" colspan="1">16.9</td><td valign="top" align="center" rowspan="1" colspan="1">8.9</td></tr></tbody></table><table-wrap-foot><p>*SARS-CoV-2, CRCoV, FCoV type I, FCoV type II, CCoV (GB: NC_045512.2, JX860640.1, FJ938060.1, AY994055.1, KC175341.1). Amino acid sequences were aligned by using Clustal W (<ext-link ext-link-type="uri" xlink:href="https://www.ebi.ac.uk/Tools/msa/clustalo">https://www.ebi.ac.uk/Tools/msa/clustalo</ext-link>), and pairwise identities were calculated by using the needle method in the EMBOSS pairwise alignment algorithms program (<ext-link ext-link-type="uri" xlink:href="https://www.ebi.ac.uk/Tools/psa/emboss_needle">https://www.ebi.ac.uk/Tools/psa/emboss_needle</ext-link>). CCoV, canine coronavirus; CRCoV, canine respiratory coronavirus; FCoV, feline coronavirus, N, nucleocapsid protein; RBD, receptor-binding domain; S, spike protein; SARS-CoV-2, severe acute respiratory syndrome coronavirus 2; S1, spike protein subunit 1.</p></table-wrap-foot></table-wrap><fig id="F1" fig-type="figure" position="float"><label>Figure 1</label><caption><p>ELISA reactivities against different antigens of pre&#x02013;coronavirus disease (COVID-19) cat and dog serum samples and paired samples of FCoV type I infection, the Netherlands. A) Reactivities of pre&#x02013;COVID-19 cat serum samples against SARS-CoV-2 S1, RBD, N, and FCoV type I S1. B) Reactivities of pre&#x02013;COVID-19 dog serum samples against SARS-CoV-2 S1, RBD, N, BCoV S1, and FCoV type II S1. C) Reactivities of paired SPF cat serum samples (left panel) and FCoV type I&#x02013;specific serum samples (right panel) to SARS-CoV-2 S1, subunit; RBD, N, and FCoV S1 protein levels were determined by ELISA. Dotted lines indicate positive cutoff levels. BCoV, bovine coronavirus; FCoV, feline coronavirus; N, nucleocapsid; OD, optical density; RBD, receptor-binding domain; S1, spike protein subunit 1; SARS-CoV-2, severe acute respiratory syndrome coronavirus 2; SPF, specific pathogen free. </p></caption><graphic xlink:href="20-4055-F1"/></fig><p>A total of 8 (17.8%) of 45 pre&#x02013;COVID-19 cat serum samples and 1 (2.2%) of 45 dog serum samples showed positive results in the SARS-CoV-2 N protein ELISA (<xref ref-type="fig" rid="F1">Figure 1</xref>, panels A, B). To explore this finding, we analyzed paired serum samples of SPF cats infected with FCoV (<xref ref-type="fig" rid="F1">Figure 1</xref>, panel C). Serum samples from uninfected SPF cats were negative. After FCoV infection, 8 (88.9%) of 9 cats had antibodies reacting with SARS-CoV-2 N protein. When compared with S1 and RBD proteins, we found that the N protein was more conserved among CoVs (<xref rid="T1" ref-type="table">Table 1</xref>), which might explain the cross-reactivity between FCoV and SARS-CoV-2 detected in our ELISAs.</p></sec><sec><title>SARS-CoV-2&#x02013;Exposed Cohort</title><p>We tested the serum of a dog from a COVID-19&#x02013;confirmed household, as well as serum samples from SARS-CoV-2&#x02013;exposed stray cats found in the surroundings of SARS-CoV-2&#x02013;positive mink farms (<xref rid="R17" ref-type="bibr"><italic>17</italic></xref>). These cats had access to the stables and cages in which the minks were housed. This cohort was expected to contain a higher number of SARS-CoV-2&#x02013;positive samples because of close contact between the cats and minks and the dog and its owner and was a source of suitable samples for validation of our ELISA and VNT. A total of 11 (24.4%, 95% CI 14.1%&#x02013;38.8%) of 45 serum samples from 10 cats and 1 dog were positive by ELISA for SARS-CoV-2 S1 and RBD, and 10 (22.2%, 95% CI 12.4%&#x02013;36.5%) of 45 samples (were reactive against SARS-CoV-2 N protein (<xref ref-type="fig" rid="F2">Figure 2</xref>, panel A). All S1- and RBD-positive samples could neutralize SARS2-VSV infections, but N protein positivity and VN ability were not well associated (<xref ref-type="fig" rid="F2">Figure 2</xref>, panel B).</p><fig id="F2" fig-type="figure" position="float"><label>Figure 2</label><caption><p>Serologic analyses of cat and dog serum samples from SARS-CoV-2&#x02013;exposed cohort, the Netherlands. A) ELISA against SARS-CoV-2 S1, RBD, and N proteins, and VN analysis with SARS-CoV-2 pseudotyped virus. Dots indicate cat serum samples (n = 44) and triangle indicates dog sample (n = 1). B) Combination of results tested by different assays expressed as a heatmap. Dotted lines indicate positive cutoff levels. IC<sub>50</sub>, 50% inhibitory concentration; N, nucleocapsid; OD, optical density; RBD, receptor-binding domain; S1, spike protein subunit 1; SARS-CoV-2, severe acute respiratory syndrome coronavirus 2; VN, virus neutralization.</p></caption><graphic xlink:href="20-4055-F2"/></fig><p>OD values obtained for the SARS-CoV-2 S1 and RBD ELISAs showed a strong correlation with each other (R&#x000a0;=&#x000a0;0.95), and both correlated well with VNT (R&#x000a0;=&#x000a0;0.87) (<xref ref-type="fig" rid="F3">Figure 3</xref>, panels A&#x02013;C). Conversely, only a poor correlation was observed between OD values obtained for N protein ELISA and VNT (R&#x000a0;=&#x000a0;0.57) (<xref ref-type="fig" rid="F3">Figure 3</xref>, panel D). These data validate SARS-CoV-2 S1 and RBD and exclude N protein as antigen for serologic screening of cat and dog serum samples.</p><fig id="F3" fig-type="figure" position="float"><label>Figure 3</label><caption><p>Pairwise correlation analyses of reactivities acquired for serologic analyses of SARS-CoV-2&#x02013;exposed cohort, the Netherlands. Pearson correlation coefficient was calculated to determine the correlation between the reactivities of RBD ELISA vs. S1 ELISA (A), RBD ELISA vs. VNT (B), S1 ELISA vs. VNT (C), and N ELISA vs. VNT (D). Cat serum samples (n = 44) were indicated in dots and the dog sample (n = 1) in triangle. Dotted lines show the positive cutoff levels. IC<sub>50</sub>, 50% inhibitory concentration; N, nucleocapsid; OD, optical density; RBD, receptor-binding domain; S1, spike protein subunit 1; SARS-CoV-2, severe acute respiratory syndrome coronavirus 2; VNT, virus neutralization titer. </p></caption><graphic xlink:href="20-4055-F3"/></fig></sec><sec><title>SARS-CoV-2 Seroprevalence in Domestic Cats</title><p>A total of 500 cat samples from the 2020 cohort were tested by using SARS-CoV-2 S1 and RBD ELISAs (<xref ref-type="fig" rid="F4">Figure 4</xref>, panels A, C). FCoV type I S1 was included as an additional antigen in the ELISA, and 71% of cat samples were FCoV type I antibody positive. Six cat samples were positive for SARS-CoV-2 S1 and RBD, and an additional 6 samples were positive only for RBD (<xref ref-type="fig" rid="F4">Figure 4</xref>, panel C). We have summarized results of different tests (<xref rid="T2" ref-type="table">Table 2</xref>). We tested by VN assay all samples positive for SARS-CoV-2 S1 or RBD by ELISA , together with 50 randomly chosen samples that showed negative results in the S1 and RBD ELISAs. Two samples that reacted with SARS-CoV-2 S1 and RBD were able to neutralize SARS2-VSV infection, and all ELISA-negative samples were also negative in the VN assay (<xref rid="T2" ref-type="table">Table 2</xref>; <xref ref-type="fig" rid="F4">Figure 4</xref>, panel C). On the basis of results obtained for SARS-CoV-2&#x02013;exposed animals, we defined a seropositive sample as any sample being ELISA positive for SARS-CoV-2 S1 and RBD, and with a VNT <underline>&#x0003e;</underline>16. Samples that did not consistently show diagnostic thresholds (ELISA positive for S1 and RBD, but VNT &#x0003c;16) were considered as being suspected (<xref rid="T2" ref-type="table">Table 2</xref>). Accordingly, 2 (0.4%, 95% CI 0.01%&#x02013;1.55%) of 500 domestic cat samples with unknown SARS-CoV-2 exposure had reached the diagnostic thresholds, and henceforth were confirmed as seropositive. Four serum samples were defined as suspected.