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Journal of Clinical Microbiology, October 2001, p. 3672-3677, Vol. 39, No. 10
0095-1137/01/$04.00+0   DOI: 10.1128/JCM.39.10.3672-3677.2001
Copyright © 2001, American Society for Microbiology. All rights reserved.

Flow Cytometry Compared with Indirect Immunofluorescence for Rapid Detection of Dengue Virus Type 1 after Amplification in Tissue Culture

Chuan-Liang Kao,1,* Meng-Chan Wu,1 Yen-Hui Chiu,1 Jing-Lin Lin,1 Yin-Chang Wu,2 Yi-Yung Yueh,3 Li-Kuang Chen,4,5 Men-Fang Shaio,4 and Chwan-Chuen King6

School and Graduate Institute of Medical Technology, College of Medicine,1 Institute of Epidemiology, College of Public Health,6 National Taiwan University, and Institute of Preventive Medicine, National Defense Medical Center,4 Taipei, Division of Epidemiology, National Institute of Preventive Medicine,2 and Division of Vector-Borne Infectious Diseases, Center for Disease Control,3 Department of Health, The Executive Yuan, and Department of Immunology, Tzu Chi College of Medicine and Humanities,Hualien,5 Taiwan, Republic of China

Received 6 December 2000/Returned for modification 8 January 2001/Accepted 1 August 2001

Dengue virus (DV) was detected early in infected mosquito C6/36 cells by using indirect immunofluorescence (IF) in conjunction with flow cytometry. Three fixation-permeabilization methods and three DV serotype 1 (DEN-1)-specific monoclonal antibodies, 8-8 (anti-E), 16-4 (anti-NS1), and 15F3-1 (anti-NS1), were evaluated for the detection of DEN-1 in infected C6/36 cells. We found that these three monoclonal antibodies were capable of detecting DV in C6/36 cells as early as 24 h postinoculation by using a conventional indirect IF stain. Both 8-8 and 16-4 detected DV earlier and showed a greater number of DV-positive cells than 15F3-1. In flow cytometry, 3% paraformaldehyde plus 0.1% Triton X-100 with 16-4, the best fixation-permeabilization method for testing DV, showed higher sensitivity (up to 1 PFU) than indirect IF stain. The higher sensitivity of 16-4 in detecting DEN-1 was found with both IF and flow cytometry. Flow cytometry, which had a sensitivity similar to that of nested reverse transcription-PCR, was more sensitive in detecting DV in the infected mosquito cells 10 h earlier than the conventional IF stain. When clinical specimens were amplified in mosquito C6/36 cells and then assayed for DV using flow cytometry and conventional virus isolation at day 7 postinfection, both methods had 97.22% (35 out of 36) agreement. Moreover, among 12 positive samples which were detected by conventional culture method, the flow cytometry assay could detect DV in 58.33% (7 out of 12) of samples even at day 3 postinfection. In conclusion, both monoclonal antibodies 8-8 and 16-4 can be used for the early detection of DEN-1-infected C6/36 cells, with 16-4 (anti-NS1) being the best choice for the rapid diagnosis of DV by both the IF staining and flow cytometry methods.


* Corresponding author. Mailing address: School and Graduate Institute of Medical Technology, College of Medicine, National Taiwan University, No. 7, Chung-Shan S. RD, Taipei, Taiwan, Republic of China. Phone: 886-2-2312-3456, ext. 6903. Fax: 886-2-23711574. E-mail: clkao{at}ha.mc.ntu.edu.tw.


Journal of Clinical Microbiology, October 2001, p. 3672-3677, Vol. 39, No. 10
0095-1137/01/$04.00+0   DOI: 10.1128/JCM.39.10.3672-3677.2001
Copyright © 2001, American Society for Microbiology. All rights reserved.



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