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Assessment of plaque assay methods for alphaviruses

Article  in  Journal of virological methods · October 2012


DOI: 10.1016/j.jviromet.2012.09.026 · Source: PubMed

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Journal of Virological Methods 187 (2013) 185–189

Contents lists available at SciVerse ScienceDirect

Journal of Virological Methods


journal homepage: www.elsevier.com/locate/jviromet

Short communication

Assessment of plaque assay methods for alphaviruses


Diana Juarez a,∗ , Kanya C. Long a,b , Patricia Aguilar c , Tadeusz J. Kochel d , Eric S. Halsey a
a
U.S. Naval Medical Research Unit No. 6, Lima, Peru
b
University of California, Davis, USA
c
Department of Pathology, University of Texas Medical Branch, Galveston, TX, USA
d
U.S. Naval Medical Research Center, Silver Spring, MD, USA

a b s t r a c t

Article history: Viruses from the Alphavirus genus are responsible for numerous arboviral diseases impacting human
Received 1 June 2012 health throughout the world. Confirmation of acute alphavirus infection is based on viral isolation, iden-
Received in revised form tification of viral RNA, or a fourfold or greater increase in antibody titers between acute and convalescent
19 September 2012
samples. In convalescence, the specificity of antibodies to an alphavirus may be confirmed by plaque
Accepted 28 September 2012
reduction neutralization test. To identify the best method for alphavirus and neutralizing antibody recog-
Available online 17 October 2012
nition, the standard solid method using a cell monolayer overlay with 0.4% agarose and the semisolid
method using a cell suspension overlay with 0.6% carboxymethyl cellulose (CMC) overlay were evaluated.
Keywords:
Alphavirus
Mayaro virus, Una virus, Venezuelan equine encephalitis virus (VEEV), and Western equine encephalitis
Plaque assay virus (WEEV) were selected to be tested by both methods. The results indicate that the solid method
Agarose showed consistently greater sensitivity than the semisolid method. Also, a “semisolid-variant method”
Carboxymethylcellulose using a 0.6% CMC overlay on a cell monolayer was assayed for virus titration. This method provided the
same sensitivity as the solid method for VEEV and also had greater sensitivity for WEEV titration. Modifi-
cations in plaque assay conditions affect significantly results and therefore evaluation of the performance
of each new assay is needed.
Published by Elsevier B.V.

Alphaviruses circulate widely in the world and cause dis- often poorly understood, natural-cycle (Aguilar et al., 2007; Powers
ease, often affecting either the musculoskeletal or the central et al., 2006; Travassos da Rosa et al., 2001).
nervous system. In South America, the main alphaviruses that cir- Several studies have described arbovirus distribution, vector
culate are Venezuelan equine encephalitis virus (VEEV), Eastern transmission, host–pathogen interaction, and public health impact
equine encephalitis virus (EEEV), Western equine encephalitis virus of arboviruses (Forshey et al., 2010; Gould et al., 2010; Morrison
(WEEV), Mayaro virus (MAYV), Una virus (UNAV) and Trocara virus et al., 2008; Turell et al., 2005; Weaver and Reisen, 2010). Studies
(TROCV) (Aguilar et al., 2004; Forshey et al., 2010; Powers et al., such as these often use plaque assays or plaque reduction neutral-
2006; Travassos da Rosa et al., 2001; Turell et al., 2005). While VEEV ization tests (PRNTs) to measure the amount of virus or antibodies
subtype IC and IAB are mainly associated with major epidemics present in a sample. Both plaque assays and PRNTs are consid-
that reach high rates of mortality in equines, enzootic subtype ID ered gold standards in virus and antibody detection, respectively;
has been isolated repeatedly from humans and mosquitoes recently however, these tests should be standardized and evaluated for per-
(Aguilar et al., 2009). MAYV produces dengue-like acute febrile ill- formance and reproducibility for specific viruses, especially when
ness including arthralgia and arthritis. Serosurveys suggest that data are shared between laboratories.
MAYV is endemic across the Amazon Basin, and isolates have been Since the first description of plaque assays (Dulbecco, 1952),
obtained from humans, monkeys and mosquitoes (Forshey et al., modifications to the original approach have been made, including
2010; Lavergne et al., 2006; Powers et al., 2006; Tesh et al., 1999). the use of different substances in the overlay media and differ-
Despite the lack of apparent human cases of EEEV, WEEV, UNAV and ent cell preparations (Hotchin, 1955; Matrosovich et al., 2006;
TROCV in South America, these viruses have been isolated repeat- Morens et al., 1985; Schulze and Schlesinger, 1963). Agar or
edly from mosquitoes, birds and other vertebrates, remaining in an agarose have been used widely in standard plaque assays as a
solid overlay (Aguilar et al., 2004; Beaty et al., 1989; Henderson
and Taylor, 1959). However, an alternative semisolid method
using carboxymethyl cellulose (CMC) has been reported to possess
advantages over the traditional agar overlay including: (1) easy
∗ Corresponding author at: U.S. Naval Medical Research Unit No. 6, American
medium removal and (2) prevention of monolayer peel off. Con-
Embassy 3230, Lima Pl., Washington, DC 20521-3230, USA. Tel.: +1 51 1 614 4158;
fax: +1 51 1 614 4174. sequently, this approach has been adopted for many viral assays
E-mail address: diana.juarez@med.navy.mil (D. Juarez). (Morens et al., 1985; Rapp, 1963; Schulze and Schlesinger, 1963).

