PMID- 8904436 OWN - NLM STAT- MEDLINE DCOM- 19970225 LR - 20210526 IS - 0095-1137 (Print) IS - 1098-660X (Electronic) IS - 0095-1137 (Linking) VI - 34 IP - 3 DP - 1996 Mar TI - Evaluation of a commercial enzyme-linked immunosorbent assay for detection of serum immunoglobulin G response to human herpesvirus 6. PG - 675-9 AB - A rapid (60-min) commercially available enzyme-linked immunosorbent assay (ELISA) for the detection of immunoglobulin G (IgG) class antibodies to human herpesvirus 6 (HHV-6) was evaluated. The specificity of the ELISA for HHV-6 was confirmed by absorption studies, with the reactivities of HHV-6-positive sera being unaffected by other herpesviruses (cytomegalovirus, herpes simplex virus, and varicella-zoster virus) or the HSB2 cell line used to culture HHV-6. HHV-6 IgG antibody levels in a panel of 502 serum samples were determined by ELISA and an indirect immunofluorescence assay (IFA). Results obtained by the two methods were in close agreement, suggesting that the ELISA provides a suitable test method for the determination of HHV-6 IgG antibodies in a routine clinical laboratory. Both tests were positive in 398 cases (79%), and both were negative in 71 cases (14%), with a different result obtained by IFA and ELISA in only 33 cases (7%). Furthermore, absorption of sera with HHV-6 prior to assay revealed that the majority of these results were false positive (n = 8) or false negative (n = 23) in the IFA (true positives or negatives in the ELISA). Subsequently, the ELISA showed a sensitivity of 99.76% and a specificity of 98.75%. HHV-6-specific IgG levels were also determined in paired serum samples collected from 49 donors--14 with exanthem subitum (ES), 15 with ES which was complicated with central nervous system involvement, and 20 undergoing bone marrow transplantation--in whom HHV-6 infection had been demonstrated by virus isolation and/or PCR. All patients with ES or central nervous system complications showed an increase in HHV-6-specific IgG, indicating that this ELISA may be a useful aid in the diagnosis of these conditions. Furthermore, 14 of 20 patients undergoing bone marrow transplantation showed an increase in HHV-6-specific IgG levels, possibly reflecting a reactivation of HHV-6 in these patients. FAU - Sloots, T P AU - Sloots TP AD - Clinical Virology Research Unit, Sir Albert Sakzewski Virus Research Centre, Royal Children's Hospital, Brisbane, Australia. FAU - Kapeleris, J P AU - Kapeleris JP FAU - Mackay, I M AU - Mackay IM FAU - Batham, M AU - Batham M FAU - Devine, P L AU - Devine PL 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 (Immunoglobulin G) SB - IM MH - Adolescent MH - Adult MH - Antibodies, Viral/*blood MH - Bone Marrow Transplantation MH - Enzyme-Linked Immunosorbent Assay MH - Fluorescent Antibody Technique MH - Herpesvirus 6, Human/*immunology MH - Humans MH - Immunoglobulin G/*blood MH - Middle Aged PMC - PMC228868 EDAT- 1996/03/01 00:00 MHDA- 1996/03/01 00:01 PMCR- 1996/03/01 CRDT- 1996/03/01 00:00 PHST- 1996/03/01 00:00 [pubmed] PHST- 1996/03/01 00:01 [medline] PHST- 1996/03/01 00:00 [entrez] PHST- 1996/03/01 00:00 [pmc-release] AID - 10.1128/jcm.34.3.675-679.1996 [doi] PST - ppublish SO - J Clin Microbiol. 1996 Mar;34(3):675-9. doi: 10.1128/jcm.34.3.675-679.1996.