</p><fig id="F4" fig-type="figure" position="float"><label>Figure 4</label><caption><p>Geographic coverage and serologic analysis of cat (A, C) and dog (B, D) samples of 2020 cohorts for SARS-CoV-2, the Netherlands. A, B) Geographic distribution. Choropleth maps were produced by using ArcGIS version 9.3.1 (Esri, <ext-link ext-link-type="uri" xlink:href="https://www.esri.com">https://www.esri.com</ext-link>). C, D) ELISA and VNT analysis. Number and percentages of positive samples are indicated. Dotted lines indicate positive cutoff levels. Samples that had a VNT <underline>&#x0003e;</underline>16 were considered positive. IC<sub>50</sub>, 50% inhibitory concentration; OD, optical density; RBD, receptor-binding domain; S1, spike protein subunit 1; SARS-CoV-2, severe acute respiratory syndrome coronavirus 2; VNT, virus neutralization titer.</p></caption><graphic xlink:href="20-4055-F4"/></fig><table-wrap id="T2" position="float"><label>Table 2</label><caption><title>Serologic results for animal samples tested in different serologic assays, the Netherlands*</title></caption><table frame="hsides" rules="groups"><col width="49" span="1"/><col width="117" span="1"/><col width="81" span="1"/><col width="72" span="1"/><col width="36" span="1"/><col width="58" span="1"/><col width="68" span="1"/><thead><tr><th valign="bottom" align="left" scope="col" rowspan="1" colspan="1">Animal</th><th valign="bottom" align="center" scope="col" rowspan="1" colspan="1">Cohort</th><th valign="bottom" align="center" scope="col" rowspan="1" colspan="1">SARS-CoV-2 S1 ELISA&#x02020;</th><th valign="bottom" align="center" scope="col" rowspan="1" colspan="1">SARS-CoV-2 RBD ELISA&#x02020;</th><th valign="bottom" align="center" scope="col" rowspan="1" colspan="1">VNT&#x02021;</th><th valign="bottom" align="center" scope="col" rowspan="1" colspan="1">No. samples</th><th valign="bottom" align="center" scope="col" rowspan="1" colspan="1">Result</th></tr></thead><tbody><tr><td rowspan="6" valign="top" align="left" scope="row" colspan="1">Cat<hr/></td><td rowspan="2" valign="top" align="center" colspan="1">SARS-CoV-2 exposed, n = 44</td><td valign="top" align="center" rowspan="1" colspan="1">+</td><td valign="top" align="center" rowspan="1" colspan="1">+</td><td valign="top" align="center" rowspan="1" colspan="1">+</td><td valign="top" align="center" rowspan="1" colspan="1">10</td><td valign="top" align="center" rowspan="1" colspan="1">Seropositive</td></tr><tr><td valign="top" colspan="1" align="center" scope="row" rowspan="1">&#x02013;</td><td valign="top" align="center" rowspan="1" colspan="1">&#x02013;</td><td valign="top" align="center" rowspan="1" colspan="1">&#x02013;</td><td valign="top" align="center" rowspan="1" colspan="1">34</td><td valign="top" align="center" rowspan="1" colspan="1">Seronegative</td></tr><tr><td rowspan="4" valign="top" colspan="1" align="center" scope="row">2020, n = 500<hr/></td><td valign="top" align="center" rowspan="1" colspan="1">+</td><td valign="top" align="center" rowspan="1" colspan="1">+</td><td valign="top" align="center" rowspan="1" colspan="1">+</td><td valign="top" align="center" rowspan="1" colspan="1">2</td><td valign="top" align="center" rowspan="1" colspan="1">Seropositive</td></tr><tr><td valign="top" colspan="1" align="center" scope="row" rowspan="1">+</td><td valign="top" align="center" rowspan="1" colspan="1">+</td><td valign="top" align="center" rowspan="1" colspan="1">&#x02013;</td><td valign="top" align="center" rowspan="1" colspan="1">4</td><td valign="top" align="center" rowspan="1" colspan="1">Suspected</td></tr><tr><td valign="top" colspan="1" align="center" scope="row" rowspan="1">&#x02013;</td><td valign="top" align="center" rowspan="1" colspan="1">+</td><td valign="top" align="center" rowspan="1" colspan="1">&#x02013;</td><td valign="top" align="center" rowspan="1" colspan="1">6</td><td valign="top" align="center" rowspan="1" colspan="1">Seronegative</td></tr><tr><td valign="top" colspan="1" align="center" scope="row" rowspan="1">&#x02013;<hr/></td><td valign="top" align="center" rowspan="1" colspan="1">&#x02013;<hr/></td><td valign="top" align="center" rowspan="1" colspan="1">&#x02013;/NA<hr/></td><td valign="top" align="center" rowspan="1" colspan="1">488<hr/></td><td valign="top" align="center" rowspan="1" colspan="1">Seronegative<hr/></td></tr><tr><td rowspan="4" valign="top" align="left" scope="row" colspan="1">Dog</td><td valign="top" align="center" rowspan="1" colspan="1">SARS-CoV-2 exposed, n = 1</td><td valign="top" align="center" rowspan="1" colspan="1">+</td><td valign="top" align="center" rowspan="1" colspan="1">+</td><td valign="top" align="center" rowspan="1" colspan="1">+</td><td valign="top" align="center" rowspan="1" colspan="1">1</td><td valign="top" align="center" rowspan="1" colspan="1">Seropositive</td></tr><tr><td rowspan="3" valign="top" colspan="1" align="center" scope="row">2020, n = 500</td><td valign="top" align="center" rowspan="1" colspan="1">+</td><td valign="top" align="center" rowspan="1" colspan="1">+</td><td valign="top" align="center" rowspan="1" colspan="1">+</td><td valign="top" align="center" rowspan="1" colspan="1">1</td><td valign="top" align="center" rowspan="1" colspan="1">Seropositive</td></tr><tr><td valign="top" colspan="1" align="center" scope="row" rowspan="1">+</td><td valign="top" align="center" rowspan="1" colspan="1">&#x02013;</td><td valign="top" align="center" rowspan="1" colspan="1">&#x02013;</td><td valign="top" align="center" rowspan="1" colspan="1">8</td><td valign="top" align="center" rowspan="1" colspan="1">Seronegative</td></tr><tr><td valign="top" colspan="1" align="center" scope="row" rowspan="1">&#x02013;</td><td valign="top" align="center" rowspan="1" colspan="1">&#x02013;</td><td valign="top" align="center" rowspan="1" colspan="1">&#x02013;/NA</td><td valign="top" align="center" rowspan="1" colspan="1">491</td><td valign="top" align="center" rowspan="1" colspan="1">Seronegative</td></tr></tbody></table><table-wrap-foot><p>*NA, not applicable; RBD, receptor-binding domain; SARS-CoV-2, severe acute respiratory syndrome coronavirus 2; S1, spike protein subunit 1; VNT, virus neutralization titer; &#x02013;, negative; +, positive.