Immunoglobulin G antibody response in children and adults with acute dengue 3 infection

Susana Vazquez1, Nadia Acosta, Didye Ruiz

  • 1Pedro Kourí Tropical Medicine Institute (IPK), PAHO/WHO Collaborating Center for the Study of Dengue and its Vector, Havana City, Cuba. svazquez@ipk.sld.cu

Insights

This study defines criteria for primary or secondary dengue virus infection using IgG antibody titers. Findings differentiate infection types in children versus adults during Cuba's 2001-2002 dengue epidemic.

Area of Science:

  • Virology
  • Immunology
  • Epidemiology

Background:

  • Dengue virus infection classification relies on serological tests.
  • Cuba faced a significant dengue epidemic in 2001-2002.

Purpose of the Study:

  • To evaluate IgG antibody response for classifying dengue virus infection.
  • To differentiate primary and secondary dengue infections in acute-phase samples.

Main Methods:

  • ELISA inhibition assay used on 713 serum samples from IgM-positive patients.
  • Samples collected 5-7 days post-fever onset from children and adults.
  • Control samples from healthy donors and non-dengue patients.

Main Results:

  • Children showed a primary IgG infection pattern (89.3% with titers ≤20).
  • Adults exhibited both primary (13.4% with titers ≤20) and secondary (83.9% with titers ≥1280) patterns.
  • Established criteria for classifying dengue infection based on IgG titers.

Conclusions:

  • Defined serological criteria for primary/secondary dengue virus infection.
  • Distinguished infection patterns between pediatric and adult populations.
  • Facilitated accurate dengue case classification during acute phases.