Diagnostic test for West Nile virus
United States Patent 20040197769
Kind Code:
A1
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Abstract:
The present invention provides a rapid and sensitive method for the
detection of a West Nile virus (WNV), Japanese encephalitis virus (JEV), St.
Louis encephalitis virus (SLEV) and Dengue virus (DENV) and antibodies directed
against thereof involving contacting a biological specimen suspected of being
infected with WNV, JE, SLE or DEN with a substantially purified and isolated
WNV E glycoprotein or subfragment thereof having a native conformation wherein
the E glycoprotein or subfragment thereof has a reactivity with antibodies
against WNV and a cross-reactivity with antibodies against JEV, SLEV and DENV.
The instant invention further provides a rapid, sensitive, and consistent
method for the specific detection of WNV by employing diagnostic assays having
the antigen NS5 which is specifically reactive with anti-WNV antibodies but not
cross-reactive with antibodies against other flaviviruses such as JEV, SLEV, or
DENV. The present invention also provides a rapid, sensitive, and consistent
method for the specific detection of DENV by employing diagnostic assays having
the antigen NS5 which is specifically reactive with anti-DENV antibodies but do
not cross-react with antibodies against other flaviviruses such as JEV, SLEV,
or WNV. Further, the DENV NS5 antigens are serospecific and do not cross react
with antibodies to other DENV strains. Thus, the method of the present
invention provides a manner by which to discriminate infections by each DENV
strain. Further, diagnostic kits for carrying out the methods are provided. The
methods and kits for carrying out the methods of the invention are rapid and
require as little as 10 minutes to detect a result.
Inventors:
Wong, Susan J. (Albany, NY, US)
Shi, Pei-Yong (Albany, NY, US)
Application Number:
699550
Filing Date:
10/31/2003
Publication Date:
10/07/2004
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Referenced by:
Export Citation:
Primary Class:
International Classes:
C12Q 001/70, A61K 039/12
Attorney, Agent or Firm:
FROMMER LAWRENCE & HAUG 745 FIFTH AVENUE- 10TH FL. NEW YORK NY 10151 US
Claims:
We claim:
1. A diagnostic kit comprising at least one isolated and purified polypeptide
comprising a WNV envelope (E) protein or an immunogenic fragment thereof having
an native conformation or non-denatured structure whereby the E glycoprotein or
the immunogenic fragment thereof is reactive with antibodies against WNV and
cross-reactive with antibodies against a flavivirus.
2. The kit according to claim 1, wherein said E glycoprotein or fragment is
from WNV isolate 2741.
3. The kit according to claim 1, wherein the amino acid sequence of the WNV E
glycoprotein or immunogenic fragment thereof is the amino acid sequence encoded
by SEQ ID NO.5.
4. The kit according to any one of claims 1-3, wherein said E glycoprotein or
fragment thereof is part of a fusion protein.
5. The kit according to claim 4, wherein the fusion protein comprises a maltose
binding protein or thioredoxin and said E glycoprotein.
6. The kit according to claim 1, wherein said flavivirus is DENV.
7. The kit according to claim 1, wherein said flavivirus is JEV.
8. The kit according to claim 1, wherein said flavivirus is SLEV.
9. A method for detecting a WNV infection in a subject suspected of having said
infection comprising the steps of (a) contacting a biological sample from the
subject with an isolated and substantially purified polypeptide comprising a
WNV envelope (E) protein or an immunogenic fragment thereof having a native
conformation or non-denatured structure whereby the E glycoprotein or the
immunogenic fragment thereof is reactive with antibodies against WNV, and (b)
detecting antibodies against WNV that have reacted with the WNV E protein,
wherein detection of the antibodies indicates a WNV infection.
10. A method for detecting a flavivirus infection comprising the steps of (a)
contacting a sample from a subject suspected of having said infection with an
isolated and substantially purified polypeptide comprising a WNV envelope (E)
protein or an immunogenic fragment thereof having a native conformation or
non-denatured structure whereby the E glycoprotein or the immunogenic fragment
thereof is cross-reactive with antibodies against a flavivirus, and (b)
detecting antibodies that have reacted with the WNV E protein, wherein
detection of antibodies indicates a flavivirus infection.
11. A method for detecting a protective immune response in a subject comprising
the step of contacting a biological sample from said subject with an isolated
and substantially purified polypeptide comprising a WNV envelope (E) protein or
an immunogenic fragment thereof whereby the E glycoprotein or the immunogenic
fragment thereof having a native conformation or non-denatured structure is
reactive with protective antibodies against WNV and cross-reactive with
protective antibodies against a flavivirus.
12. The methods according to claims 9-11, wherein said E glycoprotein or
fragment thereof is comprised of SEQ ID NO.6.
13. The methods according to claims 9-11, wherein the amino acid sequence of the
WNV E glycoprotein or fragment thereof is encoded by SEQ ID NO.5.
14. The method according to any one of claims 9-11, wherein said E glycoprotein
or fragment thereof is part of a fusion protein.
15. The method according to claim 14, wherein the fusion protein comprises a
maltose binding protein or thioredoxin and said E glycoprotein or fragment
thereof.
16. The methods according to claims 9-11, wherein said flavivirus is DENV.
17. The methods according to claims 9-11, wherein said flavivirus is JEV.
18. The methods according to claims 9-11, wherein said flavivirus is SLEV.
19. A method for detecting a first antibody to a flavivirus from a biological
specimen of a subject suspected of being infected by said flavivirus comprising
the steps of: (a) contacting the biological specimen with a substantially pure
WNV envelope (E) protein or an immunogenic fragment thereof having a native
conformation and non-denatured structure under conditions to form a complex
between the E glycoprotein and the first antibody, if present, that recognizes
and binds the E glycoprotein, (b) detecting the first antibody of said complex,
wherein the E glycoprotein is reactive to an antibody against a WNV and
cross-reactive to an antibody against a flavivirus other than a WNV.
20. The method according to claim 19, wherein said E glycoprotein is coupled to
a microsphere.
21. The method according to claim 19, wherein step (b) comprises the steps of:
(b.sub.i) contacting said complex between said E glycoprotein and said first
antibody with a second antibody reactive against said first antibody,
(b.sub.ii) detecting the second antibody, wherein detecting the second antibody
infers detecting the first antibody.
22. The method according to claim 21, wherein the second antibody includes a
fluorescent marker.
23. The method according to claim 21, wherein the step of detecting the second
antibody further comprises the step of immunofluorescence detection.
24. The method according to claim 21, wherein the second antibody is coupled to
an enzyme which can be assayed.
25. The method according to claim 24, wherein the enzyme is selected from the
group consisting of an oxidase, luciferase, peptidase, protease, glycosidase
and phosphatase.
24. The method according to claim 19, wherein said flavivirus is JEV.
25. The method according to claim 19, wherein said flavivirus is DENV.
26. The method according to claim 19, wherein said flavivirus is SLEV.
27. The method according to claim 19, wherein said flavivirus is WNV.
28. The method according to claim 19, wherein the biological specimen is
selected from the group consisting of bodily fluid, blood, serum, plasma,
saliva, tears, feces, semen, mucous, tissue, tissue homogenate, cellular
extract, and spinal fluid.
29. The method according to claim 28, wherein the biological specimen is from a
human.
30. A method according to claim 19, wherein the E glycoprotein is a fusion
protein.
31. A method according to claim 30, wherein said fusion protein comprises a
maltose binding protein or thioredoxin and WNV E glycoprotein or subfragment
thereof.
32. A method for detecting a recent or ongoing flavivirus infection using a
microsphere immunoassay to detect an IgM antibody against a flavivirus in a
biological specimen comprising the steps of: (a) contacting the biological
specimen with anti-IgG antibodies to form IgG immune complexes, (b) removing
said complexes to form a biological specimen comprising IgM antibodies but
lacking IgG antibodies, (c) contacting the biological specimen with a
microsphere coupled to a substantially pure WNV E glycoprotein having a native
conformation or non-denatured structure to form a microsphere mixture under
conditions sufficient to form a binding complex between the E glycoprotein and
a IgM antibody whereby the E glycoprotein is reactive to antibodies against WNV
and cross-reactive to antibodies against a flavivirus, (d) contacting the
microsphere mixture with a detection reagent capable of detecting a IgM
antibody, (e) detecting the detection reagent, whereby detection of the
detection reagent indicates a recent or ongoing flavivirus infection.
33. A method for detecting a protective immune response to a flavivirus using a
microsphere immunoassay to detect an IgG antibody against a flavivirus in a
biological specimen comprising the steps of: (a) contacting the biological
specimen with anti-IgM antibodies to form IgM immune complexes, (b) removing
said complexes to form a biological specimen comprising IgG antibodies but
lacking IgM antibodies, (c) contacting the biological specimen with a
microsphere coupled to a substantially pure WNV E glycoprotein having a native
conformation or non-denatured structure to form a microsphere mixture under
conditions sufficient to form a binding complex between the E glycoprotein and a
IgG antibody whereby the E glycoprotein is reactive to antibodies against WNV
and cross-reactive to antibodies against a flavivirus, (d) contacting the
microsphere mixture with a detection reagent capable of detecting a IgG
antibody, (e) detecting the detection reagent, whereby detection of the
detection reagent indicates a protective immune response to a flavivirus.
35. The methods according to claims 32 and 33, wherein said flavivirus is
selected from the group consisting of WNV, JEV, SLEV, and DENV.
36. The methods according to claims 32 and 33, wherein said biological specimen
is selected from the group consisting of bodily fluid, blood, serum, plasma,
saliva, tears, feces, semen, mucous, tissue, tissue homogenate, cellular
extract, and spinal fluid.
37. The method according to claim 32, wherein the detection reagent comprises
an anti-IgM antibody coupled to a fluorescent tag.
38. The method according to claim 33, wherein the detection reagent comprises
an anti-IgG antibody coupled to a fluorescent tag.
39. The method according to claim 32, wherein the detection reagent comprises
an anti-IgM antibody coupled to an enzyme.
40. The method according to claim 33, wherein the detection reagent comprises
an anti-IgG antibody coupled to an enzyme.
41. The methods according to claims 39 and 40, wherein the enzyme is selected
from the group consisting of an oxidase, luciferase, peptidase, protease,
glycosidase and phosphatase.
42. The methods according to claims 37 and 38, wherein step (e) comprises the
step of immunofluorescence detection of said fluorescent tag of said antibody
of said detection reagent.
43. The methods according to claims 32 and 33, wherein the step of removing
said complexes comprises the step of centrifugation.
44. A method for rapidly detecting an antibody against a flavivirus antigen
comprising the steps of: (a) contacting a biological sample with a microsphere
suspension, each microsphere coupled to a substantially pure WNV E glycoprotein
having a native conformation or non-denatured structure whereby each E
glycoprotein is reactive to antibodies against WNV and cross-reactive to
antibodies against a flavivirus, (b) incubating the microsphere suspension
under conditions sufficient to increase reaction kinetics to promote the
binding of an anti-WNV or anti-flavivirus antibody to the E glycoproteins, (c)
contacting the microsphere suspension with a detection reagent capable of
detecting an antibody against a WNV or a flavivirus, (d) detecting the
detection reagent, wherein detection of the detection reagent indicates an
antibody against a WNV or a flavivirus in the biological sample.
45. The method according to claim 44, wherein the biological sample is selected
from the group consisting of bodily fluid, blood, serum, plasma, saliva, tears,
feces, semen, mucous, tissue, tissue homogenate, cellular extract, and spinal
fluid.
46. The method according to claim 45, wherein the biological sample is 10-20
microliters.
47. The method according to claim 44, wherein the conditions sufficient to increase
the reaction kinetics according to step (b) comprises an incubation temperature
of 37.degree. C., and incubation time of about 30 minutes, and motion.
48. The method according to claim 44, wherein the detection reagent comprises a
polyvalent antibody coupled to a fluorescent tag, the polyvalent antibody
comprising at least anti-IgG and anti-IgM antibodies.
49. The method according to claim 44, wherein the detection reagent comprises a
polyvalent antibody coupled to an enzyme, the polyvalent antibody comprising at
least anti-IgG and anti-IgM antibodies.
50. The method according to claim 49, wherein the enzyme is selected from the
group consisting of an oxidase, luciferase, peptidase, protease, glycosidase
and phosphatase.
51. The method according to claims 48, wherein step (d) comprises the step of
immunofluorescence detection of said fluorescent tag of said antibody of said
detection reagent.
52. The methods according to claim 44, wherein said flavivirus is selected from
the group consisting of WNV, JEV, SLEV, and DENV.
53. A method for the detection of a flavivirus infection in a biological
specimen comprising the steps of: (a) obtaining a suspension of microspheres
each coupled to a substantially pure WNV E glycoprotein having a native conformation
or non-denatured structure wherein the WNV E glycoprotein is reactive with
antibodies against WNV and cross-reactive with antibodies against a flavivirus;
(b) performing a microsphere immunoassay; (c) obtaining a result indicating
either the presence or absence of an antibody against the flavivirus, wherein
the presence of an antibody against the flavivirus indicates a flavivirus
infection.
54. The method according to claim 53, wherein the microsphere immunoassay is a
Luminex-based test.
55. The method according to claim 54, wherein the microsphere immunoassay is a
lateral flow test.
56. The method according to claim 55, wherein the microsphere immunoassay is an
agglutination test.
57. The method according to claim 53, wherein the microsphere immunoassay is a
lateral flow immunoassay
58. The method according to claim 53, wherein the microsphere immunoassay is
automated.
59. The method according to claim 53, wherein the flavivirus is selected from
the group consisting of WNV, JEV, SLEV, and DENV.
60. A method for the transfer of information obtained as a result of carrying
out the methods of any of claims 1, 9, 10, 11, 19, 32, 33, 44, or 53.
61. A diagnostic kit comprising isolated and purified WNV E glycoprotein or an
immunogenic fragment thereof, wherein, the WNV E glycoprotein is reactive with
antibodies against WNV, as well as with antibodies against at least one
flavivirus that is other than WNV, and the WNV E glycoprotein has its native
conformation or is non-denatured, and the immunogenic fragment contains at
least an epitope of native WNV E in native conformation or that is
non-denatured, whereby the immunogenic fragment is reactive with antibodies
against WNV, as well as with antibodies against at least one other flavivirus.
62. A diagnostic kit comprising an isolated or purified WNV E glycoprotein or
immunogenic fragment thereof, wherein, the WNV E glycoprotein is reactive with
antibodies against WNV, as well as with antibodies against at least two other
flaviviruses that are other than WNV, and the WNV E glycoprotein has its native
conformation or is non-denatured, and the immunogenic fragment contains at
least an epitope of native WNV E in native conformation or that is
non-denatured, whereby the immunogenic fragment is reactive with antibodies
against WNV, as well as with antibodies against at least two other flavivirus.
63. A diagnostic kit comprising isolated and purified WNV E glycoprotein or an
immunogenic fragment thereof, wherein, the WNV E glycoprotein is reactive with
antibodies against WNV, as well as with antibodies against at least three other
flaviviruses that are other than WNV, and the WNV E glycoprotein has its native
conformation or is non-denatured, and the immunogenic fragment contains at
least an epitope of native WNV E in native conformation or that is
non-denatured, whereby the immunogenic fragment is reactive with antibodies
against WNV, as well as with antibodies against at least three other
flavivirus.
64. The diagnostic kit according to claim 61, wherein the at least one other
flavivirus is selected from the group consisting of JEV, SLEV, and DENV.
65. The diagnostic kit according to claim 62, wherein the at least two other
flaviviruses are selected from the group consisting of JEV, SLEV, and DENV.
66. The diagnostic kit according to claim 63, wherein the at least three other
flaviviruses are selected from the group consisting of JEV, SLEV, and DENV.
67. The kit according to claims 61-63, wherein the WNV E glycoprotein or
fragment thereof is so purified that a diagnostic assay employing the WNV E
glycoprotein or fragment thereof can detect flavivirus within about 3 hours.
68. The kit according to claims 61-63, wherein the WNV E glycoprotein or
fragment thereof is so purified that a diagnostic assay employing the WNV E
glycoprotein or fragment thereof can detect flavivirus within about 10 minutes.
69. A diagnostic kit comprising at least one isolated and purified polypeptide
comprising a WNV NS5 protein or an immunogenic fragment thereof having an
native conformation or non-denatured structure whereby the NS5 protein or the
immunogenic fragment thereof is specifically reactive with antibodies against
WNV but not detectably cross-reactive with antibodies against a flavivirus
other than WNV.
70. The kit according to claim 69, wherein said NS5 protein or fragment thereof
is from WNV isolate 2741.
71. The kit according to claim 69, wherein the amino acid sequence of the WNV
NS5 protein or fragment thereof is the amino acid sequence encoded by the NS5.
72. The kit according to any one of claims 69-71, wherein said NS5 protein or
fragment thereof is part of a fusion protein.
73. The kit according to claim 72, wherein the fusion protein comprises a
maltose binding protein or thioredoxin and said NS5 protein.
74. A method for detecting a WNV infection in a subject suspected of having
said infection comprising the steps of (a) contacting a biological sample from
the subject with an isolated and substantially purified polypeptide comprising
a WNV NS5 protein or an immunogenic fragment thereof having a native
conformation or non-denatured structure whereby the NS5 protein or the
immunogenic fragment thereof is specifically reactive with anti-WNV antibodies
but not detectably cross-reactive with antibodies against a flavivirus other
than WNV, and (b) detecting anti-WNV antibodies that have reacted with the WNV
NS5 protein, wherein detection of the anti-WNV antibodies indicates a WNV
infection.
75. A method for detecting a protective immune response in a subject comprising
the step of contacting a biological sample from said subject with an isolated
and substantially purified polypeptide comprising a WNV NS5 protein or an
immunogenic fragment thereof whereby the E glycoprotein or the immunogenic
fragment thereof having a native conformation or non-denatured structure is
specifically reactive with protective antibodies against WNV with no detectable
cross-reactivity with protective antibodies against a flavivirus other than
WNV.
76. The methods according to claims 74-75, wherein said NS5 protein or fragment
thereof is from WNV isolate 2741.
77. The methods according to claims 74-75, wherein the amino acid sequence of
the WNV NS5 protein or fragment thereof is the amino acid sequence encoded by
the NS5 protein encoding DNA sequence of Genbank accession No. AF 404756, or a
fragment thereof.
78. The method according to any one of claims 74-75, wherein said NS5 protein
or fragment thereof is part of a fusion protein.
79. The method according to claim 78, wherein the fusion protein comprises a
maltose binding protein or thioredoxin and said NS5 protein or fragment
thereof.
80. A method for detecting a first antibody to a WNV from a biological specimen
of a subject suspected of being infected by said WNV comprising the steps of:
(a) contacting the biological specimen with a substantially pure WNV NS5
protein or an immunogenic fragment thereof having a native conformation and
non-denatured structure under conditions to form a complex between the NS5
protein and the first antibody, if present, that recognizes and binds the NS5
protein, (b) detecting the first antibody of said complex, wherein the NS5
protein is not detectably cross-reactive to an antibody against a flavivirus
other than a WNV.
81. The method according to claim 80, wherein said NS5 protein is coupled to a
microsphere, adsorbed to nitrocellulose paper, or dried to nitrocellulose
paper.
82. The method according to claim 80, wherein step (b) comprises the steps of:
(b.sub.i) contacting said complex between said NS5 protein and said first
antibody with a second antibody reactive against said first antibody,
(b.sub.ii) detecting the second antibody, wherein detecting the second antibody
infers detecting the first antibody.
83. The method according to claim 82, wherein the second antibody includes a
fluorescent marker or the second antibody is bound to colloidal gold or
polystyrene microspheres.
84. The method according to claim 82, wherein the step of detecting the second
antibody further comprises the step of immunofluorescence detection.
85. The method according to claim 82, wherein the second antibody is coupled to
an enzyme which can be assayed.
86. The method according to claim 85, wherein the enzyme is selected from the
group consisting of an oxidase, luciferase, peptidase, protease, glycosidase
and phosphatase.
87. The method according to claim 80, wherein the biological specimen is
selected from the group consisting of bodily fluid, blood, serum, plasma,
saliva, tears, feces, semen, mucous, tissue, tissue homogenate, cellular
extract, and spinal fluid.
88. The method according to claim 87, wherein the biological specimen is from a
human.
89. A method according to claim 80, wherein the NS5 protein is a fusion
protein.
90. A method according to claim 89, wherein said fusion protein comprises a
maltose binding protein or thioredoxin and WNV NS5 or subfragment thereof.
91. A method for rapidly detecting an anti-WNV antibody comprising the steps
of: (a) contacting a biological sample with a microsphere suspension, each microsphere
coupled to a substantially pure WNV NS5 protein having a native conformation or
non-denatured structure whereby each NS5 protein is specifically reactive to
antibodies against WNV but not detectably cross-reactive with antibodies
against a flavivirus other than WNV, (b) incubating the microsphere suspension
under conditions sufficient to increase reaction kinetics to promote the
binding of an anti-WNV antibody to the NS5 proteins, (c) contacting the
microsphere suspension with a detection reagent capable of detecting an
anti-WNV antibody, (d) detecting the detection reagent, wherein detection of
the detection reagent indicates the presence an anti-WNV in the biological
sample.
92. The method according to claim 91, wherein the biological sample is selected
from the group consisting of bodily fluid, blood, serum, plasma, saliva, tears,
feces, semen, mucous, tissue, tissue homogenate, cellular extract, and spinal
fluid.
93. The method according to claim 92, wherein the biological sample is 10-20 microliters.
94. The method according to claim 91, wherein the conditions sufficient to
increase the reaction kinetics according to step (b) comprises an incubation
temperature of 37.degree. C., and incubation time of about 30 minutes, and
motion.
95. The method according to claim 91, wherein the detection reagent comprises a
polyvalent antibody coupled to a fluorescent tag.
96. The method according to claim 91, wherein the detection reagent comprises a
polyvalent antibody coupled to an enzyme.
97. The method according to claim 96, wherein the enzyme is selected from the
group consisting of an oxidase, luciferase, peptidase, protease, glycosidase
and phosphatase.
98. The method according to claims 95, wherein step (d) comprises the step of
immunofluorescence detection of said fluorescent tag of said polyvalent
antibody of said detection reagent.
99. A method for the detection of a WNV infection in a biological specimen
comprising the steps of: (a) obtaining a suspension of microspheres each
coupled to a substantially pure WNV NS5 protein having a native conformation or
non-denatured structure wherein the WNV NS5 protein is specifically reactive
with anti-WNV antibodies but not detectably cross-reactive with antibodies
against a flavivirus; (b) performing a microsphere immunoassay; (c) obtaining a
result indicating either the presence or absence of an anti-WNV antibody,
wherein the presence of an anti-WNV antibody indicates a WNV infection.
100. The method according to claim 99, wherein the microsphere immunoassay is a
Luminex-based test.
101. The method according to claim 99, wherein the microsphere immunoassay is a
lateral flow test.
102. The method according to claim 99, wherein the microsphere immunoassay is
an agglutination test.
103. The method according to claim 99, wherein the microsphere immunoassay is a
strip test.
104. The method according to claim 99, wherein the microsphere immunoassay is
automated.
105. A method for the transfer of information obtained as a result of carrying
out the methods of any of claims 74, 75, 80, 91, or 99.
106. A method for discriminating between whether (1) a host has an ongoing WNV
infection or (2) a host has been vaccinated with a killed-flavivirus vaccine
wherein the host in the case of (1) has both anti-E glycoprotein antibodies and
anti-NS5 antibodies but in the case of (2) has anti-E glycoprotein but not
anti-NS5 antibodies comprising the steps of: (a) carrying out a first reaction
comprising the steps of (i) contacting a biological sample from the host with a
first detection reagent for the detection of anti-E glycoprotein antibodies,
(ii) detecting said first detection reagent to provide either a positive or
negative signal wherein a positive signal indicates the presence of anti-E
glycoprotein antibodies and a negative signal indicates the absence of anti-E
glycoprotein antibodies; (b) carrying out a second reaction comprising the
steps of (i) contacting a biological sample from the host with a second
detection reagent for the detection of anti-NS5 antibodies, (ii) detecting said
second detection reagent to provide either a positive or negative signal
wherein a positive signal indicates the presence of anti-NS5 antibodies and a
negative signal indicates the absence of anti-NS5 antibodies; (c) comparing the
results of the first and second reactions wherein the following imay be true:
(i) a positive signal for anti-E glycoprotein antibody and a positive signal
for anti-NS5 antibody indicates that the host has an ongoing WNV infection and
(ii) a positive signal for anti-E glycoprotein antibody and a negative signal
for anti-NS5 antibody indicates that the host does not have an ongoing WNV
infection but may have been vaccinated with a killed-flavivirus vaccine.
107. A method for detecting a recent or ongoing WNV infection in a host
comprising the steps of: (a) carrying out a first reaction comprising the steps
of (i) contacting a biological sample from the host with a first detection
reagent for the detection of anti-E glycoprotein antibodies, (ii) detecting
said first detection reagent to provide either a positive or negative signal
wherein a positive signal indicates the presence of anti-E glycoprotein
antibodies and a negative signal indicates the absence of anti-E glycoprotein
antibodies; (b) carrying out a second reaction comprising the steps of (i)
contacting a biological sample from the host with a second detection reagent
for the detection of anti-NS5 antibodies, (ii) detecting said second detection
reagent to provide either a positive or negative signal wherein a positive
signal indicates the presence of anti-NS5 antibodies and a negative signal
indicates the absence of anti-NS5 antibodies; (c) comparing the results of the
first and second reactions wherein the following may be true: (i) a positive
signal for anti-E glycoprotein antibody and a positive signal for anti-NS5
antibody indicates that the host has a recent or ongoing WNV infection and (ii)
a positive signal for anti-E glycoprotein antibody but a negative signal for
anti-NS5 antibody indicates that the host does not have an recent or ongoing
WNV infection.
108. The method according to claims 106-107 wherein the first detection reagent
comprises a WNV E glycoprotein or fragment thereof from WNV isolate 2741 and
wherein the amino acid sequence of SEQ ID NO.6.
109. The method according to claim 108, wherein the step of (a)(i) detecting
said first detection reagent further comprises contacting with at least one
antibody against the WNV E glycoprotein.
110. The method according to claim 109, wherein the at least one antibody
against the WNV E glycoprotein further comprises a detectable signal.
111. The method according to claim 110, wherein the detectable signal is
selected from the group consisting of a fluorescent label, an enzyme, and
radioactive marker, or color from a colloidal gold or a colored polystyrene
microsphere.
112. The method according to claim 111, wherein the enzyme is selected from the
group consisting of an oxidase, luciferase, peptidase, protease, glycosidase
and phosphatase.
113. The method according to claims 106-107, wherein the biological sample is
selected from the group consisting of bodily fluid, blood, serum, plasma,
saliva, tears, feces, semen, mucous, tissue, tissue homogenate, cellular
extract, and spinal fluid.
114. The method according to claims 106-107, wherein the host is a human.
115. The method according to claims 106-107, wherein the host is a horse.
116. The method according to claim 109, wherein the fusion protein comprises a
maltose binding protein or thioredoxin and said WNV E glycoprotein or fragment
thereof.
117. The method according to claims 106-107 wherein the second detection
reagent comprises a WNV NS5 protein or fragment thereof from WNV isolate 2741
and wherein the amino acid sequence of the WNV NS5 protein or fragment thereof
is the amino acid sequence of SEQ ID NO.6.
118. The method according to claim 106-107, wherein the step of (a)(i)
detecting said second detection reagent further comprises contacting with at
least one antibody against the WNV NS5 protein.
119. The method according to claim 118, wherein the at least one antibody
against the WNV NS5 protein further comprises a detectable signal.
120. The method according to claim 119, wherein the detectable signal is
selected from the group consisting of a fluorescent label, an enzyme, and a
radioactive marker.
121. The method according to claim 111, wherein the enzyme is selected from the
group consisting of an oxidase, luciferase, peptidase, protease, glycosidase
and phosphatase.
122. The method according to claims 106-107 wherein the first detection reagent
comprises a WNV E glycoprotein or fragment thereof from WNV isolate 2741 and
wherein the amino acid sequence of the WNV E glycoprotein or fragment thereof
is the amino acid sequence encoded by the E glycoprotein encoding DNA sequence
of Genbank accession No. AF 404756 or a fragment thereof.
123. The kit according to claim 1, wherein the amino acid sequence of the WNV E
glycoprotein or fragment thereof is the amino acid sequence encoded by SEQ ID
NO.5.
124. A diagnostic kit comprising at least one isolated and purified polypeptide
comprising a WNV envelope (E) protein or an immunogenic fragment thereof having
an native conformation or non-denatured structure whereby the E glycoprotein or
the immunogenic fragment thereof is reactive with antibodies against WNV and
cross-reactive with antibodies against a flavivirus, wherein, the diagnostic
kit is an ELISA.
125. A method for detecting a recent or ongoing flavivirus infection using an
immunoassay to detect an IgM antibody against a flavivirus in a biological
specimen comprising the steps of: (a) contacting the biological specimen with
anti-IgG antibodies to form IgG immune complexes, (b) removing said complexes
to form a biological specimen comprising IgM antibodies but lacking IgG
antibodies, (c) contacting the biological specimen with a microsphere coupled
to a substantially pure WNV E glycoprotein having a native conformation or
non-denatured structure to form a microsphere mixture under conditions
sufficient to form a binding complex between the E glycoprotein and a IgM
antibody whereby the E glycoprotein is reactive to antibodies against WNV and
cross-reactive to antibodies against a flavivirus, (d) contacting the
microsphere mixture with a detection reagent capable of detecting a IgM
antibody, (e) detecting the detection reagent, whereby detection of the
detection reagent indicates a recent or ongoing flavivirus infection, wherein,
the immunoassay is an ELISA.
126. A method for rapidly detecting an anti-WNV antibody in an animal by using
an ELISA comprising the steps of: (a) contacting a biological sample comprising
at least one anti-WNV antibody with a reaction well surface, each reaction well
surface coupled to a substantially pure WNV NS5 protein having a native
conformation or non-denatured structure whereby each NS5 protein is
specifically reactive to antibodies against WNV but not detectably
cross-reactive with antibodies against a flavivirus other than WNV, (b)
incubating the biological sample under conditions sufficient to increase
reaction kinetics to promote the binding of the at least one anti-WNV antibody
to the NS5 protein, (c) contacting the reaction well surface with a detection
reagent capable of detecting an anti-WNV antibody, (d) detecting the detection
reagent, wherein detection of the detection reagent indicates the presence of
the at least one anti-WNV in the biological sample.
127. A method for rapidly detecting a recent WNV infection in an animal by
using an ELISA comprising the steps of: (a) contacting a biological sample
comprising at least one anti-WNV antibody with a reaction well surface, each
reaction well surface coupled to a substantially pure WNV NS5 protein having a
native conformation or non-denatured structure whereby each NS5 protein is
specifically reactive to antibodies against WNV but not detectably
cross-reactive with antibodies against a flavivirus other than WNV, (b)
incubating the biological sample under conditions sufficient to increase
reaction kinetics to promote the binding of at least one anti-WNV antibody to
the NS5 protein, (c) contacting the reaction well surface with a detection
reagent capable of detecting an anti-WNV antibody, (d) detecting the detection
reagent, wherein detection of the detection reagent indicates the presence of
the at least one anti-WNV in the biological sample thereby indicating a recent
WNV infection.
128. A method for rapidly determining whether a previously WNV-vaccinated
animal recently sustained exposure to WNV by using an ELISA comprising the
steps of: (a) contacting a biological sample of a previously WNV-vaccinated
animal comprising at least one anti-WNV antibody with a reaction well surface,
each reaction well surface coupled to a substantially pure WNV NS5 protein having
a native conformation or non-denatured structure whereby each NS5 protein is
specifically reactive to antibodies against WNV but not detectably
cross-reactive with antibodies against a flavivirus other than WNV, (b)
incubating the biological sample under conditions sufficient to increase
reaction kinetics to promote the binding of the at least one anti-WNV antibody
to the NS5 protein, (c) contacting the reaction well surface with a detection
reagent capable of detecting an anti-WNV antibody, (d) detecting the detection
reagent, wherein detection of the detection reagent indicates a recently
sustained exposure of the previously WNV-vaccinated animal to WNV.
129. A method for detecting a first antibody to a serospecific DENV from a
biological specimen of a subject suspected of being infected by said
serospecific DENV comprising the steps of: (a) contacting the biological
specimen with a substantially pure serospecific DENV NS5 protein or an
immunogenic fragment thereof having a native conformation and non-denatured
structure under conditions to form a complex between the NS5 protein and the
first antibody, if present, that recognizes and binds the NS5 protein, (b)
detecting the first antibody of said complex, wherein the NS5 protein is not
detectably cross-reactive to an antibody against a flavivirus other than a DENV
and is specific to the serospecific DENV.
130. The method according to claim 129, wherein said NS5 protein is coupled to
a microsphere or adsorbed to nitrocellulose paper.
131. The method according to claim 129, wherein step (b) comprises the steps
of: (b.sub.i) contacting said complex between said NS5 protein and said first
antibody with a second antibody reactive against said first antibody,
(b.sub.ii) detecting the second antibody, wherein detecting the second antibody
infers detecting the first antibody.
132. The method according to claim 131, wherein the second antibody includes a
fluorescent marker or the second antibody is bound to colloidal gold or
polystyrene microspheres.
133. The method according to claim 131, wherein the step of detecting the
second antibody further comprises the step of immunofluorescence detection.
134. The method according to claim 131, wherein the second antibody is coupled
to an enzyme which can be assayed.
135. The method according to claim 134, wherein the enzyme is selected from the
group consisting of an oxidase, luciferase, peptidase, protease, glycosidase
and phosphatase.
136. The method according to claim 129, wherein the biological specimen is
selected from the group consisting of bodily fluid, blood, serum, plasma,
saliva, tears, feces, semen, mucous, tissue, tissue homogenate, cellular
extract, and spinal fluid.
137. A diagnostic kit comprising at least one isolated and purified polypeptide
comprising a serospecific DENV NS5 protein or an immunogenic fragment thereof
having an native conformation or non-denatured structure whereby the NS5
protein or the immunogenic fragment thereof is reactive with antibodies to a
serospecific DENV and not detectably cross-reactive with antibodies against
another flavivirus, wherein, the diagnostic kit an ELISA.
138. A method for rapidly detecting an anti-DENV antibody in an animal by using
an ELISA comprising the steps of: (a) contacting a biological sample comprising
at least one anti-DENV antibody with a reaction well surface, each reaction
well surface coupled to a substantially pure DENV NS5 protein having a native
conformation or non-denatured structure whereby each NS5 protein is
specifically reactive to antibodies against DENV but not detectably
cross-reactive with antibodies against a flavivirus other than WNV, (b)
incubating the biological sample under conditions sufficient to increase
reaction kinetics to promote the binding of the at least one anti-DENV antibody
to the NS5 protein, (c) contacting the reaction well surface with a detection
reagent capable of detecting an anti-DENV antibody, (d) detecting the detection
reagent, wherein detection of the detection reagent indicates the presence of
the at least one anti-DENV in the biological sample.
139. The method according to claim 138, wherein the animal is selected from the
group consisting of a monkey and a chimpanzee.
140. A method for rapidly detecting a recent DENV infection in an animal by
using an ELISA comprising the steps of: (a) contacting a biological sample
comprising at least one anti-DENV antibody with a reaction well surface, each
reaction well surface coupled to a substantially pure DENV NS5 protein having a
native conformation or non-denatured structure whereby each NS5 protein is
specifically reactive to antibodies against DENV but not detectably
cross-reactive with antibodies against a flavivirus other than DENV, (b)
incubating the biological sample under conditions sufficient to increase reaction
kinetics to promote the binding of at least one anti-DENV antibody to the DENV
protein, (c) contacting the reaction well surface with a detection reagent
capable of detecting an anti-DENV antibody, (d) detecting the detection
reagent, wherein detection of the detection reagent indicates the presence of
the at least one anti-DENV in the biological sample thereby indicating a recent
DENV infection.
141. The method according to claim 140, wherein the animal is selected from the
group consisting of a monkey and a chimpanzee.
142. A method for rapidly determining whether a previously DENV-vaccinated
animal recently sustained exposure to DENV by using an ELISA comprising the
steps of: (a) contacting a biological sample of a previously DENV-vaccinated animal
comprising at least one anti-DENV antibody with a reaction well surface, each
reaction well surface coupled to a substantially pure DENV NS5 protein having a
native conformation or non-denatured structure whereby each NS5 protein is
specifically reactive to antibodies against DENV but not detectably
cross-reactive with antibodies against a flavivirus other than DENV, (b)
incubating the biological sample under conditions sufficient to increase
reaction kinetics to promote the binding of the at least one anti-DENV antibody
to the NS5 protein, (c) contacting the reaction well surface with a detection
reagent capable of detecting an anti-DENV antibody, (d) detecting the detection
reagent, wherein detection of the detection reagent indicates a recently sustained
exposure of the previously DENV-vaccinated animal to DENV.
143. The method according to claim 142, wherein the animal is selected from the
group consisting of a monkey and a chimpanzee.
144. A method for rapidly detecting a recent or ongoing flavivirus infection in
an animal susceptible of infection by said flavivirus, comprising the steps of:
(a) contacting a biological sample comprising flavivirus antibodies of said
animal with a microsphere suspension, each microsphere coupled to a
substantially pure flavivirus NS5 protein having a native conformation or
non-denatured structure whereby each flavivirus NS5 protein is reactive to said
flavivirus antibodies but not detectably cross-reactive to antibodies against
other flaviviruses, (b) incubating the microsphere suspension under conditions
sufficient to promote the binding of said flavivirus antibodies to the
flavivirus NS5 protein, (c) contacting the microsphere suspension with a
detection reagent capable of detecting a flavivirus antibody, (d) detecting the
detection reagent, wherein detection of the detection reagent indicates the
presence of said flavivirus antibody in said biological sample thereby
detecting a recent or ongoing flavivirus infection.
145. The method of claim 144, wherein the flavivirus NS5 protein is a WNV NS5
protein and has the amino acid sequence of SEQ ID NO.8.
146. The method of claim 144, wherein the flavivirus NS5 protein is a DENV NS5
protein and has the amino acid sequence of SEQ ID NO.10.
147. The method of claim 144, wherein the flavivirus NS5 protein is a DENV NS5
protein and has the amino acid sequence of SEQ ID NO.12.
148. The method of claim 144, wherein the biological sample is selected from
the group consisting of bodily fluid, blood, serum, plasma, saliva, tears,
feces, semen, mucous, tissue, tissue homogenate, cellular extract, and spinal
fluid.
149. The method of claim 144, wherein the method for rapidly detecting a recent
or ongoing flavivirus infection is in the form of an immunochromatographic
test.
150. A method for carrying out an immunochromatographic test for rapidly
detecting a flavivirus infection in an animal susceptible to said infection,
comprising the steps of: (a) providing a membrane strip having a proximal end,
a distal end, and a plurality of zones each comprising secondary antibodies
coupled thereto, (b) providing a suspension of microspheres comprising
flavivirus antigens coupled thereto, (c) providing a biological sample from
said animal susceptible to said infection, comprising anti-flavivirus
antibodies, (d) contacting the biological sample with the suspension of
microspheres to form a reaction mixture under conditions sufficient to promote
binding of said anti-flavivirus antibodies of said biological sample to said
flavivirus antigens of the microspheres, (e) placing the reaction mixture at
the proximal end of the membrane strip, (f) incubating the membrane strip under
sufficient conditions to promote the movement of the reaction mixture towards
the distal end, said conditions also sufficient to promote the binding of the
microparticles to said secondary antibodies coupled to the membrane strip
vis--vis interactions between said secondary antibodies and said
anti-flavivirus antibodies of said microparticles as the reaction mixture
travels towards the distal end of the membrane strip, (g) washing from the the
membrane strip any unbound microparticles, and (h) detecting bound
microparticles, wherein bound microparticles indicates a flavivirus infection
in said animal.
151. The method according to claim 150, wherein the animal is infected with
DENV.
152. The method according to claim 150, wherein the animal is infected with
WNV.
153. The method according to claim 150, wherein the animal is infected with
JEV.
154. The method according to claim 150, wherein the animal is infected with
SLEV.
155. The method according to claim 150, wherein the flavivirus antigen is a
flavivirus NS5 antigen.
156. The method according to claim 150, wherein the flavivirus antigen is a WNV
NS5 antigen with the amino acid sequence of SEQ ID NO.8.
157. The method according to claim 150, wherein the flavivirus antigen is a
DENV NS5 antigen with the amino acid sequence of SEQ ID NO.10.
158. The method according to claim 150, wherein the flavivirus antigen is a
DENV NS5 antigen with the amino acid sequence of SEQ ID NO.12.
159. The method according to claim 150, wherein the flavivirus antigen is a WNV
E glycoprotein antigen with the amino acid sequence of SEQ ID NO.6.
160. The method according to claim 150, wherein the biological sample is
selected from the group consisting of bodily fluid, blood, serum, plasma,
saliva, tears, feces, semen, mucous, tissue, tissue homogenate, cellular
extract, and spinal fluid.
Description:
REFERENCE TO RELATED APPLICATIONS
[0001] A claim of priority is made to U.S. Provisional Application No.
60/422,755, filed Oct. 31, 2002 and No. 60/476,513, filed Jun. 6, 2003.
Reference is also made to: PCT application PCT/US02/09036, filed on Mar. 11,
2002 and published as WO 02/072036 on Sep. 19, 2002, which claims priority to
U.S. Provisional Application No. 60/275,025, filed Mar. 12, 2001, and U.S.
Provisional Application No. 60/281,947, filed Apr. 5, 2001; and reference is
made to U.S. Provisional Application No. 60/402,860, filed Aug. 8, 2002, the
disclosures of which are hereby incorporated by reference in their entireties.
Each of the documents cited herein (herein cited documents), and each of the
documents cited in each of the herein cited documents, together with any
manufacturer's specifications, data sheets, descriptions, product literature,
instructions and the like for any products mentioned herein or in herein cited
documents or in documents cited in herein cited documents, is hereby
incorporated herein by reference. None of the documents incorporated by
reference into this text is admitted to be prior art with respect to the
present invention, but, documents incorporated by reference into this text may
be employed in the practice of the invention.
FIELD OF THE INVENTION
[0002] The instant invention relates generally to the field of diagnostic
assays for the detection of viruses, infectious organisms, antibodies, and
autoimmune diseases. More in particular, this invention relates to compositions
and methods for diagnosing a flavivirus infection. Even more in particular,
this invention relates to the use of isolated and/or purified polypeptides of
West Nile virus (WNV), which includes recombinant, synthetic and fusion
proteins comprising the polypeptides or a nucleic acid molecule encoding a WNV
polypeptide, whereby the WNV polypeptide is substantially pure and of authentic
conformation and is reactive with antibodies against WNV and strongly
cross-reactive with antibodies against one or more members of the genus
Flavivirus, advantageously Japanese encephalitis virus (JEV), St. Louis
encephalitis virus (SLEV), and Dengue virus (DENV); and are useful to detect a
flavivirus infection or exposure in a subject capable of being infected by a
flavivirus or capable of mounting an immune response (e.g. production of
antibodies) against a flavivirus or a flavivirus antigen, without needing to
specify as to which flavivirus is the source of infection or exposure, e.g., to
rapidly determine whether a subject has a flavivirus infection or has been
exposed to a flavivirus.
[0003] The instant invention is further directed to a novel method for the
rapid detection of antibodies to a flavivirus or an antigen thereof using a
microsphere immunoassay under conditions that provide enhanced reaction kinetics
to provide a more cost-effective, rapid, and sensitive approach to detecting
antibodies in a biological specimen against a substantially pure WNV
polypeptide of authentic conformation which reacts with antibodies against WNV
and strongly cross-reacts with antibodies against a flavivirus, advantageously
JEV, SLEV, and/or DENV. In one embodiment, the instant invention further
provides a method to detect a recent or acute infection utilizing an
immunodepletion step to remove a subpopulation of antibodies, such as IgG or
IgM antibodies, raised against the WNV polypeptide of the instant invention.
[0004] Also within the scope of this invention are diagnostic kits comprising
reagents and including an isolated and/or substantially purified WNV
polypeptide of authentic conformation or a nucleic acid encoding the said WNV
polypeptide, for the detection of a recent, current or prior flavivirus
infection or exposure to a flavivirus antigen or polypeptide in a subject
susceptible thereto.
[0005] The present invention also relates to the use of isolated and/or
purified nonstructural polypeptides of WNV, which includes recombinant,
synthetic and fusion proteins comprising the nonstructural polypeptides or a
nucleic acid molecule encoding a WNV nonstructural polypeptide, whereby the WNV
nonstructural (NS) polypeptide is substantially pure and of authentic
conformation and is reactive with WNV antibodies with specificity wherein the
WNV NS polypeptide is not substantially cross-reactive with antibodies against
one or more members of the genus Flavivirus, such as, for example, JEV, SLEV,
or DENV.
[0006] The nonstructural polypeptides of the present invention are useful for
specifically detecting a WNV infection or exposure in a subject capable of
being infected by a WNV or capable of mounting an immune response (e.g.
production of antibodies) against a WNV or a WNV antigen in a time-efficient
manner, i.e., to rapidly determine whether a subject has a WNV infection or has
been exposed to a WNV.
[0007] The nonstructural polypeptides of WNV which are reactive with WNV
antibodies with specificity but are not substantially cross-reactive with
antibodies against another Flavivirus, such as, for example, JEV, SLEV, or
DENV, may also be used to identify recently acquired WNV infections within a
period of up to approximately a year or less post-infection. Also within the
scope of the invention is the use of the nonstructural polypeptides of WNV to
discriminate between vaccination with a killed virus vaccine and a natural
infection with WNV. For example, such an application of the present invention
can be used to determine which members of a population of horses are vaccinated
and which are infected or carriers of WNV.
[0008] The present invention also relates to the use of isolated and/or
purified nonstructural (NS) polypeptides of the four known strains of DENV,
namely, DENV-1, DENV-2, DENV-3, and DENV-4, (a) to rapidly detect a DENV
infection with specificity as to the which strain is the source of infection,
(b) to rapidly discriminate between past DENV infections and current DENV
infections, and (c) to discriminate between a general flavivirus infection and
a DENV infection. The isolated and/or purified NS polypeptides of the invention
include recombinant, synthetic and fusion polypeptides comprising the DENV NS
polypeptides or a nucleic acid molecule encoding the DENV NS polypeptide,
whereby the DENV NS polypeptides may be substantially pure and of authentic
conformation.
[0009] For the purposes of this invention, a "serospecific DENV"
refers to a single strain of DENV, namely DENV-1, DENV-2, DENV-3, or DENV-4.
Further, a "serospecific" protein or antigen is such that the
protein/antigen has been obtained from a specific strain DENV, namely a
protein/antigen obtained from DENV-1, DENV-2, DENV-3, or DENV-4.
[0010] DENV NS polypeptides of a first particular strain show specificity for
antibodies raised against the same first DENV strain and are not cross-reactive
with antibodies against other DENV strains. For example, NS of DENV-1 will show
specificity to anti-DENV-1 sera, but will not be reactive with sera raised
against DENV-2, -3, or -4. In addition, like WNV NS proteins, the DENV NS
polypeptides are not substantially cross-reactive with antibodies against one
or more members of the genus Flavivirus, such as, for example, JEV, SLEV, or
WNV. Thus, the DENV NS can be used to discriminate between a general flavivirus
infection and a DENV infection. In addition, since the antibodies to DENV NS
proteins are not persistent, the DENV NS proteins can be used to detect
recently acquired infections or current infections.
[0011] The present invention also contemplates diagnostic kits comprising
reagents and including an isolated and/or substantially purified WNV
nonstructural polypeptide of authentic conformation or a nucleic acid encoding
the said WNV nonstructural polypeptide, for the detection of a recent or
current WNV infection or exposure to a WNV antigen or polypeptide in a subject
susceptible thereto.
BACKGROUND OF THE INVENTION
[0012] In the summer of 1999, an outbreak of encephalitis in humans that was
associated with mosquitoes occurred in New York City (CDC, MMWR, 48, pp. 845-9
(1999); CDC, MMWR, 48, pp. 944-6 (1999); D. S. Asnis et al., Clin Infect Dis,
30, pp. 413-8 (2000)). At approximately the same time, American crows began
dying in the Northeastern United States, many in Fairfield County, Conn. Two
reports in December of 1999 demonstrated that these outbreaks in birds and
humans were actually due to WNV virus transmitted by mosquitoes (R. S.
Lanciotti et al., Science, 286, pp. 2333-7 (1999); J. F. Anderson et al.,
Science, 286, pp.2331-3 (1999)). It is clear from these reports that WNV was
the cause of the 1999 outbreak of fatal encephalitis in the Northeastern United
States. This is the first reported appearance of WNV in the Western Hemisphere.
[0013] Future outbreaks of WNV in the United States are a new and important
public health concern. To date, the only method for preventing WNV infection is
spraying large geographic areas with insecticide to kill mosquito vectors.
Spraying is difficult, potentially toxic to humans, requires repeated
applications and is incompletely effective. There is no known vaccine for use
in humans against WNV.
[0014] WNV is a member of the family Flaviviridae, genus Flavivirus belonging
to the Japanese Encephalitis antigenic complexes of viruses. This sero-complex
includes JEV, SLEV, Alfuy, Koutango, Kunjin, Cacipacore, Yaounde, and Murray
Valley Encephalitis viruses. This Flaviviridae family also includes the
Tick-borne encephalitis virus (TBEV), Dengue virus (including the four strains
of: DENV-1, DENV-2, DENV-3, and DENV-4), and the family prototype, Yellow Fever
virus (YFV). WNV infections generally have mild symptoms, although infections can
be fatal in elderly and immunocompromised patients. Typical symptoms of mild
WNV infections include fever, headache, body aches, rash and swollen lymph
glands. Severe disease with encephalitis is typically found in elderly patients
(D. S. Asnis et al., supra). For the most part, treatment of a subject having a
flavivirus infection is a symptomatic treatment, i.e. the general symptoms of a
flavivirus infection are treated, such that for initial treatment, mere
knowledge of the infection being a flavivirus infection may be sufficient.
However, in certain other cases rapid and accurate diagnosis of the specific
flavivirus, particularly WNV, is critical such that the most appropriate
treatment can be initiated.
[0015] Moreover, with respect to the blood suppy (e.g., donor blood to be
supplied to patients), and donor organs (e.g., organs to be supplied to
patients), there is a need to rapidly determine whether the blood or organs are
contaminated by a flavivirus, e.g., determine whether the donor suffers from a
flavivirus infection, without needing to know specifically which flavivirus is
the source of infection. Conversely, there is also a need for rapid and
accurate detection of a specific flavivirus such as WNV since it may be
important in some cases to delimit the spread of WNV through the blood supply.
[0016] Flavivirus infections are a global public health problem (C. G. Hayes,
in The Arboviruses: Epidemiology and Ecology, T. P. Monath, ed., CRC, Boca
Raton, Fla., vol. 5, chap. 49 (1989); M. J. Cardosa, Br Med Bull, 54, pp.
395-405 (1998); Z. Hubalek and J. Halouzka, Emerg Infect Dis, 5, pp. 643-50
(1999)) with about half of the flaviviruses causing human diseases. These
viruses are normally maintained in a natural cycle between mosquito vectors and
birds, where humans and horses are considered dead-end hosts. Birds, including
the American crow, Corvus brachyrhynchos, can serve as non-human reservoirs for
the virus. In the case of WNV, the virus is transmitted to man by mosquitoes,
which in the Northeastern United States are primarily of the genera Culex and
Aedes, in particular C. pipiens and A. vexans.
[0017] Flaviviruses are the most significant group of arthropod-transmitted
viruses in terms of global morbidity and mortality. An estimated one hundred million
cases coupled with the lack of sustained mosquito control measures, has
distributed the mosquito vectors of flaviviruses throughout the tropics,
subtropics, and some temperate areas. As a result, over half the world's
population is at risk for flaviviral infection. Further, modern jet travel and
human migration have raised the potential for global spread of these pathogens.
Thus, in certain cases, early and rapid detection of a flavivirus infection or
of exposure to a flavivirus antigen, without needing to be specific as to which
flavivirus, is important. Conversely, it may also be critical to accurately and
confidently know the identity of the specific flavivirus causing the infection.
