Evidence map›Paper›PMID 33497414›Full record

ArticlePloS one2021

Evaluation of eight commercial Zika virus IgM and IgG serology assays for diagnostics and research.

Swee Ling Low, Yee Sin Leo, Yee Ling Lai, Sally Lam, Hwee Huang Tan, Judith Chui Ching Wong, Li Kiang Tan, Lee Ching Ng

Open access · goldAbstract readEvaluation Study
In one paragraph

Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
3.7field-weighted citation impact, top 7% 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

14 citing papers in PubMed, 27 citations in OpenAlex.

  1. Article
  2. Article
  3. Identification and characterization of a nonbiological small-molecular mimic of a Zika virus conformational neutralizing epitope.Proceedings of the National Academy of Sciences of the United States of America · 2024
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  10. Trends in ELISA-Based Flavivirus IgG Serosurveys: A Systematic Review.Tropical medicine and infectious disease · 2023
    Review
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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

8 authors at 3 institutions in 1 country.

Swee Ling LowEnvironmental Health Institute, National Environment Agency, Singapore, Singapore.ORCID 0000-0002-4479-4960
Yee Sin LeoNational Centre for Infectious Disease, Singapore, Singapore.
Yee Ling LaiEnvironmental Health Institute, National Environment Agency, Singapore, Singapore.
Sally LamBlood Services Group, Health Sciences Authority, Singapore, Singapore.
Hwee Huang TanBlood Services Group, Health Sciences Authority, Singapore, Singapore.
Judith Chui Ching WongEnvironmental Health Institute, National Environment Agency, Singapore, Singapore.
Li Kiang TanEnvironmental Health Institute, National Environment Agency, Singapore, Singapore.
Lee Ching NgEnvironmental Health Institute, National Environment Agency, Singapore, Singapore.
National Environment Agency · SGHealth Sciences Authority · SGNational Centre for Infectious Diseases · SG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Several commercial Zika virus (ZIKV) serology assays have been developed since the recognition of ZIKV outbreaks as a Public Health Emergency of International Concern in 2016. However, test interpretation for ZIKV serology can be challenging due to antibody cross-reactivity with other flaviviruses like dengue virus (DENV). Therefore, we sought to evaluate the performance of eight commercially available ZIKV IgM and IgG assays across three testing platforms, namely, immunochromatographic tests (ICT), ELISAs and immunofluorescence tests (IIFT). The test panel comprised of 278 samples, including acute and convalescent sera or plasma from ZIKV-confirmed, DENV-confirmed, non-ZIKV and non-DENV patients, and residual sera from healthy blood donors. The ZIKV IgM and IgG serology assays yielded higher test sensitivities of 23.5% - 97.1% among ZIKV convalescent samples as compared to 5.6% - 27.8% among ZIKV acute samples; the test specificities were 63.3% - 100% among acute and convalescent DENV, non-DENV samples. Among the ELISAs and IIFTs, the Diapro ZIKV IgM ELISA demonstrated high test sensitivity (96%) and specificity (80%) when tested on early convalescent samples, while the Euroimmun ZIKV IgG ELISA yielded the highest test specificity of 97% - 100% on samples from non-ZIKV patients and healthy blood donors. For rapid ICTs, the LumiQuick IgM rapid ICT yielded low test sensitivity, suggesting its limited utility. We showed that commercial ZIKV IgM and IgG serology assays have differing test performances, with some having moderate to high test sensitivities and specificities when used in a dengue endemic setting, although there were limitations in IgG serology.

Indexed as

Antibodies, ViralCross ReactionsDengueDengue VirusEnzyme-Linked Immunosorbent AssayFluorescent Antibody TechniqueHumansImmunoassayImmunoglobulin GImmunoglobulin MSensitivity and SpecificitySerologic TestsZika VirusZika Virus InfectionAntibodies, ViralImmunoglobulin GImmunoglobulin M

Identifiers

PMID33497414
PMCPMC7837473
OpenAlexW3125758888

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.