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Journal of Clinical Microbiology, July 2002, p. 2459-2465, Vol. 40, No. 7
0095-1137/02/$04.00+0 DOI: 10.1128/JCM.40.7.2459-2465.2002
Copyright © 2002, American Society for Microbiology. All Rights Reserved.
Cross-Reactivity among Several Recombinant Calicivirus Virus-Like Particles (VLPs) with Monoclonal Antibodies Obtained from Mice Immunized Orally with One Type of VLP
Noritoshi Kitamoto,1 Tomoyuki Tanaka,2 Katsurou Natori,3 Naokazu Takeda,3 Shuji Nakata,4 Xi Jiang,5,
and Mary K. Estes6*
School of Humanities for Environmental Policy and Technology, Himeji Institute of Technology, Hyogo 670-0092,1
Sakai Institute of Public Health, Sakai 590-0953,2
Department of Virology II, National Institute of Infectious Diseases, Tokyo 162-8640,3
Department of Pediatrics, Sapporo Medical University School of Medicine, Sapporo 060-8543, Japan,4
Center for Pediatric Research, Eastern Virginia Medical School, Children's Hospital of The King's Daughters, Norfolk, Virginia 23510,5
Department of Molecular Virology and Microbiology, Baylor College of Medicine, Houston, Texas 770306
Received 17 August 2001/
Returned for modification 18 November 2001/
Accepted 28 April 2002

ABSTRACT
Human caliciviruses (HuCVs) are classified into the Norwalk-like
viruses (NLV) and Sapporo-like viruses (SLV) as genera within
the family
Caliciviridae. The NLV genus is further classified
into genogroups I and II, based on sequence similarities. To
study the antigenic determinants on the HuCV capsid protein
and develop new diagnostic tools for field samples, we established
and characterized monoclonal antibodies (MAbs) against baculovirus-expressed
recombinant HuCV virus-like particles (VLPs). Hybrid clones
producing MAbs were obtained from cultures of PAI myeloma cells
fused with spleen or mesenteric lymph node cells from mice immunized
orally with either a single type of recombinant Norwalk virus
(rNV), Kashiwa 47 virus (rKAV), Snow Mountain agent (rSMA),
or Sapporo virus (rSV) VLP or with mixtures of two types of
VLPs from different genogroups. Twenty MAbs, obtained as mouse
ascites, were characterized and classified into six groups according
to their enzyme-linked immunosorbent assay (ELISA) and Western
blotting (WB) cross-reactivity patterns to VLPs. Five groups
of MAbs reacted by both WB and ELISA and were classified as
follows: common cross-reactive MAbs for four genogroup I and
six genogroup II VLPs (group A), genogroup I-specific MAbs (group
B), genogroup II-specific MAbs (group C), and strain-specific
MAbs (groups D and E). One MAb group (group F) reacted only
by ELISA. The group A MAbs, which showed broad cross-reactivity
with VLPs of both NLV genogroups, were obtained from mice immunized
orally with a single type of VLP (either rNV or rKAV). Two MAbs,
which were obtained from mice immunized with rSV, reacted with
rSV but not with any NLV VLP. These are the first MAbs to be
reported for any SLV. These strain-, genogroup-, and genus-reactive
MAbs will be useful tools for further study of the antigenic
and structural topography of the HuCV virion and for diagnostic
assays for HuCVs.

INTRODUCTION
Viruses in the
Caliciviridae family are important causes of
acute, epidemic nonbacterial gastroenteritis in humans (
2,
12).
Despite the clear association of these viruses with gastroenteritis
and the initial description of the virus by use of immune electron
microscopy (
27), they remained unclassified until 1990 due to
the lack of a cell culture system or a small animal model. Cloning
and sequencing of the Norwalk virus (NV) genome (
22,
26) and
the Southampton virus (
33) showed these viruses possess an

7.7-kb
genome of single-stranded positive-sense RNA which is predicted
to encode three primary open reading frames (ORFs). The capsid
protein of NV spontaneously assembles into empty virus-like
particles (VLPs) when expressed in insect cells infected with
a recombinant baculovirus containing the capsid protein gene
(
25). These recombinant NV (rNV) VLPs resemble native NVs morphologically
and antigenically (
13,
25). The NV capsid protein, encoded by
the second ORF (ORF2), is 530 amino acids in length and has
an apparent molecular weight of 58,000 (
5,
14,
25).
