Evaluation of a Monoclonal Antibody–Based Rapid Immunochromatographic Test for Direct Detection of Rabies Virus in the Brain of Humans and Animals

Kamruddin Ahmed Research Promotion Institute, and Department of Microbiology, Faculty of Medicine, Oita University, Yufu, Japan; Rabies Diagnostic Laboratory, Medical Research Institute, Ministry of Health, Colombo, Sri Lanka; National Centre for Animal Health, Ministry of Agriculture, Thimphu, Bhutan; Queen Saovabha Memorial Institute, Bangkok, Thailand

Search for other papers by Kamruddin Ahmed in
Current site
Google Scholar
PubMed
Close
,
Omala Wimalaratne Research Promotion Institute, and Department of Microbiology, Faculty of Medicine, Oita University, Yufu, Japan; Rabies Diagnostic Laboratory, Medical Research Institute, Ministry of Health, Colombo, Sri Lanka; National Centre for Animal Health, Ministry of Agriculture, Thimphu, Bhutan; Queen Saovabha Memorial Institute, Bangkok, Thailand

Search for other papers by Omala Wimalaratne in
Current site
Google Scholar
PubMed
Close
,
Narapati Dahal Research Promotion Institute, and Department of Microbiology, Faculty of Medicine, Oita University, Yufu, Japan; Rabies Diagnostic Laboratory, Medical Research Institute, Ministry of Health, Colombo, Sri Lanka; National Centre for Animal Health, Ministry of Agriculture, Thimphu, Bhutan; Queen Saovabha Memorial Institute, Bangkok, Thailand

Search for other papers by Narapati Dahal in
Current site
Google Scholar
PubMed
Close
,
Pakamatz Khawplod Research Promotion Institute, and Department of Microbiology, Faculty of Medicine, Oita University, Yufu, Japan; Rabies Diagnostic Laboratory, Medical Research Institute, Ministry of Health, Colombo, Sri Lanka; National Centre for Animal Health, Ministry of Agriculture, Thimphu, Bhutan; Queen Saovabha Memorial Institute, Bangkok, Thailand

Search for other papers by Pakamatz Khawplod in
Current site
Google Scholar
PubMed
Close
,
Susilakanthi Nanayakkara Research Promotion Institute, and Department of Microbiology, Faculty of Medicine, Oita University, Yufu, Japan; Rabies Diagnostic Laboratory, Medical Research Institute, Ministry of Health, Colombo, Sri Lanka; National Centre for Animal Health, Ministry of Agriculture, Thimphu, Bhutan; Queen Saovabha Memorial Institute, Bangkok, Thailand

Search for other papers by Susilakanthi Nanayakkara in
Current site
Google Scholar
PubMed
Close
,
Karma Rinzin Research Promotion Institute, and Department of Microbiology, Faculty of Medicine, Oita University, Yufu, Japan; Rabies Diagnostic Laboratory, Medical Research Institute, Ministry of Health, Colombo, Sri Lanka; National Centre for Animal Health, Ministry of Agriculture, Thimphu, Bhutan; Queen Saovabha Memorial Institute, Bangkok, Thailand

Search for other papers by Karma Rinzin in
Current site
Google Scholar
PubMed
Close
,
Devika Perera Research Promotion Institute, and Department of Microbiology, Faculty of Medicine, Oita University, Yufu, Japan; Rabies Diagnostic Laboratory, Medical Research Institute, Ministry of Health, Colombo, Sri Lanka; National Centre for Animal Health, Ministry of Agriculture, Thimphu, Bhutan; Queen Saovabha Memorial Institute, Bangkok, Thailand

Search for other papers by Devika Perera in
Current site
Google Scholar
PubMed
Close
,
Dushantha Karunanayake Research Promotion Institute, and Department of Microbiology, Faculty of Medicine, Oita University, Yufu, Japan; Rabies Diagnostic Laboratory, Medical Research Institute, Ministry of Health, Colombo, Sri Lanka; National Centre for Animal Health, Ministry of Agriculture, Thimphu, Bhutan; Queen Saovabha Memorial Institute, Bangkok, Thailand

Search for other papers by Dushantha Karunanayake in
Current site
Google Scholar
PubMed
Close
,
Takashi Matsumoto Research Promotion Institute, and Department of Microbiology, Faculty of Medicine, Oita University, Yufu, Japan; Rabies Diagnostic Laboratory, Medical Research Institute, Ministry of Health, Colombo, Sri Lanka; National Centre for Animal Health, Ministry of Agriculture, Thimphu, Bhutan; Queen Saovabha Memorial Institute, Bangkok, Thailand

Search for other papers by Takashi Matsumoto in
Current site
Google Scholar
PubMed
Close
, and
Akira Nishizono Research Promotion Institute, and Department of Microbiology, Faculty of Medicine, Oita University, Yufu, Japan; Rabies Diagnostic Laboratory, Medical Research Institute, Ministry of Health, Colombo, Sri Lanka; National Centre for Animal Health, Ministry of Agriculture, Thimphu, Bhutan; Queen Saovabha Memorial Institute, Bangkok, Thailand

