Enzyme-linked immunosorbent assays using virus-like particles containing mutations of conserved residues on envelope protein can distinguish three flavivirus infectionsShow others and affiliations
2020 (English)In: Emerging Microbes & Infections, E-ISSN 2222-1751, Vol. 9, no 1, p. 1722-1732Article in journal (Refereed) Published
Abstract [en]
The recent outbreaks of Zika virus (ZIKV) in flavivirus-endemic regions highlight the need for sensitive and specific serological tests. Previously we and others reported key fusion loop (FL) residues and/or BC loop (BCL) residues on dengue virus (DENV) envelope protein recognized by flavivirus cross-reactive human monoclonal antibodies and polyclonal sera. To improve ZIKV serodiagnosis, we employed wild type (WT) and FL or FL/BCL mutant virus-like particles (VLP) of ZIKV, DENV1 and West Nile virus (WNV) in enzyme linked immunosorbent assays (ELISA), and tested convalescent-phase serum or plasma samples from reverse-transcription PCR-confirmed cases with different ZIKV, DENV and WNV infections. For IgG ELISA, ZIKV WT-VLP had a sensitivity of 100% and specificity of 52.9%, which was improved to 83.3% by FL/BCL mutant VLP and 92.2% by the ratio of relative optical density of mutant to WT VLP. Similarly, DENV1 and WNV WT-VLP had a sensitivity/specificity of 100%/70.0% and 100%/56.3%, respectively; the specificity was improved to 93.3% and 83.0% by FL mutant VLP. For IgM ELISA, ZIKV, DENV1 and WNV WT-VLP had a specificity of 96.4%, 92.3% and 91.4%, respectively, for primary infection; the specificity was improved to 93.7-99.3% by FL or FL/BCL mutant VLP. An algorithm based on a combination of mutant and WT-VLP IgG ELISA is proposed to discriminate primary ZIKV, DENV and WNV infections as well as secondary DENV and ZIKV infection with previous DENV infections; this could be a powerful tool to better understand the seroprevalence and pathogenesis of ZIKV in regions where multiple flaviviruses co-circulate.
Place, publisher, year, edition, pages
TAYLOR & FRANCIS LTD , 2020. Vol. 9, no 1, p. 1722-1732
Keywords [en]
Zika virus; flavivirus; virus-like particles; serodiagnosis; fusion loop
National Category
Microbiology in the medical area
Identifiers
URN: urn:nbn:se:liu:diva-168847DOI: 10.1080/22221751.2020.1797540ISI: 000558498000001PubMedID: 32684139OAI: oai:DiVA.org:liu-168847DiVA, id: diva2:1466242
Note
Funding Agencies|National Institute of Allergy and Infectious DiseasesUnited States Department of Health & Human ServicesNational Institutes of Health (NIH) - USANIH National Institute of Allergy & Infectious Diseases (NIAID) [R01AI110769-01, R21AI135292-01A1]; National Institute of General Medical SciencesUnited States Department of Health & Human ServicesNational Institutes of Health (NIH) - USANIH National Institute of General Medical Sciences (NIGMS) [P30GM114737]; Ministry of Health and WelfareMinistry of Health, Labour and Welfare, Japan [MOHW109-TDU-B-212-114006]; National Health Research Institute, TaiwanNational Health Research Institutes - Taiwan [NHRI-109A1-MRCO-03202009]
2020-09-112020-09-112020-11-16