[0018] The WNV, like other flaviviruses, is enveloped by host cell membrane and
contains the three structural proteins capsid (C), membrane (M), and envelope
glycoprotein (E glycoprotein). The E glycoprotein and M proteins are found on
the surface of the virion where they are anchored in the membrane. Mature E
glycoprotein is glycosylated, whereas M is not, although its precursor, prM, is
a glycoprotein. In other flaviviruses, E glycoprotein is the largest structural
protein and contains functional domains responsible for cell surface attachment
and intraendosomal fusion activities. In some flaviviruses, E glycoprotein has
been reported to be a major target of the host immune system during a natural
infection.
[0019] In general, the flavivirus genome which is replicated in the cytoplasm
of the infected cell is a single positive-stranded RNA of approximately 10,500
nucleotides containing short 5' and 3' untranslated regions, a single long open
reading frame (ORF), a 5' cap, and a nonpolyadenylated 3' terminus. The
flavivirus genome encodes a single polyprotein which is co- and
post-translationally processed by viral and cellular proteases into the three
structural proteins, C (capsid), prM/M (premembrane/membrane), and envelope (E
glycoprotein) and seven nonstructural proteins, NS1 (nonstructural protein 1),
NS2A, NS2B, NS3, NS4A, NS4B, and NS5 (T. J. Chambers et al., Ann Rev Microbiol,
44, pp. 649-88 (1990)).
[0020] With respect to post-translational processing of the polyprotein, the
sites of proteolytic cleavage in the YFV, which is likely to be predictive of
the sites of cleavage in all flaviviruses, have been determined by comparing
the nucleotide sequence and the amino terminal sequences of the viral proteins.
Subsequent to initial processing of the polyprotein, prM is converted to M
during virus release (G. Wengler at al., J Virol, 63, pp. 2521-6 (1989)), and
anchored C is processed during virus maturation (Nowak et al., Virology, 156,
pp. 127-37 (1987)). In some flaviviruses, the E glycoprotein is the major virus
antigen involved in virus neutralization by specific antibodies (Martin D. A.,
et al. 2002, Clin Diagn Lab Immunol. 9:544-9).
[0021] The complete or partial genomes of a number of WNV isolates from the
outbreak in the Northeastern United States have been sequenced. The complete
sequence of WNV isolated from a dead Chilean flamingo (WN-NY99) at the Bronx
Zoo was deposited in GenBank.TM. (accession number AF196835) (R. S. Lanciotti
et al., supra). The genome of a WNV isolate from human victims of the New York
outbreak (WNV-NY1999) was sequenced and deposited as GenBank.TM. accession
number AF202541 (X-Y. Jia et al., The Lancet, 354, pp. 1971-2 (1999)). Partial
sequences of isolates from two species of mosquito, a crow and a hawk from
Connecticut are deposited as GenBank.TM. accession numbers AF206517-AF206520, respectively
(J. F. Anderson et al., supra). Comparative phylogenetic analysis of the NY
sequences with previously reported WNV sequences indicated a high degree of
sequence similarity between the NY isolates and two isolates from Romania and
one from Israel (J. F. Anderson et al., supra; X.-Y. Jia et al., supra; R. S.
Lanciotti et al., supra). Furthermore, PCT WO 02/072056 relates to the WNV E
glycoprotein and its use in diagnostics of WNV infections. Importantly, the
referenced PCT does not at any timerecognize that this antigen is strongly
cross-reactive among flaviviruses, such as, JEV, SLEV, and DENV; rather, this
PCT publication attempts to advance the proposition that the WNV E glycoprotein
is specific for WNV and hence useful to diagnose or detect only WNV or to
immunize or vaccinate against only WNV, contrary to the herein inventor's
discoveries.
[0022] While flaviviruses such as JEV, SLEV, and DENV exhibit similar
structural features and components, the individual viruses are significantly
different at both the sequence and antigenic levels. Indeed, antigenic
distinctions have been used to define four different strains within just the
DENV subgroup of the flaviviruses. Infection of an individual with one DENV
strain does not provide long-term immunity against the other strains and
secondary infections with heterologous strains are becoming increasingly
prevalent as multiple strains co-circulate in a geographic area. Such secondary
infections indicate that vaccination or prior infection with any one flavivirus
may not to provide generalized protection against other flaviviruses.
[0023] Serodiagnosis of WNV and other flavivirus infections currently requires
a series of enzyme-linked immunosorbant assays (ELISA) and viral plaque
reduction neutralization (PRN) tests. Specifically, the recommended assays for
the identification of WNV infection of humans are the immunoglobulin M (IgM)
antibody capture enzyme linked immunosorbent assay (MAC ELISA), the IgG ELISA
(Martin, D. A., 2000, J. Clin. Microbiol. 38:1823-1826; Johnson, A. J., 2000,
J. Clin. Microbiol. 38:1827-1831), detection of antibodies in cerebrospinal
fluid or serum using a plaque assay (PRN test), isolation of the virus, and
RT-PCR. Most public health laboratories in the United States are performing
these assays according to protocols recommended by the Centers of Disease
Control and Prevention (CDC).
[0024] However, the currently available ELISA assays, while not precisely
specific for WNV, do not provide for a general diagnostic assay for flavivirus
infections (or exposure thereto) with other members of the JEV serogroup
(including JEV and SLEV) and DENV because the cross reactivity of the assay to
other flaviviruses is unreliable and inconsistent. Further, the currently used
ELISA assays according to the CDC do not provide rapid results. Separate assays
are currently used to properly and reliably diagnose flavivirus infections
other than WNV, such as, JEV, SLEV, and DENV and there is no available assay to
reliably, consistently and rapidly detect a flavivirus infection, especially
WNV, JEV, SLEV, or DENV. Accordingly, an antigen that is strongly
cross-reactive to antibodies against JEV serogroup flaviviruses, especially
JEV, SLEV, and DENV for use in a rapid diagnostic assay providing rapid results
thereof would be an advance in the art since it would enable a general
flavivirus detection assay when knowledge of the specific flavivirus is not
necessarily needed. Further, in addition to the current assays that are used to
diagnose specific flavivirus infections, antigens for use in new rapid
diagnostic assay procedures for the specific diagnosis of a specific
flavivirus, such as WNV, that are more accurate, reliable, and sensitive than
those currently available would be an important advance in the art.
[0025] When rapid, accurate, and sensitive detection of a flavivirus is desired
wherein knowledge of the specific flavivirus is not required, an antigen with
strong cross-reactivity between flaviviruses is desirable. Further, the
antigens currently known in the art lack a sufficient cross-reactivity to allow
for reliable, consistent, and accurate testing of a flavivirus infection. One
reason limiting the cross-reactivity of current assays in the art, such as, the
CDC ELISA assay for the detection of WNV, may relate to the impurity of the
antigens used in the assays. The assays used in the art for the detection of
WNV and other flaviviruses typically utilize somewhat impure antigens that are
contaminated with proportionally high levels of cellular protein and other
macromolecules as a result of the purification process. In some cases, the
concentration of contaminating protein, such as bovine serum albumin, is
greater than the concentration of the antigen being prepared. These impurities
can cause a significant reduction in the sensitivity of a given assay (i.e.,
higher levels of background signals relative to true detection signals) in
detecting antibodies against a virus or pathogen of interest from a biological
sample. For example, as a control reaction aimed at determining the relative
level of background inherent with a given supplied antigen, a separate test of
the tissue culture supernatant from which the antigen was obtained may be
required. Thus, an antigen that is substantially pure, i.e., one that is not
contaminated with unwanted protein or other macromolecules, would be useful for
screening for flavivirus infections or exposure thereto since it would provide
for a more sensitive diagnosis.
[0026] Further, the antigens currently used in the art for the detection of
flaviviruses typically are damaged with respect to their three-dimensional
structure. For example, damage may occur at specific protein domains or
epitopes. Such structural damage is usually introduced during antigen
purification and/or isolation wherein the antigen is often treated under harsh
and/or destructive conditions that result in damage to an antigen's
three-dimensional form. For example, the antigens currently prepared in the art
may be treated with the chemical, polyethylene glycol ("PEG") to help
carry out the precipitation of the antigen from solution for the purpose of
increasing its concentration. This process can be harmful to a given antigen
and may introduce irreversible damage to its structure. Additionally during
purification, the antigens can be extracted using acetone. However, acetone
extraction can lead to full and/or partial denaturation of the antigen, which,
in turn, can result in an antigen having lost its authentic and/or native
conformation. Further still, the extent, predictability, reliability, and
consistency of cross-reactivity of an antigen is typically greater in the case
of an antigen having a authentic and/or native conformation. Thus, it would be
useful to have a WNV polypeptide (i.e., antigen) that is of authentic
conformation to allow for a stronger, more predictable, more reliable and more
consistent cross-reactivity to other flaviviruses, especially, JEV, SLEV and
DENV.
[0027] In contrast, in situations where cross-reactivity to multiple flaviviruses
is undesirable, it would also be an improvement in the art to have available
one or more polypeptides (i.e., antigens) that could be used to specifically
detect antibodies against a specific flavivirus infection, especially WNV, more
accurately, reliably, and rapidly without cross-reactivity with antibodies
against other Flaviviruses, such as, for example, JEV, SLEV, or DENV. In other
word, in addition to the utility of a polypeptide for the general detection of
a flavivirus infection without regard as to which flavivirus, it would also be
useful to detect a specific flavivirus infection, such as a WNV infection,
using a specific antigen such that the detection of the WNV infection is more
reliable, more rapid, and more accurate than currently known methods.
[0028] A number of serologic assays are routinely used for laboratory diagnosis
of flavivirus infections: IgM antibody capture enzyme immunoassay (MAC-ELISA),
indirect IgG ELISA, indirect fluorescent antibody assay (IFAT),
hemagglutination inhibition (HIT), and serum dilution cross-species plaque
reduction neutralization tests (PRNTs)-each varying markedly in sensitivity,
technical difficulty, turn-around time, and clinical utility of the results.
[0029] A specific example of a current assay method to detect a flavivirus
infection is an assay available from the CDC for the detection of a WNV
infection using the COS-1 WNV recombinant antigen (NRA) (Davis, B. S. et al.,
2001, J. Virology 75:4040-4047). This antigen can be used in an ELISA procedure
to test biological samples for antibodies against WNV. Positive ELISA results
are typically confirmed by plaque reduction neutralization (PRN) tests
performed in a biosafety level 3 facility. Although this combination of assays
is highly sensitive and specific, it requires several days to weeks and
specialized facilities to perform the complete panel of tests. For example, the
recommended ELISA procedure considered separately takes two to three working
days to complete, as overnight incubations are deemed necessary to enhance
sensitivity (Martin, D. A., 2000, J. Clin. Microbiol. 38:1823-1826; Johnson, A.
J., 2000, J. Clin. Microbiol. 38:1827-1831). Accordingly, the assays currently
used in the art to test for WNV and/or other flavivirus infections, such as the
COS-1-based assay, are slow and do not provide rapid results. Thus, an assay
for determining the presence of a flavivirus infection that is more rapid than
those currently available in the art would be useful.
[0030] Flavivirus infections occur globally and represent a continued health
problem around the world. For example, WNV has recently reached the United
States and presently constitutes a growing concern for health officials.
Accordingly, surveillance is rapidly becoming more common and widespread. As a
result of the increased surveillance, the demand by local health departments
and state public health laboratories for critical serologic reagents is far
exceeding the supply. Further, the current assays used for WNV detection, such
as the CDC-recommended assays mentioned above, are slow and inefficient and do
not meet the growing needs of the general health community to rapidly identify
infections and to effectively assess WNV epidemiology. Further, current assay
methods for detecting WNV are not sufficient to meet growing needs for quicker,
more efficient and more sensitive analysis of blood and organ supplies for
flavivirus contamination, such as, contamination by WNV and other flavivirus
species, including, JEV, SLEV, and DENV. Further still, there exists a need for
new diagnostic assays directed to the detection of flavivirus infections in
animals to faciliate the handling of infected animal populations or animal
populations at-risk of infection. Such diagnostic assays could be in the form
of a general flavivirus test wherein knowledge of the specific flavivirus in
not required or of a specific flavivirus test, such as a specific test for WNV.
[0031] Accordingly, there is a need in the art for methods and kits for
improved diagnostic assays for the detection of infections by WNV and other
flaviviruses in animals and humans, including JEV, SLEV, and DENV, that are
more rapid, cost-effective, efficient and sensitive than the current diagnostic
assays available in the art. Further, there is a need for a single assay to
enable the general detection of a flavivirus, especially WNV, JEV, SLEV, and
DENV, without the requirement of knowing exactly which species is the source of
infection. Further still, there is a need in the art for an efficient,
sensitive and cost-effective high-throughput diagnostic assay for large-scale
detection of flaviviruses to allow for public health control over flaviviral
diseases, for example, improving the study of flaviviral-disease epidemiology
or improving the ability to analyze blood and organ supplies. In addition to
the need for a general flavivirus detection method, there also exists a need
for improved methods to enable the rapid and reliable detection of a specific
flavivirus, such as WNV and DENV, without substantial cross-reaction to other
flaviviruses. Moreover, with respect to DENV, there exists a further need for a
method to reliably and rapidly descriminate between the different strains of
DENV, including DENV-1, DENV-2, DENV-3, and DENV-4. Further still, a need
exists for a method that is capable also of discriminating reliably between a
recent and/or current flavivirus infection and a previous infection of a
flavivirus in a manner that is either specific or nonspecific as to the
flavivirus of the infection.
OBJECTS AND SUMMARY OF THE INVENTION
[0032] It is an object of the present invention to provide an improved method
for the diagnosis of a flavivirus infection, especially WNV, JEV, SLEV, and
DENV, which is more sensitive, easier to use, and less expensive than methods
used in the prior art; and further, wherein the improved method enables one to
determine whether there is a flavivirus infection, for instance, infection by
any of WNV, JEV, SLEV, or DENV, by a single assay.
[0033] Another object of the present invention is to reduce the window between
initial infection by a flavivirus, especially WNV, JEV, SLEV, and DENV, and
initial detection of IgM and/or IgG antibodies against the infective flavivirus
by providing a more sensitive and rapid assay which can separately determine
IgG and IgM antibody levels.
[0034] Yet another object of the present invention is to significantly reduce
the time it takes to diagnose a flavivirus infection by providing a novel
method for the rapid detection of a flavivirus using a microsphere immunoassay
and conditions that enhance the reaction kinetics.
[0035] Another object of the present invention is to significantly reduce the
time it takes to diagnose a WNV infection by providing a novel method for the
rapid and specific detection of WNV using a microsphere immunoassay and a WNV
nonstructural antigen, such as NS5, which is reactive with antibodies against
WNV with specificity but which does not significantly cross-react with
antibodies against other flaviviruses.
[0036] Yet another object of the present invention is to significantly reduce
the time it takes to diagnose a flavivirus infection by providing a novel
method for the rapid and specific detection of flavivirus, such as, but not
limited to WNV and DENV, using a microsphere immunoassay and a flavivirus
nonstructural antigen, especially NS5, which is reactive with antibodies
against a specific type of flavivirus, such as WNV or DENV, with specificity
but which does not significantly cross-react with antibodies against other
flaviviruses.
[0037] Still another object of the present invention is to significantly reduce
the time it takes to diagnose a flavivirus infection by providing a novel
method for the rapid and specific detection of flavivirus, such as, but not
limited to WNV and DENV, using an immunochromatographic (also known as
"lateral flow test" or "membrane strip test") and a
flavivirus nonstructural antigen, especially NS5, which is reactive with
antibodies against a specific type of flavivirus, such as WNV or DENV, with specificity
but which does not significantly cross-react with antibodies against other
flaviviruses.
[0038] A further object of the present invention is to significantly reduce the
time it takes to diagnose a DENV-1 infection by providing a novel method for
the rapid and specific detection of DENV-1 using a microsphere immunoassay and
a DENV-1 nonstructural antigen, such as NS5, which is reactive with antibodies
against DENV-1 with specificity but which does not significantly cross-react
with antibodies against other DENV strains, including DENV-2, DENV-3, and
DENV-4 or other flaviviruses.
[0039] A still further object of the present invention is to significantly
reduce the time it takes to diagnose a DENV-2 infection by providing a novel
method for the rapid and specific detection of DENV-2 using a microsphere
immunoassay and a DENV-2 nonstructural antigen, such as NS5, which is reactive
with antibodies against DENV-2 with specificity but which does not
significantly cross-react with antibodies against other DENV strains, including
DENV-1, DENV-3, and DENV-4 or other flaviviruses.
[0040] Yet another object of the present invention is to significantly reduce
the time it takes to diagnose a DENV-3 infection by providing a novel method
for the rapid and specific detection of DENV-3 using a microsphere immunoassay
and a DENV-3 nonstructural antigen, such as NS5, which is reactive with
antibodies against DENV-3 with specificity but which does not significantly
cross-react with antibodies against other DENV strains, including DENV-1,
DENV-2, and DENV-4 or other flaviviruses.
[0041] Still another object of the present invention is to significantly reduce
the time it takes to diagnose a DENV-4 infection by providing a novel method
for the rapid and specific detection of DENV-4 using a microsphere immunoassay
and a DENV-4 nonstructural antigen, such as NS5, which is reactive with
antibodies against DENV-4 with specificity but which does not significantly
cross-react with antibodies against other DENV strains, including DENV-1,
DENV-2, and DENV-3 or other flaviviruses.
[0042] Another object of the present invention is to permit the broad
application of the WNV E glycoprotein to the non-specific detection of
flaviviruses, such as WNV, DENV, JEV, and SLEV through the inventor's own
discovery that a substantially purified WNV E glycoprotein having an authentic
conformation is reactive with antibodies against WNV and strongly, reliably,
predictably and consistently cross-reactive with antibodies against various
other flaviviruses, especially DENV, JEV, and SLEV.
[0043] Still another object of the present invention is to provide a novel
method to detect a recent or ongoing infection by WNV or a flavivirus,
especially JEV, SLEV, and DENV, utilizing a microsphere immunoassay in
combination with an immunodepletion step to remove IgG antibodies to enable the
specific detection of IgM antibodies against the WNV E glycoprotein, which
would be indicative of a likely recent or ongoing infection.
[0044] Yet another object of the present invention is to provide a novel method
to detect a protective immune response to an infection by WNV or a flavivirus,
especially JEV, SLEV, and DENV, utilizing a microsphere immunoassay in
combination with an immunodepletion step to remove IgM antibodies to enable the
specific detection of IgG antibodies against the WNV E glycoprotein, which
would be indicative of a protective immune response.
[0045] A further object of the present invention is to provide a flavivirus
antigen, especially, WNV E glycoprotein, WNV NS protein, such as NS5, or DENV
NS proteins, such as NS5, coupled to a microsphere to be used in an immunoassay
to detect anti-flavivirus antibodies in a biological specimen wherein the
coupled antigen is highly stable over time such that 90% or more of the
antigen's reactivity is preserved following 3 months or more of storage.
[0046] Yet another object of the present invention is to provide a WNV
nonstructural antigen, especially, the NS5 antigen, a nonstructural protein
that forms a key enzyme in flavivirus RNA replication, that is reactive with
WNV antibodies with specificity but which does not significantly cross-react
with antibodies against other flaviviruses.
[0047] Yet another object of the present invention is to provide a DENV nonstructural
antigen from a specific strain of DENV, especially, the NS5 antigen, a
nonstructural protein that forms a key enzyme in flavivirus RNA replication,
that is reactive with DENV antibodies raised to the same DENV strain with
specificity but which does not significantly cross-react with antibodies
against other DENV strains or other flaviviruses.
[0048] Still a further object of the present invention is to provide a WNV
nonstructural antigen, especially, the NS5 antigen, for use in a rapid
diagnostic test to specifically detect WNV infection in humans and animals
without any significant cross-reactivity with other Flavivirus infections.
[0049] Another object of the present invention is to provide a DENV
nonstructural antigen of a specific DENV strain, especially, the NS5 antigen,
for use in a rapid diagnostic test to specifically detect an infection in
animals, especially humans and monkeys (e.g. chimpanzees), by the same specific
DENV strain without any significant cross-reactivity with other DENV strains or
other flaviviruses.
[0050] Another object of the present invention is to provide a flavivirus
nonstructural antigen, especially, the WNV NS5 antigen and DENV NS5 antigens of
each strain, for the use in a rapid diagnostic test to discriminate between
vaccination with a killed virus vaccine and a natural infection with the
flavivirus, especially WNV or DENV.
[0051] Yet another object of the instant invention is to provide an assay
utilizing a flavivirus nonstructural antigen, especially the WNV NS5 antigen
and DENV NS5 antigens of each strain, to reliably discriminate an infection
with a specific flavivirus, especially WNV or DENV, and infections of other
fFlaviviruses, such as, for example JEV or SLEV.
[0052] Yet a further object of the present invention is to significantly reduce
the time it takes to diagnose a WNV infection by providing a novel method for
the detection of a WNV infection using a microsphere immunoassay and conditions
that enhance the reaction kinetics.
[0053] Another object of the present invention is to provide a novel method to
detect a recent or ongoing infection in humans and animals, including but not
limited to birds, mice, and horses, by a flavivirus, especially WNV.
[0054] Yet another object of the present invention is to provide a WNV antigen,
especially WNV NS5 antigen, coupled to a microsphere to (i) reliably
discriminate between WNV infections and infections of other flaviviruses such
as DENV or SLEV; (ii) differentiate between vaccination with inactivated
flavivirus and natural WNV infection; and (iii) indicate recent infections in
animals, including in particular, humans, birds, horses, cats and dogs.
[0055] Still another object of the present invention is to provide a DENV
antigen, especially DENV NS5 antigen from one of the four known strains of
DENV, namely, DENV-1, DENV-2, DENV-3, and DENV-4, coupled to a microsphere (a)
to rapidly detect a DENV infection with specificity as to the which strain is
the source of infection, (b) to rapidly discriminate between past DENV
infections, and current DENV infections, and (c) to discriminate between a
general flavivirus infection and a DENV infection.
[0056] Another object of the present invention is to provide a method of using
a NS5-based immunoassay, especially WNV NS5, to determine whether animals, in
particular, humans, birds, horses, cats and dogs, who have previously been
vaccinated with a killed-flavivirus vaccine also have sustained new exposure to
a flavivirus, especially WNV.
[0057] Still another object of the present invention is to provide a sensitive,
reproducible, rapid, and inexpensive diagnostic assay to detect the presence of
antibodies to WNV in a sample using the WNV nonstructural protein NS5 antigen
as a probe.
[0058] The present invention endeavors to address the need in the art for a
more rapid, efficient, cost effective and sensitive diagnostic assay for
detecting WNV and/or other flavivirus infections in subjects suspected of
carrying a WNV and/or flavivirus infection, such as subjects with encephalitis,
meningitis, or fever of unknown origin. More in particular, this invention
provides compositions and methods using purified WNV polypeptides, fragments or
derivatives thereof for the rapid specific detection of an infection by WNV or
the rapid detection of an infection by a flavivirus, advantageously, WNV, JEV,
SLEV, and DENV, without needing to be specific as to the flavivirus.
[0059] Moreover, and as herein demonstrated, the present invention relates to a
novel use for the WNV E glycoprotein as an antigen to be used for the detection
of antibodies against certain species of flaviviruses relevant to human
disease, such as, WNV, JEV, SLEV, DENV, using a single assay to take the place
of a multitude of assays currently used in the art for the detection of these
flaviviruses. Thus, by the present invention, one can determine whether there
is a flavivirus infection, for instance, infection by any of WNV, JEV, SLEV, or
DENV, by a single assay. The inventor has discovered that a substantially
purified WNV E glycoprotein antigen having a substantially authentic
conformation is reliably, consistently, predictably, and strongly
cross-reactive to antibodies against any of WNV, JEV, SLEV, and DENV, and is
therefore useful to broadly assay or test for flavivirus infection,
non-specifically, e.g., in subjects, donors, blood, organs, etc. In contrast,
antigens currently available in the art for the detection of DENV, SLEV, JEV,
and WNV infections are often concentrated by polyethylene glycol and/or
extracted with acetone, treatments which are likely to alter the structural
domains of a given antigen.
[0060] Another aspect of the present invention relates to a novel use for the
WNV nonstructural protein, NS5 or a specific antigenic determinant or specific
epitope thereof, as an antigen for the specific detection of antibodies against
WNV. Importantly, the NS5 antigen is not cross-reactive to other Flaviviruses,
such as, for example, JEV, SLEV, or DENV. Thus, in accordance with the present
aspect of the invention, one can consistently, reliably, and accurately
determine whether there is a WNV infection with the confidence and assurance
that the detection signal is not due to cross-reactivity with other
flaviviruses.
[0061] In one aspect of the invention, it has been discovered that a
substantially purified WNV NS5 antigen is reliably, consistently, predictably,
and strongly reactive to antibodies against a WNV without having substantial
cross-reactivity with other flaviviruses, such as, for example, JEV, SLEV, and
DENV. Therefore, NS5 antigen is useful to specifically assay or test for WNV
infection, e.g., in subjects, donors, blood, organs, etc. In contrast, current
serologic diagnoses of WNV infection is based on detection of antibodies
against viral structural proteins, such as the E protein. Although, the
cross-reactivity of the E protein among flaviviruses, as also discovered by the
instant inventors, is certainly advantageous with respect to its use as a rapid
diagnostic for detecting a general flavivirus infection when knowing the
identity of the flavivirus is not critical, it would also be desirable to have
a rapid test that could confidently, accurately, and correctly identify a WNV
infection with specificity and without cross-reactivity with other types of
flaviviruses.
[0062] The methods currently available in the art are neither optimized for the
detection of a general flavivirus infection nor are they optimized for specific
detection of a particular flavivirus, such as WNV or DENV. For example, many of
the currently available antigens are highly, but inconsistently, cross-reactive
with multiple flaviviruses. Thus, the positive sera or spinal fluids detected
by current methods must be verified by cross-species plaque reduction
neutralization tests to exclude the possibility of infection with
cross-reactive viruses such as SLEV and DENV. Further, these confirmatory
plaque reduction tests have to be performed in level 3 biocontainment for many
flaviviruses, which substantially lengthens the overall time required for a definitive
serologic test. Thus, in contrast to the current methods used in the art, the
advantages of the instant invention relate to, inter alia, the increased
efficiency, speed, reliability and predictability of the specific detection of
a WNV infection without significant cross-reactivity to other flaviviruses.
[0063] In certain embodiments, the WNV polypeptides of the instant invention
are derived from WNV isolates from the Northeastern United States, in
particular from isolate 2741 (GenBank accession No. AF206518; see FIGS. 37a-d)
or from WNV 3356 from kidney of a New York crow used in the infectious cDNA
clone developed by Dr. Pei-Yong Shi, GenBank accession no. AF404756 (see FIGS.
38a-d) (Shi et al., 2002. Infectious cDNA Clone of the epidemic West Nile Virus
from New York City, J. Virology 76:5847-5856.) More in particular, the WNV
isolates of the present invention contain a WNV E glycoprotein (e.g. encoded by
nucleotide positions 949-2451 of GenBank accession No. AF206518 of FIGS. 37a-d)
or an immunogenic fragment thereof or alternatively a WNV NS5 nonstructural
protein (e.g. encoded by nucleotide positions 7681-10395 of GenBank accession
No. AF404756 shown in FIGS. 38a-d) or an immunogenic fragment thereof. This
invention further provides methods for the production and isolation of said WNV
polypeptides, such as E glycoprotein or NS5 protein, preferably by either
recombinant or synthetic production methods, especially for use in flavivirus
or WNV assays, respectively. One of ordinary skill in the art will certainly
appreciate that the methods of the instant invention could be applied to
corresponding proteins from other flaviviruses, especially DENV, and are not
meant to be particularly limited to the E glycoprotein and NS proteins of WNV
or DENV. For example, the present invention contemplates the use of DENV NS5
antigen from any known strain, including DENV-1, -2, -3, and -4. In particular,
the invention relates to the use of NS5 of DENV-1 "WestPac", encoded
by nucleotide positions 7574-10270 of GenBank accession No. U88535 (see FIGS.
39a-d) and NS5 of DENV-2 "New Guinea", encoded by nucleotide
positions 7570-10269 of GenBank accession No. AF038403 (see FIGS. 40a-d).
[0064] In a further embodiment, the instant invention provides a novel method
of a microsphere immunoassay comprising microspheres that are coupled to
substantially purified WNV E glycoprotein in an authentic conformation for use
in detecting antibodies in a biological sample (e.g., bodily fluid, blood,
serum, plasma, saliva, tears, feces, semen, mucous, tissue, tissue homogenate,
cellular extract, or spinal fluid, inter alia) against flaviviruses, especially
WNV, JEV, SLEV, and DENV. In this embodiment, a biological specimen, for
example, bodily fluid, blood, serum, plasma, saliva, tears, feces, semen,
mucous, tissue, tissue homogenate, cellular extract, or spinal fluid, inter
alia, is contacted with microspheres coupled to WNV E glycoprotein which is
strongly, reliably, predictably and consistently cross-reactive to antibodies
against any of WNV, JEV, SLEV, and DENV under conditions sufficient to form a
complex between the WNV E glycoprotein and any antibodies capable of
recognizing and specifically binding thereto. The bound antibodies are then
detected using a detection reagent, such as a secondary antibody coupled to a
detectable fluorescent tag or to an enzyme, such as horseradish peroxidase.
[0065] In another embodiment, the biological sample (e.g., bodily fluid, blood,
serum, plasma, saliva, tears, feces, semen, mucous, tissue, tissue homogenate,
cellular extract, or spinal fluidinter alia) may first be immunodepleted in
order to remove or block a functional site of a specific antibody population,
such as an IgM or IgG antibody population. Immunodepletion can be carried out
by contacting the biological sample with a second antibody against the specific
antibody subpopulation to be removed to form an insoluble complex, comprising
the second antibody and antibody subpopulation to be removed, that can be
subsequently removed by a separation process, such as centrifugation.
[0066] Accordingly, the instant invention can be used to specifically detect a
recent or ongoing infection, for example, following IgG removal, or to
specifically detect a protective immune response, for example, following IgM
removal.
[0067] In another embodiment, the present invention provides a novel method
relating to a microsphere immunoassay comprising microspheres that are coupled
to substantially purified WNV NS5 antigen for use in detecting in a biological
sample (e.g., bodily fluid, blood, serum, plasma, saliva, tears, feces, semen,
mucous, tissue, tissue homogenate, cellular extract, or spinal fluid, inter
alia) antibodies specific to WNV wherein the NS5 antigen is not substantially
cross-reactive with antibodies against other Flaviviruses, including WNV, JEV,
SLEV, and DENV. In this embodiment, a biological specimen, for example, blood,
plasma, serum, or spinal fluid, is contacted with the microspheres coupled to
NS5 antigen which is strongly, reliably, predictably, consistently, and
specifically reactive to antibodies against a WNV yet is not substantiallly
cross-reactive against antibodies to other Flaviviruses, such as JEV, SLEV, and
DENV. Subsequently, conditions are provided that allow for a complex to form
between the NS5 antigen and anti-WNV antibodies capable of recognizing and
specifically binding thereto. The bound antibodies are then detected using a
detection reagent, such as a secondary antibody coupled to a detectable
fluorescent tag or to an enzyme, such as horseradish peroxidase.
[0068] Also within the scope of this invention are diagnostic kits and methods
for detecting antibodies against WNV and other flaviviruses, especially JEV,
SLEV, and DENV, characterized by the compositions of the present invention
comprising at least one isolated and substantially purified polypeptide
comprising a WNV E glycoprotein or an immunogenic fragment/derivative thereof
in an authentic conformation whereby the WNV E glycoprotein or the immunogenic
fragment/derivative thereof is reactive with antibodies against WNV and
strongly, reliably, predictably and consistently cross-reactive with antibodies
against flaviviruses, especially JEV, SLEV, and DENV. The cross-reactivity of
the WNV E glycoprotein or immunogenic fragment/derivative thereof, is the
inventor's own discovery which permits the broad application of the WNV E
glycoprotein to the non-specific detection of flaviviruses, such as WNV, DENV,
JEV, and SLEV. Prior to the instant invention, one of ordinary skill in the art
would not have unequivocally and/or reliably known WNV E glycoprotein having an
authentic conformation strongly cross-reacts with antibodies against various
flaviviruses, in addition to antibodies against WNV.
[0069] In one embodiment, the diagnostic kits alternatively comprise at least
one isolated and substantially purified polypeptide comprising a WNV NS5
antigen or an immunogenic fragment/derivative thereof whereby the WNV NS5
antigen or the immunogenic fragment/derivative thereof, especially of humans,
birds, horses, cats, dogs, any animal or mammal, is specifically, strongly,
reliably, predictably and consistently reactive with antibodies against WNV but
is not substantially or detectably cross-reactive with antibodies against other
flaviviruses, such as JEV, SLEV, and DENV. The specificity of the WNV NS5
antigen towards WNV antibodies and the lack of cross-reactivity of NS5 with
antibodies against other Flaviviruses permits the application of the WNV NS5 to
the detection method of WNV as taught by the present application. As it is used
herein, the phrase "detectably cross-reactive" is meant to refer to
an antigen-antibody interaction that can be substantiated by measuring or
detecting a binding complex formed from the interaction between the antigen and
antibody. Thus, the recitation "not substantially or detectably
cross-reactive" is meant to exclude antigen-antibody interactions that are
non-specific, i.e. background "noise".
[0070] The diagnostic kits and methods according to the present invention are
also useful for detecting a protective immune response to WNV infection or
infection by various flaviviruses, especially JEV, SLEV, and DENV. Further, the
methods of the instant invention are also useful in monitoring the course of
immunization against WNV and various flaviviruses. In patients previously
inoculated with the vaccines against WNV or various flaviviruses, the detection
means and methods disclosed herein are also useful for determining if booster
inoculations are appropriate. The neutralizing antibodies which develop are
primarily IgG antibodies, which are readily detectable in the microsphere
immunoassay format of the present invention.
[0071] In an embodiment, the instant invention relates to a novel method for
detecting a non-specific flavivirus infection, especially WNV, DENV, JEV, or
SLEV, comprising the step of contacting a biological sample from a subject
suspected of having said infection with an isolated and substantially purified
polypeptide comprising a WNV E glycoprotein or an immunogenic
fragment/derivative thereof having an authentic conformation wherein the E
glycoprotein or the immunogenic fragment/derivative thereof is reactive with
antibodies against WNV and strongly, reliably, predictably and consistently
cross-reactive with antibodies against a flavivirus, especially JEV, SLEV, and
DENV.
[0072] In yet another embodiment, the present invention relates to a method for
detecting a protective immune response in a subject comprising the step of
contacting a biological sample from said subject with an isolated and
substantially purified polypeptide comprising a WNV E glycoprotein or an
immunogenic fragment thereof having an authentic conformation wherein the E
glycoprotein or the immunogenic fragment thereof is reactive with protective
antibodies against WNV and strongly, reliably, predictably and consistently
cross-reactive with protective antibodies against a flavivirus, especially JEV,
SLEV, and DENV.
[0073] Also within the scope of the present invention is a method for detecting
a first antibody to a flavivirus from a biological specimen of a subject
suspected of being infected by said flavivirus comprising the steps of
contacting the biological specimen with a substantially purified WNV E
glycoprotein or an immunogenic fragment/derivative thereof having an authentic
conformation under conditions to form a complex between the WNV E glycoprotein
and the first antibody, if present, that recognizes and binds the WNV E
glycoprotein followed by detecting the first antibody of said complex, wherein
the WNV E glycoprotein is reactive to an antibody against a WNV and strongly,
reliably, predictably and consistently cross-reactive to an antibody against a
flavivirus, especially JEV, DENV, and SLEV.
[0074] The instant invention further relates to a method for rapidly detecting
a recent or ongoing flavivirus infection using a microsphere immunoassay to
detect an IgM antibody against a flavivirus in a biological specimen by first
contacting the biological specimen with anti-IgG antibodies to form IgG immune
complexes followed by the removal of the IgG complexes to form a biological
specimen comprising IgM antibodies and lacking IgG antibodies. Next, the
biological specimen is contacted with a microsphere comprising a substantially purified
WNV E glycoprotein antigen or immunogenic fragment/derivative thereof having an
authentic conformation to form a microsphere mixture under conditions
sufficient to form a binding complex between the WNV E glycoprotein antigen and
a IgM antibody whereby the WNV E glycoprotein antigen is reactive to antibodies
against WNV and strongly, reliably, predictably and consistently cross-reactive
to antibodies against a flavivirus, especially JEV, DENV, and SLEV. Next, the
microsphere mixture is contacted with a detection reagent capable of detecting
a IgM antibody. Finally, the detection reagent is detected wherein detecting
the detection reagent indicates a recent or ongoing flavivirus infection.
[0075] Also within the scope of the invention is a diagnostic kit comprising at
least one isolated and purified polypeptide comprising a WNV NS5 protein or an
immunogenic fragment thereof having an native conformation or non-denatured
structure whereby the NS5 protein or the immunogenic fragment thereof is
specifically reactive with antibodies against WNV but not detectably
cross-reactive with antibodies against a flavivirus other than WNV. The
invention also provides a method for detecting a WNV infection in a subject
suspected of having said infection comprising the steps of (a) contacting a
biological sample (e.g., bodily fluid, blood, serum, plasma, saliva, tears,
feces, semen, mucous, tissue, tissue homogenate, cellular extract, or spinal
fluid, inter alia) from the subject with an isolated and substantially purified
polypeptide comprising a WNV NS5 protein or an immunogenic fragment thereof
having a native conformation or non-denatured structure whereby the NS5 protein
or the immunogenic fragment thereof is specifically reactive with anti-WNV
antibodies but not detectably cross-reactive with antibodies against a
flavivirus other than WNV, and (b) detecting anti-WNV antibodies that have
reacted with the WNV NS5 protein, wherein detection of the anti-WNV antibodies
indicates a WNV infection.
[0076] The present invention further relates to methods for detecting a
protective immune response in a subject comprising the step of contacting a
biological sample from said subject with an isolated and substantially purified
polypeptide comprising a WNV NS5 protein or an immunogenic fragment thereof
whereby the WNV NS5 protein or the immunogenic fragment thereof having a native
conformation or non-denatured structure is specifically reactive with
protective antibodies against WNV with no detectable cross-reactivity with
protective antibodies against a flavivirus other than WNV. While antibodies to
NS5 would not neutralize against infection, they could be effective in rapidly
decreasing the spread of the infection.
[0077] Also within the scope of the present invention is a method for detecting
a first antibody to a WNV from a biological specimen of a subject suspected of
being infected by said WNV comprising the steps of: (a) contacting the
biological specimen with a substantially pure WNV NS5 protein or an immunogenic
fragment thereof having a native conformation and non-denatured structure under
conditions to form a complex between the NS5 protein and the first antibody, if
present, that recognizes and binds the NS5 protein, (b) detecting the first
antibody of said complex, wherein the NS5 protein is not detectably
cross-reactive to an antibody against a flavivirus other than a WNV.
[0078] The invention further relates to a method for rapidly detecting an
anti-WNV antibody comprising the steps of: (a) contacting a biological sample
(e.g., bodily fluid, blood, serum, plasma, saliva, tears, feces, semen, mucous,
tissue, tissue homogenate, cellular extract, or spinal fluid, inter alia) with
a microsphere suspension, each microsphere coupled to a substantially pure WNV
NS5 protein having a native conformation or non-denatured structure whereby
each NS5 protein is specifically reactive to antibodies against WNV but not
detectably cross-reactive with antibodies against a flavivirus other than WNV,
(b) incubating the microsphere suspension under conditions sufficient to
increase reaction kinetics to promote the binding of an anti-WNV antibody to
the NS5 proteins, (c) contacting the microsphere suspension with a detection
reagent capable of detecting an anti-WNV antibody, (d) detecting the detection
reagent, wherein detection of the detection reagent indicates the presence an
anti-WNV in the biological sample.
[0079] The instant invention also contemplates a method for the detection of a
WNV infection in a biological specimen comprising the steps of: (a) obtaining a
suspension of microspheres each coupled to a substantially pure WNV NS5 protein
having a native conformation or non-denatured structure wherein the WNV NS5
protein is specifically reactive with anti-WNV antibodies but not detectably
cross-reactive with antibodies against a flavivirus; (b) performing a
microsphere immunoassay; (c) obtaining a result indicating either the presence
or absence of an anti-WNV antibody, wherein the presence of an anti-WNV
antibody indicates a WNV infection.
[0080] In another embodiment, the present invention relates to a method for
discriminating between whether (1) a host has an ongoing WNV infection or (2) a
host has been vaccinated with a killed-flavivirus vaccine wherein the host in
the case of (1) has both anti-E glycoprotein antibodies and anti-NS5 antibodies
but in the case of (2) has anti-E glycoprotein but not anti-NS5 antibodies
comprising the steps of: (a) carrying out a first reaction comprising the steps
of (i) contacting a biological sample (e.g., bodily fluid, blood, serum,
plasma, saliva, tears, feces, semen, mucous, tissue, tissue homogenate,
cellular extract, or spinal fluid, inter alia) from the host with a first
detection reagent for the detection of anti-E glycoprotein antibodies, (ii)
detecting said first detection reagent to provide either a positive or negative
signal wherein a positive signal indicates the presence of anti-E glycoprotein
antibodies and a negative signal indicates the absence of anti-E glycoprotein
antibodies; (b) carrying out a second reaction comprising the steps of (i)
contacting a biological sample from the host with a second detection reagent
for the detection of anti-NS5 antibodies, (ii) detecting said second detection
reagent to provide either a positive or negative signal wherein a positive
signal indicates the presence of anti-NS5 antibodies and a negative signal
indicates the absence of anti-NS5 antibodies; and (c) comparing the results of
the first and second reactions wherein the following may be true: (i) a
positive signal for anti-E glycoprotein antibody and a positive signal for
anti-NS5 antibody indicates that the host has an ongoing WNV infection and (ii)
a positive signal for anti-E glycoprotein antibody and a negative signal for
anti-NS5 antibody indicates that the host does not have an ongoing WNV
infection but may have been vaccinated with a killed-flavivirus vaccine.
[0081] In yet another embodiment, ther instant invention relates to a method
for detecting a recent or ongoing WNV infection in a host comprising the steps
of: (a) carrying out a first reaction comprising the steps of (i) contacting a
biological sample from the host with a first detection reagent for the
detection of anti-E glycoprotein antibodies, (ii) detecting said first detection
reagent to provide either a positive or negative signal wherein a positive
signal indicates the presence of anti-E glycoprotein antibodies and a negative
signal indicates the absence of anti-E glycoprotein antibodies; (b) carrying
out a second reaction comprising the steps of (i) contacting a biological
sample from the host with a second detection reagent for the detection of
anti-NS5 antibodies, (ii) detecting said second detection reagent to provide
either a positive or negative signal wherein a positive signal indicates the
presence of anti-NS5 antibodies and a negative signal indicates the absence of
anti-NS5 antibodies; and (c) comparing the results of the first and second
reactions wherein the following may be true: (i) a positive signal for anti-E glycoprotein
antibody and a positive signal for anti-NS5 antibody indicates that the host
has a recent or ongoing WNV infection and (ii) a positive signal for anti-E
glycoprotein antibody but a negative signal for anti-NS5 antibody indicates
that the host does not have an recent or ongoing WNV infection.
[0082] The present invention also endeavors to address the need in the art for
a more rapid, efficient, cost effective and sensitive diagnostic assay for
detecting DENV infections in subjects suspected of carrying a DENV infection.
More in particular, this invention provides compositions and methods using
purified DENV polypeptides, fragments or derivatives thereof for the rapid
specific detection of an infection by DENV, advantageously where the the
different strains, namely DENV-1, DENV-2, DENV-3, and DENV-4 can be
discriminated.
[0083] Another aspect of the present invention relates to a novel use for the
DENV nonstructural protein, NS5 or a specific antigenic determinant or specific
epitope thereof, as an antigen for the specific detection of antibodies against
DENV. Importantly, the NS5 antigen is not cross-reactive to other flaviviruses,
such as, for example, JEV, SLEV, or DENV. Also, the NS5 antigen shows
specificity with antibodies to the particular strain (also referred to as
"strain"), namely DENV-1, DENV-2, DENV-3, or DENV-4, from which is
sourced from and is not measurably cross-reactive with the remaining DENV
strains. Thus, in accordance with the present aspect of the invention, one can
consistently, reliably, and accurately determine whether there is a DENV
infection and the identity of the specific strain thereof with the confidence
and assurance that the detection signal is not due to cross-reactivity with
other flaviviruses or to other DENV strains.
[0084] In one aspect of the invention, it has been discovered that a
substantially purified DENV NS5 antigen is reliably, consistently, predictably,
and strongly reactive to antibodies against a DENV without having substantial
cross-reactivity with other flaviviruses, such as, for example, JEV, SLEV, and
WNV. Therefore, DENV NS5 antigen is useful to specifically assay or test for
DENV infection, e.g., in subjects, donors, blood, organs, etc. In contrast,
current serologic diagnoses of DENV infection is based on detection of
antibodies against viral structural proteins, such as the E protein. Although,
the cross-reactivity of the E protein among flaviviruses, as also discovered by
the instant inventors, is certainly advantageous with respect to its use as a
rapid diagnostic for detecting a general flavivirus infection when knowing the
identity of the flavivirus is not critical, it would also be desirable to have
a rapid test that could confidently, accurately, and correctly identify a WNV
infection with specificity and without cross-reactivity with other types of
flaviviruses.
[0085] In another embodiment, the present invention provides a novel method
relating to a microsphere immunoassay comprising microspheres that are coupled
to substantially purified DENV NS5 antigen for use in detecting in a biological
sample (e.g., bodily fluid, blood, serum, plasma, saliva, tears, feces, semen,
mucous, tissue, tissue homogenate, cellular extract, or spinal fluid, inter
alia) antibodies specific to DENV wherein the NS5 antigen is not substantially
cross-reactive with antibodies against other flaviviruses, including WNV, JEV,
and SLEV. In this embodiment, a biological specimen, for example, blood,
plasma, serum, or spinal fluid, is contacted with microspheres coupled to DENV
NS5 antigen which is strongly, reliably, predictably, consistently, and
specifically reactive to antibodies against its specific corresponding DENV
strain yet is not substantially cross-reactive against antibodies to other
flaviviruses, such as WNV, JEV, and SLEV. Subsequently, conditions are provided
that allow for a complex to form between the NS5 antigen and anti-DENV
antibodies capable of recognizing and specifically binding thereto. The bound
antibodies are then detected using a detection reagent, such as a secondary
antibody coupled to a detectable fluorescent tag or to an enzyme, such as
horseradish peroxidase.
[0086] In one embodiment, the diagnostic kits of the invention alternatively
comprise at least one isolated and substantially purified polypeptide
comprising a DENV NS5 antigen of a specific strain thereof or an immunogenic
fragment/derivative thereof whereby the DENV NS5 antigen or the immunogenic
fragment/derivative thereof, especially of humans or birds, is specifically,
strongly, reliably, predictably and consistently reactive with antibodies
against DENV but is not substantially or detectably cross-reactive with
antibodies against other flaviviruses, such as JEV, SLEV, and WNV. Further, the
NS5 antigen is specific as to the particular DENV strain isolated therefrom and
is not cross-reactive to the remaining DENV strains. The specificity of the
DENV NS5 antigen towards DENV antibodies and the lack of cross-reactivity of
DENV NS5 with antibodies against other flaviviruses (and to other DENV strains)
permits the application of the DENV NS5 to the detection method as taught by
the present invention. As it is used herein, the phrase "detectably
cross-reactive" is meant to refer to an antigen-antibody interaction that
can be substantiated by measuring or detecting a binding complex formed from
the interaction between the antigen and antibody. Thus, the recitation
"not substantially or detectably cross-reactive" is meant to exclude
antigen-antibody interactions that are non-specific, i.e. background
"noise".
[0087] The present invention further relates to methods for detecting a
protective DENV immune response in a subject comprising the step of contacting
a biological sample from said subject with an isolated and substantially
purified polypeptide comprising a DENV NS5 protein or an immunogenic fragment
thereof whereby the DENV NS5 protein or the immunogenic fragment thereof having
a native conformation or non-denatured structure is specifically reactive with
protective antibodies against DENV with no detectable cross-reactivity with
protective antibodies against a flavivirus other than DENV. While antibodies to
DENV NS5 would not neutralize against infection, they could be effective in
rapidly decreasing the spread of the infection.
[0088] Also within the scope of the present invention is a method for detecting
a first antibody to a DENV from a biological specimen of a subject suspected of
being infected by said DENV comprising the steps of: (a) contacting the
biological specimen with a substantially pure DENV NS5 protein or an
immunogenic fragment thereof having a native conformation and non-denatured
structure under conditions to form a complex between the NS5 protein and the
first antibody, if present, that recognizes and binds the NS5 protein, (b)
detecting the first antibody of said complex, wherein the NS5 protein is not
detectably cross-reactive to an antibody against a flavivirus other than DENV.
Further, a DENV NS5 protein isolated from a specific strain of DENV will be
specific for antibodies to that DENV strain and not cross-reactive to
antibodies against the remaining strains of DENV.
[0089] The invention further relates to a method for rapidly detecting an
anti-DENV antibody comprising the steps of: (a) contacting a biological sample
(e.g., bodily fluid, blood, serum, plasma, saliva, tears, feces, semen, mucous,
tissue, tissue homogenate, cellular extract, or spinal fluid, inter alia) with
a microsphere suspension, each microsphere coupled to a substantially pure DENV
NS5 protein having a native conformation or non-denatured structure whereby
each DENV NS5 protein is specifically reactive to antibodies against DENV but
not detectably cross-reactive with antibodies against a flavivirus other than
DENV, (b) incubating the microsphere suspension under conditions sufficient to
increase reaction kinetics to promote the binding of an anti-DENV antibody to
the NS5 proteins, (c) contacting the microsphere suspension with a detection
reagent capable of detecting an anti-DENV antibody, (d) detecting the detection
reagent, wherein detection of the detection reagent indicates the presence an
anti-DENV in the biological sample.
[0090] The instant invention also contemplates a method for the detection of a
DENV infection in a biological specimen comprising the steps of: (a) obtaining
a suspension of microspheres each coupled to a substantially pure DENV NS5
protein having a native conformation or non-denatured structure wherein the
DENV NS5 protein is specifically reactive with anti-DENV antibodies but not
detectably cross-reactive with antibodies against a flavivirus; (b) performing
a microsphere immunoassay; (c) obtaining a result indicating either the
presence or absence of an anti-DENV antibody, wherein the presence of an
anti-DENV antibody indicates a DENV infection. Further, a DENV NS5 protein
isolated from a specific strain of DENV will be specific for antibodies to that
DENV strain and not cross-reactive to antibodies against the remaining strains
of DENV. It will be appreciated that four DENV strains are known, namely,
DENV-1, DENV-2, DENV-3, and DENV-4.
[0091] Throughout this specification and claims, the word "comprise,"
or variations such as "comprises" or "comprising," will be
understood to imply the inclusion of a stated integer or group of integers but
not the exclusion of any other integer or group of integers.
[0092] These and other embodiments are disclosed or are obvious from and
encompassed by, the following Detailed Description.
BRIEF DESCRIPTION OF THE DRAWINGS
[0093] The following Detailed Description, given by way of example, but not
intended to limit the invention to specific embodiments described, may be
understood in conjunction with the accompanying Figures, incorporated herein by
reference.
[0094] FIG. 1 is the amino acid sequence of the WNV-288-301 fragment (peptide
1).
[0095] FIG. 2 is the amino acid sequence of the random 288-301 fragment
(peptide 2).
[0096] FIG. 3 is the amino acid sequence of the WNV-121-139 peptide (peptide
3).
[0097] FIG. 4 is a diagrammatic representation of the 71 kDa Tr-env fusion
protein. Tr, thioredoxin domain; EK, enterokinase cleavage site; WNV, 55 kDa
full length sequence of WNV envelope glycoprotein; V5, V5 epitopes; His, 3 kDa
six histidine-tag sequence; 1, location of WNE-288-301 fragment; 3, location of
WNE-121-139 fragment.
[0098] FIG. 5 is a Coomassie-blue stained SDS-PAGE gel showing purified,
recombinant TR-env fusion protein.
[0099] FIG. 6 depicts the utility of mice as an experimental model organism for
WNV infection and further demonstrates that the purified Tr-env protein is able
to elicit a protective antibody response. C3H mice were immunized with Tr-env
protein (upper line), or Tr control protein (lower line) and challenged with
WNV. Five mice were in each group.
