Serosurveillance

血清监测
  • 文章类型: Journal Article
    水泡性口炎病毒(VSV)在美国西部的牲畜中定期爆发,被认为起源于该国以外。野猪(Susscrofa)已被确定为新泽西州水疱性口炎病毒(VSNJV)的扩增宿主,并已用于通过血清监测更好地了解该病毒的流行病学。这项研究旨在确定美国西部的野猪中是否存在针对尿泡性口炎印第安纳病毒(VSIV)和VSNJV的抗体,并确定血清阳性动物是否与先前在牲畜中检测到的VSV区域相关。使用病毒中和(VN)测试了总共4,541个野猪样品;使用竞争性ELISA(cELISA)证实了表现出针对一种或多种病毒的中和活性的样品。通过VN测定和来自Kinney县的动物的单个血清样品显示出8份血清中和活性,2019年12月取样的德克萨斯州通过cELISA检测出VSIV抗体呈阳性。这一发现得到了2019年6月同一县当地马VSIV爆发的支持。针对VSNJV和VSIV的抗体的低流行率是出乎意料的,但表明在美国西部的野猪不代表这些病毒中的任一种的地方性储存库。
    Vesicular stomatitis virus (VSV) outbreaks periodically occur in livestock in the western US and are thought to originate from outside this country. Feral swine (Sus scrofa) have been identified as an amplifying host for vesicular stomatitis New Jersey virus (VSNJV) and have been used to better understand the epidemiology of this virus through serosurveillance. This study aimed to determine if antibodies to vesicular stomatitis Indiana virus (VSIV) and VSNJV were present in feral swine in the western US and to determine if seropositive animals were associated with areas of previously detected VSV in livestock. A total of 4,541 feral swine samples was tested using virus neutralization (VN); samples exhibiting neutralizing activity against one or more of the viruses were confirmed using competitive ELISA (cELISA). Eight sera exhibited neutralizing activity by VN assay and a single serum sample from an animal from Kinney County, Texas sampled in December 2019 tested positive for antibodies to VSIV by cELISA. This finding is supported by a local outbreak of VSIV in horses in the same county in June 2019. The low prevalence of antibodies against VSNJV and VSIV was unexpected but indicates that feral swine in the western US do not represent an endemic reservoir for either of these viruses.
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  • 文章类型: Journal Article
    目的:监测利什曼原虫的传播被认为是在印度次大陆持续消除作为公共卫生问题的内脏利什曼病的战略重点。这项研究的目的是评估血清学调查是否可以区分有和没有利什曼原虫传播的社区。并评估哪种血清学标记物表现最好。
    方法:从比哈尔邦和北方邦选择了七个村庄,印度,被归类为目前的地方病,以前是地方性或非地方性的。用rK39RDT分析血样,DAT,和rK39ELISA。
    结果:与rK39RDT和DAT相反,rK39ELISA显示所有三类地方性之间存在显着差异,目前流行村庄的血清阳性率为5.21%,以前流行的村庄占1.55%,非地方病村庄为0.13%。即使只看10岁以下儿童的血清阳性率,rK39ELISA仍然能够区分有和没有持续传播的村庄.
    结论:我们的研究结果表明,rK39ELISA是监测利什曼原虫传播的最有希望的标志物。需要进一步验证,实用,需要制定适应环境的建议,以指导决策者在消除后阶段采取有意义和可持续的监测战略。
    OBJECTIVE: Monitoring of Leishmania transmission is considered a strategic priority for sustaining elimination of visceral leishmaniasis as a public health problem in the Indian subcontinent. The objective of this study was to evaluate whether serological surveys can distinguish between communities with and without Leishmania transmission, and to assess which serological marker performs best.
    METHODS: Seven villages were selected from Bihar and Uttar Pradesh state, India, and categorized as either currently endemic, previously endemic or non-endemic. Blood samples were analyzed with the rK39 RDT, DAT, and rK39 ELISA.
    RESULTS: Contrary to the rK39 RDT and DAT, the rK39 ELISA showed a significant difference between all three categories of endemicity, with a seroprevalence of 5.21% in currently endemic villages, 1.55% in previously endemic villages, and 0.13% in non-endemic villages. Even when only looking at the seroprevalence among children aged <10 years, the rK39 ELISA was still able to differentiate between villages with and without ongoing transmission.