Human caliciviruses (HuCVs) are classified into two genera, Norwalk-like viruses (NLVs) and Sapporo-like viruses (SLVs) (10). The NLV genus has been further divided into two genogroups (I and II) on the basis of the genetic diversity of ORF2 or of the viral polymerase (10). Representative genogroup I viruses include the prototype NV, Southampton virus (33), Desert Shield virus (34), and Chiba virus (41), while representative genogroup II viruses include the prototype Snow Mountain agent (7, 28), Grimsby virus (15), Camberwell virus (40), Mexico virus (23), Hawaii virus (35), and others. (1, 10, 47; reviewed in references 6 and 12). Baculovirus-expressed VLPs from NV, Grimsby virus, Mexico virus, and Hawaii virus have been successfully used as antigens in the detection of antibody to NLVs (reviewed in reference 2). These studies have shown that infections with NLVs are common in all age groups and that children acquire antibodies to NLVs at an earlier age than previously believed (8, 37, 38, 39). The NLVs also play a predominant role as agents of epidemic gastroenteritis in nursing homes for the elderly (11). Enzyme-linked immunosorbent assays (ELISAs) for detection of viral antigen in stools also have been developed by using sera that are hyperimmune to the recombinant VLPs (7, 21). However, the efficiency of these antigen ELISAs has been relatively low due to the antigenic diversity among the NLVs and the relatively high specificity of the antisera raised for VLPs. Recent reports have suggested that NLVs can be further separated into at least 15 clusters, consisting of 7 genogroup I and 8 genogroup II clusters, based on the nucleotide sequence of approximately 300 bases in the capsid protein (9, 24; N. Takeda, unpublished data). Clear relationships between these genetic clusters and antigenicity has not yet been determined due to the lack of a cell culture system that would permit neutralization studies and distinction of viral serotypes. Little information is available on whether specific regions of the capsid protein are important for serotype specificity and whether type-specific and/or cross-reactive epitopes are present in HuCVs.
Hardy et al. (18) and Hale et al. (16) published the first reports of antigenic mapping of the rNV, using 10 monoclonal antibodies (MAbs) to begin to investigate how many epitopes exist on human caliciviruses. rNV VLPs are highly immunogenic when administered orally, in the absence of adjuvant, to mice and to human volunteers (3, 4), and oral immunization of mice with rNV VLPs results in high yields of MAbs (T. Tanaka, N. Kitamoto, X. Jiang, and M. K. Estes, unpublished data). This paper reports the establishment and characterization of new hybridoma cell lines from mice immunized orally with a single type of type of HuCV VLP, either rNV, rKashiwa 47 virus (rKAV), or rSapporo virus (rSV), or with mixtures of two types of VLPs from different genogroups. Previously unrecognized cross-reactive epitopes, shared among genogroup I and II NLVs, are detected by a subset of these new MAbs. In addition, we report the first MAbs for viruses in the SLV genus.

MATERIALS AND METHODS
Recombinant VLPs.
The expression and purification of several calicivirus VLPs
were performed as previously described (
15,
19,
25,
29-
31,
36,
43; N. Takeda, unpublished data). These VLPs were used as immunogens
for mice and as antigens for immunological tests. The recombinant
VLPs of genogroup I NLVs used were from NV (rNV; sequence accession
number
M87661 [
26]), Seto 124 virus (rSeV;
AB031013 [this strain
resembles KY89 virus] [
31]), Chiba 407 virus (rCV;
AB022679 [
41]), and Funabashi 258 virus (rFUV;
AB078335 [this strain
resembles Southampton virus] [
43]). The VLPs of genogroup II
viruses were from Snow Mountain agent (rSMA; U70059 [
17]), Grimsby
virus (rGV; AJ004864 [
15]), Kashiwa 47 virus (rKAV; AB078334
[unpublished data]), Chitta 76 virus [rCHV; AB032758 [this strain
resembles Hawaii virus] [
30]), Ueno 7K virus (rUEV; AB078337
[
43]), and Narita 104 virus (rNAV; AB078336 [this strain resembles
Camberwell virus] [unpublished data]). The recombinant VLPs
of the SLVs were Sapporo virus (rSV; U95643 [
20,
36]). The rNV,
rSMA, rGV, and rSV VLPs were produced in the Division of Molecular
Virology, Baylor College of Medicine. The recombinant rCV, rUEV,
rSeV, rCHV, rFUV, rKAV, and rNAV VLPs were produced in the Department
of Virology II, National Institute of Infectious Diseases (
29-
31,
43; N. Takeda, unpublished data). Protein concentrations were
determined using the Bio-Rad protein assay kit (Bio-Rad Laboratories,
Hercules, Calif.), with bovine serum albumin as the protein
standard.