0166-0934/$ – see front matter. Published by Elsevier B.V.


http://dx.doi.org/10.1016/j.jviromet.2012.09.026
186 D. Juarez et al. / Journal of Virological Methods 187 (2013) 185–189

Table 1 seeded with 3 × 105 cells in a 12-well plate and incubated at 37 ◦ C


Viruses used in the study.
in 5% CO2 . Upon reaching ∼80% confluence, growth media was
Virus strain Passage history removed and 100 ␮l of 10-fold virus dilutions from 101 to 109
MAYV – TRVL 15537 2 passages in Vero cells were added and incubated for 1 h, with rocking every 15 min to
UNAV – PE10800 TVP5402 3 passages in Vero cells allow virus adsorption. A 3 ml overlay consisting of 0.4% agarose in
VEEV – TC83 83 passages in Guinea pig heart cell/and three EMEM (supplemented with 2% of heat-inactivated FBS and 1% peni-
passages in Vero cells cillin/streptomycin) was added, and the plates were incubated at
WEEV – VR70 2 passages in Vero cells
37 ◦ C for 48 (UNAV, VEEV and WEEV) or 72 h (MAYV). After incuba-
tion, agar plugs were removed, and the cells were fixed and stained
with 0.1% napthol blue black, 1.6% sodium acetate in 6% glacial
Any modification of the plaque assay and its possible impact on acid acetic for 30 min. For the semisolid method, 3 × 105 cells were
virus titration or neutralizing antibody titers should be established seeded to 12-well tissue culture plates and 100 ␮l of 10-fold virus
carefully. Modifications in assay conditions have been shown to dilutions from 101 to 109 were added immediately to the cells, with
impact flavivirus results significantly (Thomas et al., 2009); how- no rocking. Virus inoculation was performed simultaneously from
ever, the extent plaque assay conditions affect alphavirus diagnosis the same virus dilution under each of the conditions. Cells were
is unknown. In an attempt to provide information that could aid incubated for 3 h to allow virus adsorption and, after incubation,
researchers in selecting appropriate alphavirus plaque assay and a CMC overlay media consisting of 0.6% carboxymethylcellulose,
PRNT conditions, a series of experiments using VEEV, MAYV, UNAV EMEM without phenol red, 10% FBS, 0.075% NaHCO3 and peni-
and WEEV were conducted to evaluate the variability of viral titer cillin/streptomycin was added. Plates were incubated at 37 ◦ C for
and titer of neutralizing antibody under two standard methods: 48 (UNAV, VEEV and WEEV) or 72 h (MAYV). After incubation, cell
a solid method using cell monolayer under agarose overlay and overlays were removed, and the cells were fixed and stained as
a semisolid method using a cell suspension under CMC overlay. describe above. For the semisolid-variant method, plates contain-
Finally, a semisolid-variant method was evaluated for examining ing 80% confluent Vero monolayers were used as described in the
the effects of cell preparation from the type of overlay medium solid method, but with the addition of a CMC overlay media. After
used. incubation, cell overlays were removed, and the cells were fixed
Both Vero-76 and BHK-21 cells are used commonly for and stained as described above.
alphavirus plaque assay and plaque reduction neutralization tests. For use as positive controls in PRNT, hyperimmune mouse ascitic
In this study, Vero-76 cells were selected because plaque mor- fluid (HMAF) was obtained by immunizing adult mice with virus
phology was defined clearly compared to those in BHK-21 cells mixed with Freud’s adjuvant and then injecting them with sar-
allowing a reliable counting of plaques (data not shown). Vero-76 coma cells. Two sets of human serum were analyzed to determine
cells were propagated at 37 ◦ C in Eagle’s minimum essential media antibody neutralization titers under solid and semisolid condi-
(EMEM) supplemented with 10% of heat-inactivated fetal bovine tions. First, nineteen paired acute and convalescent serum samples
serum (FBS) and 1% penicillin/streptomycin. The study was per- were obtained through a febrile surveillance study. All paired
formed using the alphavirus strains listed in Table 1. All cell lines samples were from patients that had MAYV isolated from their
had an initial passage number of 40. acute sera. All convalescent samples were collected between one
A description of the main steps in the plaque assay methods week and three months after the onset of symptoms, as described
are shown in Fig. 1. For the solid method, cell suspension was previously (Forshey et al., 2010). Second, serum samples were