    CONCLUSIONS: Our findings suggest the rK39 ELISA to be the most promising marker for monitoring of Leishmania transmission. Further validation is required, and practical, context-adapted recommendations need to be formulated in order to guide policy makers towards meaningful and sustainable surveillance strategies in the post-elimination phase.
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  • 文章类型: Journal Article
    波旁病毒(BRBV)是一种新兴的病原体,可以在人类中引起严重和致命的疾病。BRBV由Amblyommaamericanum(孤星蜱)矢量,广泛分布在中央,南方,和美国东部。野生动物物种对于BRBV的维持和传播可能很重要,但是对涉及哪些物种知之甚少,以及其他因素在BRBV暴露中起作用。为了评估圣路易斯地区野生动物对BRBV的暴露风险,我们收集了98个人的血清,代表来自圣路易斯县两个地点的6种不同的哺乳动物物种:泰森研究中心(TRC)和野生动物保护公园(WCP),从2021年秋季到2023年春季。将血清用于BRBV中和测定以检测中和抗体,并将RT-qPCR用于病毒RNA分析。我们还采样并比较了两个位置的A.americanum蜱的丰度,并建模了哪些因素影响了物种之间的BRBV血清阳性。在TRC,我们观察到浣熊的血清阳性率很高(Procyonlotor,23/25),和白尾鹿(Odocoileusvirginianus,18/27),但是负鼠的比率很低(维吉尼亚纳迪德尔菲斯,1/18).在采样的TRC山猫(Lynxrufus,4/4),土狼(犬科动物,3/3),和一只红狐狸(Vulpesvulpes,1/1)。病毒学分析鉴定了一个土狼血清样品中的BRBVRNA。与TRC相比,从WCP筛选的所有血清均为BRBV特异性中和抗体阴性,与TRC(2,316)相比,WCP(31)收集的蜱显著减少。总的来说,这些发现表明,BRBV在圣路易斯地区的多种野生动植物物种中循环,并且tick密度和宿主群落组成可能是BRBV生态学的重要因素。
    Bourbon virus (BRBV) is an emerging pathogen that can cause severe and fatal disease in humans. BRBV is vectored by Amblyomma americanum (lone star ticks), which are widely distributed across the central, southern, and eastern United States. Wildlife species are potentially important for the maintenance and transmission of BRBV, but little is known about which species are involved, and what other factors play a role in the exposure to BRBV. To assess the exposure risk to BRBV among wildlife in the St. Louis area, we collected sera from 98 individuals, representing 6 different mammalian species from two locations in St. Louis County: Tyson Research Center (TRC) and WildCare Park (WCP) from fall 2021 to spring 2023. The sera were used in a BRBV neutralization assay to detect neutralizing antibodies and RT-qPCR for viral RNA analysis. We also sampled and compared the abundance of A. americanum ticks at the two locations and modeled which factors influenced BRBV seropositivity across species. In TRC, we observed a high rate of seropositivity in raccoons (Procyon lotor, 23/25), and white-tailed deer (Odocoileus virginianus, 18/27), but a low rate in opossums (Didelphis virginiana, 1/18). Neutralizing antibodies were also detected in sampled TRC bobcats (Lynx rufus, 4/4), coyotes (Canis latrans, 3/3), and a red fox (Vulpes vulpes, 1/1). The virological analysis identified BRBV RNA in one of the coyote serum samples. In contrast to TRC, all sera screened from WCP were negative for BRBV-specific neutralizing antibodies, and significantly fewer ticks were collected at WCP (31) compared to TRC (2,316). Collectively, these findings suggest that BRBV circulates in multiple wildlife species in the St. Louis area and that tick density and host community composition may be important factors in BRBV ecology.