Preparation of MAbs.
The PAI myeloma cell line (42), kindly provided by M. Kotani (Tokyo Metropolitan Institute of Medical Science, Tokyo, Japan), was cultured in Dulbecco's modified Eagle's medium with 15% fetal calf serum. The MAbs were prepared essentially as previously described (32), with minor modifications. Briefly, BALB/c mice were primed orally with 10 µg of purified VLPs (rNV, rKAV, rSMA, or rSV) per mouse, in the absence of adjuvant. In some cases, a mixture of 10 µg of rNV and 10 µg of rSMA was used for immunization. Mice received booster inoculations orally 4 times at 1-week intervals. The animals received a final intravenous injection of antigen. Three or 4 days later, the animals were sacrificed and cells from the spleen or mesenteric lymph nodes were fused with the myeloma cells. The culture medium of hybridomas which resulted from successful fusions was screened for reactivity by ELISA using plates coated with VLPs as described below. Positive hybridomas were cloned by limiting dilution, and antibody-producing clones were grown and stored in liquid nitrogen until used for further tests. Finally, ascites fluid was prepared by injection of hybridomas into pristane-primed mice and used for MAbs in this study. The isotype and subclass of each MAb were determined by Ouchterlony agar gel diffusion using anti-mouse subtype MAbs (Cappel Laboratories, West Chester, Pa.). Three previously described MAbs, NV3912, NV2461, and NV834 (16, 18), were also used in this study.
ELISA.
An ELISA employing antigen coating as described previously (7) was used with slight modification for the screening and the characterization of MAbs. Briefly, 96-well plates (Sumitomo Bakelite Co. Ltd., Tokyo, Japan) were coated with 100 ng of VLPs/well in 50 µl of 0.01 M phosphate-buffered saline (PBS) (pH 7.2) for 4 h at room temperature. Each well was washed with PBS-0.05% Tween 20 and blocked with 5% skim milk in PBS overnight at 4°C. MAbs (50 µl) were added as the first antibody and incubated for 2 h at 37°C. After washing with PBS-0.05% Tween 20, 50 µl of a 1:5,000 dilution of horseradish peroxidase (HRPO)-conjugated goat anti-mouse immunoglobulin G (IgG), IgM, or IgA (Cappel Laboratories) as the second antibody was reacted for 2 h at 37°C. After washing, 50 µl of ABTS-H2O2 [0.5 mg of 2,2'-azinobis(3-ethylbenzthiazolinesulfonic acid) (ABTS)/ml, 0.002% H2O2, 0.1 M citrate-phosphate buffer (pH 4.3)] as a substrate was developed for 20 min and the optical density at 405 nm and 630 nm was determined with a Microplate Reader (Bio-Rad Co., Richmond, Calif.).
Immunoblotting.
The VLPs were suspended in electrophoresis sample buffer containing 1% sodium dodecyl sulfate (SDS), 10% 2-mercaptoethanol, 50 mM Tris-HCl (pH 6.8), 0.0025% phenol red, and 10% glycerol. Samples were boiled for 2 min or not boiled (18) and were subjected to Western blotting (WB) analysis by the method of Towbin et al. (44), with slight modification. Briefly, SDS-gel electrophoresis was conducted in 10% polyacrylamide slab gel (catalog no. EMP-8020; 1 mm thick, 8 cm long, 7 cm wide; Iwaki). Lysed VLP protein (1 or 2 µg per track) was applied on the gel. After electrophoresis, the gel was transferred electrophoretically to a nitrocellulose sheet (0.45-µm pore size; Millipore) in a semidry transfer (EPM-8460; Iwaki) at a constant current of 70 mA for 3 h. The strips were then incubated overnight at room temperature with MAbs (ascites fluid) at a dilution of 1:1,000. The blots were incubated with a 1:2,000 dilution of HRPO-conjugated goat anti-mouse IgG, IgM, and IgA (Bio-Rad Co.) for 1 h at 37°C. The blots were then soaked in a solution of CNP (0.5 mg/ml; 4-chloro-1-naphthol, 0.001% H2O2, 0.1 M citrate-phosphate buffer, pH 6.0) to detect the antigen-antibody complexes on the strips.

