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Detection of HIV Infection Using Serologic Techniques

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AIDS Testing

Abstract

Human immunodeficiency virus (HIV) infection, regardless of clinical stage, produces many biologic indicators of virus infection, replication, or both (Fig. 5.1). Such indicators include viremia, antibodies against viral proteins, circulating viral proteins, and nonspecific markers of infection such as neopterin, 32-microglobulins, and changes in the absolute number of and the ratio of CD4 and CD8 cells. Most of the markers can be detected and in many cases semiquantified by serologic tests (Table 5.1). These tests have been used to protect the blood supply, diagnose infections, monitor the progression of disease, monitor the efficacy of drug therapy, and diagnose infections in infants born to HIV-infected mothers. The availability of highly specific, inexpensive tests for HIV antibody, such as the enzyme immunoassay (EIA), have permitted public health agencies to conduct-large scale seroprevalence surveys to define the epidemic.

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References

  1. Food and Drug Administration. Revised recommendations for the prevention of human immunodeficiency virus (HIV) transmission by blood and blood products [memorandum]. Bethesda: Center for Biologics Evaluation and Research, FDA, April 23, 1992

    Google Scholar 

  2. Centers for Disease Control. Provisional Public Health Service inter-agency recommendations for screening blood and plasma for antibody to the virus causing acquired immunodeficiency syndrome. MMWR 1985;34:1–5

    Google Scholar 

  3. Centers for Disease Control. Public Health Service guidelines for counseling and antibody testing to prevent HIV infections and AIDS. MMWR 1987; 36:509–515

    Google Scholar 

  4. Centers for Disease Control. Update: serologic testing for antibody to human immunodeficiency virus. MMWR 1988;39:833–840

    Google Scholar 

  5. Martin PW, Burger DR, Caouette S, Goldstein AS, Peetoom T. Importance of confirmatory tests after strongly positive HTLV-III screening tests. N Engl J Med 1986;317:1577–1578

    Google Scholar 

  6. Pau C-P, Holloman DL, Lee-Thomas S, Schochetman G, George JR. A combination immunoblot for the simultaneous detection and differentiation of HIV-1 and HIV-2. Clin Diagn Virol 1993;1:201–205

    Article  Google Scholar 

  7. Parry J. Personal communication. London: Public Health Laboratory Service

    Google Scholar 

  8. Cooper DA, Gold J, Maclean P, et al. Acute AIDS retrovirus infection: definition of a clinical illness associated with seroconversion. Lancet 1985;1: 537–540

    Article  PubMed  CAS  Google Scholar 

  9. Schochetman G, Epstein JS, Zuck TF. Serodiagnosis of infection with the AIDS virus and other human retroviruses. Annu Rev Microbiol 1989;43: 629–659

    Article  PubMed  CAS  Google Scholar 

  10. Estaban J1, Shih JW, Tai CC, et al. Importance of Western blot analysis in predicting infectivity of anti-HTLV-III/LAV positive blood. Lancet 1985;2: 1083–1086

    Article  Google Scholar 

  11. Gaines H, Von Sydow M, Sonnerberg A, et al. Antibody response in primary human immunodeficiency virus infection. Lancet 1987;2:1249–1253

    Article  Google Scholar 

  12. Ho DD, Sargadharan MG, Resnick L, et al. Primary human T-lymphotropic virus type III infection. Ann Intern Med 1985;103:880–883

    PubMed  CAS  Google Scholar 

  13. Kumar P, Pearson JE, Martin DH, et al. Transmission of human immunodeficiency virus by transplantation of a renal allograph, with development of the acquired immunodeficiency syndrome. Ann Intern Med 1987;106: 244–245

    PubMed  CAS  Google Scholar 

  14. Marlink RG, Allan JS, McLane MF, et al. Low sensitivity of ELISA testing in early HIV infection. N Engl J Med 1986;315:1549

    PubMed  CAS  Google Scholar 

  15. Ulstrup JC, Skaug K, Figenschau KJ, et al. Sensitivity of Western blotting (compared to ELISA and immunofluorescence) during seroconversion after HTLV-III infection. Lancet 1986;1:1151–1152

    Article  PubMed  CAS  Google Scholar 

  16. Anderson KC, Gorgone BC, Marlink RC, et al. Transfusion-acquired human immunodeficiency virus infection among immunocompromised persons. Ann Intern Med 1986;105:519–527