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  • 文章类型: Journal Article
    登革热是一种媒介传播的病毒性疾病,影响全球数百万人。然而,类似于许多其他疾病,报告显示,在COVID-19大流行期间(2020-22),登革热发病率和血清阳性率下降。这可能归因于寻求治疗的比率降低,少报,误诊,由于封锁,中断了卫生服务,减少了对病媒的接触。关于COVID-19大流行期间登革热病毒(DENV)疾病的科学证据在全球范围内是有限的。
    横截面,进行了随机整群抽样的社区调查,以评估泰米尔纳德邦所有38个地区的抗登革热IgM和IgG和SARS-CoV-2IgG血清阳性率,印度。对2021年伊蚊蚊池中DENV的患病率进行了分析,并通过实时PCR将其与之前和之后几年的DENV载体监测进行了比较。
    结果表明,所有地区的DENV-IgM和IgG血清阳性率和蚊子病毒阳性率均降低。共收集了来自186个集群的13464个蚊子池和5577个人血清样品。其中,3.76%的蚊子池对DENV呈阳性。在人类血清中,4·12%的DENVIgM阳性,6·4%的DENVIgG阳性。抗SARS-CoV-2抗体滴度与登革热血清阳性呈显着相关性,而疫苗接种状态与登革热IgM水平显着相关。
    持续监测DENV血清阳性率,特别是随着SARS-CoV-2病毒的变异和COVID-19病例的激增,将揭示登革热感染的传播和治疗属性。
    UNASSIGNED: Dengue is a vector-borne viral disease impacting millions across the globe. Nevertheless, akin to many other diseases, reports indicated a decline in dengue incidence and seroprevalence during the COVID-19 pandemic (2020-22). This presumably could be attributed to reduced treatment-seeking rates, under-reporting, misdiagnosis, disrupted health services and reduced exposure to vectors due to lockdowns. Scientific evidence on dengue virus (DENV) disease during the COVID-19 pandemic is limited globally.
    UNASSIGNED: A cross-sectional, randomized cluster sampling community-based survey was carried out to assess anti-dengue IgM and IgG and SARS-CoV-2 IgG seroprevalence across all 38 districts of Tamil Nadu, India. The prevalence of DENV in the Aedes mosquito pools during 2021 was analyzed and compared with previous and following years of vector surveillance for DENV by real-time PCR.
    UNASSIGNED: Results implicate that both DENV-IgM and IgG seroprevalence and mosquito viral positivity were reduced across all the districts. A total of 13464 mosquito pools and 5577 human serum samples from 186 clusters were collected. Of these, 3·76% of mosquito pools were positive for DENV. In the human sera, 4·12% were positive for DENV IgM and 6·4% were positive for DENV IgG. The anti-SARS-CoV-2 antibody titres correlated with dengue seropositivity with a significant association whereas vaccination status significantly correlated with dengue IgM levels.
    UNASSIGNED: Continuous monitoring of DENV seroprevalence, especially with the evolving variants of the SARS-CoV-2 virus and surge in COVID-19 cases will shed light on the transmission and therapeutic attributes of dengue infection.
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  • 文章类型: Journal Article
    在单个测定中评估针对多个抗原靶标的抗体应答的兴趣日益增加。对麻疹和风疹的免疫力通常是一起评估的,因为免疫力是通过联合疫苗提供的,而且在许多国家,对麻疹和风疹病原体的常规免疫工作和监测是结合的。此处描述的多重珠子测定(MBA)也称为多重免疫测定(MIA),根据国际血清标准,将血清中的麻疹和风疹特异性IgG抗体的定量测量结合在一起,并已成功用于综合血清学监测。
    There is increasing interest in evaluating antibody responses to multiple antigen targets in a single assay. Immunity to measles and rubella are often evaluated together because immunity is provided through combined vaccines and because routine immunization efforts and surveillance for measles and rubella pathogens are combined in many countries. The multiplex bead assay (MBA) also known as the multiplex immunoassay (MIA) described here combines the measurement of measles- and rubella-specific IgG antibodies in serum quantitatively according to international serum standards and has been successfully utilized in integrated serological surveillance.