&#x02028;&#x02020;An ELISA optical density value greater than or equal to the cutoff value of 0.4 is a positive result, and an ELISA OD value less than the cutoff value is a negative result. &#x02028;&#x02021;Neutralization titers of samples were determined by using the reciprocal of the highest dilution that resulted in &#x0003e;50% reduction of luciferase activity in pseudovirus virus neutralization. A VNT greater than or equal to the cutoff value of 16 is a positive result, and a VNT less than the cutoff value is a negative result.</p></table-wrap-foot></table-wrap></sec><sec><title>SARS-CoV-2 Seroprevalence in Domestic Dogs</title><p>We tested 500 dog samples by using the SARS-CoV-2 S1 and RBD ELISAs (<xref ref-type="fig" rid="F4">Figure 4</xref>, panels B, D). FCoV type II S1 was included as an additional antigen, and results showed that 40.4% were positive for FCoV type II S1 antibody (indicator of CCoV exposure). Nine samples were positive for SARS-CoV-2 S1, of which only 1 was positive for RBD (<xref rid="T2" ref-type="table">Table 2</xref>; <xref ref-type="fig" rid="F4">Figure 4</xref>, panel D). Only the sample that reacted with SARS-CoV-2 S1 and RBD was able to neutralize SARS2-VSV. Randomly chosen ELISA negative samples (n = 50) were negative in the VN assay (<xref rid="T2" ref-type="table">Table 2</xref>; <xref ref-type="fig" rid="F4">Figure 4</xref>, panel D). Thus, 1 (0.2%, 95% CI, &#x0003c;0.01%&#x02013;1.24%) of 500 of domestic dog samples with unknown SARS-CoV-2 exposure was considered seropositive.</p></sec><sec><title>Confirmation of SARS-CoV-2&#x02013;Specific Antibodies in Dog Samples by using Adsorption Assays</title><p>The 2 seropositive dog samples also contained antibodies against CRCoV, which belongs to genus <italic>Betacoronavirus</italic>, as does SARS-CoV-2 (<xref ref-type="fig" rid="F5">Figure 5</xref>). To corroborate SARS-CoV-2 seropositivity, we performed an antigen S1 adsorption assay with S1 proteins of SARS-CoV-2 or BCoV (proxy for CRCoV). HCoV-229E (genus <italic>Alphacoronavirus</italic>) S1 was used as a control. Although adsorption of 229E S1 did not change ELISA reactivity for serum samples against SARS-CoV-2 and BCoV antigens, adsorption of SARS-CoV-2 and BCoV S1 specifically removed ELISA reactivity against the corresponding protein (<xref ref-type="fig" rid="F5">Figure 5</xref>). These data confirmed that ELISA reactivity against SARS-CoV-2 for these 2 dog samples is specific, in accordance with the screening of CRCoV-positive pre&#x02013;COVID-19 dog samples described earlier, which did not show cross-reactivity with SARS-CoV-2 S1 in our ELISAs.</p><fig id="F5" fig-type="figure" position="float"><label>Figure 5</label><caption><p>Corroboration of SARS-CoV-2 seropositivity in dog samples with adsorption assays, the Netherlands. ELISA reactivities of the 2 positive dog samples were determined against SARS-CoV-2 S1, RBD, and BCoV S1 after mock adsorption or adsorption with HCoV-229E S1, SARS-CoV-2 S1, or BCoV S1 proteins. The 2 seropositive dog samples (027 and 2H5) are from the SARS-CoV-2&#x02013;exposed cohort and 2020 cohort, respectively BCoV, bovine coronavirus; HCoV, human coronavirus; RBD, receptor-binding domain; S1, spike protein subunit 1; SARS-CoV-2, severe acute respiratory syndrome coronavirus 2.</p></caption><graphic xlink:href="20-4055-F5"/></fig></sec></sec><sec sec-type="discussion"><title>Discussion</title><p>Because SARS-CoV-2 can infect cats and dogs, the virus might spread in this population and animals might act as a reservoir with the possibility of animal-to-human transmission. Although so far the pandemic has been driven by human-to-human transmission, it is useful to know whether domestic animals can play a role in maintenance and spread of SARS-CoV-2 infections, as underscored by the recent reports that workers from mink farms had acquired SARS-CoV-2 from minks (<xref rid="R24" ref-type="bibr"><italic>24</italic></xref>,<xref rid="R25" ref-type="bibr"><italic>25</italic></xref>). For these studies, verified serologic assays that detect virus-specific antibody responses in cats and dogs are needed. In our study, we modified assays used in human epidemiologic studies and validated ELISAs to detect SARS-CoV-2 S1 and RBD antibodies and VN by using pseudotyped SARS2-VSV for screening cat and dog samples. We defined seropositivity on the basis of results for positive samples from the SARS-CoV-2&#x02013;exposed cohort.</p><p>We also showed that N protein, which is used in serologic studies with human samples (<xref rid="R19" ref-type="bibr"><italic>19</italic></xref>,<xref rid="R26" ref-type="bibr"><italic>26</italic></xref>), lacks discriminating power. We found a poor correlation between the results of the N protein ELISA and the VNT and the S1 and RBD ELISAs. Several of the pre&#x02013;COVID-19 samples were positive in the N protein ELISA, probably because of antigenic cross-reactivity between SARS-CoV-2 and FCoV type I N proteins. These data validate SARS-CoV-2 S1 and RBD and exclude N protein as antigens for serologic screening of cat and dog serum samples. A similar phenomenon was also reported between porcine epidemic diarrhea virus and porcine transmissible gastroenteritis virus (<xref rid="R27" ref-type="bibr"><italic>27</italic></xref>). Therefore, N protein cannot be used for serologic screening of samples from cats and dogs.</p><p>To date, most studies focused on molecular detection of SARS-CoV-2 in exposed animals, and virus detection is also used as the case definition by the World Organisation for Animal Health (<xref rid="R28" ref-type="bibr"><italic>28</italic></xref>). However, serologic studies are needed to gain insights into the role of domestic animals in the epidemiology of the disease because they serve as a strong functional complement of molecular detection. In a recent molecular survey, no positive samples were detected for 4,000 samples from companion animals (cats, dogs, and horses) (<xref rid="R29" ref-type="bibr"><italic>29</italic></xref>). However, serologic screening was not performed. In our study of samples from domestic animals with unknown SARS-CoV-2 exposure, we determined seroprevalences for SARS-CoV-2 of 0.4% for cats and 0.2% for dogs, which is lower than the prevalence rate of endemic coronaviruses, such as FCoV and CCoV, and also lower than the seroprevalence estimate in human populations in the Netherlands (2.7%&#x02013;9.5%) at the period of sample collection (<xref rid="R30" ref-type="bibr"><italic>30</italic></xref>,<xref rid="R31" ref-type="bibr"><italic>31</italic></xref>). In our study, we also found a much lower seroprevalence than for domestic cats and dogs in northern Italy, where &#x0003e;3% of samples were seropositive (<xref rid="R32" ref-type="bibr"><italic>32</italic></xref>). However, all of these animals lived in SARS-CoV-2&#x02013;positive households or in severely affected geographic areas. Such observations demonstrate that cats and dogs can acquire SARS-CoV-2 infection, but that the virus was not widely circulating in the cat and dog populations of the Netherlands at the time of sampling (April&#x02013;May 2020).