Fig. 1. Three methods used for alphavirus and antibody titration.


D. Juarez et al. / Journal of Virological Methods 187 (2013) 185–189 187

Fig. 2. Comparison of alphavirus titers by plaque assay method.


(A) Titers have significant differences by method (p < 0.001 by ANOVA) except for VEEV solid vs. semisolid-variant (p = 0.972 by Student’s t-test). Error bars represent ± two
standard deviations. (B and C) Number of antibody positive samples at twofold dilutions using solid and semisolid methods. Samples tested against MAYV = 149 (B) and
VEEV = 30 (C).

collected from healthy participants residing in urban and rural Comparison of solid and semisolid plaque assays were found
zones in and around Iquitos, Peru, between 2006 and 2008, as part to yield a different number of plaques under the two condi-
of a VEE prevalence study described previously (Morrison et al., tions: the solid method provided higher log10 virus titers than the
2008). All study protocols were reviewed and approved by the semisolid method for UNAV (7.2 ± 0.2 vs. 6.3 ± 0.3), MAYV (7.1 ± 0.1
Naval Medical Research Center (NMRC; Silver Spring, MD) Insti- vs. 6.3 ± 0.4), WEEV (6.9 ± 0.3 vs. 6.5 ± 0.4), and VEEV (9.1 ± 0.5 vs.
tutional Review Board (NMRCD.2000.0006 and NMRCD.2000.0008) 8.6 ± 0.5) with a p < 0.001 (Fig. 2A).
and by the Naval Medical Research Unit Six (NAMRU-6; Lima, Peru) To clarify better whether the cell suspension or the CMC over-
Institutional Review Board (PJT.NMRCD.001, PJT.NMRCD.038, and lay was responsible for the lower virus titers, a semisolid-variant
NMRCD.2008.0003). method, using a cell monolayer overlaid with CMC was evalu-
For the PRNTs, HMAF and patient sera were heat-inactivated ated. The time of virus absorption was 1 h, equivalent to the solid
at 56 ◦ C for 30 min. Twofold sera dilutions (from 1:10 to 1:320 method. For the semisolid-variant method, the MAYV and UNAV
for human sera, and additional dilutions to obtain the end titer titers increased compared with the semisolid method but were still
for HMAF) were prepared and mixed in equal volume with 40 less than the solid method (p < 0.001). For WEEV, the titer by the
plaque forming units (PFUs) of each virus and incubated at 4 ◦ C semisolid-variant was higher than the solid and semisolid method
overnight. One hundred microliters of the virus-serum dilution (p < 0.001). For VEEV, the titer was equivalent with the semisolid-
mixtures was inoculated into Vero-76 cells and incubated at 37 ◦ C variant and solid methods (p = 0.972); however, both were better
for 1 or 3 h (solid or semisolid, respectively) before adding the solid than the semisolid method (p = 0.02). For the semisolid-variant
or semisolid overlay. Plates were incubated for 48 (UNAV, VEEV and method, the averages ±2SDs are also shown in Fig. 2A (UNAV
WEEV) or 72 h (MAYV). Cells were fixed and plaques were counted 6.9 ± 0.2; MAYV 6.9 ± 0.1; WEEV 7.4 ± 0.3; VEEV 9.1 ± 0.5).
as described above. PRNT titer was expressed as the reciprocal of To evaluate if the choice of method could influence PRNT results,
the serum dilution that reduced the number of plaques by 80% HMAF raised against all four of the alphaviruses under study was
(PRNT80 ). tested. There was a sixfold difference between solid and semisolid
Plaque assay titrations were carried out 10 times for MAYV, methods for both MAYV (10,240 vs. 320) and UNAV (640 vs. 10). In
UNAV and WEEV and 7 times for VEEV. For the statistical analysis, contrast, the VEEV and WEEV titers under the solid and semisolid
the results were expressed in log10 PFU/ml ± 2SD. Statistical anal- conditions varied only by one dilution (Table 2).
yses were performed using SPSS statistics software version 17.0 Next, an evaluation of 19 paired samples from febrile patients
(SPSS Inc., Chicago, IL). The ANOVA (for comparison of all meth- with confirmed MAYV infections was performed. No MAYV neu-
ods) or t-test (for solid vs. semisolid comparison) were calculated tralizing antibodies were detected in the acute samples using either
to assess the significance of differences between methods, with solid or semisolid methods. In the convalescent samples, 17 of 19
two-tailed p values <0.05 considered significant. demonstrated PRNT seroconversion, with titers equal to or greater
188 D. Juarez et al. / Journal of Virological Methods 187 (2013) 185–189

