Evidence map›Paper›PMID 32615978›Full record

ArticleVirology journal2020

Promising application of monoclonal antibody against chikungunya virus E1-antigen across genotypes in immunochromatographic rapid diagnostic tests.

Keita Suzuki, Ralph Huits, Juthamas Phadungsombat, Aekkachai Tuekprakhon, Emi E Nakayama, Riemsdijk van den Berg, Barbara Barbé, Lieselotte Cnops, Rummana Rahim, Abu Hasan and 5 more

Open access · goldAbstract read
In one paragraph

Article in Virology journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 4 institutions in 4 countries.

Keita SuzukiResearch Institute for Microbial Diseases, Osaka University, Suita, Japan.
Ralph HuitsDepartment of Clinical Sciences, Institute of Tropical Medicine, Antwerp, Belgium.
Juthamas PhadungsombatMahidol-Osaka Center for Infectious Diseases, Mahidol University, Bangkok, Thailand.
Aekkachai TuekprakhonMahidol-Osaka Center for Infectious Diseases, Mahidol University, Bangkok, Thailand.
Emi E NakayamaResearch Institute for Microbial Diseases, Osaka University, Suita, Japan.
Riemsdijk van den BergLandslaboratorium Aruba, Oranjestad, Aruba.
Barbara BarbéDepartment of Clinical Sciences, Institute of Tropical Medicine, Antwerp, Belgium.
Lieselotte CnopsDepartment of Clinical Sciences, Institute of Tropical Medicine, Antwerp, Belgium.
Rummana RahimApollo Hospitals Dhaka, Dhaka, Bangladesh.
Abu HasanApollo Hospitals Dhaka, Dhaka, Bangladesh.
Hisahiko IwamotoPOCT Products Business Unit, TANAKA Kikinzoku Kogyo K.K, Hiratsuka, Japan.
Pornsawan LeaungwutiwongDepartment of Microbiology and Immunology, Mahidol University, Bangkok, Thailand.
Marjan van EsbroeckDepartment of Clinical Sciences, Institute of Tropical Medicine, Antwerp, Belgium.
Mizanur RahmanApollo Hospitals Dhaka, Dhaka, Bangladesh.
Tatsuo ShiodaResearch Institute for Microbial Diseases, Osaka University, Suita, Japan. shioda@biken.osaka-u.ac.jp.
Instituut voor Tropische Geneeskunde · BEMahidol University · THOsaka University · JPUniversity of Aruba · AW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThree different genotypes of chikungunya virus (CHIKV) have been classified: East/Central/South African (ECSA), West African (WA), and Asian. Previously, a rapid immunochromatographic (IC) test detecting CHIKV E1-antigen showed high sensitivity for certain ECSA-genotype viruses, but this test showed poor performance against the Asian-genotype virus that is spreading in the American continents. We found that the reactivity of one monoclonal antibody (MAb) used in the IC rapid diagnostic test (RDT) is affected by a single amino acid substitution in E1. Therefore, we developed new MAbs that exhibited specific recognition of all three genotypes of CHIKV.

methodsUsing a combination of the newly generated MAbs, we developed a novel version of the IC RDT with improved sensitivity to Asian-genotype CHIKV. To evaluate the sensitivity, specificity, and cross-reactivity of the new version of the IC RDT, we first used CHIKV isolates and E1-pseudotyped lentiviral vectors. We then used clinical specimens obtained in Aruba in 2015 and in Bangladesh in 2017 for further evaluation of RDT sensitivity and specificity. Another alphavirus, sindbis virus (SINV), was used to test RDT cross-reactivity.

resultsThe new version of the RDT detected Asian-genotype CHIKV at titers as low as 10^4 plaque-forming units per mL, a concentration that was below the limit of detection of the old version. The new RDT had sensitivity to the ECSA genotype that was comparable with that of the old version, yielding 92% (92 out of 100) sensitivity (95% confidence interval 85.0-95.9) and 100% (100 out of 100) specificity against a panel of 100 CHIKV-positive and 100 CHIKV-negative patient sera obtained in the 2017 outbreak in Bangladesh.

conclusionsOur newly developed CHIKV antigen-detecting RDT demonstrated high levels of sensitivity and lacked cross-reactivity against SINV. These results suggested that our new version of the CHIKV E1-antigen RDT is promising for use in areas in which the Asian and ECSA genotypes of CHIKV circulate. Further validation with large numbers of CHIKV-positive and -negative clinical samples is warranted. (323 words).

Indexed as

AnimalsAntibodies, MonoclonalAntibodies, ViralAntigens, ViralChikungunya FeverChikungunya virusChlorocebus aethiopsChromatography, AffinityCross ReactionsGenotypeHEK293 CellsHumansImmunologic TestsSensitivity and SpecificityVero CellsViral Envelope ProteinsAntibodies, MonoclonalAntibodies, ViralAntigens, ViralE1 envelope protein, Chikungunya virusViral Envelope ProteinsAsian genotypeChikungunya virusE1 proteinECSAMonoclonal antibodyRapid immunochromatographic RDT

Identifiers

PMID32615978
PMCPMC7330967
OpenAlexW3038935831

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.