title: Comparison of capture immunoglobulin M (IgM) and IgG enzyme-linked immunosorbent assay (ELISA) and nonstructural protein NS1 serotype-specific IgG ELISA for differentiation of primary and secondary dengue virus infections.
abstract: We have found that NS1 serotype-specific immunoglobulin G (IgG) enzyme-linked immunosorbent assay (ELISA) can be used to differentiate primary and secondary dengue virus infections. This is due to the fact that the NS1-specific IgG antibody cannot be detected before day 9 of illness for primary infection, so the NS1-specific IgG antibodies measured in acute-phase sera must come from previous infection. Comparison of NS1 serotype-specific IgG ELISA with envelope- and membrane-specific capture IgM and IgG ELISA in the differentiation of primary and secondary dengue virus infections showed good correlation (95.90% agreement). Most important, we have found that the serotype of the dengue virus from the majority of patients with primary infection could be correctly identified when convalescent-phase or postinfection sera were analyzed by NS1 serotype-specific IgG ELISA. These findings suggested that NS1 serotype-specific IgG ELISA could be reliably applied for serodiagnosis and seroepidemiological study of dengue virus infection.
authors.affiliation: Division of Research Development and Laboratory Diagnosis, Center for Disease Control, Department of Health, Taipei, Taiwan, Republic of China.
authors.forename: Pei-Yun
authors.initials: PY
authors.lastname: Shu
authors.forename: Li-Kuang
authors.initials: LK
authors.lastname: Chen
authors.forename: Shu-Fen
authors.initials: SF
authors.lastname: Chang
authors.forename: Yi-Yun
authors.initials: YY
authors.lastname: Yueh
authors.forename: Ling
authors.initials: L
authors.lastname: Chow
authors.forename: Li-Jung
authors.initials: LJ
authors.lastname: Chien
authors.forename: Chuan
authors.initials: C
authors.lastname: Chin
authors.forename: Ting-Hsiang
authors.initials: TH
authors.lastname: Lin
authors.forename: Jyh-Hsiung
authors.initials: JH
authors.lastname: Huang
mesh_terms: D000208:Acute Disease; D000818:Animals; D000914:Antibodies, Viral / Q000097:blood* / Q000276:immunology; D000956:Antigens, Viral / Q000276:immunology*; D002522:Chlorocebus aethiops; D003289:Convalescence; D003715:Dengue / Q000175:diagnosis*; D003716:Dengue Virus / Q000145:classification / Q000276:immunology*; D004797:Enzyme-Linked Immunosorbent Assay; D006801:Humans; D007074:Immunoglobulin G / Q000097:blood* / Q000276:immunology; D007075:Immunoglobulin M / Q000097:blood* / Q000276:immunology; D012703:Serotyping; D014709:Vero Cells; D017361:Viral Nonstructural Proteins / Q000276:immunology*
chemical_list: D000914:Antibodies, Viral; D000956:Antigens, Viral; D007074:Immunoglobulin G; D007075:Immunoglobulin M; C082515:NS1 protein, dengue-1 virus; D017361:Viral Nonstructural Proteins