    PubMed  CAS  Google Scholar 

  17. Bedarida G, Cambie G, D’Agostino F, Ronsivalle JB. HIV IgM antibodies in groups who are seronegative on ELISA testing. Lancet 1986;2:570–571

    Article  PubMed  CAS  Google Scholar 

  18. Parry JV, Mortimer PP. Place of IgM antibody testing in HIV serology. Lancet 1986;2:1979–1980

    Google Scholar 

  19. Gurtler LG, Hauser PH, Eberle J, von Brunn A, Knapp S, Zekeng L, Tsague JM, Kaptue L. A new subtype of human immunodeficiency virus type 1 (MVP-5180) from Cameroon. J Virol 1994;68:1581–1585

    PubMed  CAS  Google Scholar 

  20. Haesevelde MV, Decourt J-L, Leys RJ, Vanderborght B, van der Groen G, van Heuverswijn H, Saman E. Genomic cloning and complete sequence analysis of a highly divergent African human immunodeficiency virus isolate. J Virol 1994;68:1586–1596

    Google Scholar 

  21. Ward JW, Grindon AJ, Feorino PM, et al. Laboratory and epidemiologic evaluation of an enzyme immunoassay for antibodies to HTLV-III. JAMA 1986;256:357— 361

    Article  PubMed  Google Scholar 

  22. Blanton M, Balakrishnan K, Dumaswala U, Zelenski K, Greenwalt Ti. HLA antibodies in blood donors with reactive screening tests for antibody to the human immunodeficiency virus. Transfusion 1987 27:118–119

    Article  PubMed  CAS  Google Scholar 

  23. Kuhnl P, Seidl S, Holzberger G. HLA DR4 antibodies cause positive HTLV-III antibody ELISA results. Lancet 1985;1:1222–1223

    Article  PubMed  CAS  Google Scholar 

  24. Mendenhall CL, Roselle GA, Grossman CJ, et al. False-positive tests for HTLV-III antibodies in alcoholic patients with hepatitis. N Engl J Med 1986;314:921–922

    Article  PubMed  CAS  Google Scholar 

  25. Peterman TA, Lang GR, Mikos NJ, et al. HTLV-lI/LAV infection in hemodialysis patients. J AMA 1986;255:2324–2326

    CAS  Google Scholar 

  26. Fleming DW, Cochi SL, Steece RS, Hull HF. Acquired immunodeficiency syndrome in low incidence areas. JAMA 1987;258:785–787

    Article  PubMed  CAS  Google Scholar 

  27. World Health Organization. Operational characteristics of commercially avaialble assays to determine antibodies to HIV-1. Global Programme for AIDS/Biomedical Research Unit 1989;89:4

    Google Scholar 

  28. Croft JN, Maskill WJ, Healy DS, Gust ID. Particle agglutination test for anti-HIV. Lancet 1987;2:797–798

    Article  Google Scholar 

  29. Yoshida T, Matsui T, Kobayashi S, Yamamoto N. Evaluation of passive particle agglutination test for antibody to human immunodeficiency virus. J Clin Microbiol 1987;25:1433–1437

    PubMed  CAS  Google Scholar 

  30. Riggens CH, Thorn RM. Visually read HIV immunoassays. Lancet 1989;1: 671–672

    Google Scholar 

  31. George JR, Stetler H, Granade T, et al. Evaluation of alternative testing methods for use in developing countries. Manuscript in preparation, 1994

    Google Scholar 

  32. Spielberg F, Ryder RW, Harris J, et al. Field testing and comparative evaluation of rapid, visually read screening assays for antibody to human immunodeficiency virus. Lancet 1989;1:580–584

    Article  PubMed  CAS  Google Scholar 

  33. World Health Organization. Operational characteristics of commercially available assays to determine antibodies to HIV-1, and/or HIV-2 in human sera. Report 2. Global Program for AIDS/Biomedical Research Unit 1990; 90:1

    Google Scholar 

  34. DeCock KM, Maran M, Kouadio JC, et al. Rapid tests for distinguishing HIV-1 and HIV-2. Lancet 1990;336:757

    Article  CAS  Google Scholar 

  35. Tsang VCW, Peralta JM, Simons AR. Enzyme-linked immunoelectrotransfer blot techniques (EITB) for studying the specificities of antigens and antibodies separated by gel electrophoresis. Methods Enzymol 1983;92:377–391

    Article  PubMed  CAS  Google Scholar 

  36. Goudsmit J, Lang JMA, Paul DA, Dawson GJ. Antigenemia and antibody titer to core and envelope antigen in AIDS, ARC, and subclinical HIV infection. J Infect Dis 1987;155:558–560

