Human Immunodeficiency Virus (HIV) Antigen-Antibody Combination Assays: Evaluation of HIV Seroconversion Sensitivity and Subtype Detection
Journal of Clinical MicrobiologyPublished 30 October 2002Open access
Thoai Duong Ly
Citations82
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Results indicate that although all combination assays can detect antibodies to HIV-1, group M, subtypes A to G, circulating recombinant form (CRF) A/E, and HIV- 1 group O, their sensitivity varied considerably when tested using diluted HIV-2 antibody-positive samples.
Keywords
Immunology and MicrobiologyMedicine
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Results indicate that although all combination assays can detect antibodies to HIV-1, group M, subtypes A to G, circulating recombinant form (CRF) A/E, and HIV- 1 group O, their sensitivity varied considerably when tested using diluted HIV-2 antibody-positive samples.
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An extensive analysis highlights the importance of p24 antigen detection for early diagnosis, the improved sensitivity of fourth-generation assays over antibody-only tests, and the superior performance of the Vidas Duo assay, which allows reduction of the diagnostic window by up to 2 weeks.
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The performance of 14 commercially available HIV-1/2 antibody assays were compared using well-characterized serum panels containing in total 1500 1800 sera, with the most sensitive assay detecting antibodies in all nine samples collected from four individuals during the first week after onset of symptoms of primary HIV- 1 infection.
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A more precise window estimation based on seroconversion series with short sampling time intervals of up to 7 days, is described in parallel with that for the single HIV p24 Ag assay, finding that with the new assay two-thirds of the current p 24 Ag window is closed.
AIDSSerologic and phylogenetic characterization of HIV-1 subtypes in Uganda
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Journal of Virological MethodsStrongly enhanced sensitivity of a direct anti-HIV-1/-2 assay in seroconversion by incorporation of HIV p24 ag detection: a new generation vironostika HIV Uni-Form II
49 Citations1998Jan van Binsbergen, W. Keur +7 more
The clinical sensitivity of the current anti-HIV assays is based for an important part on their reactivity with seroconversion panels, and this new assay, Vironostika HIV Uni-Form II Ag/Ab, is at least at the level of thecurrent Vironstika HIVuni- form II plus O.
Journal of Clinical MicrobiologyContribution of Combined Detection Assays of p24 Antigen and Anti-Human Immunodeficiency Virus (HIV) Antibodies in Diagnosis of Primary HIV Infection by Routine Testing
49 Citations2000Thoai Doung Ly, Catherine Edlinger +3 more
The contribution of a fourth-generation human immunodeficiency virus (HIV) diagnosis assay, the VIDAS HIV DUO (bioMerieux), to diagnosis of primary HIV infection earlier than the third generation is reported.
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35 Citations1988George J. Dawson, J. Heller +8 more
The molecularly cloned the gag and env genes of the human immunodeficiency virus and expressed fragments of these genes in Escherichia coli to develop two competitive immunoassays (CIAs), comparable with western blot in detecting antibodies in patients with AIDS or AIDS-related complex that were repeatably reactive in the HIV screening test.
Proceedings of the National Academy of SciencesBacterial expression of the acquired immunodeficiency syndrome retrovirus p24 gag protein and its use as a diagnostic reagent.
34 Citations1985Donald Dowbenko, JOHN R. BELL +6 more
The p24 gag antigen is expressed in Escherichia coli in order to produce a diagnostic reagent for the detection of virus exposure and the use of bacterially produced antigens for ELISAs gave results that were comparable to those obtained by using antigen isolated from the virus.
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Annals of Internal MedicineBlood Transfusion and Human Immunodeficiency Virus (HIV) Antigen
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A very well-documented study on the time course of viral antigenemia and seroconversion after human immunodeficiency virus (HIV) transfer by using a simple ELISA procedure is reported.
American Journal of Clinical PathologyPerformance Evaluation of the Abbott HTLV III EIA, a Test for Antibody to HTLV III in Donor Blood
12 Citations1986Jean E. Barrett, George J. Dawson +6 more
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TransfusionAssessment of HIV‐1 screening test sensitivities using serially diluted positive sera can give misleading results
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Journal of Virological MethodsComparison in sensitivity of 10 HIV antibody detection tests by serial dilutions of Western blot-confirmed samples
9 Citations1988R. Stute
Nine ELISA tests and one particle agglutination test for the detection of HIV antibodies were analysed using serial dilutions of Western blot-confirmed positive serum samples, and remarkable differences in sensitivity were observed.
