Detection by enzyme-linked immunosorbent assay of antibodies to West Nile virus in birds. (Dispatches).

We adapted an indirect immunoglobulin Genzyme-linked immunosorbent assay to facilitate studies of West Nile virus (WNV) and evaluated its application to taxonomically diverse avian species. Anti-WNV antibodies were detected in 23 bird species, including many exotic species, demonstrating its value in studies of WNV epizootiology.

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West Nile virus (WNV) is transmitted in an enzootic cycle between Culex spp. mosquitoes and their avian hosts (1-4). Sentinel birds have long been used in arbovirus surveillance (5-9), and serologic surveys of wild and captive birds are valuable in determining whether an arbovirus is present in a particular locality (10). While plaque-reduction neutralization tests (PRNT) are the standard for arbovirus serologic testing, they are frequently unavailable in many laboratories for several reasons: They generally require high levels of biocontainment; they are time-, labor-, and cost-intensive; and they require specialized technical expertise. A rapid serologic diagnostic assay suitable for screening large numbers of specimens and posing minimal biohazard would facilitate large-scale avian-based serologic surveillance for WNV. Accordingly, we sought to determine whether an indirect enzyme-linked immunosorbent assay (ELISA) designed to detect seroreactivity against St. Louis encephalitis virus (SLEV) and Western equine encephalomyelitis virus (WEEV) (11) could be modified to detect anti-WNV antibodies in taxonomically diverse wild-caught and captive avian species.

To produce ELISA antigen, Vero cells were infected with WNV and processed into antigen as described (12), with New York-derived reference stocks of WNV (31000365; see Ebel et al. [13] for source and sequence information). Fifty microliters of antigen diluted 1:100 in fresh coating buffer (0.015M [Na.sub.2]C[O.sub.3], 0.035M NaHC[O.sub.3], pH 9.6) was applied to each well of Immulon I (Dynatek Laboratories Inc, Winooski, VT) ELISA plates. Negative antigen (uninfected Veto cell lysate produced as described above) was placed in every third column of the plate (i.e., columns 1, 4, 7, 10), and positive antigen was placed in the remaining columns. The plate was then placed in a humid chamber, and antigen was allowed to bind overnight at 4[degrees]C. In the morning, antigen-containing solution was discarded, the plate was washed three times with phosphate-buffered saline (PBS) with 0.05% Tween, 100 [micro]L blocking buffer (PBS with 0.05% Tween and 2.0% Casein) was added, and the plates were placed in a humid chamber in a 37[degrees]C incubator for 1 h. Following incubation, blocking solution was discarded and test samples, diluted 1:100 in PBS with 0.05% Tween, and 0.5% bovine albumin (PBS-T-BA), were applied to one negative and two positive antigen-containing wells. Plates with test specimens were returned to a humid chamber and incubated at 37[degrees]C for I h. Following incubation, plates were removed, washed as above, and 50 [micro]L of horseradish peroxidase-conjugated goat anti-wild bird immunoglobulin (Ig) G (Bethyl Laboratories, Inc., Montgomery, TX), diluted 1:1000 in PBS-T-BA, was applied to each well. After incubation and washing as above, plates were developed with 50 [micro]L of tetramethylbenzidine (TMB)-peroxidase substrate (Kirkegaard & Perry Laboratories, Inc., Gaithersburg, MD) for 7 min. The reactions were stopped with 50 [micro]L of 1:20 [H.sub.2]P[O.sub.4], and the optical density (OD) of each well was read at 450 nm. Blank (no test sera), positive, and negative controls were included on each plate. To compute the positive/negative (P/N) value of each sample, we divided the mean OD of positive antigen-containing wells by the OD of the negative antigen-containing wells. Samples with a P/N value [greater than or equal to] 2 were considered positive and were tested further by PRNT(14). Specimens were confirmed positive if their 90% neutralization titer against WNV was at least fourfold greater than against SLEV, a closely related flavivirus that may cross-react with WNV antigens in screening assays (15,16).

Optimum concentrations of antigens for the ELISA were determined by applying known positive and negative chicken samples to wells containing serial twofold dilutions of antigen. Optimal concentrations were defined as those yielding the highest mean P/N value for known positive samples and P/N values closest to unity (one) for known negative samples. Generally, a 1:100 dilution of the crude antigens was optimal. Using a similar strategy, we then determined the optimal serum dilutions for pigeon and wild bird sera.

Specimens for testing were either donated from the collection at the Bronx Zoo or collected during an avian surveillance project conducted in New York City during 2001. Avian blood samples were collected as whole blood and stored at 4[degrees]C, centrifuged for 10 min at maximum speed in a microcentrifuge, and serum was separated. In some cases, samples were collected and heparinized, and plasma was separated and stored as described previously.