[0100] FIG. 7 shows the results of an ELISA demonstrating the specificity of
antibodies generated following inoculation of mice with purified Tr-env
protein. Ova, ovalbumin; Ova-random, ovalbumin-conjugated random-288-301
peptide (SEQ ID NO: 5); Ova-281, ovalbumin-conjugated WNE-288-301 peptide (SEQ
ID NO: 4). 100, 1000, and 6000 represent serum dilutions of 1:100, 1:1000 and
1:6000.
[0101] FIG. 8 shows the results of the WNV E microsphere immunoassay testing
serum dilutions ranging from 1:25 to 1:6400. The graph shows linear responses
for selected (P) positive sera. The graph show that 1:100 dilution of serum
provides near maximal MFI. Since 1:25 dilution of serum were shown to be
inhibitory in other experiments, 1:100 was chosen as the best screening
dilution for subsequent experiments.
[0102] FIG. 9 shows the results of a stability analysis of the WNV E
glycoprotein coated microspheres over time at the temperatures of 25.degree.
C., 37.degree. C. and 50.degree. C. The plot shows the Maximum Fluorescence
Intensity (MFI) versus time at each given temperature. Antigen was shown to be
stable on beads when stored at 4.degree. C. for over four months. Curves in the
plots of FIG. 9 are likely due to voltage fluctuation affecting the energy
output of the lasers.
[0103] FIG. 10A demonstrates the greater sensitivity of the WNV E glycoprotein
microsphere immunoassay (WNV E MI) over ELISA testing in detecting antibodies
against WNV in two of three sera from WNV patients. The figure further shows
that WNV E MI detected no WNV antibodies in 7 sera, which was consistent with
the negative PRN test results for the same 7 sera. Similarly, WNV E MI
identified WNV antibodies in the three WNV sera that had positive PRN test
results (PRN titers of 160 and 320).
[0104] FIG. 10B demonstrates the ability of the WNV E glycoprotein microsphere
immunoassay (WNV E MI) to detect antibodies against SLEV in sera of four of six
SLEV patients. The P/N value of the WNV E MI results were substantially higher
than ELISA P/N values for sera from 2 patients. Two sera from SLEV patients
were missed by the microsphere assay, which were collected on day 0 and day 2
after onset.
[0105] FIG. 10C demonstrates the greater sensitivity of the WNV E glycoprotein
microsphere immunoassay (WNV E MI) over ELISA testing in detecting antibodies
against DENV in three sera from Dengue patients. The results show that the WNV
E MI identified correctly the three sera from Dengue fever patients with much
higher P/N values (range 15.00 to 55.23) than the traditional ELISA tests with
an IgG P/N range of 4.95 and IgM P/N range from 2.98 to 8.67.
[0106] FIGS. 11A and 11B show scatter plots comparing the P/N values between
the WNV E glycoprotein microsphere immunoassay using the polyvalent
(IgG/IgM/IgA) detection reagent and either the WN IgG ELISA (A) or the WN IgM
ELISA (B) with trendline according to Example 12.
[0107] FIG. 12, as outlined in Example 11, shows two plots comparing the P/N
values measured by either standard ELISA methods (A) or the WNV E microsphere
immunoassay (B). Serum was obtained sequentially over time at 3 days prior to
infection with WNV and then 2, 18, 72 and 260 days post-infection. The serum in
11B was untreated or treated with antibodies to remove either the IgM or the
IgG antibody subpopulations. These immunodepleted serum samples were tested
using the microsphere immunoassay. The microsphere immunoassay shows that,
unlike the IgM and IgG ELISAs, there is a greater IgM P/N than a IgG P/N for
early serum samples, which may indicate that the patient had an active or
recent infection.
[0108] FIG. 13, according to Example 13, shows the P/N value as determined by
carrying out the WNV E glycoprotein microsphere immunoassay on sera from twelve
persons having received a flavivirus vaccine (and four sera from non-vaccinated
persons). The sera was either immunodepleted of IgM antibodies (B) or the sera
was not depleted of IgM antibodies (A). The assay demonstrated that the
microsphere immunoassay could detect antibodies to JEV, as well as WNV, SLEV,
and DENV.
[0109] FIG. 14, according to Example 9, shows the results of testing different
sera from patients with different viral infections, bacterial infections or
autoimmune diseases by the WNV E glycoprotein microsphere immunoassay (A). The
results demonstrate that the immunoassay performs well given that only sera
from patients with syphilis had a high frequency of falsely positive test
results with the microsphere immunoassay. Graphical representation of the data
is shown in (B).
[0110] FIG. 15 shows the results of WNV-E microsphere immunoassay in comparison
to results of the MAC ELISA test on spinal fluids of patients with diagnosed
encephalitis due to flavivirus infection. Confirmation of diagnosis was by
plaque reduction neutralization tests including WNV, DENV, and SLEV.
[0111] FIG. 16 shows the results of testing seven pairs of serum along with
same-day collected spinal fluid specimens from seven patients using the
recombinant WNV-E microsphere immunoassay along with both the polyvalent
antibody reagent and the "IgM" serum (anti-IgG treated serum). The
seven patients were chosen on the basis of having been tested positive for WNV
by either an IgM and/or an IgG ELISA using the reagents and protocol
recommended by the CDC. The data are presented in the table shows both the MFI
and the P/N values. The results show that the WNV-E assay has a greater
sensitivity than the standard ELISA since 5 patients who were shown to test
negative for a WNV infection by MAC ELISA were shown to be strongly positive by
the WNV-E assay.
[0112] FIG. 17 shows a schematic of a lateral-flow or strip test for use in
rapid detection of a flavivirus infection or rapid specific detection of a WNV
infection according to the instant invention. See Detailed Description for
further details.
[0113] FIG. 18 shows the median fluorescence intensity (MFI) data for mouse
sera tested by the microsphere immunoassay (MIA) using WNV E glycoprotein
(column 1), WNV NS3 antigen (column 2), and WNV NS5 antigen (column 3) as
detected with goat antimouse polyvalent conjugate. The data demonstrates that
WNV NS5 (column 3) is equivalent to superior to WNV E glycoprotein (column 1)
as an antigen to detect WNV infection in mice.
[0114] FIG. 19 shows MFI data for human sera tested by MIA using WNV E
glycoprotein, WNV NS3 antigen, and WNV NS5 antigen. While the negative range
for normal non-infected subjects was higher, the overall MFI for infected
patients was 2.5 to 3 fold higher than the MFI signal to the WNV E
glycoprotein.
[0115] FIG. 20 demonstrates that WNV NS5 can be used to discriminate between
infection by DENV and WNV. The data shows that all the sera from the DENV
patients examined were highly reactive (positive) to the WNV E glycoprotein in
the MIA, but conversely each were negative to the WNV NS5 antigen. All the
convalescent dengue sera were positive and 11 of 17 acute sera were positive by
MIA. Data were fully concordant with Dengue ELISA and Hemagglutination
inhibition results. It is likely that the polymerase structures of the DENV and
the WNV are significantly different. DENV polymerase did not induce antibodies
that recognized the WNV NS5 antigen.
[0116] FIG. 21 demonstrates that NS5 can be used to discriminate between
vaccination and active infection. Sera from employees who received JEV vaccine
(a series of three shots), who developed neutralizing antibodies, each
developed an increase in antibody to the envelope protein. However, the sera of
the JEV recipients were all non-reactive to the NS5 antigen. This result is
intuitive since the polymerase (NS5 protein) would not be expressed by the
killed virus of the JEV killed-virus vaccine. The data also demonstrates that
NS5 is more specific as a reagent in immunoassay than the WNV E glycoprotein
since one of ten sera from HIV-infected patients was positive to NS5 and each
remaining sera sample including the negative control were negative to NS5.
[0117] FIG. 22 demonstrates that antibodies to NS5 disappear before antibodies
to WNV E glycoprotein. Since the level of anti-NS5 drops prior to the levels of
anti-E antibody, NS5 likely is a useful marker to indicate recent WNV
infections.
[0118] FIG. 23(A) shows WNV genome structure. Three recombinant proteins, E,
NS3, and NS5 used, are shaded. (B and C) Purified NTPase/helicase domain of NS3
and full-length NS5 were analyzed on SDS-PAGE stained with Coomassie Blue. (D)
ATPase activity of the recombinant NTPase/helicase domain of WNV NS3. In the
presence of recombinant NS3, [.alpha.-.sup.32P]ATP was hydrolyzed to
[.alpha.-.sup.32PADP and phosphate (lane 2). No ATP is hydrolyzed in the
absence of NS3 (lane 1). (E) RdRp ("RNA-Dependent RNA Polymerase")
activity of the recombinant NS5. The RdRp activity of NS5 was assayed using a
WNV subgenomic RNA transcript (890-nt in length) containing a large deletion
from nucleotide 269 to 10408. The reactions (RXT) were labeled with
[.alpha.-.sup.32P]UTP, and the products of double-stranded RNA (a replicative
2.times. form) and single-stranded RNA (1.times. form) were analyzed on a
denaturing polyacrylamide gel followed by autoradiography (lane 1). A
.sup.32P-labeled template RNA was loaded as a size control (lane 2).
[0119] FIG. 24 shows the results of microsphere immunoassays (MIA) using
recombinant proteins of WNV NS5 (A), NS3 (B), and E (C). Median fluorescence
intensity (MFI) of each WNV patient serum is plotted against days post-symptom
onset. Dashed lines indicate assay cut-off levels. X in (B) indicates samples
not tested. (D) A time course of reactivity to NS5 and E protein for sera
collected from a patient infected with WNV. MFI from NS5- and E-based assays
are indicated by solid and dashed lines, respectively. The cut-off values of
the assays are correspondingly indicated.
[0120] FIG. 25 shows the specificity of a NS5-based MIA as demonstrated by
challenging 120 sera from patients with various infections, autoimmune
conditions, JEV vaccination, YFV vaccination, or good health.
[0121] FIG. 26 shows the cross-reactivity of WNV NS5 and E protein with dengue
patient sera. The data indicates that only 8.8% of the total dengue patient
sera samples showed a cross-reaction with the WNV NS5 antigen as compared to
71% with WNV E glycoprotein.
[0122] FIG. 27 shows the cross-reactivity of WNV NS5 and E protein with St.
Louis encephalitis patient sera. The data indicates that only 5% of the total
St. Louis encephalitis patient sera samples showed a cross-reaction with the
WNV NS5 antigen as compared to 28% with WNV E glycoprotein.
[0123] FIG. 28 shows a comparison of MIA values measured for wild bird sera
samples using the NS5 antigen as compared to the E glycoprotein.
[0124] FIG. 29 shows a comparison of MIA values in sera from humans who
received the live-attenuated virus vaccine Yellow Fever vaccine. The data show
that 10 out of 19 sera were cross-reactive (above the MIA cutoff value) to the
WNV E glycoprotein whereas only 1 out of 19 sera were cross-reactive (above the
MIA cutoff value) to the WNV NS5 protein. The data indicate that the recipients
of Yellow Fever vaccine are negative in assays using WNV NS5 protein. Accordingly,
the data demonstrate that the WNV NS5 is useful for discriminating between sera
of humans vaccinated with Yellow Fever vaccine and sera of humans infected with
WNV.
[0125] FIG. 30(A) shows a comparison of MIA values measured for various horse
sera samples tested against WNV E glycoprotein, WNV NS5 antigen, and WNV NS3
antigen. (B) shows a of a multiplex assay comparing the MIA values of various
horse sera tested with WNV E glycoprotein, WNV NS5, or WNV NS3 protein.
[0126] FIG. 31 shows rWNV-E MIA analysis of serially diluted serum specimens.
Sera from patients with West Nile infection (closed symbols), and negative
control human sera (open symbols) were serially diluted and evaluated in the
rWNV-E MIA using polyvalent detector antibody. Results are reported as median
fluorescent intensity per 100 microspheres (MFI).
[0127] FIG. 32 shows rWNV-E MIA and ELISA analysis of anti-WN virus antibodies
in sequential serum specimens from a patient infected with WN virus. A.
Unadsorbed sera were evaluated in the rWNV-E MIA using polyvalent detector
antibody (polyvalent). Sera adsorbed with anti-IgG (IgG adsorbed) or anti-IgM
(IgM adsorbed) were evaluated in the rWNV-E MIA using polyvalent detector
antibody. The IgM adsorbed sera were also analyzed in the rWNV-E MIA with
anti-IgM detector antibody (M conjugate). B. The results with the MAC-ELISA and
indirect IgG ELISA are compared on sequential sera.
[0128] FIG. 33 shows a retrospective parallel WNV-E MIA and WN virus IgG ELISA
analysis of sera from patients with suspected viral encephalitis. Dashed lines
indicate P/N cut-off values for a positive result. n=702; r.sup.2=0.60;
slope=1.68.
[0129] FIG. 34 shows the results of an E protein based microsphere immunoassay
(MIA). The assay tested a coded serum panel revealing that the rWNV-E MIA
detects human antibodies elicited by SLEV and DENV. FIG. 34 is a tabular form
of the data shown in FIG. 10 A, B, and C.
[0130] FIG. 35 shows the results of an E protein based microsphere immunoassay
(MIA) on sera from patients with various viral infections, bacterial
infections, or autoimmune diseases were tested in the rWNV-E MIA. This shows
the same data as FIG. 14A.
[0131] FIG. 36 compares the results of an E protein based microsphere
immunoassay (MIA) on human cerebral spinal fluid samples from patients infected
with WNV, DENV, or an unknown flavivirus. Serum samples shown here include
those shown in FIG. 15. The data in FIG. 15 is a subset of the data shown in
FIG. 36.
[0132] FIG. 37 shows the nucleotide sequence of GenBank accession No. AF206518
comprising the genome sequence of WNV isolate 2741 (SEQ ID NO.1).
[0133] FIG. 38 shows the nucleotide sequence of GenBank accession No. AF404756
comprising the genome sequence of WNV isolate 3356 (SEQ ID NO.2).
[0134] FIG. 39 shows the nucleotide sequence of GenBank accession No. U88535
comprising the genome sequence of DENV-1 isolate "WestPac" (SEQ ID
NO.3).
[0135] FIG. 40 shows the nucleotide sequence of GenBank accession No. AF038403
comprising the genome sequence of DENV-2 isolate "New Guinea" (SEQ ID
NO.4)
[0136] FIG. 41 shows the nucleotide sequence for nucleotide positions 982-1494
(SEQ ID NO.5) of GenBank accession No. AF206518 (WNV isolate 2741)
corresponding to the amino acid sequence of WNV E glycoprotein.
[0137] FIG. 42 shows the amino acid sequence of WNV E glycoprotein (SEQ ID
NO.6) corresponding to nucleotide sequence positions 982-1494 of GenBank
accession No. AF206518 (WNV isolate 2741).
[0138] FIG. 43 shows the nucleotide sequence for nucleotide positions 7681-10395
(SEQ ID NO.7) of GenBank accession No. AF404756 (WNV isolate 3356)
corresponding to the amino acid sequence of WNV NS5.
[0139] FIG. 44 shows the amino acid sequence of WNV NS5 (SEQ ID NO.8)
corresponding to nucleotide sequence positions 7681-10395 of GenBank accession
no. AF404756 (WNV isolate 3356).
[0140] FIG. 45 shows the nucleotide sequence of nucleotide positions 7574-10270
(SEQ ID NO.9) of GenBank accession No. U88535 (DENV-1 isolate
"WestPac") corresponding to the amino acid sequence of DENV-1 NS5.
[0141] FIG. 46 shows the amino acid sequence of DENV-1 NS5 (SEQ ID NO.10)
corresponding to nucleotide sequence positions 7574-10270 of GenBank accession
No. U88535 (DENV isolate "WestPac").
[0142] FIG. 47 shows the nucleotide sequence for nucleotide positions
7570-10269 (SEQ ID NO.11) of GenBank accession No. AF038403 (DENV-2 isolate
"New Guinea") corresponding to the amino acid sequence of DENV-2 NS5.
[0143] FIG. 48 shows the amino acid sequence of DENV-2 NS5 (SEQ ID NO.12)
corresponding to nucleotide sequence positions 7570-10269 of GenBank accession
No. AF038403 (DENV isolate "New Guinea").
DETAILED DESCRIPTION OF THE INVENTION
[0144] The subject invention relates to compositions and methods for diagnosing
an infection by a flavivirus, especially WNV, JEV, SLEV, or DENV, in a subject
suspected of carrying said infection that are more rapid, efficient, cost
effective and sensitive than the methods and compositions currently available
in the art. More in particular, this invention relates to the use of an
isolated and/or substantially purified polypeptide of WNV, in particular, WNV E
glycoprotein, which includes recombinant, synthetic and fusion proteins
comprising the polypeptides, subfragments or derivatives thereof, or a nucleic
acid molecule encoding a WN polypeptide or subfragment thereof, whereby the WNV
polypeptide is of authentic conformation and is reactive to antibodies against
WNV and strongly, reliably, predictably and consistently cross-reactive with
antibodies against a flavivirus, advantageously, JEV, SLEV, and/or DENV.
[0145] Moreover, the present invention relates to a novel use for the WNV E
glycoprotein as an antigen for the detection of antibodies against a
flavivirus. The inventors have discovered that a substantially purified WNV E
glycoprotein antigen having an authentic conformation is strongly, reliably,
predictably and consistently cross-reactive among WNV, JEV, SLEV, and DENV, and
is therefore useful to broadly assay or test for flavivirus infection,
non-specifically, e.g., in subjects, blood donors, organ donars, blood, organs,
etc. Accordingly, by the present invention, one can determine whether there is
a recent or past flavivirus infection, for instance, infection by any of WNV,
JEV, SLEV, or DENV, by a single assay therein providing a faster, simpler, more
cost effective approach to broadly assaying for an infection by a flavivirus
when the exact identity of the flavivirus is not required.
[0146] Another aspect of the present invention includes compositions and
methods for consistently and reliably diagnosing an infection specifically by
WNV that are more rapid, efficient, cost effective and sensitive than the
methods and compositions currently available in the art. More in particular,
this aspect of the invention relates to the use of an isolated and/or
substantially purified nonstructural polypeptide of WNV, in particular, NS5,
which includes recombinant, synthetic and fusion proteins comprising the
polypeptides, subfragments or derivatives thereof, or a nucleic acid molecule
encoding a nonstructural polypeptide, in particular, NS5, or subfragment
thereof, whereby the WNV nonstructural polypeptide is of authentic conformation
and is reactive to WNV antibodies with specificity without having substantial
cross-reactivity to antibodies against other Flaviviruses, such as JEV, SLEV,
and/or DENV.
[0147] Moreover, the present aspect of the invention relates to a novel use for
the WNV NS5 nonstructural protein as an antigen for the specific detection of
antibodies against WNV without substantial cross-reactivity to antibodies
against other Flaviviruses, such as JEV, SLEV, and/or DENV. It has been
discovered that the WNV NS5 nonstructural protein is strongly, reliably,
predictably and consistently reactive to WNV antibodies with high specificity
without cross-reactivity with antibodies against other Flaviviruses, such as
JEV, SLEV, and DENV, and is therefore useful to assay or test for WNV infection
with specificity, e.g., in subjects, blood donors, organ donars, blood, organs,
etc. In addition, the present aspect of the invention relates to compostions
and methods for differentiating between vaccination with inactivated flavivirus
and natural WNV infection. It has been recognized by the inventors that only
replicative viruses produce NS proteins. Thus, inactivated flavivirus vaccines
do not produce NS proteins since they do not replicate. Accordingly, the WNV
NS5 protein can be used according to the instant invention to discriminate
between vaccination with inactived flavivirus and a natural WNV infection.
Moreover, the present aspect of the invention relates to compositions and
methods for indicating the timing of WNV infection and can be used to
discriminate between recent and remote WNV infections.
[0148] Yet another aspect of the present invention includes compositions and
methods for consistent and reliable diagnosis of an infection by DENV that are
more rapid, efficient, cost effective and sensitive than the methods and
compositions currently available in the art. More in particular, this aspect of
the invention relates to the use of an isolated and/or substantially purified
nonstructural polypeptide of DENV, in particular, NS5, which includes
recombinant, synthetic and fusion proteins comprising the polypeptides,
subfragments or derivatives thereof, or a nucleic acid molecule encoding a
nonstructural polypeptide, in particular, NS5, or subfragment thereof, whereby
the DENV nonstructural polypeptide is of authentic conformation and is reactive
to DENV antibodies with specificity without having substantial cross-reactivity
to antibodies against other flaviviruses, such as JEV, SLEV, and/or DENV.
Further, the DENV NS5 protein of the present invention when isolated from a
specific strain of DENV will be specific for antibodies to that same DENV
strain and will not be cross-reactive to antibodies against the remaining
strains of DENV. It will be appreciated to one of ordinary skill in the art
that DENV is comprised of four serologically distinct type, including DENV-1,
DENV-2, DENV-3, and DENV-4. Thus, a NS5 of DENV-1 will be specific to
antibodies against DENV-1, and not detetectably cross-reactive with antibodies
to DENV-2, -3, or -4.
[0149] Moreover, the present aspect of the invention relates to a novel use for
the DENV NS5 nonstructural protein as an antigen for the specific detection of
antibodies against DENV without substantial cross-reactivity to antibodies
against other flaviviruses, such as JEV, SLEV, and/or DENV. It has been
discovered that the DENV NS5 nonstructural protein is strongly, reliably,
predictably and consistently reactive to DENV antibodies with high specificity
without cross-reactivity with antibodies against other flaviviruses, such as
JEV, SLEV, and WNV, and is therefore useful to assay or test for DENV infection
with specificity, e.g., in subjects, blood donors, organ donars, blood, organs,
etc. In addition, the present aspect of the invention relates to compostions
and methods for differentiating between vaccination with inactivated flavivirus
and natural WNV infection. One of skill in the art will appreciate that only
replicating viruses produce NS proteins. Thus, inactivated (or
"heat-killed") flavivirus vaccines do not produce NS proteins since
they do not replicate. Accordingly, the DENV NS5 protein can be used according
to the instant invention to discriminate between vaccination with inactived
flavivirus and a natural WNV infection. Moreover, the present aspect of the
invention relates to compositions and methods for indicating the timing of DENV
infection and can be used to discriminate between recent and remote DENV
infections since the antibody response to NS proteins is not sustained.
Similarly, one of ordinary skill in the art would appreciate that the methods
and compositions of the present invention, in particular, the nonstructural
flavivirus antigens, including but not limited to WNV NS5 or DENV NS5, could be
used to discriminate a vaccination with a recombinant or subunit flavivirus
vaccine, such as a recombinant or subunit WNV, DENV, SLEV, or JEV vaccine, from
a recent or ongoing infection with a flavivirus, including but not limited to
WNV, DENV, SLEV, and JEV.
[0150] In another embodiment, the methods and compositions of the present
invention, especially flavivirus nonstructural proteins such as NS5, can be
used to distinguish recent or ongoing infections of a flavivirus, such as WNV,
DENV, SLEV, or JEV, in a susceptible animal, such as a human, horse, cat, dog,
or bird, inter alia, from vaccination by an in vivo flavivirus vaccine, which
provides flavivirus structural proteins to an animal to be vaccinated by direct
expression to the protein within the animal. It will be appreciated that an in
vivo vaccine comprises a DNA molecule coding for one or more structural
immunogenic viral polypeptides or portions thereof that are directly
administered to a host, such as a human, horse, cat, dog, or bird, inter alia,
that is to be vaccinated.
[0151] One of ordinary skill in the art would certainly appreciate the numerous
benefits of the instant invention, which in one aspect provides a novel method
for the broad detection of a flavivirus infection, such as an infection with
WNV, JEV, SLEV, and/or DENV, in light of a hypothetical scenario wherein
knowledge of the identity of the flavivirus would not be immediately required,
but a rapid identification of a putative flaviviral infection would be
critical. Such a scenario could involve a patient arriving at a hospital in a
geographical region having recently experienced cases of flavivirus infections
in patients, such as an infection with WNV, JEV, SLEV, or DENV, wherein the
patient arrives with typical flavivirus-like symptoms, such as headache, sudden
fever, malaise, and swollen glands. The treating physician would want to know
immediately whether or not the symptoms are due to a flavivirus infection, but
immediate identification of the flavivirus species or strain is not initially
critical. The instant invention provides a rapid diagnostic assay to broadly
detect a flavivirus infection, such as an infection with WNV, JEV, SLEV, or
DENV, which in one embodiment, can be completed in under 3 hours. Thus,
providing a rapid result in the diagnosis of a flavivirus infection is clearly
an advantage of the instant invention. Another aspect of the instant invention
relates to a novel method for the detection of antibodies to a flavivirus using
enhanced reaction kinetics and a microsphere immunoassay that together
drastically reduce the time it takes for diagnosis of a WNV infection or a
general flavivirus infection from 3 days and up to 3 weeks, to less than 3
hours.
[0152] Also within the scope of the instant invention are diagnostic kits and
methods for detecting antibodies against a flavivirus, especially WNV, JEV,
SLEV, and/or DENV, characterized by the compositions of the present invention
comprising a substantially pure WNV polypeptide, fragments, or derivatives
thereof, such as WNV E glycoprotein, that are reactive with antibodies against
WNV and strongly, reliably, predictably and consistently cross-reactive with antibodies
against a flavivirus wherein the WNV polypeptide has an authentic conformation.
These diagnostic kits and methods for detecting antibodies against a flavivirus
are also useful for detecting a protective immune response to a flavivirus
infection, especially by WNV, JEV, SLEV, and/or DENV.
[0153] Further, the methods of the instant invention are also useful in
monitoring the course of immunization against a flavivirus, especially, WNV,
JEV, SLEV, and/or DENV. In patients previously inoculated with the vaccines
against a flavivirus, the detection means and methods disclosed herein are also
useful for determining if booster inoculations are appropriate.
[0154] It will be appreciated by those having ordinary skill in the art based
on the teachings and examples set forth herein that the methods of the present
invention represent a more reliable, consistent, effective and time efficient
approach to detecting in biological samples, including those from humans and
animals such as wild or domestic birds, and mammals such as horses, cats or
dogs, antibodies to WNV, DENV and other flaviviruses. It will be understood
that the various proteins isolated from the various flaviviruses of the
invention, especially WNV and DENV, can be used as antigens in the methods of
the instant invention to detect in a specific or nonspecific manner,
flaviviruses, especially WNV and DENV.
[0155] It will be appreciated that the WNV E glycoprotein can be used as an
antigen to in the method of the instant invention to detect antibodies against
certain species of flaviviruses relevant to human disease, such as, WNV, JEV,
SLEV, DENV, using a single assay to take the place of a multitude of assays
currently used in the art for the detection of these flaviviruses. Thus, by the
present invention, one can determine whether there is a flavivirus infection,
for instance, infection by any of WNV, JEV, SLEV, or DENV, by a single assay.
It has been discovered here that a substantially purified WNV E glycoprotein
antigen having a substantially authentic conformation is reliably,
consistently, predictably, and strongly cross-reactive to antibodies against
any of WNV, JEV, SLEV, and DENV, and is therefore useful to broadly assay or
test for flavivirus infection, non-specifically, e.g., in subjects, donors,
blood, organs, etc. In contrast, antigens currently available in the art for
the detection of DENV, SLEV, JEV, and WNV infections are often concentrated by
polyethylene glycol and/or extracted with acetone, treatments which are likely
to alter the structural domains of a given antigen.
[0156] It will further be appreciated that a WNV nonstructural protein,
especially NS5, or a specific antigenic determinant or specific epitope
thereof, can be used as an antigen for the specific detection of antibodies
against WNV in the method of the instant invention. Importantly, the NS5
antigen is not cross-reactive to other flaviviruses, such as, for example, JEV,
SLEV, or DENV. Thus, in accordance with the present aspect of the invention,
one can consistently, reliably, and accurately determine whether there is a WNV
infection with the confidence and assurance that the detection signal is not
due to cross-reactivity with other flaviviruses.
[0157] It will also be appreciated that the substantially purified DENV NS5
antigen of the present invention is reliably, consistently, predictably, and
strongly reactive to antibodies against a DENV without having substantial
cross-reactivity with other flaviviruses, such as, for example, JEV, SLEV, and
WNV. Therefore, DENV NS5 antigen will be useful to specifically assay or test
for DENV infection, e.g., in subjects, donors, blood, organs, etc. In contrast,
current serologic diagnoses of DENV infection is based on detection of
antibodies against viral structural proteins, such as the E protein. Although,
the cross-reactivity of the E protein among flaviviruses, as also discovered by
the instant inventors, is certainly advantageous with respect to its use as a
rapid diagnostic for detecting a general flavivirus infection when knowing the
identity of the flavivirus is not critical, it would also be desirable to have
a rapid test that could confidently, accurately, and correctly identify a DENV
infection with specificity and without cross-reactivity with other types of
flaviviruses. Further, the DENV NS5 protein of the present invention when
isolated from a specific strain of DENV will be specific for antibodies to that
same DENV strain and will not be cross-reactive to antibodies against the
remaining strains of DENV.
[0158] As one of ordinary skill in the art will understand, prior to the
present invention, a number of serologic assays were routinely used for
laboratory diagnosis of flavivirus infections, including infections of WNV,
DENV, JEV, and SLEV: IgM antibody capture enzyme immunoassay (MAC-ELISA),
indirect IgG ELISA, indirect fluorescent antibody assay (IFAT),
hemagglutination inhibition (HIT), and serum dilution cross-species plaque
reduction neutralization tests (PRNTs). As described below, these assays vary
markedly in sensitivity, technical difficulty, turn-around time, and clinical
utility of the results.
[0159] IgM Antibody Capture ELISA
[0160] IgM response to WNV infection occurs earlier than that of IgG, and is
often used to indicate recent infections of WNV (G. Tardei et al.). MAC-ELISA
is typically performed to detect the IgM level in serum samples, as described
by Beaty and coworkers (Martin et al.) with modifications (Martin et al.).
Briefly, goat anti-human IgM (Perlmmune Inc., Rockville, Md.) is used as a capture
antibody, and is coated onto 96-well flat-bottom plates. After blocking of the
plates with nonfat dry milk, diluted human sera are reacted with the anti-human
IgM. Viral antigens, either sucrose-acetone extracts of infected suckling mouse
brains [32, 33] or recombinant viral structural proteins (B. Davis et al.), are
added to the plates. Flavivirus group-reactive SLE monoclonal antibody 6B6C-1
(conjugated to horseradish peroxidase) (Roehrig et al.) is then reacted with
the immobilized viral antigen. After addition of substrate 3,3'5,5' tetra
methyl benzidine (TMB-ELISA; Neogen, Lexington, Ky.), reactions are measured
using a microplate reader at an absorbance of 450 nm. A ratio of 2.0 or greater
of the absorbance of the test serum over the absorbance of the negative control
serum is usually considered positive. Serial dilutions of positive sera can be
evaluated. The maximum dilution that exhibits positive signal is the titer for
the serum. The titer of the MAC-ELISA can be compared with the titers of HI and
PRN tests. It should be noted that, in the CDC MAC-ELISA, all serum samples are
tested on control antigen in addition to viral antigen, to reduce the number of
false-positive results due to non-specific binding of the serum or other
factors. Any "positive" test result (ratio.gtoreq.2.0) is deemed
un-interpretable if the mean absorbance of the test specimen reacted on viral
antigen is <2.times. the mean absorbance of the test specimen reacted on the
control antigen. These samples require testing with an alternate method,
generally PRNT.
[0161] MAC-ELISA has replaced complement fixation and HIT in most public health
laboratories, because of its superior sensitivity in diagnosing early acute
infections of flaviviruses. The MAC-ELISA was reported to be more sensitive
than PCR-based assay for spinal fluid and blood specimens from patients with
symptomatic infection (D Nash et al.). The MAC-ELISA is a more appropriate
assay to use for symptomatic patients, because the virus is cleared so
efficiently by the immune system in healthy individuals, that it is not usually
possible to detect viral nucleic acid once clinical symptoms are observed.
Since the 1999 outbreak of WNV in New York, the Centers for Disease Control and
Prevention (CDC) have extensively trained public health laboratories to perform
this complex 2-day assay. MAC-ELISA is currently the most widely used
diagnostic test for acute WNV encephalitis in the United States.
[0162] Initially, the ELISA antigen was a sucrose-acetone extract of
WNV-infected suckling mouse brain (Martin et al.). The antigen was later
replaced by unpurified E and prM proteins secreted from a plasmid-transformed
COS cell line (B Davis et al.). The cell line-derived antigens are concentrated
by precipitation with polyethylene glycol followed by lyophilization. Several
companies have purchased licenses to commercialize the noninfectious
recombinant antigens (NRA), including Abbott Laboratories (Abbott Park, Ill.),
Focus Technologies (Cypress, Calif.), GenBio (San Diego, Calif.), Hennesy
Research Associates (Shawnee, Kans.), Immucor (Atlanta, Ga.), InBIOS (Seattle,
Wash.), RMZ Biotech Corporation (Baltimore, Md.), and Rapid Medical Diagnostic
Corporation (Miami, Fla.). These products are sold as analyte-specific reagents
(ASR) and, as such, must be validated by the user. The FDA recently approved
the enzyme immunoassay kit for diagnostic testing from PanBio (Baltimore, Md.).
[0163] The IgM response to WNV infection is rapid; most sera and spinal fluids
are positive in the MAC-ELISA within 8 days of symptom onset (Roehrig et al.).
IgM detected by MAC-ELISA in spinal fluids is directly indicative of recent
infection (B. J. Beaty et al.). This is because the detected IgM is synthesized
by lymphocytes in the central nervous system, and serum IgM, a pentameric
molecule, is too large to pass through an intact blood-brain barrier. However,
because anti-WNV IgM in serum persists in many patients for 3 to 6 months after
symptom onset, and can persist beyond 15 months (D. A. Martin et al. 2000),
caution should be used when interpreting IgM-positive results from early-season
WNV IgM-positive patients. Solitary serum IgM positive results must be
considered in conjunction with other WNV surveillance data, e.g., evidence of
WNV in mosquitoes or in reservoir bird populations. Follow-up testing of paired
specimens is recommended. For the same reason, because the duration of the
anti-WNV IgM in chickens or rabbits has been not well defined, IgM testing
should not be performed as the sole testing modality when these animals are
used as sentinels for monitoring WNV activities. In one study, the IgM
persistence was reported to vary in chickens from 19 days to greater than 61
days post WNV infection (A. J. Johnson et al.). If the bleeding schedule is
less frequent than once every 3 weeks, a recent infection of the sentinel
animals may be missed through sole reliance on MAC-ELISA (A. J. Johnson et
al.).
[0164] Several limitations were previously reported for the MAC-ELISA. First,
although human IgM response to WNV and other flaviviruses is more virus-type
specific than is the IgG response, cross-reactivities with other JE serogroup
viruses, DEN and YF, do occur in the IgM tests (D. A. Martin et al. 2002, T. P.
Monath et al., M. Lhullier et al.). Additional information about the patient,
such as travel history to regions where WNV or other flaviviruses are active,
should be helpful in interpreting the diagnostic results. Second, the
sensitivity of the MAC-ELISA may be decreased when patient serum contains IgM molecules
in response to infections other than WNV. These non-WNV-IgM molecules can
nonspecifically compete against WNV-IgM molecules for binding to the anti-human
IgM antibodies coated on the ELISA plate, resulting in reduced sensitivity of
the assay. Third, false-positive results of MAC-ELISA may occur due to
nonspecific binding of rheumatoid factors, which often exist in sera from
healthy individuals (P. P. Mortimer et al.). Rheumatoid factors are well known
to confound serological diagnosis through their cross-linking of the capture
antibody to the detector antibody in the absence of any WNV antigen (P. P.
Mortimer et al.).
[0165] Indirect IgG ELISA
[0166] Indirect IgG ELISA is a 2-day assay that is often performed in tandem
with MAC-ELISA. The protocol for diagnosis of anti-WNV IgG was described by
Johnson and coworkers, 2000). A flavivirus E protein cross-reactive monoclonal
antibody (Mab) 4G2 (ATCC, Manassas, Va.) (A. J. Johnson et al., 2000) is coated
onto 96-well microtiter plates. After blocking of the plates with 3% goat serum
in PBS and multiple washes, WNV antigens are reacted with the Mab 4G2. After
several washes, diluted human sera are reacted with the immobilized viral
antigens. Goat anti-human IgG Fc-alkaline phosphatase conjugate is then reacted
with serum-derived IgG. Upon addition of p-nitrophenyl phosphate (Sigma
Aldrich, St. Louis, Mo.) to the wells, colorimetric absorbance at 405 nm is
measured, and a ratio of 2.0 or greater for the test serum over the negative
control serum is considered positive (A. J. Johnson et al., 2003).
[0167] The same antigens as used for the MAC-ELISA are used for the IgG ELISA.
Because of the cross reactivities of the structural proteins during various
flavivirus infections, the identity of the infecting virus can not be
determined with certainty. Other assays such as HI and PRNT are routinely
performed to verify the identity of the virus. Because the level of IgG remains
elevated for many years after an infection, a 4-fold increase in IgG antibody
titer between paired sera are considered essential for estimation of a recent,
acute infection (D. Gubler et al., 2000). Using inactivated WNV as antigen,
Ebel and co-workers recently reported that the IgG ELISA could also be used to
detect anti-WNV antibodies in birds.
[0168] Indirect Fluorescent Antibody Tests
[0169] IFAT is used to detect anti-WNV IgG, IgM, or total antibodies
(IgG+IgA+IgM) from suspected WNV-infected sera. The assay can be completed
within 2-3 hr. IFAT slides and test kits are commercially available from PanBio
(Baltimore, Md.). WNV-infected Vero cells are grown until the appearance of
cytopathic effects, mixed with uninfected tissue culture cells, and spotted
onto a microscope slide. The slides are then acetone-fixed and stored frozen.
Patient sera, starting at a 1:8 dilution, are reacted with the antigens on the
slide. After incubations with anti-human immunoglobulins conjugated with
fluorescein isothiocyanate (FITC) and washings, the cells are examined under a
fluorescent microscope. Positive IgG antibody is indicated by specific
apple-green fluorescence in the cytoplasm cells. Since only 30% to 50% of the
cells on the slides are infected with WNV, observation of 100% cells of
positive fluorescence indicates a non-specific reaction, rather than a serum
infected with WNV. Autoantibodies in patient serum can react with cellular
antigens, resulting in non-specific fluorescence. This possibility can be
excluded by using undiluted serum to react with uninfected tissue culture
cells. If positive, the patient serum is likely to have autoantibodies to
cellular antigens. The sensitivity of the IFAT is low, with an estimated
detection limit of 0.05-1 .mu.g of virus-specific neutralizing antibody (J.
Pillot, 1996). The detection limit of the IFAT is about a 1,000-fold lower than
that of ELISA. However, IFAT measurement of IgG is slightly more specific than
ELISA (P. Koraka et al., 2002).
[0170] For detection of virus-specific IgM or IgG, serum specimens are
pretreated with rabbit anti-human IgG or IgM, respectively. Complete depletion
of IgG in serum is essential for an accurate detection of IgM, because residual
IgG can compete with IgM to bind to the antigens on the slide, resulting in
inaccurate results. To increase the sensitivity of the IgM assay, overnight
incubation of IgG depleted serum with antigen slides is recommended. After
binding of the IgM to antigen, anti-human IgM conjugated with FITC is applied
to bind to the antigen-bound IgM. Even through the IgM-IFAT is less sensitive
than MAC-ELISA, it has been applied to rapid diagnosis of acute serum samples.
Because the procedure of IgM-IFAT requires manual pipetting and reviewing of
individual wells of the IFAT slides under a fluorescent microscope, this assay
does not have the capability to diagnose a large volume of patient specimens.
Further, since the concentration of IgM in spinal fluid is nearly a 1,000-fold
lower than that in serum, neither can the assay be reliably used to detect IgM
in spinal fluid (W. R. Chen et al., 1992). However, the specificity of the IgM
IFAT against DEN, JE, YF, and WNV was reported to exceed that of the standard
EIA (P. Koraka et al.), with a cross-reactivity that ranged from 4% to 10%,
compared to 30% to 44% for the standard EIA. False IgM-IFAT positives can be
caused by rheumatoid factor; false IgM-IFAT negatives can be caused by
competition from residual IgG molecules remaining after the IgG depletion.
[0171] Hemagglutination Inhibition Tests
[0172] The HI test is performed essentially as described nearly 60 years ago by
Casals and Brown (J. Casals, et al., 1954). Serum is first treated by acetone
extraction, followed by adsorption with goose erythrocytes to remove
nonspecific inhibitors associated with false-positive results, and to remove
hemagglutinins associated with false-negative results. Treated sera are
serially diluted and mixed with a known amount of suckling mouse brain WNV
antigen for an overnight incubation at 4.degree. C. Goose erythrocytes,
preferably from an adult gander, are added to the serum/virus mixture in
microtiter plates. The HI titer is read after a 1-hr incubation at room
temperature. A thin mat of cells across the well indicates agglutination. A
pellet of cells at the bottom of the well indicates inhibition of
agglutination. The highest dilution of serum that completely inhibits
agglutination of the goose erythrocytes is taken as the HI titer of the serum.
HI tests provide higher titers than do standard neutralization tests, but lower
titers and lower numbers of positive samples than do micro PRN tests (H. M.
Weingartl et al.). HI tests measure both IgM and IgG antibody classes, and are
considerably less sensitive than ELISAs. Although HI antibodies appear rapidly,
they disappear more quickly than do neutralizing antibodies, which are detected
by the IgG ELISAs (B. J. Beaty et al., 1995). Reagents for HI tests are
somewhat less stable to long-term storage than are the reagents used in other
methods. Agglutination occurs over a narrow pH range. In addition, patient sera
must be tested by a panel of viruses known to occur and to cause disease in
humans in a given geographic region.
[0173] Plaque Reduction Neutralization Tests (PRNT)
[0174] PRNT is a 3- to 5-day assay (H. S. Lindsey, 1976). Sera are first
heat-inactivated at 56.degree. C. for 30 min. A set of serially diluted sera
are added to known amounts of virus. After incubation for 1 hr, the mixture is
added to Vero cells, followed by another 1-hr incubation. Nutrient agar is
applied, and the plates are incubated for 2-3 days in a CO.sub.2 incubator. A
second overlay with a neutral red stain is applied. Plates are checked for
plaque formation over the next 1-2 days. The titer is the reciprocal of the
serum dilution causing a plaque reduction of 90%. PRNT detects antibodies at an
earlier time post-infection, with higher mean serum antibody titers, than did
HI and ELISA tests, in experimental infections of chickens. PRNT also detects
the highest number of positive serum samples at various times post-infection
(H. M. Weingartl, et al., 2003).
[0175] It will be appreciated that the instant invention provides methods for
assaying biological samples for the presence of antibodies against flaviviruses
that are distinguished from and advantageous over the previous methods. Several
examples of this invention's advantages over prior art methods for detecting
anti-flavivirus antibodies include, inter alia, reduced time requirements,
greater consistency in results, and enhanced ease of use. More in particular,
the traditional serologic assays such as HI or particle agglutination are
performed with either antigens or antibodies passively adsorbed onto the
surfaces of tanned erythrocytes or latex microspheres. The recent technology of
lateral flow immunoassays utilizes antibodies or antigens bound to microspheres
and lateral flow immunochromatography to capture zones on nitrocellulose
membranes. Recently, antigens have been covalently attached to fluorescent
polystyrene microspheres for immunoassays performed in microfilter plates, and
the assays are quantified through a flow cytometer such as the Luminex 100
(Luminex, Austin, Tex.).
[0176] One embodiment of the instant invention relates to the use of
microsphere immunoassays. Although the antigens of the invention, including WNV
E glycoprotein and the NS5 protein, can be used essentially in any assay format
known to one of ordinary skill in the art, such as the above-mentioned methods,
including ELISA formats, certain embodiments of the instant invention are
advantageous over others. More in particular, the antigens of the invention,
including WNV E glycoprotein and the NS5 protein can be used in connecting with
microsphere immunoassays (MIAs). MIAs are more quantitative than prior
serological testing methods, including, for example, ELISAs. The microsphere
assays have broad dynamic ranges, often exceeding what can be obtained with
ELISAs. Reaction times are short, since kinetics are enhanced by shaking of the
microspheres in fluid suspension during the incubations. Small specimen volumes
can be used in the microsphere assays, and replicate testing is not required
because of the high precision of the analyses. Therefore, large specimen
volumes of precious specimens, such as spinal fluid, are not required. MIA
results can be obtained with small amounts of biological sample, such as, for
example, 30 .mu.l of spinal fluid, compared to the 450 .mu.l required for the
MAC-ELISA (Wong et al, submitted). In addition, microbeads have more surface
area and thus more epitopes available for antigen or antibody binding than do macrobeads,
microtiter plates, or nitrocellulose papers, resulting in an increased
sensitivity. The preferred reporter fluorochrome, red-phycoerythrin, has an
extremely high extinction coefficient, which also enhances the analytical
sensitivity. Finally, microsphere immunoassays allow a more cost-effective use
of antigen: 1 .mu.g of antigen usually suffices for approximately 50 tests.
[0177] In accordance with one embodiment of the present invention, an E-based
microsphere immunoassay is provided which consistently, accurately, strongly,
and reliably detects a WNV-infection at around day 2-6 post-symptom onset.
Retrospective testing as carried out by the present inventors on over 800 sera
from patients with suspected viral encephalitis by the polyvalent (anti-IgG+IgA+IgM)
microsphere immunoassay exhibited 95% concordance with results obtained with
the IgG ELISA. The E-based microsphere immunoassay of the present invention
could also be used to detect anti-E IgM antibodies, and to indicate current or
recent WNV infection. In addition, the inventors have discovered that a
substantially purified WNV E glycoprotein antigen having a substantially
authentic conformation is reliably, consistently, predictably, and strongly
cross-reactive to antibodies against any of WNV, JEV, SLEV, and DENV, and is
therefore useful to broadly assay or test for flavivirus infection,
non-specifically, e.g., in subjects, donors, blood, organs, etc. In contrast,
antigens currently available in the art for the detection of DENV, SLEV, JEV, and
WNV infections are often concentrated by polyethylene glycol and/or extracted
with acetone, treatments which are likely to alter the structural domains of a
given antigen.
[0178] In another embodiment of the present invention, a NS5-based microsphere immunoassay
is provided. The NS5-based microsphere immunoassay reliably detects
WNV-infection (IgG+IgA+IgM total antibodies) at around day 6 post-symptom
onset. The overall reactive pattern derived from the NS5-based assay was shown
by the inventors to correlate well with that from the E-based assay. However,
the NS5-based assay has two major diagnostic differences over the E-based
assay. First, the NS5-based assay can be used to differentiate between WNV
infection and vaccinations with either an inactivated JEV or a live attenuated
YFV vaccine. In support, sera was collected from the JEV vaccine recipients and
reacted with the WNV NS5 antigen. The result was that only 5% of the sera
collected from the YFV-vaccine recipients reacted with the WNV NS5 antigen. By
contrast, 100% of the JEV-vaccinated sera and 53% of the YFV-vaccinated sera
reacted with the E antigen. Second, the NS5-based assay substantially improves
discrimination between DENV/SLEV and WNV infections. The inventors show herein
through experimentation that only 9% of the DENV sera were marginally positive
in the WNV NS5-based assay, whereas 71% of the same sera were reactive in the
WNV E-based assay (see Examples and FIG. 26). Further, only 5% of the SLEV sera
were positive in the WNV NS5-based assay, whereas 27.5% of the same panel of
sera were positive in the WNV E-based assay (see Examples and FIG. 27). The
results of the NS5-based immunoassay clearly suggest that NS5 could be used as
an antigen for virus type-specific diagnosis of flavivirus infections.
[0179] In accordance with one embodiment of the invention, the NS5-based
microsphere immunoassay can be used to distinguish between WNV infection and
vaccination by inactivated JE. Without being bound by theory, this distinction
is possible since only replicative viruses produce NS proteins, while
inactivated JE vaccines cannot replicate and thus cannot produce NS proteins.
Another reason is that no or very few NS proteins, including NS5, exist in the
inactivated JEV vaccines since the vaccines are prepared through an extensive
purification procedure.
[0180] In another embodiment of the invention, the antigen-based immunoassays
of the present application can be useful for determining whether animals, such
as horses, previously vaccinated with inactivated WNV have sustained a new
exposure to WNV infections. The first documented case of equine WNV infection
was in Minnesota in 2003 in a horse that had received a vaccine in 2002, but
had not had a booster. Since protective immunity wanes quickly, and there is a
chance for reinfection, veterinarians are increasingly challenged to diagnose
neurological illness possibly oweing to WNV infection in previously
WNV-vaccinated horses. Such diagnosis will be problematic for structural
protein-based assays, such as assays based on WNV E glycoprotein, due to the
presence of preexisting antibodies to the immunodominant E protein as a result
of the vaccination. However, WNV infection in previously vaccinated horses
could be assessed using the NS5-based immunoassay of the present invention. The
NS5-based assay will detect only current or recent WNV infections. It will not
show a positive result for an animal that was solely vaccinated with a WNV or
flavivirus vaccine since there needs to be viral replication in order to
produce NS5 in sufficient quantity to provide an immune response and the
production of anti-NS5 antibodies.
[0181] As used herein, the term "polypeptide" is taken to encompass
all the polypeptides, peptides, and fusion proteins described in this invention
and refers to any polymer consisting essentially of amino acids regardless of
its size which maintains a comparable level of cross-reactivity to the
cross-reactivity of the unmodified polypeptide from which it is derived.
Although "protein" is often used in reference to relatively large
polypeptides, and "peptide" is often used in reference to small
polypeptides, usage of these terms in the art overlaps and varies. The term
"polypeptide" as used herein thus refers interchangeably to peptides,
polypeptides, or fusion proteins unless otherwise noted. The term "amino
acid" refers to a monomeric unit of a peptide, polypeptide or protein.
[0182] Further, the term "polypeptide" is meant to encompass any
"derivative" thereof. A derivative refers to a modified or altered
form of the native or original polypeptide. As used in the present application,
a derivative will have a comparable level of cross-reactivity to the
cross-reactivity of the unmodified polypeptide from which it is derived. Such
modifications include, but are not limited to: amino acid substitutions,
modifications, additions or deletions; alterations in the pattern of
lipidation, glycosylation or phosphorylation; reactions of free amino,
carboxyl, or hydroxyl side groups of the amino acid residues present in the
polypeptide with other organic and non-organic molecules; and other
modifications, any of which may result in changes in primary, secondary or
tertiary structure.
[0183] A "substantially pure" polypeptide is a polypeptide that is
free from other WNV components with which it is normally associated. Further, a
substantially pure polypeptide is one which is free of other undesired protein
contamination, such as bovine serum albumin, which can be carried over from
culture medium during antigen preparation.
[0184] As used herein, an "authentic conformation" of a polypeptide
(e.g. antigen) refers to the native conformation of the polypeptide (e.g.
antigen). The native conformation of the polypeptide refers specifically to the
three-dimensional form of the molecule as it exists in vivo. Many processes
currently used in the art to prepare various polypeptides (e.g. antigens)
involve harsh preparatory treatments, such as acetone extraction and/or
polyethylene glycol precipitation, both of which are known to deform and/or
denature polypeptides (e.g. antigens). A fully or partially denatured
polypeptide (e.g. antigen) is not as cross-reactive as the same polypeptide
(e.g. antigen) having an authentic conformation since the epitopes of the
polypeptide (e.g. antigen) involved in cross-reacting interactions become
damaged such that they are no longer or less efficiently recognized by
antibodies.
[0185] As it is used herein, the terms "NS5", "NS5
protein", or "NS5 antigen" are meant to be synonymous with one
another. Further "NS5", "NS5 protein", or "NS5
antigen" are meant to encompass any immunogenic fragment thereof or any
specific portion encompassing any unique epitope that is immunogenically
distinct from NS5 proteins from other flaviviruses. The instant invention
contemplates the use of nonstructural proteins or fragment thereof obtained
from any flavivirus, including but not limited to WNV, SLEV, JEV, and DENV,
especially WNV and DENV. It was the inventors' discovery that the nonstructural
protein NS5 antigen from a first flavivirus, such as WNV or DENV, can be used
to specifically detect antibodies against said first flavivirus from a
biological sample (e.g. biological fluid, tears, semen, blood, plasma, feces,
spinal fluid, saliva, or mucous) wherein the NS5 antigen from the first
flavivirus is not detectably cross-reactive with antibodies to other
flaviviruses. Moreover, in the case of DENV, the NS5 antigens from a first
strain, such as DENV-1, is not cross-reactive with antibodies to the remaining
DENV strains. Thus, the DENV NS5 antigens are useful for discriminating DENV
strains.
