title: Rapid and specific detection of Sin Nombre virus antibodies in patients with hantavirus pulmonary syndrome by a strip immunoblot assay suitable for field diagnosis.
abstract: To develop a rapid antibody test for Sin Nombre hantavirus (SNV) infection for diagnosis of hantavirus pulmonary syndrome (HPS) in field settings where advanced instrumentation is not available, a strip immunoblot assay bearing four immobilized antigens for SNV and a recombinant nucleocapsid protein antigen of Seoul hantavirus (SEOV) was prepared. The SNV antigens included a full-length recombinant-expressed nucleocapsid (N) protein (rN), a recombinant-expressed G1 protein (residues 35 to 117), and synthetic peptides derived from N (residues 17 to 59) and G1 (residues 55 to 88). On the basis of the observed reactivities of hantavirus-infected patient and control sera, we determined that a positive assay requires reactivity with SNV or SEOV rN antigen and at least one other antigen. Isolated reactivity to either viral rN antigen is indeterminate, and any pattern of reactivity that does not include reactivity to an rN antigen is considered indeterminate but is unlikely to represent hantavirus infection. Fifty-eight of 59 samples from patients with acute SNV-associated HPS were positive according to these criteria, and one was initially indeterminate. Four of four samples from patients with HPS due to other hantaviruses were positive, as were most samples from patients with SEOV and Puumala virus infections. Of 192 control serum samples, 2 (1%) were positive and 2 were indeterminate. Acute SNV infection was distinguishable from remote SNV infection or infection with hantaviruses other than SNV by the presence of G1 peptide antigen reactivities in the former. The strip immunoblot assay shows promise for the detection of SNV antibodies early in the course of HPS.
authors.affiliation: Department of Pathology, University of New Mexico School of Medicine, Albuquerque 87131-5301, USA. Hjelle@somasf.unm.edu
authors.forename: B
authors.initials: B
authors.lastname: Hjelle
authors.forename: S
authors.initials: S
authors.lastname: Jenison
authors.forename: N
authors.initials: N
authors.lastname: Torrez-Martinez
authors.forename: B
authors.initials: B
authors.lastname: Herring
authors.forename: S
authors.initials: S
authors.lastname: Quan
authors.forename: A
authors.initials: A
authors.lastname: Polito
authors.forename: S
authors.initials: S
authors.lastname: Pichuantes
authors.forename: T
authors.initials: T
authors.lastname: Yamada
authors.forename: C
authors.initials: C
authors.lastname: Morris
authors.forename: F
authors.initials: F
authors.lastname: Elgh
authors.forename: H W
authors.initials: HW
authors.lastname: Lee
authors.forename: H
authors.initials: H
authors.lastname: Artsob
authors.forename: R
authors.initials: R
authors.lastname: Dinello
mesh_terms: D000914:Antibodies, Viral / Q000097:blood*; D000956:Antigens, Viral; D001483:Base Sequence; D016022:Case-Control Studies; D017931:DNA Primers / Q000235:genetics; D003951:Diagnostic Errors; D005069:Evaluation Studies as Topic; D006476:Orthohantavirus / Q000235:genetics / Q000276:immunology* / Q000302:isolation & purification; D018804:Hantavirus Pulmonary Syndrome / Q000175:diagnosis* / Q000276:immunology* / Q000821:virology; D006480:Hemorrhagic Fever with Renal Syndrome / Q000175:diagnosis / Q000276:immunology / Q000821:virology; D006801:Humans; D015151:Immunoblotting / Q000379:methods* / Q000706:statistics & numerical data; D016133:Polymerase Chain Reaction; D012680:Sensitivity and Specificity; D013997:Time Factors
chemical_list: D000914:Antibodies, Viral; D000956:Antigens, Viral; D017931:DNA Primers