Bull Vet Inst Pulawy 49, 147-151 COMPARISON OF THREE ELISA KITS FOR THE DETECTION OF ANTIBODIES AGAINST FOOT-AND-MOUTH DISEASE VIRUS NON-STRUCTURAL PROTEINS WIESŁAW NIEDBALSKI Department of Foot-and-Mouth Disease, National Veterinary Research Institute, 98-220 Zduńska Wola, Poland e-mail: wieslaw@piwzp.invar.net.pl Received for publication December 10, 2004. Abstract Three foot-and-mouth disease virus non-structural protein antibody kits: CHEKIT FMD-3ABC, Ceditest FMDV- NS and 3ABC-ELISA were compared. These ELISAs were performed using panel of sera collected from negative (noninfected), vaccinated with trivalent foot and mouth disease vaccine, experimentally infected cattle as well as from animals that had been vaccinated and subsequently infected. Moreover, the panel of the FAO/OIE international reference sera for the purposes of Phase XVIII exercise was tested. The Ceditest kit had a better relative specificity (99.7% for naïve and 98.8% for vaccinated cattle) than the CHEKIT and 3ABC-ELISA kits (97.2 98.8% and 98.1 99.2%, respectively). A relative sensitivity of all used kits exceeded 98%, however, the Ceditest FMDV-NS kit had the higher sensitivity (99.1%) than the CHEKIT and 3ABC-ELISA (98.2%). The weak 2 O SKR 1/2000 reference serum tested within Phase XVIII collaborative study was detected only in Ceditest kit. It can be concluded that all tested kits can be a useful tool for export/import serological examination, for foot and mouth disease control programmes and especially for eradication campaigns in situation where emergency vaccination was applied. Key words: cattle, foot and mouth disease, aphthovirus, diagnosis, ELISA. Foot and mouth disease (FMD) is a highly contagious and devastating disease of all cloven-hoofed animals that still affects extensive areas of the world (26). It is one of the most important economic diseases of livestock owing to both the production losses caused by the disease and disruption caused in international trade with disease-free countries (10). The current method of FMD control in Europe still involves culling of infected and contact animals ( stamping out policy ), restricting animal movement and zoosanitary measures. The ring emergency vaccination is also acceptable, as it was practised during the eradication campaign in the Netherlands in 2001 (1). Recently, the applying of modern FMD vaccines as an alternative method of disease control is widely discussed (17). The new OIE code states that regarding freedom of FMD without vaccination a country may use emergency vaccination, but has to either cull all the vaccinated animals or use serological tests that detect antibodies against foot and mouth disease virus (FMDV) non-structural proteins (NSPs) for the differentiation of infected from vaccinated animals. Moreover, the ability to distinguish these animals is important for export/import serological examination. That is why the considerable efforts should be directed towards the validation of available diagnostic kits for the detection of antibodies to FMDV NSPs. This is needed in order to calculate the sensitivity and specificity requirements for these tests. In the differentiation procedure either panels of proteins (2, 3, 4) or individual proteins 3D (20, 27), 2C (11), 3AB1 (24) or 3ABC (6, 22) have been used. The response to 3ABC and its cleavage products (mainly 3AB, 3A and 3B) and to 2C has been found to be the most reliable indication of FMDV infection (2, 3, 6, 11, 14). The 3ABC-ELISA has been applied in our laboratory since 1998 (15). Our previous studies on the diagnostic potential of the 3ABC-ELISA showed that this assay can be a useful tool for the differentiation of infected cattle from vaccinated ones (16). Currently, several commercial ELISAs for FMDV NSPs antibodies are available. In the present study, the specificity and sensitivity of 3 ELISA kits were compared on naïve, infected, vaccinated and on vaccinated and subsequently infected animals. Material and Methods Sera. The following sera were examined: a/ set of naïve sera: a total of 420 samples of sera from Poland which originated from healthy cattle neither vaccinated nor exposed to FMDV as confirmed