[0186] According to various embodiments of the instant invention, the WNV E
glycoprotein utilized by the instant invention is prepared by a process that
results in a substantially purified WNV E glycoprotein having an authentic
conformation. In a further preferred embodiment, the purification method of the
instant invention utilizes column chromatography in a manner that does not
harshly treat or denature the desired polypeptide to be purified. Specifically,
column chromatography as used by the instant invention does not require
polyethylene glycol precipitation or acetone extraction.
[0187] As used herein, a "protective epitope" is (1) an epitope that
is recognized by a protective antibody, and/or (2) an epitope that, when used
to immunize a human or animal, elicits an immune response sufficient to confer
WNV immunity or to prevent or reduce the severity for some period of time, of
the resulting symptoms. A protective epitope may comprise a T cell epitope, a B
cell epitope, or combinations thereof.
[0188] As used herein, "enhanced reaction kinetics" refers to an
antibody-antigen binding reaction that occurs at a rate that exceeds the
expected reaction rate when carried out under conditions used in prior art
methods. "Conditions" that are suitable for enhanced reaction
kinetics according to the present invention are a discovery of the inventor.
Such conditions may comprise parameters related to incubation time, temperature,
buffers, and pH levels. The conditions further may comprise physical
parameters, such as, shaking or moving the components of any given reaction
sample. In one embodiment, enhanced reaction kinetics are achieved by
incubating together a biological sample and a WNV antigen, such as, WNV E
glycoprotein, and at 37.degree. C. for about 30 minutes while keeping the
reaction mixture in motion, such as on platform shaker at low speed.
[0189] Various compositions and methods of the aforementioned embodiments are characterized
by immunogenic polypeptides. As used herein, an "immunogenic
polypeptide" is a polypeptide that, when administered to a human or
animal, is capable of eliciting a corresponding antibody.
[0190] This invention also provides two novel immunogenic fragments of the WNV
E glycoprotein and compositions and methods comprising these peptides. More
specifically, this invention provides the WNE-121-139 (peptide 3) peptide and
WNE-288-301 peptide (peptide 1). It will be appreciated by those of ordinary skill
in the art that similar immunogenic fragments of the flavivirus antigens
contemplated by the present invention, especially immunogenic fragments of NS5
and E glycoprotein antigens from the flaviviruses of the invention, especially
WNV and DENV, can be obtained and used in accordance with the methods of the
invention.
[0191] Also within the scope of this invention are polypeptides that are at
least 75% identical in amino acid sequence to the aforementioned polypeptides.
Specifically, the invention includes polypeptides that are at least 80%, 85%,
90% or 95% identical in amino acid sequence to an amino acid sequence set forth
herein. The term "percent identity" in the context of amino acid
sequence refers to the residues in the two sequences which are the same when
aligned for maximum correspondence. There are a number of different algorithms
known in the art which can be used to measure sequence similarity or identity.
For instance, polypeptide sequences can be compared using NCBI BLASTp.
Alternatively, FASTA, a program in GCG version 6.1. FASTA provides alignments
and percent sequence identity of the regions of the best overlap between the
query and search sequences (Peterson, 1990).
[0192] Alternatively, nucleotide sequence similarity or homology or identity
can be determined using the "Align" program of Myers and Miller,
("Optimal Alignments in Linear Space", CABIOS 4, 11-17, 1988) and
available at NCBI. The terms "similarity" or "identity" or
"homology", for instance, with respect to a nucleotide sequence, is
intended to indicate a quantitative measure of homology between two sequences.
The percent sequence similarity can be calculated as (N.sub.ref-N.sub.dif)*10-
0/N.sub.ref, wherein N.sub.dif is the total number of non-identical residues in
the two sequences when aligned and wherein N.sub.ref is the number of residues
in one of the sequences. Hence, the DNA sequence AGTCAGTC will have a sequence
similarity of 75% with the sequence AATCAATC (N.sub.ref=8; N.sub.dif=2).
Alternatively or additionally, "similarity" with respect to sequences
refers to the number of positions with identical nucleotides divided by the
number of nucleotides in the shorter of the two sequences wherein alignment of
the two sequences can be determined in accordance with the Wilbur and Lipman
algorithm (Wilbur and Lipman, 1983 PNAS USA 80:726), for instance, using a
window size of 20 nucleotides, a word length of 4 nucleotides, and a gap
penalty of 4, and computer-assisted analysis and interpretation of the sequence
data including alignment can be conveniently performed using commercially
available programs (e.g., Intelligenetics.TM. Suite, Intelligenetics Inc. CA).
When RNA sequences are said to be similar, or have a degree of sequence
identity with DNA sequences, thymidine (T) in the DNA sequence is considered
equal to uracil (U) in the RNA sequence.
[0193] Various compositions and methods of the aforementioned embodiments are
characterized by WNV polypeptides, such as, for example, WNV E glycoprotein,
that elicit in treated humans or animals the formation of an immune response.
As used herein, an "immune response" is manifested by the production
of antibodies that recognize the corresponding polypeptide. In an especially
preferred embodiment, the compositions and methods of the invention are
characterized by WNV polypeptides or antibodies that confer protection against
WNV infection or disease.
[0194] In yet another embodiment, this invention relates to diagnostic means
and methods characterized by a WNV polypeptide, such as, for example, WNV E
glycoprotein. The inventor has discovered that a substantially pure WNV E
glycoprotein having an authentic conformation as described in this application
is not only reactive with antibodies against WNV, but is also strongly,
reliably, predictably and consistently cross-reactive against other
flaviviruses, especially, JEV, SLEV, and DENV.
[0195] As used herein, an antigen, such as, WNV E glycoprotein of WNV, is
"reactive" with an antibody raised against the antigen when there is
a specific binding event/reaction between the antigen and the antibody.
[0196] As used herein, a first antigen, such as, WNV E glycoprotein of WNV, is
"cross-reactive" with an antibody raised against a second antigen of
a second virus, such as, DENV, when there is a specific binding event/reaction
between the first antigen and the antibody raised against the second antigen.
One of ordinary skill in the art will understand that similar or related
viruses may comprise similar proteins, e.g., proteins with similar amino acid
sequences and three-dimensional structural features that may provide similar
recognition epitopes such that an antibody raised against a first antigen may
recognize and bind to the second antigen.
[0197] The WNV polypeptides or derivatives thereof described herein are
immunologically reactive with antisera produced in response to an infection
with WNV. Accordingly, they are useful in methods and compositions to detect
both immunity to WNV or prior infection with WNV.
[0198] As will be apparent from the disclosure to follow, the polypeptides in
the pharmaceutical compositions of this invention may also be prepared with the
objective of increasing stability or rendering the molecules more amenable to
purification and preparation. One such technique is to express the polypeptides
as fusion proteins comprising other WNV sequences.
[0199] In accordance with this invention, a derivative of a polypeptide of the
invention may be prepared by a variety of methods, including by in vitro
manipulation of the DNA encoding the native polypeptides and subsequent
expression of the modified DNA, by chemical synthesis of derivatized DNA
sequences, or by chemical or biological manipulation of expressed amino acid
sequences.
[0200] For example, derivatives may be produced by substitution of one or more
amino acids with a different natural amino acid, an amino acid derivative or
non-native amino acid. Those of skill in the art will understand that
conservative substitution is preferred, e.g., 3-methyl-histidine may be substituted
for histidine, 4-hydroxy-proline may be substituted for proline,
5-hydroxylysine may be substituted for lysine, and the like.
[0201] Furthermore, one of skill in the art will recognize that individual
substitutions, deletions or additions which alter, add or delete a single amino
acid or a small percentage of amino acids (typically less than 5%, more
typically less than 1%) in an encoded sequence are "conservatively
modified variations" where the alterations result in the substitution of an
amino acid with a chemically similar amino acid. Conservative substitution
tables providing functionally similar amino acids are well known in the art.
The following six groups each contain amino acids that are conservative
substitutions for one another:
[0202] 1) Alanine (A), Serine (S), Threonine (T);
[0203] 2) Aspartic acid (D), Glutamic acid (E);
[0204] 3) Asparagine (N), Glutamine (Q);
[0205] 4) Arginine (R), Lysine (K);
[0206] 5) Isoleucine (I), Leucine (L), Methionine (M), Valine (V); and
[0207] 6) Phenylalanine (F), Tyrosine (Y), Tryptophan (W).
[0208] See also, Creighton (1984) Proteins W. H. Freeman and Co.
[0209] Conservative substitutions typically include the substitution of one
amino acid for another with similar characteristics such as substitutions
within the following groups: valine, glycine; glycine, alanine; valine,
isoleucine; aspartic acid, glutamic acid; asparagine, glutamine; serine,
threonine; lysine, arginine; and phenylalanine, tyrosine. The non-polar
(hydrophobic) amino acids include alanine, leucine, isoleucine, valine,
proline, phenylalanine, tryptophan and methionine. The polar neutral amino
acids include glycine, serine, threonine, cysteine, tyrosine, asparagine and
glutamine. The positively charged (basic) amino acids include arginine, lysine
and histidine. The negatively charged (acidic) amino acids include aspartic
acid and glutamic acid.
[0210] Other conservative substitutions are described by Dayhoff in the Atlas
of Protein Sequence and Structure (1988).
[0211] Causing amino acid substitutions which are less conservative may also
result in desired derivatives, e.g., by causing changes in charge, conformation
or other biological properties. Such substitutions would include for example,
substitution of a hydrophilic residue for a hydrophobic residue, substitution
of a cysteine or proline for another residue, substitution of a residue having
a small side chain for a residue having a bulky side chain or substitution of a
residue having a net positive charge for a residue having a net negative
charge.
[0212] In another embodiment of this invention, the WNV polypeptides described
herein are prepared as part of a larger fusion protein. For example, a WNV
polypeptide used in a composition of this invention may be fused at its
N-terminus or C-terminus to a different immunogenic WNV polypeptide, to a
non-WNV polypeptide or to combinations thereof, to produce fusion proteins
comprising the WNV polypeptide.
[0213] In a further embodiment of this invention, fusion proteins comprising a
WNV polypeptide used in a composition are constructed comprising B cell and/or
T cell epitopes from multiple strains of WNV, each variant differing from
another with respect to the locations or sequences of the epitopes within the
polypeptide. Such fusion proteins are in particular effective in the induction
of immunity against a wide spectrum of WNV strains and can be utilized to
modulate the specificity of detection of antibodies against flaviviruses.
[0214] In an embodiment of this invention, the WNV polypeptides used in
pharmaceutical compositions are fused to moieties, such as immunoglobulin
domains, which may increase the stability and prolong the in vivo plasma
half-life of the polypeptide. Such fusions may be prepared without undue
experimentation according to methods well known to those of skill in the art,
for example, in accordance with the teachings of U.S. Pat. No. 4,946,778, or
U.S. Pat. No. 5,116,964. The exact site of the fusion is not critical as long
as the polypeptide retains the desired biological activity. Such determinations
may be made according to the teachings herein or by other methods known to
those of skill in the art.
[0215] The fusion proteins comprising the WNV polypeptides, according to
previous embodiments, may be produced at the DNA level, e.g., by constructing a
nucleic acid molecule encoding the fusion protein, transforming host cells with
the molecule, inducing the cells to express the fusion protein, and recovering
the fusion protein from the cell culture. Alternatively, the fusion proteins
may be produced after gene expression according to known methods.
[0216] The polypeptides of the invention may also be part of larger multimeric
molecules which may be produced recombinantly or may be synthesized chemically.
Such multimers may also include the polypeptides fused or coupled to moieties
other than amino acids, including lipids and carbohydrates.
[0217] It will be readily appreciated by one of ordinary skill in the art that
the polypeptides in the pharmaceutical compositions of this invention, as well
as fusion proteins and multimeric proteins containing them, may be prepared by
recombinant means, chemical means, or combinations thereof.
[0218] For example, the polypeptides may be generated by recombinant means
using the DNA sequence as set forth in the sequence listing contained herein.
DNA encoding variants of the polypeptides in other WNV strains may likewise be
cloned, e.g., using PCR and oligonucleotide primers derived from the sequence
herein disclosed.
[0219] For example, it may be particularly desirable to isolate the genes
encoding WNV polypeptides from any isolates that may differ antigenically in
order to obtain a broad spectrum of different epitopes which would be useful in
the methods and compositions of this invention.
[0220] Oligonucleotide primers and other nucleic acid probes derived from the
genes encoding the polypeptides in the compositions of this invention may also
be used to isolate and clone related proteins from other WNV isolates which may
contain regions of DNA sequence homologous to the DNA sequences of the
polypeptides described in this invention.
[0221] In another embodiment, the polypeptides used in the compositions of this
invention are produced recombinantly and may be expressed in unicellular hosts.
As is well known to one of skill in the art, in order to obtain high expression
levels of foreign DNA sequences in a host, the sequences are generally operably
linked to transcriptional and translational expression control sequences that
are functional in the chosen host. Preferably, the expression control
sequences, and the gene of interest, will be contained in an expression vector
that further comprises a selection marker.
[0222] The DNA sequences encoding the polypeptides used in the compositions of
this invention may or may not encode a signal sequence. If the expression host
is eukaryotic, it generally is preferred that a signal sequence be encoded so
that the mature glycoprotein is secreted from the eukaryotic host.
[0223] An amino terminal methionine may or may not be present on the expressed
polypeptides in the compositions of this invention. If the terminal methionine
is not cleaved by the expression host, it may, if desired, be chemically
removed by standard techniques.
[0224] A wide variety of expression host/vector combinations may be employed in
expressing the DNA sequences encoding the WNV polypeptides used in the
pharmaceutical compositions and vaccines of this invention. Useful expression
vectors for eukaryotic hosts, include, for example, vectors comprising
expression control sequences from SV40, bovine papilloma virus, adenovirus,
adeno-associated virus, cytomegalovirus and retroviruses including
lentiviruses. Useful expression vectors for bacterial hosts include bacterial
plasmids, such as those from E. coli, including pBluescript.RTM., pGEX-2T, pUC
vectors, col E1, pCR1, pBR322, pMB9 and their derivatives, pET-15, wider host
range plasmids, such as RP4, phage DNAs, e.g., the numerous derivatives of
phage lambda, e.g. .lambda.GT10 and .lambda.GT11, and other phages. Useful
expression vectors for yeast cells include the 2.mu. plasmid and derivatives
thereof. Useful vectors for insect cells include pVL 941.
[0225] In addition, any of a wide variety of expression control sequences-sequences
that control the expression of a DNA sequence when operably linked to it-may be
used in these vectors to express the polypeptides used in the compositions of
this invention. Such useful expression control sequences include the expression
control sequences associated with structural genes of the foregoing expression
vectors. Examples of useful expression control sequences include, for example,
the early and late promoters of SV40 or adenovirus, the lac system, the trp
system, the TAC or TRC system, the T3 and T7 promoters, the major operator and
promoter regions of phage lambda, the control regions of fd coat protein, the
promoter for 3-phosphoglycerate kinase or other glycolytic enzymes, the
promoters of acid phosphatase, e.g., Pho5, the promoters of the yeast-mating
system and other constitutive and inducible promoter sequences known to control
the expression of genes of prokaryotic or eukaryotic cells or their viruses,
and various combinations thereof.
[0226] In another embodiment, a DNA sequence encoding a WNV polypeptide used in
a pharmaceutical composition of this invention is cloned in the expression
vector lambda ZAP.RTM. II (Stratagene, La Jolla, Calif.), in which expression
from the lac promoter may be induced by IPTG.
[0227] In yet another embodiment, a DNA sequence encoding a WNV polypeptide,
preferably the WNV E glycoprotein, that is used in a composition of this
invention is cloned in the pBAD/Thiofusion.TM. expression vector, in which
expression of the resulting thioredoxin fusion protein from the araBAD promoter
may be induced by arabinose.
[0228] In another preferred embodiment, DNA encoding the WNV polypeptides used
in a composition of this invention is inserted in frame into an expression
vector that allows high level expression of the polypeptide as a glutathione
S-transferase fusion protein. Such a fusion protein thus contains amino acids
encoded by the vector sequences as well as amino acids of the WNV polypeptide.
[0229] The term "host cell" refers to one or more cells into which a
recombinant DNA molecule is introduced. Host cells of the invention include,
but need not be limited to, bacterial, yeast, animal, insect and plant cells.
Host cells can be unicellular, or can be grown in tissue culture as liquid
cultures, monolayers or the like. Host cells may also be derived directly or
indirectly from tissues.
[0230] In an embodiment of the instant invention, an insect cell line, such as
a mosquito cell line, is used in conjuction with an appropriate expression
vector to express and produce the WNV E glycoprotein antigen. One of ordinary
skill in the art will appreciate that a eukaryotic host line, such as yeast,
plant, insect and mammalian cells can be necessary to achieve glycosylation of
the WNV polypeptide. Further, since a mosquito is the natural host of WNV, it
will be recognized that an insect host for the expression and production of a
WNV antigen may be optimal. Although prokaryotic cells provide certain
advantages with respect to ease of genetic manipulation, cell growth, and product
yield, there is no capacity for glycosylation (at least in naturally-occurring
prokaryotic cells). Glycosylation of eukaryotic or viral proteins raised in
eukaryotic cells, such as the WNV E glycoprotein, can affect protein folding,
sorting, stability, protease resistance, secretion and immunogenicity.
Therefore, one of ordinary skill in the art will recognize that glycosylation
of the viral antigen of the instant invention can be necessary to achieve an
authentic three-dimensional structure, thereby promoting optimal
cross-reactivity of the antigen. A discussion of use of various types of host
cell lines and corresponding expression vectors for the expression of antigens
may be found in J. Schmitt and W. Papisch, Autoimmunity Reviews, 1: 79-88 (2002).
[0231] A wide variety of unicellular host cells are useful in expressing the
DNA sequences encoding the polypeptides used in the pharmaceutical compositions
of this invention. These hosts may include well known eukaryotic and
prokaryotic hosts, such as strains of E. coli, Pseudomonas, Bacillus,
Streptomyces, fungi, yeast, insect cells such as Spodoptera frugiperda (SF9),
animal cells such as CHO and mouse cells, African green monkey cells such as
COS 1, COS 7, BSC 1, BSC 40, and BMT 10, and human cells, as well as plant
cells.
[0232] A host cell is "transformed" by a nucleic acid when the
nucleic acid is translocated into the cell from the extracellular environment.
Any method of transferring a nucleic acid into the cell may be used; the term,
unless otherwise indicated herein, does not imply any particular method of
delivering a nucleic acid into a cell, nor that any particular cell type is the
subject of transfer.
[0233] An "expression control sequence" is a nucleic acid sequence
which regulates gene expression (i.e., transcription, RNA formation and/or
translation). Expression control sequences may vary depending, for example, on
the chosen host cell or organism (e.g., between prokaryotic and eukaryotic
hosts), the type of transcription unit (e.g., which RNA polymerase must
recognize the sequences), the cell type in which the gene is normally expressed
(and, in turn, the biological factors normally present in that cell type).
[0234] A "promoter" is one such expression control sequence, and, as
used herein, refers to an array of nucleic acid sequences which control,
regulate and/or direct transcription of downstream (3') nucleic acid sequences.
As used herein, a promoter includes necessary nucleic acid sequences near the
start site of transcription, such as, in the case of a polymerase II type
promoter, a TATA element.
[0235] A "constitutive" promoter is a promoter which is active under
most environmental and developmental conditions. An "inducible"
promoter is a promoter which is inactive under at least one environmental or
developmental condition and which can be switched "on" by altering
that condition. A "tissue specific" promoter is active in certain
tissue types of an organism, but not in other tissue types from the same organism.
Similarly, a developmentally-regulated promoter is active during some but not
all developmental stages of a host organism.
[0236] Expression control sequences also include distal enhancer or repressor
elements which can be located as much as several thousand base pairs from the
start site of transcription. They also include sequences required for RNA
formation (e.g., capping, splicing, 3' end formation and poly-adenylation,
where appropriate); translation (e.g., ribosome binding site); and
post-translational modifications (e.g., glycosylation, phosphorylation,
methylation, prenylation, and the like).
[0237] The term "operably linked" refers to functional linkage
between a nucleic acid expression control sequence (such as a promoter, or
array of transcription factor binding sites) and a second nucleic acid
sequence, wherein the expression control sequence directs transcription of the
nucleic acid corresponding to the second sequence.
[0238] It should of course be understood that not all vectors and expression
control sequences will function equally well to express the WNV polypeptides
mentioned herein. Neither will all hosts function equally well with the same
expression system. However, one of skill in the art may make a selection among
these vectors, expression control sequences and hosts without undue
experimentation and without departing from the scope of this invention. For
example, in selecting a vector, the host must be considered because the vector
must be replicated in it. The vector's copy number, the ability to control that
copy number, the ability to control integration, if any, and the expression of
any other proteins encoded by the vector, such as antibiotic or other selection
markers, should also be considered.
[0239] In selecting an expression control sequence, a variety of factors should
also be considered. These include, for example, the relative strength of the
promoter sequence, its controllability, and its compatibility with the DNA
sequence of the peptides described in this invention, in particular with regard
to potential secondary structures. Unicellular hosts should be selected by
consideration of their compatibility with the chosen vector, the toxicity of
the product coded for by the DNA sequences encoding the glycoproteins used in a
pharmaceutical composition of this invention, their secretion characteristics,
their ability to fold the polypeptide correctly, their fermentation or culture
requirements, and the ease of purification from them of the products coded for
by the DNA sequences.
[0240] Within these parameters, one of skill in the art may select various
vector/expression control sequence/host combinations that will express the DNA
sequences encoding the products used in the pharmaceutical compositions of this
invention on fermentation or in other large scale cultures.
[0241] The polypeptides described in this invention may be isolated from the
fermentation or cell culture and purified using any of a variety of
conventional methods including: liquid chromatography such as normal or
reversed phase, using HPLC, FPLC and the like; affinity chromatography (such as
with inorganic ligands or monoclonal antibodies); size exclusion
chromatography; immobilized metal chelate chromatography; gel electrophoresis;
and the like. One of ordinary skill in the art may select the most appropriate
isolation and purification techniques without departing from the scope of this
invention. If the polypeptide is membrane bound or suspected of being a
lipoprotein, it may be isolated using methods known in the art for such proteins,
e.g., using any of a variety of suitable detergents.
[0242] In a preferred embodiment, the WNV E glycoprotein of the instant
invention is expressed in an insect cell line, such as a mosquito cell line,
using an appropriate vector capable of replicating and expressing cloned genes
therefrom. The purification of the WNV E glycoprotein will not utilize harsh
techniques that denature or deform the antigen such as polyethylene glycol
precipitation or acetone extraction. Instead, the present embodiment relates to
the use of column chromatography methods, such as size-exclusion or affinity
chromatography, to produce a substantially purified antigen that has an
authentic and native conformation and/or three-dimensional structure.
[0243] In addition, the polypeptides of the invention may be generated by any
of several chemical techniques. For example, they may be prepared using the
solid-phase synthetic technique originally described by R. B. Merrifield, J Am
Chem Soc, 83, pp.2149-54 (1963), or they may be prepared by synthesis in
solution. A summary of peptide synthesis techniques may be found in
E.Gross& H. J. Meinhofer, 4 The Peptides: Analysis, Synthesis, Biology;
Modern Techniques Of Peptide And Amino Acid Analysis, John Wiley & Sons,
(1981) and M. Bodanszky, Principles Of Peptide Synthesis, Springer-Verlag
(1984).
[0244] Typically, these synthetic methods comprise the sequential addition of
one or more amino acid residues to a growing peptide chain. Often peptide
coupling agents are used to facilitate this reaction. For a recitation of
peptide coupling agents suitable for the uses described herein see M.Bodansky,
supra. Normally, either the amino or carboxyl group of the first amino acid
residue is protected by a suitable, selectively removable protecting group. A
different protecting group is utilized for amino acids containing a reactive
side group, e.g., lysine. A variety of protecting groups known in the field of
peptide synthesis and recognized by conventional abbreviations therein, may be
found in T.Greene, Protective Groups In Organic Synthesis, Academic Press
(1981).
[0245] To screen the polypeptides or fragments thereof according to this
invention for their ability to confer protection against WNV infection or their
ability to reduce the severity or duration of the attendant symptoms, mice are
preferred as an animal model. Of course, while any animal that is susceptible
to WNV infection may be useful, mice are a well-known and particularly
convenient model. Thus, by administering a particular WNV polypeptide or
anti-WNV polypeptide antibody to mice, one of skill in the art may determine
without undue experimentation whether that polypeptide or antibody would be
useful in the methods and compositions claimed herein.
[0246] The administration of the WNV polypeptide or antibody of this invention
to the animal may be accomplished by any of the methods disclosed herein or by
a variety of other standard procedures. For a detailed discussion of such
techniques, see Antibodies, A Laboratorv Manual, supra. Preferably, if a
polypeptide is used, it will be administered with a pharmaceutically acceptable
adjuvant, such as complete or incomplete Freund's adjuvant, RIBI (muramyl
dipeptides) or ISCOM (immunostimulating complexes). Such adjuvants may protect
the polypeptide from rapid dispersal by sequestering it in a local deposit, or
they may contain substances that stimulate the host to secrete factors that are
chemotactic for macrophages and other components of the immune system.
Preferably, if a polypeptide is being administered, the immunization schedule
will involve two or more administrations of the polypeptide, spread out over
several weeks.
[0247] According to yet another embodiment, the WNV polypeptides used in the
compositions of this invention, preferably, are useful as diagnostic agents for
detecting immunity to WNV, and recent, current, or prior infection by a
flavivirus, especially WNV, JEV, SLEV or DENV. The polypeptides are capable of
binding to antibody molecules produced in animals, including humans, that have
been exposed to a flavivirus, especially WNV, JEV, SLEV or DENV, as a result of
infection with said flavivirus or from vaccination. The detection of WNV or
flavivirus antigens is evidence of prior exposure to a flavivirus infection or
vaccine. Such information is an important aid in the diagnosis of WNV
infection.
[0248] Such diagnostic agents may be included in a kit which may also comprise
instructions for use and other appropriate reagents, preferably a means for
detecting when the polypeptide or antibody is bound. For example, the
polypeptide may be labeled with a detection means that allows for the detection
of the polypeptide when it is bound to an antibody, or for the detection of the
antibody when it is bound to WNV or an antigen thereof.
[0249] The detection means may be a fluorescent labeling agent such as
fluorescein isocyanate (FIC), fluorescein isothiocyanate (FITC), and the like,
an enzyme, such as horseradish peroxidase (HRP), glucose oxidase or the like, a
radioactive element such as .sup.125I or .sup.51Cr that produces gamma ray
emissions, or a radioactive element that emits positrons which produce gamma
rays upon encounters with electrons present in the test solution, such as
.sup.11C, .sup.15O, or .sup.13N. Binding may also be detected by other methods,
for example via avidin-biotin complexes. Further, the labeling agent may be any
enzyme included in the groups oxidases (such as horse radish peroxidase),
luciferases, peptidases (such as caspase-3), glycosidases (such as beta-galactosidase)
and phosphatases (such as alkaline phosphatase).
[0250] The linking of the detection means is well known in the art. For
instance, monoclonal antibody molecules produced by a hybridoma can be
metabolically labeled by incorporation of radioisotope-containing amino acids
in the culture medium, or polypeptides may be conjugated or coupled to a
detection means through activated functional groups.
[0251] The diagnostic kits of the present invention may be used to detect the
presence of antibodies against flaviviruses, especially WNV, JEV, SLEV or DENV,
in a body fluid sample such as serum, plasma, urine, or spinal fluid. In
various embodiments of the instant invention, a substantially pure WNV
polypeptide having an authentic conformation is bound to a solid support
typically by adsorption from an aqueous medium. Useful solid matrices are well
known in the art, and include crosslinked dextran; agarose; polystyrene;
polyvinylchloride; cross-linked polyacrylamide; nitrocellulose or nylon-based
materials; tubes, plates or the wells of microtiter plates. The polypeptides of
the present invention may be used as diagnostic agents in solution form or as a
substantially dry powder, e.g., in lyophilized form. In another preferred
embodiment, the instant invention provides an antigen, such as WNV E
glycoprotein, coupled to a solid matrix in the form of a bead or microsphere,
such as those available from Luminex Corporation (Austin, Tex.). Coupling may
be to the surface of the microsphere or to an internal surface that is
accessible from the outside surface.
[0252] The method of attachment of antigens to microsphere beads are known in
the art. Antigens can be coupled to beads such as those provided by Luminex
Corporation by a two-step carbodiimide process according to the manufacturer's
recommendations. According to the instant invention, 50 micrograms of purified
WNV E glycoprotein antigen (WNV-E) is coupled to the surface of
6.25.times.10.sup.6 microspheres. Activation is initiated with 50 microliters
of 50 mg/ml Sulfo-NHS followed by 50 microliters of 50 mg/ml EDC and a 20
minute incubation at room temperature. Coupling of the recombinant antigen
takes place for 2 hours, in the dark, on a rotator at room temperature.
Microspheres were washed by centrifugation, twice, in 1.0 ml PBS Azide blocking
buffer, (PBN) composed of PBS, 1 BSA, 0.02% NaN.sub.3.
[0253] In a preferred embodiment of the instant invention, a plurality of
antigens can be used, each coupled to separate or the same microsphere beads.
It is within the scope of the present invention for additional antigens of WNV
or another flavivirus, such as, the membrane (M) protein or a non-structural
(NS) protein, to be coupled to the microspheres. It will be recognized that
incorporating additional antigens to the microspheres can enable the further
ability to distinguish between related flaviviruses, such as WNV, JEV, SLEV,
DENV strains, or tick-borne encephalitis virus. Different beads or different
regions of beads can be tagged with fluorescent identifier tags, which allows
for the coupling of specific antigens to specific fluorescent tag identifiers.
This enables the methods of the instant invention to be carried out in a
"multiplexing" approach, wherein more than one type of antigen is
bound to the microspheres, which enables a multi-antigen assay to be carried
out simultaneously. Use of the microsphere immunoassay approach also allows the
method of the instant invention to be carried out in a high-throughput manner.
High-throughput screening according to the method of the instant invention can
be useful for large-scale screeing, such as screening large population sizes
for epidemiological studies or screening blood banks or organs for samples
contaminated with flaviviruses or WNV.
[0254] The present invention also encompasses fragments or portions of WNV
polypeptides, which may provide more specific diagnostic reagents than
full-length WNV polypeptides and thus may alleviate such pitfalls as false
positive and false negative results. According to the inventor's own
discoveries, a substantially pure WNV E glycoprotein having an authentic
conformation is not only reactive against antibodies against WNV E
glycoprotein, but strongly, reliably, predictably and consistently
cross-reactive with antibodies against JEV, SLEV and DENV. Thus, in one
embodiment, the WNV E glycoprotein is used in a diagnostic method for detecting
a current or prior infection of a flavivirus, such as, WNV, DENV, JEV, or SLEV.
Prior to the inventor's own research, WNV E glycoprotein was believed mainly to
react specifically with antibodies to WNV. It was not reliably known to
cross-react with antibodies against other flaviviruses, such as JEV, SLEV, or
DENV, with greater sensitivity than JEV, SLEV, or DENV antigens prepared by
polyethylene glycol precipitation and/or acetone extraction, which can cause
denaturation.
[0255] One skilled in the art will realize that it may also be advantageous in
the preparation of detection reagents to utilize epitopes from more than one
WNV protein or more than one WNV isolate.
[0256] One of ordinary skill in the art will recognize that serodiagnosis of a
WNV infection currently requires a series of enzyme-linked immunosorbent assays
(ELISA) and viral plaque reduction neutralization (PRN) tests. It will be further
recognized by one of ordinary skill in the art that currently used diagnostic
methods available in the art require between 3 days and 3 weeks to obtain a
reliable result. In a preferred embodiment, the instant invention provides a
method for presumptive serodiagnosis of a WNV infection using a novel
microsphere immunoassay that requires less than about 3 hours to obtain a
reliable preliminary result. Further, the method of the instant invention
requires as little as 10 microliters of biological sample and thus is not a
wasteful method nor does the method require plentiful reaction reagents since
the reaction volumes can be kept small.
[0257] According to the instant invention, antibodies elicited by WNV and
certain other flaviviruses, such as, JEV, SLEV, and DENV, are detected in a
recombinant WNV E glycoprotein microsphere immunoassay. "Immunoassay"
refers to a method of detection of a specific antigen or a group of related or
similar antigens through their ability to be recognized and bound by a specific
antibody directed against them. It will be understood that antibody-antigen
interactions are very specific and involves the recognition of and binding to
specific epitopes of the antigen. One of ordinary skill in the art will
appreciate that the bound antibody can be detected in a variety of different
ways. In one example, the bound antibody, for example an IgM antibody, that is
bound to the antigen being assayed can itself be detected by a second antibody
that is capable of binding the first antibody, such as, for example, an
anti-IgM antibody. The second antibody can be coupled to a detectable label,
such as a fluorescent marker, or an enzyme, such as horse radish peroxidase.
[0258] According to one embodiment of the instant invention, the microsphere
immunoassay can identify an infection by a flavivirus, such as, WNV, JEV, SLEV,
or DENV, from a biological sample from a patient having no evidence of said
infection in less than about 3 hours. Further, a recent or current infection
can be determined following IgG depletion of and subsequent detection of IgM
antibodies to said flaviviruses. Thus, it will be understood by one of ordinary
skill in the art that the microsphere assay of the instant invention can used
to identify suspect cases of WNV or flavivirus infection within 5 working
hours. Accordingly, the microsphere immunoassay according to the instant
invention would enable the replacement of eight separate assays, namely, MAC
ELISA and IgG ELISA for WNV, JEV, SLEV, or DENV.
[0259] Further, results from testing for WNV and certain flavivirus infections
would be available within less than one testing day, instead of 3 days as
currently taught by the methods available in the art. A cost analysis for a
test result on the microsphere immunoassay according to the instant invention,
calculated on the basis of supplies and reagents while excluding the cost of
the recombinant polypeptide of the instant invention and staff time was $0.24.
Conversely, the cost per test result for the MAC ELISA is $4.84 and the cost
per test result for the IgG ELISA is $5.25 (exluding antigen and monoclonal
antibodies provided by the CDC and labor). Thus, the method of the instant
invention provides a much less expensive alternative to current art methods of
detection.
[0260] The microsphere immunoassay of the instant invention requires less labor
and less time to generate 100 test results than the MAC ELISA or the IgG ELISA.
The microsphere immunoassay of the instant invention could be combined with a
subsequent virus-specific plaque reduction neutralization test used to provide
information on the specific flavivirus of the infection.
[0261] In another embodiment of the subject invention, a microsphere-based
suspension flow cytometric immunoassay is used to detect antibodies to a WNV
envelope glycoprotein and antibodies to other certain flaviviruses, such SLEV,
JEV, and DENV. The immunoassay uses a low serum volume (about 10 microliters)
and exhibits a broad dynamic range of detection over two logarithms of antibody
concentration with a high signal to noise ratio. Reaction kinetics are enhanced
by incubations with continual shaking at 37.degree. C., which enables the
entire assay to be completed within 2.5 hours, depending upon the number of
serum samples processed. One of ordinary skill in the art will understand that
an optimal dilution of biological sample is about 1:25 to 1:250, preferably a
dilution of 1:100.
[0262] In preferred embodiments of the present invention, an immunodepletion
step is performed prior to testing a biological sample in order to remove a
specific antibody population, such as an IgM or IgG antibody population.
Immunodepletion can be carried out by contacting the biological sample with an
antibody against the specific antibody subpopulation to be removed to form an
insoluble complex which can be removed by a separation process, such as
centrifugation. Accordingly, the instant invention can be used to determine
recent or ongoing infections, for example, following IgG removal, or to detect
a protective immune response, for example, following IgM removal.
[0263] The subject invention also provides for diagnostic kits, such as ELISAs,
capable of detecting a WNV infection and infections by other certain
flaviviruses, such as SLEV, JEV and DENV that include a purified and/or
isolated polypeptide or fragment thereof from WNV, in particular, WNV E
glycoprotein. As determined by the inventor's own research, a substantially
purified WNV E glycoprotein having intact conformational epitopes is reactive
to antibodies against WNV and also strongly, reliably, predictably and
consistently cross-reactive to antibodies against other certain flaviviruses,
such as, DENV, SLEV and JEV. In contrast to the methods currently available in
the art, ELISA antigens are partially denatured by acetone and contaminated
with other proteins from the host cells from which the antigen was expressed or
produced. Impure antigen provides more non-specific binding and lower detection
signals than the pure antigen used in the assay of the present invention. One
of ordinary skill in the art will appreciate the mechanics of an ELISA and
further details thereof can be found in numerous scientific literature and
protocol books, such as, for example, The ELISA: Enzyme-Linked Immunosorbent
Assay in Veterinary Research and Diagnosis (Current Topics in Veterinary
Medicine and Animal Science, V. 22), R. C. Wardley (Editor), J. R. Crowther
(Editor).
[0264] The diagnostic kits and methods for detecting antibodies against WNV and
other flaviviruses are also useful for detecting a protective immune response
to WNV or flavivirus infection. Further, the methods of the instant invention
are also useful in monitoring the course of immunization against WNV and other
flaviviruses. In patients previously inoculated with the vaccines against WNV
or other flaviviruses, the detection means and methods disclosed herein are
also useful for determining if booster inoculations are appropriate.
[0265] The diagnostic kit, such as an ELISA, can be self-contained, no
laboratory equipment is needed. The advantages of such a kit are apparent, as
it facilitates screening for antibodies to WNV or other certain flaviviruses at
any time and virtually at any place, including remote geographic areas and
those locations lacking a 24 hour testing facility.
[0266] The invention also contemplates that the diagnostic kits, such as
ELISAs, can include a nonstructural protein of WNV, especially NS5, for the
specific detection of WNV without cross-reactivity to other flaviviruses,
including for example SLEV, JEV, and DENV. In addition, a nonstructural protein
of DENV, especially NS5, is contemplated for the diagnostic kits of the present
invention to be used to specifically detect an infection of DENV. DENV NS
polypeptides of a first particular strain show specificity for antibodies
raised against the same first DENV strain and are not cross-reactive with
antibodies against other DENV strains. For example, NS of DENV-1 will show
specificity to anti-DENV-1 sera, but will not be reactive with sera raised
against DENV-2, -3, or -4. In addition, like WNV NS proteins, the DENV NS
polypeptides are not substantially cross-reactive with antibodies against one
or more members of the genus Flavivirus, such as, for example, JEV, SLEV, or
WNV. Thus, the DENV NS can be used to discriminate between a general flavivirus
infection and a DENV infection. In addition, since the antibodies to DENV NS
proteins are not persistent, the DENV NS proteins can be used to detect
recently acquired infections or current infections.
[0267] The diagnostic kits and methods for detecting antibodies against WNV,
DENV and other flaviviruses are also useful for detecting a protective immune
response to WNV or flavivirus infection. Further, the methods of the instant
invention are also useful in monitoring the course of immunization against WNV
and other flaviviruses. In patients previously inoculated with the vaccines
against WNV or other flaviviruses, the detection means and methods disclosed
herein are also useful for determining if booster inoculations are appropriate.
[0268] The diagnostic kit can be self-contained, no laboratory equipment is
needed, such as with ELISAs. The advantages of such a kit are apparent, as it
facilitates screening for antibodies to WNV or other certain flaviviruses at
any time and virtually at any place, including remote geographic areas and
those locations lacking a 24 hour testing facility.
[0269] In a further embodiment, the diagnostic methods of the instant invention
can be carried out using a lateral flow immunoassay. A lateral flow immunoassay
(immunochromatographic test) comprising a simple lateral flow device can be
used to rapidly detect antibodies present in a biological sample against a
flavivirus antigen, such as WNV E glycoprotein, WNV NS5, or DENV NS5. Such a
device consists of a membrane strip, with the membrane typically of
nitrocellulose, cellulose acetate or nylon, through which the serum (i.e.,
biological) sample, buffer, and detection reagent (antigen-coated
microparticles) flow by capillary action. The membrane strip further comprises
a reagent application pad onto which a biological sample and an antigen-coupled
microparticle can be applied. The microparticles can be of known form, size or
constitution deemed useful to one of ordinary skill in the art, such as
polystyrene, fluorescently-labeled polystryrene, magnetic, latex, or any such
polymer.
[0270] The membrane strip can be further divided into "zones," which
are specific regions of the membrane strip wherein an immunological reaction takes
place between an antigen-coated microparticle and an antibody. In a preferred
embodiment, the test zones are coated with an anti-immunoglobulin antibody
population, such as, anti-human IgG or anti-human IgM antibodies, which can be
located at different positions along the test membrane. According to the
present embodiment, the membrane strip also comprises a positive control zone
containing an antibody against the antigen of interest, such as a
monoclonal/polyclonal antibody reactive against WNV E glycoprotein antigen, WNV
NS5 antigen, or DENV NS5 antigen. The invention, however, is not meant to be
limited to the detection of antibodies against WNV E and NS5 or DENV NS5, but
rather antibodies to any flavivivirus antigen, especially a flavivirus E glycoprotein
or NS5 antigen, could be detected using the membrane strip method of the
invention, such as antibodies against JEV and SLEV antigens.
[0271] In another embodiment, an antigen of interest, such as a flavivirus
antigen, especially WNV E glycoprotein, WNV NS5, or DENV NS5, are adsorbed or
alternately dried to the surface of the membrane strip. The membrane strip can
be of any suitable material known in the art, such as, for example
nitrocellulose, cellulose acetate or nylon. Preferably, the antigens are
adsorbed or dried to the surface of the membrane strip in separate zones to
enable separate detection of antibody types, such as IgG or IgM antibodies,
that will bind to the antigen during the course of the membrane strip assay. In
this embodiment, a biological sample, such as a bodily fluid, blood, serum,
plasma, saliva, tears, feces, semen, mucous, tissue, tissue homogenate,
cellular extract, or spinal fluid, containing anti-flavivirus antigen
antibodies, such as IgG anti-NS5, IgM anti-NS5, IgG anti-WNV E, or IgM anti-WNV
E, would be applied to the membrane strip at one end to allow the sample to
move through the membrane. Antibodies contained in the biological sample
against the flavivirus antigens of the membrane strip, such as IgG or IgM
antibodies, will recognize, interact with, and bind to said antigens. One of
skill in the art will appreciate that certain biological samples, such as a
bodily fluid, blood, serum, plasma, saliva, tears, feces, semen, mucous,
tissue, tissue homogenate, cellular extract, or spinal fluid, may require
certain preparatory steps prior to applying the the membrane strip to enable
the sample to flow through the membrane strip. Such pretreatment includes, but
is not limited to, dilution or removal of particulate matter. Once the
anti-flavivirus antibodies present in the sample have bound to the flavivirus
antigens of the membrane strip, a detection reagent comprising secondary
antibody-coupled microparticles, such as anti-human IgG or IgM antibody-coupled
microparticles, are applied to the membrane strip to detect the anti-flavivirus
antibodies already bound to the flavivirus antigens.
[0272] One of ordinary skill in the art will recognize that the key components
of one embodiment of a lateral flow device consist of:
[0273] 1) a membrane strip consisting of modified nitrocellulose, cellulose
acetate or nylon to which the detection reagent, consisting of antigen-coupled
microparticles and a biological sample containing antibodies that recognize the
antigen is applied;
[0274] 2) a test zone of anti-immunoglobulin capture antibodies, immobilized at
a specific zone, or location on the membrane, wherein capture of the detection
reagent at this zone gives a colored pattern and indicates the presence of
antibodies of interest; and
[0275] 3) a control zone of antibodies specific for the antigen under study,
immobilized in a second zone on the membrane, wherein capture of the detection
reagent at this zone gives a visual pattern and shows that the test was
successfully completed.
[0276] The detection reagent, which consists of antigen-coupled microparticles,
such as colored latex or metal beads, can be detected visually. The detection
reagent is applied with special releasing agents and dried near the bottom of
the membrane strip. The microparticles can be applied directly to the membrane,
or they can be applied to an absorbent pad that is in contact with the
membrane. When a biolocial sample is introduced to the antigen-coupled
microparticls, anti-antigen antibodies, such as, for example anti-antigen IgG
or IgM antibodies, present in the biological sample bind to the antigen-coupled
microparticles. The microparticles are then carried through the membrane strip
by capillary action and come into contact with the secondary antibodies coupled
at each of the zones along the strip, wherein the secondary antibodies
recognize the specific types of anti-antigen antibodies bound to the
antigen-coupled microparticle, such as anti-human IgG or IgM antibodies. It
will be appreciated that the membrane strip can be provided with absorbent pads
located at the top of the membrane to act as a reservoirs of buffer or fluid so
that the biological sample/antigen-coupled microparticles flow continuously
through the membrane coming into contact with each zone of the membrane strip.
[0277] One of ordinary skill in the art will understand that all of the
components and reagents that go into a lateral flow device must be chosen with
care and matched during research and development of the test to ensure adequate
sensitivity, stability and reliability of the finished test device. When
properly constructed, these tests are sturdy and reliable, but they are
delicately balanced, and even minor changes in materials, reagent processing or
raw material specifications can cause significant loss in test performance. A
discussion of lateral flow methodology may be found in L. B. Bangs, Manual for
The Latex Course, Bangs Laboratories, Inc., Carmel, Ind. (1996).
[0278] In a preferred embodiment of the instant invention and referring to FIG.
17, the positive control zone (1702) of the membrane strip (1701) comprises
anti-WNV E antigen antibodies, which can be monoclonal or polyclonal. A
detection reagent, comprising a substantially pure antigen, such as WNV E
glycoprotein, WNV NS5, or DENV NS5, each having an authentic conformation, are
coupled to microparticles and applied to the reagent application pad (1705),
along with a biological specimen, and a buffer. The microparticles can be
colored polystyrene beads, fluorescently-labeled polystyrene beads, or metal
particles, or any appropriate type known to one of skill in the art. In the
case where the coupled antigen is WNV E glycoprotein, the coupled antigen is
reactive with IgG and/or IgM antibodies against WNV and strongly cross-reactive
with IgG and/or IgM antibodies against a flavivirus, especially, JEV, SLEV, or
DENV, that may be present in the biological sample. In the case where the
coupled antigen is WNV NS5 or DENV NS5, the coupled antigen is specifically
reactive with IgG and/or IgM antibodies against WNV or DENV, respectively, but
not cross-reactive with IgG and/or IgM antibodies against another flavivirus
that may be present in the biological sample. Further, DENV NS5 is specific for
antibodies against the same DENV strain from which it is isolated and not
cross-reactive with antibodies to other DENV strains. For example, DENV-1 NS5
is specific for antibodies against DENV-1, but not cross-reactive with
antibodies against DENV-2, -3, or -4. It will be appreciated that the DENV NS5
antigens thus can be used to discriminate the four different known DENV
strains.
[0279] The detection reagent (further bound to IgG and/or IgM antibodies, if
present in the biological sample) migrate up through the membrane strip by
capillary action and successively come into contact with different
antibody-containing zones. For example, the detection reagent first comes into
contact with zone 1704, which can be coated with anti-IgM antibodies (such as,
goat anti-human IgM antibodies). The detection reagent will bind to zone 1704
through the binding interaction between the zone 1704 anti-IgM antibodies and
IgM antibodies of the detection reagent, if present. The detection reagent will
also come into contact with zone 1703, which can be coated with anti-IgG
antibodies (such as goat anti-human IgG antibodies). The detection reagent will
bind to zone 1703 through the binding interaction between the zone 1703
anti-IgG antibodies and IgG antibodies of the detection reagent, if present.
Further, the detection reagent will come into contact with and bind to zone
1702, a control zone coated with antibodies specific for the antigen of the
detection reagent. The results of the flow immunoassay can be determined
visually since the microparticles are held at zones 1702, 1703 and 1704 through
antibody-antibody or antibody-antigen interactions.
[0280] One of ordinary skill in the art will appreciate that the instant
invention encompasses any suitable configuration of the membrane strip test
(immunochromatographic test). For example, the antigen of interest, such as a
flavivirus antigen (e.g. WNV NS5, WNV E, or DENV NS5), can be coupled either to
the microparticle or directly to the membrane strip. If the antigen of interest
is coupled to the microparticle, detection of any anti-antigen antibodies
present in a biological sample can be conducted by coupling a secondary
antibody, such as anti-human IgG or IgM antibodies, to a specific location or
zone on the membrane strip. In this case, as the antigen-coated microparticles
are allowed first to interact with a biological sample containing anti-antigen
antibodies such that the anti-antigen antibodies bind to the antigens of the
coated microparticles. Next, the microparticles migrate through the membrane
strip. The microparticles will be captured at the zones of the strip containing
the secondary antibodies vis--vis binding interactions between the secondary
antibody (e.g., anti-human IgG or IgM antibody) and the anti-antigen antibody
bound from the sample bound to the antigen-coupled microparticle. The captured
microparticles can be directly visualized by inspection thereby confirming
either the presence or absence of anti-antigen antibodies in the biological
sample. One of ordinary skill in the art will also appreciate that the antigens
of interest can also be adsorbed or dried onto the surface of the membrane
strip. In this case, the secondary antibodies would be coupled to the
microparticles.
[0281] In various embodiments described herein, the flavivirus antigens of the
instant invention, especially WNV E glycoprotein, WNV NS5, and DENV NS5, are
covalently coupled to a microparticle. Microparticles can include, but are not
limited to, polystyrene microparticles, colored or fluorescently labeled
polystryrene microparticles, latex and colored latex microparticles,
paramagnetic microparticles, metal particles, such as gold, glass
microparticles, and plastic microparticles. One of ordinary skill in the art
will understand that "microparticles" one in the same as "microspheres"
or "uniform latex particles." The inventor has further discovered
that the antigens of the instant invention, especially WNV E glycoprotein, WNV
NS5 and DENV NS5, are highly stable when coupled to microparticles, especially
polystyrene microparticles. The data of FIG. 9 and a plot of 1I/T90 (time to
90% potency of reagent) against 1/T (Kelvin) gives an estimated T90 of three
months. Further, the inventor has discovered that in practice, the stability of
the antigen-coupled microparticles is greater than three months.
[0282] In various embodiments of the instant invention, WNV E
glycoprotein-coupled or NS5-coupled microspheres are used in a microsphere
immunoassay to detect antibodies against a flavivirus, especially WNV, JEV,
SLEV, or DENV, in a biological sample. The WNV E glycoprotein is substantially
pure and of native conformation, which allows for strong cross-reactivity of
the WNV E glycoprotein among flaviviruses, especially WNV, JEV, SLEV, and DENV.
Any kind of microsphere immunoassay known in the art is within the scope of the
present invention, such as, but not limited to, agglutination assays, slide
tests, lateral flow tests (previously described), or fluorescence-based assays,
such as flow cytometric analyses and Luminex-based immunoassays (Austin, Tex.).
A discussion of different immunoassays known in the art may be found in L. B.
Bangs, Manual for The Latex Course, Bangs Laboratories, Inc., Carmel, Ind.
(1996).
[0283] One of ordinary skill in the art will understand that microsphere-based
immunoassays can be both qualitative and quanitative and are usually based upon
a very specific interaction of antigen (Ag) with antibody (Ab). Sub-micron
sized polystyrene microspheres are used as a solid support. The microspheres
act to magnify or amplify the Ag-Ab reaction which takes place when they are
mixed with a sample containing the opposite reactant.
[0284] The Luminex microsphere immunoassay allows the performance of multiplex
analysis to detect antibodies against multiple antigens in a single tube. The antigens
of the instant invention, especially the WNV E glycoprotein, WNV NS5, and DENV
NS5 described above, can be covalently linked to microsphere beads containing
different fluorochromes. During the assay readout, the first laser excites the
intrinsic fluorochrome in the antigen-bearing microspheres, allowing
identification of each bead in the assay mixture. The second laser excites the
fluorochrome tag of the reporter molecule, measuring the level of antibodies
that bind to the specific antigen. The multiplex assay should allow
simultaneous primary and confirmatory diagnosis of a flavivirus infection,
especially WNV, DENV, and other flaviviruses such as JEV and SLEV. About 100
different types of fluorescent polystyrene microspheres are commercially available
(Luminex, Austin, Tex.). In principle, one can perform a multiplex analysis of
up to 100 analytes. In practice, most multiplex immunoassays have included up
to 20 analytes measured at one time. This technology should be useful for
simultaneous detection of multiple pathogens in clinical laboratories.