Table 2 monolayer in the solid method. However, this dilution and the fre-
Comparison of hyperimmune mouse ascitic fluid (HMAF) antibody titers by solid
quency of contact with free-floating cells vs. cells in a monolayer
and semisolid plaque reduction neutralization testing methods.
cannot account for the difference between methods entirely, as
Antibody titer shown by results of the semisolid-variant method. These experi-
HMAF Solid method Semisolid method ments demonstrated the direct effect of overlay on virus titer for
MAYV and UNAV.
MAY 10,240 320
UNA ≥640 10 PRNT was also evaluated to determine whether antibody titers
VEE 1280 640 might be impacted by choice of assay method, considering that in
WEE 40,960 20,480 the semisolid method the dose of virus was higher than the solid
Number of replicates per assay = 4. method in order to obtain an equivalent number of plaques by
both methods. Again, the results indicated outcomes dependent
on both method and virus. It was observed that: (1) in UNAV, false-
than 40 using the solid method. In contrast, all convalescent sam- negatives possibly due to binding and wasting antibodies because
ples were negative using the semisolid method (Table 3). In order of the excess of virus with the semisolid method; (2) in MAYV,
to explore further the effect of PRNT methods on neutralizing anti- underestimation of antibody titers, even in 6 twofold dilutions; and
body results, PRNT assays were performed on 145 samples positive (3) in VEEV and WEEV, no significant effects.
for anti-MAYV antibodies by IgG ELISA from a survey of healthy Results from the 19 paired MAYV samples showed no neu-
residents of Iquitos. Using the solid method, 17% of samples had tralizing antibodies against MAYV in the convalescent samples
titers <20 and 83% of samples had titers ≥20; the semisolid method with semisolid method. By contrast, 17 positive samples were
yielded 37% of samples with titers <20 and 63% of titers ≥20 obtained under solid conditions. Why the semisolid method was
(Fig. 2B). For the samples with anti-VEEV antibodies by IgG ELISA unable to detect neutralizing antibody to MAYV in the 19 sam-
(Morrison et al., 2008), using the solid method, 30% had titers <20, ples remains unclear. Nevertheless, the semisolid method yielded
and 70% had titers of ≥20. Similarly, for the semisolid method, 33% positive results using samples collected in a serosurvey, although
of the samples had titers <20 and 67% had titers ≥20 (Fig. 2C). consistently with lower titers compared with titers obtained using
Plaque assays and PRNTs are methods used commonly in the the solid method. The two methods resulted in a 20% difference in
field of virology and remain the gold standard for virus quantitation PRNT confirmation of IgG ELISA positive samples.
and serology. Over the years, modifications to the initial proto- When 30 samples were tested for VEEV antibodies, only a 3% dis-
col have been made to try to improve reliability and accuracy of agreement between solid and semisolid methods was found. These
results. However, the effect of these modifications on final results results were consistent with the results observed when testing
in alphavirus testing has not been performed rigorously. Two meth- VEEV–HMAF.
ods were compared in this study: a solid method using agarose as Attempts to develop an alternative system that combines the
an overlay and a semisolid method using CMC as an overlay. sensitivity observed when using a cell monolayer and the easier
The results showed that despite inoculation of identical doses, media removal provided with the CMC overlay indicated that a
the number of plaques was different when tested by the two meth- semisolid variant could be utilized in VEEV and WEEV assays. Nev-
ods, with a six and eightfold difference in MAYV and UNA titers ertheless, the experiments demonstrated that the solid method
and a three and twofold difference in VEEV and WEEV titers. One remains the method of choice for sensitivity in MAYV and UNAV
of the possible explanations could be that an amount of virus titration.
remains in the cell suspension/CMC overlay because of less contact Obtaining the most accurate and reliable results is the prior-
between virus and free-floating cells and, thus, a lower propor- ity of any investigation, and evaluating how assay modifications
tion of cells become infected. It is important to realize that in the can alter results is essential. Enhancing this evaluation will facili-
semisolid method, the protocol specified to dilute the virus 1:10 tate the comparison of results between laboratories and improve
in the cell suspension as compared to direct inoculation onto the knowledge of specific virus characteristics.

