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Clinical and Diagnostic Laboratory Immunology, November 2000, p. 872-881, Vol. 7, No. 6
Department of Biochemistry, Miyazaki Medical
College, Kiyotake, Miyazaki 889-1692,1 and
AIDS Clinical Center, International Medical Center of Japan,
Toyama, Shinjuku, Tokyo 162-8655,2 Japan
Received 28 January 2000/Returned for modification 22 March
2000/Accepted 25 July 2000
For earlier diagnosis of human immunodeficiency virus type 1 (HIV-1) infection, the sensitivities of immune complex transfer enzyme
immunoassays for HIV-1 p24 antigen and antibody immunoglobulin G (IgG)
to HIV-1 p17 antigen were improved approximately 25- and 90-fold,
respectively, over those of the previous immunoassays by performing
solid-phase immunoreactions with shaking and increasing the serum
sample volumes, and immune complex transfer enzyme immunoassay of
antibody IgM to p17 antigen was also performed in the same way as the
improved immunoassay of antibody IgG to p17 antigen. By the improved
immunoassays, p24 antigen and antibody IgG to p17 antigen were detected
earlier in 32 and 53%, respectively, of the HIV-1 seroconversion serum
panels tested than before the improvements, and p24 antigen was
detected as early as or earlier than HIV-1 RNA by reverse
transcriptase-PCR (RT-PCR) in all of the panels tested. In 4 panels out
of 19 tested, antibody IgG to p17 antigen or both antibodies IgG and
IgM to p17 antigen were detected earlier than p24 antigen and RNA,
although the antibody levels declined slightly before their steep
increases usually observed after p24 antigen and RNA. Thus, the window
period in diagnosis of HIV-1 infection can be shortened by detection of p24 antigen with the improved immunoassay as much as by detection of
RNA with RT-PCR and, in some cases, more by detection of antibodies IgG
and IgM to p17 antigen with the improved immunoassays than by
detections of p24 antigen with the improved immunoassay and RNA with
RT-PCR.
1071-412X/00/$04.00+0
Copyright © 2000, American Society for Microbiology. All rights reserved.
Earlier Detection of Human Immunodeficiency Virus Type 1 p24
Antigen and Immunoglobulin G and M Antibodies to p17 Antigen
in Seroconversion Serum Panels by Immune Complex Transfer
Enzyme Immunoassays
*
Corresponding author. Mailing address: Department of
Biochemistry, Miyazaki Medical College, Kiyotake, Miyazaki 889-1692, Japan. Phone: 81-985-85-0985. Fax: 81-985-85-2401.
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