    Article  PubMed  CAS  Google Scholar 

  37. Lange J, Coutinho RA, Krone WJA, et al. Distinct IgG recognition patterns during progression of subclinical and clinical infection with lymphadenopathy associated virus/human T lymphotropic virus. BMJ 1986;292:228–230

    Article  PubMed  CAS  Google Scholar 

  38. Lange J, Paul DA, Huisman HG, et al. Persistent HIV antigenemia and decline of HIV core antibodies associated with transition to AIDS. BMJ 1986;293:1459–1462

    Article  PubMed  CAS  Google Scholar 

  39. McDougal JS, Kennedy MS, Nicholson JKA, et al. Antibody response to human immunodeficiency virus in homosexual men: relation of antibody specificity, titer, and isotype to clinical status, severity of immunodeficiency and disease progression. J Clin Invest 1987;80:316–324

    Article  PubMed  CAS  Google Scholar 

  40. Bonin F, McLane MF, Allan JS, Lee TH. Virus envelope protein of HTLVIII represents major target antigens for antibodies in AIDS patients. Science 1985;118:1094–1096

    Google Scholar 

  41. Essex M, Allan J, Kanki P, et al. Antigens of human T-Iymphotropic virus type III/lymphadenopathy-associated virus. Ann Intern Med 1985;103:700–703

    PubMed  CAS  Google Scholar 

  42. Kitchen LW, Barin F, Sullivan JL, et al. Aetiology of AIDS-antibodies to human T-cell leukemia virus type III in hemophiliacs. Nature 1984;312:367–369

    Article  PubMed  CAS  Google Scholar 

  43. Pinter A, Honnen WJ, Tilly SA, et al. Oligomeric structure of gp41, the transmembrane protein of human immunodeficiency virus type 1. J Virol 1989;63:2674–2679

    PubMed  CAS  Google Scholar 

  44. Zoller-Pazner S, Gorney MK, Honnen WJ, Pinter A. Reinterpretation of human immunodeficiency virus Western blot patterns. N Engl J Med 1989; 320:1280–1281

    Article  Google Scholar 

  45. Parakh BS, Pau C-P, Granade TC, et al. Oligomeric nature of transmembrane glycoproteins of HIV-2: procedures for their efficient dissociation and preparation of Western blots for diagnosis. AIDS 1991;5:1009–1013

    Article  Google Scholar 

  46. DeCock KM, Porter A, Kouadio J, et al. Rapid and specific diagnosis of HIV-1 and HIV-2 infections and evaluation of testing strategies. AIDS 1990;4:875–878

    Article  CAS  Google Scholar 

  47. Centers for Disease Control. Interpretation and use of the Western blot assay for diagnosis of human immunodeficiency virus type 1 infections. MMWR 1989;38(S-7):1–7

    Google Scholar 

  48. Weber JN, Clapham P-R, Neiss RA, et al. Human immunodeficiency virus infection in 2 cohorts of homosexual men-neutralizing sera and association of anti-gag antibody with prognosis. Lancet 1987;1:119–122

    Article  PubMed  CAS  Google Scholar 

  49. World Health Organization. Proposed criteria for interpreting results from the Western blot assasy for HIV-1, HIV-2, and HTLV-1IHTLV-II. Wkly Epidemiol Rec 1990;37:381–383

    Google Scholar 

  50. Klienman S, Fitzpatrick L, Secord K. Follow-up testing and notification of anti-HIV Western blot atypical (indeterminate) donors. Transfusion 1988; 28:280–282

    Article  Google Scholar 

  51. Dock NL, Lamberson HV, O’Brien TA, et al. Evaluation of atypical human immunodeficiency virus immunoblot reactivity in blood donors. Transfusion 1988;28:412–418

    Article  PubMed  CAS  Google Scholar 

  52. Josephson SC, Swack NS, Ramirez MT, Hausler WJ. Investigation of atypical Western blot (immunoblot) reactivity involving core proteins of human immunodeficiency virus type 1. J Clin Microbiol 1989;37:922–927

    Google Scholar 

  53. Jackson JB, MacDonald KL, Caldwell J, et al. Absence of HIV infection in blood donors with indeterminate Western blot tests for antibody to HIV-1. N Engl J Med 1990;322:217–222

