Development of a Nanobody-Based Lateral Flow Immunoassay for Detection of Human Norovirus

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Doerflinger, SY
Tabatabai, J
Schnitzler, P
Farah, C
Rameil, S
Sander, P
Koromyslova, A
Hansman, GS
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2016
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Abstract

Human noroviruses are the dominant cause of outbreaks of acute gastroenteritis. These viruses are usually detected by molecular methods, including reverse transcriptase PCR (RT-PCR) and enzyme-linked immunosorbent assay (ELISA). Human noroviruses are genetically and antigenically diverse, with two main genogroups that are further subdivided into over 40 different genotypes. During the past decade, genogroup 2 genotype 4 (GII.4) has dominated in most countries, but recently, viruses belonging to GII.17 have increased in prevalence in a number of countries. A number of commercially available ELISAs and lateral flow immunoassays were found to have lower sensitivities to the GII.17 viruses, indicating that the antibodies used in these methods may not have a high level of cross-reactivity. In this study, we developed a rapid Nanobody-based lateral flow immunoassay (Nano-immunochromatography [Nano-IC]) for the detection of human norovirus in clinical specimens. The Nano-IC assay detected virions from two GII.4 norovirus clusters, which included the current dominant strain and a novel variant strain. The Nano-IC method had a sensitivity of 80% and specificity of 86% for outbreak specimens. Norovirus virus-like particles (VLPs) representing four genotypes (GII.4, GII.10, GII.12, and GII.17) could be detected by this method, demonstrating the potential in clinical screening. However, further modifications to the Nano-IC method are needed in order to improve this sensitivity, which may be achieved by the addition of other broadly reactive Nanobodies to the system.

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mSphere

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1

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5

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© 2016 Doerflinger et al. This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International license, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Clinical sciences

Infectious diseases

Medical microbiology

Science & Technology

Life Sciences & Biomedicine

Microbiology

Nanobody

lateral flow assay

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Doerflinger, SY; Tabatabai, J; Schnitzler, P; Farah, C; Rameil, S; Sander, P; Koromyslova, A; Hansman, GS, Development of a Nanobody-Based Lateral Flow Immunoassay for Detection of Human Norovirus, mSphere, 2016, 1 (5), pp. e00219-16