1.Impact of elevated IgE in protective immunity and immunopathology of dengue
Annsley, D.S. ; Chin, K.L. ; Tan, K.K. ; AbuBakar, S. ; Zainal, N.
Tropical Biomedicine 2024;41(No.1):118-124
Dengue is a mosquito-transmitted infection endemic in tropical and subtropical locations of the world
where nearly half of the world’s population resides. The disease may present as mild febrile illness to
severe and can even be fatal if untreated. There are four genetically related but antigenically distinct
dengue virus (DENV) serotypes. Immune responses to DENV infection are in general protective but
under certain conditions, they can also aggravate the disease. The importance of the cellular immune
responses and the antibody responses involving IgG and IgM has been well-studied. In contrast, not
much has been described on the potential role of hypersensitivity reactions involving IgE in dengue.
Several studies have shown elevated levels of IgE in patients with dengue fever, but its involvement
in the immune response against the virus and disease is unknown. Activation of mast cells (MCs) and
basophils mediated through dengue-specific IgE could result in the release of mediators affecting dengue
virus infection. The present review explores the relationships between the induction of IgE in dengue
virus infection, and the potential role of MCs and basophils, exploring both protective and pathogenic
aspects, including antibody-dependent enhancement (ADE) of infection in dengue.
2.Evaluation of commercial serological assays in Malaysia for detection of anti-Zika virus antibodies
Khoo, H.Y. ; Lee, H.Y. ; Khor, C.S. ; Tan, K.K. ; AbuBakar, S.
Tropical Biomedicine 2021;38(No.4):613-621
The recommended test guidelines for Zika virus (ZIKV) include using both molecular and
serological tools. While the molecular tools are useful for detecting acute infection, the
serological tools are useful for the detection of previous infections. Nevertheless, detection
of ZIKV-specific antibodies remains a challenge due to the high cross-reactivity between
ZIKV and other flaviviruses such as dengue virus (DENV) and Japanese encephalitis virus
(JEV). The objective of this study is to evaluate the commercially available enzyme-linked
immunosorbent assay (ELISA) for the detection of ZIKV IgG. In this study, we evaluated 6
commercially available anti-ZIKV IgG ELISA kits. Pre-characterized serum panels consisting
of 70 sera were selected for the evaluation. The diagnostic accuracy of each ELISA kits was
determined and compared to the gold standard, Foci Reduction Neutralization Test (FRNT).
The present study established that the performance of the NS1-based anti-ZIKV IgG ELISA kit
was superior to that which uses of the E protein as antigen. Overall, commercial ZIKV IgG
ELISA showed varying test performances, with some achieving moderate to high test
sensitivities and specificities. When compared against the FRNT, the test sensitivities ranged
from 7.1% to 78.6%, whereas, the test specificities ranged from 40.0% to 100%. Limitation to
the study includes the cross reactivity between flavivirus and specificity of the kit in
addressing the cross reactivity.
3.Development of a TaqMan minor groove binding probe-based quantitative reverse transcription polymerase chain reaction for the detection and quantification of Zika virus
Chin, K.L. ; Teoh, B.T. ; Sam, S.S. ; Loong, S.K. ; Tan, K.K. ; Azizan, N.S. ; Lim, Y.K. ; Khor, C.S. ; Nor&rsquo ; e, S.S. ; Abd-Jamil, J. ; AbuBakar, S.
Tropical Biomedicine 2022;39(No.4):518-523
4.Multiplex sequencing of SARS-Cov-2 genome directly from clinical samples using the Ion Personal Genome Machine (PGM)
Tan, K.K. ; Tiong, V. ; Tan, J.Y. ; Wong, J.E. ; Teoh, B.T. ; Abd-Jamil, J. ; Johari, J. ; Nor&rsquo ; e, S.S. ; Khor, C.S. ; Yaacob, C.N. ; Zulkifli, M.M.S. ; CheMatSeri, A. ; Mahfodz, N.H. ; Azizan, N.S. ; AbuBakar, S.
Tropical Biomedicine 2021;38(No.3):283-288
Various methods have been developed for rapid and high throughput full genome sequencing of SARS-CoV-2. Here, we described a protocol for targeted multiplex full genome sequencing of SARS-CoV-2 genomic RNA directly extracted from human nasopharyngeal swabs using the Ion Personal Genome Machine (PGM). This protocol involves concomitant amplification of 237 gene fragments encompassing the SARS-CoV-2 genome to increase the abundance and yield of viral specific sequencing reads. Five complete and one near-complete genome sequences of SARS-CoV-2 were generated with a single Ion PGM sequencing run. The sequence coverage analysis revealed two amplicons (positions 13 751-13 965 and 23 941-24 106), which consistently gave low sequencing read coverage in all isolates except 4Apr20-64Hu. We analyzed the potential primer binding sites within these low covered regions and noted that the 4Apr20-64-Hu possess C at positions 13 730 and 23 929, whereas the other isolates possess T at these positions. The genome nucleotide variations observed suggest that the naturally occurring variations present in the actively circulating SARS-CoV-2 strains affected the performance of the target enrichment panel of the Ion AmpliSeq™ SARS CoV 2 Research Panel. The possible impact of other genome nucleotide variations warrants further investigation, and an improved version of the Ion AmpliSeq™ SARS CoV 2 Research Panel, hence, should be considered.