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  • 文章类型: Journal Article
    背景在2022-2023年天花爆发之后,在风险群体中存在关于正痘病毒特异性免疫及其对未来疫情的影响的重要知识差距。AimWe将荷兰两个城市的横断面血清阳性率研究与数学建模相结合,以评估与男性发生性关系(MSM)的男性中未来水痘爆发的情景。方法在荷兰水痘爆发高峰期并引入疫苗接种后,从鹿特丹或阿姆斯特丹的1,065名MSM参加性健康中心(CSH)获得血清样本。对于MSM访问鹿特丹CSH,血清与流行病学和疫苗接种数据相关.内部开发的ELISA用于检测牛痘病毒(VACV)特异性IgG。这些观察结果与已发表的关于连续间隔和疫苗有效性的数据相结合,以提供一个随机传播模型,该模型估计未来的水痘爆发风险。结果鹿特丹和阿姆斯特丹VACV特异性抗体的血清阳性率分别为45.4%和47.1%,分别。传播模型表明,风险群体疫苗接种对最初爆发的影响可能很小。然而,假设不同的场景,由于接种疫苗,未来爆发的水痘病例数量将显著减少。同时,仅凭目前的免疫水平可能无法阻止未来的疫情爆发。保持短时间的诊断是任何预防新疫情战略的关键组成部分。结论我们的研究结果表明,在目前的条件下,荷兰MSM未来爆发大规模水痘的可能性降低,但强调维持人群免疫力的重要性,诊断能力和疾病意识。
    BackgroundFollowing the 2022-2023 mpox outbreak, crucial knowledge gaps exist regarding orthopoxvirus-specific immunity in risk groups and its impact on future outbreaks.AimWe combined cross-sectional seroprevalence studies in two cities in the Netherlands with mathematical modelling to evaluate scenarios of future mpox outbreaks among men who have sex with men (MSM).MethodsSerum samples were obtained from 1,065 MSM attending Centres for Sexual Health (CSH) in Rotterdam or Amsterdam following the peak of the Dutch mpox outbreak and the introduction of vaccination. For MSM visiting the Rotterdam CSH, sera were linked to epidemiological and vaccination data. An in-house developed ELISA was used to detect vaccinia virus (VACV)-specific IgG. These observations were combined with published data on serial interval and vaccine effectiveness to inform a stochastic transmission model that estimates the risk of future mpox outbreaks.ResultsThe seroprevalence of VACV-specific antibodies was 45.4% and 47.1% in Rotterdam and Amsterdam, respectively. Transmission modelling showed that the impact of risk group vaccination on the original outbreak was likely small. However, assuming different scenarios, the number of mpox cases in a future outbreak would be markedly reduced because of vaccination. Simultaneously, the current level of immunity alone may not prevent future outbreaks. Maintaining a short time-to-diagnosis is a key component of any strategy to prevent new outbreaks.ConclusionOur findings indicate a reduced likelihood of large future mpox outbreaks among MSM in the Netherlands under current conditions, but emphasise the importance of maintaining population immunity, diagnostic capacities and disease awareness.
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  • 文章类型: Journal Article
    在口蹄疫(FMD)血清监测计划中使用病毒中和(VN)和非结构蛋白(NSP)抗体测试可以识别已接种疫苗的猪群,VN抗体滴度阳性的猪比例很高;这些测试还可以帮助识别即使在接种疫苗的牛群中也曾经或目前感染过NSP阳性的猪。为了识别受感染的牛群并管理感染,在与强制性FMD疫苗接种计划同时实施的台湾血清监测计划中,使用了VN和NSP抗体检测的组合.结果是消灭了口蹄疫:世界动物卫生组织在2020年将台湾确认为无口蹄疫的国家。对台湾口蹄疫控制计划中纳入的强制疫苗接种计划的评估显示,在强制疫苗接种期间(2010-2017年),疫苗质量令人满意,疫苗接种计划有效。实现了良好的免疫覆盖,2016年有89.1%的猪的VN抗体滴度超过1:16。预计这种水平的免疫覆盖将大大减少或防止口蹄疫的传播,NSP测试的结果证实了这一点。在2018年7月停止口蹄疫疫苗接种之前,我们确定了NSP反应呈阳性(年度患病率非常低)的农场;然而,对可疑牛群中所有年龄猪的详细血清学和临床调查表明,2013年下半年后,没有农场饲养受感染的动物。因此,结果表明,没有证据表明口蹄疫在野外传播,台湾重新获得无口蹄疫的地位。
    The use of virus-neutralizing (VN) and nonstructural protein (NSP) antibody tests in a serosurveillance program for foot-and-mouth disease (FMD) can identify pig herds that are adequately vaccinated, with a high percentage of pigs with VN positive antibody titers; these tests can also help identify pigs with NSP-positivity that have previously been or are currently infected even in vaccinated herds. To identify infected herds and manage infection, the combination of VN and NSP antibody tests was used in Taiwan\'s serosurveillance program implemented simultaneously with the compulsory FMD vaccination program. The result was the eradication of FMD: Taiwan was recognized by the World Organization for Animal Health as an FMD-free country without vaccination in 2020. Evaluation of the compulsory vaccination program incorporated in the FMD control program in Taiwan revealed that the vaccine quality was satisfactory and the vaccination program was effective during the period of compulsory vaccination (2010-2017). Sound immunological coverage was achieved, with 89.1% of pigs having VN antibody titers exceeding 1:16 in 2016. This level of immunological coverage would be expected to substantially reduce or prevent FMD transmission, which was borne out by the results of the NSP tests. We identified farms having positive NSP reactors (very low annual prevalence) before the cessation of FMD vaccination in July 2018; however, detailed serological and clinical investigations of pigs of all ages in suspect herds demonstrated that no farms were harboring infected animals after the second half of 2013. Thus, the results revealed no evidence of FMD circulation in the field, and Taiwan regained FMD-free status.