RESULTS
Seventeen MAbs (tested as ascites) obtained from mice immunized
orally with rNV, rKAV, or rSV or with mixtures of rNV and rSMA
and three MAbs from mice immunized intraperitoneally with rNV
were classified into six groups according to their ELISA and
WB reactivity patterns with several VLPs (Table
1). The cross-reactivities
of the MAbs observed by ELISA with different VLPs were confirmed
by using hybridoma culture supernatants (data not shown). The
MAb groups were as follows: common cross-reactive MAbs for genogroup
I and II VLPs (group A), genogroup I-specific MAbs (group B),
genogroup II-specific MAbs (group C), strain-specific MAbs (groups
D and E), and ELISA-positive-WB-negative MAbs that could not
be further classified (group F).
Five group A MAbs (NV23, NV37, NV3, F8, and F120) reacted with
both genogroup I (rNV, rSeV, rCV, and rFUV) and genogroup II
VLPs (rSMA, rGV, rKAV, rNAV, rCHV, and rUEV). MAb NV23, NV37,
and NV3 clones were derived from mice immunized orally with
the single rNV VLP, and the cross-reactive MAb F8 and F120 clones
were obtained from mice immunized orally with the single rKAV
VLP. All of these MAbs were isotype IgG1. The NV23, NV37, F8,
and F120 MAbs reacted with all four genogroup I and six genogroup
II VLPs by WB (Table
1), with a polypeptide band that was seen
as a doublet with an apparent molecular weight of 58,000 to
62,000 (Fig.
1). In the case of rGV and rCHV VLPs, the lower
band, which may be a translation product from an internal initiation
codon present in the capsid protein gene, appeared to be of
greater intensity than the 58,000-molecular-weight band (denoted
by the arrow in the figure). One or two lower-molecular-weight
bands of rCHV and rUEV VLPs and bands with MAb F8 and F120 (versus
rNV, rSeV, and rFUV) other than the 58,000-molecular-weight
doublet (some larger, some smaller) are likely oligomers or
breakdown products of the capsid protein that appear on storage
of the VLPs (
16; unpublished data), because these bands were
not detected when new, freshly prepared VLP samples were tested.
The group A MAbs did not react with rSV by either ELISA or WB.
The intensity of reactivity by WB of the MAbs with the polypeptide
bands of each VLP type was consistent with the ELISA titer results.
Three group B MAbs (NV51, NV138, and NV172) reacted by ELISA
with only genogroup I VLPs. These MAbs were obtained from cells
of mesenteric lymph nodes of mice immunized orally with only
rNV and were isotype IgA (Table
1). By WB, these MAbs reacted
with genogroup I VLPs but not with any VLP of genogroup II NLVs
(Table
1) or rSV (Fig.
2A). In addition, the previously characterized
MAbs NV3912 and NV2461, which were obtained from mice immunized
intraperitoneally with rNV (
18) and detect a range of genogroup
I NLVs (
16), showed the same reactivities as the NV51, NV138,
and NV172 MAbs (Table
1). MAb 3912 appears to be more sensitive
than MAb 51 at detecting additional forms of the capsid protein,
in addition to the 58,000-molecular-weight doublet, present
in the gels (Fig.
2A).
Three group C MAbs (NS14, NS28, and NS46) reacted strongly with
genogroup II VLPs and weakly with genogroup I VLPs in ELISA
(Table
1). By WB, these MAbs reacted only with genogroup II
VLPs and did not react with any polypeptides of VLPs of genogroup
I NLVs or rSV (Fig.
2B). These MAbs were obtained from mice
immunized orally with mixed rNV and rSMA.
Two group D IgA MAbs (NV5610 and NV5620), which were created from mesenteric lymph node cells of mice immunized orally with the single rNV VLP, reacted by ELISA only with rNV (Table 1). These MAbs did not react with the capsid polypeptide of any VLPs when the VLP samples were boiled before electrophoresis (data not shown). However, when the protein was not boiled, these MAbs detected high-molecular-weight forms (over 63,000) of only rNV and rSeV (Fig. 3; lanes marked with an asterisk). In addition, MAb NV834, which was obtained from mice immunized intraperitoneally with rNV (16, 18), showed the same reactivities as MAbs NV5610 and NV5620.