Search for other papers by Akira Nishizono in
Current site
Google Scholar
PubMed
Close
Restricted access

Rabies diagnosis uses a direct fluorescent antibody test (FAT) that is difficult, costly, and time-consuming, and requires trained personnel. We developed a rapid immunochromatographic test (RICT) for the diagnosis of rabies. The efficacy of the RICT was compared with that of the FAT. Brain samples were collected from humans, dogs, cats, and other animals in Sri Lanka (n = 248), Bhutan (n = 27), and Thailand (n = 228). The sensitivity (0.74–0.95), specificity (0.98–1.0), positive predictive value (0.98–1.0), negative predictive value (0.75–0.97), accuracy (0.91–0.98), and kappa measure of agreement (0.79–0.93) were all satisfactory for animal samples and samples preserved in 50% glycerol saline solution. Because the RICT showed high sensitivity but low specificity with human brain samples, it is unsuitable for confirming rabies in humans. No amino acid substitutions were found in the antibody attachment sites of the nucleoprotein gene with FAT-positive, RICT-negative samples. The RICT is reliable, user friendly, rapid, robust, and can be used in laboratories with a modest infrastructure.

Author Notes

*Address correspondence to Kamruddin Ahmed, Research Promotion Institute, Oita University, 1–1 Hasama Machi, Yufu-shi, Oita 879-5593, Japan. E-mail: ahmed@oita-u.ac.jp

Financial support: This study was supported by Japan Society for the Promotion of Sciences (Grant-in-Aid Scientific Research B; grant no. 20406026). The funding agency had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.

Authors' addresses: Kamruddin Ahmed, Research Promotion Institute, Oita University, 1–1 Hasama Machi, Yufu-shi, Oita, Japan, E-mail: ahmed@oita-u.ac.jp. Omala Wimalaratne, Susilakanthi Nanayakkara, Devika Perera, and Dushantha Karunanayake, Rabies Diagnostic Laboratory, Medical Research Institute, Ministry of Health, Danister de Silva Mawatha, Colombo 8, Sri Lanka, E-mails: omala@sltnet.lk, kanthinana@yahoo.com, devikanandani@yahoo.com, and hidushantha@yahoo.com. Narapati Dahal and Karma Rinzin, National Centre for Animal Health, Department of Livestock, Ministry of Agriculture, Royal Government of Bhutan, Serbithang, Thimphu, Bhutan, E-mails: dahalnp07@yahoo.com and karinzin@yahoo.com. Pakamatz Khawplod, Queen Saovabha Memorial Institute, Pathumwan, Bangkok, Thailand, E-mail: pakamatz@yahoo.com. Takashi Matsumoto and Akira Nishizono, Department of Microbiology, Faculty of Medicine, Oita University, 1–1 Hasama Machi, Yufu-shi, Oita, Japan, E-mails: m07d6009@oita-u.ac.jp and a24zono@oita-u.ac.jp.

  • 1.

    Wunner WH, Briggs DJ, 2010. Rabies in the 21 century. PLoS Negl Trop Dis 4 : e591.

  • 2.

    Knobel DL, Cleaveland S, Coleman PG, Fevre EM, Meltzer MI, Miranda ME, Shaw A, Zinsstag J, Meslin FX, 2005. Re-evaluating the burden of rabies in Africa and Asia. Bull World Health Organ 83 : 360368.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 3.

    Whitby JE, Johnstone P, Sillero-Zubiri C, 1997. Rabies virus in the decomposed brain of an Ethiopian wolf detected by nested reverse transcription-polymerase chain reaction. J Wildl Dis 33 : 912915.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 4.

    Crepin P, Audry L, Rotivel Y, Gacoin A, Caroff C, Bourhy H, 1998. Intravitam diagnosis of human rabies by PCR using saliva and cerebrospinal fluid. J Clin Microbiol 36 : 11171121.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 5.

    Wacharapluesadee S, Hemachudha T, 2001. Nucleic-acid sequence based amplification in the rapid diagnosis of rabies. Lancet 358 : 892893.

  • 6.

    Dacheux L, Wacharapluesadee S, Hemachudha T, Meslin FX, Buchy P, Reynes JM, Bourhy H, 2010. More accurate insight into the incidence of human rabies in developing countries through validated laboratory techniques. PLoS Negl Trop Dis 4 : e765.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 7.

    Fooks AR, Johnson N, Freuling CM, Wakeley PR, Banyard AC, McElhinney LM, Marston DA, Dastjerdi A, Wright E, Weiss RA, Muller T, 2009. Emerging technologies for the detection of rabies virus: challenges and hopes in the 21st century. PLoS Negl Trop Dis 3 : e530.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 8.

