PMID- 11230411 OWN - NLM STAT- MEDLINE DCOM- 20010719 LR - 20220316 IS - 0095-1137 (Print) IS - 1098-660X (Electronic) IS - 0095-1137 (Linking) VI - 39 IP - 3 DP - 2001 Mar TI - Use of immunoglobulin G antibody avidity for differentiation of primary human herpesvirus 6 and 7 infections. PG - 959-63 AB - A human herpesvirus 7 (HHV-7) indirect immunofluorescence antibody avidity test was developed and used with an existing human herpesvirus 6 (HHV-6) antibody avidity test to detect and distinguish low-avidity antibodies to HHV-6 and HHV-7 and hence the respective primary infections. With sera from 269 British children aged 0 to 179 weeks, the tests showed that most (10 of 98 serum samples [13%]) HHV-6 low-avidity antibody was found in the first year of life, whereas for HHV-7, most (18 of 101 serum samples [20%]) HHV-7 low-avidity antibody was found in the second year of life. Five children had low-avidity antibodies to both viruses. Of nine Japanese children with previously serologically proven primary HHV-6 or HHV-7 infections, eight had low-avidity antibody only to the relevant virus, but one child had low-avidity antibodies to HHV-6 and HHV-7. The avidity tests were applied to five British children and further proof of viral infection was sought by the detection of specific DNA in serum or plasma, and saliva or cerebrospinal fluid. In two children who had low-avidity antibody to HHV-7 but who were seronegative for HHV-6, only HHV-7 was found. Both viruses were detected in one child with low-avidity HHV-7 antibody and high-avidity HHV-6 antibody. In two children with low-avidity antibodies to both viruses, HHV-6 and HHV-7 DNAs were found, confirming dual primary infections and excluding antibody cross-reactivity. FAU - Ward, K N AU - Ward KN AD - Department of Infectious Diseases, Imperial College School of Medicine, Hammersmith Campus, London W12 ONN, United Kingdom. k.n.ward@ucl.ac.uk FAU - Turner, D J AU - Turner DJ FAU - Parada, X C AU - Parada XC FAU - Thiruchelvam, A D AU - Thiruchelvam AD LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - J Clin Microbiol JT - Journal of clinical microbiology JID - 7505564 RN - 0 (Antibodies, Viral) RN - 0 (DNA, Viral) RN - 0 (Immunoglobulin G) SB - IM MH - Adult MH - Antibodies, Viral/blood/immunology MH - *Antibody Affinity MH - Child, Preschool MH - DNA, Viral/blood MH - Female MH - Herpesviridae Infections/*diagnosis/virology MH - Herpesvirus 6, Human/*immunology MH - Herpesvirus 7, Human/*immunology MH - Humans MH - Immunoglobulin G/blood/*immunology MH - Infant MH - Infant, Newborn MH - Male MH - Polymerase Chain Reaction MH - Species Specificity PMC - PMC87857 EDAT- 2001/03/07 10:00 MHDA- 2001/07/20 10:01 PMCR- 2001/03/01 CRDT- 2001/03/07 10:00 PHST- 2001/03/07 10:00 [pubmed] PHST- 2001/07/20 10:01 [medline] PHST- 2001/03/07 10:00 [entrez] PHST- 2001/03/01 00:00 [pmc-release] AID - 1053 [pii] AID - 10.1128/JCM.39.3.959-963.2001 [doi] PST - ppublish SO - J Clin Microbiol. 2001 Mar;39(3):959-63. doi: 10.1128/JCM.39.3.959-963.2001.