Chikungunya Virus Diagnosis: A Review of Current Antigen Detection Methods

Trop Med Infect Dis. 2023 Jul 17;8(7):365. doi: 10.3390/tropicalmed8070365.

Abstract

Chikungunya is a mosquito-borne viral disease caused by the chikungunya virus (CHIKV). CHIKV is expanding at an alarming rate, potentially spreading and establishing endemicity in new areas where competent vectors are present. The dramatic spread of CHIKV in recent years highlights the urgent need to take precautionary measures and investigate options for control. It is crucial in developing nations where diagnostic tools are limited, and symptoms are similar to other prevalent diseases such as malaria and dengue. The most reliable method for diagnosing chikungunya virus is viral gene detection by RT-PCR. Alternative methods like detecting human antibody and viral antigen can also be used, especially in areas where resources are limited. In this review, we summarize the limited data on antigen detection immunoassays. We further explain the essential structural elements of the virus to help comprehend the scientific concepts underlying the testing methods, as well as future methods and diagnostic approaches under investigation.

Keywords: chikungunya antigen detection; chikungunya virus; diagnosis; enzyme linked immunosorbent assay; lateral flow assay.

Publication types

  • Review

Grants and funding

N.A.M is funded by the Poliomyelitis Research Foundation (grant No. 22/11) and the National Research Foundation Thuthuka (grant No. 129875). F.B.N.S. and F.J.B. are funded by the South African Research Chairs initiative of the Department of Science and Technology and the National Research Foundation, SARChI in vector borne and zoonotic pathogens research, grant No. 98346.