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Journal of Clinical Microbiology, December 1998, p. 3657-3661, Vol. 36, No. 12
AIDS Research and Retrovirus Discovery,
Abbott Laboratories, North Chicago, Illinois, 60064-4000
Received 30 June 1998/Returned for modification 23 July
1998/Accepted 15 September 1998
A rapid immunodiagnostic test that detects and discriminates human
immunodeficiency virus (HIV) infections on the basis of viral type, HIV
type 1 (HIV-1) group M, HIV-1 group O, or HIV-2, was developed. The
rapid assay for the detection of HIV (HIV rapid assay) was designed as
an instrument-free chromatographic immunoassay that detects
immunoglobulin G (IgG) antibodies to HIV. To assess the performance of
the HIV rapid assay, 470 HIV-positive plasma samples were tested by PCR
and/or Western blotting to confirm the genotype of the infecting virus.
These samples were infected with strains that represented a wide
variety of HIV strains including HIV-1 group M (subtypes A through G),
HIV-1 group O, and HIV-2 (subtypes A and B). The results showed that
the HIV genotype identity established by the rapid assay reliably (469 of 470 samples) correlates with the HIV genotype identity established
by PCR or Western blotting. A total of 879 plasma samples were tested
for IgG to HIV by a licensed enzyme immunoassay (EIA) (470 HIV-positive
samples and 409 HIV-negative samples). When they were tested by the
rapid assay, 469 samples were positive and 410 were negative (99.88% agreement). Twelve seroconversion panels were tested by both the rapid
assay and a licensed EIA. For nine panels identical results were
obtained by the two assays. For the remaining three panels, the rapid
assay was positive one bleed later in comparison to the bleed at which
the EIA was positive. One hundred three urine samples, including 93 urine samples from HIV-seropositive individuals and 10 urine samples
from seronegative individuals, were tested by the rapid assay.
Ninety-one of the ninety-three urine samples from HIV-seropositive
individuals were found to be positive by the rapid assay. There were no
false-positive results (98.05% agreement). Virus in all urine samples
tested were typed as HIV-1 group M. These results suggest that a rapid
assay based on the detection of IgG specific for selected transmembrane
HIV antigens provides a simple and reliable test that is capable of
distinguishing HIV infections on the basis of viral type.
0095-1137/98/$04.00+0
Copyright © 1998, American Society for Microbiology. All rights reserved.
Rapid Assay for Simultaneous Detection and
Differentiation of Immunoglobulin G Antibodies to Human
Immunodeficiency Virus Type 1 (HIV-1) Group M, HIV-1 Group O, and
HIV-2
*
Corresponding author. Mailing address: Abbott
Laboratories, Dept. 9 NG, 1401 Sheridan Rd., N. Chicago IL, 60064-4000. Phone: (847) 938-8931. Fax: (847) 937-1401. E-mail:
ana.vallari{at}add.ssw.abbott.com.
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