Urea dilution of serum for reproducible anti-HSV1 IgG avidity index

Background Herpes simplex virus type 1 (HSV1), establishes life-long latency and can cause symptoms during both first-time infection and later reactivation. The aim of the present study was to describe a protocol to generate a reliable and discriminative avidity index (AI) for anti-HSV1 IgG content in human sera. Methods Human serum from two distinct cohorts; one a biobank collection (Betula) (n = 28), and one from a clinical diagnostics laboratory at Northern Sweden University Hospital (NUS) (n = 18), were assessed for presence of IgG antibodies against HSV1 by a commercially available ELISA-kit. Addition of urea at the incubation step reduces effective binding, and the ratio between urea treated sample and non-treated sample was used to express an avidity index (AI) for individual samples. Results AI score ranged between 43.2 and 73.4% among anti-HSV1 positive biobank sera. Clinical samples ranged between 36.3 and 74.9%. Reproducibility expressed as an intraclass correlation coefficient (ICC) was estimated at 0.948 (95% CI: 0.900–0.979) and 0.989 (95% CI 0.969–0.996) in the biobank and clinical samples, respectively. Conclusion The method allows for AI scoring of anti-HSV1 IgG from individual human sera with a single measurement. The least significant change between two measurements at the p < 0.05 level was estimated at 5.4 and 3.2 points, respectively, for the two assessed cohorts..

Medienart:

E-Artikel

Erscheinungsjahr:

2019

Erschienen:

2019

Enthalten in:

Zur Gesamtaufnahme - volume:19

Enthalten in:

BMC infectious diseases - 19(2019), 1 vom: 14. Feb.

Sprache:

Englisch

Beteiligte Personen:

Olsson, Jan [VerfasserIn]
Johansson, Jörgen [VerfasserIn]
Honkala, Emma [VerfasserIn]
Blomqvist, Bert [VerfasserIn]
Kok, Eloise [VerfasserIn]
Weidung, Bodil [VerfasserIn]
Lövheim, Hugo [VerfasserIn]
Elgh, Fredrik [VerfasserIn]

Links:

Volltext [kostenfrei]

Themen:

Avidity
ELISA
Herpes simplex
IgG
Primary infection
Reactivated infection

Anmerkungen:

© The Author(s). 2019

doi:

10.1186/s12879-019-3769-x

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

OLC210017374X