Table 3
Comparison of antibody titers in human sera by plaque reduction neutralization testing (PRNT) method.

No. Acute IFA PRNT MAYV Convalescent PRNT MAYV

Solid Semisolid Solid Semisolid

1 IQE7750 MAYV <1/20 <1/20 IQE7831 1/160 <1/20


2 OBS6225 MAYV ND ND OBS6497 1/320 <1/20
3 FSB0309 MAYV ND ND FSB0310 1/160 <1/20
4 FSB0279 MAYV ND ND FSB0280 1/640 <1/20
5 FSB0311 MAYV ND ND FSB0312 1/40 <1/20
6 FSB0319 MAYV ND ND FSB0320 1/40 <1/20
7 IQD2668 MAYV <1/20 <1/20 IQD2827 >1/640 <1/20
8 IQE2975 MAYV <1/20 <1/20 IQE3232 1/320 <1/20
9 IQE3288 MAYV <1/20 <1/20 IQE3468 1/640 <1/20
10 IQE7564 MAYV <1/20 <1/20 IQE7669 1/40 <1/20
11 DEF0533 MAYV ND ND DEF0538 1/320 <1/20
12 MFI0231 MAYV <1/20 <1/20 MFI0243 1/80 <1/20
13 FSC0497 MAYV ND ND FSC0507 1/160 <1/20
14 FSC0498 MAYV <1/20 <1/20 FSC0508 1/320 <1/20
15 FSL1307 MAYV <1/20 <1/20 FSL1326 1/160 <1/20
16 FSL1610 MAYV <1/20 <1/20 FSL1615 <1/20 <1/20
17 FSL1707 MAYV <1/20 <1/20 FSL1730 ≤1/20 <1/20
18 FSL3058 MAYV <1/20 <1/20 FSL3098 1/320 <1/20
19 FMD0970 MAYV <1/20 <1/20 FMD1119 1/320 <1/20

ND, not done due to insufficient serum.


IFA, immunofluorescent antibody.
D. Juarez et al. / Journal of Virological Methods 187 (2013) 185–189 189

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of Defense Global Emerging Infections Systems Research Program. de Lamballerie, X., Canard, B., 2010. Understanding the alphaviruses: recent
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