PMID- 3149495 OWN - NLM STAT- MEDLINE DCOM- 19890530 LR - 20190718 IS - 0269-9370 (Print) IS - 0269-9370 (Linking) VI - 2 IP - 6 DP - 1988 Dec TI - A new second-generation anti-HIV-1 enzyme immunoassay using recombinant envelope and core proteins. PG - 477-80 AB - In a multicenter collaborative study a new second-generation HIV-1 antibody enzyme immunoassay (Abbott recombinant HIV-1 EIA) using Escherichia coli-expressed recombinant p24 and p41 proteins as solid-phase antigens was compared with the first-generation H9 cell-line-based Abbott HIV-1 EIA. The results of the confirmatory assays (Western blot, immunofluorescence), combined with clinical information, were used as the reference standard for the detection of HIV-1 antibodies in 10,676 random blood donor serum specimens, in a panel of 840 specimens from symptomatic and asymptomatic patients and a total of 63 serial blood specimens from 23 people at risk. With fresh blood donor sera, the specificity of the first-generation assay ranged between 99.54 and 99.76% (95% confidence limits, CL) compared with 99.81-99.95% (95% CL) for the second-generation EIA. With panel specimens the recombinant HIV-1 EIA achieved an overall sensitivity of 100% and a specificity range of 98.3-99.7% (95% CL); the corresponding sensitivity and specificity ranges observed for the first-generation EIA were 98.0-99.5% (95% CL) and 94.3-96.8% (95% CL), respectively. The improved sensitivity for the second-generation assay was confirmed by testing serial samples from seroconverting patients. The use of recombinant proteins eliminated non-specific reactions due to class II human leukocyte antigen (HLA)-directed antibodies. FAU - Backer, U AU - Backer U AD - Red Cross Blood Donor Service, Bavarian Red Cross, Munich, FRG. FAU - Gathof, A AU - Gathof A FAU - Howe, J AU - Howe J FAU - Strobel, E AU - Strobel E FAU - Deinhardt, F AU - Deinhardt F FAU - Gurtler, L AU - Gurtler L FAU - Grob, P AU - Grob P FAU - Joller-Jemelka, H AU - Joller-Jemelka H FAU - Kuhnl, P AU - Kuhnl P FAU - Seidl, S AU - Seidl S AU - et al. LA - eng PT - Clinical Trial PT - Journal Article PT - Multicenter Study PL - England TA - AIDS JT - AIDS (London, England) JID - 8710219 RN - 0 (HIV Antibodies) RN - 0 (HIV Antigens) RN - 0 (HIV Core Protein p24) RN - 0 (HIV Envelope Protein gp41) RN - 0 (Recombinant Proteins) RN - 0 (Retroviridae Proteins) RN - 0 (Viral Envelope Proteins) SB - IM MH - Blood Donors MH - Diagnostic Errors MH - HIV Antibodies/*analysis MH - HIV Antigens/immunology MH - HIV Core Protein p24 MH - HIV Envelope Protein gp41 MH - HIV Seropositivity/prevention & control MH - HIV-1/*immunology MH - Humans MH - *Immunoenzyme Techniques MH - Mass Screening MH - Multicenter Studies as Topic MH - Recombinant Proteins/immunology MH - Retroviridae Proteins/immunology MH - Viral Envelope Proteins/immunology EDAT- 1988/12/01 00:00 MHDA- 1988/12/01 00:01 CRDT- 1988/12/01 00:00 PHST- 1988/12/01 00:00 [pubmed] PHST- 1988/12/01 00:01 [medline] PHST- 1988/12/01 00:00 [entrez] AID - 10.1097/00002030-198812000-00011 [doi] PST - ppublish SO - AIDS. 1988 Dec;2(6):477-80. doi: 10.1097/00002030-198812000-00011.