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Enzyme-linked immunosorbent assays using virus-like particles containing mutations of conserved residues on envelope protein can distinguish three flavivirus infections
Univ Hawaii Manoa, HI 96813 USA.
Univ Hawaii Manoa, HI 96813 USA.
Kaohsiung Med Univ, Taiwan.
Univ Hawaii Manoa, HI 96813 USA.
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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]

Available from: 2020-09-11 Created: 2020-09-11 Last updated: 2020-11-16

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