PMID- 1939580 OWN - NLM STAT- MEDLINE DCOM- 19911223 LR - 20210526 IS - 0095-1137 (Print) IS - 1098-660X (Electronic) IS - 0095-1137 (Linking) VI - 29 IP - 10 DP - 1991 Oct TI - Synthetic peptide-based immunoassays for distinguishing between human T-cell lymphotropic virus type I and type II infections in seropositive individuals. PG - 2253-8 AB - Until now, serologic tests that distinguish the closely related human T-cell lymphotropic virus types I (HTLV-I) and II (HTLV-II) infections have not been available. Synthetic peptide assays, employing peptides derived from the core and envelope proteins of HTLV-I and HTLV-II (SynthEIA and Select-HTLV tests), were evaluated for the ability to serologically discriminate HTLV-I and HTLV-II infections. Of 32 HTLV-I- and 57 HTLV-II-positive serum specimens from individuals whose infections were confirmed by polymerase chain reaction, the SynthEIA test categorized 29 (91%) as HTLV-I and 50 (88%) as HTLV-II, and 10 (11%) were nontypeable. In contrast, the Select-HTLV test categorized 32 (100%) as HTLV-I and 55 (96%) as HTLV-II, and 2 (2%) were nontypeable. The specificity of both the assays in seropositive serum specimens was 100% in that none of the specimens were incorrectly classified. Additional serum specimens obtained from clinically diseased patients from the United States (n = 8) and asymptomatic carriers and patients from Japan (an endemic population for HTLV-I; n = 40) were categorized as HTLV-I by at least one of the assays, while serum specimens from Guaymi Indians from Panama (an endemic population for HTLV-II; n = 13) were categorized as HTLV-II. Thus, peptide enzyme immunoassays appear to represent a simple technique employing chemically synthesized antigens for discrimination between antibodies of HTLV-I and HTLV-II. FAU - Lal, R B AU - Lal RB AD - Retrovirus Diseases Branch, Centers for Disease Control, Atlanta, Georgia 30333. FAU - Heneine, W AU - Heneine W FAU - Rudolph, D L AU - Rudolph DL FAU - Present, W B AU - Present WB FAU - Hofhienz, D AU - Hofhienz D FAU - Hartley, T M AU - Hartley TM FAU - Khabbaz, R F AU - Khabbaz RF FAU - Kaplan, J E AU - Kaplan JE LA - eng SI - GENBANK/J02029 SI - GENBANK/M10060 PT - Comparative Study PT - Journal Article PL - United States TA - J Clin Microbiol JT - Journal of clinical microbiology JID - 7505564 RN - 0 (Antibodies, Viral) RN - 0 (DNA, Viral) RN - 0 (Peptides) RN - 0 (Viral Proteins) SB - IM MH - Antibodies, Viral/blood MH - DNA, Viral/genetics MH - Evaluation Studies as Topic MH - Female MH - HTLV-I Infections/*diagnosis/immunology MH - HTLV-II Infections/*diagnosis/immunology MH - Human T-lymphotropic virus 1/genetics/immunology MH - Human T-lymphotropic virus 2/genetics/immunology MH - Humans MH - Immunoassay/*methods MH - Male MH - Molecular Sequence Data MH - Peptides/immunology MH - Viral Proteins/analysis/*immunology PMC - PMC270308 EDAT- 1991/10/01 00:00 MHDA- 1991/10/01 00:01 PMCR- 1991/10/01 CRDT- 1991/10/01 00:00 PHST- 1991/10/01 00:00 [pubmed] PHST- 1991/10/01 00:01 [medline] PHST- 1991/10/01 00:00 [entrez] PHST- 1991/10/01 00:00 [pmc-release] AID - 10.1128/jcm.29.10.2253-2258.1991 [doi] PST - ppublish SO - J Clin Microbiol. 1991 Oct;29(10):2253-8. doi: 10.1128/jcm.29.10.2253-2258.1991.