2004
DOI: 10.1892/0891-6640(2004)18<866:imeiat>2.0.co;2
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Immunoglobulin M–Capture Enzyme-Linked Immunosorbent Assay Testing of Cerebrospinal Fluid and Serum from Horses Exposed to West Nile Virus by Vaccination or Natural Infection

Abstract: The West Nile (WN) virus, present in the United States since 1999, is a cause of encephalomyelitis in birds, alligators, humans, and horses. No data exist regarding detection of anti-WN virus immunoglobins in equine cerebrospinal fluid (CSF). The aims of this study were to evaluate the blood-brain barrier (BBB) in WN virus-infected (WNE) horses, to compare diagnostic testing in serum and CSF, and to describe the immunoglobulin M (IgM) response in serum and CSF of vaccinated horses. CSF was collected from the l… Show more

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Cited by 9 publications
(5 citation statements)
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“…West Nile virus immunoglobulin M (IgM) in human CSF (Alpert, Fergeson & Noel 2003;Pupo-Antunez et al 2008) and in human neonates (Alpert et al 2003) is considered to be diagnostic of WNV infection, since IgM passes neither the blood brain barrier (BBB) nor the placenta. Studies in horses with naturally occurring WNV encephalitis (Ostlund et al 2001;Porter 2004) showed low levels of CSF WNV IgM compared with high serum levels in the presence of an intact BBB. A human, Mexican patient with fatal WNV was shown to produce IgM, IgG and IgA, in decreasing order of concentration, intrathecally within the CNS and not due to disruption of the BBB (Pupo-Antunez et al 2008).…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…West Nile virus immunoglobulin M (IgM) in human CSF (Alpert, Fergeson & Noel 2003;Pupo-Antunez et al 2008) and in human neonates (Alpert et al 2003) is considered to be diagnostic of WNV infection, since IgM passes neither the blood brain barrier (BBB) nor the placenta. Studies in horses with naturally occurring WNV encephalitis (Ostlund et al 2001;Porter 2004) showed low levels of CSF WNV IgM compared with high serum levels in the presence of an intact BBB. A human, Mexican patient with fatal WNV was shown to produce IgM, IgG and IgA, in decreasing order of concentration, intrathecally within the CNS and not due to disruption of the BBB (Pupo-Antunez et al 2008).…”
Section: Discussionmentioning
confidence: 99%
“…A human, Mexican patient with fatal WNV was shown to produce IgM, IgG and IgA, in decreasing order of concentration, intrathecally within the CNS and not due to disruption of the BBB (Pupo-Antunez et al 2008). Intrathecal Ig synthesis is originated by perivascular infiltrations of B-lymphocytes, which are locally matured and can be associated with CNS diseases (Porter 2004;Pupo-Antunez et al 2008). In the current series of horses, CSF was not sampled for WNV IgM testing; however, had it been found to be IgM positive, its presence could have been explained by the presence of the few-to-several B-lymphocytes and plasma cells, as labelled by CD20 and MUM1 IHC in the CNS sections.…”
Section: Discussionmentioning
confidence: 99%
“…The gold standard for arbovirus diagnosis is regarded as neutralizing antibody testing (PRNT) (Farfán‐Ale et al , 2006). Neutralizing antibody testing cannot be used reliably for horses that have been vaccinated because the horse vaccine consists of formalin‐inactivated whole‐virion virus eliciting an IgG and neutralizing antibody response (Porter et al , 2004).…”
Section: Discussionmentioning
confidence: 99%
“…4,13,16,[17][18][19][20] A variety of serological assays can be used for detection of WNV-specific antibodies in horse sera, including hemagglutination inhibition, complement fixation, plaque reduction neutralization test (PRNT), immunoglobulin M capture enzyme-linked immunosorbent assay (MAC-ELISA) and immunoglobulin G (IgG) ELISA. 4,6,15 Of these, only the PRNT is specific for WNV because antibodies to related flaviviruses such as St. Louis encephalitis virus (SLEV) potentially can cross-react in the other assays. The MAC-ELISA is used to confirm recent WNV infection, 15 whereas the IgG ELISA is useful for serosurveillance if potential crossreactions with other flaviviruses are excluded.…”
mentioning
confidence: 99%
“…4,6,15 Of these, only the PRNT is specific for WNV because antibodies to related flaviviruses such as St. Louis encephalitis virus (SLEV) potentially can cross-react in the other assays. The MAC-ELISA is used to confirm recent WNV infection, 15 whereas the IgG ELISA is useful for serosurveillance if potential crossreactions with other flaviviruses are excluded. 4,6 A recombinant WNV envelope protein (rE)-based fluorescent microsphere immunoassay (MIA) has been recently developed to titrate antibodies induced by flavivirus infections in humans.…”
mentioning
confidence: 99%