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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

Artikel

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.

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
VerlagMDPI
Open Access ArtGold (mit APC - bezahlt UR)
Ort der VeröffentlichungBASEL
Band15
Nummer des Zeitschriftenheftes oder des Kapitels1
SeitenbereichS. 188
Datum9 Januar 2023
Veröffentlichungsdatum12 Jan 2023 14:01
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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