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 2

Breakdown of DENV serological diagnostic status (any combination of DENV NS1, anti-DENV IgM, and/or –IgG) versus detection of DENV RNA via qRT-PCR. The table below details first the comparison of DENV NS1 detection via ELISA compared to results obtained for the respective sample set via qRT-PCR (), set as a gold-standard. The table details a further breakdown of these results by including anti-DENV IgM and IgG status of the samples. Nine (9 out of 14) qRT-PCR+ samples were also DENV NS1+ (64.3%) and all 7 samples that were negative by qRT-PCR were also found to be negative for DENV NS1. Notably, all 5 DENV NS1− samples that were qRT-PCR+ were also anti-DENV IgM− and IgG+, while only 1 positive NS1 sample was found to have that same profile, indicating that nonprimary infections may affect the sensitivity of the DENV NS1 ELISA. note that 1 of the DENV qRT-PCR samples was not assayed for DENV anti-IgG.

DENV ELISA resultsDENV qRT-PCR results versus ELISA
DENV qRT-PCR+ ()DENV qRT-PCR− ()

DENV NS1+9/14 (64.3%)0/7 (0%)
DENV NS1−5/14 (35.7%)7/7 (100%)

DENV NS1+, IgM+7/14 (50%)0/7 (0%)
DENV NS1+, IgM−2/14 (14.3%)0/7 (0%)
DENV NS1−, IgM+0/14 (0%)0/7 (0%)
DENV NS1−, IgM−5/14 (35.7%)7/7 (100%)

DENV NS1+, IgG+4/14 (28.6%)0/ (0%)
DENV NS1+, IgG−5/14 (35.7%)0/ (0%)
DENV NS1−, IgG+5/14 (35.7%)2/ (33.3%)
DENV NS1−, IgG−0/14 (0%)4/ (66.7%)

DENV NS1+, IgM+, IgG+3/14 (21.4%)0/ (0%)
DENV NS1+, IgM−, IgG+1/14 (7%)0/ (0%)
DENV NS1−, IgM+, IgG+0/14 (0%)0/ (0%)
DENV NS1−, IgM−, IgG+5/14 (35.7%)2/ (33.3%)

DENV NS1+, IgM+, IgG−5/14 (35.7%)0/ (0%)
DENV NS1+, IgM−, IgG−0/14 (0%)0/ (0%)
DENV NS1−, IgM+, IgG−0/14 (0%)0/ (0%)
DENV NS1−, IgM−, IgG−0/14 (0%)4/ (66.7%)