National Reference Center Measles, Mumps, Rubella, Robert Koch-Institute, Berlin, Germany.
Methods Mol Biol. 2024;2808:209-224. doi: 10.1007/978-1-0716-3870-5_16.
The plaque reduction neutralization test (PRNT) and the enzyme-linked immunosorbent assay (ELISA) are both widely used to assess immunity to infectious diseases such as measles, but they use two different measurement principles: ELISA measures the ability of antibodies to bind to virus components, while the PRNT detects the aptitude of antibodies to prevent the infection of a susceptible cell. As a result, detection of measles virus (MV) neutralizing antibodies is the gold standard for assessing immunity to measles. However, the assay is laborious and requires experience and excellent technical skills. In addition, the result is only available after several days. Therefore, the classical PRNT is not suitable for high-throughput testing. By using an immunocolorimetric assay (ICA) to detect MV-infected cells, the standard PRNT has been developed into a focus reduction neutralization test (FRNT). This assay is faster and has improved specificity. The FRNT described here is extremely useful when immunity to measles virus needs to be assessed in patients with a specific medical condition, such as immunocompromised individuals in whom presumed residual immunity needs to be assessed. The FRNT is not generally recommended for use with large numbers of specimens, such as in a seroprevalence study.
酶联免疫吸附测定(ELISA)和蚀斑减少中和试验(PRNT)均广泛用于评估麻疹等传染病的免疫情况,但它们使用了两种不同的测量原理:ELISA 测量抗体结合病毒成分的能力,而 PRNT 则检测抗体预防易感细胞感染的能力。因此,检测麻疹病毒(MV)中和抗体是评估麻疹免疫力的金标准。然而,该检测方法繁琐,需要经验和高超的技术技能。此外,结果需要几天才能获得。因此,经典的 PRNT 不适合高通量检测。通过使用免疫比色测定法(ICA)检测 MV 感染的细胞,标准 PRNT 已发展成为焦点减少中和试验(FRNT)。该检测方法更快,特异性提高。当需要评估特定医疗条件下(如免疫功能低下的个体)的麻疹病毒免疫力时,这里描述的 FRNT 非常有用,因为需要评估假定的残留免疫力。一般不建议 FRNT 用于大量标本,例如在血清流行率研究中。