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Journal of Clinical Microbiology logoLink to Journal of Clinical Microbiology
. 1984 Jun;19(6):905–910. doi: 10.1128/jcm.19.6.905-910.1984

New principle for the simultaneous detection of total and immunoglobulin M antibodies applied to the measurement of antibody to hepatitis B core antigen.

G Angarano, L Monno, T A Santantonio, G Pastore
PMCID: PMC271210  PMID: 6381530

Abstract

A new test principle for the simultaneous detection of total approximate titers and immunoglobulin M antibodies has been developed and applied to the detection of antibody to hepatitis B core antigen. The method is based on the combination of a competition radioimmunoassay, for the determination of total antibody titer, with an indirect enzyme-linked immunosorbent assay for the determination of single class antibodies. The interference of the rheumatoid factor was avoided by including heat-aggregated immunoglobulin G in the dilution buffer. The specificity, sensitivity, and clinical application of the test are discussed. The results presented suggest that the simultaneous detection of total and immunoglobulin M antibody to hepatitis B core antigen might be helpful in the differentiation between previous and recent or ongoing hepatitis B infection, as well as in the differential diagnosis of acute hepatitis, in monitoring viral activity in chronic infections, and in helping to differentiate acute from chronic infections. The test principle appears applicable in the accurate diagnosis of other infectious diseases by a single test on only one serum sample.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Angarano G., Coppola S., Frappampina V., Monno L., Santantonio T. Dosaggio radioimmunologico dell'HAV e delle IgA anti-HAV nelle feci di pazienti con epatite acuta di tipo A. Boll Ist Sieroter Milan. 1982;61(5):383–389. [PubMed] [Google Scholar]
  2. Cappel R., Van Beers D., Maes F., Toppet M., Cadranel S. Significance of persisting IgM anti-HBc antibodies in hepatitis B virus infection. J Med Virol. 1981;8(3):201–205. doi: 10.1002/jmv.1890080307. [DOI] [PubMed] [Google Scholar]
  3. Cohen B. J. The IgM antibody responses to the core antigen of hepatitis B virus. J Med Virol. 1978;3(2):141–149. doi: 10.1002/jmv.1890030208. [DOI] [PubMed] [Google Scholar]
  4. De Groote J., Desmet V. J., Gedigk P., Korb G., Popper H., Poulsen H., Scheuer P. J., Schmid M., Thaler H., Uehlinger E. A classification of chronic hepatitis. Lancet. 1968 Sep 14;2(7568):626–628. doi: 10.1016/s0140-6736(68)90710-1. [DOI] [PubMed] [Google Scholar]
  5. Deinhardt F. Predictive value of markers of hepatitis virus infection. J Infect Dis. 1980 Mar;141(3):299–305. doi: 10.1093/infdis/141.3.299. [DOI] [PubMed] [Google Scholar]
  6. Dormeyer H. H., Arnold W., Schönborn H., Hess G., Knolle J., Meyer zum Büschenfelde K. H. Follow-up of anti-HBc titers in healthy HBsAg carriers and patients with chronic inflammatory liver diseases. Digestion. 1981;22(6):289–293. doi: 10.1159/000198672. [DOI] [PubMed] [Google Scholar]
  7. Gerlich W. H., Lüer W. Selective detection of IgM-antibody against core antigen of the hepatitis B virus by a modified enzyme immune assay. J Med Virol. 1979;4(3):227–238. doi: 10.1002/jmv.1890040308. [DOI] [PubMed] [Google Scholar]
  8. Gerlich W. H., Lüer W., Thomssen R. Diagnosis of acute and inapparent hepatitis B virus infections by measurement of IgM antibody to hepatitis B core antigen. J Infect Dis. 1980 Jul;142(1):95–101. doi: 10.1093/infdis/142.1.95. [DOI] [PubMed] [Google Scholar]
  9. Hoofnagle J. H., Seeff L. B., Bales Z. B., Zimmerman H. J. Type B hepatitis after transfusion with blood containing antibody to hepatitis B core antigen. N Engl J Med. 1978 Jun 22;298(25):1379–1383. doi: 10.1056/NEJM197806222982502. [DOI] [PubMed] [Google Scholar]
  10. Katchaki J. N., Siem T. H., Brouwer R. Hepatitis B core antibody in volunteer blood donors: comparison of radioimmunoassay and indirect immunofluorescence. J Med Virol. 1979;3(4):275–280. doi: 10.1002/jmv.1890030405. [DOI] [PubMed] [Google Scholar]
  11. Katchaki J. N., Siem T. H., Brouwer R. Serological evidence of presence of HBsAg undetectable by conventional radioimmunoassay in anti-HBc positive blood donors. J Clin Pathol. 1978 Sep;31(9):837–839. doi: 10.1136/jcp.31.9.837. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Pastore G., Angarano G., Dentico P., Schiraldi O. Radioimmunoassay diagnosis of hepatitis type A. Lancet. 1979 Apr 21;1(8121):876–876. [PubMed] [Google Scholar]
  13. Rizzetto M., Shih J. W., Gerin J. L. The hepatitis B virus-associated delta antigen: isolation from liver, development of solid-phase radioimmunoassays for delta antigen and anti-delta and partial characterization of delta antigen. J Immunol. 1980 Jul;125(1):318–324. [PubMed] [Google Scholar]
  14. Roggendorf M., Deinhardt F., Frösner G. G., Scheid R., Bayerl B., Zachoval R. Immunoglobulin M antibodies to hepatitis B core antigen: evaluation of enzyme immunoassay for diagnosis of hepatitis B virus infection. J Clin Microbiol. 1981 Apr;13(4):618–626. doi: 10.1128/jcm.13.4.618-626.1981. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. Widell A., Hansson B. G., Löfgren B., Moestrup T., Norkrans G., Johnsson T., Nordenfelt E. IgM antibody to the hepatitis B core antigen in acute hepatitis determined by SPRIA--diagnostic value. Acta Pathol Microbiol Immunol Scand B. 1982 Feb;90(1):79–84. doi: 10.1111/j.1699-0463.1982.tb00084.x. [DOI] [PubMed] [Google Scholar]

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