    Lembo T, Niezgoda M, Velasco-Villa A, Cleaveland S, Ernest E, Rupprecht CE, 2006. Evaluation of a direct, rapid immunohistochemical test for rabies diagnosis. Emerg Infect Dis 12 : 310313.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 9.

    Durr S, Naissengar S, Mindekem R, Diguimbye C, Niezgoda M, Kuzmin I, Rupprecht CE, Zinsstag J, 2008. Rabies diagnosis for developing countries. PLoS Negl Trop Dis 2: e206.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 10.

    Kang B, Oh J, Lee C, Park BK, Park Y, Hong K, Lee K, Cho B, Song D, 2007. Evaluation of a rapid immunodiagnostic test kit for rabies virus. J Virol Methods 145 : 3036.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 11.

    Irwig L, Bossuyt P, Glasziou P, Gatsonis C, Lijmer J, 2002. Designing studies to ensure that estimates of test accuracy are transferable. BMJ 324 : 669671.

  • 12.

    Nishizono A, Khawplod P, Ahmed K, Goto K, Shiota S, Mifune K, Yasui T, Takayama K, Kobayashi Y, Mannen K, Tepsumethanon V, Mitmoonpitak C, Inoue S, Morimoto K, 2008. A simple and rapid immunochromatographic test kit for rabies diagnosis. Microbiol Immunol 52 : 243249.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 13.

    Wunner WH, Larson JK, Dietzschold B, Smith CL, 1988. The molecular biology of rabies viruses. Rev Infect Dis 10 (Suppl 4): S771S784.

  • 14.

    Bossuyt PM, Reitsma JB, Bruns DE, Gatsonis CA, Glasziou PP, Irwig LM, Moher D, Rennie D, de Vet HC, Lijmer JG, 2003. The STARD statement for reporting studies of diagnostic accuracy: explanation and elaboration. Clin Chem 49 : 718.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 15.

    Tierkel ES, Atanasiu P, 1996. Rapid microscopic examination for Negri bodies and preparation of specimens for biological tests. Meslin FX , Kaplan MM , Koprowski H , eds. Laboratory Techniques in Rabies. Geneva: World Health Organization, 5565.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 16.

    Koprowski H, 1996. The mouse inoculation test. Meslin FX , Kaplan MM , Koprowski H , eds. Laboratory Techniques in Rabies. Geneva: World Health Organization, 8087.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 17.

    Matsumoto T, Ahmed K, Wimalaratne O, Yamada K, Nanayakkara S, Perera D, Karunanayake D, Nishizono A, 2010. Whole-genome analysis of a human rabies virus from Sri Lanka. Arch Virol 156 : 659669.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 18.

    Altman DG, 1991. Practical Statistics for Medical Research. London: Chapman and Hall.

  • 19.

    Iwasaki T, Inoue S, Tanaka K, Sato Y, Morikawa S, Hayasaka D, Moriyama M, Ono T, Kanai S, Yamada A, Kurata T, 2004. Characterization of Oita virus 296/1972 of Rhabdoviridae isolated from a horseshoe bat bearing characteristics of both lyssavirus and vesiculovirus. Arch Virol 149 : 11391154.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 20.

    Bourhy H, Dautry-Varsat A, Hotez PJ, Salomon J, 2010. Rabies, still neglected after 125 years of vaccination. PLoS Negl Trop Dis 4 : e839.

  • 21.

    Xu G, Weber P, Hu Q, Xue H, Audry L, Li C, Wu J, Bourhy H, 2007. A simple sandwich ELISA (WELYSSA) for the detection of lyssavirus nucleocapsid in rabies suspected specimens using mouse monoclonal antibodies. Biologicals 35 : 297302.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 22.

    Kasempimolporn S, Saengseesom W, Lumlertdacha B, Sitprija V, 2000. Detection of rabies virus antigen in dog saliva using a latex agglutination test. J Clin Microbiol 38 : 30983099.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 23.

    Peeling RW, Smith PG, Bossuyt PM, 2006. A guide for diagnostic evaluations. Nat Rev Microbiol 4 : S2S6.

  • 24.

    Tepsumethanon V, Lumlertdacha B, Mitmoonpitak C, Fagen R, Wilde H, 1997. Fluorescent antibody test for rabies: prospective study of 8,987 brains. Clin Infect Dis 25 : 14591461.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 25.

    Tucker JD, Bu J, Brown LB, Yin YP, Chen XS, Cohen MS, 2010. Accelerating worldwide syphilis screening through rapid testing: a systematic review. Lancet Infect Dis 10 : 381386.

    • PubMed
    • Search Google Scholar
    • Export Citation
Past two years Past Year Past 30 Days
Abstract Views 361 334 15
Full Text Views 522 12 1
PDF Downloads 146 4 1
 
 
 
 
Affiliate Membership Banner
 
 
Research for Health Information Banner
 
 
CLOCKSS
 
 
 
Society Publishers Coalition Banner
Save