</p><p>VN assays are considered to be the reference standard for assessing immunity to many coronavirus infections based on their exceptional specificity (<xref rid="R33" ref-type="bibr"><italic>33</italic></xref>). Therefore, we defined a sample positive when the S1 and RBD ELISA results were positive and confirmed by VN. In our screening, 4 cat samples were positive for S1 and RBD by ELISAs, but failed to neutralize SARS2-VSV infection and were defined as suspected. This finding might be related to individual differences in development of neutralizing antibodies, such as different levels of SARS-CoV-2 exposure and time of sampling postinfection. In humans with asymptomatic or mild infection of Middle East respiratory syndrome coronavirus and SARS-CoV-2, samples were seropositive but failed to neutralize virus infection (<xref rid="R33" ref-type="bibr"><italic>33</italic></xref>,<xref rid="R34" ref-type="bibr"><italic>34</italic></xref>). Moreover, 14 samples reacted only with S1 or RBD in ELISAs and were defined as seronegative because they did not reach our diagnostic threshold (<xref rid="T2" ref-type="table">Table 2</xref>).</p><p>One limitation of our study is that lack of knowledge on the kinetics of SARS-CoV-2 antibodies in cats and dogs limits the setup of validated serologic assays. VN assays are considered to be a standard, but little is known regarding sensitivity compared with S1 or RBD ELISAs for identifying SARS-CoV-2 infections. Future studies require systematic analyses of development of antibody responses against different antigens in cats and dogs experimentally infected with SARS-CoV-2. In addition, regarding sampling methods used for the 2020 cohort, it is not possible to trace the health status and the level of SARS-CoV-2 exposure for those animals. Therefore, we cannot make any associations between antibody levels and clinical status. Also, our data report mainly SARS-CoV-2 seroprevalence during the first wave of the COVID-19 pandemic (April&#x02013;May 2020). Whether seroprevalence is different during the second wave of the pandemic remains unknown. Moreover, possible implication of the emergence of new SARS-CoV-2 variant strains on the infection of animals remains to be established.</p><p>Overall, we developed and validated a set of serologic assays, and conducted seroprevalence study of SARS-CoV-2 infection in domestic cats and dogs in the Netherlands. The general prevalence rate was low at the time of sampling, indicating that cats and dogs are probably incidental hosts because of occasional SARS-CoV-2 spillover from humans. However, continued serosurveillance is needed to monitor possible, sustained transmission of SARS-CoV-2 infection in companion animals and a wider range of other animal species. This need is especially required because the incidence of COVID-19 in humans is still increasing in several parts of the world.</p></sec></body><back><fn-group><fn fn-type="citation"><p><italic>Suggested citation for this article</italic>: Zhao S, Schuurman N, Li W, Wang C, Smit LAM, Broens EM, et al. Serologic screening of severe acute respiratory syndrome coronavirus 2 infection in cats and dogs during first coronavirus disease wave, the Netherlands. Emerg Infect Dis. 2021 May [<italic>date cited</italic>]. <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.3201/eid2705.204055">https://doi.org/10.3201/eid2705.204055</ext-link></p></fn></fn-group><ack><title>Acknowledgments</title><p>We thank Carien Radstake and the team at the Veterinary Microbiological Diagnostic Center (Utrecht, the Netherlands) for their contributions and Jie Chen for creating the choropleth map.</p><p>This study was supported by the Dutch Ministry of Agriculture, Nature and Food Quality. S.Z. was supported by a grant from the China Scholarship Council (File no. 201606910061).</p></ack><bio id="d39e835"><p>Ms. Zhao is a doctoral candidate in the Virology Division, Faculty of Veterinary Medicine, Utrecht University, Utrecht. The Netherlands. Her primary research interest is seroepidemiologic studies of coronavirus and influenza A virus infections in companion animals.</p></bio><ref-list><title>References</title><ref id="R1"><label>1. </label><mixed-citation publication-type="journal"><string-name><surname>Zhou</surname>
<given-names>P</given-names></string-name>, <string-name><surname>Yang</surname>
<given-names>XL</given-names></string-name>, <string-name><surname>Wang</surname>
<given-names>XG</given-names></string-name>, <string-name><surname>Hu</surname>
<given-names>B</given-names></string-name>, <string-name><surname>Zhang</surname>
<given-names>L</given-names></string-name>, <string-name><surname>Zhang</surname>
<given-names>W</given-names></string-name>, <etal>et al.</etal>
<article-title>A pneumonia outbreak associated with a new coronavirus of probable bat origin.</article-title>
<source>Nature</source>. <year>2020</year>;<volume>579</volume>:<fpage>270</fpage>&#x02013;<lpage>3</lpage>. <pub-id pub-id-type="doi">10.1038/s41586-020-2012-7</pub-id><pub-id pub-id-type="pmid">32015507</pub-id></mixed-citation></ref><ref id="R2"><label>2. </label><mixed-citation publication-type="journal"><string-name><surname>Wang</surname>
<given-names>C</given-names></string-name>, <string-name><surname>Horby</surname>
<given-names>PW</given-names></string-name>, <string-name><surname>Hayden</surname>
<given-names>FG</given-names></string-name>, <string-name><surname>Gao</surname>
<given-names>GF</given-names></string-name>. <article-title>A novel coronavirus outbreak of global health concern.</article-title>
<source>Lancet</source>. <year>2020</year>;<volume>395</volume>:<fpage>470</fpage>&#x02013;<lpage>3</lpage>. <pub-id pub-id-type="doi">10.1016/S0140-6736(20)30185-9</pub-id><pub-id pub-id-type="pmid">31986257</pub-id></mixed-citation></ref><ref id="R3"><label>3. </label><mixed-citation publication-type="webpage"><collab>World Health Organization</collab>. Coronavirus disease (COVID-19) situation reports [<comment>cited 2021 Jan 15</comment>]. <ext-link ext-link-type="uri" xlink:href="https://www.who.int/publications/m/item/weekly-epidemiological-update%E2%80%9412-january-2021">https://www.who.int/ publications/m/item/weekly-epidemiological-update&#x02014;12-january-2021</ext-link></mixed-citation></ref><ref id="R4"><label>4. </label><mixed-citation publication-type="journal"><string-name><surname>Shi</surname>
<given-names>J</given-names></string-name>, <string-name><surname>Wen</surname>
<given-names>Z</given-names></string-name>, <string-name><surname>Zhong</surname>
<given-names>G</given-names></string-name>, <string-name><surname>Yang</surname>
<given-names>H</given-names></string-name>, <string-name><surname>Wang</surname>
<given-names>C</given-names></string-name>, <string-name><surname>Huang</surname>
