Evaluation of a line immunoassay for simultaneous confirmation of antibodies to HIV-1 and HIV-2

Eur J Clin Microbiol Infect Dis. 1991 Nov;10(11):939-46. doi: 10.1007/BF02005448.

Abstract

An anti-HIV-1/HIV-2 line immunoassay (LIA), using peptides and recombinant antigens was evaluated against commercially available Western blot tests for HIV-1 and HIV-2 antibodies. Two thousand one hundred and ten sera of European, African, and South American origin were used in the evaluation. The panel included 1066 sera with antibodies to HIV-1, 192 sera with antibodies to HIV-2, and 64 sera with antibodies to both. Using Western blot results interpreted according to the WHO criteria as a reference standard, the overall specificity obtained by this LIA was 100% and the sensitivity was 99.77% (97.51-100% for 95% confidence limits) when sera dually reactive in Western blot were included. Of the three sera negative in the LIA but positive in HIV-1 WB, two could be retested in a radioimmunoprecipitation assay and were negative. When dually reactive sera in the Western blot (WHO) were included, the LIA yielded 9.9% indeterminate results as compared with 15.5% for both assays (chi 2 = 29.30; p less than 0.001). Although only one HIV-2 specific peptide antigen (gp36) was used, the LIA yielded a specificity of 100% and a sensitivity of 100% as compared with the HIV-2 Western blot assay. When indeterminate results were included, the overall agreement between the LIA and the HIV-1 and HIV-2 Western blot (WHO criteria) was 89.9% and 90.1% respectively. These results indicate that the LIA provides reliable simultaneous detection of antibodies to HIV-1 and HIV-2, and at a cost which is substantially lower than the cost of Western blot tests.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Blotting, Western
  • Cross Reactions
  • Gene Products, env / immunology
  • Gene Products, pol / immunology
  • HIV Antibodies / analysis*
  • HIV Antigens / immunology
  • HIV Core Protein p24 / immunology
  • HIV Envelope Protein gp41 / immunology
  • HIV-1 / immunology*
  • HIV-2 / immunology*
  • Humans
  • Immunoassay*
  • Recombinant Proteins / immunology
  • Sensitivity and Specificity
  • env Gene Products, Human Immunodeficiency Virus

Substances

  • Gene Products, env
  • Gene Products, pol
  • HIV Antibodies
  • HIV Antigens
  • HIV Core Protein p24
  • HIV Envelope Protein gp41
  • Recombinant Proteins
  • env Gene Products, Human Immunodeficiency Virus
  • env protein gp36, Human immunodeficiency virus