[0285] Upon virus infection, the immune system first develops conformational
epitopes. Antibodies against linear epitopes are produced later, as virus
particles are broken down and presented in the context of the T cell receptors
and major histocompatibility complex molecules on the surfaces of infected
cells. Therefore, epitope mapping of various parts of structural and NS
proteins is a good strategy by which to identify virus-type specific peptides.
Synthetic peptides representative of linear, virus-type specific epitopes may
be used as antigens for specific diagnosis of the particular virus. It should
be borne in mind that the use of synthetic peptides as antigens may result in
high background in immunoassays, depending upon the length of the peptide and
the ionic strength of assay buffers. However, in combination with antigens that
have native conformation (e.g., recombinant NS5), such virus-type specific
peptide could add another layer of specificity to the current serological
diagnosis.
[0286] Agglutination tests are portable, rapid, efficient, and useful under the
most primitive conditions, e.g., when no laboratory equipment is available,
such as a flow cytometer or a Luminex machine (Austin, Tex.). Diagnosis can
occur quickly and simply (2 minutes from sample preparation). Diagnosis and
treatment can commence promptly, before the patient is transferred or
discharged. Agglutination tests can include liquid reagents made with plain,
white microspheres. Tests can be run on either reusable glass slides or on
disposable plastic or coated paper cards. These tests often require to operator
to constantly mix the sample for several minutes to achieve agglutination,
which is visually detectable following the formation of particulate clumps.
[0287] Slide tests, such as Roche's OnTrak.TM. (F. Hoffmann-La Roche Ltd,
Basel, Switzerland) device, are more recent refinements of agglutination tests.
In the slide test, the sample and reagent with coated microspheres are mixed
and guided into a "track" or capillary. As the reactants move down
the track by capillary action, they mix. Agglutination is detected with
transmitted light one the sample travels towards the end of the slide. The test
is mainly operator-independent, and therefore is more amendable to automation.
The microspheres used can also be dyed or fluorescent to provide different
contrasting colors to improve detection.
[0288] One of ordinary skill in the art will understand that slide tests and/or
lateral flow immunoassays are synonymous with immunochromatographic tests. More
discussion on immunochromatographic tests may be found in: L. Kittigul and K.
Suankeow. Eur. J. Clin. Microbiol. Infect. Dis. 21:224-226 (2002); Tsuda, S.,
et al. Plant Disease 76, 466-469 (1992); Brown, W. E. I., Safford, S. E. &
Clemens, J. M. Solid-Phase Analytical Device and Method for Using Same, U.S.
Pat. No. 5,160,701, Nov. 3, 1992; Cole, F. X., MacDonnell, P. C. & Cicia,
N. J., Porous Strip Form Assay Device Method, U.S. Pat. No. 5,141,850, Aug. 25,
1992; Fan, E., et al. Immunochromatographic Assay and Method of Using Same, WO
91/12336, Aug. 22, 1991; imrich, M. R., Zeis, J. K., Miller, S. P. &
Pronovost, A. D. Lateral flow medical diagnostic assay device U.S. Pat. No.
5,415,994, May 16, 1995; and May, K., Prior, M. E. & Richards, I.
Immunoassays and Devices Therefore, International Patent Number: WO 88/08534,
Nov. 3, 1988.
[0289] Agglutination can be quantitated using instruments such as
spectrophotometers and nephelomters to measure transmitted, absorbed, or
scattered light, as a result of protein precipitation of the agglutination
process.
[0290] With Luminex-based immunoassay technology, molecular reactions take
place on the surface of microscopic beads called microspheres. For each
reaction, thousands of molecules are attached to the surface of internally
color-coded microspheres. The assigned color-code identifies the reaction
throughout the test.
[0291] The magnitude of the biomolecular reaction is measured using a second
molecule called a reporter. The reporter molecule signals the extent of the
reaction by attaching to the molecules on the microspheres. Because the
reporter's signal is also a color, there are two sources of color, the
color-code inside the microsphere and the reporter color on the surface of the
microsphere.
[0292] To perform a test, the color-coded microspheres, reporter molecules, and
sample are combined. This mixture is then injected into an instrument that uses
microfluidics to align the microspheres in single file where lasers illuminate
the colors inside and on the surface of each microsphere. Next, advanced optics
capture the color signals. Finally, digital signal processing translates the
signals into real-time, quantitative data for each reaction. Further
descriptions of Luminex-based immunoassays may be found in U.S. Pat. Nos.
6,449,562, 6,411,904, 6,268,222, 6,139,800, 5,981,180 and 5,736,330.
[0293] It will be recognized by one of ordinary skill in the art that the
methods set forth in the present application are not limited to the use of WNV
E glycoprotein, WNV NS5, or DENV NS5, to detect antibodies to flaviviruses
specific to WNV or DENV. In contrast, the development of the microsphere
immunoassay according to the present invention can be expanded to achieve other
efficiencies in serologic testing for infectious diseases and/or autoimmune
diseases where symptoms and geographic location of vectors and reservoirs are
held in common, or when a need exists to test sera for exposure to multiples
agents in a time-effective manner.
[0294] It will also be appreciated to one of ordinary skill in the art that the
detection methods of the instant invention can be carried out using any known
assay format readily available, such as, for example, an ELISA. ELISA methods
are well known in the art. Example 26 sets forth further description on the
application of ELISA with the antigens and methods of the present invention.
[0295] A better understanding of the present invention and of its many
advantages will be had from the following examples which further describe the
present invention and given by way of illustration. The examples that follow
are not to be construed as limiting the scope of the invention in any manner.
In light of the present disclosure, numerous embodiments within the scope of
the claims will be apparent to those of ordinary skill in the art.
EXAMPLES
[0296] The following Materials and Methods were used in the examples that
follow.
[0297] Reagents
[0298] Recombinant West Nile envelope glycoprotein antigen, provided by L
Diagnostics, New Haven, Conn., was expressed in a eukaryotic cell expression
system and purified by column chromatography. N-Hydroxysuccinimide (Sulfo-NHS)
and 1-ethyl-3-(3-dimethylamino-propyl) carbodiimide-HCL (EDC) were obtained
from Pierce, Rockford, Ill. PBS with Tween 20, pH 7.4 (PBS-T); PBS with bovine
serum albumin (BSA) (PBS-BSA), pH 7.4; PBS and Ultra Sodium Azide were from
Sigma/Aldrich, St. Louis, Mo.
[0299] Goat F(ab').sub.2 anti-human immunoglobulins, IgG+IgA+IgM conjugated to
red-phycoerythrin (R-PE); goat F(ab').sub.2 anti-human IgG R-PE conjugate; and
goat F(ab').sub.2 anti-human IgM R-PE conjugate were from Bio-Source
International, Camarillo, Calif.
[0300] Supplies and Equipment
[0301] A Luminex 100 flow analyzer was from Luminex Corporation, Austin, Tex.
CL1/CL2 calibration microspheres, RP1 calibration microspheres, and
multi-analyte microspheres with carboxylated surface were also obtained from
Luminex Corporation. Multiscreen filter plates with 1.2 micron Durapore filters
and a multiscreen vacuum manifold were from Millipore, Bedford, Mass.
Slide-A-Lyzer mini-dialysis unit floats were from Pierce, Rockford, Ill. A
Labquake Thermolyne tube rotator was from VWR, Bridgeport, N.J. Costar opaque
black EIA/RIA plates with breakaway strips/wells, were from Corning Inc.,
Corning, N.Y. An ultrasonic cleaner (sonicator) was from Cole-Palmer, Vernon
Hills, Ill.
[0302] Human Sera
[0303] Patient sera previously tested for WNV antibodies by the MAC ELISA and
the IgG ELISA were coded, with all patient identifiers removed, and were
provided from the serum bank at the Wadsworth Center, of the New York State
Department of Health, or by the Arbovirus Laboratory of the Centers for Disease
Control and Prevention of the United States Public Health Service (CDC), Ft.
Collins, Colo. All sera were tested and evaluated under conditions approved by
the Institutional Review Board of the New York State Department of Health.
[0304] Sera from Wadsworth Center archives were chosen to establish normal MIA
ranges for positive and negative samples. Ten sera were selected on the basis
of positive results in standard WN virus ELISA assays. WNV and St. Louis
encephalitis virus (SLEV) PRN test results for paired acute and convalescent
sera confirmed WNV as the infecting agent. Ten sera that were negative for WNV
antibodies in IgM-capture and IgG ELISAs were selected as negative control
sera. For assay covariance studies, the 10 WNV patient sera were combined into
a positive control serum pool, and the 10 negative sera were combined into a
negative control serum pool.
[0305] A coded panel of 19 sera provided by the CDC Arbovirus Diseases Branch
included: three sera from confirmed WNV encephalitis patients; six sera from
SLEV patients; and 3 sera from dengue fever virus (DENV) patients. For 10 of 12
sera from infected patients, the infectious agent was confirmed by virus PRN
tests using WNV, SLEV, or DENV. Cross-neutralization data classified the sera
as specific for WNV, DENV or SLEV infections. Seven negative control sera were
from presumed healthy subjects lacking evidence of previous flavivirus
infection. The CDC provided ELISA data for these sera when the samples were
decoded.
[0306] A third serum panel was from eight individuals vaccinated with three
doses of JE-VAX (Connaught Laboratories, Missisauga, ON, Canada). These sera
were from the Wadsworth Center Arbovirus Laboratory. JE-VAX is a licensed,
formalin-inactivated Japanese encephalitis virus (JEV) vaccine. The vaccinated
individuals had a history of occupational exposure to flaviviruses and, in some
cases, prior vaccination against a flavivirus. The sera, which included pre-
and post-vaccination sera, were tested for neutralizing antibodies in JEV PRN
assays.
[0307] Another serum panel represented serial specimens from a patient with WNV
infection confirmed by PRN tests. Blood specimens were collected 2, 18, 72,
260, and 430 days post-disease onset, and, by coincidence, 3 days prior to
virus exposure.
[0308] A fifth serum panel included human sera that previously tested positive
in standard serological assays for antibodies to Epstein Barr virus (EBV),
cytomegalovirus (CMV), herpes simplex virus (HSV), human immunodeficiency virus
(HIV), Treponema pallidum (the syphilis spirochete), Borrelia burgdorferi,
Anaplasma phagocytophilum, autoimmune nuclear antigens (antinuclear
antibodies), or rheumatoid factor. These sera were from frozen sera archived at
the Wadsworth Center. The syphilis patient sera were negative in WNV or SLEV
PRN tests performed at the Arbovirus Laboratory of the Wadsworth Center.
Sixteen normal human sera were purchased from United States Biological
(Swampscott, Mass.). Twelve additional sera from healthy individuals were from
the Wadsworth Center or L.sup.2 Diagnostics (New Haven, Conn.).
[0309] The Wadsworth Center provided sera from 833 patients with suspected
viral encephalitis. These sera were submitted to the New York State Department
of Health between June and November of 2002. These sera had previously been
tested for antibodies to WNV using the IgM-capture and IgG ELISAs.
[0310] IgG or IgM were selectively depleted from serum specimens with goat
anti-human IgG or goat anti-human IgM, respectively. For IgG depletions, 5
.mu.l of serum was mixed with 45 .mu.l of goat anti-human IgG (GullSORB from
Meridian Diagnostics, Cincinnati, Ohio). The mixtures were centrifuged at
14,000.times.g to remove antibody-bound IgG. According to the manufacturer,
this is sufficient to deplete IgG at concentrations up to 15 mg/ml, the upper
limit of normal human IgG concentration. Removal of detectable IgG antibodies
to WN virus was confirmed by negative results in WNV IgG ELISAs and indirect
immunofluorescence assays with SLEV antigen on arbovirus slides (Focus
Technologies, Cypress, Calif.).
[0311] A similar pretreatment with anti-IgM antibody depleted serum samples of
IgM. Ten .mu.l of serum was mixed with 10 .mu.l 2.5 mg/ml goat anti-human Mu
chain (Jackson ImmunoResearch Laboratories, Inc., West Grove, Pa.) prior to
addition of 20 .mu.l PBS and centrifugation for 4 min at 14,000.times.g to
remove antibody-bound IgM.
[0312] Human Sera for WNVNS5 Studies
[0313] Five panels of human sera were used in this study. (i) WNV patient sera
were from serum archives at the Wadsworth Center, New York State Department of
Health. These sera had previously been tested WNV-positive by the IgM capture
and indirect IgG ELISA for antibodies reactive to noninfectious recombinant
antigen (Davis et al., Martin et al., Johnson A. J., et al.). (ii) Acute and convalescent
paired sera from DEN patients were provided by the National Microbiology
Laboratory, Health Canada. The patients are Canadian residents who got infected
with DEN during recent travels to various geographical regions. These sera had
been tested by HI assays and PRNT against DEN, Powassan (POW), or SLE virus.
(iii) Forty SLE patient sera were generously provided by the Centers for
Disease Control and Prevention. These samples had been previously confirmed by
PRNT against SLE and WNV. (iv) JE-vaccinated human sera were from laboratory
employees who had received three doses of the formalin-inactivated JE vaccine.
(v) A panel of human sera from the Diagnostic Immunology Laboratory of the
Wadsworth Center were used to examine the specificity of the WNV assays,
including human specimens that were reactive in serologic assays for Lyme
disease (Borrelia burgdorferi infection), ehrlichiosis (Anaplasma cytophilum
infection), syphilis (Treponema pallidum infection), human immunodeficiency
virus (HIV), Epstein Barr Virus (EBV), cytomegalovirus (CMV), antinuclear
antibodies (ANA), and rheumatoid factor. All samples were blind tested with
patient identifiers removed, according to guidelines of the NIH and the
Institutional Review Board of the New York State Department of Health.
[0314] Cross-Species Plaque Reduction Neutralization Test (PRNT) and
Hemagglutination Inhibition (HI) Assays.
[0315] Neutralizing antibodies were evaluated in PRNT with WNV, SLEV, or JEV
virus as previously described by Lindsey H. S. et. al., which is incorporated
herein in its entirety by reference. Standard HI tests for DENV, POWV, SLEV,
and WNV were performed according to the method of Casals J. et. al., which is
incorporated herein in its entirety by reference.
[0316] Microsphere Immunoassay (MIA)
[0317] Approximately 50 .mu.g of recombinant NS3, NS5, or E protein was
covalently linked to the carboxylated surface of 6.25.times.10.sup.6
microspheres through a two-step carbodiimide linkage protocol as described by
the manufacturer (Luminex Corporation, Austin, Tex.). A two-step suspension MIA
was performed. A 96-well 1.2 .mu.m-filter plate (Millipore, Bedford, Mass.) was
blocked for 2 min with 100 .mu.l of PBN buffer [phosphate buffered saline (pH
7.4) with 1% bovine serum albumin and 0.05% sodium azide], washed once with 150
.mu.l of PBS-T buffer [phosphate buffered saline (pH 7.4) with 0.05% Tween-20],
and then wetted with 20 .mu.l of PBN buffer. Serum samples (50 .mu.l, diluted
1:100 in PBN unless otherwise specified) and antigen-conjugated microspheres
(2,500 in 50-.mu.l PBN) were added to each well. The plate was incubated in the
dark on a shaker at 37.degree. C. for 30 min, and then washed three times with
PBS-T using a vacuum manifold. Polyvalent goat anti-human immunoglobulins (IgG+IgA+IgM,
50 .mu.l of 1:250 dilution in PBN) conjugated with red-phycoerythrin
(Bio-Source International, Camarillo, Calif.) were added. After incubation at
37.degree. C. for 30 min, the plate was washed twice with PBS-T. Microspheres
were resuspended in 125 .mu.l of PBN per well, and 75 .mu.l of suspension was
transferred to an opaque black EIA/RIA 96-well plate (Costar, Corning, N.Y.).
The microsphere fluorescence intensity was quantified using a Luminex 100 flow
analyzer (Luminex Corporation). The MFI of 100 microspheres was recorded for
each well. The mean of 20 normal sera plus 3 times SD was used as the cutoff
value for each assay.
[0318] Human Cerebrospinal Fluid Specimens
[0319] Small volumes of spinal fluid (100-200 ul) were obtained from the frozen
archives of the Encephalitis PCR laboratory and the Diagnostic Immunology
Laboratory of the Wadsworth Center. These specimens had previously been tested
for WNV by PCR and or the MAC ELISA. Patients with either a positive PCR result
for WNV, or with a detectable IgM antibody to WNV also had follow-up plaque
reduction neutralization testing against the likely flavivirus infections (WNV,
SLE, DEN) on serum specimens. These specimens were tested with approval of the
Institutional Review Board of the New York State Department of Health. All
patient identifiers were removed from specimens prior to testing.
[0320] The microsphere immunoassay was performed on the spinal fluids under
conditions previously described except that the fluids were tested at a 1:2 dilution
by adding 25 microliters of spinal fluid to 25 microliters of PBS for the total
polyvalent antibody result, or were tested by adding 25 microliters spinal
fluid to 25 microliters of a {fraction (1/100)} dilution of anti-IgG (Gull
SORB) for the IgG depleted "IgM" result. This concentration of
anti-human IgG is calculated to provide an optimal molar ratio to deplete IgG
in the spinal fluid, based on the assumption that the IgG concentration in
serum is 1000 fold greater than in spinal fluid (Burke et al, JCM 1982).
[0321] Configuration of the rE-MI to Detect IgM in Spinal Fluids.
[0322] For ease of technical performance and for quality control. We
maintained, as much as possible, the similar assay configuration for the spinal
fluids as used for the analysis of serum. The number of r-WNV-E coated beads
added to spinal fluid in the wells was maintained at 2500 beads in a volume of
50 ul. Our chosen conjugate dilution was maintained at {fraction (1/250)} of
R-PE anti human immunoglobulins. A panel of 11 spinal fluids from patients
confirmed to have flavivirual encephalitis was tested with the rE-MI. Data from
the polyvalent assay and from the "IgM" (IgG depleted) assay are
given in FIG. 15. Note that the P/N values for IgM assay were higher than the
P/N values for the polyvalent assay in specimens from patients deemed to be
"WNV Current or Recent" The patients determined to be WNV at
undetermined time" had the lowest "IgM" P/N values. For the
spinal fluids from "Dengue at Undetermined Time" patients, the IgM
P/N values were less than the polyvalent P/N values.
[0323] IgM-Capture and Indirect IgG ELISAs.
[0324] Sera provided by the CDC Arbovirus Diseases Branch were tested by the
CDC for antibodies to WNV, SLEV, and/or DENV in IgM-capture and indirect IgG ELISAs
in accordance with A. J. Johnson et al. (2000) and R. Mariella (2002), which
are both incorporated herein in their entirety by reference. The ELISA antigens
included: a WNV noninfectious recombinant antigen (NRA) preparation of
recombinant E, prM and M proteins (B. S. Davis et al.); a sucrose acetone
extract of SLE virus-infected suckling mouse brain; or acetone-extracted DENV
from supernatants of infected C6/36 mosquito cell cultures. Control wells were
coated with mock antigen prepared in a similar manner from uninfected cells or
tissue.
[0325] The New York State Department of Health tested sera and CSF for
antibodies to WNV using the WNV NRA and control mock antigen provided by CDC in
the IgM-capture and indirect IgG ELISAs.
[0326] A specimen was considered positive if, at a P/N ratio.gtoreq.3.0, a
two-fold greater immunoreactivity was observed for viral antigen relative to
control antigen. ELISA results were considered uninterpretable due to
nonspecific binding if the latter criterion was not met.
[0327] Statistical Analysis.
[0328] Microsoft Excel software was used for statistical analysis. Data from
different groups were compared with two-tailed Student's t tests. Relationships
between paired variables were evaluated with Pearson r correlation. Two way
contingency table analysis using distributed JavaStat software provided the
kappa statistic, sensitivity, specificity and predictive values.
Example 1
Isolation of WNV in Connecticut
[0329] Several WNV isolates were obtained from mosquitoes and birds in
Connecticut. Mosquitoes were captured in dry ice-baited Centers for Disease
Control miniature light traps. One mosquito trap was placed at each location
per night; the numbers of traps per site ranged from 1 to 6. Mosquitoes were
transported alive to the laboratory where they were identified and grouped
(pooled) according to species, collecting site, and date. The number of
mosquitoes per pool ranged from 1 to 50. The total number of mosquitoes by
species that were collected in 14 towns in Fairfield County, Conn., and tested
for virus from 6 September through 14 Oct. 1999: Aedes vexans, 1688; Ae.
cinereus, 172; Ae. trivittatus, 131; Ae. taeniorhynchus, 123; Ae. sollicitans,
109; Ae. cantator, 63; Ae. triseriatus, 28; Ae. japonicus, 19; Ae. canadensis,
1; Anopheles punctipennis, 82; An. quadrimaculatus, 4; An. walkeri, 2;
Coquillettidia perturbans, 15; Culex pipiens, 744; Cx. restuans, 27; Cx.
erraticus, 4; Cx. territans, 1; Culiseta melanura, 76; Cs. morsitans, 1;
Psorophoraferox, 4; and Uranotaenia sapphirina, 104. Mosquitoes were stored at
-80.degree. C. until tested for virus. Additionally, we obtained isolated WNV
from mosquitoes collected in New York City.
[0330] Most dead birds were collected by state or town personnel in Connecticut
and sent to the Pathobiology Department at the University of Connecticut,
Storrs, where they were examined for postmortem and nutritional condition,
gross lesions, and microscopic evidence indicative of encephalitis. Brain
tissue from birds with presumed encephalitis was frozen at -70.degree. C. and
then sent to the Connecticut Agricultural Experiment Station, New Haven, for
virus testing. Connecticut towns from which dead crows were collected and virus
isolated from brain tissues (number of isolates in parentheses): Bridgeport
(1), Darien (1), Fairfield (4), Greenwich (3), Hamden (1), Madison (1), Milford
(1), New Canaan (1), New Haven (3), North Haven (1), Norwalk (1), Redding (1),
Stamford (5), Stratford (1), Weston (1), Westport (1), and Woodbridge (1).
[0331] For viral isolation from mosquitoes, frozen pools were thawed,
triturated in tissue grinders or mortars with pestles in 1 to 1.5 ml of
phosphate-buffered saline ("PBS") containing 0.5% gelatin, 30% rabbit
serum, antibiotic, and antimycotic. After centrifugation for 10 min at
520.times.g, 100 .mu.l samples of each pool of mosquitoes were inoculated onto
a monolayer of Vero cells grown in a 25-cm.sup.2 flask at 37.degree. C. in 5%
CO.sub.2. Cells were examined microscopically for cytopathologic effect for up
to 7 days after inoculation.
[0332] For viral isolation from bird brain tissue samples, a 10% suspension of
each sampled brain tissue was prepared in 1.5 ml of PBS by triturating with a
mortar and pestle as described above for mosquito samples except that Alundum.RTM.
was added to facilitate homogenization of tissue. Two to seven tissue samples
from each brain were tested for virus as follows. Suspensions were centrifuged
at 520.times.g for 10 min. The supernatant of each sample was then passed
through a 0.22-.mu.m filter before inoculation of a 100-.mu.l sample onto a
monolayer of Vero cells. Cells were grown in a 25-cm.sup.2 flask at 37.degree.
C. in 5% CO.sub.2 and examined for cytopathologic effect for up to 7 days after
inoculation.
[0333] Viral isolates were tested in an ELISA against reference antibodies to
six viruses, in three families, isolated from mosquitoes in North America. The
antibodies were prepared in mice and provided by the World Health Organization
Center for Arbovirus Research and Reference, Yale Arbovirus Research Unit,
Department of Epidemiology and Public Health, Yale University School of
Medicine. The antibodies were to Eastern Equine Encephalomyelitis and Highlands
J, Cache Valley, LaCrosse, Jamestown Canyon, and St. Louis Encephalitis
viruses.
Example 2
PCR Amplification of DNA Encoding the WNV Envelope Glycoprotein
[0334] The Connecticut WNV isolate 2741 (GenBank.TM. Accession No. AF206518),
as described Example 1, was grown in Vero cells which were subsequently scraped
from the bottom of the flask and centrifuged at 4500.times.g for 10 min. The
supernatants were discarded and RNA was extracted from the pellet using the
RNeasy.RTM. mini protocol (Qiagen), eluting the column twice with 40 .mu.l of
ribonuclease-free water. Two microliters of each eluate was combined in a
50-.mu.l reverse transcription-polymerase chain reaction (RT-PCR) with the
SuperScript.RTM. one step RT-PCR system (Life Technologies), following the
manufacturer's protocol.
[0335] PCR primers, WN-233F (5'-GACTGAAGAGGGCAATGTTGAGC-3'; SEQ ID: 1) and
WN-189R (5'-GCAATAACTGCGGACYTCTGC-3'; SEQ ID: 2) were designed to specifically
amplify envelope glycoprotein sequences from WNV based on an alignment of six
flavivirus isolates listed in GenBank.TM. (accession numbers: M16614 (St. Louis
encephalitis virus); M73710 (Japanese encephalitis virus); D00246 (Kunjin
virus); M12294 (West Nile virus); AF130362 (West Nile virus strain R097-50);
AF130363 (West Nile virus strain 96-1030)).
[0336] The resultant PCR products were purified with the QIAquick PCR
Purification Kit.RTM. (Qiagen) following the manufacturer's protocol. The
amplified DNA and sequenced by the Sanger method at the Keck Biotechnology
Center at Yale University, New Haven, Conn. The sequence was confirmed to corresponded
to the envelope glycoprotein encoding sequence by alignment with the envelope
glycoprotein encoding sequence from other flavivirus isolates using the
ClustalX 1.64B program (J. D. Thompson, et al., Nucleic Acids Res, 22, 4673
(1994)). We further purified the resulting DNA fragments by electrophoresis on
a 1% agarose gel, excised the DNA band, and isolated the DNA using the QIAquick
Gel Extraction Kit.RTM. (Qiagen) following the manufacturer's protocol.
Example 3
Expression and Purification of Recombinant WNV Envelope Glycoprotein
[0337] The DNA of Example 2 was expressed in E. coli using the pBAD/TOPO.TM.
ThioFusion Expression System.RTM. (Invitrogen). This system is designed for
highly efficient, five minute, one step cloning of PCR amplified DNA into the
pBAD/TOPO.TM. ThioFusion expression vector. Fusion protein expression is
inducible with arabinose. Fusion proteins were expressed with thioredoxin (12
kDa) fused to the N-terminus, and a C-terminal polyhistidine tag. The
polyhistidine tag enables the fusion proteins to be rapidly purified by nickel
affinity column chromatography. An enterokinase cleavage site in the fusion
proteins can be used to remove the N-terminal thioredoxin leader.
[0338] The pBAD/TOPO ThioFusion Expression System.RTM. expression system was
used to express and purify WNV envelope glycoprotein encoded by the DNA of
Example 2 following the manufacturer's protocol. Specifically, the PCR product
obtained as described above was added to a reaction containing the
pBAD/Thio-TOPO.TM. vector (1 .mu.l) and sterile water to a final volume of 5
.mu.l. The reaction mix was incubated for five minutes at room temperature.
[0339] One Shot.TM. E. coli cells (Invitrogen) were transformed with the
TOPO.TM. cloning reaction products by mixing the TOPO.TM. cloning reaction with
competent cells, incubating the mixture on ice for 30 minutes and then heat
shocking the cells for 30 seconds at 42.degree. C. 250 .mu.l of room
temperature SOC medium was added to the cells followed by incubation at 37.degree.
C. for 30 minutes. 50 .mu.l of the transformation mixture was spread on a
pre-warmed LB plate containing 50 .mu.g/ml ampicillin and incubated overnight
at 37.degree. C. A clone was identified and the DNA was isolated by standard
methods. DNA sequence analysis of cloned DNA was used to confirm that the
thioredoxin-envelope glycoprotein fusion protein (TR-env; FIG. 4) coding
sequence was correct.
[0340] To analyze expression of the recombinant TR-env protein, E. coli
containing the pBAD-TR-env expression vector was grown in cultures at
37.degree. C. with vigorous shaking to an OD.sub.600 .about.0.5. Prior to
protein expression, an aliquot was removed at the zero point and centrifuged at
maximum speed. The supernatant was removed and the pellet was stored on ice.
Protein expression was induced with arabinose at a final concentration of 0.02%
followed by growth for an additional 4 hours. An aliquot of the
arabinose-induced sample was centrifuged at maximum speed and the sample was
placed on ice following removal of the supernatant. The uninduced and
arabinose-induced cell pellets were resuspended in sample buffer, the samples
were boiled for 5 minutes, analyzed by denaturing polyacrylamide (SDS-PAGE) gel
and stained with Coomassie blue. The 71 kDa TR-env protein was the major
protein found in the E. coli cells after arabinose induction.
[0341] The induced E. coli cells were lysed by sonication, centrifuged, and the
TR-env protein was purified from the soluble supernatant with ThioBond.TM.
phenylarsinine oxide resin (Invitrogen) following the manufacturer's protocol.
The TR-env protein was bound to this affinity resin in a batch mode and then
eluted with increasing concentrations of beta-mercaptoethanol. The fractions
were run on a denaturing polyacrylamide (SDS-PAGE) gel and stained with
Coomassie blue. The procedure yielded highly purified recombinant TR-env fusion
protein (FIG. 5).
[0342] In immunoblots, the TR-env protein was recognized by both
anti-thioredoxin antibody (Invitrogen) and human sera from two individuals
seropositive for antibodies to WNV. The purified TR-env fusion protein, thus,
contained an epitope recognized by antibodies induced by a natural WNV
infection.
[0343] Thioredoxin expressed from the pBAD/TOPO.TM. ThioFusion expression
vector was used as a negative control protein. The 16 kDa thioredoxin protein
was expressed in E. coli and purified using ProBond.TM. metal-chelating
affinity resin as described for the TR-env protein. Purified thioredoxin was
recognized in immunoblots only by anti-thioredoxin antibody (Invitrogen) and
not by human sera from two individuals seropositive for antibodies to WNV.
[0344] As an alternative method to express and purify the WNV envelope
glycoprotein, a PCR product encoding the WNV E glycoprotein was engineered as a
fusion protein with maltose binding protein (MBP). Nucleotides 1-1218 of the
WNV E glycoprotein were amplified by PCR using the following primers which
contain EcoRI and PstI restriction sites to facilitate subcloning:
5'GAATTCTTCAACTGCCTTG GAATGAGC-3' (SEQ ID NO: 6) and
5'CTGCAGTTATTTGCCAATGCTGCTT CC-3' (SEQ ID NO: 7). The resulting PCR product was
digested with EcoRI and PstI and the resulting fragment was cloned into the
pMAL.TM.-c2X vector (New England Biolabs, Beverly, Mass.), creating a recombination
fusion to the E. coli malE gene which encodes the maltose-binding protein
(MBP).
[0345] E. coli DH5.alpha. transformed with the resulting plasmid was grown to a
concentration of 2.times.10.sup.8 cells/ml followed by the addition of
isopropyl-D-thiogalactopyranoside (IPTG) to a final concentration of 0.3 mM.
Following incubation of the culture for 2 hours at 37.degree. C., the cells
were harvested by centrifugation at 4,000.times.g for 20 minutes. The cells
were lysed by freezing overnight at -20.degree. C. and sonicating the cells for
10 minutes. The expression of a soluble 82 kDa MBP-env fusion protein in E.
coli was confirmed by SDS-PAGE analysis and Coomassie blue staining. The
MBP-env fusion protein was purified using a maltose-affinity column according
to the manufacturer's instructions. 3 mg of of MBP-env protein was obtained
from 250 ml of cell culture. MBP was purified as a control according to the
same protocol.
[0346] The MBP-env fusion protein was used to analyze sera for the presence of
antibodies to the WNV E glycoprotein. 2 .mu.g of MBP-env fusion protein or MBP
(control) protein was boiled in SDS-PAGE sample buffer (BioRad) containing 2%
.beta.-mercaptoethanol, and run on a 10% SDS-PAGE gel. The glycoproteins were
transferred to nitrocellulose membrane using a semi-dry electrotransfer
apparatus (Fisher Scientific).
[0347] The nitrocellulose membrane was probed with sera from 5 patients with
confirmed WNV infection and sera from uninfected individuals. The membrane was
incubated with the sera (1:100 dilution) for 1 hour, then washed 3 times with
Tris-buffered saline with Tween 20 (TBST) and alkaline phosphatase-conjugated
goat anti-human IgG (1:1,000 dilution; Sigma). The blots were developed with
nitroblue tetrazolium and 5-bromo-4-chloro-3-indolyl phosphate (Kirkegaard
& Perry Laboratories).
[0348] The MBP-env fusion protein detected IgG antibodies to the E glycoprotein
in western blots with sera from 5 humans with confirmed WNV infection, but not
in the control human sera. In essentially identical experiments, the MBP-env
fusion protein also detects IgM antibodies to the E glycoprotein in western
blots with sera from 5 humans with confirmed WNV infection, and IgG and IgM
antibodies with sera from 10 horses with confirmed WNV infection, but not in
control human or horse sera.
Example 4
Coupling of Recombinant WNV-E Antigen to Polystyrene Microspheres
[0349] A two-step carbodiimide process, recommended by Luminex Corporation,
Austin Tex., was used to link 50 micrograms of purified recombinant WNV
envelope glycoprotein antigen (WNV-E) to the surface of 6.25.times.106
microspheres. Activation was initiated with 50 microliters of 50 mg/ml
Sulfo-NHS followed by 50 microliters of 50 mg/ml EDC and a 20 minute incubation
at room temperature. Coupling of the recombinant antigen took place for 2
hours, in the dark, on a rotator at room temperature. Microspheres were washed
by centrifugation, twice, in 1.0 ml PBS Azide blocking buffer, (PBN) composed
of PBS, 1 BSA, 0.02% NaN.sub.3.
Example 5
Stability of WNV-E-Coated Microspheres
[0350] Microspheres coupled to recombinant WN E glycoprotein were held at
4.degree. C., 25.degree. C., 37.degree. C. and 50.degree. C. and tested at 1,
3, 5, and 7 days during the first week, then weekly thereafter for 3 weeks. A
plot of the MFI versus time at 25.degree., 37.degree., and 50.degree. C. is
shown in FIG. 9. Thermal stability, as expressed by T90 (time to 90% potency of
reagents), of this key reagent was 0.1 days at 50.degree. C., 0.1 days at 37 C,
and 1.5 days at 25.degree. C. A straight line is obtained when the T90 is
plotted (as ordinate) on a semi log scale against the 1/T Kelvin (abscissa).
This is a recommended calculation for accelerated thermal stability or
shelf-life studies. Interpolation to the desired storage temperature, 4.degree.
C., gives an estimated T90 of three months. Performance of this key reagent,
the WNV-E coated microspheres, to within 10% of maximal reactivity is a
realistic expectation for a robust clinical laboratory assay.
Example 6
WNV-E Microsphere Immunoassay to Detectantibodies to West Nile Virus
[0351] A two-step suspension microsphere immunofluorescence assay was
performed. Multiscreen 96-well filter plates with 1.2 .mu.m Durapore filters
(Millipore, Bedford, Mass.) and a Multiscreen vacuum manifold (Millipore)
facilitated microsphere washing. Briefly, filter plate wells were blocked for 2
min with 100 .mu.l PBN buffer, washed once with 150 .mu.l PBS-T buffer
(phosphate-buffered saline, pH 7.4, with 0.05% Tween 20 from Sigma Aldrich),
and then wetted with 20 .mu.l PBN. Diluted serum samples (50 .mu.l, diluted
1:100 in PBN unless otherwise noted) were added to test wells. IgG-depleted
sera were diluted 10-fold during depletion, and were diluted an additional
10-fold in PBN for analysis in the rWNV-E MIA with polyvalent secondary
antibody conjugate. IgM-depleted sera were similarly diluted in PBN to a final
serum dilution of 1:100. Antigen-conjugated microspheres (2,500 in 50 .mu.l
PBN) were added to each well. The filter plates were incubated in darkness on a
plate shaker for 30 min at 37.degree. C., and then washed three times with
PBS-T using the vacuum manifold. Diluted fluorochrome-labeled secondary
antibody (50 .mu.l of a 1:250 dilution in PBN) was added to each well. Unless
otherwise noted, the secondary antibody was polyvalent goat F (ab').sub.2
anti-human immunoglobulins (IgG+IgA+IgM) conjugated to red-phycoerythrin (R-PE)
from Bio-Source International (Camarillo, Calif.). Alternative secondary
antibodies were goat F(ab').sub.2 anti-human IgG R-PE conjugate and goat
F(ab').sub.2 anti-human IgM R-PE conjugate (Bio-Source International). After
incubation for 30 min at 37.degree. C. in darkness with shaking, filter plates
were washed twice with PBS-T using the vacuum manifold. Microspheres were then
resuspended in 125 .mu.l PBN per well. Seventy five microliter aliquots were
transferred to opaque black EIA/RIA 96-well plates with breakaway strips
(Costar, Corning, N.Y.), and evaluated for microsphere fluorescence intensity using
a Luminex 100 instrument (Luminex Corp.). This instrument is a dual laser flow
analyzer. The first laser excites the flourochrome mixture intrinsic to the
microspheres, enabling the bead identity to be determined as the bead passes
single file through the laser path in the flow cell. The second laser excites
the extrinisic flourochrome (red-phycoerythrin) that is covalently attached to
the reporter antibodies (goat-anti human immunoglobulins). The dual lasers
allow the operator to mix beads with different antigens together in a well of a
filter plate, thus enabling multiplex analysis of different antibody
specificities at one time.
[0352] The instrument was calibrated with CL1/CL2 and RP1 calibration
microspheres from Luminex Corp. according to the manufacturer's directions. The
median fluorescence intensity (MFI) of fluorochrome-conjugated secondary
antibody bound to individual microspheres was derived from flow analysis of 100
microspheres per well. Results for each assay were expressed both as MFI and as
a patient/negative (P/N) MFI ratio, i.e., the MFI for the patient's specimen
divided by the MFI obtained from a pool of 10 negative control sera. The
negative control sera contained no detectable antibodies to WN virus in
IgM-capture and IgG ELISAs. Serum MIA P/N values .gtoreq.4.0 were considered
positive for antibodies to WN virus E protein.
[0353] The rWNV-E MIA was performed on CSF as described for serum specimens,
except that the CSF was tested at a 1:2 dilution, prepared by addition of 30
.mu.l CSF to 30 .mu.l PBS. IgG-depleted CSFs, diluted 1:2 during the IgG
removal procedure, were assayed without further dilution. CSF results were
reported as MFI values. CSF with MFI values >426 were considered positive
for antibodies to WN virus E protein.
Example 7
Determination of the Normal Range of Detection of the WNV-E Microsphere
Immunoassay
[0354] Ten sera from cases of West Nile viral encephalitis, confirmed by plaque
reduction neutralization tests with paired serum sets, and ten sera that were
negative in both MAC ELISA and IgG ELISA WNV antibody tests were examined to
establish normal ranges of detection of the WNV-E microsphere assay using both
positive and negative WNV samples.
[0355] For each serum specimen, a Median Fluorescence Intensity (MFI) value was
established by measuring immunoreactivity with the WNV-E antigen on 100
individual microspheres. The mean MFI value of microspheres for the ten
negative sera was 247, with a standard deviation of 74. The mean MFI of ten
positive sera was 7625 with a range from 2763 to 17188, corresponding to range
of P/N ratios of 11.1 (2763/247) to 69.6 (17188/247).
Example 8
Covariance Analysis
[0356] Ten sera from West Nile encephalitis patients, in which infection with
WNV was positively confirmed using MAC ELISA, IgG ELISA and plaque reduction
nuetralization (PRN), were pooled ("ten positive sera"). A similar
pool was made using ten human sera tested negative for WNV human subjects
("ten negative sera").
[0357] To determine the imprecision of the WNV-E microsphere immunoassay, ten
aliquots of each pool were prepared and tested separately. Imprecision between
measurements in the same assay (intra-assay measurements) of the aliquots of
the positive pool yielded a covariance of 7%. Imprecision between measurements
of the negative serum pool provided a covariance of 11%.
[0358] Further, the pools of ten positive and negative sera were analyzed over
the course of several days to determine the imprecision between sets of
measurements (inter-assay imprecision). The pool of positive sera provided an
inter-assay covariance of 17%, whereas the pool of negative sera provided an
inter-assay covariance of 32%. Results for 70 sera independently analyzed by
two individuals showed that inter-operator correlation of measurements of 0.995
with a slope of 1.125. Overall, the data demonstrating that there is relatively
low imprecision in carrying out the WNV-E microsphere immunoassay.
Example 9
Determination of the Specificity of the WNV-E Microsphere Immunoassay
[0359] Sera from patients with various viral infections, bacterial infections,
or autoimmune diseases were tested in the rWNV-E MIA. Twenty-four sera from
presumed healthy subjects were also tested-four (17%) were borderline positive
with P/N values <4.9. Only sera from patients with syphilis had a high
frequency of false-positive results (FIG. 35). Sera in the first syphilis panel
were all treponemal antibody positive. In the second syphilis serum panel, sera
were rapid plasma reagin (RPR) negative and less cross-reactive. Cross-reactive
antibodies in syphilis patient sera were also detected by the WN virus IgG
ELISA (data not shown). However, the syphilitic sera did not contain
virus-specific neutralizing antibodies detectable in WN virus or SLE PRN tests
(data not shown). A BLAST (1) computer search of the T. pallidum genomic
database (C. M. Fraser et al.) failed to reveal possible cross-reactive
epitopes.
Example 10
Separate Detection of Anti-WNV-E Glycoprotein IgM or IgG Antibodies Following
Immunodepletion of IgM or IgG from a Serum Specimen
[0360] Separate detection of IgM or IgG antibodies against the WNV E
glycoprotein in selected sera was carried out using an immunodepletion step of
the sera prior to the microsphere immunoassay. First, selected sera were tested
for anti-WNV-E glycoprotein antibodies using the WNV-E microsphere immunoassay
along with the polyvalent reporter antibody, which detects IgG, IgA and IgM.
Second, the same sera were retested for either anti-WNV-E glycoprotein IgG or
IgM antibodies using an immunodepletion step prior to the WNV-E microsphere
immunoassay. Treatment with goat anti-human IgG or goat anti-human IgM resulted
in the depletion of either IgG or IgM, respectively, from the human sera.
[0361] To carry out the immunodepletion step for the removal of IgG, 5
microliters of human serum was treated with 45 microliters of goat anti-human
IgG, (Gull SORB, from Meridian Diagnostics, Cincinnati, Ohio). According to the
manufacturer, this protocol is sufficient to deplete IgG at concentrations up
to 15 mg/ml, the upper limit of normal human IgG concentration. This 1:10 serum
dilution was mixed and centrifuged at 13,000 rpm in an Eppendorf centrifuge
with a rotor radius of 7.5 cm. The supernatant is used for making the further
1:100 sample solution for reanalysis in the microsphere-based immunoassay.
Negative IgG ELISA, and negative IFA tests using slides from Focus Technologies
demonstrated that the Gull SORB pretreatment efficiently removes detectable IgG
antibodies to WNV. Any remaining fluorescence activity after IgG depletion
would represent the relative amount of IgM antibodies that recognize WNV E
glycoprotein. Further, given that IgM antibodies typically do not persist for
long periods of time, but are the first antibodies to respond to an antigen,
any fluorescence following IgG depletion would indicate a current or recent
infection.
[0362] To carry out IgM immunodepletion, 10 microliters of serum was treated
with 10 microliters of goat anti-human Mu chain (anti-human IgM), at a concentration
of 2.5 mg/ml. Twenty microliters of PBS was added to the treated serum prior to
centrifugation at 13,000 rpm in an Eppendorf centrifuge as above. The
supernatant was used to make a further dilution to 1:100, which was then tested
in the WNV-E microsphere immunoassay with the polyvalent conjugate. The
remaining fluorescence activity after IgM depletion represented the relative
amount of IgG antibodies that recognize WNV E glycoprotein.
[0363] IgA antibodies may also be present, but their role in detection of
flavivirus infection is not well documented in the literature, nor frequently
considered.
Example 11
Comparison Between WNV-E Microsphere Immunoassay and Elisa Methods Following an
Immunodepletion Step to Detectacute Cases of WNV
[0364] It was desirable to detect the presence of IgM antibody to detect acute
cases of WNV infection. The WNV-E microsphere immunoassay provided strong
positive MFI values for many patients' first serum specimens, indicating that
the polyvalent assay detected IgM as well as IgG antibodies to WNV.
[0365] Five sequential sera from a WNV encephalitis patient were treated with
anti-human IgG (Gull SORB) at a concentration designed to deplete all IgG
reactivity. These treated sera were then tested again in the polyvalent WNV-E
immunoassay.
[0366] The five sequential sera were also treated with anti human Mu chain
(anti IgM) at a concentration calculated to deplete all IgM reactivity and then
reanalyzed with the polyvalent WNV-E immunoassay.
[0367] The anti-IgG and anti-IgM treated sera were also analyzed in a WNV-E
immunoassay using an anti-IgM R-PE fluorescent conjugate to detect IgM
antibodies. Results of this experiment are presented in FIG. 12, along with P/N
values from the MAC ELISA and the IgG ELISA.
[0368] The results showed that the Gull SORB treatment (removal of IgG)
increased the P/N correlation coefficient with IgM ELISA assay from 0.75 to
0.93. Anti-IgM treatment increased the P/N correlation coefficient with the IgG
ELISA assay from 0.92 to 0.99, with approximately five-fold higher P/N ratios
observed with the microsphere immunoassay. Note that by the traditional assays,
the third serum at 18 days post onset had the maximal IgM reactivity and the
fourth sample at 72 days post onset had the maximal IgG reactivity.
[0369] Conclusions from WNV-E microsphere immunoassays on the different sera
are comparable. The fourth serum specimen had the peak antibody reactivity as
measured by MFI. Removal of IgG allowed once again the identification of the
third serum as having peak IgM reactivity both with the polyvalent conjugate
and with the anti-IgM conjugate. Removal of IgM allowed identification of the
fourth serum as having the most IgG.
[0370] Overall, the results showed that the WNV-E microsphere immunoassay, unlike
the MAC and IgG ELISAs, provided an IgM (IgG depleted) P/N ratio that was
greater than the P/N ratio of the IgG (IgM depleted) sample for the early
bleeds. This relationship may be an indicator of an active or recent infection.
The use of the anti-IgM R-PE conjugate on the anti-IgM treated sera
demonstrated that the IgM was effectively depleted to a level in the negative
range (P/N<4.0) according to our established assay conditions.
Example 12
Comparison of the WNV-E Microsphere Immunoassay to Standard Elisas by
Retrospective Parallel Testing
[0371] Archived sera at the New York State Department of Health provided an
opportunity to parallel test a larger panel of sera submitted for suspected
viral encephalitis. The objective of this study was to determine whether a
cut-off P/N value of 4.0 would provide test results concordant with the MAC
ELISA and IgG ELISA previously used to screen the sera for antibodies to WNV.
[0372] FIGS. 11A and 11B provide scatter plots with polyvalent WNV-E
microsphere immunoassay P/N vs. IgG ELISA P/N and/or MAC-ELISA P/N with
trendline.
[0373] Out of 107 total sera tested, 20 West Nile reactive sera, identified
previously by the MAC ELISA and or the IgG ELISA, were also correctly
identified by the WNV-E microsphere immunoassay. Seven sera of 107 tested were
just above the cut-off on the WNV-E microsphere immunoassay, whereas they were
non-reactive in both of the traditional ELISA assays. Since these seven sera
were non-reactive in the ELISAs, no follow up sera were provided to allow us to
definitively rule out infection. The mean of the MFI for the 20 positive sera
by traditional assays was 7804 (range 1084-21038). The mean of the
borderline/equivocal samples was 1333 (range 1084-2118). The mean of the 53
sera that tested negative was 349 (range 49-607).
Example 13
Detection of Antibodies to Japanese Encephalitis Vaccine Using the WNV-E
Microsphere Immunoassay
[0374] Retrospective testing of the serum bank of the Wadsworth Center for
flavivirus-reactive antibodies, demonstrated that the WNV-E microsphere
immunoassay could detect antibodies to three flaviviruses in the Japanese
encephalitis serogroup.
[0375] Twenty four human sera were received from the Arbovirus Research
Laboratory of the Wadsworth Center, with all identifiers as to identity of the
recipients of the Japanese Encephalitis (JEV) vaccine status or time of
vaccination. This blinded serum panel consisted of twelve post-vaccine
specimens (collected in June, 2002) and eight pre-vaccine sera (collected in
April, 2001) from eight of the twelve vaccine recipients (the pre-bleed sera of
these employees was not found in the freezer archives.) A further four serum
samples were from new employees who had not received the vaccine, and who
lacked an exposure history to WNV from dead birds or mosquitoes. These sera
were tested by the microsphere immunoassay employing the polyvalent R-PE
anti-human immunoglobulins conjugate. After testing the blinded specimens, the
pre-vaccine specimens were matched with the post-vaccine specimens, and plaque
reduction neutralization titers for the post-vaccine sera were obtained.
[0376] Results on the polyvalent WNV-E microsphere immunoassay are given in
FIGS. 13A and 13B. Note that where pre and post samples were available, 6 of 8
employees made a large increase in detectable antibodies.
[0377] Since neutralizing protective antibodies are primarily IgG class, we
treated all 24 sera with anti-IgM at a concentration calculated to provide an
optimal proportion to deplete all IgM. We repeated the assay with the
polyvalent red-phycoerythrin anti human immunoglobulin conjugate on the
IgM-depleted sera. As expected, FIG. 14B demonstrates that the MFI were lower
than in the untreated samples, yet clearly were positive in all but two vaccine
recipients. The two vaccine recipients with negative post-vaccine MFI levels
were the two employees who lacked a detectable neutralizing antibody response
by plaque reduction neutralization testing.
[0378] The results demonstrated that the WNV-E microsphere immunoassay could
detect antibodies to three flaviviruses in the Japanese encephalitis serogroup.
Example 14
Detection of WNV Antibody from Serum and Spinal Fluid Samples from Patients
with Acute Viral Encephalitis Using WNV-E Microsphere Immunoassayas Compared to
Results from MAC Elisa
[0379] Seven pairs of serum along with same-day collected spinal fluid
specimens from seven patients were tested using the recombinant WNV-E
microsphere immunoassay using both the polyvalent antibody reagent and the
"IgM" serum (anti-IgG treated serum). The seven patients were chosen
on the basis of having been tested positive for WNV by either an IgM and/or an
IgG ELISA using the reagents and protocol recommended by the CDC. The data are
presented in FIG. 17.
[0380] The results showed that both patients with confirmed WNV infection by
PRN testing, had high levels of detectable antibody in spinal fluid, as
detected by the WNV-E microsphere immunoassay. Further, 5 patients who were
shown to test negative for a WNV infection by MAC ELISA were shown to be
strongly positive by the WNV-E assay.
[0381] The data from the paired serum and spinal fluid testing demonstrated the
high sensitivity of the WNV-E assay since the P/N values of the WNV-E
microsphere immunoassay are significantly greater than the P/N values of the
MAC ELISA. The data further showed that WNV-E microsphere immunoassay is
superior to the MAC ELISA since the WNV-E assay was able to detect a WNV
infection in 5 patients who were shown not to have an infection by the MAC ELISA.
Example 15
Expression and Purification of NTPase/Helicase Domain of NS3 and NS5
[0382] WNV nonstructural proteins NS3 and NS5 were tested as targets to develop
a novel serologic assay for WNV diagnosis. NS3 and NS5 are key enzymes in
flavivirus RNA replication. NS3 functions as a serine protease (in the presence
of cofactor NS2b), 5'-RNA triphosphatase, NTPase, and helicase; NS5 functions
as a methyltransferase and RNA-dependent RNA polymerase (RdRp). Since the NS
proteins are primarily involved in flavivirus replication, the immunogenic
features of the NS proteins during WNV infection would be different from those
of viral structural proteins. These unique features could be exploited to
improve the current structural protein-based serologic assay.
[0383] The NTPase/helicase domain (amino acids 182 to 619) of NS3 (see FIG.