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  • 文章类型: Journal Article
    大多数牲畜和人畜共患病原体的暴露数据存在显着差距,这在几种拉丁美洲鹿物种中很常见。这项研究检查了2011年至2023年之间来自智利的164个野生和圈养的南部pudu中13种病原体的血清阳性率。在109个野生pudus中的22个(20.18%;95%CI:13.34-29.18)和55个圈养pudus中的17个(30.91%;95%CI:19.52-44.96)中检测到了牲畜和人畜共患病原体抗体,包括五个问号钩端螺旋体血清型(15.38%和10.71%),弓形虫(8.57%和37.50%),流产衣原体(3.03%和12.82%),新孢子虫(0.00%和9.52%),和瘟病毒(8.00%和6.67%)。检测到钩端螺旋体的危险因素。,表明小鹿pudu在统计学上比成年人有更高的阳性风险。在T.gondii的情况下,生活在“自由放养”的普杜对这种寄生虫呈阳性的风险较低。在人类护理不足的普杜,在过去,人们最强烈地怀疑瘟疫病毒的爆发是动物园流产的原因。这项研究提出了南美洲野生动物流产衣原体和暴露于弓形虫的第一个证据,L.审问者,以及智利野生有蹄类动物中的犬奈瑟菌。野生动物中的瘟病毒和钩端螺旋体等家畜病原体的高血清阳性率表明,智利模板森林中有家畜传播。
    A significant gap in exposure data for most livestock and zoonotic pathogens is common for several Latin America deer species. This study examined the seroprevalence against 13 pathogens in 164 wild and captive southern pudu from Chile between 2011 and 2023. Livestock and zoonotic pathogen antibodies were detected in 22 of 109 wild pudus (20.18%; 95% CI: 13.34-29.18) and 17 of 55 captive pudus (30.91%; 95% CI: 19.52-44.96), including five Leptospira interrogans serovars (15.38% and 10.71%), Toxoplasma gondii (8.57% and 37.50%), Chlamydia abortus (3.03% and 12.82%), Neospora caninum (0.00% and 9.52%), and Pestivirus (8.00% and 6.67%). Risk factors were detected for Leptospira spp., showing that fawn pudu have statistically significantly higher risk of positivity than adults. In the case of T. gondii, pudu living in \"free-range\" have a lower risk of being positive for this parasite. In under-human-care pudu, a Pestivirus outbreak is the most strongly suspected as the cause of abortions in a zoo in the past. This study presents the first evidence of Chlamydia abortus in wildlife in South America and exposure to T. gondii, L. interrogans, and N. caninum in wild ungulate species in Chile. High seroprevalence of livestock pathogens such as Pestivirus and Leptospira Hardjo in wild animals suggests a livestock transmission in Chilean template forest.
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  • 文章类型: Journal Article
    目的:呼吸道合胞病毒(RSV)是婴儿和成人严重呼吸道疾病的主要原因之一。虽然疫苗和单克隆治疗性抗体已经或即将上市,保护的相关性仍不清楚。为此,我们开发了一种RSV多重免疫测定法,分析抗体对F后,核蛋白,和不同的G蛋白混合。
    方法:开发了一种基于珠子的多重RSV免疫测定法,技术上验证了标准的FDA生物分析指南,并使用来自人类攻击研究的样本进行临床验证。然后在2岁以下儿童和基于人群的队列中研究RSV抗体滴度。
    结果:技术和临床验证表现突出,而方法学的发展使得能够通过对大约50%的样本使用不同的G蛋白来鉴定以前感染的亚型。作为证明该测定法在血清监测研究中适用性的概念证明,然后,我们评估了人群队列中的滴度衰减和年龄依赖性抗体应答.
    结论:总体而言,开发的测定法显示出强大的性能,是可扩展的,提供了有关感染亚型的其他信息,因此非常适合用于未来的人群队列研究。
    OBJECTIVE: Respiratory syncytial virus (RSV) is one of the leading causes of severe respiratory disease in infants and adults. While vaccines and monoclonal therapeutic antibodies either are or will shortly become available, correlates of protection remain unclear. For this purpose, we developed an RSV multiplex immunoassay that analyses antibody titers toward the post-F, Nucleoprotein, and a diverse mix of G proteins.