<given-names>B</given-names></string-name>, <etal>et al.</etal>
<article-title>Susceptibility of ferrets, cats, dogs, and other domesticated animals to SARS-coronavirus 2.</article-title>
<source>Science</source>. <year>2020</year>;<volume>368</volume>:<fpage>1016</fpage>&#x02013;<lpage>20</lpage>. <pub-id pub-id-type="doi">10.1126/science.abb7015</pub-id><pub-id pub-id-type="pmid">32269068</pub-id></mixed-citation></ref><ref id="R5"><label>5. </label><mixed-citation publication-type="journal"><string-name><surname>Lu</surname>
<given-names>S</given-names></string-name>, <string-name><surname>Zhao</surname>
<given-names>Y</given-names></string-name>, <string-name><surname>Yu</surname>
<given-names>W</given-names></string-name>, <string-name><surname>Yang</surname>
<given-names>Y</given-names></string-name>, <string-name><surname>Gao</surname>
<given-names>J</given-names></string-name>, <string-name><surname>Wang</surname>
<given-names>J</given-names></string-name>, <etal>et al.</etal>
<article-title>Comparison of nonhuman primates identified the suitable model for COVID-19.</article-title>
<source>Signal Transduct Target Ther</source>. <year>2020</year>;<volume>5</volume>:<fpage>157</fpage>. <pub-id pub-id-type="doi">10.1038/s41392-020-00269-6</pub-id><pub-id pub-id-type="pmid">32814760</pub-id></mixed-citation></ref><ref id="R6"><label>6. </label><mixed-citation publication-type="journal"><string-name><surname>Schlottau</surname>
<given-names>K</given-names></string-name>, <string-name><surname>Rissmann</surname>
<given-names>M</given-names></string-name>, <string-name><surname>Graaf</surname>
<given-names>A</given-names></string-name>, <string-name><surname>Sch&#x000f6;n</surname>
<given-names>J</given-names></string-name>, <string-name><surname>Sehl</surname>
<given-names>J</given-names></string-name>, <string-name><surname>Wylezich</surname>
<given-names>C</given-names></string-name>, <etal>et al.</etal>
<article-title>SARS-CoV-2 in fruit bats, ferrets, pigs, and chickens: an experimental transmission study.</article-title>
<source>Lancet Microbe</source>. <year>2020</year>;<volume>1</volume>:<fpage>e218</fpage>&#x02013;<lpage>25</lpage>. <pub-id pub-id-type="doi">10.1016/S2666-5247(20)30089-6</pub-id><pub-id pub-id-type="pmid">32838346</pub-id></mixed-citation></ref><ref id="R7"><label>7. </label><mixed-citation publication-type="journal"><string-name><surname>Newman</surname>
<given-names>A</given-names></string-name>, <string-name><surname>Smith</surname>
<given-names>D</given-names></string-name>, <string-name><surname>Ghai</surname>
<given-names>RR</given-names></string-name>, <string-name><surname>Wallace</surname>
<given-names>RM</given-names></string-name>, <string-name><surname>Torchetti</surname>
<given-names>MK</given-names></string-name>, <string-name><surname>Loiacono</surname>
<given-names>C</given-names></string-name>, <etal>et al.</etal>
<article-title>First reported cases of SARS-CoV-2 infection in companion animals&#x02014;New York, March&#x02013;April 2020.</article-title>
<source>MMWR Morb Mortal Wkly Rep</source>. <year>2020</year>;<volume>69</volume>:<fpage>710</fpage>&#x02013;<lpage>3</lpage>. <pub-id pub-id-type="doi">10.15585/mmwr.mm6923e3</pub-id><pub-id pub-id-type="pmid">32525853</pub-id></mixed-citation></ref><ref id="R8"><label>8. </label><mixed-citation publication-type="journal"><string-name><surname>Sit</surname>
<given-names>THC</given-names></string-name>, <string-name><surname>Brackman</surname>
<given-names>CJ</given-names></string-name>, <string-name><surname>Ip</surname>
<given-names>SM</given-names></string-name>, <string-name><surname>Tam</surname>
<given-names>KWS</given-names></string-name>, <string-name><surname>Law</surname>
<given-names>PYT</given-names></string-name>, <string-name><surname>To</surname>
<given-names>EMW</given-names></string-name>, <etal>et al.</etal>
<article-title>Infection of dogs with SARS-CoV-2.</article-title>
<source>Nature</source>. <year>2020</year>;<volume>586</volume>:<fpage>776</fpage>&#x02013;<lpage>8</lpage>. <pub-id pub-id-type="doi">10.1038/s41586-020-2334-5</pub-id><pub-id pub-id-type="pmid">32408337</pub-id></mixed-citation></ref><ref id="R9"><label>9. </label><mixed-citation publication-type="journal"><string-name><surname>Sailleau</surname>
<given-names>C</given-names></string-name>, <string-name><surname>Dumarest</surname>
<given-names>M</given-names></string-name>, <string-name><surname>Vanhomwegen</surname>
<given-names>J</given-names></string-name>, <string-name><surname>Delaplace</surname>
<given-names>M</given-names></string-name>, <string-name><surname>Caro</surname>
<given-names>V</given-names></string-name>, <string-name><surname>Kwasiborski</surname>
<given-names>A</given-names></string-name>, <etal>et al.</etal>
<article-title>First detection and genome sequencing of SARS-CoV-2 in an infected cat in France.</article-title>
<source>Transbound Emerg Dis</source>. <year>2020</year>;<volume>67</volume>:<fpage>2324</fpage>&#x02013;<lpage>8</lpage>. <pub-id pub-id-type="doi">10.1111/tbed.13659</pub-id><pub-id pub-id-type="pmid">32500944</pub-id></mixed-citation></ref><ref id="R10"><label>10. </label><mixed-citation publication-type="journal"><string-name><surname>Ruiz-Arrondo</surname>
<given-names>I</given-names></string-name>, <string-name><surname>Portillo</surname>
<given-names>A</given-names></string-name>, <string-name><surname>Palomar</surname>
<given-names>AM</given-names></string-name>, <string-name><surname>Santib&#x000e1;&#x000f1;ez</surname>
<given-names>S</given-names></string-name>, <string-name><surname>Santib&#x000e1;&#x000f1;ez</surname>
<given-names>P</given-names></string-name>, <string-name><surname>Cervera</surname>
<given-names>C</given-names></string-name>, <etal>et al.</etal>
<article-title>Detection of SARS-CoV-2 in pets living with COVID-19 owners diagnosed during the COVID-19 lockdown in Spain: A case of an asymptomatic cat with SARS-CoV-2 in Europe.</article-title>
<source>Transbound Emerg Dis</source>. <year>2020</year>;<elocation-id>tbed.13803</elocation-id>; <comment>Epub ahead of print</comment>. <pub-id pub-id-type="doi">10.1111/tbed.13803</pub-id><pub-id pub-id-type="pmid">32810370</pub-id></mixed-citation></ref><ref id="R11"><label>11. </label><mixed-citation publication-type="journal"><string-name><surname>Barrs</surname>
<given-names>VR</given-names></string-name>, <string-name><surname>Peiris</surname>
<given-names>M</given-names></string-name>, <string-name><surname>Tam</surname>
<given-names>KWS</given-names></string-name>, <string-name><surname>Law</surname>
<given-names>PYT</given-names></string-name>, <string-name><surname>Brackman</surname>
<given-names>CJ</given-names></string-name>, <string-name><surname>To</surname>
<given-names>EMW</given-names></string-name>, <etal>et al.</etal>
<article-title>SARS-CoV-2 in quarantined domestic cats from COVID-19 households or close contacts, Hong Kong, China.</article-title>