23B) and full-length NS5 (see FIG. 23C) of WNV were expressed and purified
using an E. coli expression system as follows. The NTPase/helicase domain of
NS3 (amino acids 182 to 619) and full-length NS5 were cloned into the pET-21a
and pET-28a vectors, respectively, and expressed in E. coli BL21 cells upon
induction with isopropyl-p-D-thiogalactopyranoside (IPTG) at 30.degree. C. for
3 to 4 h. The recombinant NS5 and NS3 NTPase/helicase domain contained a
His.sub.6 tag at the N-terminus and C-terminus, respectively, and were purified
through a nickel column (Novagen, Madison, Wis.). The NTPase assay was
performed as previously described (Cui, T. et al.). The RdRp activity of NS5 was
assayed using a WNV subgenomic RNA transcript containing a large deletion from
nucleotide 269 to 10408. The reactions were labeled with [.alpha.-.sup.32P]UTP
and analyzed on a 4% denaturing polyacrylamide gel followed by autoradiography
(Ackermann, M. et al.).
[0384] The recombinant proteins were enzymatically active: the NS3 protein
exhibited an NTPase activity in hydrolyzing ATP to ADP and phosphate (FIG.
23D); and the NS5 protein retained the RdRp activity, using WNV RNA as a temple
to synthesize both double-stranded RNA (a replicative 2.times. form) and
single-stranded RNA (1.times. form) (FIG. 23E). The enzymatic activities of WNV
NS3 and NS5 are comparable to those of DNEV NS3 and NS5. The enzymatic activies
indicate retention of native conformation by the recombinant NS3 and NS5.
Example 16
Microsphere Immunoassay (MIA) to Test NS5 in Serologic Assay
[0385] A microsphere immunoassay (MIA) was selected to establish the NS3- and
NS5-based serologic assays to detect antibodies induced by WNV infection.
Recombinant NS3 or NS5 was covalently linked to microsphere beads, and then
reacted with patient serum followed by anti-human immunoglobulins with a
fluorescent conjugate. The levels of reactive antibodies from the sera were
quantified by a flow analyzer. Initially, 20 human sera from healthy
individuals were used to establish cutoff levels for the assay. The mean median
fluorescence intensity (MFI) for NS3 was 909 [standard deviation
("SD") 351], with an assay cut-off (X+3SD) of 1962; the mean MFI for
NS5 was 1810 (SD 852), with an assay cut-off (X+3SD) of 4366. Analyses of five
positive WNV sera, which had been previously confirmed by a subviral
particle-based immunoassay (Davis, B. et al.) and PRNT, revealed that the NS5
MIA had an assay dynamic range of 32, from 100- to 3200-fold serum dilutions.
The NS3-based MIA did not exhibit consistent signals above the background level
with these sera (see below).
Example 17
NS5-Based MIA Reliably Detects WNV Infection and may Indicate Recent Infection
[0386] A total of 61 sera from WNV patients with clinical symptoms and
confirmation by PRNT were tested using to NS5- and NS3-based MIA, along with
the recombinant E protein-based MIA for comparison (S. J. Wong et al., J Clin
Mircobiol., 2003, 41:2127-2223). The plot of MFI versus days post symptom onset
(FIG. 24A) shows that the NS5-reactive signals appeared on day 6; the MFI of 35
of 38 (92%) sera collected from day 7 to day 77 were positive; and the MFI
dropped to a negative level for two sera collected on day 259 and day 431. The
reactive pattern derived from the NS5-based assay correlated well with that
from the E-based assay, except that, in the latter assay, reactive signals
appeared around day 2 to day 6, and the MFI remained positive throughout the
later time points, including day 259 and day 431 (compare FIG. 24A with 24C).
On the other hand, the NS3 MIA did not exhibit consistent signals above the
background level, with less than half of the sera showing positive MFI (FIG.
24B); it therefore was not further analyzed. These results demonstrate that the
NS5-based MIA is a sensitive assay for detection of human WNV infection.
Example 18
Persistance of Anti-E and Anti-NS5 Antibodies
[0387] To examine the persisitance of antibody against WNV E glycoprotein and
NS5 antigen upon WNV infection, we examined a series of sera collected from a
single patient at various time points post-infection (FIG. 24D). Positive MFI
signals were detected on day 17 post symptom onset in both E and NS5 MIA.
Signals from the E-based MIA remained positive for sera collected on days 71,
259, and 431 post-symptom onset (indicated by dashed lines in FIG. 24D). In
contrast, signals from the NS5-based MIA were positive for sera collected on
day 17 and 71 post-symptom onset, however, the MFI declined to a negative range
on day 259 and 431 post-symptom onset (indicated by solid lines in FIG. 24D).
These results suggest that a positive NS5-based MIF indicates current or recent
infection.
[0388] The NS5 MIA can likely be used to indicate the timing of WNV infection.
Time-course analysis of WNV patient sera showed that, after serum conversion at
approximately day 6 post symptom onset, the anti-E antibody signal remained
highly positive up to 431 days post symptom onset (FIGS. 24C and 24D), while
antibodies against NS5 diminished to a negative level between 71 and 259 days
post symptom onset (FIGS. 24A and 24D). More clinical samples at late time
points post-infection are required to confirm this conclusion. Although not
wishing to be bound by theory, since NS5 protein is only present during viral
replication and associates with the replication complex located at the
cytoplasmic side of the endoplasmic reticulum, NS5 may be more accessible to
protein degradation, resulting in a shorter half-life in cells than the
membrane-spanning E protein. It is also possible that antibodies generated in
response to NS5 are of shorter duration than the anti-E antibodies.
Example 19
Specificity of NS5-Based MIA: Differention of WNV from other Nonflavivirus
Infections or Diseases and from Flavivirus Vaccination
[0389] The specificity of the NS5-based MIA was demonstrated by challenging 120
sera from patients with various infections, autoimmune conditions, JEV
vaccination, YFV vaccination, or good health (FIG. 25). Only one patient with
HIV infection showed an MFI (7,517) above the cut-off level of the NS5 MIA
(4,366). It should be noted in particular that none of the sera from the JEV
vaccine recipients reacted with the WNV NS5 antigen; only 1 of 19 (5%) YFV vaccine
recipients exhibited a positive MFI singal. By contrast, all 10 (100%)
JEV-vaccinated sera and 10 of the 19 (53%) YFV-vaccinated sera showed positive
MFIs in the E-protein-based MIA. These results demonstrate that the NS5-based
assay can be used to differentiate between WNV infection and vaccinations with
either an inactivated (JEV) or a live attenuated (YFV) flavivirus. flavivirus
Example 20
Cross-Reactivity of WNV NS5 and E with DENV or SLEV Infections
[0390] The cross-reactivity of WNV NS5 and E with DENV infection was tested
with 17 pairs of acute and convalescent sera from DENV-infected individuals
(FIG. 26). The DENV patient sera reacted with WNV E protein. The MFI signal and
the titer of the E MIA correlated well with the hemaglutination inhibition (HI)
titer of the sera. Twenty-four of the 34 (71%) DENV sera tested positive in the
E-based MIA; 8 samples with negative E MIA results were either HI negative or
showed low HI titer. For the NS5-based MIA, only 3 of the 34 (9%) DENV sera
were marginally positive (samples 3A, 4B, and 11A), with MFI values very close
to the cut-off value. Next, we examined the potential cross-reactivity of WNV
NS5 and E with SLEV patient sera. Among the 20 pairs of SLEV sera that had been
previously confirmed by plaque reduction neutralization tests, only 2 (5%) sera
were MFI positive (samples 3A and 3B) in the WNV NS5-based assay, while 11 of
the 40 (27.5%) SLEV sera were positive in the E-based assay (FIG. 27). These
results suggest that, compared with the E protein-based MIA, the NS5-based MIA
exhibits substantially improved discrimination between DENV/SLEV and WNV
infections.
Example 21
Three Advantages for NS5 Immunoassays as Compared to WNV E Immunoassays
Flavivirus
[0391] flavivirus To improve the specificity of the diagnosis of a flavivirus
infection using the WNV E glycoprotein, the RNA replication NS proteins were
tested as an alternative to the WNV E glycoprotein for serologic diagnosis of
WNV infection. The active NTPase/helicase domain of NS3 and full-length NS5
were expressed and purified. The NS5 protein-although not the NS3
NTPase/helicase domain-reacted consistently with WNV patient sera. Contrary to
the WNV E glycoprotein, the NS5 when used in the immunoassays (MIA) of the
present invention can provide the following three advantages.
[0392] First, unlike the WNV E-based MIA, the NS5-based MIA reliably
discriminates between WNV infection and DENV (FIG. 27) or SLEV infections (FIG.
26) only 3 of the 34 DENV sera and 2 of the 40 SLEV sera showed weak NS5 MFI
signals. On the other hand, WNV E protein cross-reacts with both DENV (26 out
of the 34) and SLEV (11 out of 40) patient sera. These results appear to be
consistent with a previous report suggesting that NS antigens can be viral type
specific, whereas structural antigens can be cross-reactive among flaviviruses
(Qureshi, A. A. et al.). However, the ordinary skilled person in the art would
certainly appreciate that one could not reasonably know or predict the
specificity of the WNV NS5 to anti-WNV sera, indeed as shown by the present
inventors, without providing proof thereof by way of appropriate and necessary
experimentation.flavivirus
[0393] There are likely at least two reasons why the NS5-based immunoassay
shows greater specificity for WNV detection than WNV E-based immunoassays.
First, notwithstanding that the amino acid sequence homology of NS5 between WNV
and DENV (75%) or SLEV (47% %) could be as high as that of E protein between
WNV and DENV (62%) or SLEV (78% %), epitopes (either structure or sequence)
presented by WNV E could be more conserved among the flaviviruses than those in
the NS5, resulting in greater cross-reactivity in the WNV E-based assay.
Alternatively, the specificity of the WNV NS5-based assay could have been a
consequence of a failure an NS5 immune response during DENV and SLEV
infections. This is unlikely because partially purified NS proteins of DENV,
SLEV, or WNV were demonstrated to be reactive with only homologous sera, but
not with heterologous sera, indicating the production of antibodies against the
NS proteins during infections (Qureshi, A. A. et al.). Nevertheless, the
specificity of the NS5-based assay may eliminate the need for plaque reduction
neutralization tests, and therefore the requirement of Level 3 Biocontainment,
to discriminate among infecting flaviviruses. Quick and accurate
differentiation between WNV and DENV/SLEV infections will be important in
diagnosing specimens where WNV co-circulates with DEN and/or SLEV viruses.
[0394] Second, the NS5 MIA differentiates between vaccination with inactivated
flavivirus and natural WNV infection. None of the JE-vaccinated sera reacted
with the WNV NS5. This feature was expected, because only replicative viruses
produce NS proteins, while inactivated JE vaccines could not replicate and
produce NS proteins. Distinguishing between vaccination and natural viral
infection is important for WNV diagnosis in geographic regions where
inactivated JE vaccination is performed, or in vaccinated military personnel or
travelers. For the same reason, the NS5 MIA will be useful for testing whether
horses previously vaccinated with inactivated WNV (Davis, B. et. al., Monath,
T.) have encountered a new round of WNV infection.
[0395] Third, the NS5 MIA could potentially be used to indicate the timing of
WNV infection. Time-course analysis of WNV patient sera showed that, after
serum conversion at approximately day 6 post symptom onset, the anti-E antibody
signal remained highly positive up to 431 days post symptom onset (FIGS. 24C
and 24D), while antibodies against NS5 diminished to a negative level between
71 and 259 days post symptom onset (FIGS. 24A and 24D).
[0396] Overall, the unique features of the NS5-based immunoassay will be very
useful for both clinical and veterinary diagnosis of WNV infection. The MIA
assay format used in this study is highly sensitive (flow-cytometry based), has
a rapid turnaround time (3 to 4 h for testing 96 specimens), and is
cost-effective (approximately 50 tests per microgram of recombinant protein).
More importantly, the MIA format allows the performance of multiplex assays to
detect antibodies against E and NS5 proteins in a single tube, allowing
simultaneous primary and confirmatory diagnosis.
Example 22
Animal Studies Show that Antibody Levels to NS Protein Decline over Timewhile
Antibodies to Structural Proteins Increase over Time
[0397] Animal model studies of WNV infection have added proof of the concept
that antibody levels to nonstructural proteins decline while antibodies to
structural proteins are increasing. In an experimental mouse model of infection
where sequentially timed serum samples were drawn at 5, 10 and 28 days post
infection, total antibodies to the WNV E, a structural protein, were still
increasing at day 28 whereas the total of antibodies to the NS5 protein was
decreasing. In a similar manner, IgM antibodies to WNV E were still increasing
in the day 28 sample, whereas the IgM antibodies to NS5 were lower at 28 days
than in the day 10 sample. Thus, NS5 appears to be a useful antigen to screen
for WNV infections at an early and/or acute stage.
Example 23
Avian Response to Flavivirus Infection is Strain Specific
[0398] An evaluation of West Nile antibodies in wild birds of various orders
and species, has demonstrated that some birds made much higher antibody
responses to NS5 than to WNV E protein. For surveillance activities, a bird
that has antibodies to NS5 must have been infected in the recent past, where as
a bird that only has antibodies to WNV E only has evidence of infection in the remote
past. Wild birds (house finches and morning doves) with SLEV infection made low
to moderate antibody responses to WNV E, whereas they made no response to WNV
NS5. This indicates that the avian response to flavivirus infections is strain
specific, as we have have demonstrated in humans. Antibodies to WNV NS5
indicate recent infection with West Nile virus, whereas antibodies to WNV
envelope protein indicate infection at some time with one of many flaviviruses.
Example 24
High Antibody Response to NS5 in Naturally Infected Horses
[0399] An evaluation of West Nile antibodies in naturally infected horses
demonstrated high antibody responses to NS5, often greater than to Envelope
protein. Antibodies generated by the Ft. Dodge inactivated West Nile vaccines
were only to the Envelope protein. Horses with no infection and no vaccination
were negative to Envelope and to NS5. Therefore, a high antibody level to NS5
in a vaccinated horse means active, recent infection. The duration of
protective antibodies from the vaccine is short, and antibodies drop off within
two months of the last dose of vaccine.
Example 25
High Levels of NS5 Antibodies even in the Absence of High IgM to WNV may
Indicate Recent WNV Infection
[0400] A serosurvey of 871 solid organ transplant recipients has identified
about 85 persons with antibodies to Envelope protein. Only 5 of these persons
have IgM to WNV E protein, indicating current WNV infection. Ten of the 85
persons have high levels of antibodies to NS5. Studies are currently underway
to demonstrate that these patients have evidence of recent WNV infection
despite the lack of IgM to WNV.
Example 26
Enzyme-Linked Immunosorbent Assay (Elisa) Using WNV NS50R E Antigens
[0401] The NS5 protein can be used to detect human antibodies specific for NS5
from blood. More in particular, the NS5 protein can be used in connection with
an ELISA to detect NS5-specific antibodies. Positive detection of NS5-specific
antibodies would indicate a more recent WNV infection since the antibodies to NS5
show limited persistence in the blood; thus anti-NS5 antibodies are more likely
to be present at higher titers early during infection (see Example 18). The WNV
E glycoprotein, oweing to the fact that it shows consistent, reliable, and
predictable cross-reactivity against antibodies to other flavivirus, in
particular JEV, SLEV, and DENV, can be used in an ELISA to detect a flavivirus
infection.
[0402] Although any known ELISA format is contemplated by the present
invention, one standard ELISA assay format assay, the "three layer
sandwich", can be used. In this format, NS5 or WNV antigen are passively
adsorbed to polycarbonate microtiter plates. The remaining reactive sites on
the plate are then blocked with a solution of serum protein, serum albumin,
non-fat dry milk, gelatin, or detergent (e.g. Tween, Triton X-100, SDS). The
antigen coated plates are then incubated with a dilution of a patient's serum.
If the patient was infected with WNV, anti-WNV E or anti-WNV NS5 antibodies
bind to the WNV E or NS5, respectively, on the plate. Following several washes,
the plate is incubated with goat-anti-human antibody conjugated to an enzyme
such as alkaline phosphatase or horse radish peroxidase. Following several
washes, the plate is developed with a chromogen (substrate for the enzyme). The
color development is read on a microtiter plate spectrophotometer. The deepness
of the color is proportional to the amount of human antibody to NS5 in the
sample applied to the plate.
[0403] Another ELISA format contemplated by the instant invention is the IgM
antibody capture ELISA. In this assay, Goat anti-human IgM is used to coat the
microtiter plates. After blocking reagents are added, such as solutions of
serum protein, serum albumin, non-fat dry milk, gelatin, or detergent (e.g.
Tween, Triton X-100, SDS), a dilution of human serum is added to the wells in
the plate. The goat-anti human IgM captures the patient's IgM. Subsequently,
WNV E or NS5 antigen would be added to the wells. After an incubation period,
the unbound antigen is washed away. Next, biotinylated monoclonal antibody to
WNV NS5 or E is added to wells. Following an incubation period, the unbound
monoclonal antibody is washed away. Streptavidin linked to a detector enzyme is
then added to the wells of the plates. Following washing steps, the unbound
Streptavidin conjugate is washed away. The assay is developed with a chromogen
and read on a microtiter plate spectrophotometer. The amount of color developed
is proportional to the amount of IgM the patient had to West Nile NS5.
[0404] The WNV NS5-based and E-based ELISAs can be run separately or in
parallel. It will be appreciated that a positive result in the E-based assay is
indicative of a flavivirus infection, including for example detection of WNV,
SLEV, DENV, or JEV. It will be further appreciated by one of ordinary skill in
the art that the teachings of the present invention demonstrate by experiment
that substantially purified WNV E glycoportein antigen having a substantially
authentic conformation is reliably, consistently, predictably, and strongly
cross-reactive to antibodies against any of WNV, JEV, SLEV, and DENV, and is
therefore useful to broadly assay or test for flavivirus infection. A positive
result based on the NS5 ELISA indicates with specificity a WNV infection, in
particular a recent infection.
[0405] It is again to be appreciated by one of ordinary skill in the art that
any ELISA format currently used to detect WNV antibodies in serum or spinal
fluid or other biological samples, can easily be adapted to detect antibodies
to the NS5 or E antigens therein. The information obtained with the NS5 assays
is more useful for identifying recent WNV, since the antibody response to NS5
is of shorter duration that the antibody response to the E glycoprotein. Further,
information obtained with the E glycoprotein is more useful for identifying a
general flavivirus infection, in particular, a recent or non-recent infection
or flavivirus vaccination with WNV, JEV, SLEV, or DENV.
Example 27
Microsphere Immunofluorescence Assay Parameters
[0406] Recombinant WN virus envelope protein (rWNV-E) conjugated to fluorescent
microspheres provided the basis for a novel immunoassay to detect antibodies
induced by flavivirus infection. The MIA quantitatively measures anti-E protein
antibodies binding over a broad range of antibody concentrations (FIG. 31). A
standardized, 2.5 h MIA procedure was developed to detect antibodies to WN
virus E protein in .ltoreq.30 .mu.l of human serum or CSF, diluted 1:100 and
1:2 respectively. Performance of the suspension assay at 37.degree. C. with
continual shaking enhanced assay kinetics. Antigen-conjugated microspheres
exhibited long-term stability when stored at 4.degree. C. Conjugated
microspheres were held at 4.degree. C., 25.degree. C., 37.degree. C., or
50.degree. C. Reactivities of the rWNV-E microspheres with a positive control
serum were tested at several intervals during a 35-day storage period. Thermal
stability of this key assay component (expressed as time to 90% potency), was observed
to be<one day at 37.degree. C. and 50.degree. C., 3.1 days at 25.degree. C.,
and >35 days at 4.degree. C. The immunoreactivity of antigen-conjugated
microspheres is stable for >4 months when used in serial MIAs (data not
shown).
[0407] MIA ranges for positive and negative control sera were established by
evaluation of 20 human sera. Ten negative control sera had no detectable
virus-specific antibodies in WN virus IgM-capture and IgG ELISAs. The mean
microsphere MFI for these sera was 247.+-.74, establishing MFI.gtoreq.988
(P/N.gtoreq.4.0) as a cutoff for a positive result. The 10 sera from WN viral
encephalitis patients all tested positive for antibodies to WN virus E protein.
The mean MFI for the patient sera was 7,626.+-.4,312 (P<0.001; range 2,763
to 17,188) corresponding to a mean P/N ratio of 30.8.+-.17.4 (range 11.2 to
69.4). MIA results from repeated experiments were compared to determine
inter-operator reproducibility. For intra-assay imprecision studies, 10
aliquots of a WN virus encephalitis patient serum pool and 10 aliquots of a
negative control serum pool were tested separately in the rWNV-E MIA.
Intra-assay imprecision of the positive pool provided a coefficient of
variation (CV) of 7%. Intra-assay imprecision of the negative serum pool provided
a CV of 11%. These same negative and positive serum pools were analyzed on
several days for estimates of inter-assay imprecision. The inter-assay CVs for
the positive serum and negative serum pools were 17% and 32%, respectively. MIA
results for 91 positive and negative sera independently analyzed by two
individuals demonstrated inter-operator assay reproducibility (kappa=0.85; P/N
r.sup.2=0.99; slope=1.12).
Example 28
Anti-E Protein-Based Microsphere Immunoassay (MIA) Detects Antibodies to Related
Flaviviruses
[0408] Testing of a coded serum panel revealed that the rWNV-E MIA detects
human antibodies elicited by SLEV and DENV (FIG. 34). The serum panel, provided
by CDC Arbovirus Diseases Branch, included sera from patients infected with
WNV, SLEV or DENV. Ten of 19 sera in the panel were positive in the rWNV-E MIA
(mean P/N 25.75.+-.20.26; range, 4.28 to 55.23) using P/N>4.0 as a MIA
positive cut-off value. Decoding of the serum panel revealed that the rWNV-E
MIA detected 10 of 12 sera from flavivirus-infected individuals (kappa=0.79).
All six sera from WNV encephalitis or DENV fever patients (FIG. 34) were
positive. The MIA also identified four sera from patients infected with SLEV
(FIG. 34). Two sera from patients infected with SLEV were negative in the
rWNV-E MIA. These two sera were obtained within one day after disease onset,
when significant anti-SLEV antibody titers may not be present. The MIA produced
no false positive results with seven sera negative for neutralizing flavivirus
antibodies in PRN assays (FIG. 34). One negative control specimen consistently
tested false positive in IgM-capture ELISAs. Comparison of WNV ELISA results
for negative control sera and sera containing anti-WNV antibodies (FIG. 34)
indicated inter-laboratory agreement for IgG ELISA (kappa=1.00; P/N r=0.98) and
IgM-capture ELISA (kappa=0.80; P/N r=0.94) results.
[0409] The rWNV-E MIA detects antibodies elicited by JE-VAX.TM., the licensed
JE virus vaccine. Sera from eight individuals with occupational exposure to
flaviviruses were collected before and after vaccination with JE-VAX.TM.. Mean
polyvalent rWNV-E MIA values were 4.2.+-.4.5 for pre-vaccination sera, and
13.3.+-.12.7 for post-vaccination sera (P<0.05). The vaccination induced JEV
neutralizing antibodies in six vaccinees that were detectable in JEV PRN tests.
Example 29
Microsphere Immunoassay (MIA) Assessment of the Humoral Response to WNV
Infection
[0410] Several WN virus antibody detection methods were compared using serial
serum samples from a patient with WN virus infection (FIG. 32). The polyvalent
MIA, which detects both IgM and IgG (Panel A) and the ELISAs (Panel B) were
first used to evaluate the specimens. The MIA procedure was then modified to
measure IgM antibodies to WN virus E protein. Sera were depleted of IgG with
goat anti-human IgG, and analyzed with polyvalent R-PE-conjugated detector
antibody or with IgM-specific conjugate. These two detection systems yielded
equivalent P/N results (FIG. 32, PanelA; r.sup.2=0.998; slope=1.14) that
correlated with P/N values obtained with the IgM-capture ELISA (r.sup.2=0.85).
Each method detected maximal IgM reactivity in the serum specimen obtained 18
days post disease-onset.
[0411] IgG antibodies to WN virus E protein in the serial serum samples were
also evaluated by MIA (FIG. 32, Panel A). Removal of IgM with anti-human IgM
enhanced the correlation between the MIA and IgG ELISA P/N values (r=0.45 and
0.98 before after IgM depletion, respectively). The MIA detected maximal IgG
reactivity 72 days after disease onset whereas the IgG ELISA P/N value was
highest at 430 days post onset. In convalescent specimens obtained at days 72
and 260 post-disease onset, anti-IgG treatment depleted >80% of rWNV-E MIA
reactivity. Anti-IgG treatment of the day 18 specimen depleted only 11% of the
MIA reactivity. These data indicate that this patient's IgM response to WN
virus infection predominated only during acute infection.
Example 30
rWNV-E MIA Analysis of Sera from Patients with Suspected Viral Encephalitis
[0412] New York State Department of Health serum archives provided an
opportunity to evaluate 833 sera from patients with suspected viral
encephalitis in the rWNV-E MIA. With P/N>4.0 used as a positive cutoff, 188
(23%) sera were positive in the MIA (mean P/N 18.3.+-.15.8; range 4.07 to 122).
A polyvalent (IgM+IgG) MIA result was obtained for each of the 833 sera. In
contrast, IgG ELISA results for 131 (16%) sera were reported as
"uninterpretable" due to high non-specific background in negative
control ELISA assays. (A. J. Johnson et al., D. A. Martin et al.). One hundred
fifty-one (18%) of the 833 sera were positive in the IgG ELISA (mean P/N
11.51.+-.5.96; range 3.08 to 27.4). The MIA had high sensitivity (0.94) and
specificity (0.95) for sera with anti-WN virus IgG antibodies detected by the
IgG ELISA (positive predictive value=0.829; negative predictive value=0.98,
Positive and negative test results for the two assays were concordant
(kappa=0.85). FIG. 33 compares MIA and IgG ELISA P/N results for sera with
interpretable IgG ELISA results.
[0413] IgM capture ELISA data were available for 806 of the 833 sera from
patients with suspected viral encephalitis. Ninety-six (12%) sera were positive
in this assay (mean P/N 12.49.+-.4.13; range 7.18 to 25.9). Seven hundred (87%)
sera were negative. Ten sera (1%) provided nonspecific results. The polyvalent
MIA detected 80 (83%) of the 96 sera that were positive in the IgM-capture
ELISA. Sera positive in the standard polyvalent MIA (n=172) were re-assayed
after depletion of IgG to measure IgM antibodies to WN virus E protein. 80
(46%) sera were positive after removing IgG (mean P/N 19.5.+-.29.9; range 4.00
to 178). The IgG-depleted MIA sensitivity (0.61) and specificity (0.64) for
sera positive in the IgM-capture ELISA (kappa=0.25) suggested that capturing
IgM antibodies may enhance anti-WN virus IgM assay sensitivity. However,
twenty-three (36%) of the 64 discordant samples were positive in the
IgG-depleted MIA, positive in the IgG ELISA, but negative in the IgM-capture
ELISA. These samples apparently have IgM antibodies to WN virus E protein not
detected by the IgM-capture ELISA. Forty-three (5%) of the 833 sera from
patients with suspected flavivirus infection tested positive (mean P/N
7.28.+-.5.74; range 4.07 to 39.5) in the polyvalent rWNV-E MIA, but were
negative or uninterpretable in IgM-capture and IgG ELISAs. These sera were
initially identified as non-reactive or non-specific in the ELISAs, and no
diagnostic or clinical follow up was performed that could rule out WN virus infection.
The combined data indicate that the rWNV-E MIA has .gtoreq.95% specificity in
detecting flavivirus antibodies in sera from patients with suspected viral
encephalitis.
Example 31
WNV E-Based Microsphere Immunoassay (MIA) Detectsanti-Flavivirus Antibodies in
Cerebral Spinal Fluid (CFS)
[0414] Thirty-five CSF were evaluated in the rWNV-E MIA after depletion of IgG
from the specimens. Twenty negative control CSF (mean MFI 69.+-.119; range 5 to
540) were evaluated, establishing MFI >426 (3 standard deviations above the
mean) as a cutoff for a positive CSF result. The MIA was then used to evaluate
CSF from 15 encephalitis patients with flavivirus infection confirmed by serum
PRN tests (FIG. 36). Twelve specimens (80%) were positive in the MIA before and
after depletion of IgG, including eight CSF from patients infected with WNV,
two CSF from patients infected with dengue virus, and two CSF from patients
infected with an unidentified flavivirus. For most of these CSFs, depletion of
IgG minimally reduced MFI values (FIG. 36), indicating that the anti-E protein
antibodies were predominately IgM. MIA-negative CSF 9 and 10 were from patients
with WN virus-specific serum antibodies. PRN tests of acute and convalescent
sera indicated that these two patients did not have active flavivirus
infection.
[0415] Paired CSF and serum obtained on the same day were available for
Patients 1-6. These patients had WN virus infection confirmed by serum ELISA
and PRN tests. All six CSF were positive in MIAs (FIG. 36). In contrast, only
one of these CSF, from Patient 2, was positive in IgM-capture ELISAs (data not
shown).
Example 32
WNV NS5-Based Immunoassay Determines Whether Previously-Vaccinated Horse has
Sustained New Exposure to WNV
[0416] Using the WNV NS5-based immunoassay, in particular the microsphere
immunoassay (MIA), a determination can be made as to whether the horse has been
exposed and infected with WNV. Compared with live attenuated virus vaccine, the
duration of protective antibody in response to "killed" WNV
vaccination is relatively short. Thus, there exists an ongoing risk that the
horse could be infected with WNV upon exposure or reexposure thereto. In other
words, since protective immunity wanes quickly, veterinarians may be
increasingly challenged to diagnose neurological illness that could be due to
WNV infection in previously WNV-vaccinated horses. Such diagnosis will be
problematic for structural protein-based assays, such as the WNV E-glycoprotein
assay, due to the presence of preexisting antibodies to the structural protein
as a result of the immune response to the vaccination.
[0417] A two-step suspension microsphere immunofluorescence assay will be
performed. Multiscreen 96-well filter plates with 1.2 .mu.m Durapore filters
(Millipore, Bedford, Mass.) and a Multiscreen vacuum manifold (Millipore)
facilitated microsphere washing. Briefly, filter plate wells will be blocked
for 2 min with PBN buffer. Diluted serum samples (for example, 50 .mu.l,
diluted 1:100 in PBN) will be added to test wells. IgG-depleted sera will be
diluted 10-fold during depletion, and will diluted an additional 10-fold in PBN
for analysis in the rWNV-NS5 MIA with polyvalent secondary antibody conjugate.
NS5-antigen-conjugated microspheres (2,500 in 50 .mu.l PBN) will be added to
each well and incubated. Diluted fluorochrome-labeled secondary antibody (50
.mu.l of a 1:250 dilution in PBN) will be added to each well. As an example,
the secondary antibody can be polyvalent goat F (ab').sub.2 anti-horse
immunoglobulins (IgG+IgA+IgM) conjugated to red-phycoerythrin (R-PE) obtained
from a commercial or veterinary source. After incubation, microspheres will be
resuspended in 125 .mu.l PBN per well. Seventy-five microliter aliquots will be
transferred to opaque black EIA/RIA 96-well plates with breakaway strips
(Costar, Corning, N.Y.), and will be evaluated for microsphere fluorescence
intensity using a Luminex 100 instrument (Luminex Corp.). This instrument is a
dual laser flow analyzer. The first laser excites the flourochrome mixture intrinsic
to the microspheres, enabling the bead identity to be determined as the bead
passes single file through the laser path in the flow cell. The second laser
excites the extrinisic flourochrome (red-phycoerythrin) that is covalently
attached to the reporter antibodies (goat-anti horse immunoglobulins). The dual
lasers allows the operator to mix beads with different antigens together in a
well of a filter plate, thus enabling multiplex analysis of different antibody
specificities at one time.
[0418] The instrument will be calibrated with CL1/CL2 and RP1 calibration
microspheres from Luminex Corp. according to the manufacturer's directions. The
median fluorescence intensity (MFI) of fluorochrome-conjugated secondary
antibody bound to individual microspheres will be derived from flow analysis of
100 microspheres per well. Results for each assay will be expressed both as MFI
and as a horse/negative (P/N) MFI ratio, i.e., the MFI for the horse's specimen
divided by the MFI obtained from a pool of 10 negative control sera. The
negative control sera will contain no detectable antibodies to WN virus in
IgM-capture and IgG ELISAs.
[0419] Positive detection of anti-NS5 antibodies will indicate recent exposure
of the horse to WNV or an ongoing WNV infection. Killed WNV vaccine is not
expected to generate any immune response to NS5 proteins since the WNV vaccine
is not expected to replicate. Non-replicating viruses do not produce new NS5
protein. Thus, the NS5-based microsphere immunoassay will be useful for discriminating
between horses that have been vaccinated previously with killed WNV vaccine and
those that have been previously been vaccinated and were exposed and infected
with WNV.
REFERENCES
[0420] 1. Anderson, J. F., T. G. Andreadis, C. R. Vossbrinck, S. Tirrell, E. M.
Waken, R. A.
[0421] 2. Bellisario, R., R. J. Colinas, and K. A. Pass. 2002. Simultaneous
measurement of thyroxine(T4) and thyrotropin (TSH) from newborn dried
blood-spot specimens using a multiplexed fluorescent microsphere immunoassay.
Clin. Chem. 46:1422-24.
[0422] 3. Burke, D. S., A. Nisalak, and M. A. Ussery. 1982. Antibody Capture
Immunoassay Detection of Japanese Encephalitis Virus Immunoglobulin M and G
Antibodies in Cerebrospinal Fluid. J. Clin. Microbiol. 16:1034-1042.
[0423] 4. Burke, D. S. and A. Nisalak. 1982. Detection of Japanese Encephalitis
Virus Immunoglobulin M Antibodies in Serum by Antibody Capture
Radioimmunoassay. J. Clin. Microbiol. 16:353-361.
[0424] 5. Crowther, John R. 2001. Validation of Diagnostic Tests for Infectious
Diseases, p301-345 In Methods in Molecular Biology Volume 149. The ELISA
Guidebook. Humana Press, Totowa, N.J.
[0425] 6. Davis, B. S., G.-J. J. Chang, B. Cropp, J. T. Roehrig, d. A. Martin,
C. J. Mitchell, R. Bowen, and M. L. Bunning. 2001. WNV Recombinant DNA Vaccine
Protects Mouse and Horse from Virus Challenge and Expresses in vitro A
Noninfectious Recombinant Antigen That Can Be Used in Enzyme-Linked
Immunosorbent Assays. J. Virology 75:4040-4047.
[0426] 7. French, A. E. Garmendig, and H. J. Van Kruiningen. 1999. Isolation of
WNV from mosquitoes, crows, and a Cooper's hawk in Connecticut. Science 2
86:2331
[0427] 8. Johnson, A. J., D. A. Martin, N. Karabatsos and J. T. Roehrig. 2000.
Detection of Anti-Arboviral Immunoblobulin G by Using a Monoclonal
Antibody-Based Capture Enzyme-Linked Immunosorbent Assay. J. Clin. Microbiol.
38:18271831.
[0428] 9. Kellar, K. L., R. R. Kalwar, K. A. Dubous, D. Crouse, W. D. Chafin
and B.-E. Kane. 2001. Multiplexed Fluorescent Bead-Based Immunoassays for
Quantitation of Human Cytokines in Serum and Culture Supernatants. Cytometry
45:27-36.
[0429] 10. Kittigul, L. and K. Suankeow. Eur. J. Clin. Microbiol. Infect. Dis.
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Steele, B. Cnse, K. E. Volpe, M. B. Crabtree. K. H. Scherret, et. al. 1999.
Origin of the WNV responsible for an outbreak of encephalitis in the
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[0431] 12. L. B. Bangs, Manual for The Latex Course, Bangs Laboratories, Inc.,
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[0432] 13. Mandy, F. F., T. Nakamura, M. Bergeron, and K. Sekiguchi. 2001.
Overview and Application of Suspension Array Technology. Clinics in Laboratory
Medicine 21:713-729
[0433] 14. Mariella, R. Jr., 2002. MEMS for Bioassays. Biomedical Microdevices
4:77-87.
[0434] 15. Martin, D. A., D. A. Muth, T. Brown, A. J. Johnson, N. Karabatsos
and J. T. Rochrig. 2000. Standardization of immunoglobulin M Capture
Enzyme-Linked Immunosorbent Assays for routine Diagnosis of Arboviral Infections.
J. Clin. 1Vficrobiol. 38:1823-1826.
[0435] 16. Pickering, J. W., T. B. Martins, R. W. Greer, M. C. Schroeder, M. E.
Astill, C. M. Litwin, S. W. Hildreth, and H. R. Hill. 2002. A Multiplexed
Fluorescent Microsphere Immunoassay for Antibodies to Pneumococcal Capsular
Polysaccharides. Am. J. Clin Pahtol. 117:589-596.
[0436] 17. Schmitt, J. and W. Papisch. 2002. Recombinant autoantigens.
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J. Virology, 76: 5847-5856.
Sequence
CWU 1
20 1 10975 DNA West Nile virus 1 gctgacaaac ttagtagtgt ttgtgaggat taacaacaat
