title: Differentiation of feline immunodeficiency virus vaccination, infection, or vaccination and infection in cats.
abstract: BACKGROUND
  Serodiagnosis of feline immunodeficiency virus (FIV) is complicated by the use of a formalin-inactivated whole-virus FIV vaccine. Cats respond to immunization with antibodies indistinguishable from those produced during natural infection by currently available diagnostic tests, which are unable to distinguish cats that are vaccinated against FIV, infected with FIV, or both.
  
  
  OBJECTIVE
  An enzyme-linked immunosorbent assay (ELISA) detecting antibodies against formalin-treated FIV whole virus and untreated transmembrane peptide will distinguish uninfected from infected cats, regardless of vaccination status.
  
  
  METHODS
  Blood samples were evaluated from uninfected unvaccinated cats (n = 73 samples), uninfected FIV-vaccinated cats (n = 89), and FIV-infected cats (n = 102, including 3 from cats that were also vaccinated).
  
  
  METHODS
  The true status of each sample was determined by virus isolation. Plasma samples were tested for FIV antibodies by a commercial FIV diagnostic assay and an experimental discriminant ELISA.
  
  
  RESULTS
  All samples from uninfected cats were correctly identified by the discriminant ELISA (specificity 100%). Of the samples collected from FIV-infected cats, 99 were correctly identified as FIV-infected (sensitivity 97.1%).
  
  
  CONCLUSIONS
  With the exception of viral isolation, the discriminant ELISA is the most reliable assay for diagnosis of FIV. A practical strategy for the diagnosis of FIV infection would be to use existing commercial FIV antibody assays as screening tests. Negative results with commercial assays are highly reliable predictors for lack of infection. Positive results can be confirmed with the discriminant ELISA. If the discriminant ELISA is negative, the cat is probably vaccinated against FIV but not infected. Positive results are likely to represent infection.
authors: Department of Small Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, Gainesville, FL, USA. levyj@vetmed.ufl.edu
authors: J K
authors: JK
authors: Levy
authors: P C
authors: PC
authors: Crawford
authors: H
authors: H
authors: Kusuhara
authors: K
authors: K
authors: Motokawa
authors: T
authors: T
authors: Gemma
authors: R
authors: R
authors: Watanabe
authors: S
authors: S
authors: Arai
authors: D
authors: D
authors: Bienzle
authors: T
authors: T
authors: Hohdatsu
mesh_terms: D000818:Animals; D000914:Antibodies, Viral / Q000097:blood*; D000956:Antigens, Viral / Q000276:immunology; D002415:Cats; D016002:Discriminant Analysis; D004797:Enzyme-Linked Immunosorbent Assay / Q000662:veterinary*; D016181:Feline Acquired Immunodeficiency Syndrome / Q000097:blood* / Q000276:immunology; D016089:Immunodeficiency Virus, Feline / Q000276:immunology* / Q000302:isolation & purification; D012680:Sensitivity and Specificity; D013047:Specific Pathogen-Free Organisms; D014765:Viral Vaccines / Q000276:immunology*
chemical_list: D000914:Antibodies, Viral; D000956:Antigens, Viral; D014765:Viral Vaccines