PMID- 1993227 OWN - NLM STAT- MEDLINE DCOM- 19910320 LR - 20210216 IS - 0006-4971 (Print) IS - 0006-4971 (Linking) VI - 77 IP - 4 DP - 1991 Feb 15 TI - Detection of early human T-cell lymphotropic virus type I antibody patterns during seroconversion among transfusion recipients. PG - 896-905 AB - From a cohort of human T-cell lymphotropic virus type I (HTLV-I) exposed transfusion recipients (N = 71) enrolled in the Jamaican Transfusion Study, 11 were selected for detailed laboratory evaluation. All recipients were followed at monthly intervals for 6 months and then bimonthly up to 1 year for evidence of HTLV-I seroconversion. Without regard to results on screening assays, pretransfusion and posttransfusion samples were tested with two licensed HTLV-1 whole-virus screening enzyme immunoassays (EIAs), recombinant EIAs for antibody against tax (p40x) and p21e envelope, standard whole virus Western blot (WB), WB enhanced with recombinant p21e, and radioimmunoprecipitation assay (RIPA). In the early period posttransfusion, antibody to gag core protein was predominant with anti-p24 generally appearing before anti-p19. Recombinant anti-p21e envelope protein, in EIA and WB format, was frequently the earliest envelope reactivity detected, while anti-gp46 in WB and anti-gp61/68 in RIPA system appeared later. Anti-tax antibodies appeared later in the time course of seroconversion. The whole-virus EIAs were less sensitive than the confirmatory assays. The combination of WB and RIPA or WB enhanced with recombinant p21e appeared equally effective in confirming samples as positive by the Public Health Service two gene group confirmatory algorithm. However, specificity of this assay approach could not be addressed in this study. FAU - Manns, A AU - Manns A AD - National Cancer Institute, Bethesda, MD 20892. FAU - Murphy, E L AU - Murphy EL FAU - Wilks, R AU - Wilks R FAU - Haynes, G AU - Haynes G FAU - Figueroa, J P AU - Figueroa JP FAU - Hanchard, B AU - Hanchard B FAU - Barnett, M AU - Barnett M FAU - Drummond, J AU - Drummond J FAU - Waters, D AU - Waters D FAU - Cerney, M AU - Cerney M AU - et al. LA - eng GR - N01-CP-31006/CP/NCI NIH HHS/United States PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. PL - United States TA - Blood JT - Blood JID - 7603509 RN - 0 (Antigens, Viral) RN - 0 (Gene Products, env) RN - 0 (Gene Products, gag) RN - 0 (Gene Products, tax) RN - 0 (HTLV-I Antibodies) RN - 0 (Recombinant Proteins) RN - 0 (Viral Envelope Proteins) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Aged, 80 and over MH - Antigens, Viral/immunology MH - *Blood Transfusion MH - Blotting, Western MH - Female MH - Gene Products, env/immunology MH - Gene Products, gag/immunology MH - Gene Products, tax/immunology MH - HTLV-I Antibodies/*blood MH - HTLV-I Infections/immunology/*transmission MH - Human T-lymphotropic virus 1/immunology MH - Humans MH - Immunoenzyme Techniques MH - Jamaica MH - Male MH - Recombinant Proteins/immunology MH - Viral Envelope Proteins/immunology EDAT- 1991/02/15 00:00 MHDA- 1991/02/15 00:01 CRDT- 1991/02/15 00:00 PHST- 1991/02/15 00:00 [pubmed] PHST- 1991/02/15 00:01 [medline] PHST- 1991/02/15 00:00 [entrez] AID - S0006-4971(20)85335-X [pii] PST - ppublish SO - Blood. 1991 Feb 15;77(4):896-905.