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Serological Response in RT-PCR Confirmed H1N1-2009 Influenza A by Hemagglutination Inhibition and Virus Neutralization Assays: An Observational Study

Identifieur interne : 000E27 ( Main/Exploration ); précédent : 000E26; suivant : 000E28

Serological Response in RT-PCR Confirmed H1N1-2009 Influenza A by Hemagglutination Inhibition and Virus Neutralization Assays: An Observational Study

Auteurs : Mark I. Chen [Singapour] ; Ian G. Barr [Australie] ; Gerald C. H. Koh [Singapour] ; Vernon J. Lee [Singapour, Australie] ; Caroline P. S. Lee [Singapour] ; Robert Shaw [Australie] ; Cui Lin [Singapour] ; Jonathan Yap [Singapour] ; Alex R. Cook [Singapour] ; Boon Huan Tan [Singapour] ; Jin Phang Loh [Singapour] ; Timothy Barkham [Singapour] ; Vincent T. K. Chow [Singapour] ; Raymond T. P. Lin [Singapour] ; Yee-Sin Leo [Singapour]

Source :

RBID : PMC:2930007

Abstract

Background

We describe the serological response following H1N1-2009 influenza A infections confirmed by reverse-transcriptase polymerase chain reaction (RT-PCR).

Methodology and Principal Findings

The study included patients admitted to hospital, subjects of a seroepidemiologic cohort study, and participants identified from outbreak studies in Singapore. Baseline (first available blood sample) and follow-up blood samples were analyzed for antibody titers to H1N1-2009 and recently circulating seasonal influenza A virus strains by hemagglutination inhibition (HI) and virus micro-neutralization (VM) assays. 267 samples from 118 cases of H1N1-2009 were analyzed. Geometric mean titers by HI peaked at 123 (95% confidence interval, CI 43-356) between days 30 to 39. The chance of observing seroconversion (four-fold or greater increase of antibodies) was maximized when restricting analysis to 45 participants with baseline sera collected within 5 days of onset and follow-up sera collected 15 or more days after onset; for these participants, 82% and 89% seroconverted to A/California/7/2009 H1N1 by HI and VM respectively. A four-fold or greater increase in cross-reactive antibody titers to seasonal A/Brisbane/59/2007 H1N1, A/Brisbane/10/2007 H3N2 and A/Wisconsin/15/2009 H3N2 occurred in 20%, 18% and 16% of participants respectively.

Conclusions and Significance

Appropriately timed paired serology detects 80–90% RT-PCR confirmed H1N1-2009; Antibodies from infection with H1N1-2009 cross-reacted with seasonal influenza viruses.


Url:
DOI: 10.1371/journal.pone.0012474
PubMed: 20814575
PubMed Central: 2930007


Affiliations:


