The measurement of functional measles virus-specific neutralizing antibodies is of considerable interest for vaccine-related research. In this study, we developed and standardized a simple, rapid, highly sensitive, and reproducible fluorescence-based plaque reduction microneutralization (PRMN) assay with visual and automated readout, using a recombinant measles virus engineered to express enhanced green fluorescent protein.The assay is performed in micro format, requires less time to complete (2 versus 4 to 7 days), and is less labor-intensive and less costly than the classical plaque reduction neutralization (PRN) test, widely accepted as the "gold standard" in measles serology. Two available WHO international anti-measles virus standards and one in-house reference serum were used to develop and standardize the new assay. The mean PRMN values from repeated assays were found to be similar to those reported in the literature or assigned to the WHO standards by the classical PRN assay. For validation, we used three groups of low, moderate, and high measles virus vaccine responders' sera with moderate values of correlation in antibody levels (mIU/ml) between PRMN and the Dade Behring immunoglobulin G enzyme immunoassay (EIA). The PRMN assay was more sensitive at low antibody levels and more informative in terms of protection than this commercial EIA. In conclusion, we have developed and validated a sensitive and high-throughput measles virus-specific PRMN that can be readily used in large population-based measles studies.Measles is a highly communicable infectious disease, and it remains the leading cause of vaccine-preventable childhood mortality in developing countries and is still a major public health concern in developed countries (15). Measles outbreaks are known to occur even in highly vaccinated populations despite the availability of an effective live attenuated measles virus (MV) vaccine (17).Neutralizing and protective antibodies are directed against the two surface MV glycoproteins, the hemagglutinin (H) and fusion (F) proteins, and are sufficient to provide protection (4). Therefore, diagnostic measures of sufficient levels of functional neutralizing MV-specific antibodies correlate with protection. Neutralizing antibodies are operationally defined by a standard plaque reduction neutralization (PRN) test as antibodies that prevent a cytopathic effect and formation of plaques, using a laboratory MV strain (Edmonston) on Vero cells (4). The PRN assay, an enhanced version of the neutralization test, is widely accepted as the "gold standard" in MV serology and measures the serum dilution capable of preventing 50% of plaque formation by MV (PRN titer; 50% neutralizing dose [ND 50 ]) (1). However, the classical PRN assays are slow (4 to 7 days), labor-intensive, and require large volumes of test components (since they are conducted in 24-well and 12-well plates using semisolid cell overlay and staining procedures) and are impractical for large numbers of samples. The availability of a relatively simple, more...