<source>Emerg Infect Dis</source>. <year>2020</year>;<volume>26</volume>:<fpage>3071</fpage>&#x02013;<lpage>4</lpage>. <pub-id pub-id-type="doi">10.3201/eid2612.202786</pub-id><pub-id pub-id-type="pmid">32938527</pub-id></mixed-citation></ref><ref id="R12"><label>12. </label><mixed-citation publication-type="journal"><string-name><surname>Garigliany</surname>
<given-names>M</given-names></string-name>, <string-name><surname>Van Laere</surname>
<given-names>AS</given-names></string-name>, <string-name><surname>Clercx</surname>
<given-names>C</given-names></string-name>, <string-name><surname>Giet</surname>
<given-names>D</given-names></string-name>, <string-name><surname>Escriou</surname>
<given-names>N</given-names></string-name>, <string-name><surname>Huon</surname>
<given-names>C</given-names></string-name>, <etal>et al.</etal>
<article-title>SARS-CoV-2 natural transmission from human to cat, Belgium, March 2020.</article-title>
<source>Emerg Infect Dis</source>. <year>2020</year>;<volume>26</volume>:<fpage>3069</fpage>&#x02013;<lpage>71</lpage>. <pub-id pub-id-type="doi">10.3201/eid2612.202223</pub-id><pub-id pub-id-type="pmid">32788033</pub-id></mixed-citation></ref><ref id="R13"><label>13. </label><mixed-citation publication-type="journal"><string-name><surname>Fritz</surname>
<given-names>M</given-names></string-name>, <string-name><surname>Rosolen</surname>
<given-names>B</given-names></string-name>, <string-name><surname>Krafft</surname>
<given-names>E</given-names></string-name>, <string-name><surname>Becquart</surname>
<given-names>P</given-names></string-name>, <string-name><surname>Elguero</surname>
<given-names>E</given-names></string-name>, <string-name><surname>Vratskikh</surname>
<given-names>O</given-names></string-name>, <etal>et al.</etal>
<article-title>High prevalence of SARS-CoV-2 antibodies in pets from COVID-19+ households.</article-title>
<source>One Health</source>. <year>2021</year>;<volume>11</volume>:<elocation-id>100192</elocation-id>. <pub-id pub-id-type="doi">10.1016/j.onehlt.2020.100192</pub-id><pub-id pub-id-type="pmid">33169106</pub-id></mixed-citation></ref><ref id="R14"><label>14. </label><mixed-citation publication-type="journal"><string-name><surname>Neira</surname>
<given-names>V</given-names></string-name>, <string-name><surname>Brito</surname>
<given-names>B</given-names></string-name>, <string-name><surname>Ag&#x000fc;ero</surname>
<given-names>B</given-names></string-name>, <string-name><surname>Berrios</surname>
<given-names>F</given-names></string-name>, <string-name><surname>Vald&#x000e9;s</surname>
<given-names>V</given-names></string-name>, <string-name><surname>Gutierrez</surname>
<given-names>A</given-names></string-name>, <etal>et al.</etal>
<article-title>A household case evidences shorter shedding of SARS-CoV-2 in naturally infected cats compared to their human owners.</article-title>
<source>Emerg Microbes Infect</source>. <year>2020</year>;<volume>&#x02022;&#x02022;&#x02022;</volume>:<fpage>1</fpage>&#x02013;<lpage>22</lpage>.<pub-id pub-id-type="pmid">33317424</pub-id></mixed-citation></ref><ref id="R15"><label>15. </label><mixed-citation publication-type="journal"><string-name><surname>Michelitsch</surname>
<given-names>A</given-names></string-name>, <string-name><surname>Hoffmann</surname>
<given-names>D</given-names></string-name>, <string-name><surname>Wernike</surname>
<given-names>K</given-names></string-name>, <string-name><surname>Beer</surname>
<given-names>M</given-names></string-name>. <article-title>Occurrence of antibodies against SARS-CoV-2 in the domestic cat population of Germany.</article-title>
<source>Vaccines (Basel)</source>. <year>2020</year>;<volume>8</volume>:<fpage>1</fpage>&#x02013;<lpage>10</lpage>. <pub-id pub-id-type="doi">10.3390/vaccines8040772</pub-id><pub-id pub-id-type="pmid">33348613</pub-id></mixed-citation></ref><ref id="R16"><label>16. </label><mixed-citation publication-type="journal"><string-name><surname>Vogel</surname>
<given-names>L</given-names></string-name>, <string-name><surname>Van der Lubben</surname>
<given-names>M</given-names></string-name>, <string-name><surname>te Lintelo</surname>
<given-names>EG</given-names></string-name>, <string-name><surname>Bekker</surname>
<given-names>CP</given-names></string-name>, <string-name><surname>Geerts</surname>
<given-names>T</given-names></string-name>, <string-name><surname>Schuijff</surname>
<given-names>LS</given-names></string-name>, <etal>et al.</etal>
<article-title>Pathogenic characteristics of persistent feline enteric coronavirus infection in cats.</article-title>
<source>Vet Res</source>. <year>2010</year>;<volume>41</volume>:<fpage>71</fpage>. <pub-id pub-id-type="doi">10.1051/vetres/2010043</pub-id><pub-id pub-id-type="pmid">20663472</pub-id></mixed-citation></ref><ref id="R17"><label>17. </label><mixed-citation publication-type="journal"><string-name><surname>Oreshkova</surname>
<given-names>N</given-names></string-name>, <string-name><surname>Molenaar</surname>
<given-names>RJ</given-names></string-name>, <string-name><surname>Vreman</surname>
<given-names>S</given-names></string-name>, <string-name><surname>Harders</surname>
<given-names>F</given-names></string-name>, <string-name><surname>Oude Munnink</surname>
<given-names>BB</given-names></string-name>, <string-name><surname>Hakze-van der Honing</surname>
<given-names>RW</given-names></string-name>, <etal>et al.</etal>
<article-title>SARS-CoV-2 infection in farmed minks, the Netherlands, April and May 2020.</article-title>
<source>Euro Surveill</source>. <year>2020</year>;<volume>25</volume>:<elocation-id>2001005</elocation-id>. <pub-id pub-id-type="doi">10.2807/1560-7917.ES.2020.25.23.2001005</pub-id><pub-id pub-id-type="pmid">32553059</pub-id></mixed-citation></ref><ref id="R18"><label>18. </label><mixed-citation publication-type="journal"><string-name><surname>Wang</surname>
<given-names>C</given-names></string-name>, <string-name><surname>Li</surname>
<given-names>W</given-names></string-name>, <string-name><surname>Drabek</surname>
<given-names>D</given-names></string-name>, <string-name><surname>Okba</surname>
<given-names>NMA</given-names></string-name>, <string-name><surname>van Haperen</surname>
<given-names>R</given-names></string-name>, <string-name><surname>Osterhaus</surname>
<given-names>ADME</given-names></string-name>, <etal>et al.</etal>
<article-title>A human monoclonal antibody blocking SARS-CoV-2 infection.</article-title>
<source>Nat Commun</source>. <year>2020</year>;<volume>11</volume>:<fpage>2251</fpage>. <pub-id pub-id-type="doi">10.1038/s41467-020-16256-y</pub-id><pub-id pub-id-type="pmid">32366817</pub-id></mixed-citation></ref><ref id="R19"><label>19. </label><mixed-citation publication-type="journal"><string-name><surname>Okba</surname>
<given-names>NMA</given-names></string-name>, <string-name><surname>M&#x000fc;ller</surname>
<given-names>MA</given-names></string-name>, <string-name><surname>Li</surname>
<given-names>W</given-names></string-name>, <string-name><surname>Wang</surname>