Two group E MAbs (SV68 and SV137), obtained from mice immunized
orally with rSV, reacted by ELISA and WB with rSV but not with
any VLP of the NLV genus (Table
1). These MAbs detected high-molecular-weight
forms of rSV, even when the protein was boiled before electrophoresis
(Fig.
3). Similar bands were found when the protein was not
boiled (Fig.
3; lane marked with an asterisk).
Two MAbs (F44 and F47) in group F were positive by ELISA but negative by WB, regardless of whether the protein was boiled or not (data not shown). Both of these MAbs were of the IgM isotype and were obtained from an animal immunized orally with rKAV VLPs, and both reacted strongly by ELISA with only rKAV and weakly with other VLPs (Table 1). These MAbs were not characterized further.

DISCUSSION
Oral immunization of rNV VLPs without adjuvant is known to induce
humoral immune responses in mice (
3,
4). We also found that
oral immunization of mice, which resembles the route of natural
infection of NV, resulted in high yields of MAbs (
44). In this
study, we established and characterized hybridoma cell lines
from mice immunized orally with HuCV VLPs. The MAbs obtained
showed genus-specific (genogroup I and II common) and genogroup-specific
reactivities. Of interest, five group A MAbs (NV23, NV37, NV3,
F8, and F120) reacted with both genogroup I and II NLVs. These
broadly reactive MAbs were obtained from mice immunized orally
with only a single strain of VLP, indicating that cross-reactive
epitopes must be present on the capsid of caliciviruses in the
two genogroups. The three group B MAbs (NV51, NV138, and NV172),
which were obtained from mice immunized orally only with rNV,
and 2 MAbs (NV3912 and NV2461), which were obtained from mice
immunized intraperitoneally with rNV, reacted only with genogroup
I NLVs, indicating that shared antigenic epitopes exist among
genogroup I NLVs. Similarly, shared epitopes exist on strains
within genogroup II NLVs, based on the characterization of the
group C MAbs. Group C MAbs reacted only with genogroup II VLPs,
although the antibodies were derived by immunizing mice with
both rNV and rSMA. These MAbs might recognize relatively dominant
epitopes of rSMA VLPs. We obtained several other types of MAbs
from mice immunized intraperitoneally with both rNV and rSMA,
for example, cross-reactive MAbs for genogroup I and II VLPs,
genogroup I-specific MAbs, and one strain-specific MAb. Two
potentially shared-genogroup IgM MAbs remain incompletely characterized,
because they failed to react with the capsid protein by WB.
Five IgA MAbs (NV51, NV138, NV172, NV5610, and NV5620) were
obtained from fusions with mesenteric lymph node cells of mice.
These MAbs were from animals immunized orally without adjuvant,
suggesting that immunization by a natural route of infection
may favor inducing IgA MAbs.
We also obtained strain-specific MAbs. Two group D MAbs (NV5610 and NV5620) reacted only with rNV and rSeV VLPs, which represent viruses that share 89% ORF2 sequence identity (31). rSeV showed high sequence identity with KY89 (97%), followed by rNV (89%), rCV (66%), rFUV (62%), and genogroup II rSMA (52%) (31). We also obtained many strain-specific MAbs against rNV, rSV, or rMexico virus in other studies (data not shown). In addition, several clones producing rSV-specific MAbs from mice immunized with rSV reacted by ELISA and WB with only rSV.
In this study, we could not establish any clones that cross-reacted with both NLVs and SLVs. However, several MAbs (e.g., F44 and F74) showed weak cross-reactivity by ELISA with VLPs of the genogroup I and II NLVs and SV, but they did not react by WB with polypeptides of any VLP. These results suggest that a common epitope(s) is present among NLVs and SLVs, but further work is required to confirm this hypothesis.