taacacagtg cgagctgttt 60 cttagcacga agatctcgat gtctaagaaa ccaggagggc ccggcaagag
ccgggctgtc 120 aatatgctaa aacgcggaat gccccgcgtg ttgtccttga ttggactgaa
gagggctatg 180 ttgagcctga tcgacggcaa ggggccaata cgatttgtgt tggctctctt ggcgttcttc
240 aggttcacag caattgctcc gacccgagca gtgctggatc gatggagagg tgtgaacaaa 300
caaacagcga tgaaacacct tctgagtttt aagaaggaac tagggacctt gaccagtgct 360
atcaatcggc ggagctcaaa acaaaagaaa agaggaggaa agaccggaat tgcagtcatg 420
attggcctga tcgccagcgt aggagcagtt accctctcta acttccaagg gaaggtgatg 480
atgacggtaa atgctactga cgtcacagat gtcatcacga ttccaacagc tgctggaaag 540
aacctatgca ttgtcagagc aatggatgtg ggatacatgt gcgatgatac tatcacttat 600
gaatgcccag tgctgtcggc tggtaatgat ccagaagaca tcgactgttg gtgcacaaag 660 tcagcagttt
acgtcaggta tggaagatgc accaagacac gccactcaag acgcagtcgg 720 aggtcactga
cagtgcagac acacggagaa agcactctag cgaacaagaa gggggcttgg 780 atggacagca
ccaaggccac aaggtacttg gtaaaaacag aatcatggat cttgaggaac 840 cctggatatg
ccctggtggc agccgtcatt ggttggatgc ttgggagcaa caccatgcag 900 agagttgtgt
ttgtcgtgct attgcttttg gtggccccag cttacagctt caactgcctt 960 ggaatgagca
acagagactt cttggaagga gtgtctggag caacatgggt ggatttggtt 1020 ctcgaaggcg
acagctgcgt gactatcatg tctaaggaca agcctaccat cgatgtgaag 1080 atgatgaata
tggaggcggc caacctggca gaggtccgca gttattgcta tttggctacc 1140 gtcagcgatc
tctccaccaa agctgcgtgc ccgaccatgg gagaagctca caatgacaaa 1200 cgtgctgacc
cagcttttgt gtgcagacaa ggagtggtgg acaggggctg gggcaacggc 1260 tgcggactat
ttggcaaagg aagcattgac acatgcgcca aatttgcctg ctctaccaag 1320 gcaataggaa
gaaccatctt gaaagagaat atcaagtacg aagtggccat ttttgtccat 1380 ggaccaacta
ctgtggagtc gcacggaaac tactccacac aggttggagc cactcaggca 1440 gggagattca
gcatcactcc tgcagcgcct tcatacacac taaagcttgg agaatatgga 1500 gaggtgacag
tggactgtga accacggtca gggattgaca ccaatgcata ctacgtgatg 1560 actgttggaa
caaagacgtt cttggtccat cgtgagtggt tcatggacct caacctccct 1620 tggagcagtg
ctggaagtac tgtgtggagg aacagagaga cgttaatgga gtttgaggaa 1680 ccacacgcca
cgaagcagtc tgtgatagca ttgggctcac aagagggagc tctgcatcaa 1740 gctttggctg gagccattcc
tgtggaattt tcaagcaaca ctgtcaagtt gacgtcgggt 1800 catttgaagt gtagagtgaa
gatggaaaaa ttgcagttga agggaacaac ctatggcgtc 1860 tgttcaaagg ctttcaagtt
tcttgggact cccgcagaca caggtcacgg cactgtggtg 1920 ttggaattgc agtacactgg
cacggatgga ccttgcaaag ttcctatctc gtcagtggct 1980 tcattgaacg acctaacgcc
agtgggcaga ttggtcactg tcaacccttt tgtttcaatg 2040 gccacggcca acgctaaggt
cctgattgaa ttggaaccac cctttggaga ctcatacata 2100 gtggtgggca gaggagaaca
acagatcaat caccattggc acaagtctgg aagcagcatt 2160 ggcaaagcct ttacaaccac cctcaaagga
gcgcagagac tagccgctct aggagacaca 2220 gcttgggact ttggatcagt tggaggggtg
ttcacctcag ttgggaaggc tgtccatcaa 2280 gtgttcggag gagcattccg ctcactgttc
ggaggcatgt cctggataac gcaaggattg 2340 ctgggggctc tcctgttgtg gatgggcatc
aatgctcgtg ataggtccat agctctcacg 2400 tttctcgcag ttggaggagt tctgctcttc
ctctccgtga acgtgcacgc tgacactggg 2460 tgtgccatag acatcagccg gcaagagctg
agatgtggaa gtggagtgtt catacacaat 2520 gatgtggagg cttggatgga ccggtacaag
tattaccctg aaacgccaca aggcctagcc 2580 aagatcattc agaaagctca taaggaagga
gtgtgcggtc tacgatcagt ttccagactg 2640 gagcatcaaa tgtgggaagc agtgaaggac
gagctgaaca ctcttttgaa ggagaatggt 2700 gtggacctta gtgtcgtggt tgagaaacag
gagggaatgt acaagtcagc acctaaacgc 2760 ctcaccgcca ccacggaaaa attggaaatt
ggctggaagg cctggggaaa gagtatttta 2820 tttgcaccag aactcgccaa caacaccttt
gtggttgatg gtccggagac caaggaatgt 2880 ccgactcaga atcgcgcttg gaatagctta
gaagtggagg attttggatt tggtctcacc 2940 agcactcgga tgttcctgaa ggtcagagag
agcaacacaa ctgaatgtga ctcgaagatc 3000 attggaacgg ctgtcaagaa caacttggcg
atccacagtg acctgtccta ttggattgaa 3060 agcaggctca atgatacgtg gaagcttgaa
agggcagttc tgggtgaagt caaatcatgt 3120 acgtggcctg agacgcatac cttgtggggc
gatggaatcc ttgagagtga cttgataata 3180 ccagtcacac tggcgggacc acgaagcaat
cacaatcgga gacctgggta caagacacaa 3240 aaccagggcc catgggacga aggccgggta
gagattgact tcgattactg cccaggaact 3300 acggtcaccc tgagtgagag ctgcggacac
cgtggacctg ccactcgcac caccacagag 3360 agcggaaagt tgataacaga ttggtgctgc
aggagctgca ccttaccacc actgcgctac 3420 caaactgaca gcggctgttg gtatggtatg
gagatcagac cacagagaca tgatgaaaag 3480 accctcgtgc agtcacaagt gaatgcttat
aatgctgata tgattgaccc ttttcagttg 3540 ggccttctgg tcgtgttctt ggccacccag
gaggtccttc gcaagaggtg gacagccaag 3600 atcagcatgc cagctatact gattgctctg
ctagtcctgg tgtttggggg cattacttac 3660 actgatgtgt tacgctatgt catcttggtg
ggggcagctt tcgcagaatc taattcggga 3720 ggagacgtgg tacacttggc gctcatggcg
accttcaaga tacaaccagt gtttatggtg 3780 gcatcgtttc ttaaagcgag atggaccaac
caggagaaca ttttgttgat gttggcggct 3840 gttttctttc aaatggctta tcacgatgcc
cgccaaattc tgctctggga gatccctgat 3900 gtgttgaatt cactggcggt agcttggatg
atactgagag ccataacatt cacaacgaca 3960 tcaaacgtgg ttgttccgct gctagccctg
ctaacacccg ggctgagatg cttgaatctg 4020 gatgtgtaca ggatactgct gttgatggtc
ggaataggca gcttgatcag ggagaagagg 4080 agtgcagctg caaaaaagaa aggagcaagt
ctgctatgct tggctctagc ctcaacagga 4140 cttttcaacc ccatgatcct tgctgctgga
ctgattgcat gtgatcccaa ccgtaaacgc 4200 ggatggcccg caactgaagt gatgacagct
gtcggcctaa tgtttgccat cgtcggaggg 4260 ctggcagagc ttgacattga ctccatggcc
attccaatga ctatcgcggg gctcatgttt 4320 gctgctttcg tgatttctgg gaaatcaaca gatatgtgga
ttgagagaac ggcggacatt 4380 tcctgggaaa gtgatgcaga aattacaggc tcgagcgaaa
gagttgatgt gcggcttgat 4440 gatgatggaa acttccagct catgaatgat ccaggagcac
cttggaagat atggatgctc 4500 agaatggtct gtctcgcgat tagtgcgtac accccctggg
caatcttgcc ctcagtagtt 4560 ggattttgga taactctcca atacacaaag agaggaggcg
tgttgtggga cactccctca 4620 ccaaaggagt acaaaaaggg ggacacgacc accggcgtct
acaggatcat gactcgtggg 4680 ctgctcggca gttatcaagc aggagcgggc gtgatggttg
aaggtgtttt ccacaccctt 4740 tggcatacaa caaaaggagc cgctttgatg agcggagagg gccgcctgga
cccatactgg 4800 ggcagtgtca aggaggatcg actttgttac ggaggaccct ggaaattgca
gcacaagtgg 4860 aacgggcagg atgaggtgca gatgattgtg gtggaacctg gcaagaacgt
taagaacgtc 4920 cagacgaaac caggggtgtt caaaacacct gaaggagaaa tcggggccgt
gactttggac 4980 ttccccactg gaacatcagg ctcaccaata gtggacaaaa acggtgatgt
gattgggctt 5040 tatggcaatg gagtcataat gcccaacggc tcatacataa gcgcgatagt
gcagggtgaa 5100 aggatggatg agccaatccc agccggattc gaacctgaga tgctgaggaa
aaaacagatc 5160 actgtactgg atctccatcc cggcgccggt aaaacaagga ggattctgcc acagatcatc
5220 aaagaggcca taaacagaag actgagaaca gccgtgctag caccaaccag ggttgtggct 5280
gctgagatgg ctgaagcact gagaggactg cccatccggt accagacatc cgcagtgccc 5340
agagaacata atggaaatga gattgttgat gtcatgtgtc atgctaccct cacccacagg 5400
ctgatgtctc ctcacagggt gccgaactac aacctgttcg tgatggatga ggctcatttc 5460
accgacccag ctagcattgc agcaagaggt tacatttcca caaaggtcga gctaggggag 5520
gcggcggcaa tattcatgac agccacccca ccaggcactt cagatccatt cccagagtcc 5580
aattcaccaa tttccgactt acagactgag atcccggatc gagcttggaa ctctggatac 5640 gaatggatca
cagaatacac cgggaagacg gtttggtttg tgcctagtgt caagatgggg 5700 aatgagattg
ccctttgcct acaacgtgct ggaaagaaag tagtccaatt gaacagaaag 5760 tcgtacgaga
cggagtaccc aaaatgtaag aacgatgatt gggactttgt tatcacaaca 5820 gacatatctg
aaatgggggc taacttcaag gcgagcaggg tgattgacag ccggaagagt 5880 gtgaaaccaa
ccatcataac agaaggagaa gcgagagtga tcctgggaga accatctgca 5940 gtgacagcag
ctagtgccgc ccagagacgt ggacgtatcg gtagaaatcc gtcgcaagtt 6000 ggtgatgagt
actgttatgg ggggcacacg aatgaagacg actcgaactt cgcccattgg 6060 actgaggcac
gaatcatgct ggacaacatc aacatgccaa acggactgat cgctcaattc 6120 taccaaccag
agcgtgagaa ggtatatacc atggatgggg aataccggct cagaggagaa 6180 gagagaaaaa
actttctgga actgttgagg actgcagatc tgccagtttg gctggcttac 6240 aaggttgcag
cggctggagt gtcataccac gaccggaggt ggtgctttga tggtcctagg 6300 acaaacacaa
ttttagaaga caacaacgaa gtggaagtca tcacgaagct tggtgaaagg 6360 aagattctga
ggccgcgctg gattgacgcc agggtgtact cggatcacca ggcactaaag 6420 gcgttcaagg
acttcgcctc gggaaaacgt tctcagatag ggctcattga ggttctggga 6480 aagatgcctg
agcacttcat ggggaagaca tgggaagcac ttgacaccat gtacgttgtg 6540 gccactgcag
agaaaggagg aagagctcac agaatggccc tggaggaact gccagatgct 6600 cttcagacaa
ttgccttgat tgccttattg agtgtgatga ccatgggagt attcttcctc 6660 ctcatgcagc
ggaagggcat tggaaagata ggtttgggag gcgctgtctt gggagtcgcg 6720 acctttttct
gttggatggc tgaagttcca ggaacgaaga tcgccggaat gttgctgctc 6780 tcccttctct
tgatgattgt gctaattcct gagccagaga agcaacgttc gcagacagac 6840 aaccagctag
ccgtgttcct gatttgtgtc atgacccttg tgagcgcagt ggcagccaac 6900 gagatgggtt
ggctagataa gaccaagagt gacataagca gtttgtttgg gcaaagaatt 6960 gaggtcaagg
agaatttcag catgggagag tttcttctgg acttgaggcc ggcaacagcc 7020 tggtcactgt
acgctgtgac aacagcggtc ctcactccac tgctaaagca tttgatcacg 7080 tcagattaca
tcaacacctc attgacctca ataaacgttc aggcaagtgc actattcaca 7140 ctcgcgcgag
gcttcccctt cgtcgatgtt ggagtgtcgg ctctcctgct agcagccgga 7200 tgctggggac
aagtcaccct caccgttacg gtaacagcgg caacactcct tttttgccac 7260 tatgcctaca
tggttcccgg ttggcaagct gaggcaatgc gctcagccca gcggcggaca 7320 gcggccggaa
tcatgaagaa cgctgtagtg gatggcatcg tggccacgga cgtcccagaa 7380 ttagagcgca
ccacacccat catgcagaag aaagttggac agatcatgct gatcttggtg 7440 tctctagctg
cagtagtagt gaacccgtct gtgaagacag tacgagaagc cggaattttg 7500 atcacggccg
cagcggtgac gctttgggag aatggagcaa gctctgtttg gaacgcaaca 7560 actgccatcg
gactctgcca catcatgcgt gggggttggt tgtcatgtct atccataaca 7620 tggacactca
taaagaacat ggaaaaacca ggactaaaaa gaggtggggc aaaaggacgc 7680 accttgggag
aggtttggaa agaaagactc aaccagatga caaaagaaga gttcactagg 7740 taccgcaaag
aggccatcat cgaagtcgat cgctcagcgg caaaacacgc caggaaagaa 7800 ggcaatgtca ctggagggca
tccagtctct aggggcacag caaaactgag atggctggtc 7860 gaacggaggt ttctcgaacc
ggtcggaaaa gtgattgacc ttggatgtgg aagaggcggt 7920 tggtgttact atatggcaac
ccaaaaaaga gtccaagaag tcagagggta cacaaagggc 7980 ggtcccggac atgaagagcc
ccaactagtg caaagttatg gatggaacat tgtcaccatg 8040 aagagtggag tggatgtgtt
ctacagacct tctgagtgtt gtgacaccct cctttgtgac 8100 atcggagagt cctcgtcaag
tgctgaggtt gaagagcata ggacgattcg ggtccttgaa 8160 atggttgagg actggctgca
ccgagggcca agggaatttt gcgtgaaggt gctctgcccc 8220 tacatgccga aagtcataga gaagatggag
ctgctccaac gccggtatgg ggggggactg 8280 gtcagaaacc cactctcacg gaattccacg
cacgagatgt attgggtgag tcgagcttca 8340 ggcaatgtgg tacattcagt gaatatgacc
agccaggtgc tcctaggaag aatggaaaaa 8400 aggacctgga agggacccca atacgaggaa
gacgtaaact tgggaagtgg aaccagggcg 8460 gtgggaaaac ccctgctcaa ctcagacacc
agtaaaatca agaacaggat tgaacgactc 8520 aggcgtgagt acagttcgac gtggcaccac
gatgagaacc acccatatag aacctggaac 8580 tatcacggca gttatgatgt gaagcccaca
ggctccgcca gttcgctggt caatggagtg 8640 gtcaggctcc tctcaaaacc atgggacacc atcacgaatg
ttaccaccat ggccatgact 8700 gacactactc ccttcgggca gcagcgagtg ttcaaagaga
aggtggacac gaaagctcct 8760 gaaccgccag aaggagtgaa gtacgtgctc aacgagacca
ccaactggtt gtgggcgttt 8820 ttggccagag aaaaacgtcc cagaatgtgc tctcgagagg
aattcataag aaaggtcaac 8880 agcaatgcag ctttgggtgc catgtttgaa gagcagaatc
aatggaggag cgccagagaa 8940 gcagttgaag atccaaaatt ttgggagatg gtggatgagg
agcgcgaggc acatctgcgg 9000 ggggaatgtc acacttgcat ttacaacatg atgggaaaga
gagagaaaaa acccggagag 9060 ttcggaaagg ccaagggaag cagagccatt tggttcatgt
ggctcggagc tcgctttctg 9120 gagttcgagg ctctgggttt tctcaatgaa gaccactggc
ttggaagaaa gaactcagga 9180 ggaggtgtcg agggcttggg cctccaaaaa ctgggttaca
tcctgcgtga agttggcacc 9240 cggcctgggg gcaagatcta tgctgatgac acagctggct
gggacacccg catcacgaga 9300 gctgacttgg aaaatgaagc taaggtgctt gagctgcttg
atggggaaca tcggcgtctt 9360 gccagggcca tcattgagct cacctatcgt cacaaagttg
tgaaagtgat gcgcccggct 9420 gctgatggaa gaaccgtcat ggatgttatc tccagagaag
atcagagggg gagtggacaa 9480 gttgtcacct acgccctaaa cactttcacc aacctggccg
tccagctggt gaggatgatg 9540 gaaggggaag gagtgattgg cccagatgat gtggagaaac
tcacaaaagg gaaaggaccc 9600 aaagtcagga cctggctgtt tgagaatggg gaagaaagac
tcagccgcat ggctgtcagt 9660 ggagatgact gtgtggtaaa gcccctggac gatcgctttg
ccacctcgct ccacttcctc 9720 aatgctatgt caaaggttcg caaagacatc caagagtgga aaccgtcaac
tggatggtat 9780 gattggcagc aggttccatt ttgctcaaac catttcactg aattgatcat
gaaagatgga 9840 agaacactgg tggttccatg ccgaggacag gatgaattgg taggcagagc
tcgcatatct 9900 ccaggggccg gatggaacgt ccgcgacact gcttgtctgg ctaagtctta
tgcccagatg 9960 tggctgcttc tgtacttcca cagaagagac ctgcggctca tggccaacgc
catttgctcc 10020 gctgtccctg tgaattgggt ccctaccgga agaaccacgt ggtccatcca
tgcaggagga 10080 gagtggatga caacagagga catgttggag gtctggaacc gtgtttggat
agaggagaat 10140 gaatggatgg aagacaaaac cccagtggag aaatggagtg acgtcccata ttcaggaaaa
10200 cgagaggaca tctggtgtgg cagcctgatt ggcacaagag cccgagccac gtgggcagaa 10260
aacatccagg tggctatcaa ccaagtcaga gcaatcatcg gagatgagaa gtatgtggat 10320
tacatgagtt cactaaagag atatgaagac acaactttgg ttgaggacac agtactgtag 10380
atatttaatt aattgtaaat agacaatata agtatgcata aaagtgtagt tttatagtag 10440
tatttagtgg tgttagtgta aatagttaag aaaattttga ggagaaagtc aggccgggaa 10500
gttcccgcca ccggaagttg agtagacggt gctgcctgcg actcaacccc aggaggactg 10560
ggtgaacaaa gccgcgaagt gatccatgta agccctcaga accgtctcgg aaggaggacc 10620
ccacatgttg taacttcaaa gcccaatgtc agaccacgct acggcgtgct actctgcgga 10680
gagtgcagtc tgcgatagtg ccccaggagg actgggttaa caaaggcaaa ccaacgcccc 10740
acgcggccct agccccggta atggtgttaa ccagggcgaa aggactagag gttagaggag 10800
accccgcggt ttaaagtgca cggcccagcc tggctgaagc tgtaggtcag gggaaggact 10860
agaggttagt ggagaccccg tgccacaaaa caccacaaca aaacagcata ttgacacctg 10920
ggatagacta ggagatcttc tgctctgcac aaccagccac acggcacagt gcgcc 10975 2 11029 DNA
West Nile virus 2 agtagttcgc ctgtgtgagc tgacaaactt agtagtgttt gtgaggatta
acaacaatta 60 acacagtgcg agctgtttct tagcacgaag atctcgatgt ctaagaaacc aggagggccc
120 ggcaagagcc gggctgtcaa tatgctaaaa cgcggaatgc cccgcgtgtt gtccttgatt 180
ggactgaaga gggctatgtt gagcctgatc gacggcaagg ggccaatacg atttgtgttg 240
gctctcttgg cgttcttcag gttcacagca attgctccga cccgagcagt gctggatcga 300
tggagaggtg tgaacaaaca aacagcgatg aaacaccttc tgagttttaa gaaggaacta 360
gggaccttga ccagtgctat caatcggcgg agctcaaaac aaaagaaaag aggaggaaag 420
accggaattg cagtcatgat tggcctgatc gccagcgtag gagcagttac cctctctaac 480 ttccaaggga
aggtgatgat gacggtaaat gctactgacg tcacagatgt catcacgatt 540 ccaacagctg
ctggaaagaa cctatgcatt gtcagagcaa tggatgtggg atacatgtgc 600 gatgatacta
tcacttatga atgcccagtg ctgtcggctg gtaatgatcc agaagacatc 660 gactgttggt
gcacaaagtc agcagtctac gtcaggtatg gaagatgcac caagacacgc 720 cactcaagac
gcagtcggag gtcactgaca gtgcagacac acggagaaag cactctagcg 780 aacaagaagg
gggcttggat ggacagcacc aaggccacaa ggtatttggt aaaaacagaa 840 tcatggatct
tgaggaaccc tggatatgcc ctggtggcag ccgtcattgg ttggatgctt 900 gggagcaaca ccatgcagag
agttgtgttt gtcgtgctat tgcttttggt ggccccagct 960 tacagcttca actgccttgg
aatgagcaac agagacttct tggaaggagt gtctggagca 1020 acatgggtgg atttggttct
cgaaggcgac agctgcgtga ctatcatgtc taaggacaag 1080 cctaccatcg atgtgaagat
gatgaatatg gaggcggcca acctggcaga ggtccgcagt 1140 tattgctatt tggctaccgt
cagcgatctc tccaccaaag ctgcgtgccc gaccatggga 1200 gaagctcaca atgacaaacg
tgctgaccca gcttttgtgt gcagacaagg agtggtggac 1260 aggggctggg gcaacggctg
cggattattt ggcaaaggaa gcattgacac atgcgccaaa 1320 tttgcctgct ctaccaaggc
aataggaaga accatcttga aagagaatat caagtacgaa 1380 gtggccattt ttgtccatgg
accaactact gtggagtcgc acggaaacta ctccacacag 1440 gttggagcca ctcaggcagg
gagattcagc atcactcctg cggcgccttc atacacacta 1500 aagcttggag aatatggaga
ggtgacagtg gactgtgaac cacggtcagg gattgacacc 1560 aatgcatact acgtgatgac
tgttggaaca aagacgttct tggtccatcg tgagtggttc 1620 atggacctca acctcccttg
gagcagtgct ggaagtactg tgtggaggaa cagagagacg 1680 ttaatggagt ttgaggaacc
acacgccacg aagcagtctg tgatagcatt gggctcacaa 1740 gagggagctc tgcatcaagc
tttggctgga gccattcctg tggaattttc aagcaacact 1800 gtcaagttga cgtcgggtca
tttgaagtgt agagtgaaga tggaaaaatt gcagttgaag 1860 ggaacaacct atggcgtctg
ttcaaaggct ttcaagtttc ttgggactcc cgcagacaca 1920 ggtcacggca ctgtggtgtt
ggaattgcag tacactggca cggatggacc ttgtaaagtt 1980 cctatctcgt cagtggcttc attgaacgac
ctaacgccag tgggcagatt ggtcactgtc 2040 aacccttttg tttcagtggc cacggccaac
gctaaggtcc tgattgaatt ggaaccaccc 2100 tttggagact catacatagt ggtgggcaga
ggagaacaac agatcaatca ccattggcac 2160 aagtctggaa gcagcattgg caaagccttt
acaaccaccc tcaaaggagc gcagagacta 2220 gccgctctag gagacacagc ttgggacttt
ggatcagttg gaggggtgtt cacctcagtt 2280 gggaaggctg tccatcaagt gttcggagga
gcattccgct tactgttcgg aggcatgtcc 2340 tggataacgc aaggattgct gggggctctc
ctgttgtgga tgggcatcaa tgctcgtgat 2400 aggtccatag ctctcacgtt tctcgcagtt ggaggagttc
tgctcttcct ctccgtgaac 2460 gtgcacgctg acactgggtg tgccatagac atcagccggc
aagagctgag atgtggaagt 2520 ggagtgttca tacacaatga tgtggaggct tggatggacc
gatacaagta ttaccctgaa 2580 acgccacaag gcctagccaa gatcattcag aaagctcata
aggaaggagt gtgcggtcta 2640 cgatcagttt ccagactgga gcatcaaatg tgggaagcag
tgaaggacga gctgaacact 2700 cttttgaagg agaatggtgt ggaccttagt gtcgtggttg
agaaacagga gggaatgtac 2760 aagtcagcac ctaaacgcct caccgccacc acggaaaaat
tggaaattgg ctggaaggcc 2820 tggggaaaga gtattttatt tgcaccagaa ctcgccaaca
acacctttgt ggttgatggt 2880 ccggagacca aggaatgtcc gactcagaat cgcgcttgga
atagcttaga agtggaggat 2940 tttggatttg gtctcaccag cactcggatg ttcctgaagg
tcagagagag caacacaact 3000 gaatgtgact cgaagatcat tggaacggct gtcaagaaca
acttggcgat ccacagtgac 3060 ctgtcctatt ggattgaaag caggctcaat gatacgtgga
agcttgaaag ggcagttctg 3120 ggtgaagtca aatcatgtac gtggcctgag acgcatacct
tgtggggcga tggaatcctt 3180 gagagtgact tgataatacc agtcacactg gcgggaccac
gaagcaatca caatcggaga 3240 cctgggtaca agacacaaaa ccagggccca tgggacgaag
gccgggtaga gattgacttc 3300 gattactgcc caggaactac ggtcaccctg agtgagagct
gcggacaccg tggacctgcc 3360 actcgcacca ccacagagag cggaaagttg ataacagatt
ggtgctgcag gagctgcacc 3420 ttaccaccac tgcgctacca aactgacagc ggctgttggt
atggtatgga gatcagacca 3480 cagagacatg atgaaaagac cctcgtgcag tcacaagtga
atgcttataa tgctgatatg 3540 attgaccctt ttcagttggg ccttctggtc gtgttcttgg
ccacccagga ggtccttcgc 3600 aagaggtgga cagccaagat cagcatgcca gctatactga
ttgctctgct agtcctggtg 3660 tttgggggca ttacttacac tgatgtgtta cgctatgtca
tcttggtggg ggcagctttc 3720 gcagaatcta attcgggagg agacgtggta cacttggcgc
tcatggcgac cttcaagata 3780 caaccagtgt ttatggtggc atcgtttctc aaagcgagat
ggaccaacca ggagaacatt 3840 ttgttgatgt tggcggctgt tttctttcaa atggcttatc
acgatgcccg ccaaattctg 3900 ctctgggaga tccctgatgt gttgaattca ctggcggtag
cttggatgat actgagagcc 3960 ataacattca caacgacatc aaacgtggtt gttccgctgc
tagccctgct aacacccggg 4020
ctgagatgct tgaatctgga tgtgtacagg atactgctgt tgatggtcgg aataggcagc 4080
ttgatcaggg agaagaggag tgcagctgca aaaaagaaag gagcaagtct gctatgcttg 4140
gctctagcct caacaggact tttcaacccc atgatccttg ctgctggact gattacatgt 4200
gatcccaacc gtaaacgcgg atggcccgca actgaagtga tgacagctgt cggcctgatg 4260
tttgccatcg tcggagggct ggcagagctt gacattgact ccatggccat tccaatgact 4320
atcgcggggc tcatgtttgc tgctttcgtg atttctggga aatcaacaga tatgtggatt 4380 gagagaacgg
cggacatttc ctgggaaagt gatgcagaaa ttacaggctc gagcgaaaga 4440 gttgatgtgc
ggcttgatga tgatggaaac ttccagctca tgaatgatcc aggagcacct 4500 tggaagatat
ggatgctcag aatggtctgt ctcgcgatta gtgcgtacac cccctgggca 4560 atcttgccct
cagtagttgg attttggata actctccaat acacaaagag aggaggcgtg 4620 ttgtgggaca
ctccctcacc aaaggagtac aaaaaggggg acacgaccac cggcgtctac 4680 aggatcatga
ctcgtgggct gctcggcagt tatcaagcag gagcgggcgt gatggttgaa 4740 ggtgttttcc
acaccctttg gcatacaaca aaaggagccg ctttgatgag cggagagggc 4800 cgcctggacc catactgggg
cagtgtcaag gaggatcgac tttgttacgg aggaccctgg 4860 aaattgcagc acaagtggaa
cgggcaggat gaggtgcaga tgattgtggt ggaacctggc 4920 aagaacgtta agaacgtcca
gacgaaacca ggggtgttca aaacacctga aggagaaatc 4980 ggggccgtga ctttggactt
ccccactgga acatcaggct caccaatagt ggacaaaaac 5040 ggtgatgtga ttgggcttta
tggcaatgga gtcataatgc ccaacggctc atacataagc 5100 gcgatagtgc agggtgaaag
gatggatgag ccaatcccag ccggattcga acctgagatg 5160 ctgaggaaaa aacagatcac
tgtactggat ctccatcccg gcgccggtaa aacaaggagg 5220 attctgccac agatcatcaa agaggccata
aacagaagac tgagaacagc cgtgctagca 5280 ccaaccaggg ttgtggctgc tgagatggct
gaagcactga gaggactgcc catccggtac 5340 cagacatccg cagtgcccag agaacataat
ggaaatgaga ttgttgatgt catgtgtcat 5400 gctaccctca cccacaggct gatgtctcct
cacagggtgc cgaactacaa cctgttcgtg 5460 atggatgagg ctcatttcac cgacccagct
agcattgcag caagaggtta catttccaca 5520 aaggtcgagc taggggaggc ggcggcaata
ttcatgacag ccaccccacc aggcacttca 5580 gatccattcc cagagtccaa ttcaccaatt
tccgacttac agactgagat cccggatcga 5640 gcttggaact ctggatacga atggatcaca
gaatacaccg ggaagacggt ttggtttgtg 5700 cctagtgtca agatggggaa tgagattgcc
ctttgcctac aacgtgctgg aaagaaagta 5760 gtccaattga acagaaagtc gtacgagacg
gagtacccaa aatgtaagaa cgatgattgg 5820 gactttgtta tcacaacaga catatctgaa
atgggggcta actttaaggc gagcagggtg 5880 attgacagcc ggaagagtgt gaaaccaacc
atcataacag aaggagaagg gagagtgatc 5940 ctgggagaac catctgcagt gacagcagct
agtgccgccc agagacgtgg acgtatcggt 6000 agaaatccgt cgcaagttgg tgatgagtac
tgttatgggg ggcacacgaa tgaagacgac 6060 tcgaacttcg cccattggac tgaggcacga
atcatgctgg acaacatcaa catgccaaac 6120 ggactgatcg ctcaattcta ccaaccagag
cgtgagaagg tatataccat ggatggggaa 6180 taccggctca gaggagaaga gagaaaaaac
tttctggaac tgttgaggac tgcagatctg 6240 ccagtttggc tggcttacaa ggttgcagcg
gctggagtgt cataccacga ccggaggtgg 6300 tgctttgatg gtcctaggac aaacacaatt
ttagaagaca acaacgaagt ggaagtcatc 6360 acgaagcttg gtgaaaggaa gattctgagg
ccgcgctgga ttgacgccag ggtgtactcg 6420 gatcaccagg cactaaaggc gttcaaggac
ttcgcctcgg gaaaacgttc tcagataggg 6480 ctcattgagg ttctgggaaa gatgcctgag
cacttcatgg ggaagacatg ggaagcactt 6540 gacaccatgt acgttgtggc cactgcagag
aaaggaggaa gagctcacag aatggccctg 6600 gaggaactgc cagatgctct tcagacaatt
gccttgattg ccttattgag tgtgatgacc 6660 atgggagtat tcttcctcct catgcagcgg
aagggcattg gaaagatagg tttgggaggc 6720 gctgtcttgg gagtcgcgac ctttttctgt
tggatggctg aagttccagg aacgaagatc 6780 gccggaatgt tgctgctctc ccttctcttg
atgattgtgc taattcctga gccagagaag 6840 caacgttcgc agacagacaa ccagctagcc
gtgttcctga tttgtgtcat gacccttgtg 6900 agcgcagtgg cagccaacga gatgggttgg
ctagataaga ccaagagtga cataagcagt 6960 ttgtttgggc aaagaattga ggtcaaggag
aatttcagca tgggagagtt tcttctggac 7020 ttgaggccgg caacagcctg gtcactgtac
gctgtgacaa cagcggtcct cactccactg 7080 ctaaagcatt tgatcacgtc agattacatc
aacacctcat tgacctcaat aaacgttcag 7140 gcaagtgcac tattcacact cgcgcgaggc
ttccccttcg tcgatgttgg agtgtcggct 7200 ctcctgctag cagccggatg ctggggacaa
gtcaccctca ccgttacggt aacagcggca 7260 acactccttt tttgccacta tgcctacatg
gttcccggtt ggcaagctga ggcaatgcgc 7320 tcagcccagc ggcggacagc ggccggaatc
atgaagaacg ctgtagtgga tggcatcgtg 7380 gccacggacg tcccagaatt agagcgcacc acacccatca
tgcagaagaa agttggacag 7440 atcatgctga tcttggtgtc tctagctgca gtagtagtga
acccgtctgt gaagacagta 7500 cgagaagccg gaattttgat cacggccgca gcggtgacgc
tttgggagaa tggagcaagc 7560 tctgtttgga acgcaacaac tgccatcgga ctctgccaca
tcatgcgtgg gggttggttg 7620 tcatgtctat ccataacatg gacactcata aagaacatgg
aaaaaccagg actaaaaaga 7680 ggtggggcaa aaggacgcac cttgggagag gtttggaaag
aaagactcaa ccagatgaca 7740 aaagaagagt tcactaggta ccgcaaagag gccatcatcg
aagtcgatcg ctcagcagca 7800 aaacacgcca ggaaagaagg caatgtcact ggagggcatc cagtctctag
gggcacagca 7860 aaactgagat ggctggtcga acggaggttt ctcgaaccgg tcggaaaagt
gattgacctt 7920 ggatgtggaa gaggcggttg gtgttactat atggcaaccc aaaaaagagt
ccaagaagtc 7980 agagggtaca caaagggcgg tcccggacat gaagagcccc aactagtgca
aagttatgga 8040 tggaacattg tcaccatgaa gagtggggtg gatgtgttct acagaccttc
tgagtgttgt 8100 gacaccctcc tttgtgacat cggagagtcc tcgtcaagtg ctgaggttga
agagcatagg 8160 acgattcggg tccttgaaat ggttgaggac tggctgcacc gagggccaag
ggaattttgc 8220 gtgaaggtgc tctgccccta catgccgaaa gtcatagaga agatggagct gctccaacgc
8280 cggtatgggg ggggactggt cagaaaccca ctctcacgga attccacgca cgagatgtat 8340
tgggtgagtc gagcttcagg caatgtggta cattcagtga atatgaccag ccaggtgctc 8400
ctaggaagaa tggaaaaaag gacctggaag ggaccccaat acgaggaaga tgtaaacttg 8460
ggaagtggaa ccagggcggt gggaaaaccc ctgctcaact cagacaccag taaaatcaag 8520
aacaggattg aacgactcag gcgtgagtac agttcgacgt ggcaccacga tgagaaccac 8580
ccatatagaa cctggaacta tcacggcagt tatgatgtga agcccacagg ctccgccagt 8640
tcgctggtca atggagtggt caggctcctc tcaaaaccat gggacaccat cacgaatgtt 8700 accaccatgg
ccatgactga cactactccc ttcgggcagc agcgagtgtt caaagagaag 8760 gtggacacga
aagctcctga accgccagaa ggagtgaagt acgtgctcaa cgagaccacc 8820 aactggttgt
gggcgttttt ggccagagaa aaacgtccca gaatgtgctc tcgagaggaa 8880 ttcataagaa
aggtcaacag caatgcagct ttgggtgcca tgtttgaaga gcagaatcaa 8940 tggaggagcg
ccagagaggc agttgaagat ccaaaatttt gggagatggt ggatgaggag 9000 cgcgaggcac
atctgcgggg ggaatgtcac acttgcattt acaacatgat gggaaagaga 9060 gagaaaaaac
ccggagagtt cggaaaggcc aagggaagca gagccatttg gttcatgtgg 9120 ctcggagctc
gctttctgga gttcgaggct ctgggttttc tcaatgaaga ccactggctt 9180 ggaagaaaga
actcaggagg aggtgtcgag ggcttgggcc tccaaaaact gggttacatc 9240 ctgcgtgaag
ttggcacccg gcctgggggc aagatctatg ctgatgacac agctggctgg 9300 gacacccgca
tcacgagagc tgacttggaa aatgaagcta aggtgcttga gctgcttgat 9360 ggggaacatc
ggcgtcttgc cagggccatc attgagctca cctatcgtca caaagttgtg 9420 aaagtgatgc
gcccggctgc tgatggaaga accgtcatgg atgttatctc cagagaagat 9480 cagaggggga
gtggacaagt tgtcacctac gccctaaaca ctttcaccaa cctggccgtc 9540 cagctggtga
ggatgatgga aggggaagga gtgattggcc cagatgatgt ggagaaactc 9600 acaaaaggga
aaggacccaa agtcaggacc tggctgtttg agaatgggga agaaagactc 9660 agccgcatgg
ctgtcagtgg agatgactgt gtggtaaagc ccctggacga tcgctttgcc 9720 acctcgctcc
acttcctcaa tgctatgtca aaggttcgca aagacatcca agagtggaaa 9780 ccgtcaactg
gatggtatga ttggcagcag gttccatttt gctcaaacca tttcactgaa 9840 ttgatcatga
aagatggaag aacactggtg gttccatgcc gaggacagga tgaattggta 9900 ggcagagctc
gcatatctcc aggggccgga tggaacgtcc gcgacactgc ttgtctggct 9960 aagtcttatg
cccagatgtg gctgcttctg tacttccaca gaagagacct gcggctcatg 10020 gccaacgcca
tttgctccgc tgtccctgtg aattgggtcc ctaccggaag aaccacgtgg 10080 tccatccatg
caggaggaga gtggatgaca acagaggaca tgttggaggt ctggaaccgt 10140 gtttggatag
aggagaatga atggatggaa gacaaaaccc cagtggagaa atggagtgac 10200 gtcccatatt
caggaaaacg agaggacatc tggtgtggca gcctgattgg cacaagagcc 10260 cgagccacgt
gggcagaaaa catccaggtg gctatcaacc aagtcagagc aatcatcgga 10320 gatgagaagt
atgtggatta catgagttca ctaaagagat atgaagacac aactttggtt 10380 gaggacacag
tactgtagat atttaatcaa ttgtaaatag acaatataag tatgcataaa 10440 agtgtagttt
tatagtagta tttagtggtg ttagtgtaaa tagttaagaa aattttgagg 10500 agaaagtcag
gccgggaagt tcccgccacc ggaagttgag tagacggtgc tgcctgcgac 10560 tcaaccccag
gaggactggg tgaacaaagc cgcgaagtga tccatgtaag ccctcagaac 10620 cgtctcggaa
ggaggacccc acatgttgta acttcaaagc ccaatgtcag accacgctac 10680 ggcgtgctac
tctgcggaga gtgcagtctg cgatagtgcc ccaggaggac tgggttaaca 10740 aaggcaaacc
aacgccccac gcggccctag ccccggtaat ggcgttaacc agggcgaaag 10800 gactagaggt
tagaggagac cccgcggttt aaagtgcacg gcccagcctg gctgaagctg 10860 taggtcaggg
gaaggactag aggttagtgg agaccccgtg ccacaaaaca ccacaacaaa 10920 acagcatatt
gacacctggg atagactagg agatcttctg ctctgcacaa ccagccacac 10980 ggcacagtgc
gccgacaatg gtggctggtg gtgcgagaac acaggatct 11029 3 10735 DNA Dengue virus type
1 3 agttgttagt ctacgtggac cgacaagaac agtttcgaat cggaagcttg cttaacgtag 60
ttctaacagt tttttattag agagcagatc tctgatgaac aaccaacgga aaaagacggg 120
tcgaccgtct ttcaatatgc tgaaacgcgc gagaaaccgc gtgtcaactg tttcacagtt 180
ggcgaagaga ttctcaaaag gattgctttc aggccaagga cccatgaaat tggtgatggc 240
ttttatagca ttcctaagat ttctagccat acctccaaca gcaggaattt tggctagatg 300
gggctcattc aagaagaatg gagcgatcaa agtgttacgg ggtttcaaga aagaaatctc 360
aaacatgttg aacataatga acaggaggaa aagatctgtg accatgctcc tcatgctgct 420
gcccacagcc ctggcgttcc atctgaccac ccgaggggga gagccgcaca tgatagttag 480
caagcaggaa agaggaaaat cacttttgtt taagacctct gcaggtgtca acatgtgcac 540
ccttattgca atggatttgg gagagttatg tgaggacaca atgacctaca aatgcccccg 600
gatcactgag acggaaccag atgacgttga ctgttggtgc aatgccacgg agacatgggt 660
gacctatgga acatgttctc aaactggtga acaccgacga gacaaacgtt ccgtcgcact 720
ggcaccacac gtagggcttg gtctagaaac aagaaccgaa acgtggatgt cctctgaagg 780
cgcttggaaa caaatacaaa aagtggagac ctgggctctg agacacccag gattcacggt 840
gatagccctt tttctagcac atgccatagg aacatccatc acccagaaag ggatcatttt 900
tattttgctg atgctggtaa ctccatccat ggccatgcgg tgcgtgggaa taggcaacag 960
agacttcgtg gaaggactgt caggagctac gtgggtggat gtggtactgg agcatggaag 1020
ttgcgtcact accatggcaa aagacaaacc aacactggac attgaactct tgaagacgga 1080
ggtcacaaac cctgccgtcc tgcgcaaact gtgcattgaa gctaaaatat caaacaccac 1140
caccgattcg agatgtccaa cacaaggaga agccacgctg gtggaagaac aggacacgaa 1200
ctttgtgtgt cgacgaacgt tcgtggacag aggctggggc aatggttgtg ggctattcgg 1260
aaaaggtagc ttaataacgt gtgctaagtt taagtgtgtg acaaaactgg aaggaaagat 1320 agtccaatat
gaaaacttaa aatattcagt gatagtcacc gtacacactg gagaccagca 1380 ccaagttgga
aatgagacca cagaacatgg aacaactgca accataacac ctcaagctcc 1440 cacgtcggaa
atacagctga cagactacgg agctctaaca ttggattgtt cacctagaac 1500 agggctagac
tttaatgaga tggtgttgtt gacaatggaa aaaaaatcat ggctcgtcca 1560 caaacaatgg
tttctagact taccactgcc ttggacctcg ggggcttcaa catcccaaga 1620 gacttggaat
agacaagact tgctggtcac atttaagaca gctcatgcaa aaaagcagga 1680 agtagtcgta
ctaggatcac aagaaggagc aatgcacact gcgttgactg gagcgacaga 1740 aatccaaacg tctggaacga
caacaatttt tgcaggacac ctgaaatgca gactaaaaat 1800 ggataaactg actttaaaag
ggatgtcata tgtaatgtgc acagggtcat tcaagttaga 1860 gaaggaagtg gctgagaccc
agcatggaac tgttctagtg caggttaaat acgaaggaac 1920 agatgcacca tgcaagatcc
ccttctcgtc ccaagatgag aagggagtaa cccagaatgg 1980 gagattgata acagccaacc
ccatagtcac tgacaaagaa aaaccagtca acattgaagc 2040 ggagccacct tttggtgaga
gctacattgt ggtaggagca ggtgaaaaag ctttgaaact 2100 aagctggttc aagaagggaa
gcagtatagg gaaaatgttt gaagcaactg cccgtggagc 2160 acgaaggatg gccatcctgg
gagacactgc atgggacttc ggttctatag gaggggtgtt 2220 cacgtctgtg ggaaaactga
tacaccagat ttttgggact gcgtatggag ttttgttcag 2280 cggtgtttct tggaccatga
agataggaat agggattctg ctgacatggc taggattaaa 2340 ctcaaggagc acgtcccttt
caatgacgtg tatcgcagtt ggcatggtca cgctgtacct 2400 aggagtcatg gttcaggcgg
actcgggatg tgtaatcaac tggaaaggca gagaactcaa 2460 atgtggaagc ggcatttttg
tcaccaatga agtccacacc tggacagagc aatataaatt 2520 ccaggccgac tcccctaaga
gactatcagc ggccattggg aaggcatggg aggagggtgt 2580 gtgtggaatt cgatcagcca
ctcgtctcga gaacatcatg tggaagcaaa tatcaaatga 2640 attaaaccac atcttacttg
aaaatgacat gaaatttaca gtggtcgtag gagacgttag 2700 tggaatcttg gcccaaggaa
agaaaatgat taggccacaa cccatggaac acaaatactc 2760 gtggaaaagc tggggaaaag
ccaaaatcat aggagcagat gtacagaata ccaccttcat 2820 catcgacggc ccaaacaccc cagaatgccc
tgataaccaa agagcatgga acatttggga 2880 agttgaagac tatggatttg gaattttcac
gacaaacata tggttgaaat tgcgtgactc 2940 ctacactcaa gtgtgtgacc accggctaat
gtcagctgcc atcaaggata gcaaagcagt 3000 ccatgctgac atggggtact ggatagaaag
tgaaaagaac gagacttgga agttggcaag 3060 agcctccttc atagaagtta agacatgcat
ctggccaaaa tcccacactc tatggagcaa 3120 tggagtcctg gaaagtgaga tgataatccc
aaagatatat ggaggaccaa tatctcagca 3180 caactacaga ccaggatatt tcacacaaac
agcagggccg tggcacttgg gcaagttaga 3240 actagatttt gatttatgtg aaggtaccac tgttgttgtg
gatgaacatt gtggaaatcg 3300 aggaccatct cttagaacca caacagtcac aggaaagaca
atccatgaat ggtgctgtag 3360 atcttgcacg ttaccccccc tacgtttcaa aggagaagac
gggtgctggt acggcatgga 3420 aatcagacca gtcaaggaga aggaagagaa cctagttaag
tcaatggtct ctgcagggtc 3480 aggagaagtg gacagttttt cactaggact gctatgcata
tcaataatga tcgaagaggt 3540 aatgagatcc agatggagca gaaaaatgct gatgactgga
acattggctg tgttcctcct 3600 tctcacaatg ggacaattga catggaatga tctgatcagg
ctatgtatca tggttggagc 3660 caacgcttca gacaagatgg ggatgggaac aacgtaccta gctttgatgg
ccactttcag 3720 aatgagacca atgttcgcag tcgggctact gtttcgcaga ttaacatcta
gagaagttct 3780 tcttcttaca gttggattga gtctggtggc atctgtagaa ctaccaaatt
ccttagagga 3840 gctaggggat ggacttgcaa tgggcatcat gatgttgaaa ttactgactg
attttcagtc 3900 acatcagcta tgggctacct tgctgtcttt aacatttgtc aaaacaactt
tttcattgca 3960 ctatgcatgg aagacaatgg ctatgatact gtcaattgta tctctcttcc
ctttatgcct 4020 gtccacgact tctcaaaaaa caacatggct tccggtgttg ctgggatctc
ttggatgcaa 4080 accactaacc atgtttctta taacagaaaa caaaatctgg ggaaggaaaa
gctggcctct 4140 caatgaagga attatggctg ttggaatagt tagcattctt ctaagttcac
ttctcaagaa 4200 tgatgtgcca ctagctggcc cactaatagc tggaggcatg ctaatagcat
gttatgtcat 4260 atctggaagc tcggccgatt tatcactgga gaaagcggct gaggtctcct
gggaagaaga 4320 agcagaacac tctggtgcct cacacaacat actagtggag gtccaagatg
atggaaccat 4380 gaagataaag gatgaagaga gagatgacac actcaccatt ctcctcaaag
caactctgct 4440 agcaatctca ggggtatacc caatgtcaat accggcgacc ctctttgtgt
ggtatttttg 4500 gcagaaaaag aaacagagat caggagtgct atgggacaca cccagccctc
cagaagtgga 4560 aagagcagtc cttgatgatg gcatttatag aattctccaa agaggattgt
tgggcaggtc 4620 tcaagtagga gtaggagttt ttcaagaagg cgtgttccac acaatgtggc
acgtcaccag 4680 gggagctgtc ctcatgtacc aagggaagag actggaacca agttgggcca
gtgtcaaaaa 4740 agacttgatc tcatatggag gaggttggag gtttcaagga tcctggaacg cgggagaaga
4800 agtgcaggtg attgctgttg aaccggggaa gaaccccaaa aatgtacaga cagcgccggg 4860
taccttcaag acccctgaag gcgaagttgg agccatagct ctagacttta aacccggcac 4920
atctggatct cctatcgtga acagagaggg aaaaatagta ggtctttatg gaaatggagt 4980
ggtgacaaca agtggtacct acgtcagcgc catagctcaa gctaaagcat cacaagaagg 5040
gcctctacca gagattgagg acgaggtgtt taggaaaaga aacttaacaa taatggacct 5100
acatccagga tcggggaaaa caagaagata tcttccagcc atagtccgtg aggccataag 5160
aaggaacgtg cgcacgctag tcttagctcc cacaagagtt gtcgcttctg aaatggcaga 5220
ggcgctcaag ggaatgccaa taaggtatca gacaacagca gtgaagagtg aacacacagg 5280
aaaagagata gttgacctta tgtgtcacgc cactttcact atgcgtctcc tgtctcctgt 5340
gagagttccc aattataata tgattatcat ggatgaagca cattttaccg atccagccag 5400
catagcagcc agagggtata tctcaacccg agtgggtatg ggtgaagcag ctgcgatttt 5460
catgacagcc actccccccg gatcggtgga ggcctttcca cagagcaatg cagttatcca 5520
agatgaggaa agagacattc ctgaaagatc atggaactca ggctatgact ggatcactga 5580
tttcccaggt aaaacagtct ggtttgttcc aagcatcaaa tcaggaaatg acattgccaa 5640
ctgtttaaga aagaatggga aacgggtggt ccaattgagc agaaaaactt ttgacactga 5700
gtaccagaaa acaaaaaata acgactggga ctatgttgtc acaacagaca tatccgaaat 5760
gggagcaaac ttccgagccg acagggtaat agacccgagg cggtgcctga aaccggtaat 5820
actaaaagat ggcccagagc gtgtcattct agccggaccg atgccagtga ctgtggctag 5880
cgccgcccag aggagaggaa gaattggaag gaaccaaaat aaggaaggcg atcagtatat 5940
ttacatggga cagcctctaa acaatgatga ggaccacgcc cattggacag aagcaaaaat 6000
gctccttgac aacataaaca caccagaagg gattatccca gccctctttg agccggagag 6060
agaaaagagt gcagcaatag acggggaata cagactacgg ggtgaagcga ggaaaacgtt 6120
cgtggagctc atgagaagag gagatctacc tgtctggcta tcctacaaag ttgcctcaga 6180
aggcttccag tactccgaca gaaggtggtg ctttgatggg gaaaggaaca accaggtgtt 6240
ggaggagaac atggacgtgg agatctggac aaaagaagga gaaagaaaga aactacgacc 6300 ccgctggctg
gatgccagaa catactctga cccactggct ctgcgcgaat tcaaagagtt 6360 cgcagcagga
agaagaagcg tctcaggtga cctaatatta gaaataggga aacttccaca 6420 acatttaacg
caaagggccc agaacgcctt ggacaatctg gttatgttgc acaactctga 6480 acaaggagga
aaagcctata gacacgccat ggaagaacta ccagacacca tagaaacgtt 6540 aatgctccta
gctttgatag ctgtgctgac tggtggagtg acgttgttct tcctatcagg 6600 aaggggtcta
ggaaaaacat ccattggcct actctgcgtg attgcctcaa gcgcactgct 6660 atggatggcc
agtgtggaac cccattggat agcggcctct atcatactgg agttctttct 6720 gatggtgttg cttattccag
agccggacag acagcgcact ccacaagaca accagctagc 6780 atacgtggtg ataggtctgt
tattcatgat attgacagcg gcagccaatg agatgggatt 6840 actggaaacc acaaagaagg
acctggggat tggtcatgca gctgctgaaa accaccatca 6900 tgctgcaatg ctggacgtag
acctacatcc agcttcagcc tggactctct atgcagtggc 6960 cacaacaatt atcactccca
tgatgagaca cacaattgaa aacacaacgg caaatatttc 7020 cctgacagct attgcaaacc
aggcagctat attgatggga cttgacaagg gatggccaat 7080 atcaaagatg gacataggag
ttccacttct cgccttgggg tgctattctc aggtgaaccc 7140 gctgacgctg acagcggcgg tatttatgct
agtggctcat tatgccataa ttggacccgg 7200 actgcaagca aaagctacta gagaagctca
aaaaaggaca gcagccggaa taatgaaaaa 7260 cccaactgtc gacgggatcg ttgcaataga
tttggaccct gtggtttacg atgcaaaatt 7320 tgaaaaacag ctaggccaaa taatgttgtt
gatactttgc acatcacaga tcctcctgat 7380 gcggaccaca tgggccttgt gtgaatccat
cacactagcc actggacctc tgactacgct 7440 ttgggaggga tctccaggaa aattctggaa
caccacgata gcggtgtcca tggcaaacat 7500 ttttagggga agttatctag caggagcagg
tctggccttt tcattaatga aatctctagg 7560 aggaggtagg agaggcacgg gagcccaagg
ggaaacactg ggagaaaaat ggaaaagaca 7620 gctaaaccaa ttgagcaagt cagaattcaa
cacttacaaa aggagtggga ttatagaggt 7680 ggatagatct gaagccaaag aggggttaaa
aagaggagaa ccgactaaac acgcagtgtc 7740 gagaggaacg gccaaactga ggtggtttgt
ggagaggaac cttgtgaaac cagaagggaa 7800 agtcatagac ctcggttgtg gaagaggtgg
ctggtcatat tattgcgctg ggctgaagaa 7860 agtcacagaa gtgaaaggat acacgaaagg
aggacctgga catgaggaac caatcccaat 7920 ggcaacctat ggatggaacc tagtaaagct
atactccggg aaagatgtat tctttacacc 7980 acctgagaaa tgtgacaccc tcttgtgtga
tattggtgag tcctctccga acccaactat 8040 agaagaagga agaacgttac gtgttctaaa
gatggtggaa ccatggctca gaggaaacca 8100 attttgcata aaaattctaa atccctatat
gccgagtgtg gtagaaactt tggagcaaat 8160 gcaaagaaaa catggaggaa tgctagtgcg
aaatccactc tcaagaaact ccactcatga 8220 aatgtactgg gtttcatgtg gaacaggaaa
cattgtgtca gcagtaaaca tgacatctag 8280 aatgttgcta aatcgattca caatggctca
caggaagcca acatatgaaa gagacgtgga 8340 cttaggcgct ggaacaagac atgtggcagt
agaaccagag gtggccaacc tagatatcat 8400 tggccagagg atagagaata taaaaaatgg
acacaaatca acatggcact atgatgagga 8460 caatccatac aaaacatggg cctatcatgg
atcatatgag gtcaagccat caggatcagc 8520 ctcatccatg gtcaatggtg tggtgagact
gctaaccaaa ccatgggatg tcattcccat 8580 ggtcacacaa atagccatga ctgacaccac
accctttgga caacagaggg tgtttaaaga 8640 gaaagttgac acgcgtacac caaaagcgaa
acgaggcaca gcacaaatta tggaggtgac 8700 agccaggtgg ttatggggtt ttctctctag
aaacaaaaaa cccagaatct gcacaagaga 8760 ggagttcaca agaaaagtca ggtcaaacgc
agctattgga gcagtgttcg ttgatgaaaa 8820 tcaatggaac tcagcaaaag aggcagtgga
agatgaacgg ttctgggacc ttgtgcacag 8880 agagagggag cttcataaac aaggaaaatg
tgccacgtgt gtctacaaca tgatgggaaa 8940 gagagagaaa aaattaggag agttcggaaa
ggcaaaagga agtcgcgcaa tatggtacat 9000 gtggttggga gcgcgctttt tagagtttga
agcccttggt ttcatgaatg aagatcactg 9060 gttcagcaga gagaattcac tcagtggagt
ggaaggagaa ggactccaca aacttggata 9120 catactcaga gacatatcaa agattccagg
gggaaatatg tatgcagatg acacagccgg 9180 atgggacaca agaataacag aggatgatct
tcagaatgag gccaaaatca ctgacatcat 9240 ggaacctgaa catgccctat tggccacgtc
aatctttaag ctaacctacc aaaacaaggt 9300 agtaagggtg cagagaccag cgaaaaatgg aaccgtgatg
gatgtcatat ccagacgtga 9360 ccagagagga agtggacagg ttggaaccta tggcttaaac
accttcacca acatggaggc 9420 ccaactaata agacaaatgg agtctgaggg aatcttttca
cccagcgaat tggaaacccc 9480 aaatctagcc gaaagagtcc tcgactggtt gaaaaaacat
ggcaccgaga ggctgaaaag 9540 aatggcaatc agtggagatg actgtgtggt gaaaccaatc
gatgacagat ttgcaacagc 9600 cttaacagct ttgaatgaca tgggaaaggt aagaaaagac
ataccgcaat gggaaccttc 9660 aaaaggatgg aatgattggc aacaagtgcc tttctgttca
caccatttcc accagctgat 9720 tatgaaggat gggagggaga tagtggtgcc atgccgcaac caagatgaac
ttgtaggtag 9780 ggccagagta tcacaaggcg ccggatggag cttgagagaa actgcatgcc
taggcaagtc 9840 atatgcacaa atgtggcagc tgatgtactt ccacaggaga gacttgagat
tagcggctaa 9900 tgctatctgt tcagccgttc cagttgattg ggtcccaacc agccgtacca
cctggtcgat 9960 ccatgcccac catcaatgga tgacaacaga agacatgttg tcagtgtgga
atagggtttg 10020 gatagaggaa aacccatgga tggaggacaa gactcatgtg tccagttggg
aagacgttcc 10080 atacctagga aaaagggaag atcgatggtg tggatcccta ataggcttaa
cagcacgagc 10140 cacctgggcc accaacatac aagtggccat aaaccaagtg agaaggctca ttgggaatga
10200 gaattatcta gacttcatga catcaatgaa gagattcaaa aacgagagtg atcccgaagg 10260
ggcactctgg taagccaact cattcacaaa ataaaggaaa ataaaaaatc aaacaaggca 10320
agaagtcagg ccggattaag ccatagcacg gtaagagcta tgctgcctgt gagccccgtc 10380
