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Published on: December 21, 2019
Alphaviruses
1Arboviral Diseases Branch, Division of Vector-Borne Infectious Diseases, U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, Public Health Service, Fort Collins, CO, USA.
Abstract:
Alphaviruses remain important emerging mosquito-borne, zoonotic pathogens that cause both localized human outbreaks and epizootics (e.g., Venezuelan equine encephalitis) and large human epidemics (e.g., Chikungunya). Alphaviruses are globally dispersed, and each continent has humans at risk from one or more of these arthropod-borne viruses (arboviruses). Symptoms of human alphaviral disease range from frank, severe encephalitis (e.g., eastern and western equine encephalitis) to polyarthritis (e.g., Ross River). Diagnostic techniques to identify human alphaviral infections have changed dramatically with the development and implementation of standardized nucleic acid amplification tests (NAAT). The NAAT is rapidly replacing virus isolation and typing using indirect fluorescent antibody (IFA) assay with monoclonal antibodies (MAbs) as the preferred method of virus identification. The older techniques still have value, however, since alphaviral growth in cell culture is rapid, and IFA with MAbs is inexpensive. This chapter provides detailed, standardized protocols for the identification of alphaviruses from clinical specimens and the serological characterization of human infection-immune sera. Both laboratory approaches are needed to identify and confirm human infections with these agents.
Insights
Alphaviruses are emerging mosquito-borne viruses causing significant human disease globally. Nucleic acid amplification tests (NAATs) are now preferred for diagnosing alphavirus infections, complementing older methods.
Area of Science:
- Virology
- Public Health
- Infectious Diseases
Background:
- Alphaviruses are globally distributed, mosquito-borne zoonotic pathogens responsible for significant human and animal health issues.
- Diseases caused by alphaviruses range from severe encephalitis to debilitating polyarthritis, posing a constant threat worldwide.
- The emergence and re-emergence of alphavirus outbreaks necessitate robust diagnostic strategies.
Purpose of the Study:
- To provide standardized protocols for identifying alphaviruses in clinical specimens.
- To detail methods for serological characterization of human alphavirus infections.
- To highlight the evolving landscape of alphavirus diagnostics.
Main Methods:
- Nucleic acid amplification tests (NAATs) are presented as the current gold standard for virus identification.
- Virus isolation in cell culture and indirect fluorescent antibody (IFA) assays using monoclonal antibodies (MAbs) are discussed as complementary techniques.
- Detailed protocols for both molecular and serological analyses are provided.
Main Results:
- NAATs are rapidly replacing older diagnostic methods for alphavirus identification due to their speed and specificity.
- Virus isolation and IFA with MAbs remain valuable due to rapid viral growth and cost-effectiveness, respectively.
- Standardized protocols enable accurate identification and confirmation of alphavirus infections.
Conclusions:
- Both NAATs and traditional methods like IFA are crucial for comprehensive alphavirus diagnosis.
- Accurate identification and characterization of alphaviruses are essential for managing outbreaks and public health.
- The presented protocols support laboratory efforts in combating alphavirus threats.
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