Characteristics of these MAbs confirm and extend results of antigenic mapping of the NV capsid initiated with our previous MAbs (16, 18). The previous MAbs identified strain-specific and genogroup-specific epitopes which have been confirmed by the group B and group D MAbs in the present study. Characterization of the reactivity of the previous ten MAbs to rNV VLPs showed seven of the MAbs (NV834, NV142, NV101, NV813, NV7411, NV812, and NV8301) recognize discontinuous epitopes, whereas the other three MAbs (NV3901, NV3912, and NV2461) recognize continuous epitopes located in the C terminus of the capsid protein. In this study, MAbs NV5610 and NV5620, because of their similar reactivities, may have the same character as MAb NV834. In addition, MAbs NV51, NV138, and NV172 may have the same character as the NV3912 and NV2461 MAbs because of their similar reactivities. Competition assays or molecular mapping will be needed to confirm whether the epitopes of the new group B and D MAbs represent new, similar, or overlapping epitopes compared to those detected by the previously characterized MAbs.
The 58,000-molecular-weight rNV protein is cleaved specifically by trypsin at amino acid residue 227, yielding a 32,000-molecular-weight cleavage product that contains the C-terminal half of the capsid protein (18, 19). The NV3912, NV3901, and NV2461 MAbs detected the 32,000-molecular-weight cleavage product when the protein was treated with trypsin prior to electrophoresis. Preliminary results indicated that several of the genogroup-specific MAbs (NV51, NV138, NS14, and NS28) detected the 32,000-molecular-weight cleavage product of NV and/or several different polypeptides among the different VLPs when tested by WB for reactivity with products cleaved by trypsin (data not shown). These results suggest that the capsid protein may assume a slightly different conformation that exposes epitopes on different forms of the protein in different types of VLPs. In contrast, even when the protein was treated by trypsin, the cross-reactive MAbs examined so far (NV23, F8, and SV137) reacted only with the full-length VLP capsid proteins and did not detect any cleavage products, suggesting that these MAbs can recognize the relatively conserved and stable N-terminal region of the capsid protein, which is not detected after cleavage by trypsin. Another possibility is that the cross-reactive MAbs that do not react with the 32,000-molecular-weight cleavage product can detect an epitope that spans the trypsin cleavage site, and this epitope may be destroyed in the process of generating the 32,000-molecular- weight protein. Further study using these MAbs is necessary to understand the molecular location of these epitopes.
Several MAbs (NV5610, SV137, etc.) react with a higher-molecular-weight form (>80,000-molecular weight) of the full-length capsid protein, regardless of whether or not the protein is denatured by boiling prior to electrophoresis. These results suggest that these MAbs recognize epitopes that are discontinuous and require the capsid protein to be properly folded. The composition of the 80,000-molecular-weight protein is unclear, as the apparent molecular weight is less than that of a dimer. This aberrant migration is likely a result of incomplete denaturation of the protein (18). The group A MAbs characterized in this paper are clearly of interest, because they represent a new group of MAbs that recognize cross-reactive, genus-specific epitopes present on viruses from both genogroup I and II NLVs. Such MAbs have not been reported previously. Two MAbs (1B4 and B-1F6) that showed limited cross-reactivity by ELISA between one genogroup I and one genogroup II NLV strain were produced by immunizing mice with bacterially expressed peptides (46). These MAbs recognize linear epitopes in the N terminus of the capsid protein, yet they apparently do not detect nondenatured virions or a broad range of strains (even within genogroup II) that are closely related to the immunogen. Our group A MAbs, which show cross-reactivity between genogroup I and genogroup II virions, seem more useful. These MAbs are of particular interest as possible reagents for the development of simple, rapid, cross-reactive diagnostic assays for detection of NLVs in epidemiologic studies.

ACKNOWLEDGMENTS
This work was supported in part by grants from the Ministry
of Health and Welfare of Japan, the National Institutes of Health
(AI46581), and the Environmental Protection Agency (CX 827430).

FOOTNOTES
* Corresponding author. Mailing address: Department of Molecular Virology and Microbiology, Mailstop BCM-385, Baylor College of Medicine, 1 Baylor Plaza, Houston, TX 77030-3498. Phone: (713) 798-3585. Fax: (713) 798-3586. 8552. Fax: (858) 410-8622. E-mail:
mestes{at}bcm.tmc.edu.

Present address: Department of Pediatrics, University of Cincinnati, Cincinnati, OH 45229. 

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Journal of Clinical Microbiology, July 2002, p. 2459-2465, Vol. 40, No. 7
0095-1137/02/$04.00+0 DOI: 10.1128/JCM.40.7.2459-2465.2002
Copyright © 2002, American Society for Microbiology. All Rights Reserved.
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