Evaluation of Two Serological Assays for Diagnosing Zika Virus Infection

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...

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Main Authors: Steev Loyola, Alfredo Huaman, Dina Popuche, Elizabeth Castillo, Julia S. Ampuero, Maria Silva, Carolina Guevara, Douglas M. Watts
Format: Article
Language:English
Published: MDPI AG 2021-09-01
Series:Diagnostics
Subjects:
Online Access:https://www.mdpi.com/2075-4418/11/9/1696
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author Steev Loyola
Alfredo Huaman
Dina Popuche
Elizabeth Castillo
Julia S. Ampuero
Maria Silva
Carolina Guevara
Douglas M. Watts
author_facet Steev Loyola
Alfredo Huaman
Dina Popuche
Elizabeth Castillo
Julia S. Ampuero
Maria Silva
Carolina Guevara
Douglas M. Watts
author_sort Steev Loyola
collection DOAJ
description 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.
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spelling doaj.art-cea2b9219beb4adaa5d2c1f8f1073d662023-11-22T12:40:59ZengMDPI AGDiagnostics2075-44182021-09-01119169610.3390/diagnostics11091696Evaluation of Two Serological Assays for Diagnosing Zika Virus InfectionSteev Loyola0Alfredo Huaman1Dina Popuche2Elizabeth Castillo3Julia S. Ampuero4Maria Silva5Carolina Guevara6Douglas M. Watts7U.S. Naval Medical Research Unit No. 6 (NAMRU-6), Lima 07006, PeruU.S. Naval Medical Research Unit No. 6 (NAMRU-6), Lima 07006, PeruU.S. Naval Medical Research Unit No. 6 (NAMRU-6), Lima 07006, PeruU.S. Naval Medical Research Unit No. 6 (NAMRU-6), Lima 07006, PeruU.S. Naval Medical Research Unit No. 6 (NAMRU-6), Lima 07006, PeruU.S. Naval Medical Research Unit No. 6 (NAMRU-6), Lima 07006, PeruU.S. Naval Medical Research Unit No. 6 (NAMRU-6), Lima 07006, PeruDepartment of Biological Sciences, University of Texas at El Paso, El Paso, TX 79968, USAZika 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.https://www.mdpi.com/2075-4418/11/9/1696Zika virusenzyme-linked immunosorbent assayneutralization tests
spellingShingle Steev Loyola
Alfredo Huaman
Dina Popuche
Elizabeth Castillo
Julia S. Ampuero
Maria Silva
Carolina Guevara
Douglas M. Watts
Evaluation of Two Serological Assays for Diagnosing Zika Virus Infection
Diagnostics
Zika virus
enzyme-linked immunosorbent assay
neutralization tests
title Evaluation of Two Serological Assays for Diagnosing Zika Virus Infection
title_full Evaluation of Two Serological Assays for Diagnosing Zika Virus Infection
title_fullStr Evaluation of Two Serological Assays for Diagnosing Zika Virus Infection
title_full_unstemmed Evaluation of Two Serological Assays for Diagnosing Zika Virus Infection
title_short Evaluation of Two Serological Assays for Diagnosing Zika Virus Infection
title_sort evaluation of two serological assays for diagnosing zika virus infection
topic Zika virus
enzyme-linked immunosorbent assay
neutralization tests
url https://www.mdpi.com/2075-4418/11/9/1696
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