Research Article

Dengue Virus NS1 Protein as a Diagnostic Marker: Commercially Available ELISA and Comparison to qRT-PCR and Serological Diagnostic Assays Currently Used by the State of Florida

Table 1

DENV NS1 detection in selected serum samples as determined by ELISA and in comparison to clinical molecular (qRT-PCR) and serological (anti-DENV IgM and IgG) results. The table below details the results of DENV NS1 detection by ELISA against qRT-PCR, IgM, and IgG DENV assays for a group of serum samples selected for inclusion and based on the following criteria: (1) denotes samples that were positive by qRT-PCR for DENV as determined by BOPHL-Tampa; (2) denotes samples that were positive for DENV by IgG detection only as determined by BOPHL-Tampa; (3) denotes samples that were DENV negative received by BOPHL-Tampa for all DENV-specific assays; (4) denotes samples that were collected from Martin County serosurvey and were found to be DENV negative by all DENV-specific assays. Index values represent the mean of duplicate values obtained when reading samples at 450 nm and taking calibrators into account. Negative samples had an index value > 0.9, those between 0.9 and 1.1 were equivocal, and those above 1.1 were positive for NS1 detection. Results are listed as either positive (+) or negative (neg) for each ELISA. Positive qRT-PCR results are reported either as neg or positive by listing serotype and value results. Samples that were qRT-PCR+ but NS1 neg are highlighted in bold font within the table. Note that no single assay here was capable of diagnosing DENV infection alone.

SampleIndex valueNS1 ELISAqRT-PCR ()IgM ELISAIgG ELISA

(1-1)5.98+DENV4 (20.40)++
(1-2)5.91+DENV1 (14.19)NegNeg
(1-3)0.08NegDENV1 (33.17)Neg
(1-5)0.09NegDENV1 (34.96)Neg
(1-6)5.93+DENV1 (26.06)+Neg
(1-7)5.93+DENV1 (30.40)+Neg
(1-8)4.51+DENV1 (22.32)+Neg
(1-9)5.38+DENV1 (31.90)+Neg
(1-10)0.17NegDENV1 (25.53)Neg
(1-11)5.97+DENV4 (29.79)++
(1-12)5.92+DENV4 (20.74)Neg+
(1-13)0.21NegDENV4 (19.69)Neg
(1-14)0.25NegDENV2 (25.13)Neg
(1-15)6.00+DENV4 (21.03)++
(2-3)0.43NegNegNeg+
(2-4)0.13NegNegNeg+
(3-1)0.05NegNegNegNeg
(3-2)0.09NegNegNegNeg
(4-1)0.05NegNegNegNeg
(4-2)0.06NegNegNegNeg
(4-3)0.06NegNegNegN/A