<given-names>C</given-names></string-name>, <string-name><surname>GeurtsvanKessel</surname>
<given-names>CH</given-names></string-name>, <string-name><surname>Corman</surname>
<given-names>VM</given-names></string-name>, <etal>et al.</etal>
<article-title>Severe acute respiratory syndrome coronavirus 2&#x02013;specific antibody responses in coronavirus disease patients.</article-title>
<source>Emerg Infect Dis</source>. <year>2020</year>;<volume>26</volume>:<fpage>1478</fpage>&#x02013;<lpage>88</lpage>. <pub-id pub-id-type="doi">10.3201/eid2607.200841</pub-id><pub-id pub-id-type="pmid">32267220</pub-id></mixed-citation></ref><ref id="R20"><label>20. </label><mixed-citation publication-type="journal"><string-name><surname>Zhao</surname>
<given-names>S</given-names></string-name>, <string-name><surname>Li</surname>
<given-names>W</given-names></string-name>, <string-name><surname>Schuurman</surname>
<given-names>N</given-names></string-name>, <string-name><surname>van Kuppeveld</surname>
<given-names>F</given-names></string-name>, <string-name><surname>Bosch</surname>
<given-names>B-J</given-names></string-name>, <string-name><surname>Egberink</surname>
<given-names>H</given-names></string-name>. <article-title>Serological screening for coronavirus infections in cats.</article-title>
<source>Viruses</source>. <year>2019</year>;<volume>11</volume>:<fpage>743</fpage>. <pub-id pub-id-type="doi">10.3390/v11080743</pub-id><pub-id pub-id-type="pmid">31412572</pub-id></mixed-citation></ref><ref id="R21"><label>21. </label><mixed-citation publication-type="journal"><string-name><surname>Qiu</surname>
<given-names>C</given-names></string-name>, <string-name><surname>Huang</surname>
<given-names>Y</given-names></string-name>, <string-name><surname>Zhang</surname>
<given-names>A</given-names></string-name>, <string-name><surname>Tian</surname>
<given-names>D</given-names></string-name>, <string-name><surname>Wan</surname>
<given-names>Y</given-names></string-name>, <string-name><surname>Zhang</surname>
<given-names>X</given-names></string-name>, <etal>et al.</etal>
<article-title>Safe pseudovirus-based assay for neutralization antibodies against influenza A(H7N9) virus.</article-title>
<source>Emerg Infect Dis</source>. <year>2013</year>;<volume>19</volume>:<fpage>1685</fpage>&#x02013;<lpage>7</lpage>. <pub-id pub-id-type="doi">10.3201/eid1910.130728</pub-id><pub-id pub-id-type="pmid">24047684</pub-id></mixed-citation></ref><ref id="R22"><label>22. </label><mixed-citation publication-type="journal"><string-name><surname>Haake</surname>
<given-names>C</given-names></string-name>, <string-name><surname>Cook</surname>
<given-names>S</given-names></string-name>, <string-name><surname>Pusterla</surname>
<given-names>N</given-names></string-name>, <string-name><surname>Murphy</surname>
<given-names>B</given-names></string-name>. <article-title>Coronavirus infections in companion animals: virology, epidemiology, clinical and pathologic features.</article-title>
<source>Viruses</source>. <year>2020</year>;<volume>12</volume>:<elocation-id>E1023</elocation-id>. <pub-id pub-id-type="doi">10.3390/v12091023</pub-id><pub-id pub-id-type="pmid">32933150</pub-id></mixed-citation></ref><ref id="R23"><label>23. </label><mixed-citation publication-type="journal"><string-name><surname>Hohdatsu</surname>
<given-names>T</given-names></string-name>, <string-name><surname>Okada</surname>
<given-names>S</given-names></string-name>, <string-name><surname>Ishizuka</surname>
<given-names>Y</given-names></string-name>, <string-name><surname>Yamada</surname>
<given-names>H</given-names></string-name>, <string-name><surname>Koyama</surname>
<given-names>H</given-names></string-name>. <article-title>The prevalence of types I and II feline coronavirus infections in cats.</article-title>
<source>J Vet Med Sci</source>. <year>1992</year>;<volume>54</volume>:<fpage>557</fpage>&#x02013;<lpage>62</lpage>. <pub-id pub-id-type="doi">10.1292/jvms.54.557</pub-id><pub-id pub-id-type="pmid">1322718</pub-id></mixed-citation></ref><ref id="R24"><label>24. </label><mixed-citation publication-type="journal"><string-name><surname>Hammer</surname>
<given-names>AS</given-names></string-name>, <string-name><surname>Quaade</surname>
<given-names>ML</given-names></string-name>, <string-name><surname>Rasmussen</surname>
<given-names>TB</given-names></string-name>, <string-name><surname>Fonager</surname>
<given-names>J</given-names></string-name>, <string-name><surname>Rasmussen</surname>
<given-names>M</given-names></string-name>, <string-name><surname>Mundbjerg</surname>
<given-names>K</given-names></string-name>, <etal>et al.</etal>
<article-title>SARS-CoV-2 transmission between mink (<italic>Neovison vison</italic>) and humans, Denmark.</article-title>
<source>Emerg Infect Dis</source>. <year>2021</year>;<volume>27</volume>:<fpage>547</fpage>&#x02013;<lpage>51</lpage>. <pub-id pub-id-type="doi">10.3201/eid2702.203794</pub-id><pub-id pub-id-type="pmid">33207152</pub-id></mixed-citation></ref><ref id="R25"><label>25. </label><mixed-citation publication-type="journal"><string-name><surname>Oude Munnink</surname>
<given-names>BB</given-names></string-name>, <string-name><surname>Sikkema</surname>
<given-names>RS</given-names></string-name>, <string-name><surname>Nieuwenhuijse</surname>
<given-names>DF</given-names></string-name>, <string-name><surname>Molenaar</surname>
<given-names>RJ</given-names></string-name>, <string-name><surname>Munger</surname>
<given-names>E</given-names></string-name>, <string-name><surname>Molenkamp</surname>
<given-names>R</given-names></string-name>, <etal>et al.</etal>
<article-title>Transmission of SARS-CoV-2 on mink farms between humans and mink and back to humans.</article-title>
<source>Science</source>. <year>2021</year>;<volume>371</volume>:<fpage>172</fpage>&#x02013;<lpage>7</lpage>. <pub-id pub-id-type="doi">10.1126/science.abe5901</pub-id><pub-id pub-id-type="pmid">33172935</pub-id></mixed-citation></ref><ref id="R26"><label>26. </label><mixed-citation publication-type="journal"><string-name><surname>Long</surname>
<given-names>QX</given-names></string-name>, <string-name><surname>Tang</surname>
<given-names>XJ</given-names></string-name>, <string-name><surname>Shi</surname>
<given-names>QL</given-names></string-name>, <string-name><surname>Li</surname>
<given-names>Q</given-names></string-name>, <string-name><surname>Deng</surname>
<given-names>HJ</given-names></string-name>, <string-name><surname>Yuan</surname>
<given-names>J</given-names></string-name>, <etal>et al.</etal>
<article-title>Clinical and immunological assessment of asymptomatic SARS-CoV-2 infections.</article-title>
<source>Nat Med</source>. <year>2020</year>;<volume>26</volume>:<fpage>1200</fpage>&#x02013;<lpage>4</lpage>. <pub-id pub-id-type="doi">10.1038/s41591-020-0965-6</pub-id><pub-id pub-id-type="pmid">32555424</pub-id></mixed-citation></ref><ref id="R27"><label>27. </label><mixed-citation publication-type="journal"><string-name><surname>Xie</surname>