    Article  PubMed  CAS  Google Scholar 

  54. Dock NL, Klienman SH, Rayfield MA, et al. Status of human immunodeficiency virus infection in individuals with persistently indeterminate Western blot patterns: prospective studies in a low prevalence population. Arch Intern Med 1991;151:525–530

    Article  PubMed  CAS  Google Scholar 

  55. Blumberg RS, Sandstrom EG, Paradis TJ, et al. Detection of human T-cell lymphotropic virus type III-related antigens and anti-human T-cell lymphotropic virus type III antibodies by anticomplementary immunofluorescence. J Clin Microbiol 1986;23:1072–1077

    PubMed  CAS  Google Scholar 

  56. Gallo D, Diggs JL, Shell GR, Dailey PJ, Hoffman MN. Comparison of detection of antibody to the acquired immune deficiency syndrome virus by enzyme immunoassay, immunofluorescence and Western blot methods. J Clin Microbiol 1986;1049–1051

    Google Scholar 

  57. Kaminaky LS, McHugh T, Stites D, et al. High prevalence of antibodies to acquired immune deficiency syndrome (AIDS)-associated retrovirus (A RV) in AIDS and related conditions but not in order of disease state. Proc Natl Acad Sci USA 82:5535–5539

    Google Scholar 

  58. Gallo D, Hoffman MN, Yeh ET, George JR, Hanson CV. Comparison of indirect immunofluorescence and membrane fluorescence for the differentiation of antibodies to human immunodeficiency virus types 1 and 2. J Clin Microbiol 1992;30:2275–2278

    PubMed  CAS  Google Scholar 

  59. Allan JS, Ciligan JE, Lee TH, Sodroski JG. Immunogenic nature of a pol gene product of HTLV-III/LAV. Blood 1987;69:331–333

    PubMed  CAS  Google Scholar 

  60. Barre-Sinoussi F, Mathur-Wagh U. Rey F, et al. Isolation of lymphadenopathy-associated virus (LAV) and detection of antibodies from US patients with AIDS. JAMA 1985;253:1737–1739

    Article  PubMed  CAS  Google Scholar 

  61. Kanki PJ, Barin F, M’Boup S, et al. New human T lymphotropic retrovirus to simian T-lymphotropic virus type III (STLV-III)AGN4. Science 1986;232: 238–243

    Article  PubMed  CAS  Google Scholar 

  62. Schupbach J, Popovic M, Gilden RV, et al. Serologic analysis of a subgroup of human T-lymphotropic retroviruses (HTLV-III) associated with AIDS. Science 1984;224:503–505

    Article  PubMed  CAS  Google Scholar 

  63. Hoff R, Berardi V, Weiblen BJ, et al. Seroprevalence of human immunodeficiency virus among child-hearing women. N Engl J Med 1988;318:525— 530

    Article  PubMed  Google Scholar 

  64. Pappaioanou M, George JR, Hannon WH, et al. HIV seroprevalence surveys of childbearing women-objectives, methods, and uses of the data. Public Health Rep 1990;105:147–152

    PubMed  CAS  Google Scholar 

  65. George JR, Hannon WIL Jones W, et al. Serologic Assays for Human Immunodeficiency Virus Antibody in Dried-Blood Specimens Collected on Filter Paper from Neonates. Bethesda: US Department of Health and Human Services, Public Health Service, Centers for Disease Control and the National Institute of Child Health and Human Development, NIH 1989

    Google Scholar 

  66. Pappaioanou M, Kashamuka M, Behets F, et al. Accurate detection of maternal antibodies to HIV in newborn whole blood dried on filter paper. AIDS 1993;7:483–488

    Article  PubMed  CAS  Google Scholar 

  67. Behets F, Kashamuka M, Pappaioanou M, et al. The stability of human immunodeficiency virus type 1 (HIV-1) antibody in whole blood dried on filter paper and stored under varying tropical conditions in Kinshasha, Zaire, J Clin Microbiol 1992;50:1179–1182

    Google Scholar 

  68. National Committee for Clinical Laboratory Standards. Blood Collection on Filter Paper for Neonatal Screening Programs; Approved Standard. NCCLS publ. LA4–A2. Villanova, PA: NCCLS, 1992:1–25

    Google Scholar 

  69. Parry J V, Perry KR, Mortimer PP. Sensitive assays for viral antibodies in saliva: an alternative to tests run on serum. Lancet 1987;2:72–75

    Article  PubMed  CAS  Google Scholar 

  70. Parry JV. Detection of viral antibodies in saliva specimens as an alternative to serum. J Clin Chem Clin Biochem 1989;27:245–246