148 by the VNT results. These sera were tested as part of the national serosurveillance programme for FMD (18). b/ positive sera: 180 "post-vaccination" sera were collected from animals repeatedly vaccinated in 1985-1989 with trivalent FMD vaccine. A total of 49 convalescent sera from animals infected with FMDV were supplied by the World Reference Laboratory for FMD at Pirbright, U.K. and 66 samples of sera collected during the commercial aqueous monovalent A 24 vaccine potency test were kindly provided by Dr B. Haas from the Federal Research Centre for Virus Disease of Animals in Tübingen (Germany). c/ the panel of the FAO/OIE international reference sera generated for the purposes by the FAO Collaborative Studies Phase XVIII: a strong positive, weak positive 1 and weak positive 2 against FMDV O SKR 1/2000 serotype (21). ELISA. The serum samples were examined with 3 ELISA kits: CHEKIT FMD-3ABC (Bommeli Diagnostics, Switzerland), Ceditest FMDV-NS (Cedi- Diagnostics, B.V. the Netherlands) and 3ABC-ELISA (Istituto Zooprofilattico Sperimentale della Lombardia e dell Emilia Romagna - IZSLER, Brescia, Italy). These assays are the indirect ELISAs, based on the detection of antibodies to the FMDV 3ABC polyprotein. The 3ABC- ELISA was performed according to the method developed by De Diego et al. (6). A positive reaction was scored when the OD 492 values, obtained after subtraction of the background of wells without antigen, were higher than 0.2 (cut-off level). Reagents were kindly provided by Dr E. Brocchi from the IZSLER. The CHEKIT FMD-3ABC and Ceditest FMDV-NS were used according to the manufacturers instructions. Sensitivity of ELISA kits. The relative sensitivity of the ELISA kits was evaluated by examining serum samples collected from cattle following experimental infection with the different serotypes of FMDV as well as from cattle vaccinated with a commercial aqueous monovalent A 24 vaccine and challenged 28 days post vaccination with homologous FMDV. Specificity of ELISA kits. Comparative specificity of ELISA kits was estimated using negative sera originated from healthy cattle and collected from vaccinated cattle. Results The results of relative sensitivity of the ELISA kits are presented in Table 1. When testing by the CHEKIT and 3ABC-ELISA, 112 of the samples of sera scored positive (98.2%). The sensitivity of Ceditest FMDV-NS based on 115 positive animals was 99.1%. The results of comparative specificity the ELISA kits are shown in Table 2. Table 1 Comparison of relative sensitivity of used ELISA kits Test CHEKIT FMD-3ABC Ceditest FMDV-NS 3ABC-ELISA Number of sera examined 115 Number of positive sera 112 112 Sensitivity (%) 98.2 99.1 98.2 Table 2 Comparative specificity of the ELISA kits CHEKIT FMD-3ABC Ceditest FMDV-NS 3ABC- ELISA (A) Naïve animals Negative results Positive results Specificity (%) 411 5 98.8 402 1 99.7 398 4 99.2 (B) Vaccinated cattle Negative results Positive results Specificity (%) 178 5 97.2 179 2 98.8 164 3 98.1
149 A total of 411 serum samples collected from naïve animals were tested. Among them, 406 were negative in CHEKIT FMD-3ABC (98.8%). Of 402 sera tested by Ceditest FMDV-NS, 401 were negative (99.7%) and when testing 398 sera with 3ABC-ELISA, 394 gave positive reaction (98.1%). When testing 178 samples of sera collected from vaccinated cattle, 173 scored negative in CHEKIT test (97.2%). Out of 179 sera examined in Ceditest, 177 gave positive reaction (98.8%) and when testing 164 samples in 3ABC-ELISA, 161 were negative (98.1%). The results of the examination of international reference sera from FAO/OIE Phase XVIII Collaboration Exercise are set out in Table 3. All the reference sera collected 34 days after an experimentally-induced infection were positive only in CHEKIT FMD-3ABC ELISA. In the other used ELISAs the O weak 2 serum gave negative results. Table 3 Results of the examination of international reference sera from the FAO/OIE Phase XVIII Collaboration Exercise by the ELISA kits Phase XVIII reference sera against FMDV O SKR 1/2000 Test O strong O weak 1 O weak 2 (strong positive) (weak positive) (weak positive) CHEKIT FMD-3ABC Ceditest FMDV-NS 3ABC-ELISA 90 PI a (positive) 94 PI a (positive) 0.82 b (positive) a percentage of inhibition (PI) b OD 492 38 PI a (positive) 87 PI a (positive) 0.35 b (positive) 14 PI a (positive) 78 PI a (negative) 0.10 b (negative) Discussion The aim of this study was to determine diagnostic value of 3 FMDV NSPs kits: the FMD- CHEKIT-ELISA from Bommeli (23), Ceditest FMDV- NS based on the method of Sorensen et al. (25) and 3ABC-ELISA developed by De Diego et al. (6). These assays are easy and quick to perform, especially the CHEKIT and Ceditest which employ a recombinant 3ABC antigen directly coated to the ELISA plate. Using the same set of cattle sera, we compared all the kits for their sensitivity and specificity. We found a comparable sensitivity and high specificity of all used ELISAs. However, the Ceditest had the relatively higher specificity, which is similar to its performance reported elsewhere (7, 9). The comparable sensitivity and specificity of commercially available NSPs kits performed