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Combination of ELISA screening and seroneutralisation tests to expedite Zika virus seroprevalence studies
Authors:Elif Nurtop  Paola Mariela Saba Villarroel  Boris Pastorino  Laetitia Ninove  Jan-Felix Drexler  Yelin Roca  Bouba Gake  Audrey Dubot-Peres  Gilda Grard  Christophe Peyrefitte  Stéphane Priet  Xavier de Lamballerie  Pierre Gallian
Affiliation:1.Unité des Virus émergents (UVE: Aix-Marseille Univ – IRD 190 – Inserm 1207 – IHU Méditerranée Infection),Marseille,France;2.Virología II,Centro Nacional de Enfermedades Tropicales (CENETROP),Santa Cruz de la Sierra,Bolivia;3.Institute of Virology,Charité-Universit?tsmedizin Berlin,Berlin,Germany;4.Centre Pasteur du Cameroun,Yaoundé,Cameroon;5.National Reference Centre for Arboviruses,French Armed Forces Biomedical Research Institute,Marseille,France;6.Laboratoire de Virologie,établissement Fran?ais du Sang Alpes Méditerranée (EFS),Marseille,France
Abstract:Here we propose a strategy allowing implementing efficient and practicable large-scale seroepidemiological studies for Zika Virus (ZIKV). It combines screening by a commercial NS1 protein-based Zika IgG ELISA, and confirmation by a cytopathic effect-based virus neutralization test (CPE-based VNT). In post-epidemic samples from Martinique Island blood donors (a population with a dengue seroprevalence above 90%), this strategy allowed reaching specificity and sensitivity values over 98%. The CPE-based VNT consists of recording CPE directly under the optical microscope, which is easy to identify with ZIKV strain H/PF/2013 at day 5 pi. Overall, considered that CPE-based VNT is cost effective and widely automatable, the NS1 protein-based Zika IgG ELISA+CPE-based VNT combination strategy represents a convenient tool to expedite ZIKV seroprevalence studies.
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