Title
Evaluation of two serological assays for diagnosing zika virus infection
Date Issued
01 September 2021
Access level
open access
Resource Type
journal article
Author(s)
Naval Medical Research
Naval Medical Research
Naval Medical Research
Publisher(s)
Multidisciplinary Digital Publishing Institute (MDPI)
Abstract
Zika virus (ZIKV) emerged and spread rapidly in South American countries during 2015. Efforts to diagnose ZIKV infection using serological tools were challenging in dengue-endemic areas because of antigenic similarities between both viruses. Here, we assessed the performance of an in-house developed IgM antibody capture enzyme-linked immunosorbent assay (MAC-ELISA) and the plaque reduction neutralization test (PRNT) to diagnose ZIKV infection. Acute and convalescent paired serum samples from 51 patients who presented with clinical symptoms suggestive of an arbovirus illness in dengue-endemic areas of Honduras, Venezuela, Colombia and Peru were used in the assessment. Samples were tested for ZIKV, dengue and chikungunya virus using a variety of laboratory techniques. The results for the ZIKV-RNA screening and seroconversion detected by the microneutralization test were used to construct a composite reference standard. The overall sensitivity and specificity for the MAC-ELISA were 93.5% and 100.0%, respectively. Contrastingly, the overall sensitivity and specificity for the PRNT were 96.8% and 95.0%, respectively. Restricting the analysis according to IgM or neutralizing antibodies against dengue, the performances of both serological assays were adequate. The findings of this study reveal that the MAC-ELISA and PRNT would provide initial reliable laboratory diagnostic assays for ZIKV infection in dengue-endemic areas.
Volume
11
Issue
9
Language
English
OCDE Knowledge area
Virología Medicina tropical
Scopus EID
2-s2.0-85116602499
Source
Diagnostics
ISSN of the container
20754418
Sponsor(s)
This study was supported by funding from US Department of Defense Health Agency. Armed Forces Health Surveillance Division (AFHSD), Global Emerging Infections Surveillance (GEIS) Section, ProMIS ID P0106_18_N6_01.01. The funders had no role in study design, data collection and analysis, the decision to publish, or the preparation of the manuscript. We would like to thank Ivette Lorenzana from Centro de Investigaciones Genéticas (CIG-IIM)-Universidad Nacional Autónoma de Honduras, Tegucigalpa, Honduras; Doris Gomez from Doctorado en Medicina Tropical, Universidad de Cartagena, Cartagena de Indias, Colombia; and Guillermo Comach from LARDIDEV/BIOMED-Universidad de Carabobo, Aragua, Venezuela, for their invaluable support to the febrile surveillance study.
Sources of information: Directorio de Producción Científica Scopus