caaggacgta aaatgaagtc aggccgaaag ccacggttcg agcaagccgt gctgcctgta 10440
gctccatcgt ggggatgtaa aaacccggga ggctgcaaac catggaagct gtacgcatgg 10500
ggtagcagac tagtggttag aggagacccc tcccaagaca caacgcagca gcggggccca 10560
acaccagggg aagctgtacc ctggtggtaa ggactagagg ttagaggaga ccccccgcac 10620
aacaacaaac agcatattga cgctgggaga gaccagagat cctgctgtct ctacagcatc 10680
attccaggca cagaacgcca aaaaatggaa tggtgctgtt gaatcaacag gttct 10735 4 10724 DNA
Dengue virus type 2 4 agttgttagt ctacgtggac cgacaaagac agattctttg agggagctaa
gctcaacgta 60 gttctaacag ttttttaatt agagagcaga tctctgatga ataaccaacg aaaaaaggcg
120 agaaataccc ctttcaatat gctgaaacgc gagagaaacc gcgtgtcgac tgtacaacag 180
ctgacaaaga gattctcact tggaatgctg cagggacgag gaccattaaa actgttcatg 240
gccctggtgg cgttccttcg tttcctaaca atcccaccaa cagcagggat actgaagaga 300
tggggaacaa ttaaaaaatc aaaagccatt aatgttttga gagggttcag gaaagagatt 360
ggaaggatgc tgaacatctt gaacaggaga cgcagaactg caggcatgat cattatgctg 420
attccaacag tgatggcgtt ccatttaacc acacgtaacg gagaaccaca catgatcgtc 480
agtagacaag agaaagggaa aagtcttctg tttaaaacag aggatggtgt gaacatgtgt 540
accctcatgg ccatggacct tggtgaattg tgtgaagata caatcacgta caagtgtcct 600
tttctcaggc agaatgaacc agaagacata gattgttggt gcaactctac gtccacatgg 660
gtaacttatg ggacgtgtac caccacagga gaacacagaa gagaaaaaag atcagtggca 720 ctcgttccac
atgtgggaat gggactggag acacgaactg aaacatggat gtcatcagaa 780 ggggcctgga
aacatgccca gagaattgaa acttggatct tgagacatcc aggctttacc 840 ataatggcag
caatcctggc atacaccata ggaacgacac atttccaaag agccctgatt 900 ttcatcttac
tgacagctgt cgctccttca atgacaatgc gttgcatagg aatatcaaat 960 agagactttg
tagaaggggt ttcaggagga agctgggttg acatagtctt agaacatgga 1020 agctgtgtga
cgacgatggc aaaaaacaaa ccaacattgg attttgaact gataaaaaca 1080 gaagccaaac
aacctgccac tctaaggaag tactgtatag aggcaaagct gaccaacaca 1140 acaacagatt
ctcgctgccc aacacaagga gaacccagcc taaatgaaga gcaggacaaa 1200 aggttcgtct
gcaaacactc catggtggac agaggatggg gaaatggatg tggattattt 1260 ggaaaaggag
gcattgtgac ctgtgctatg ttcacatgca aaaagaacat gaaaggaaaa 1320 gtcgtgcaac
cagaaaactt ggaatacacc attgtgataa cacctcactc aggggaagag 1380 catgcagtcg
gaaatgacac aggaaaacat ggcaaggaaa tcaaaataac accacagagt 1440 tccatcacag
aagcagagtt gacaggctat ggcactgtca cgatggagtg ctctccgaga 1500 acgggcctcg
acttcaatga gatggtgttg ctgcaaatgg aaaataaagc ttggctggtg 1560 cacaggcaat
ggttcctaga cctgccgttg ccatggctgc ccggagcgga cacacaagga 1620 tcaaattgga
tacagaaaga gacattggtc actttcaaaa atccccatgc gaagaaacag 1680 gatgttgttg
ttttgggatc ccaagaaggg gccatgcaca cagcactcac aggggccaca 1740 gaaatccaga
tgtcatcagg aaacttactg ttcacaggac atctcaagtg caggctgagg 1800 atggacaaac tacagctcaa
aggaatgtca tactctatgt gcacaggaaa gtttaaagtt 1860 gtgaaggaaa tagcagaaac
acaacatgga acaatagtta tcagagtaca atatgaaggg 1920 gacggttctc catgtaagat
cccttttgag ataatggatt tggaaaaaag acatgtttta 1980 ggtcgcctga ttacagtcaa
cccaatcgta acagaaaaag atagcccagt caacatagaa 2040 gcagaacctc cattcggaga
cagctacatc atcataggag tagagccggg acaattgaag 2100 ctcaactggt ttaagaaagg
aagttctatc ggccaaatga ttgagacaac aatgagggga 2160 gcgaagagaa tggccatttt
aggtgacaca gcttgggatt ttggatccct gggaggagtg 2220 tttacatcta taggaaaggc tctccaccaa
gttttcggag caatctatgg ggctgccttc 2280 agtggggtct catggactat gaaaatactc
ataggagtca ttatcacatg gataggaatg 2340 aattcacgca gcacctcact gtctgtgtca
ctagtattgg tgggagtcgt gacgctgtat 2400 ttgggagtta tggtgcaggc cgatagtggt
tgcgttgtga gctggaaaaa caaagaactg 2460 aagtgtggca gtgggatttt catcacagac
aacgtgcaca catggacaga acaatacaag 2520 ttccaaccag aatccccttc aaagctagct
tcagctatcc agaaagctca tgaagagggc 2580 atttgtggaa tccgctcagt aacaagactg
gaaaatctga tgtggaaaca aataacacca 2640 gaattgaatc acattctatc agaaaatgag
gtgaagttga ctattatgac aggagacatc 2700 aaaggaatca tgcaggcagg aaaacgatct
ctgcagcccc agcccactga gctgaagtat 2760 tcatggaaaa catggggcaa agcgaaaatg
ctctctacag agtctcataa ccagaccttt 2820 ctcattgatg gccccgaaac agcagaatgc
cccaacacaa acagagcttg gaattcgctg 2880 gaagttgaag actatggctt tggagtattc
accaccaata tatggctaaa gttgagagaa 2940 aagcaggatg tattctgcga ctcaaaactc
atgtcagcgg ccataaaaga caacagagcc 3000 gtccatgccg atatgggtta ttggatagaa
agtgcactca atgacacatg gaagatagag 3060 aaagcctctt tcatcgaagt taaaagctgc
cactggccaa agtcacacac cctctggagt 3120 aatggagtgt tagaaagtga gatgataatt
ccaaagaatt tcgctggacc agtgtcacaa 3180 cacaactaca gaccaggcta ccatacacaa
acagcaggac catggcatct aggtaagctt 3240 gagatggact ttgatttctg cgaaggaacc
acagtggtgg tgactgagga ctgtggaaat 3300 agaggaccct ctttaagaac aactactgcc
tctggaaaac tcataacaga atggtgctgc 3360 cgatcttgca cattaccacc gctaagatac
agaggtgagg acggatgctg gtacgggatg 3420 gaaatcagac cattgaaaga gaaagaagag
aatttggtca actccttggt cacagccgga 3480 catgggcaga ttgacaactt ttcactagga
gtcttgggaa tggcattgtt cctggaagaa 3540 atgctcagga cccgagtagg aacgaaacat
gcaatactac tagttgcagt ttcttttgtg 3600 acattgatca cagggaacat gtcctttaga
gacctgggaa gagtgatggt tatggtgggc 3660 gctactatga cggatgacat aggtatgggc
gtgacttatc ttgccctact agcagccttc 3720 aaagtcagac caacttttgc agctggacta
ctcttgagaa agttgacctc caaggaattg 3780 atgatgacta ccataggaat cgtactcctc
tcccagagca ccataccaga gaccattctt 3840 gaactgactg atgcgttagc cttgggcatg
atggtcctta aaatggtgag aaaaatggaa 3900 aagtatcaat tggcagtgac tatcatggct
atcttgtgcg tcccaaatgc agtgatatta 3960 caaaacgcat ggaaagtgag ttgcacaata
ttggcagtgg tgtccgtttc cccactgttc 4020 ttaacatcct cacagcagaa agcggattgg
ataccattag cattgacgat caagggtctc 4080 aatccaacag ctatttttct aacaaccctt
tcaagaacca acaagaaaag gagctggcca 4140 ctaaatgagg ctatcatggc agtcgggatg
gtgagcattt tggccagttc actcctaaag 4200 aatgacattc ccatgacagg accattagtg
gctggagggc tcctcactgt gtgctacgtg 4260 ctcactggac gatcggccga tttggaactg
gagagagccg ccgatgtcaa atgggaagat 4320 caggcagaga tatcaggaag cagtccaatc
ctgtcaataa caatatcaga agatggtagc 4380 atgtcgataa aaaacgaaga ggaagaacaa acactgacca
tactcattag aacaggattg 4440 ctggtgatct caggactttt tcctgtatca ataccaatca
cggcagcagc atggtacctg 4500 tgggaagtga agaaacaacg ggctggagta ttgtgggatg
tcccttcacc cccacccgtg 4560 ggaaaggctg aactggaaga tggagcctat agaatcaagc
aaaaagggat tcttggatat 4620 tcccagatcg gagccggagt ttacaaagaa ggaacattcc
atacaatgtg gcatgtcaca 4680 cgcggcgctg ttctaatgca taaaggaaag aggattgaac
catcatgggc ggacgttaag 4740 aaagacctaa tatcatatgg aggaggctgg aagctagaag
gagaatggaa ggaaggagaa 4800 gaagtccagg tcttggcatt ggagcctgga aaaaatccaa gagccgtcca
aacaaaacct 4860 ggtcttttca aaaccaacgc cggaaccata ggtgccgtat ctctggactt
ttctcctgga 4920 acctcaggat ctccaatcat cgacaaaaaa ggaaaagttg tgggtcttta
tggtaatggt 4980 gttgttacaa ggagtggagc atatgtgagt gctatagccc agactgaaaa
aagtattgaa 5040 gacaatccag agatcgaaga tgatattttt cgaaagagaa aattgaccat
catggacctc 5100 cacccaggag cgggaaagac gaagagatac cttccggcca tagtcagaga
ggctataaaa 5160 cggggcctga ggacattaat cctggccccc actagagtcg tggcagctga
aatggaggaa 5220 gccctaagag gacttccaat aagataccaa accccagcca tcagagctga gcacaccggg
5280 cgggagattg tggacctaat gtgtcatgcc acattcacta tgaggctgct atcaccagtt 5340
agagtgccaa attacaacct gatcatcatg gacgaagccc atttcacaga cccagcaagt 5400
atagcggcta gaggatacat ctcaactcga gtagagatgg gtgaggcagc tgggattttc 5460
atgacagcca ctcctccggg aagcagagac ccattccctc agagcaatgc accaatcatg 5520
gatgaagaaa gagaaatccc tgaacgttcg tggagttctg gacatgagtg ggtcacggat 5580
tttaaaggga agactgtttg gttcgttcca agtataaaag caggaaatga tatagcagct 5640
tgcctgagaa aaaatggaaa gaaagtgata caactcagta ggaagacctt tgattctgag 5700 tatgtcaaga
ctagaaccaa tgattgggac ttcgtggtca caactgacat ttcagaaatg 5760 ggtgccaact
tcaaggctga gagggttata gaccccagac gctgcatgaa accagttata 5820 ctaacagatg
gtgaagagcg ggtgatcctg gcaggaccta tgccagtgac ccactctagt 5880 gcagcacaaa
gaagagggag aataggaaga aatccaaaaa atgaaaatga ccagtacata 5940 tacatggggg
aacctctgga aaatgatgaa gactgtgcac actggaaaga agctaaaatg 6000 ctcctagata
acatcaacac acctgaagga atcattccta gcatgttcga accagagcgt 6060 gaaaaggtgg
atgccattga tggtgaatac cgcttgagag gagaagcaag gaaaaccttt 6120 gtggacctaa
tgagaagagg agacctacca gtctggttgg cctacagagt ggcagctgaa 6180 ggcatcaact
acgcagacag aaggtggtgt tttgatggaa ttaagaacaa ccaaatcttg 6240 gaagaaaatg
tggaggtgga aatctggaca aaagaagggg aaaggaagaa attaaaaccc 6300 agatggttgg
atgccaggat ctactctgac ccactgacgc taaaggaatt caaggagttt 6360 gcagctggaa
gaaagtccct gaccctgaac ctaatcacag aaatgggtag gcttccaact 6420 ttcatgactc
agaaggcaag agacgcactg gacaacttag cagtgctgca cacggctgaa 6480 gcaggtggaa
gggcgtacaa tcatgctctc agtgaactgc cggagaccct ggagacattg 6540 cttttactga
cacttctggc tacagtcaca ggaggaatct ttttattctt gatgagcgga 6600 aggggtatag
ggaagatgac cctgggaatg tgctgcataa tcacggctag tattctccta 6660 tggtacgcac
aaatacagcc acactggata gcagcttcaa taatactgga gttttttctc 6720 atagttttgc
ttattccaga accagaaaag cagagaacac cccaagataa ccaattgacc 6780 tacgttgtca
tagccatcct cacagtggtg gccgcaacca tggcaaacga gatgggtttc 6840 ctggaaaaaa
cgaagaaaga tctcggattg ggaagcatta caacccagca acccgagagc 6900 aacatcctgg
acatagatct acgtcccgca tcagcatgga cgctgtatgc tgtggccaca 6960 acatttgtca
caccaatgtt gagacacagc attgaaaatt cctcagtgaa cgtgtcccta 7020 acagctattg
ccaaccaagc cacagtgtta atgggtcttg ggaaaggatg gccattgtca 7080 aagatggaca
tcggagttcc ccttctcgcc attggatgct actcacaagt caaccccata 7140 actctcacag
cagctctttt cttactggta gcacattatg ccatcatagg gccaggactc 7200 caagcaaaag
caaccaggga agctcagaaa agagcagcag cgggcatcat gaaaaaccca 7260 actgtcgatg
gaataacagt gattgaccta gatccaatac cctatgatcc aaagtttgaa 7320 aagcagttgg
gacaagtaat gctcctagtc ctctgcgtga ctcaagtgtt gatgatgagg 7380 actacatggg
ctctgtgtga ggctttaacc ttagcgaccg ggcctatctc cacattgtgg 7440 gaaggaaatc
cagggaggtt ttggaacact accattgcag tgtcaatggc taacattttt 7500 agagggagtt
acttggccgg agctggactt ctcttttcca tcatgaagaa cacaaccaac 7560 acgagaaggg
gaactggcaa cataggagag acgcttggag agaaatggaa aagccgattg 7620 aacgcattgg
ggaaaagtga attccagatc tacaagaaaa gtggaatcca ggaagtggat 7680 agaaccttag
caaaagaagg cattaaaaga ggagaaacgg accatcacgc tgtgtcgcga 7740 ggctcagcaa
aactgagatg gttcgtcgag agaaatatgg tcacaccaga agggaaagta 7800 gtggacctcg
gttgcggcag aggaggctgg tcatactatt gtgggggact aaagaatgta 7860 agagaagtca aaggcctgac
aaaaggagga ccaggacatg aagaacccat ccccatgtca 7920 acatatgggt ggaatctagt
acgtcttcaa agtggagttg acgttttctt cactccgcca 7980 gaaaagtgtg acacattgtt
gtgtgacata ggggagtcgt caccaaatcc cacggtagaa 8040 gcaggacgaa cactcagagt
ccttaactta gtggaaaatt ggttgaacaa caacacccaa 8100 ttttgcataa aggttctcaa
cccatacatg ccctcagtca tagaaaaaat ggaagcacta 8160 caaaggaaat atggaggagc
cttagtgagg aatccactct cacgaaactc cacacatgag 8220 atgtactggg tatccaatgc
ctccgggaac atagtgtcat cagtgaacat gatttcaagg 8280 atgttgatca acagattcac aatgagacac
aagaaagcca cttacgagcc agatgtagac 8340 ctcggaagcg gaacccgcaa catcggaatt
gaaagtgaga taccaaacct agacataatc 8400 gggaaaagaa tagaaaaaat aaaacaagag
catgaaacat catggcacta tgaccaagac 8460 cacccataca aaacgtgggc ttaccatggc
agctatgaaa caaaacaaac tggatcagca 8520 tcatccatgg tgaacggagt ggtcagactg
ctgacaaaac cttgggacgt cgtccccatg 8580 gtgacacaga tggcaatgac agacacgact
ccatttggac aacagcgcgt ttttaaagaa 8640 aaagtggaca cgagaaccca agaaccgaaa
gaaggcacaa agaaactaat gaaaatcacg 8700 gcagagtggc tttggaaaga actagggaag aaaaagacac
ctaggatgtg cactagagaa 8760 gaattcacaa gaaaggtgag aagcaatgca gccttggggg
ccatattcac tgatgagaac 8820 aagtggaagt cggcacgtga ggctgttgaa gatagtaggt
tttgggagct ggttgacaag 8880 gaaaggaatc tccatcttga aggaaagtgt gaaacatgtg
tgtataacat gatgggaaaa 8940 agagagaaga agctagggga gttcggcaag gcaaaaggca
gcagagccat atggtacatg 9000 tggcttggag cacgcttctt agagtttgaa gccctaggat
tcttgaatga agatcactgg 9060 ttctccagag agaactcctt gagtggagtg gaaggagaag
ggctgcacaa gctaggttac 9120 attttaagag acgtgagcaa gaaagaggga ggagcaatgt
atgccgatga caccgcagga 9180 tgggacacaa gaatcacact agaagaccta aaaaatgaag
aaatggtaac aaaccacatg 9240 gaaggagaac acaagaaact agccgaggcc attttcaaat
taacgtacca aaacaaggtg 9300 gtgcgtgtgc aaagaccaac accaagaggc acagtaatgg
atatcatatc gagaagagac 9360 caaagaggta gtggacaagt tggtacctat ggactcaata
ctttcaccaa tatggaagcc 9420 caactaatca gacagatgga gggagaagga gtcttcaaaa
gcattcagca cctgacagtc 9480 acagaagaaa tcgccgtgca aaactggtta gcaagagtag
ggcgcgaaag gttatcaaga 9540 atggccatca gtggagatga ttgtgttgtg aaacctttag
atgacaggtt cgcaagcgct 9600 ttaacagctc taaatgacat gggaaaggtt aggaaagaca
tacaacaatg ggaaccttca 9660 agaggatgga acgattggac acaagtgccc ttctgttcac
accatttcca tgagttaatc 9720 atgaaagacg gccgcgtact tgtagttcca tgcagaaacc
aagatgaact gattggtaga 9780 gcccgaattt cccaaggagc tgggtggtct ttgcgagaga cggcctgttt
ggggaagtcc 9840 tacgcccaaa tgtggagctt gatgtacttc cacagacgtg acctcaggct
ggcggctaat 9900 gctatttgct cggcagtccc atcacattgg gttccaacaa gtagaacaac
ctggtccata 9960 cacgccaaac atgaatggat gacaacggaa gacatgctga cagtctggaa
cagggtgtgg 10020 attcaagaaa acccatggat ggaagacaaa actccagtgg aatcatggga
ggaaatccca 10080 tacttgggga aaagagaaga ccaatggtgc ggctcattga ttgggctaac
aagcagggcc 10140 acctgggcaa agaacatcca aacagcaata aatcaagtta gatcccttat
aggcaatgag 10200 gaatacacag attacatgcc atccatgaaa agattcagaa gagaagagga agaggcagga
10260 gtcctgtggt agaaggcaaa actaacatga aacaaggcta gaagtcaggt cggattaagc 10320
tatagtacgg aaaaaactat gctacctgtg agccccgtcc aaggacgtta aaagaagtca 10380
ggccattaca aatgccatag cttgagtaaa ctgtggcagc ctgtagctcc acctgagaag 10440
gtgtaaaaaa tctgggaggc cacaaaccat ggaagctgta cgcatggcgt agtggactag 10500
cggttagagg agacccctcc cttacaaatc gcagcaacaa tgggggccca aggtgagatg 10560
aagctgtagt ctcactggaa ggactagagg ttagaggaga cccccccaaa acaaaaaaca 10620
gcatattgac gctgggaaag accagagatc ctgctgtctc ctcagcatca ttccaggcac 10680
agaacgccag aaaatggaat ggtgctgttg aatcaacagg ttct 10724 5 519 DNA West Nile
virus 5 ttggaaggag tgtctggagc aacatgggtg gatttggttc tcgaaggcga cagctgcgtg 60
actatcatgt ctaaggacaa gcctaccatc gatgtgaaga tgatgaatat ggaggcggcc 120
aacctggcag aggtccgcag ttattgctat ttggctaccg tcagcgatct ctccaccaaa 180
gctgcgtgcc cgaccatggg agaagctcac aatgacaaac gtgctgaccc agcttttgtg 240
tgcagacaag gagtggtgga caggggctgg ggcaacggct gcggactatt tggcaaagga 300
agcattgaca catgcgccaa atttgcctgc tctaccaagg caataggaag aaccatcttg 360 aaagagaata
tcaagtacga agtggccatt tttgtccatg gaccaactac tgtggagtcg 420 cacggaaact
actccacaca ggttggagcc actcaggcag ggagattcag catcactcct 480 gcagcgcctt
catacacact aaagcttgga gaatatgga 519 6 171 PRT West Nile virus 6 Leu Glu Gly Val
Ser Gly Ala Thr Trp Val Asp Leu Val Leu Glu Gly 1 5 10 15 Asp Ser Cys Val Thr
Ile Met Ser Lys Asp Lys Pro Thr Ile Asp Val 20 25 30 Lys Met Met Asn Met Glu
Ala Ala Asn Leu Ala Glu Val Arg Ser Tyr 35 40 45 Cys Tyr Leu Ala Thr Val Ser
Asp Leu Ser Thr Lys Ala Ala Cys Pro 50 55 60 Thr Met Gly Glu Ala His Asn Asp
Lys Arg Ala Asp Pro Ala Phe Val 65 70 75 80 Cys Arg Gln Gly Val Val Asp Arg Gly
Trp Gly Asn Gly Cys Gly Leu 85 90 95 Phe Gly Lys Gly Ser Ile Asp Thr Cys Ala
Lys Phe Ala Cys Ser Thr 100 105 110 Lys Ala Ile Gly Arg Thr Ile Leu Lys Glu Asn
Ile Lys Tyr Glu Val 115 120 125 Ala Ile Phe Val His Gly Pro Thr Thr Val Glu Ser
His Gly Asn Tyr 130 135 140 Ser Thr Gln Val Gly Ala Thr Gln Ala Gly Arg Phe Ser
Ile Thr Pro 145 150 155
160 Ala Ala Pro Ser Tyr Thr Leu Lys Leu Gly Glu 165 170 7 2715 DNA West Nile
virus 7 ggtggggcaa aaggacgcac cttgggagag gtttggaaag aaagactcaa ccagatgaca 60
aaagaagagt tcactaggta ccgcaaagag gccatcatcg aagtcgatcg ctcagcagca 120
aaacacgcca ggaaagaagg caatgtcact ggagggcatc cagtctctag gggcacagca 180
aaactgagat ggctggtcga acggaggttt ctcgaaccgg tcggaaaagt gattgacctt 240
ggatgtggaa gaggcggttg gtgttactat atggcaaccc aaaaaagagt ccaagaagtc 300
agagggtaca caaagggcgg tcccggacat gaagagcccc aactagtgca aagttatgga 360
tggaacattg tcaccatgaa gagtggggtg gatgtgttct acagaccttc tgagtgttgt 420 gacaccctcc
tttgtgacat cggagagtcc tcgtcaagtg ctgaggttga agagcatagg 480 acgattcggg
tccttgaaat ggttgaggac tggctgcacc gagggccaag ggaattttgc 540 gtgaaggtgc
tctgccccta catgccgaaa gtcatagaga agatggagct gctccaacgc 600 cggtatgggg
ggggactggt cagaaaccca ctctcacgga attccacgca cgagatgtat 660 tgggtgagtc
gagcttcagg caatgtggta cattcagtga atatgaccag ccaggtgctc 720 ctaggaagaa
tggaaaaaag gacctggaag ggaccccaat acgaggaaga tgtaaacttg 780 ggaagtggaa
ccagggcggt gggaaaaccc ctgctcaact cagacaccag taaaatcaag 840 aacaggattg
aacgactcag gcgtgagtac agttcgacgt ggcaccacga tgagaaccac 900 ccatatagaa
cctggaacta tcacggcagt tatgatgtga agcccacagg ctccgccagt 960 tcgctggtca
atggagtggt caggctcctc tcaaaaccat gggacaccat cacgaatgtt 1020 accaccatgg
ccatgactga cactactccc ttcgggcagc agcgagtgtt caaagagaag 1080 gtggacacga
aagctcctga accgccagaa ggagtgaagt acgtgctcaa cgagaccacc 1140 aactggttgt
gggcgttttt ggccagagaa aaacgtccca gaatgtgctc tcgagaggaa 1200 ttcataagaa
aggtcaacag caatgcagct ttgggtgcca tgtttgaaga gcagaatcaa 1260 tggaggagcg
ccagagaggc agttgaagat ccaaaatttt gggagatggt ggatgaggag 1320 cgcgaggcac
atctgcgggg ggaatgtcac acttgcattt acaacatgat gggaaagaga 1380 gagaaaaaac
ccggagagtt cggaaaggcc aagggaagca gagccatttg gttcatgtgg 1440 ctcggagctc
gctttctgga gttcgaggct ctgggttttc tcaatgaaga ccactggctt 1500 ggaagaaaga actcaggagg
aggtgtcgag ggcttgggcc tccaaaaact gggttacatc 1560 ctgcgtgaag ttggcacccg
gcctgggggc aagatctatg ctgatgacac agctggctgg 1620 gacacccgca tcacgagagc
tgacttggaa aatgaagcta aggtgcttga gctgcttgat 1680 ggggaacatc ggcgtcttgc
cagggccatc attgagctca cctatcgtca caaagttgtg 1740 aaagtgatgc gcccggctgc
tgatggaaga accgtcatgg atgttatctc cagagaagat 1800 cagaggggga gtggacaagt
tgtcacctac gccctaaaca ctttcaccaa cctggccgtc 1860 cagctggtga ggatgatgga
aggggaagga gtgattggcc cagatgatgt ggagaaactc 1920 acaaaaggga aaggacccaa agtcaggacc
tggctgtttg agaatgggga agaaagactc 1980 agccgcatgg ctgtcagtgg agatgactgt
gtggtaaagc ccctggacga tcgctttgcc 2040 acctcgctcc acttcctcaa tgctatgtca
aaggttcgca aagacatcca agagtggaaa 2100 ccgtcaactg gatggtatga ttggcagcag
gttccatttt gctcaaacca tttcactgaa 2160 ttgatcatga aagatggaag aacactggtg
gttccatgcc gaggacagga tgaattggta 2220 ggcagagctc gcatatctcc aggggccgga
tggaacgtcc gcgacactgc ttgtctggct 2280 aagtcttatg cccagatgtg gctgcttctg
tacttccaca gaagagacct gcggctcatg 2340 gccaacgcca tttgctccgc tgtccctgtg aattgggtcc
ctaccggaag aaccacgtgg 2400 tccatccatg caggaggaga gtggatgaca acagaggaca
tgttggaggt ctggaaccgt 2460 gtttggatag aggagaatga atggatggaa gacaaaaccc
cagtggagaa atggagtgac 2520 gtcccatatt caggaaaacg agaggacatc tggtgtggca
gcctgattgg cacaagagcc 2580 cgagccacgt gggcagaaaa catccaggtg gctatcaacc
aagtcagagc aatcatcgga 2640 gatgagaagt atgtggatta catgagttca ctaaagagat
atgaagacac aactttggtt 2700 gaggacacag tactg 2715 8 905 PRT West Nile virus 8
Gly Gly Ala Lys Gly Arg Thr Leu Gly Glu Val Trp Lys Glu Arg Leu 1 5 10 15 Asn Gln
Met Thr Lys Glu Glu Phe Thr Arg Tyr Arg Lys Glu Ala Ile 20 25 30 Ile Glu Val
Asp Arg Ser Ala Ala Lys His Ala Arg Lys Glu Gly Asn 35 40 45 Val Thr Gly Gly
His Pro Val Ser Arg Gly Thr Ala Lys Leu Arg Trp 50 55 60 Leu Val Glu Arg Arg
Phe Leu Glu Pro Val Gly Lys Val Ile Asp Leu 65 70 75 80 Gly Cys Gly Arg Gly Gly
Trp Cys Tyr Tyr Met Ala Thr Gln Lys Arg 85 90 95 Val Gln Glu Val Arg Gly Tyr
Thr Lys Gly Gly Pro Gly His Glu Glu 100 105 110 Pro Gln Leu Val Gln Ser Tyr Gly
Trp Asn Ile Val Thr Met Lys Ser 115 120 125 Gly Val Asp Val Phe Tyr Arg Pro Ser
Glu Cys Cys Asp Thr Leu Leu 130 135 140 Cys Asp Ile Gly Glu Ser Ser Ser Ser Ala
Glu Val Glu Glu His Arg 145 150 155 160 Thr Ile Arg Val Leu Glu Met Val Glu Asp
Trp Leu His Arg Gly Pro 165 170 175 Arg Glu Phe Cys Val Lys Val Leu Cys Pro Tyr
Met Pro Lys Val Ile 180 185 190 Glu Lys Met Glu Leu Leu Gln Arg Arg Tyr Gly Gly
Gly Leu Val Arg 195 200 205 Asn Pro Leu Ser Arg Asn Ser Thr His Glu Met Tyr Trp
Val Ser Arg 210 215 220 Ala Ser Gly Asn Val Val His Ser Val Asn Met Thr Ser Gln
Val Leu 225 230 235 240 Leu Gly Arg Met Glu Lys Arg Thr Trp Lys Gly Pro Gln Tyr
Glu Glu 245 250 255 Asp Val Asn Leu Gly Ser Gly Thr Arg Ala Val Gly Lys Pro Leu
Leu 260 265 270 Asn Ser Asp Thr Ser Lys Ile Lys Asn Arg Ile Glu Arg Leu Arg Arg
275 280 285 Glu Tyr Ser Ser Thr Trp His His Asp Glu Asn His Pro Tyr Arg Thr 290
295 300 Trp Asn Tyr His Gly Ser Tyr Asp Val Lys Pro Thr Gly Ser Ala Ser 305 310
315 320 Ser Leu Val Asn Gly Val Val Arg Leu Leu Ser Lys Pro Trp Asp Thr 325 330
335 Ile Thr Asn Val Thr Thr Met Ala Met Thr Asp Thr Thr Pro Phe Gly 340 345 350
Gln Gln Arg Val Phe Lys Glu Lys Val Asp Thr Lys Ala Pro Glu Pro 355 360 365 Pro
Glu Gly Val Lys Tyr Val Leu Asn Glu Thr Thr Asn Trp Leu Trp 370 375 380 Ala Phe
Leu Ala Arg Glu Lys Arg Pro Arg Met Cys Ser Arg Glu Glu 385 390 395 400 Phe Ile
Arg Lys Val Asn Ser Asn Ala Ala Leu Gly Ala Met Phe Glu 405 410 415 Glu Gln Asn
Gln Trp Arg Ser Ala Arg Glu Ala Val Glu Asp Pro Lys 420 425 430 Phe Trp Glu Met
Val Asp Glu Glu Arg Glu Ala His Leu Arg Gly Glu 435 440 445 Cys His Thr Cys Ile
Tyr Asn Met Met Gly Lys Arg Glu Lys Lys Pro 450 455 460 Gly Glu Phe Gly Lys Ala
Lys Gly Ser Arg Ala Ile Trp Phe Met Trp 465 470 475 480 Leu Gly Ala Arg Phe Leu
Glu Phe Glu Ala Leu Gly Phe Leu Asn Glu 485 490 495 Asp His Trp Leu Gly Arg Lys
Asn Ser Gly Gly Gly Val Glu Gly Leu 500 505 510 Gly Leu Gln Lys Leu Gly Tyr Ile
Leu Arg Glu Val Gly Thr Arg Pro 515 520 525 Gly Gly Lys Ile Tyr Ala Asp Asp Thr
Ala Gly Trp Asp Thr Arg Ile 530 535 540 Thr Arg Ala Asp Leu Glu Asn Glu Ala Lys
Val Leu Glu Leu Leu Asp 545 550 555 560 Gly Glu His Arg Arg Leu Ala Arg Ala Ile
Ile Glu Leu Thr Tyr Arg 565 570 575 His Lys Val Val Lys Val Met Arg Pro Ala Ala
Asp Gly Arg Thr Val 580 585 590 Met Asp Val Ile Ser Arg Glu Asp Gln Arg Gly Ser
Gly Gln Val Val 595 600 605 Thr Tyr Ala Leu Asn Thr Phe Thr Asn Leu Ala Val Gln
Leu Val Arg 610 615 620 Met Met Glu Gly Glu Gly Val Ile Gly Pro Asp Asp Val Glu
Lys Leu 625 630 635 640 Thr Lys Gly Lys Gly Pro Lys Val Arg Thr Trp Leu Phe Glu
Asn Gly 645 650 655 Glu Glu Arg Leu Ser Arg Met Ala Val Ser Gly Asp Asp Cys Val
Val 660 665 670 Lys Pro Leu Asp Asp Arg Phe Ala Thr Ser Leu His Phe Leu Asn Ala
675 680 685 Met Ser Lys Val Arg Lys Asp Ile Gln Glu Trp Lys Pro Ser Thr Gly 690
695 700 Trp Tyr Asp Trp Gln Gln Val Pro Phe Cys Ser Asn His Phe Thr Glu 705 710
715 720 Leu Ile Met Lys Asp Gly Arg Thr Leu Val Val Pro Cys Arg Gly Gln 725 730
735 Asp Glu Leu Val Gly Arg Ala Arg Ile Ser Pro Gly Ala Gly Trp Asn 740 745 750
Val Arg Asp Thr Ala Cys Leu Ala Lys Ser Tyr Ala Gln Met Trp Leu 755 760 765 Leu
Leu Tyr Phe His Arg Arg Asp Leu Arg Leu Met Ala Asn Ala Ile 770 775 780 Cys Ser
Ala Val Pro Val Asn Trp Val Pro Thr Gly Arg Thr Thr Trp 785 790 795 800 Ser Ile
His Ala Gly Gly Glu Trp Met Thr Thr Glu Asp Met Leu Glu 805 810 815 Val Trp Asn
Arg Val Trp Ile Glu Glu Asn Glu Trp Met Glu Asp Lys 820 825 830 Thr Pro Val Glu
Lys Trp Ser Asp Val Pro Tyr Ser Gly Lys Arg Glu 835 840 845 Asp Ile Trp Cys Gly
Ser Leu Ile Gly Thr Arg Ala Arg Ala Thr Trp 850 855 860 Ala Glu Asn Ile Gln Val
Ala Ile Asn Gln Val Arg Ala Ile Ile Gly 865 870 875 880 Asp Glu Lys Tyr Val Asp
Tyr Met Ser Ser Leu Lys Arg Tyr Glu Asp 885 890 895 Thr Thr Leu Val Glu Asp Thr
Val Leu 900 905 9 2697 DNA Dengue virus type 1 9 ggcacgggag cccaagggga
aacactggga gaaaaatgga aaagacagct aaaccaattg 60 agcaagtcag aattcaacac ttacaaaagg
agtgggatta tagaggtgga tagatctgaa 120 gccaaagagg ggttaaaaag aggagaaccg
actaaacacg cagtgtcgag aggaacggcc 180 aaactgaggt ggtttgtgga gaggaacctt
gtgaaaccag aagggaaagt catagacctc 240 ggttgtggaa gaggtggctg gtcatattat
tgcgctgggc tgaagaaagt cacagaagtg 300 aaaggataca cgaaaggagg acctggacat
gaggaaccaa tcccaatggc aacctatgga 360 tggaacctag taaagctata ctccgggaaa
gatgtattct ttacaccacc tgagaaatgt 420 gacaccctct tgtgtgatat tggtgagtcc
tctccgaacc caactataga agaaggaaga 480 acgttacgtg ttctaaagat ggtggaacca
tggctcagag gaaaccaatt ttgcataaaa 540 attctaaatc cctatatgcc gagtgtggta
gaaactttgg agcaaatgca aagaaaacat 600 ggaggaatgc tagtgcgaaa tccactctca
agaaactcca ctcatgaaat gtactgggtt 660 tcatgtggaa caggaaacat tgtgtcagca
gtaaacatga catctagaat gttgctaaat 720 cgattcacaa tggctcacag gaagccaaca
tatgaaagag acgtggactt aggcgctgga 780 acaagacatg tggcagtaga accagaggtg
gccaacctag atatcattgg ccagaggata 840 gagaatataa aaaatggaca caaatcaaca
tggcactatg atgaggacaa tccatacaaa 900 acatgggcct atcatggatc atatgaggtc
aagccatcag gatcagcctc atccatggtc 960 aatggtgtgg tgagactgct aaccaaacca
tgggatgtca ttcccatggt cacacaaata 1020 gccatgactg acaccacacc ctttggacaa
cagagggtgt ttaaagagaa agttgacacg 1080 cgtacaccaa aagcgaaacg aggcacagca
caaattatgg aggtgacagc caggtggtta 1140 tggggttttc tctctagaaa caaaaaaccc
agaatctgca caagagagga gttcacaaga 1200 aaagtcaggt caaacgcagc tattggagca
gtgttcgttg atgaaaatca atggaactca 1260 gcaaaagagg cagtggaaga tgaacggttc
tgggaccttg tgcacagaga gagggagctt 1320 cataaacaag gaaaatgtgc cacgtgtgtc
tacaacatga tgggaaagag agagaaaaaa 1380 ttaggagagt tcggaaaggc aaaaggaagt
cgcgcaatat ggtacatgtg gttgggagcg 1440 cgctttttag agtttgaagc ccttggtttc
atgaatgaag atcactggtt cagcagagag 1500 aattcactca gtggagtgga aggagaagga
ctccacaaac ttggatacat actcagagac 1560 atatcaaaga ttccaggggg aaatatgtat gcagatgaca
cagccggatg ggacacaaga 1620 ataacagagg atgatcttca gaatgaggcc aaaatcactg
acatcatgga acctgaacat 1680 gccctattgg ccacgtcaat ctttaagcta acctaccaaa
acaaggtagt aagggtgcag 1740 agaccagcga aaaatggaac cgtgatggat gtcatatcca
gacgtgacca gagaggaagt 1800 ggacaggttg gaacctatgg cttaaacacc ttcaccaaca
tggaggccca actaataaga 1860 caaatggagt ctgagggaat cttttcaccc agcgaattgg
aaaccccaaa tctagccgaa 1920 agagtcctcg actggttgaa aaaacatggc accgagaggc
tgaaaagaat ggcaatcagt 1980 ggagatgact gtgtggtgaa accaatcgat gacagatttg caacagcctt
aacagctttg 2040 aatgacatgg gaaaggtaag aaaagacata ccgcaatggg aaccttcaaa
aggatggaat 2100 gattggcaac aagtgccttt ctgttcacac catttccacc agctgattat
gaaggatggg 2160 agggagatag tggtgccatg ccgcaaccaa gatgaacttg taggtagggc
cagagtatca 2220 caaggcgccg gatggagctt gagagaaact gcatgcctag gcaagtcata
tgcacaaatg 2280 tggcagctga tgtacttcca caggagagac ttgagattag cggctaatgc
tatctgttca 2340 gccgttccag ttgattgggt cccaaccagc cgtaccacct ggtcgatcca
tgcccaccat 2400 caatggatga caacagaaga catgttgtca gtgtggaata gggtttggat agaggaaaac
2460 ccatggatgg aggacaagac tcatgtgtcc agttgggaag acgttccata cctaggaaaa 2520
agggaagatc gatggtgtgg atccctaata ggcttaacag cacgagccac ctgggccacc 2580
aacatacaag tggccataaa ccaagtgaga aggctcattg ggaatgagaa ttatctagac 2640
ttcatgacat caatgaagag attcaaaaac gagagtgatc ccgaaggggc actctgg 2697 10 899 PRT
Dengue virus type 1 10 Gly Thr Gly Ala Gln Gly Glu Thr Leu Gly Glu Lys Trp Lys
Arg Gln 1 5 10 15 Leu Asn Gln Leu Ser Lys Ser Glu Phe Asn Thr Tyr Lys Arg Ser
Gly 20 25 30 Ile Ile Glu Val Asp Arg Ser Glu Ala Lys Glu Gly Leu Lys Arg Gly 35
40 45 Glu Pro Thr Lys His Ala Val Ser Arg Gly Thr Ala Lys Leu Arg Trp 50 55 60
Phe Val Glu Arg Asn Leu Val Lys Pro Glu Gly Lys Val Ile Asp Leu 65 70 75 80 Gly
Cys Gly Arg Gly Gly Trp Ser Tyr Tyr Cys Ala Gly Leu Lys Lys 85 90 95 Val Thr
Glu Val Lys Gly Tyr Thr Lys Gly Gly Pro Gly His Glu Glu 100 105 110 Pro Ile Pro
Met Ala Thr Tyr Gly Trp Asn Leu Val Lys Leu Tyr Ser 115 120 125 Gly Lys Asp Val
Phe Phe Thr Pro Pro Glu Lys Cys Asp Thr Leu Leu 130 135 140 Cys Asp Ile Gly Glu
Ser Ser Pro Asn Pro Thr Ile Glu Glu Gly Arg 145 150 155 160 Thr Leu Arg Val Leu
Lys Met Val Glu Pro Trp Leu Arg Gly Asn Gln 165 170 175 Phe Cys Ile Lys Ile Leu
Asn Pro Tyr Met Pro Ser Val Val Glu Thr 180 185 190 Leu Glu Gln Met Gln Arg Lys
His Gly Gly Met Leu Val Arg Asn Pro 195 200 205 Leu Ser Arg Asn Ser Thr His Glu
Met Tyr Trp Val Ser Cys Gly Thr 210 215 220 Gly Asn Ile Val Ser Ala Val Asn Met
Thr Ser Arg Met Leu Leu Asn 225 230 235 240 Arg Phe Thr Met Ala His Arg Lys Pro
Thr Tyr Glu Arg Asp Val Asp 245 250 255 Leu Gly Ala Gly Thr Arg His Val Ala Val
Glu Pro Glu Val Ala Asn 260 265 270 Leu Asp Ile Ile Gly Gln Arg Ile Glu Asn Ile
Lys Asn Gly His Lys 275 280 285 Ser Thr Trp His Tyr Asp Glu Asp Asn Pro Tyr Lys
Thr Trp Ala Tyr 290 295 300 His Gly Ser Tyr Glu Val Lys Pro Ser Gly Ser Ala Ser
Ser Met Val 305 310 315 320 Asn Gly Val Val Arg Leu Leu Thr Lys Pro Trp Asp Val
Ile Pro Met 325 330 335 Val Thr Gln Ile Ala Met Thr Asp Thr Thr Pro Phe Gly Gln
Gln Arg 340 345 350 Val Phe Lys Glu Lys Val Asp Thr Arg Thr Pro Lys Ala Lys Arg
Gly 355 360 365 Thr Ala Gln Ile Met Glu Val Thr Ala Arg Trp Leu Trp Gly Phe Leu
370 375 380 Ser Arg Asn Lys Lys Pro Arg Ile Cys Thr Arg Glu Glu Phe Thr Arg 385
390 395 400 Lys Val Arg Ser Asn Ala Ala Ile Gly Ala Val Phe Val Asp Glu Asn 405
410 415 Gln Trp Asn Ser Ala Lys Glu Ala Val Glu Asp Glu Arg Phe Trp Asp 420 425
430 Leu Val His Arg Glu Arg Glu Leu His Lys Gln Gly Lys Cys Ala Thr 435 440 445
Cys Val Tyr Asn Met Met Gly Lys Arg Glu Lys Lys Leu Gly Glu Phe 450 455 460 Gly
Lys Ala Lys Gly Ser Arg Ala Ile Trp Tyr Met Trp Leu Gly Ala 465 470 475 480 Arg
Phe Leu Glu Phe Glu Ala Leu Gly Phe Met Asn Glu Asp His Trp 485 490 495 Phe Ser
Arg Glu Asn Ser Leu Ser Gly Val Glu Gly Glu Gly Leu His 500 505 510 Lys Leu Gly
Tyr Ile Leu Arg Asp Ile Ser Lys Ile Pro Gly Gly Asn 515 520 525 Met Tyr Ala Asp
Asp Thr Ala Gly Trp Asp Thr Arg Ile Thr Glu Asp 530 535 540 Asp Leu Gln Asn Glu
Ala Lys Ile Thr Asp Ile Met Glu Pro Glu His 545 550 555 560 Ala Leu Leu Ala Thr
Ser Ile Phe Lys Leu Thr Tyr Gln Asn Lys Val 565 570 575 Val Arg Val Gln Arg Pro
Ala Lys Asn Gly Thr Val Met Asp Val Ile 580 585 590 Ser Arg Arg Asp Gln Arg Gly
Ser Gly Gln Val Gly Thr Tyr Gly Leu 595 600 605 Asn Thr Phe Thr Asn Met Glu Ala
Gln Leu Ile Arg Gln Met Glu Ser 610 615
620 Glu Gly Ile Phe Ser Pro Ser Glu Leu Glu Thr Pro Asn Leu Ala Glu 625 630 635
640 Arg Val Leu Asp Trp Leu Lys Lys His Gly Thr Glu Arg Leu Lys Arg 645 650 655
Met Ala Ile Ser Gly Asp Asp Cys Val Val Lys Pro Ile Asp Asp Arg 660 665 670 Phe
Ala Thr Ala Leu Thr Ala Leu Asn Asp Met Gly Lys Val Arg Lys 675 680 685 Asp Ile
Pro Gln Trp Glu Pro Ser Lys Gly Trp Asn Asp Trp Gln Gln 690 695 700 Val Pro Phe
Cys Ser His His Phe His Gln Leu Ile Met Lys Asp Gly 705 710 715 720 Arg Glu Ile
Val Val Pro Cys Arg Asn Gln Asp Glu Leu Val Gly Arg 725 730 735 Ala Arg Val Ser
Gln Gly Ala Gly Trp Ser Leu Arg Glu Thr Ala Cys 740 745 750 Leu Gly Lys Ser Tyr
Ala Gln Met Trp Gln Leu Met Tyr Phe His Arg 755 760 765 Arg Asp Leu Arg Leu Ala
Ala Asn Ala Ile Cys Ser Ala Val Pro Val 770 775 780 Asp Trp Val Pro Thr Ser Arg
Thr Thr Trp Ser Ile His Ala His His 785 790 795 800 Gln Trp Met Thr Thr Glu Asp
Met Leu Ser Val Trp Asn Arg Val Trp 805 810 815 Ile Glu Glu Asn Pro Trp Met Glu
Asp Lys Thr His Val Ser Ser Trp 820 825 830 Glu Asp Val Pro Tyr Leu Gly Lys Arg
Glu Asp Arg Trp Cys Gly Ser 835 840 845 Leu Ile Gly Leu Thr Ala Arg Ala Thr Trp
Ala Thr Asn Ile Gln Val 850 855 860 Ala Ile Asn Gln Val Arg Arg Leu Ile Gly Asn
Glu Asn Tyr Leu Asp 865 870 875 880 Phe Met Thr Ser Met Lys Arg Phe Lys Asn Glu
Ser Asp Pro Glu Gly 885 890 895 Ala Leu Trp 11 2701 DNA Dengue virus type 2 11
ggaactggca acataggaga gacgcttgga gagaaatgga aaagccgatt gaacgcattg 60 gggaaaagtg
aattccagat ctacaagaaa agtggaatcc aggaagtgga tagaacctta 120 gcaaaagaag
gcattaaaag aggagaaacg gaccatcacg ctgtgtcgcg aggctcagca 180 aaactgagat
ggttcgtcga gagaaatatg gtcacaccag aagggaaagt agtggacctc 240 ggttgcggca
gaggaggctg gtcatactat tgtgggggac taaagaatgt aagagaagtc 300 aaaggcctga
caaaaggagg accaggacat gaagaaccca tccccatgtc aacatatggg 360 tggaatctag
tacgtcttca aagtggagtt gacgttttct tcactccgcc agaaaagtgt 420 gacacattgt
tgtgtgacat aggggagtcg tcaccaaatc ccacggtaga agcaggacga 480 acactcagag
tccttaactt agtggaaaat tggttgaaca acaacaccca attttgcata 540 aaggttctca
acccatacat gccctcagtc atagaaaaaa tggaagcact acaaaggaaa 600 tatggaggag
ccttagtgag gaatccactc tcacgaaact ccacacatga gatgtactgg 660 gtatccaatg
cctccgggaa catagtgtca tcagtgaaca tgatttcaag gatgttgatc 720 aacagattca
caatgagaca caagaaagcc acttacgagc cagatgtaga cctcggaagc 780 ggaacccgca
acatcggaat tgaaagtgag ataccaaacc tagacataat cgggaaaaga 840 atagaaaaaa
taaaacaaga gcatgaaaca tcatggcact atgaccaaga ccacccatac 900 aaaacgtggg
cttaccatgg cagctatgaa acaaaacaaa ctggatcagc atcatccatg 960 gtgaacggag
tggtcagact gctgacaaaa ccttgggacg tcgtccccat ggtgacacag 1020 atggcaatga
cagacacgac tccatttgga caacagcgcg tttttaaaga aaaagtggac 1080 acgagaaccc
aagaaccgaa agaaggcaca aagaaactaa tgaaaatcac ggcagagtgg 1140 ctttggaaag
aactagggaa gaaaaagaca cctaggatgt gcactagaga agaattcaca 1200 agaaaggtga
gaagcaatgc agccttgggg gccatattca ctgatgagaa caagtggaag 1260 tcggcacgtg aggctgttga
agatagtagg ttttgggagc tggttgacaa ggaaaggaat 1320 ctccatcttg aaggaaagtg
tgaaacatgt gtgtataaca tgatgggaaa aagagagaag 1380 aagctagggg agttcggcaa
ggcaaaaggc agcagagcca tatggtacat gtggcttgga 1440 gcacgcttct tagagtttga
agccctagga ttcttgaatg aagatcactg gttctccaga 1500 gagaactcct tgagtggagt
ggaaggagaa gggctgcaca agctaggtta cattttaaga 1560 gacgtgagca agaaagaggg
aggagcaatg tatgccgatg acaccgcagg atgggacaca 1620 agaatcacac tagaagacct
aaaaaatgaa gaaatggtaa caaaccacat ggaaggagaa 1680 cacaagaaac tagccgaggc
cattttcaaa ttaacgtacc aaaacaaggt ggtgcgtgtg 1740 caaagaccaa caccaagagg
cacagtaatg gatatcatat cgagaagaga ccaaagaggt 1800 agtggacaag ttggtaccta
tggactcaat actttcacca atatggaagc ccaactaatc 1860 agacagatgg agggagaagg
agtcttcaaa agcattcagc acctgacagt cacagaagaa 1920 atcgccgtgc aaaactggtt
agcaagagta gggcgcgaaa ggttatcaag aatggccatc 1980 agtggagatg attgtgttgt
gaaaccttta gatgacaggt tcgcaagcgc tttaacagct 2040 ctaaatgaca tgggaaaggt
taggaaagac atacaacaat gggaaccttc aagaggatgg 2100 aacgattgga cacaagtgcc
cttctgttca caccatttcc atgagttaat catgaaagac 2160 ggccgcgtac ttgtagttcc
atgcagaaac caagatgaac tgattggtag agcccgaatt 2220 tcccaaggag ctgggtggtc
tttgcgagag acggcctgtt tggggaagtc ctacgcccaa 2280 atgtggagct tgatgtactt
ccacagacgt gacctcaggc tggcggctaa tgctatttgc 2340 tcggcagtcc catcacattg
ggttccaaca agtagaacaa cctggtccat acacgccaaa 2400 catgaatgga tgacaacgga
agacatgctg acagtctgga acagggtgtg gattcaagaa 2460 aacccatgga tggaagacaa
aactccagtg gaatcatggg aggaaatccc atacttgggg 2520 aaaagagaag accaatggtg
cggctcattg attgggctaa caagcagggc cacctgggca 2580 aagaacatcc aaacagcaat
aaatcaagtt agatccctta taggcaatga ggaatacaca 2640 gattacatgc catccatgaa
aagattcaga agagaagagg aagaggcagg agtcctgtgg 2700 t 2701 12 900 PRT Dengue virus
type 2 12 Gly Thr Gly Asn Ile Gly Glu Thr Leu Gly Glu Lys Trp Lys Ser Arg 1 5
10 15 Leu Asn Ala Leu Gly Lys Ser Glu Phe Gln Ile Tyr Lys Lys Ser Gly 20 25 30
Ile Gln Glu Val Asp Arg Thr Leu Ala Lys Glu Gly Ile Lys Arg Gly 35 40 45 Glu
Thr Asp His His Ala Val Ser Arg Gly Ser Ala Lys Leu Arg Trp 50 55 60 Phe Val
Glu Arg Asn Met Val Thr Pro Glu Gly Lys Val Val Asp Leu 65 70 75 80 Gly Cys Gly
Arg Gly Gly Trp Ser Tyr Tyr Cys Gly Gly Leu Lys Asn 85 90 95 Val Arg Glu Val
Lys Gly Leu Thr Lys Gly Gly Pro Gly His Glu Glu 100 105 110 Pro Ile Pro Met Ser
Thr Tyr Gly Trp Asn Leu Val Arg Leu Gln Ser 115 120 125 Gly Val Asp Val Phe Phe
Thr Pro Pro Glu Lys Cys Asp Thr Leu Leu 130 135 140 Cys Asp Ile Gly Glu Ser Ser
Pro Asn Pro Thr Val Glu Ala Gly Arg 145 150 155 160 Thr Leu Arg Val Leu Asn Leu
Val Glu Asn Trp Leu Asn Asn Asn Thr 165 170 175 Gln Phe Cys Ile Lys Val Leu Asn
Pro Tyr Met Pro Ser Val Ile Glu 180 185 190 Lys Met Glu Ala Leu Gln Arg Lys Tyr
Gly Gly Ala Leu Val Arg Asn 195 200 205 Pro Leu Ser Arg Asn Ser Thr His Glu Met
Tyr Trp Val Ser Asn Ala 210 215 220 Ser Gly Asn Ile Val Ser Ser Val Asn Met Ile
Ser Arg Met Leu Ile 225 230 235 240 Asn Arg Phe Thr Met Arg His Lys Lys Ala Thr
Tyr Glu Pro Asp Val 245 250 255 Asp Leu Gly Ser Gly Thr Arg Asn Ile Gly Ile Glu
Ser Glu Ile Pro 260 265 270 Asn Leu Asp Ile Ile Gly Lys Arg Ile Glu Lys Ile Lys
Gln Glu His 275 280 285 Glu Thr Ser Trp His Tyr Asp Gln Asp His Pro Tyr Lys Thr
Trp Ala 290 295 300 Tyr His Gly Ser Tyr Glu Thr Lys Gln Thr Gly Ser Ala Ser Ser
Met 305 310 315 320 Val Asn Gly Val Val Arg Leu Leu Thr Lys Pro Trp Asp Val Val
Pro 325 330 335 Met Val Thr Gln Met Ala Met Thr Asp Thr Thr Pro Phe Gly Gln Gln
340 345 350 Arg Val Phe Lys Glu Lys Val Asp Thr Arg Thr Gln Glu Pro Lys Glu 355
360 365 Gly Thr Lys Lys Leu Met Lys Ile Thr Ala Glu Trp Leu Trp Lys Glu 370 375
380 Leu Gly Lys Lys Lys Thr Pro Arg Met Cys Thr Arg Glu Glu Phe Thr 385 390 395
400 Arg Lys Val Arg Ser Asn Ala Ala Leu Gly Ala Ile Phe Thr Asp Glu 405 410 415
Asn Lys Trp Lys Ser Ala Arg Glu Ala Val Glu Asp Ser Arg Phe Trp 420 425 430 Glu
Leu Val Asp Lys Glu Arg Asn Leu His Leu Glu Gly Lys Cys Glu 435 440 445 Thr Cys
Val Tyr Asn Met Met Gly Lys Arg Glu Lys Lys Leu Gly Glu 450 455 460 Phe Gly Lys
Ala Lys Gly Ser Arg Ala Ile Trp Tyr Met Trp Leu Gly 465 470 475 480 Ala Arg Phe
Leu Glu Phe Glu Ala Leu Gly Phe Leu Asn Glu Asp His 485 490 495 Trp Phe Ser Arg
Glu Asn Ser Leu Ser Gly Val Glu Gly Glu Gly Leu 500 505 510 His Lys Leu Gly Tyr
Ile Leu Arg Asp Val Ser Lys Lys Glu Gly Gly 515 520 525 Ala Met Tyr Ala Asp Asp
Thr Ala Gly Trp Asp Thr Arg Ile Thr Leu 530 535 540 Glu Asp Leu Lys Asn Glu Glu
Met Val Thr Asn His Met Glu Gly Glu 545 550 555 560 His Lys Lys Leu Ala Glu Ala
Ile Phe Lys Leu Thr Tyr Gln Asn Lys 565 570 575 Val Val Arg Val Gln Arg Pro Thr
Pro Arg Gly Thr Val Met Asp Ile 580 585 590 Ile Ser Arg Arg Asp Gln Arg Gly Ser
Gly Gln Val Gly Thr Tyr Gly 595 600 605 Leu Asn Thr Phe Thr Asn Met Glu Ala Gln
Leu Ile Arg Gln Met Glu 610 615 620 Gly Glu Gly Val Phe Lys Ser Ile Gln His Leu
Thr Val Thr Glu Glu 625 630 635 640 Ile Ala Val Gln Asn Trp Leu Ala Arg Val Gly
Arg Glu Arg Leu Ser 645 650 655 Arg Met Ala Ile Ser Gly Asp Asp Cys Val Val Lys
Pro Leu Asp Asp 660 665 670 Arg Phe Ala Ser Ala Leu Thr Ala Leu Asn Asp Met Gly
Lys Val Arg 675 680 685 Lys Asp Ile Gln Gln Trp Glu Pro Ser Arg Gly Trp Asn Asp
Trp Thr 690 695 700 Gln Val Pro Phe Cys Ser His His Phe His Glu Leu Ile Met Lys
Asp 705 710 715 720 Gly Arg Val Leu Val Val Pro Cys Arg Asn Gln Asp Glu Leu Ile
Gly 725 730 735 Arg Ala Arg Ile Ser Gln Gly Ala Gly Trp Ser Leu Arg Glu Thr Ala
740 745 750 Cys Leu Gly Lys Ser Tyr Ala Gln Met Trp Ser Leu Met Tyr Phe His 755
760 765 Arg Arg Asp Leu Arg Leu Ala Ala Asn Ala Ile Cys Ser Ala Val Pro 770 775
780 Ser His Trp Val Pro Thr Ser Arg Thr Thr Trp Ser Ile His Ala Lys 785 790 795
800 His Glu Trp Met Thr Thr Glu Asp Met Leu Thr Val Trp Asn Arg Val 805 810 815
Trp Ile Gln Glu Asn Pro Trp Met Glu Asp Lys Thr Pro Val Glu Ser 820 825 830 Trp
Glu Glu Ile Pro Tyr Leu Gly Lys Arg Glu Asp Gln Trp Cys Gly 835 840 845 Ser Leu
Ile Gly Leu Thr Ser Arg Ala Thr Trp Ala Lys Asn Ile Gln 850 855 860 Thr Ala Ile
Asn Gln Val Arg Ser Leu Ile Gly Asn Glu Glu Tyr Thr 865 870 875 880 Asp Tyr Met
Pro Ser Met Lys Arg Phe Arg Arg Glu Glu Glu Glu Ala 885 890 895 Gly Val Leu Trp
900 13 14 PRT Artificial Sequence Description of Artificial Sequence Synthetic
peptide 13 Cys Arg Val Lys Met Glu Lys Leu Gln Leu Lys Gly Thr Thr 1 5 10 14 14
PRT Artificial Sequence Description of Artificial Sequence Synthetic peptide 14
Cys Gln Leu Leu Met Arg Glu Val Lys Thr Gly Thr Lys Lys 1 5 10 15 19 PRT
Artificial Sequence Description of Artificial Sequence Synthetic peptide 15 Cys
Ser Thr Lys Ala Ile Gly Arg Thr Ile Leu Lys Glu Asn Ile Lys 1 5 10 15 Tyr Glu
Val 16 23 DNA Artificial Sequence Description of Artificial Sequence Synthetic
primer 16 gactgaagag ggcaatgttg agc 23 17 21 DNA Artificial Sequence
Description of Artificial Sequence Synthetic primer 17 gcaataactg cggacytctg c
21 18 27 DNA Artificial Sequence Description of Artificial Sequence Synthetic
primer 18 gaattcttca actgccttgg aatgagc 27 19 27 DNA Artificial Sequence
Description of Artificial Sequence Synthetic primer 19 ctgcagttat ttgccaatgc
tgcttcc 27 20 6 PRT Artificial Sequence Description of Artificial Sequence
Synthetic 6xHis tag 20 His His His His His His 1 5