1. A study based on four immunoassays: Hepatitis C virus antibody against different antigens may have unequal contributions to detection
- Author
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Ying Yan, Xinyi Jiang, Huimin Ji, Le Chang, Huizhen Sun, Lunan Wang, and Fei Guo
- Subjects
0301 basic medicine ,Hepatitis C virus ,viruses ,030106 microbiology ,Hepacivirus ,Infectious and parasitic diseases ,RC109-216 ,Biology ,Blood donor screening strategy ,Hepatitis C virus Antibody ,medicine.disease_cause ,law.invention ,03 medical and health sciences ,Antigen ,law ,HCV antigens ,Virology ,medicine ,Humans ,Anti-HCV immunoassays ,Immunoassay ,NS3 ,Research ,virus diseases ,Hepatitis C Antibodies ,Hepatitis C ,digestive system diseases ,030104 developmental biology ,Infectious Diseases ,Antibody response ,Recombinant DNA ,RNA, Viral ,Hepatitis C Antigens ,Viral load - Abstract
Background All commercial Hepatitis C virus antibody (anti-HCV) assays use a combination of recombinant antigens to detect antibody response. Antibody responses to individual antigenic regions (core, NS3/4 and NS5) used in assays have not been investigated. Methods In this study, we quantified HCV viral load, tested anti-HCV with four commercial assays (Ortho-ELISA, Murex-ELISA, Architect-CMIA and Elecsys-ECLIA) in 682 plasma specimens. In antigenic region ELISA platform, microwells were coated with three antigens: core (c22-3), NS3/4 (c200) and NS5 individually. The signal-to-cutoff (S/Co) values of different assays, and antibody responses to individual antigens were compared. The specimens were divided into HCV RNA positive group, anti-HCV consistent group, and anti-HCV discrepant group. Results Anti-core and anti-NS3/4 were simultaneously detected in 99.2% of HCV RNA positive specimens and showed great consistency with total anti-HCV signals. Responses to the core region were more robust than those to the NS3/4 region in anti-HCV consistent group (p Conclusion Antibody responses to the core and NS3/4 antigens were stronger, whereas responses to the NS5 antigen were the weakest, indicating that individual antigenic regions played different roles in total anti-HCV signals. This study provides an impetus for optimizing commercial anti-HCV assays.
- Published
- 2021