Performance of commercial dengue NS1 ELISA and molecular analysis of NS1 gene of dengue viruses obtained during surveillance in Indonesia

BMC Infectious Diseases

R Tedjo Sasmono³  Sukmal Fahri²  Puspa Wardhani⁴  Benediktus Yohan³  Hidayat Trimarsanto¹  Aryati Aryati⁴ 

[1] Agency for the Assessment and Application of Technology, Jakarta 10340, Indonesia;Health Polytechnic, Jambi Provincial Health Office, Kotabaru, Jambi and Universitas Diponegoro, Semarang, Indonesia;Eijkman Institute for Molecular Biology, Jl. Diponegoro 69, Jakarta 10430, Indonesia;Clinical Pathology Department, School of Medicine and Institute of Tropical Disease, Universitas Airlangga, Surabaya, Indonesia

关键词: Surveillance;    Polymorphism;    Dengue NS1 assay evaluation;   

Others  :  1135144
DOI  :  10.1186/1471-2334-13-611

 received in 2013-08-16, accepted in 2013-12-24,  发布年份 2013

【 摘 要 】

Background

Early diagnosis of dengue infection is crucial for better management of the disease. Diagnostic tests based on the detection of dengue virus (DENV) Non Structural Protein 1 (NS1) antigen are commercially available with different sensitivities and specificities observed in various settings. Dengue is endemic in Indonesia and clinicians are increasingly using the NS1 detection for dengue confirmation. This study described the performance of Panbio Dengue Early NS1 and IgM Capture ELISA assays for dengue detection during our surveillance in eight cities in Indonesia as well as the genetic diversity of DENV NS1 genes and its relationship with the NS1 detection.

Methods

The NS1 and IgM/IgG ELISA assays were used for screening and confirmation of dengue infection during surveillance in 2010–2012. Collected serum samples (n = 440) were subjected to RT-PCR and virus isolation, in which 188 samples were confirmed for dengue infection. The positivity of the ELISA assays were correlated with the RT-PCR results to obtain the sensitivity of the assays. The NS1 genes of 48 Indonesian virus isolates were sequenced and their genetic characteristics were studied.

Results

Using molecular data as gold standard, the sensitivity of NS1 ELISA assay for samples from Indonesia was 56.4% while IgM ELISA was 73.7%. When both NS1 and IgM results were combined, the sensitivity increased to 89.4%. The NS1 sensitivity varied when correlated with city/geographical origins and DENV serotype, in which the lowest sensitivity was observed for DENV-4 (19.0%). NS1 sensitivity was higher in primary (67.6%) compared to secondary infection (48.2%). The specificity of NS1 assay for non-dengue samples were 100%. The NS1 gene sequence analysis of 48 isolates revealed the presence of polymorphisms of the NS1 genes which apparently did not influence the NS1 sensitivity.

Conclusions

We observed a relatively low sensitivity of NS1 ELISA for dengue detection on RT-PCR-positive dengue samples. The detection rate increased significantly when NS1 data was combined with IgM. In our study, the low sensitivity of NS1 antigen detection did not relate to NS1 genetic diversity. Rather, the performance of the NS1 antigen test was affected by the infection status of patients and geographical origin of samples.

【 授权许可】

   
2013 Aryati et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

Figure 2.

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