3 research outputs found
A New Approach to Dengue Fatal Cases Diagnosis: NS1 Antigen Capture in Tissues
Dengue manifestations may vary from asymptomatic to potentially fatal
complications. With an increasing number of Dengue Hemorrhagic fever (DHF) and
fatal cases, the availability of new approaches useful for cases confirmation
plays an important role for the disease surveillance. The diagnosis of fatal
cases in frozen and fixed tissues from autopsies can be determined by techniques
such as viral RT-PCR, in situ hybridization, viral proteins detection by
immunohistochemistry and NS3 specific immunostaining. We aimed to assess for the
first time the usefulness of NS1 capture tests as a diagnostic technique to
demonstrate DENV antigens in human tissue specimens. The highest sensitivity was
obtained by a rapid ICT which was also the most sensitive in liver, lung,
kidney, brain, spleen and thymus. Despite a number of studies demonstrating the
usefulness of DENV NS1 antigen detection by different ELISAs in plasma and/or
sera of dengue patients, no research has been done previously to demonstrate NS1
presence in tissues of fatal dengue cases. Moreover, the application of NS1 kits
to demonstrate the presence of DENV may provide a better understanding of viral
tropism in fatal cases and may be useful for studies of pathogenesis in vivo and
in experimental animals