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Journal of Clinical Microbiology, October 1999, p. 3239-3244, Vol. 37, No. 10
Biotest AG,
Received 29 March 1999/Returned for modification 17 May
1999/Accepted 21 July 1999
Using recombinant 15- to 30-kDa fragments and fusion with
glutathione S-transferase (GST), we investigated the
seroreactivity of three large structural proteins of Epstein-Barr virus
(EBV), p150 (BcLF1, capsid), p143 (BNRF1, tegument), and gp125 (BALF4, membrane) in Western blots. None of 13 fragments tested, however, was
qualified for diagnostic application. In contrast, the two small viral
capsid antigens (VCA), p18 (BFRF3) and p23 (BLRF2), demonstrated
sensitive (100%) EBV-specific immunoglobulin G (IgG) reactivities.
While p18 additionally showed maximum sensitivity for IgM detection,
the IgM sensitivity of p23 was restricted (44%). An autologous fusion
protein, p23-p18, which consists N-terminally of full-length p23,
followed by the carboxy half of p18, was constructed. This antigen was
subjected to indirect VCA enzyme-linked immunosorbent assays (ELISAs),
for IgG and IgM, as well as to a µ-capture (µc) IgM ELISA. All
assays were found to be 100% specific when EBV-negative sera were
tested. Using sera from previously infected individuals, the p23-p18
fusion revealed an improved IgG sensitivity of 99% compared to
sensitivities of 97 and 93% for the single antigens p18 and p23,
respectively. The sensitivity and specificity of the indirect IgM ELISA
with samples of primary and past infections, respectively, were 100%.
The µc principle for IgM overcame completely the interference by
rheumatoid factors. Compared to the specificity of the indirect IgM
version, the specificity with sera collected from rheumatoid arthritis
patients increased from 48 to 100%. In summary, the p23-p18 IgG and
µc IgM ELISAs showed excellent performances and are promising new
diagnostic tests for the detection of EBV-specific antiviral capsid antibodies.
0095-1137/99/$04.00+0
Copyright © 1999, American Society for Microbiology. All rights reserved.
Serodiagnosis of Epstein-Barr Virus Infection by
Using Recombinant Viral Capsid Antigen Fragments and Autologous
Gene Fusion
*
Corresponding author. Mailing address: Biotest AG,
Landsteinerstrasse 5, D-63303 Dreieich, Germany. Phone:
49-6103-801-115. Fax: 49-6103-801-135. E-mail:
walter_hinderer{at}biotest.de.
Journal of Clinical Microbiology, October 1999, p. 3239-3244, Vol. 37, No. 10
0095-1137/99/$04.00+0
Copyright © 1999, American Society for Microbiology. All rights reserved.
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