    METHODS: A bead-based multiplex RSV immunoassay was developed, technically validated to standard FDA bioanalytical guidelines, and clinically validated using samples from human challenge studies. RSV antibody titers were then investigated in children aged under 2 and a population-based cohort.
    RESULTS: Technical and clinical validation showed outstanding performance, while methodological developments enabled identification of the subtype of previous infections through use of the diverse G proteins for approximately 50% of samples. As a proof of concept to show the suitability of the assay in serosurveillance studies, we then evaluated titer decay and age-dependent antibody responses within population cohorts.
    CONCLUSIONS: Overall, the developed assay shows robust performance, is scalable, provides additional information on infection subtype, and is therefore ideally suited to be used in future population cohort studies.
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  • 文章类型: Journal Article
    在过去的几十年里,几种新出现/重新出现的蚊媒黄病毒导致热带和亚热带公共卫生问题的疾病暴发.由于识别不同黄病毒包膜蛋白的抗体的交叉反应性,血清监测仍然是一个挑战。以前,我们报道了抗前膜(prM)抗体可以通过Westernblot分析区分三种黄病毒感染。在这项研究中,我们的目的是开发一种血清学检测方法,可以从四种血清复合物中区分感染或接触黄病毒,包括登革热(DENV),Zika(ZIKV),西尼罗河(WNV)和黄热病(YFV)病毒,并探讨其在黄病毒流行国家血清监测中的应用。我们采用蛋白质印迹分析,包括六种黄病毒(DENV1,2和4,WNV,ZIKV和YFV)来自四个血清复合物。我们检测了YF-17D疫苗接种者的血清样本,从DENV,已通过RT-PCR或通过中和测定确认的ZIKV和WNV面板。抗prM抗体对DENV的总体敏感性/特异性,ZIKV,WNV,YFV感染/暴露率为91.7%/96.4%,91.7%/99.2%,88.9%/98.3%,和91.3%/92.5%,分别。当测试来自巴西的48个样本时,我们确定了多种黄病毒感染/暴露,包括DENV和ZIKV,DENV和YFV,DENV,ZIKV和YFV。当测试来自菲律宾的50个样本时,我们检测到DENV,ZIKV,和DENV和ZIKV感染,ZIKV血清阳性率为10%,这与ZIKV在亚洲低水平流通的报道一致。一起,这些发现表明,抗prM抗体是一种黄病毒血清复合物特异性标志物,可用于描述多种黄病毒共同传播区域的四种黄病毒感染/暴露情况.
    In the past few decades, several emerging/re-emerging mosquito-borne flaviviruses have resulted in disease outbreaks of public health concern in the tropics and subtropics. Due to cross-reactivities of antibodies recognizing the envelope protein of different flaviviruses, serosurveillance remains a challenge. Previously we reported that anti-premembrane (prM) antibody can discriminate between three flavivirus infections by Western blot analysis. In this study, we aimed to develop a serological assay that can discriminate infection or exposure with flaviviruses from four serocomplexes, including dengue (DENV), Zika (ZIKV), West Nile (WNV) and yellow fever (YFV) viruses, and explore its application for serosurveillance in flavivirus-endemic countries. We employed Western blot analysis including antigens of six flaviviruses (DENV1, 2 and 4, WNV, ZIKV and YFV) from four serocomplexes. We tested serum samples from YF-17D vaccinees, and from DENV, ZIKV and WNV panels that had been confirmed by RT-PCR or by neutralization assays. The overall sensitivity/specificity of anti-prM antibodies for DENV, ZIKV, WNV, and YFV infections/exposure were 91.7%/96.4%, 91.7%/99.2%, 88.9%/98.3%, and 91.3%/92.5%, respectively. When testing 48 samples from Brazil, we identified multiple flavivirus infections/exposure including DENV and ZIKV, DENV and YFV, and DENV, ZIKV and YFV. When testing 50 samples from the Philippines, we detected DENV, ZIKV, and DENV and ZIKV infections with a ZIKV seroprevalence rate of 10%, which was consistent with reports of low-level circulation of ZIKV in Asia. Together, these findings suggest that anti-prM antibody is a flavivirus serocomplex-specific marker and can be employed to delineate four flavivirus infections/exposure in regions where multiple flaviviruses co-circulate.
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