PRNT testing was conducted according to standard protocols (14). Briefly, where sample quantities permitted, test sera were serially diluted from 1:5 through 1:160 in BA-1 diluent (M199H, 0.05M Tris pH 7.6, 1% bovine serum albumin, 0.35g/L sodium bicarbonate, 100 units/mL penicillin, 100 lag/ mL streptomycin, and 1 [micro]g/mL fungizone) and 100 [micro]L was incubated overnight at 4[degrees]C with 100 [micro]L of virus containing approximately 200 PFU of WNV (strain 31000365) or SLEV virus strain no. 59268 (Parton). If insufficient sample was available, higher starting dilutions (usually 1:10) were used. In the morning, 100 [micro]L of each serum-virus mixture was added onto confluent monolayers of Veto cells and allowed to adsorb at 37[degrees]C for 1 h. Following incubation, a nutrient-agar overlay was added, and the plates were returned to the incubator. PRNT testing for WNV used a single basal medium Eagle--based overlay containing neutral red, while SLEV testing required application of a double overlay, the first without and the second with neutral red, applied 3 days after the first. Plaques were counted on the 3rd (WNV) or 5th (SLEV) day after the test was initiated. The highest dilution of serum neutralizing 90% of the inoculum as determined by back-titration was considered the neutralizing titer.

All statistical analyses were done with Microsoft Excel (Microsoft Corp., Redmond, WA).

The predictive value of a positive test (PVP) and of a negative test (PVN) were determined by using the sera of birds caught in mist nets during a WNV serologic survey conducted during the summer of 2001 (manuscript in preparation). Of 3,581 specimens tested, 233 (7%) were ELISA positive. Of these positive specimens, 163 (70%) were also positive by PRNT, for a PVP of 70%. Five additional ELISA-positive specimens yielded indeterminate results: although neutralizing antibody was detected by PRNT, a fourfold difference between WNV and SLEV titers was not detectable. To determine the PVN of the ELISA, 110 ELISA-negative specimens were tested for neutralizing antibody by PRNT. All ELISA-negative specimens were also negative by PRNT, yielding a PVN of 100%.

To determine whether this protocol detects antibodies against WNV in a wide range of bird species, we used our ELISA to test known positive (PRNT-confirmed) serum specimens from 23 different avian species. The indirect ELISA protocol detected anti-WNV antibody in all 23 species, representing 12 avian orders. All PRNT-positive specimens contained ELISA antibody to WNV (Table). Species that were negative by ELISA were uniformly negative by PRNT. One domestic chicken that had been experimentally infected with SLEV had a positive P/N ELISA result and a positive PRNT result. The infection was confirmed as SLEV since the SLEV titer on this specimen was fourfold greater than the WNV titer (data not shown). P/N values were not correlated with either PRNT titer (coeff.=0.44) or with the natural log of the PRNT titer (coeff.=0.30) (data not shown).

Conclusions

The PVP of this assay appears to be somewhat lower than that of another reported ELISA protocol (17) and some other flavivirus serologic assays, such as PRNT, but is higher than that reported for the assay from which it was derived (11). The PVP of our test might have been higher had we more stringently evaluated our ELISA-positive specimens: a number of specimens had P/N values [greater than or equal to] 2 because one of the two positive antigen wells was highly reactive. None of these specimens were confirmed by PRNT. The high values in the reactive well may have occurred as a result of technical error (e.g., splashing). Alternatively, the ELISA may be more sensitive than neutralization and may detect anti-WNV antibodies that PRNT does not. We always performed a confirmatory test to resolve true from false positives; nonetheless, this ELISA dramatically reduced the number of confirmatory tests we conducted during WNV surveillance in 2000 and 2001. Use of the ELISA described here yielded substantial cost reduction and time savings compared with screening specimens by PRNT.

This ELISA detected anti-WNV antibody in a taxonomically diverse array of captive and wild birds. In 23 species from 12 avian orders, IgG antibodies were detectable by using commercially available anti-wild bird horseradish peroxidase--conjugated antibodies. The breadth of the reactivity of this conjugate was surprising, given that it was generated by using IgG isolated from the sera of four species representing only four avian orders: Passeriformes, Columbiformes, Galliformes, and Anseriformes (11). Although this protocol has been documented to react broadly in an EL, ISA to detect SLEV antibody in 13 species representing seven orders (11), known positive sera from three orders (Ciconiiformes, Gruiformes, and Charadriiformes) were not detected. We obtained positive results for each of these orders. The reasons for this discrepancy in our results are not clear but may be related to differences in the antibody titer of the specimens we tested or to general differences in the immune response to WNV compared with SLEV. Alternatively, some of the measures we took to optimize our test (e.g., the substitution of tetramethylbenzidine peroxidase substrate for 2,2'-azino-di-[3-ethylbenzthiazo-line-6-sulfonate]) may have increased the assay's sensitivity, allowing detection of fewer bound conjugated antibodies, as may occur with test sera derived from divergent avian species. The lack of correlation between P/N values with PRNT titers is not surprising given that the P/N value was obtained from a single serum dilution and does not represent an endpoint titer. Although this serologic method should be evaluated for each avian order tested, our results demonstrate that this testing protocol is appropriate for WNV serologic surveys of free-ranging and captive sentinel birds.