    CAS  Google Scholar 

  71. Parry JV. A specimen of convenience. MLW 1991

    Google Scholar 

  72. Thieme T, Yoshira P, Piacentini S, Beller M. Clinical evaluation of oral fluid samples for diagnosis of viral hepatitis. J Clin Microbiol 1992;30:1076–1079

    PubMed  CAS  Google Scholar 

  73. Mortimer PP, Parry JV. Non-invasive virological diagnosis: are saliva and urine specimens adequate substitues for blood? Rev Med Virol 1991;1:73–78

    Article  Google Scholar 

  74. Klokke AH, Ocheng D, Kalluvya SE, et al. Field evaluation of immunoblobulin G antibody capture tests for HIV-1 and HIV-2 antibodies in African serum, saliva, and urine. AIDS 1991;5:1391–1392

    Article  PubMed  CAS  Google Scholar 

  75. Gershey-Damet GM, Koffi K, Abouya L, et al. Salivary and urinary diagnosis of human HIV-1 and 2 infections in Cote d’Ivoire using two assays. Trans R Soc Trop Med Hyg 1992;86:670–671

    Article  Google Scholar 

  76. Covell R, Follett E, Coote I, et al. HIV testing among drug users in Glasgow. J Infect 1993;26:27–31

    Article  PubMed  CAS  Google Scholar 

  77. Groopman JE, Salahuddin SZ, Sarhgadharan MG, et al. HTLV-III in saliva of people with AIDS-related complex and healthy homosexual men at risk for AIDS. Science 1984;226:310–313

    Article  Google Scholar 

  78. Archibald DW, Zan L, Groopman JE, McLane MF, Essex M, Antibodies to human T lymphotropic virus type III in saliva of acquire immunodeficiency syndrome (AIDS) patients and persons at risk for AIDS. Blood 1986;67: 831— 834

    PubMed  Google Scholar 

  79. Archibald D, Essex M, McLane MF. et al. Antibodies to IITLV-I in saliva of seropositive individuals from Japan. Viral Immunol 1987;1:241–246

    Article  PubMed  Google Scholar 

  80. Archibald DW, Barr CE, Torasian JP, McLane MF, Essex M. Secretory IgA in the parotid saliva of patients with AIDS and AIDS-related complex. J Infect Dis 1987;155:793–796

    Article  PubMed  CAS  Google Scholar 

  81. Van den Akker R, van den Hoek JA, van den Akker WM, et al. Detection of 111V antibodies as a tool for epidemiologic studies. AIDS 1992;6:953–957

    Article  PubMed  Google Scholar 

  82. Desai S, Bates H, Michalski FJ. Detection of antibody to HIV-1 in urine. Lancet 1992;337:183–187

    Article  Google Scholar 

  83. Sterne JAC, Turner AC, Connel JA, et al. Human immunodeficiency virus: GACPAT and GACELISA as diagnostic tests for antibodies in urine. Trans R Soc Trop Med Hyg 1993;87:181–183

    Article  PubMed  CAS  Google Scholar 

  84. Urnovitz HB, Clerici M, Shearer GM, et al. HIV-1 antibody serum negativity with urine positivity. Lancet 1993;342:1458–1459

    Article  PubMed  CAS  Google Scholar 

  85. Metier RP, Schable CA, Weisfuse IB, et al. Surveillance for I-1IV-2 in the United States. Presented at The First National Retrovirus Conference on Human Retroviruses and Related Infections, December 12–16, 1993, Washington, DC, abstract 171

    Google Scholar 

  86. Eighth Annual Conference on Human Retrovius Testing. Association of State and Territorial Public Health Laboratory Directors, Atlanta, March 5–7, 1993

    Google Scholar 

  87. Tamashiro H, Maskill W, Emmanuael J, Sato P, Heymann D. Reducing the cost of HIV antibody testing. Lancet 1993;342:87–91

    Article  PubMed  CAS  Google Scholar 

  88. European Collaborative Study. Mother-to-child transmission of HIV infection. Lancet 1988;1:1039–1042

    Article  Google Scholar 

  89. Mok JQ, Giaquinto C, DeRossi A, et al. Infants born to mothers seropositive for human immunodeficiency virus. Lancet 1987;1:1164–1167

    Article  PubMed  CAS  Google Scholar 

  90. Adjorlolo G, DeCock KM, Ekpini E, et al. Prospective comparison of mother-to-child transmission of HIV-1 and HIV-2 in Abidjan, Cote d’Ivoire. 1993, submitted for publication