recently by Moonen et al. (13) showed that these validation levels can differ considerably depending on the time after experimental inoculation of animals. In our experiment, most of the tested sera were collected 21-140 d after infection. There are no internationally agreed reference standard sera for the calibration of NSP-based test methods. However, the panel of the FAO/OIE international reference sera generated for the purposes of the FAO Collaborative Studies Phase XVIII was recommended to detect antibodies to the non-structural proteins of FMDV (21). The results obtained in our laboratory and by the most of participating laboratories confirmed the highest sensitivity of Ceditest kit. It was found that the type O SKR reference sera would be useful as NSP reference sera, since the strong and weak 1 positive sera were consistently detected, whereas the weak 2 serum was more borderline (21). In May 2002, the OIE approved a new set of guidelines that expands on the chapter in the OIE Diagnostic Manual and the paper of Jacobson (8). The stages of assay development and validation are described in details and examination of these reveals a number of critical issues for NSP assays validation. In order to calculate the sensitivity and specificity requirements of any diagnostic tests it is important to know the purpose of testing and the expected prevalence of infection to be detected. However, for FMDV NSPs test, there is a lack of information on the expected within-herd prevalence of persistently infected animals in post-vaccination populations. Consequently, requirements for sensitivity and specificity have not been accurately determined. Validation of NSP tests is one of the tasks of the EU research project FMD- ImproCon (SSPE-CT-2003-503603). So far about 19 000 tests have been performed in 11 laboratories using 6 NSP assays. A preliminary analysis was made to compare the diagnostic sensitivity and specificity of the tests in several animal categories at different time points after vaccination and/or infection. These kits are to some extent validated but they lack information on performance on species in which overt symptoms may be mild or absent altogether, such as sheep. Therefore these investigations will be continued on comparison of different methods on sera from sheep, goats and pigs (5). The results of our comparative study have shown that the applied NSP ELISA kits, due to their
150 high specificity and sensitivity, can be a useful tool in FMD control in a herd and determination of virus circulation in vaccinated populations. The test for NSP antibodies in connection with tests for the detection of antibodies to FMDV structural proteins (19) should be used in sero-surveillance of livestock following vaccination during or after an outbreak in otherwise FMD-free countries. References 1. Anon.: The final report of the International Conference, Brussels, Belgium, 12-13 December 2001. 2. Berger H.-G., Straub O.C., Ahl R., Tesar M., Marquardt O.: Identification of the foot-and-mouth disaese virus replication in vaccinated cattle by antibodies to nonstructural virus proteins. Vaccine 1990, 8, 213-216. 3. Bergmann I.E., Auge de Mello P.A., Neitzert E., Beck G., Gomes I.: Diagnosis of persistent aphthovirus infection and its differentiation from vaccination response in cattle by use of enzyme linked immunoelectrotransfer blot analysis with bioenergineered nonstructural viral antigens. Am J Vet Res 1993, 54, 825-831. 4. Brocchi E., De Diego M.I., Berlinzani A., Gamba D., De Simone F.: Diagnostic potential of Mab-based ELISAs for antibodies to non-structural proteins of foot-and-mouth disease virus to differentiate infection from vaccination. Proceedings of the Final Meeting of Concerted Action CT93 0909, Vet Q 1998, 20, 20-24. 5. De Clercq K., Brocchi E., Grazioli S., Bergmann I., Paton D., Dekker A., Yadin H., Haas B., Sorensen K., Bulut N., Sammin D., Malirat V., Neitzert E., Parida S., Goris N., Tjornehoj K., Giovanni A., De Simone F.: Report of workshop on validation of NSP-ELISAs: a comparison of 6 assays. Report of the session of the research group of the standing technical committee of the European Commission for the control of foot-andmouth disease, Chania (Crete), Greece, 12-15 October 2004, pp. 56-65. 6. De Diego M., Brocchi E., Mackay D., De Simone F.: The non-structural polyprotein 3ABC of foot-andmouth disease virus as a diagnostic antigen in ELISA to differentiate infected from vaccinated cattle. Arch Virol 1997, 142, 2021-2033. 7. Dekker A., Moonen P., van der Linde E.M.: Comparison of commercial ELISAs for antibodies against FMDV non-structural proteins. Report of the of foot-and-mouth disease, Berne, Switzerland, 16-19 September 2003, Appendix 6. 