<given-names>W</given-names></string-name>, <string-name><surname>Ao</surname>
<given-names>C</given-names></string-name>, <string-name><surname>Yang</surname>
<given-names>Y</given-names></string-name>, <string-name><surname>Liu</surname>
<given-names>Y</given-names></string-name>, <string-name><surname>Liang</surname>
<given-names>R</given-names></string-name>, <string-name><surname>Zeng</surname>
<given-names>Z</given-names></string-name>, <etal>et al.</etal>
<article-title>Two critical N-terminal epitopes of the nucleocapsid protein contribute to the cross-reactivity between porcine epidemic diarrhea virus and porcine transmissible gastroenteritis virus.</article-title>
<source>J Gen Virol</source>. <year>2019</year>;<volume>100</volume>:<fpage>206</fpage>&#x02013;<lpage>16</lpage>. <pub-id pub-id-type="doi">10.1099/jgv.0.001216</pub-id><pub-id pub-id-type="pmid">30652967</pub-id></mixed-citation></ref><ref id="R28"><label>28. </label><mixed-citation publication-type="webpage"><collab>World Organisation for Animal Health</collab>. Considerations for sampling, testing, and reporting of SARS-CoV-2 in animals. <year>2020</year>;33(May):1&#x02013;6 [<comment>cited 2021 Feb 21</comment>]. <ext-link ext-link-type="uri" xlink:href="https://www.oie.int/fileadmin/Home/eng/Our_scientific_expertise/docs/pdf/COV-19/Sampling_Testing_and_Reporting_of_SARS-CoV-2_in_animals_final_7May_2020.pdf">https://www.oie.int/fileadmin/Home/eng/Our_scientific_expertise/docs/pdf/COV-19/Sampling_Testing_and_Reporting_of_SARS-CoV-2_in_animals_final_7May_2020.pdf</ext-link></mixed-citation></ref><ref id="R29"><label>29. </label><mixed-citation publication-type="webpage"><collab>IDEXX</collab>. Overview of IDEXX SARS-CoV-2 (COVID-19) RealPCR test&#x02013;IDEXX US [<comment>cited 2020 Jun 28</comment>]. <ext-link ext-link-type="uri" xlink:href="https://www.idexx.com/en/veterinary/reference-laboratories/overview-idexx-sars-cov-2-covid-19-realpcr-test">https://www.idexx.com/en/veterinary/reference-laboratories/overview-idexx-sars-cov-2-covid-19-realpcr-test</ext-link></mixed-citation></ref><ref id="R30"><label>30. </label><mixed-citation publication-type="journal"><string-name><surname>Slot</surname>
<given-names>E</given-names></string-name>, <string-name><surname>Hogema</surname>
<given-names>BM</given-names></string-name>, <string-name><surname>Reusken</surname>
<given-names>CBEM</given-names></string-name>, <string-name><surname>Reimerink</surname>
<given-names>JH</given-names></string-name>, <string-name><surname>Molier</surname>
<given-names>M</given-names></string-name>, <string-name><surname>Karregat</surname>
<given-names>JHM</given-names></string-name>, <etal>et al.</etal>
<article-title>Low SARS-CoV-2 seroprevalence in blood donors in the early COVID-19 epidemic in the Netherlands.</article-title>
<source>Nat Commun</source>. <year>2020</year>;<volume>11</volume>:<fpage>5744</fpage>. <pub-id pub-id-type="doi">10.1038/s41467-020-19481-7</pub-id><pub-id pub-id-type="pmid">33184284</pub-id></mixed-citation></ref><ref id="R31"><label>31. </label><mixed-citation publication-type="journal"><string-name><surname>Vos</surname>
<given-names>ERA</given-names></string-name>, <string-name><surname>den Hartog</surname>
<given-names>G</given-names></string-name>, <string-name><surname>Schepp</surname>
<given-names>RM</given-names></string-name>, <string-name><surname>Kaaijk</surname>
<given-names>P</given-names></string-name>, <string-name><surname>van Vliet</surname>
<given-names>J</given-names></string-name>, <string-name><surname>Helm</surname>
<given-names>K</given-names></string-name>, <etal>et al.</etal>
<article-title>Nationwide seroprevalence of SARS-CoV-2 and identification of risk factors in the general population of the Netherlands during the first epidemic wave.</article-title>
<source>J Epidemiol Community Health</source>. <year>2020</year>;<volume>&#x02022;&#x02022;&#x02022;</volume>:<elocation-id>jech-2020-215678</elocation-id>. <pub-id pub-id-type="doi">10.1136/jech-2020-215678</pub-id><pub-id pub-id-type="pmid">33249407</pub-id></mixed-citation></ref><ref id="R32"><label>32. </label><mixed-citation publication-type="journal"><string-name><surname>Patterson</surname>
<given-names>EI</given-names></string-name>, <string-name><surname>Elia</surname>
<given-names>G</given-names></string-name>, <string-name><surname>Grassi</surname>
<given-names>A</given-names></string-name>, <string-name><surname>Giordano</surname>
<given-names>A</given-names></string-name>, <string-name><surname>Desario</surname>
<given-names>C</given-names></string-name>, <string-name><surname>Medardo</surname>
<given-names>M</given-names></string-name>, <etal>et al.</etal>
<article-title>Evidence of exposure to SARS-CoV-2 in cats and dogs from households in Italy.</article-title>
<source>Nat Commun</source>. <year>2020</year>;<volume>11</volume>:<fpage>6231</fpage>. <pub-id pub-id-type="doi">10.1038/s41467-020-20097-0</pub-id><pub-id pub-id-type="pmid">33277505</pub-id></mixed-citation></ref><ref id="R33"><label>33. </label><mixed-citation publication-type="journal"><string-name><surname>GeurtsvanKessel</surname>
<given-names>CH</given-names></string-name>, <string-name><surname>Okba</surname>
<given-names>NMA</given-names></string-name>, <string-name><surname>Igloi</surname>
<given-names>Z</given-names></string-name>, <string-name><surname>Bogers</surname>
<given-names>S</given-names></string-name>, <string-name><surname>Embregts</surname>
<given-names>CWE</given-names></string-name>, <string-name><surname>Laksono</surname>
<given-names>BM</given-names></string-name>, <etal>et al.</etal>
<article-title>An evaluation of COVID-19 serological assays informs future diagnostics and exposure assessment.</article-title>
<source>Nat Commun</source>. <year>2020</year>;<volume>11</volume>:<fpage>3436</fpage>. <pub-id pub-id-type="doi">10.1038/s41467-020-17317-y</pub-id><pub-id pub-id-type="pmid">32632160</pub-id></mixed-citation></ref><ref id="R34"><label>34. </label><mixed-citation publication-type="journal"><string-name><surname>Okba</surname>
<given-names>NMA</given-names></string-name>, <string-name><surname>Raj</surname>
<given-names>VS</given-names></string-name>, <string-name><surname>Widjaja</surname>
<given-names>I</given-names></string-name>, <string-name><surname>GeurtsvanKessel</surname>
<given-names>CH</given-names></string-name>, <string-name><surname>de Bruin</surname>
<given-names>E</given-names></string-name>, <string-name><surname>Chandler</surname>
<given-names>FD</given-names></string-name>, <etal>et al.</etal>
<article-title>Sensitive and specific detection of low-level antibody responses in mild Middle East respiratory syndrome coronavirus infections.</article-title>
<source>Emerg Infect Dis</source>. <year>2019</year>;<volume>25</volume>:<fpage>1868</fpage>&#x02013;<lpage>77</lpage>. <pub-id pub-id-type="doi">10.3201/eid2510.190051</pub-id><pub-id pub-id-type="pmid">31423970</pub-id></mixed-citation></ref></ref-list></back></article>