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Bauswein, Markus ; Eidenschink, Lisa ; Knoll, Gertrud ; Neumann, Bernhard ; Angstwurm, Klemens ; Zoubaa, Saida ; Riemenschneider, Markus J. ; Lampl, Benedikt M. J. ; Pregler, Matthias ; Niller, Hans Helmut ; Jantsch, Jonathan ; Gessner, André ; Eberhardt, Yvonne ; Huppertz, Gunnar ; Schramm, Torsten ; Kühn, Stefanie ; Koller, Michael ; Drasch, Thomas ; Ehrl, Yvonne ; Banas, Bernhard ; Offner, Robert ; Schmidt, Barbara ; Banas, Miriam C.

Human Infections with Borna Disease Virus 1 (BoDV-1) Primarily Lead to Severe Encephalitis: Further Evidence from the Seroepidemiological BoSOT Study in an Endemic Region in Southern Germany

Bauswein, Markus , Eidenschink, Lisa, Knoll, Gertrud, Neumann, Bernhard , Angstwurm, Klemens , Zoubaa, Saida, Riemenschneider, Markus J. , Lampl, Benedikt M. J. , Pregler, Matthias , Niller, Hans Helmut, Jantsch, Jonathan, Gessner, André, Eberhardt, Yvonne, Huppertz, Gunnar, Schramm, Torsten, Kühn, Stefanie, Koller, Michael , Drasch, Thomas, Ehrl, Yvonne, Banas, Bernhard , Offner, Robert , Schmidt, Barbara und Banas, Miriam C. (2023) Human Infections with Borna Disease Virus 1 (BoDV-1) Primarily Lead to Severe Encephalitis: Further Evidence from the Seroepidemiological BoSOT Study in an Endemic Region in Southern Germany. Viruses 15 (1), S. 188.

Veröffentlichungsdatum dieses Volltextes: 12 Jan 2023 14:01
Artikel
DOI zum Zitieren dieses Dokuments: 10.5283/epub.53531


Zusammenfassung

More than 40 human cases of severe encephalitis caused by Borna disease virus 1 (BoDV-1) have been reported to German health authorities. In an endemic region in southern Germany, we conducted the seroepidemiological BoSOT study ("BoDV-1 after solid-organ transplantation") to assess whether there are undetected oligo- or asymptomatic courses of infection. A total of 216 healthy blood donors and ...

More than 40 human cases of severe encephalitis caused by Borna disease virus 1 (BoDV-1) have been reported to German health authorities. In an endemic region in southern Germany, we conducted the seroepidemiological BoSOT study ("BoDV-1 after solid-organ transplantation") to assess whether there are undetected oligo- or asymptomatic courses of infection. A total of 216 healthy blood donors and 280 outpatients after solid organ transplantation were screened by a recombinant BoDV-1 ELISA followed by an indirect immunofluorescence assay (iIFA) as confirmatory test. For comparison, 288 serum and 258 cerebrospinal fluid (CSF) samples with a request for tick-borne encephalitis (TBE) diagnostics were analyzed for BoDV-1 infections. ELISA screening reactivity rates ranged from 3.5% to 18.6% depending on the cohort and the used ELISA antigen, but only one sample of a patient from the cohort with requested TBE diagnostics was confirmed to be positive for anti-BoDV-1-IgG by iIFA. In addition, the corresponding CSF sample of this patient with a three-week history of severe neurological disease tested positive for BoDV-1 RNA. Due to the iIFA results, all other results were interpreted as false-reactive in the ELISA screening. By linear serological epitope mapping, cross-reactions with human and bacterial proteins were identified as possible underlying mechanism for the false-reactive ELISA screening results. In conclusion, no oligo- or asymptomatic infections were detected in the studied cohorts. Serological tests based on a single recombinant BoDV-1 antigen should be interpreted with caution, and an iIFA should always be performed in addition.



Beteiligte Einrichtungen


Details

DokumentenartArtikel
Titel eines Journals oder einer ZeitschriftViruses
Verlag:MDPI
Ort der Veröffentlichung:BASEL
Band:15
Nummer des Zeitschriftenheftes oder des Kapitels:1
Seitenbereich:S. 188
Datum9 Januar 2023
InstitutionenMedizin > Abteilung für Nephrologie
Medizin > Lehrstuhl für Klinische Chemie und Laboratoriumsmedizin
Medizin > Lehrstuhl für Medizinische Mikrobiologie und Hygiene
Medizin > Lehrstuhl für Neurologie
Medizin > Abteilung für Neuropathologie
Medizin > Zentren des Universitätsklinikums Regensburg > Zentrum für Klinische Studien
Medizin > Institut für Epidemiologie und Präventivmedizin
Identifikationsnummer
WertTyp
10.3390/v15010188DOI
Stichwörter / KeywordsELEMENTS; PROTEIN; Borna disease virus 1 (BoDV-1); epidemiology; encephalitis; diagnostics; ELISA; indirect immunofluorescence assay (iIFA); solid organ transplantation; linear epitope mapping; molecular mimicry; endogenous Borna-like elements
Dewey-Dezimal-Klassifikation600 Technik, Medizin, angewandte Wissenschaften > 610 Medizin
StatusVeröffentlicht
BegutachtetJa, diese Version wurde begutachtet
An der Universität Regensburg entstandenJa
URN der UB Regensburgurn:nbn:de:bvb:355-epub-535316
Dokumenten-ID53531

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