A rapid and quantitative assay for measuring neutralizing antibodies of Coxsackievirus B3

Pan Chen1, Xing Wu2, Qunying Mao2

  • 1National Institutes for Food and Drug Control, Beijing 100050, China; National Institute of Biological Sciences, Beijing 102206, China.

Insights

A new Coxsackievirus B3 (CVB3) pseudovirus system accurately quantifies neutralizing antibodies (NtAbs). This tool reveals low CVB3 immunity in children, highlighting a need for vaccine development.

Area of Science:

  • Virology
  • Immunology
  • Epidemiology

Background:

  • Coxsackievirus B3 (CVB3) is an increasing cause of hand, foot, and mouth disease (HFMD), particularly in preschool children.
  • CVB3 poses a significant health risk to young children due to their potential lack of immunity.

Purpose of the Study:

  • To establish a novel single-round infection system for CVB3 using pseudoviruses.
  • To develop a rapid and quantitative assay for measuring neutralizing antibody (NtAb) levels against CVB3.
  • To assess the seroprevalence of CVB3 NtAbs in preschool children and adults.

Main Methods:

  • Reverse genetics approaches were used to create a CVB3 pseudovirus system.
  • Pseudoviruses were generated by transfecting CVB3 capsid expresser plasmids and CVB3 replicon RNA with a firefly luciferase reporter.
  • The pseudovirus system was employed to quantify NtAbs in 720 human serum samples.

Main Results:

  • The CVB3 pseudovirus system demonstrated superior specificity and sensitivity compared to traditional cytopathic effect (CPE) assays.
  • Seroprevalence studies revealed only 11.94% NtAb positivity in preschool children, suggesting widespread susceptibility.
  • A significantly higher NtAb positive rate (60%) was observed in adults, indicating prior CVB3 exposure.

Conclusions:

  • The developed CVB3 pseudovirus assay is a rapid and quantitative tool for evaluating population-level NtAb responses.
  • Findings suggest most preschool children are immunologically naive to CVB3, underscoring the need for effective interventions.
  • This assay is expected to accelerate the development of CVB3 vaccines.

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