Using a serotype-specific monoclonal antibody (MAb) of dengue virus type 1 (DEN-1), 15F3-1, we identified the B-cell epitope of DEN-1 from a random peptide library displayed on phage. Fourteen immunopositive phage clones that bound specifically to MAb 15F3-1 were selected. These phage-borne peptides had a consensus motif of HxYaWb (a ؍ S/T, b ؍ K/H/R) that mimicked the sequence HKYSWK, which corresponded to amino acid residues 111 to 116 of the nonstructural protein 1 (NS1) of DEN-1. Among the four synthetic peptides corresponding to amino acid residues 110 to 117 of the NS1 of DEN-1, -2, -3, and -4, only one peptide, EHKYSWKS (P14M) of DEN-1, was found to bind to 15F3-1 specifically. Furthermore, P14M was shown to inhibit the binding of phage particles to 15F3-1 in a competitive inhibition assay. Histidine 111 (His 111 ) was crucial to the binding of P14M to 15F3-1, since its binding activity dramatically reduced when it changed to leucine 111 (Leu 111 ). This epitope-based peptide demonstrated its clinical diagnostic potential when it reacted with a high degree of specificity with serum samples obtained from both DEN-1-infected rabbits and patients. Based on these observations, our DEN-1 epitope-based serologic test could be useful in laboratory viral diagnosis and in understanding the pathogenesis of DEN-1.Dengue virus (DEN) causes serious febrile illness in humans, including dengue hemorrhagic fever (DHF) and dengue shock syndrome (DSS) (12). It has been estimated that 100 million cases of dengue fever (DF) occur each year, with a 5% annual case fatality rate even where appropriate supportive treatment is given (10). Primary DEN infection with any of the four serotypes (DEN-1, -2, -3, or -4) often results in a painful, debilitating, but usually nonfatal DF and subsequently leads to protection against reinfection by the same serotype. Many severe and fatal DHF and DSS cases have frequently been reported in regions where more than one serotype of DEN is circulating (9, 11). During epidemics of DHF and DSS, rapid diagnosis of the serotype(s) in patients infected with DEN is important, especially for those patients who visit physicians during the late phase of infection or those patients for whom only convalescent-phase serum samples are available. At present it is still not clear whether DHF and DSS are due to a primary or secondary DEN infection or to other immunopathologic mechanisms (9, 11). Therefore, the identification of B-cell epitopes for DEN can provide important information for the development of a safe and effective dengue vaccine and contribute to the understanding of the pathogenesis of DEN and immunological responses in DEN infection.The B-cell epitopes of DEN-2 had been documented using overlapping synthetic peptides (PEPSCAN) to analyze the antisera (1, 14, 21), and a variety of antigenic domains of DEN-2 had been studied by antigen fragments using recombinant or enzyme cleavage proteins (18,20,26). Phage display, a selection technique in which a peptide or protein is expressed as a fusion w...