Abstract
Immunoglobulin G antibody to human cytomegalovirus (CMV)-specific early antigens (EA-Ab) was determined by the immunoperoxidase antibody technique in several cases of congenital, primary, and reactivated CMV infections. Mothers of congenitally infected infants and a group of leukemic children and pregnant women were also studied. In 11 cases of congenital infection, CMV EA-Ab was always associated with CMV excretion whether immunoglobulin M antibody was present or not. Nine mothers of congenitally infected infants had CMV EA-Ab for several months after delivery, but association with CMV elimination was not established when urine and/or saliva were tested for virus isolation. In all nine cases of primary CMV infection, CMV EA-Ab was present, and in five its detection was associated with CMV isolation. In one case, disappearance of EA-Ab occurred when virus excretion ceased. In five cases of reactivated CMV infections, a consistent association between CMV EA-Ab and virus isolation was found. Six of 31 leukemia children had CMV EA-Ab, and virus was isolated from 3 of these. Four of 28 pregnant women showed EA-Ab in their serum, but tests for isolation were not done. These data suggest that CMV EA-Ab is not a marker of a current primary CMV infection, as previously reported, but a marker of an active CMV replication which can take place in primary as well as in congenital and reactivated CMV infections.
Full text
PDFImages in this article
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Bernstein M. T., Stewart J. A. Indirect hemagglutination test for detection of antibodies to Cytomegalovirus. Appl Microbiol. 1971 Jan;21(1):84–89. doi: 10.1128/am.21.1.84-89.1971. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Cangir A., Sullivan M. P. The occurrence of cytomegalovirus infections in childhood leukemia. JAMA. 1966 Feb 21;195(8):616–622. [PubMed] [Google Scholar]
- Cox F., Meyer D., Hughes W. T. Cytomegalovirus in tears from patients with normal eyes and with acute cytomegalovirus chorioretinitis. Am J Ophthalmol. 1975 Nov;80(5):817–824. doi: 10.1016/0002-9394(75)90277-9. [DOI] [PubMed] [Google Scholar]
- Gerna G., Chambers R. W. Rapid detection of human cytomegalovirus and herpesvirus hominis IgM antibody by the immunoperoxidase technique. Intervirology. 1977;8(5):257–271. doi: 10.1159/000148901. [DOI] [PubMed] [Google Scholar]
- Gerna G., McCloud C. J., Chambers R. W. Immunoperoxidase technique for detection of antibodies to human cytomegalovirus. J Clin Microbiol. 1976 Mar;3(3):364–372. doi: 10.1128/jcm.3.3.364-372.1976. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Gerna G., Vasquez A., McCloud C. J., Chambers R. W. The immunoperoxidase technique for rapid human cytomegalovirus identification. Arch Virol. 1976;50(4):311–321. doi: 10.1007/BF01317956. [DOI] [PubMed] [Google Scholar]
- Hayes K., Danks D. M., Gibas H., Jack I. Cytomegalovirus in human milk. N Engl J Med. 1972 Jul 27;287(4):177–178. doi: 10.1056/NEJM197207272870407. [DOI] [PubMed] [Google Scholar]
- Henle W., Henle G., Zajac B. A., Pearson G., Waubke R., Scriba M. Differential reactivity of human serums with early antigens induced by Epstein-Barr virus. Science. 1970 Jul 10;169(3941):188–190. doi: 10.1126/science.169.3941.188. [DOI] [PubMed] [Google Scholar]
- Lang D. J., Kummer J. F. Cytomegalovirus in semen: observations in selected populations. J Infect Dis. 1975 Oct;132(4):472–473. doi: 10.1093/infdis/132.4.472. [DOI] [PubMed] [Google Scholar]
- Lang D. J., Kummer J. F. Demonstration of cytomegalovirus in semen. N Engl J Med. 1972 Oct 12;287(15):756–758. doi: 10.1056/NEJM197210122871508. [DOI] [PubMed] [Google Scholar]
- Montgomery R., Youngblood L., Medearis D. N., Jr Recovery of cytomegalovirus from the cervix in pregnancy. Pediatrics. 1972 Apr;49(4):524–531. [PubMed] [Google Scholar]
- Numazaki Y., Yano N., Morizuka T., Takai S., Ishida N. Primary infection with human cytomegalovirus: virus isolation from healthy infants and pregnant women. Am J Epidemiol. 1970 Apr;91(4):410–417. doi: 10.1093/oxfordjournals.aje.a121151. [DOI] [PubMed] [Google Scholar]
- Plotkin S. A., Farquhar J., Horberger E. Clinical trials of immunization with the Towne 125 strain of human cytomegalovirus. J Infect Dis. 1976 Nov;134(5):470–475. doi: 10.1093/infdis/134.5.470. [DOI] [PubMed] [Google Scholar]
- Reynolds D. W., Stagno S., Hosty T. S., Tiller M., Alford C. A., Jr Maternal cytomegalovirus excretion and perinatal infection. N Engl J Med. 1973 Jul 5;289(1):1–5. doi: 10.1056/NEJM197307052890101. [DOI] [PubMed] [Google Scholar]
- Rola-Pleszczynski M., Frenkel L. D., Fuccillo D. A., Hensen S. A., Vincent M. M., Reynolds D. W., Stagno S., Bellanti J. A. Specific impairment of cell-mediated immunity in mothers of infants with congenital infection due to cytomegalovirus. J Infect Dis. 1977 Mar;135(3):386–391. doi: 10.1093/infdis/135.3.386. [DOI] [PubMed] [Google Scholar]
- The T. H., Klein G., Langenhuysen M. M. Antibody reactions to virus-specific early antigens (EA) in patients with cytomegalovirus (CMV) infection. Clin Exp Immunol. 1974 Jan;16(1):1-7,9-12. [PMC free article] [PubMed] [Google Scholar]
- Waner J. L., Hopkins D. R., Weller T. H., Allred E. N. Cervical excretion cytomegalovirus: correlation with secretory and humoral antibody. J Infect Dis. 1977 Dec;136(6):805–809. doi: 10.1093/infdis/136.6.805. [DOI] [PubMed] [Google Scholar]