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Journal of Clinical Microbiology, September 2001, p. 3122-3128, Vol. 39, No. 9
Laboratoire Claude Levy, Ivry sur Seine,
France1; Abbott Laboratories,
Diagnostics Division, Abbott Park, Illinois2;
and Murex Biotech Ltd., Dartford, Kent, United
Kingdom3
Received 5 February 2001/Returned for modification 13 April
2001/Accepted 18 June 2001
In this study, we evaluated the performance of two prototype human
immunodeficiency virus (HIV) antigen-antibody (Ag-Ab) combination assays, one from Abbott Laboratories (AxSYM HIV Ag-Ab) and the other
from bioMerieux (VIDAS HIV Duo Ultra), versus five combination assays
commercially available in Europe. The assays were Enzygnost HIV
Integral, Genscreen Plus HIV Ag-Ab, Murex HIV Ag-Ab Combination, VIDAS
HIV Duo, and Vironostika HIV Uniform II Ag-Ab. All assays were
evaluated for the ability to detect p24 antigen from HIV-1 groups M and
O, antibody-positive plasma samples from HIV-1 groups M and O, HIV-2,
and 19 HIV seroconversion panels. 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-1 group O
and HIV-2 antibody-positive samples. Among combination assays, the
AxSYM, Murex, and VIDAS HIV Duo Ultra assays exhibited the best antigen
sensitivity (at ~25 pg of HIV Ag/ml) for detection of HIV-1 group M,
subtypes A to G and CRF A/E, and HIV-1 group O isolates. However, the
VIDAS HIV Duo Ultra assay had a lower sensitivity for HIV-1 group M and
subtype C, and was unable to detect subtype C antigen even at 125 pg of
HIV Ag/ml. The HIV antigen sensitivity of the VIDAS HIV Duo and
Genscreen Plus combination assays was ~125 pg of HIV Ag/ml for
detection of all HIV-1 group M isolates except HIV-1 group O while the
sensitivity of Vironostika HIV Uniform II Ag-Ab and Enzygnost HIV
Integral Ag-Ab assays for all the group M subtypes was >125 pg of HIV
Ag/ml. Among the combination assays, the AxSYM assay had the best
performance for detection of early seroconversion samples, followed by
the Murex and VIDAS HIV Duo Ultra assays.
0095-1137/01/$04.00+0 DOI: 10.1128/JCM.39.9.3122-3128.2001
Copyright © 2001, American Society for Microbiology. All rights reserved.
Seven Human Immunodeficiency Virus (HIV)
Antigen-Antibody Combination Assays: Evaluation of HIV Seroconversion
Sensitivity and Subtype Detection
*
Corresponding author. Mailing address: AIDS Research
and Retrovirus Discovery, Abbott Laboratories, D-09NG, Bldg. AP 20, 100 Abbott Park Rd., Abbott Park, IL 60064-6015. Phone: (847) 937-0913. Fax: (847) 937-1401. E-mail: Sushil.Devare{at}abbott.com.
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