Table. Comparison of serologic assay results with reactivity across a
range of avian orders and species

Common Name             Species                     Order

House Sparrow # 1       Passer domesticus           Passeriformes
House Sparrow # 2       P. domesticus               Passeriformes
House Sparrow # 3       P. domesticus               Passeriformes
Northern Mockingbird    Mimus polyglottos           Passeriformes
European Starling       Sturnus vulgaris            Passeriformes
American Crow #1        Corvus brachyrhynchos       Passeriformes
American Crow #2        C. brachyrhynchos           Passeriformes
Rock Dove #1            Columba livia               Columbiformes
Rock Dove #2            C. livia                    Columbiformes
Rock Dove #3            C. livia                    Columbiformes
White-naped Crane       Grus vipio                  Gruiformes
Waldrapp Ibis #1        Gerontica eremita           Ciconiiformes
Waldrapp Ibis #2        G. eremita                  Ciconiiformes
Waldrapp Ibis #3        G. eremita                  Ciconiiformes
Black Crowned           Nycticorax nycticorax       Ciconiiformes
  Night Heron
Flamingo #1             Phoenicopterus chilensis    Phoenicopteriformes
Flamingo #2             P. chilensis                Phoenicopteriformes
Malay Great Argus       Argusianus argus            Galliformes
Kenya Crested           Guttera edouardi            Galliformes
  Guineafowl
Wild Turkey             Meleagris gallopavo         Galliformes
Bulwer's Pheasant       Lophura bulweri             Galliformes
American White          Pelecanus erythrorhynchos   Pelecaniformes
  Pelican
Guanay Cormorant        Phalacrocorax               Pelecaniformes
                          bougainvillii
Brown Pelican           Pelecanus occidentalis      Pelecaniformes
Domestic Goose          Anser sp.                   Anseriformes
Trumpeter Swan          Cygnus buccinator           Anseriformes
Barred Owl              Strix varia                 Strigiformes
Ostrich                 Struthio camelus            Struthioniformes
Magellanic Penguin      Spheniscus magellanicus     Sphenisciformes
Black-Necked Crane      Grus nigricollis            Gruiformes
Laughing Gull           Larus atricilla             Charadriiformes

Domestic Duck           Anas sp.                    Anseriformes
Canada Goose            Branta canadensis           Anseriformes
Domestic chicken        Gallus gallus               Galliformes
SLEV-positive chicken   G. gallus                   Galliformes
WEEV-positive chicken   G. gallus                   Galliformes

                        Indirect

Common Name             ELISA P/N (a)   PRNT titer

House Sparrow # 1          3.0              40
House Sparrow # 2          3.0              20
House Sparrow # 3          7.2              80
Northern Mockingbird       2.1            > 10
European Starling          3.0              40
American Crow #1           2.8              80
American Crow #2           2.0              20
Rock Dove #1               2.9              80
Rock Dove #2               2.5             320
Rock Dove #3               7.6              10
White-naped Crane          5.3           > 640
Waldrapp Ibis #1           9.4             320
Waldrapp Ibis #2          11.4             640
Waldrapp Ibis #3           4.0              80
Black Crowned              5.2             160
  Night Heron
Flamingo #1                3.7             160
Flamingo #2                4.2           > 640
Malay Great Argus          7.3              40
Kenya Crested              6.7              80
  Guineafowl
Wild Turkey                6.0             320
Bulwer's Pheasant          3.5           > 640
American White             5.7           > 640
  Pelican
Guanay Cormorant           2.1              80

Brown Pelican              3.8             160
Domestic Goose             3.6              40
Trumpeter Swan             4.0             160
Barred Owl                 2.6             160
Ostrich                    3.9             640
Magellanic Penguin         4.3           > 640
Black-Necked Crane         2.4              80
Laughing Gull              6.9             320

Domestic Duck              1.1            < 10
Canada Goose               1.2            < 20
Domestic chicken           0.9            < 10
SLEV-positive chicken      2.5              20
WEEV-positive chicken      1.3            < 20

WNV-negative specimens shown below bold line

(a) ELISA, enzyme-linked immunosorbent assay; P/N, positive/negative
ratio; PRNT, plaque-reduction neutralization tests; SLEV, St. Louis
encephalitis virus; WEEV, Western equine encephalomyelitis virus.

Acknowledgments

The authors thank Paul Calle and the Wildlife Conservation Society, Nick Komar, Joseph Bums, and Carrie Dean for generous donation of the specimens included in this study. In addition, we thank the two anonymous reviewers for their helpful and thoughtful comments.

This work was supported by the Wadsworth Center, New York State Department of Health through a grant from the Centers for Disease Control and Prevention.

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Address for correspondence: Gregory Ebel, The Arbovirus Laboratories, Wadsworth Center, New York State Department of Health, 5668 State Farm Road, Slingerlands, NY 12159, USA; fax: [phone]; e-mail: [e-mail]

Dr. Ebel is a research scientist in the Arbovirus Laboratories of the Wadsworth Center, New York State Department of Health. His research focuses on the mechanisms of enzootic perpetuation of mosquito-and tick-borne flaviviruses.

Gregory D. Ebel, * Alan P. Dupuis II, * David Nicholas, * Donna Young, * Joseph Maffei, * and Laura D. Kramer *

* Wadsworth Center, New York State Department of Health, Slingerlands, New York, USA