Assessment of twelve echovirus virus-neutralisation assays in Europe: recommendations for harmonisation of non-polio enterovirus sero-surveillance studies

Non-polio enteroviruses (NPEV) cause significant disease worldwide. Population-based sero-surveillance, by measuring antibodies against specific NPEV types, provides additional information on past circulation and the prediction for future upsurges. Virus neutralisation assays (VNA), the current method of choice for measuring NPEV type specific antibodies, are not entirely standardised. Via the European Non-Polio Enterovirus Network, we organised a VNA quality assessment in which twelve laboratories participated. We provided five echovirus (E) types (E1, E18, E30 G2, E30 G6 and E6) and intravenous immunoglobulins (IVIG) as a sample for the NPEV VNA quality assessment. Differences in VNA protocols and neutralising Ab (nAb) titres were found between the participating laboratories with geometric coefficients of variation ranging from 10.3-62.9 %. Mixed-effects regression analysis indicated a small but significant effect of type of cell line used. Harmonisation of cell line passage number, however, did not improve variation between laboratories. Calibration by making use of a reference sample, reduced variation between laboratories but differences in nAb titres remained higher than two log2 dilution steps. In conclusion, sero-surveillance data from different laboratories should be compared with caution and standardised protocols are needed.

Authors

Institutions

Publication Details

Journal
Journal of General Virology
Published
2024-09-23
DOI
https://doi.org/10.1099/jgv.0.001986
Citations
3
Primary Topic
Viral Infections and Immunology Research
Type
article
Field-Weighted Citation Impact
1.21

Funders

Controls
|||
ALL TIME
JAN
FEB
MAR
APR
MAY
JUN
JUL
AUG
SEP
OCT
article

Assessment of twelve echovirus virus-neutralisation assays in Europe: recommendations for harmonisation of non-polio enterovirus sero-surveillance studies

Petri Susi, Karen Couderé, Gerrit Koen, Petra Rainetová et al.
3 citations
Journal of General Virology
Viral Infections and Immunology Research
1.21
article

Assessment of twelve echovirus virus-neutralisation assays in Europe: recommendations for harmonisation of non-polio enterovirus sero-surveillance studies

Petri Susi, Karen Couderé, Gerrit Koen, Petra Rainetová, Kimberley Benschop, Hetty van Eijk, Asya Stoyanova, Dasja Pajkrt, Vladimir Stevanović, Marie‐Line Joffret, Jean‐Luc Bailly, Lubomira Nikolaeva–Glomb, María Cabrerizo, Sabine Diedrich, Irena Tabain, Željka Hruškar, Maartje Kristensen, Heli Harvala, Sindy Böttcher, Paula Palminha, Eero Hietanen, Jean‐Luc Murk, Anda Băicuş, Everlyn Kamau, Maël Bessaud, Katja C. Wolthers, Irina Georgieva, Isabelle Simon
article en
3 citations

Abstract

Non-polio enteroviruses (NPEV) cause significant disease worldwide. Population-based sero-surveillance, by measuring antibodies against specific NPEV types, provides additional information on past circulation and the prediction for future upsurges. Virus neutralisation assays (VNA), the current method of choice for measuring NPEV type specific antibodies, are not entirely standardised. Via the European Non-Polio Enterovirus Network, we organised a VNA quality assessment in which twelve laboratories participated. We provided five echovirus (E) types (E1, E18, E30 G2, E30 G6 and E6) and intravenous immunoglobulins (IVIG) as a sample for the NPEV VNA quality assessment. Differences in VNA protocols and neutralising Ab (nAb) titres were found between the participating laboratories with geometric coefficients of variation ranging from 10.3-62.9 %. Mixed-effects regression analysis indicated a small but significant effect of type of cell line used. Harmonisation of cell line passage number, however, did not improve variation between laboratories. Calibration by making use of a reference sample, reduced variation between laboratories but differences in nAb titres remained higher than two log2 dilution steps. In conclusion, sero-surveillance data from different laboratories should be compared with caution and standardised protocols are needed.

Journal of General VirologyVol. 105(9)
Centre National de la Recherche Scientifique (FR), NHS Blood and Transplant (GB), University of Leeds (GB), University of Turku (FI), Institut Pasteur (FR), Université Clermont Auvergne (FR), Université Paris Cité (FR), Robert Koch Institute (DE), Instituto de Salud Carlos III (ES), European Nuclear Education Network (FR), University of Oxford (GB), Emma Kinderziekenhuis (NL), Hrvatski zavod za javno zdravstvo (HR), National Institute for Public Health and the Environment (NL), Croatian Veterinary Institute (HR), Laboratoire Microorganismes Génome et Environnement (FR), National Institute of Public Health (CZ), National Institute of Health Dr. Ricardo Jorge (PT), Elisabeth-TweeSteden Ziekenhuis (NL), Amsterdam University Medical Centers (NL), Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (ES), National Center of Infectious and Parasitic Diseases (BG), University of Amsterdam (NL)
Amsterdam University Medical Centers, Instituto de Salud Carlos III, Rijksinstituut voor Volksgezondheid en Milieu, Centrum Infectieziektebestrijding, Rijksinstituut voor Volksgezondheid en Milieu
Openalex Percentile: Top 18%
Viral Infections and Immunology Research
1.21
AI Navigator

Ask Laika to Summarize, Analyze, and Connect papers live on the map.

Summarize Papers & Methodologies

Extract key findings, datasets, and comparative methods across publications.

Benchmark Rankings & Visual Analytics

Rank top research institutions, authors, funders, topics, and journals by Field-Weighted Citation Impact (FWCI) and paper volume with instant charts.

Connect Distant Disciplines

Bridge topological clusters on the map to find hidden collaborative intersections.