Different Cross-Reactivities of IgM Responses in Dengue, Zika and Tick-Borne Encephalitis Virus Infections

Flaviviruses circulate worldwide and cause a number of medically relevant human diseases, such as dengue, Zika, yellow fever, and tick-borne encephalitis (TBE). Serology plays an important role in the diagnosis of flavivirus infections, but can be impeded by antigenic cross-reactivities among flaviv...

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Main Authors: Karin Stiasny, Stefan Malafa, Stephan W. Aberle, Iris Medits, Georgios Tsouchnikas, Judith H. Aberle, Heidemarie Holzmann, Franz X. Heinz
Format: Article
Language:English
Published: MDPI AG 2021-03-01
Series:Viruses
Subjects:
Online Access:https://www.mdpi.com/1999-4915/13/4/596
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author Karin Stiasny
Stefan Malafa
Stephan W. Aberle
Iris Medits
Georgios Tsouchnikas
Judith H. Aberle
Heidemarie Holzmann
Franz X. Heinz
author_facet Karin Stiasny
Stefan Malafa
Stephan W. Aberle
Iris Medits
Georgios Tsouchnikas
Judith H. Aberle
Heidemarie Holzmann
Franz X. Heinz
author_sort Karin Stiasny
collection DOAJ
description Flaviviruses circulate worldwide and cause a number of medically relevant human diseases, such as dengue, Zika, yellow fever, and tick-borne encephalitis (TBE). Serology plays an important role in the diagnosis of flavivirus infections, but can be impeded by antigenic cross-reactivities among flaviviruses. Therefore, serological diagnosis of a recent infection can be insufficiently specific, especially in areas where flaviviruses co-circulate and/or vaccination coverage against certain flaviviruses is high. In this study, we developed a new IgM assay format, which is well suited for the specific diagnosis of TBE, Zika and dengue virus infections. In the case of TBE and Zika, the IgM response proved to be highly specific for the infecting virus. In contrast, primary dengue virus infections induced substantial amounts of cross-reactive IgM antibodies, which is most likely explained by structural peculiarities of dengue virus particles. Despite the presence of cross-reactive IgM, the standardized nature and the quantitative read-out of the assay even allowed the serotype-specific diagnosis of recent dengue virus infections in most instances.
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spelling doaj.art-c35fc201aca4420f9c6409536d64866d2023-11-21T13:38:47ZengMDPI AGViruses1999-49152021-03-0113459610.3390/v13040596Different Cross-Reactivities of IgM Responses in Dengue, Zika and Tick-Borne Encephalitis Virus InfectionsKarin Stiasny0Stefan Malafa1Stephan W. Aberle2Iris Medits3Georgios Tsouchnikas4Judith H. Aberle5Heidemarie Holzmann6Franz X. Heinz7Center for Virology, Medical University of Vienna, 1090 Vienna, AustriaCenter for Virology, Medical University of Vienna, 1090 Vienna, AustriaCenter for Virology, Medical University of Vienna, 1090 Vienna, AustriaCenter for Virology, Medical University of Vienna, 1090 Vienna, AustriaCenter for Virology, Medical University of Vienna, 1090 Vienna, AustriaCenter for Virology, Medical University of Vienna, 1090 Vienna, AustriaCenter for Virology, Medical University of Vienna, 1090 Vienna, AustriaCenter for Virology, Medical University of Vienna, 1090 Vienna, AustriaFlaviviruses circulate worldwide and cause a number of medically relevant human diseases, such as dengue, Zika, yellow fever, and tick-borne encephalitis (TBE). Serology plays an important role in the diagnosis of flavivirus infections, but can be impeded by antigenic cross-reactivities among flaviviruses. Therefore, serological diagnosis of a recent infection can be insufficiently specific, especially in areas where flaviviruses co-circulate and/or vaccination coverage against certain flaviviruses is high. In this study, we developed a new IgM assay format, which is well suited for the specific diagnosis of TBE, Zika and dengue virus infections. In the case of TBE and Zika, the IgM response proved to be highly specific for the infecting virus. In contrast, primary dengue virus infections induced substantial amounts of cross-reactive IgM antibodies, which is most likely explained by structural peculiarities of dengue virus particles. Despite the presence of cross-reactive IgM, the standardized nature and the quantitative read-out of the assay even allowed the serotype-specific diagnosis of recent dengue virus infections in most instances.https://www.mdpi.com/1999-4915/13/4/596flavivirus cross-reactivityflavivirus IgM responsedengueZikatick-borne encephalitis
spellingShingle Karin Stiasny
Stefan Malafa
Stephan W. Aberle
Iris Medits
Georgios Tsouchnikas
Judith H. Aberle
Heidemarie Holzmann
Franz X. Heinz
Different Cross-Reactivities of IgM Responses in Dengue, Zika and Tick-Borne Encephalitis Virus Infections
Viruses
flavivirus cross-reactivity
flavivirus IgM response
dengue
Zika
tick-borne encephalitis
title Different Cross-Reactivities of IgM Responses in Dengue, Zika and Tick-Borne Encephalitis Virus Infections
title_full Different Cross-Reactivities of IgM Responses in Dengue, Zika and Tick-Borne Encephalitis Virus Infections
title_fullStr Different Cross-Reactivities of IgM Responses in Dengue, Zika and Tick-Borne Encephalitis Virus Infections
title_full_unstemmed Different Cross-Reactivities of IgM Responses in Dengue, Zika and Tick-Borne Encephalitis Virus Infections
title_short Different Cross-Reactivities of IgM Responses in Dengue, Zika and Tick-Borne Encephalitis Virus Infections
title_sort different cross reactivities of igm responses in dengue zika and tick borne encephalitis virus infections
topic flavivirus cross-reactivity
flavivirus IgM response
dengue
Zika
tick-borne encephalitis
url https://www.mdpi.com/1999-4915/13/4/596
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