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Journal of Clinical Microbiology, May 2000, p. 1823-1826, Vol. 38, No. 5
Division of Vector-Borne Infectious Diseases,
National Center for Infectious Diseases, Centers for Disease
Control and Prevention, Public Health Service, U.S. Department of
Health and Human Services, Fort Collins, Colorado 80522
Received 3 August 1999/Returned for modification 1 November
1999/Accepted 8 March 2000
Immunoglobulin M antibody-capture enzyme-linked immunosorbent assay
(MAC-ELISA) is a rapid and versatile diagnostic method that readily
permits the combination of multiple assays. Test consolidation is
especially important for arthropod-borne viruses (arboviruses) which
belong to at least three virus families: the Togaviridae,
Flaviviridae, and Bunyaviridae. Using prototype
viruses from each of these families and a panel of well-characterized human sera, we have evaluated and standardized a combined MAC-ELISA capable of identifying virus infections caused by members of each virus
family. Furthermore, by grouping antigens geographically and utilizing
known serological cross-reactivities, we have reduced the number of
antigens necessary for testing, while maintaining adequate detection
sensitivity. We have determined that a 1:400 serum dilution is most
appropriate for screening antiviral antibody, using a
positive-to-negative ratio of
0095-1137/00/$04.00+0
Standardization of Immunoglobulin M Capture
Enzyme-Linked Immunosorbent Assays for Routine Diagnosis of
Arboviral Infections
2.0 as a positive cutoff value. With a
blind-coded human serum panel, this combined MAC-ELISA was shown to
have test sensitivity and specificity that correlated well with those
of other serological techniques.
*
Corresponding author. Mailing address: Division of
Vector-Borne Infectious Diseases, National Center for Infectious
Diseases, Centers for Disease Control and Prevention, P.O. Box 2087, Fort Collins, CO 80522. Phone: (970) 221-6445. Fax: (970) 221-6476. E-mail: DZM9{at}CDC.GOV.
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