Sensitivity and Specificity Assessment of Various African Swine Fever ELISA Kits for Accurate Detection of...

The continuous and rapid spread of African swine fever (ASF) still poses a significant threat to Eurasian wild boar and domestic pigs, leading to substantial economic losses in all associated sectors annually. In Europe, including Germany, affected wild boar populations have become an important driver and host of ASF virus (ASFV), and monitoring and surveillance is key to tailor control measures that impede viral spread. While molecular methods are used to confirm the disease and to monitor viral evolution, serology gains importance in endemically affected regions as it provides insights into disease dynamics and possible attenuation of ASFV strains. Frontline serological diagnosis is done using ELISA assays, of which several are commercialized. However, accurate performance of ELISA assays is key for correct interpretation of wild boar samples. Due to the various stages of hemolysis and decay, field samples from wild boar can be challenging for ELISA assays. To assess which indirect or competitive ELISA kit performs best when dealing with such samples, we compared the sensitivity and specificity of four commercially available ELISA kits that are licensed in Germany, as well as three unlicensed but commercially available kits. For this comparison, we used all wild boar samples submitted to the National Reference Laboratory (NRL) for ASF in years 2021 and 2022, as well as samples from domestic pigs to have a control cohort where sample quality is optimal. We observed that wild boar samples, varying in stage of hemolysis and decay, were challenging for all kits included in this study. However, samples of domestic pigs were largely interpreted correctly by ELISA, using immunoperoxidase test as verification method. Additionally, the comparability of results obtained by regional laboratories was high. Our study provides data that highlights the importance of careful kit selection, assessment of sample quality, and data interpretation for effective ASFV surveillance and control.