    Google Scholar 

  91. Parekh B, Shaffer N, Coughlin R, et al. Human immunodeficiency virus type 1-specific IgA capture enzyme immunoassay for early Diagnosis of human immunodeficiency virus type 1 infection in infants. Pediatr Infect Dis J 1993;12:908–913

    Article  PubMed  CAS  Google Scholar 

  92. Quinn TC, Kline RL, Halsey N, et al. Early diagnosis of perinatal HIV infection by detection of viral-specific IgA antibodies. JAMA 1991;266: 3439— 3442

    Article  PubMed  Google Scholar 

  93. Galen RS, Gambino SR. Beyond Normality: The Predictive Value and Efficiency of Medical Diagnosis. New York: Wiley, 1975

    Google Scholar 

  94. Feorino P, Forrester B, Schable C, Warfield D, Schochetman G. Comparison of antigen assay and reverse transcriptase assay for detecting human immunodeficiency virus in culture. J Clin Microbiol 1987;252:344–2346

    Google Scholar 

  95. Goudsmit J, DeWolfe F, Paul DA, et al. Expression of human immunodeficiency virus antigen (HIV-Ag) in serum and cerebrospinal fluid during acute and chronic infection. Lancet 1986;2:177–180

    Article  PubMed  CAS  Google Scholar 

  96. Goudsmit J, Lange JMA, Paul DA, Dawson GJ. Antigenemia and antibody titers to core and envelope antigens in AIDS, AIDS-related complex, and subclinical human immunodeficiency virus infection. J Infect Dis 1987;l55: 558–560

    Article  Google Scholar 

  97. Barr PJ, Stimer KS, Sabin EA, et al. Antigenicity and immunogenicity of domains of the human immunodeficiency virus (HIV) envelope polypeptide expressed in the yeast Saccharomyces cerevisiae. Vaccine 1987;5:90–101

    Article  PubMed  CAS  Google Scholar 

  98. Alter H, Epstein JS, Swensen SG, et al. Collaborative study to evaluate HIV Ag (HIV-Ag) screening for blood donors [abstract 5202]. Transfusion 1989;29(suppl 7s):56

    Google Scholar 

  99. Backer U, Weinauer F, Gathof AG, Eberle J. HIV antigen screening in blood donors. In: Abstracts, IVth International Conference on AIDS, 1988; 2:364

    Google Scholar 

  100. Kessler H, Blaaw B, Spear J, et al. Diagnosis of human immunodeficiency virus infection in seronegative homosexuals with acute viral syndrome. JAMA 1987;258:1196–1199

    Article  PubMed  CAS  Google Scholar 

  101. Nishanian P, Huskins KR, Stehn S, Detels R, Fahey JL. A simple method for improved assay demonstrates that p24 antigen is present as immune complexes in most sera from HIV infected individuals. J Infect Dis 1990; 162:21— 28

    Article  PubMed  Google Scholar 

  102. Von Sydow M, Gaines H, Sonnerborg A, et al. Antigen detection in primary HIV infection. BMJ 1988;296:238–240

    Article  Google Scholar 

  103. Kageyama S, Yamada O, Mohammad SS, et al. An improved method for the detection of HIV antigen in blood of carriers. J Virol Methods 1988;22: 125–131

    Article  PubMed  CAS  Google Scholar 

  104. Kesten L. Hoffd G, Gigas PL, Deley R. van der Groen G. HIV antigen detection in circulating immune complexes. J Virol Methods 1991;31:67–76

    Article  Google Scholar 

  105. Vasudevachari MB, Salzman N, W’oll D, et al. Clinical utility of an enhanced human immunodeficiency virus type 1 p24 antigen capture assay. J Clin Immunol 1993;13:185–188

    Article  PubMed  CAS  Google Scholar 

  106. Quinn TC, Kline R, Moss MW, Livingston RA, Hutton N. Acid dissociation of immune complexes improves diagnostic utility of p24 antigen detection in perinatally acquired human immunodeficiency virus infection. J Infect Dis 1993:167:1193–1196

    Article  PubMed  CAS  Google Scholar 

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George, J.R., Schochetman, G. (1994). Detection of HIV Infection Using Serologic Techniques. In: Schochetman, G., George, J.R. (eds) AIDS Testing. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-0867-9_5

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  • DOI: https://doi.org/10.1007/978-1-4612-0867-9_5

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