DEVELOPMENT OF A DOMESTIC ENZYME IMMUNE TEST SYSTEM FOR DETECTION OF ANTI-HEV IGM IN BLOOD SERUM

I. Zadora, S. Zhavoronok, V. Davydov, A. Babenka, L. Anisko, T. Rogacheva, V. V. Simirsky, A. Shcherban, N. V. Shchuka, Y. A. Mytko, G. Alatortseva, L. Lukhverchik, L. Nesterenko, V. Zverev
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Abstract

Background. Though the Republic of Belarus does not belong to countries endemic for viral hepatitis E, numerous studies have proved that hepatitis E virus (HEV) actively circulates among humans and animals. However, the circulation is latent that makes it difficult to diagnose the infection in a timely manner. Objective. To develop and evaluate the quality of a domestic ELISA test system for the detection of anti-HEI IgM. Material and methods. 96-well plates, recombinant proteins ORF2 and ORF3 of the 3rd HEV genotype, conjugate of monoclonal antibodies to human IgM with horseradish peroxidase, solutions for dilution of serums and conjugate containing bovine serum albumin. Results. The recommended concentrations of recombinant polypeptides ORF2 and ORF3 of hepatitis E virus genotype 3 for sorption are 2 and 1 μg/ml, respectively. The optimum dilution of the conjugate is 1:13 000. False positive and false negative results were not detected, sensitivity and specificity being at least 99%. The mean value for coefficient of variation within one plate is 6.4%, within two plates is 11.3%. Conclusions. The characteristics of the developed national test system comply with the recommended standards, thus indicating the possibility of its implementation into clinical laboratory diagnostics.
国产酶免疫检测血清抗HEV-IGM系统的研制
背景尽管白俄罗斯共和国不属于病毒性戊型肝炎流行国家,但大量研究证明,戊型肝炎病毒在人类和动物之间活跃传播。然而,循环是潜在的,这使得很难及时诊断感染。客观的开发并评价国产抗HEI IgM ELISA检测系统的质量。材料和方法。96孔板,第三HEV基因型的重组蛋白ORF2和ORF3,人IgM单克隆抗体与辣根过氧化物酶的缀合物,用于稀释血清的溶液和含有牛血清白蛋白的缀合体。后果戊型肝炎病毒基因型3的重组多肽ORF2和ORF3的推荐吸附浓度分别为2和1μg/ml。偶联物的最佳稀释度为1:13 000。未检测到假阳性和假阴性结果,敏感性和特异性至少为99%。一块钢板内变异系数的平均值为6.4%,两块钢板内为11.3%。所开发的国家检测系统的特性符合推荐标准,从而表明其在临床实验室诊断中实施的可能性。
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