8. Jacobson R.H.: Validation of serological assays for diagnosis of infectious disease. Rev Sci Tech Off Int Epizoot 1998, 17, 469-486. 9. Jacobs L., Moonen P.: The FMD-NS ELISA, the most sensitive test to detect FMDV infected animals in the vaccinated population. Report of the session of the research group of the standing technical committee of the European Commission for the control of foot-andmouth disease, Chania (Crete), Greece, 12-15 October 2004, p. 415. 10. Kitching R.P.: A recent history of FMD. J Comp Path 1998, 118, 89-108. 11. Lubroth J., Grubman M.J., Burrage T.G., Newman J.F.E., Brown F.: Absence of protein 2C from clarified foot-and-mouth disease virus vaccines provides the basis for distinguishing convalescent from vaccinated animals. Vaccine 1996, 14, 419. 12. Mackay D.K., Forsyth M.A., Davies P.R., Berlinzani A., Belsham G.J., Flint M., Ryan M.D.: Differentiating infection from vaccination in foot-and-mouth disease using a panel of recombinant, non-structural proteins in ELISA. Vaccine 1998, 16, 446-459. 13. Moonen P., van der Linde E., Chenard G., Dekker A.: Comparable sensitivity and specificity in three commercially available ELISAs to differentiate between cattle infected with or vaccinated against footand-mouth disease virus. Vet Mirobiol 2004, 99, 93-101. 14. Neitzert E., Beck E., Auge de Mello P., Gomez I., Bergmann I.E.: Expression of Aphtovirus RNA polymerase gene in Escherichia coli and its use together with other bioengineered nonstructural antigens in detection of late persistent infections. Virology 1991, 184, 799. 15. Niedbalski W., Kęsy A.: Application of 3ABC-ELISA to differentiate FMD antibodies induced by vaccination or infection. Medycyna Wet 1998, 54, 695-697. 16. Niedbalski W., Haas B.: Differentiation of infection from vaccination by detection of antibodies to the nonstructural protein 3ABC of foot-and-mouth disease virus. Bull Vet Inst Pulawy 2003, 47, 51-60. 17. Niedbalski W., Wijaszka T., Kęsy A.: Marker vaccines a new approach to controlling and eradicating footand-mouth disease. Medycyna Wet 2003, 59, 279-282. 18. Niedbalski W.: Prevalence of seroreagents to FMDV in the cattle population in Poland: results of 9-year monitoring studies. P J Vet Sci 2003, 1, 1-5. 19. Niedbalski W.: Comparison of different ELISA methods for the detection of antibodies against footand-mouth disease virus (FMDV) type O. Bull Vet Inst Pulawy 2004, 48, 5-9. 20. O Donnel V.K., Boyle D.B., Sproat K., Fondevila N.A., Forman A., Schudel A., Smitsaart E.N.: Detection of antibodies against foot-and-mouth disease virus using a liquid-phase blocking sandwich ELISA (LPBE) with a bioengineered 3D protein. J Vet Diagn Invest 1996, 8, 143. 21. Paton D.J., Armstrong R.M., Garcia-Fernandez R.A., Hamblin P., Turner L., Corteyn M., Gibson D., Anderson J.: FAO collaborative studies for FMD serology standardization: Phase XVIII. Report of the of foot-and-mouth disease, Chania (Crete), Greece, 12-15 October 2004, pp. 77-93. 22. Rodriquez A., Dopazo J., Saiz J.C., Sobrino F.: Immunogenicity of non-structural proteins of foot-andmouth disease virus: differences between infected and vaccinated swine. Arch Virol 1994, 136, 123. 23. Schalch L., Rebeski D.E., Samaras H., Lozano G., Thuer B., Schelp C.: Recently generated data with the CHEKIT-FMD-3ABC ELISA kit and the methods to monitor the operational performance of a 3ABC ELISA. Report of the session of the research group of the standing technical committee of the European Commission for the control of foot-and-mouth disease, Cesme, Izmir, Turkey, 17-20 October 2002, Appendix 34. 24. Silberstein E., Kaplan G., Taboga O., Duffy S. Palma E.: Foot-and-mouth disease virus-infected but not vaccinated cattle develop antibodies against recombinant 3AB1 nonstructural protein. Arch Virol 1997, 142, 795.
151 25. Sorensen K.J., Madsen G.K., Madsen E.S., Salt J.S., Nqindi J., Mackay D.K.J.: Differentiation of infection from vaccination in foot-and-mouth disease by the detection of antibodies to the non-structural proteins 3D, 3AB and 3ABC in ELISA using antigens expressed in baculovirus. Arch Virol 1998, 143, 1461-1476. 26. Valarcher J.-F., Knowles N., Fernandez R., Davies P., Midgley R., Hutchings G., Newman B., Ferris N., Paton D.: Global FMD situation 2003-2004. Report of the of foot-and-mouth disease, Chania (Crete), Greece, 12-15 October 2004, pp. 137-148 27. Vilinger F., Mueller H.K, Bruckner L., Ackermann L., M., Kihm U.: Antibodies to foot-and-mouth disease virus infection associated (VIA) antigen: use of a bioengineered VIA protein as antigen in a ELISA. Vet Microbiol 1989, 20, 235.