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Le document en format XML

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<name sortKey="Tan, Boon Huan" sort="Tan, Boon Huan" uniqKey="Tan B" first="Boon Huan" last="Tan">Boon Huan Tan</name>
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<name sortKey="Loh, Jin Phang" sort="Loh, Jin Phang" uniqKey="Loh J" first="Jin Phang" last="Loh">Jin Phang Loh</name>
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<name sortKey="Barkham, Timothy" sort="Barkham, Timothy" uniqKey="Barkham T" first="Timothy" last="Barkham">Timothy Barkham</name>
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<name sortKey="Chow, Vincent T K" sort="Chow, Vincent T K" uniqKey="Chow V" first="Vincent T. K." last="Chow">Vincent T. K. Chow</name>
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<name sortKey="Lin, Raymond T P" sort="Lin, Raymond T P" uniqKey="Lin R" first="Raymond T. P." last="Lin">Raymond T. P. Lin</name>
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<name sortKey="Leo, Yee Sin" sort="Leo, Yee Sin" uniqKey="Leo Y" first="Yee-Sin" last="Leo">Yee-Sin Leo</name>
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<title xml:lang="en" level="a" type="main">Serological Response in RT-PCR Confirmed H1N1-2009 Influenza A by Hemagglutination Inhibition and Virus Neutralization Assays: An Observational Study</title>
<author>
<name sortKey="Chen, Mark I" sort="Chen, Mark I" uniqKey="Chen M" first="Mark I." last="Chen">Mark I. Chen</name>
<affiliation wicri:level="1">
<nlm:aff id="aff1">
<addr-line>Clinical Epidemiology, Tan Tock Seng Hospital, Singapore, Singapore</addr-line>
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<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Clinical Epidemiology, Tan Tock Seng Hospital, Singapore</wicri:regionArea>
<wicri:noRegion>Singapore</wicri:noRegion>
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<nlm:aff id="aff2">
<addr-line>Epidemiology and Public Health, National University of Singapore, Singapore, Singapore</addr-line>
</nlm:aff>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Epidemiology and Public Health, National University of Singapore, Singapore</wicri:regionArea>
<orgName type="university">Université nationale de Singapour</orgName>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="aff3">
<addr-line>Duke-NUS Graduate Medical School, Singapore, Singapore</addr-line>
</nlm:aff>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Duke-NUS Graduate Medical School, Singapore</wicri:regionArea>
<wicri:noRegion>Singapore</wicri:noRegion>
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<name sortKey="Barr, Ian G" sort="Barr, Ian G" uniqKey="Barr I" first="Ian G." last="Barr">Ian G. Barr</name>
<affiliation wicri:level="1">
<nlm:aff id="aff4">
<addr-line>World Health Organization Collaborating Centre for Reference and Research on Influenza, Melbourne, Victoria, Australia</addr-line>
</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>World Health Organization Collaborating Centre for Reference and Research on Influenza, Melbourne, Victoria</wicri:regionArea>
<wicri:noRegion>Victoria</wicri:noRegion>
</affiliation>
</author>
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<name sortKey="Koh, Gerald C H" sort="Koh, Gerald C H" uniqKey="Koh G" first="Gerald C. H." last="Koh">Gerald C. H. Koh</name>
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<addr-line>Epidemiology and Public Health, National University of Singapore, Singapore, Singapore</addr-line>
</nlm:aff>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Epidemiology and Public Health, National University of Singapore, Singapore</wicri:regionArea>
<orgName type="university">Université nationale de Singapour</orgName>
</affiliation>
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<nlm:aff id="aff5">
<addr-line>Centre for Health Services Research, National University of Singapore, Singapore, Singapore</addr-line>
</nlm:aff>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Centre for Health Services Research, National University of Singapore, Singapore</wicri:regionArea>
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<name sortKey="Lee, Vernon J" sort="Lee, Vernon J" uniqKey="Lee V" first="Vernon J." last="Lee">Vernon J. Lee</name>
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<nlm:aff id="aff5">
<addr-line>Centre for Health Services Research, National University of Singapore, Singapore, Singapore</addr-line>
</nlm:aff>
<country xml:lang="fr">Singapour</country>
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<orgName type="university">Université nationale de Singapour</orgName>
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<addr-line>Biodefence Centre, Ministry of Defence, Singapore, Singapore</addr-line>
</nlm:aff>
<country xml:lang="fr">Singapour</country>
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<wicri:noRegion>Singapore</wicri:noRegion>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="aff7">
<addr-line>Centre for Epidemiology and Population Health, Australian National University, Canberra, Australian Capital Territory, Australia</addr-line>
</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Centre for Epidemiology and Population Health, Australian National University, Canberra, Australian Capital Territory</wicri:regionArea>
<wicri:noRegion>Australian Capital Territory</wicri:noRegion>
</affiliation>
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<name sortKey="Lee, Caroline P S" sort="Lee, Caroline P S" uniqKey="Lee C" first="Caroline P. S." last="Lee">Caroline P. S. Lee</name>
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<addr-line>Department of Infectious Diseases, Tan Tock Seng Hospital, Singapore, Singapore</addr-line>
</nlm:aff>
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<name sortKey="Shaw, Robert" sort="Shaw, Robert" uniqKey="Shaw R" first="Robert" last="Shaw">Robert Shaw</name>
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<addr-line>World Health Organization Collaborating Centre for Reference and Research on Influenza, Melbourne, Victoria, Australia</addr-line>
</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>World Health Organization Collaborating Centre for Reference and Research on Influenza, Melbourne, Victoria</wicri:regionArea>
<wicri:noRegion>Victoria</wicri:noRegion>
</affiliation>
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<name sortKey="Lin, Cui" sort="Lin, Cui" uniqKey="Lin C" first="Cui" last="Lin">Cui Lin</name>
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<nlm:aff id="aff9">
<addr-line>National Public Health Laboratory, Ministry of Health, Singapore, Singapore</addr-line>
</nlm:aff>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>National Public Health Laboratory, Ministry of Health, Singapore</wicri:regionArea>
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<name sortKey="Yap, Jonathan" sort="Yap, Jonathan" uniqKey="Yap J" first="Jonathan" last="Yap">Jonathan Yap</name>
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<addr-line>Biodefence Centre, Ministry of Defence, Singapore, Singapore</addr-line>
</nlm:aff>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Biodefence Centre, Ministry of Defence, Singapore</wicri:regionArea>
<wicri:noRegion>Singapore</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Cook, Alex R" sort="Cook, Alex R" uniqKey="Cook A" first="Alex R." last="Cook">Alex R. Cook</name>
<affiliation wicri:level="4">
<nlm:aff id="aff10">
<addr-line>Department of Statistics and Applied Probability, National University of Singapore, Singapore, Singapore</addr-line>
</nlm:aff>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Department of Statistics and Applied Probability, National University of Singapore, Singapore</wicri:regionArea>
<orgName type="university">Université nationale de Singapour</orgName>
</affiliation>
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<author>
<name sortKey="Tan, Boon Huan" sort="Tan, Boon Huan" uniqKey="Tan B" first="Boon Huan" last="Tan">Boon Huan Tan</name>
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<nlm:aff id="aff11">
<addr-line>Detection and Diagnostics Laboratory, DSO National Laboratories, Singapore, Singapore</addr-line>
</nlm:aff>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Detection and Diagnostics Laboratory, DSO National Laboratories, Singapore</wicri:regionArea>
<wicri:noRegion>Singapore</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Loh, Jin Phang" sort="Loh, Jin Phang" uniqKey="Loh J" first="Jin Phang" last="Loh">Jin Phang Loh</name>
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<nlm:aff id="aff11">
<addr-line>Detection and Diagnostics Laboratory, DSO National Laboratories, Singapore, Singapore</addr-line>
</nlm:aff>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Detection and Diagnostics Laboratory, DSO National Laboratories, Singapore</wicri:regionArea>
<wicri:noRegion>Singapore</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Barkham, Timothy" sort="Barkham, Timothy" uniqKey="Barkham T" first="Timothy" last="Barkham">Timothy Barkham</name>
<affiliation wicri:level="1">
<nlm:aff id="aff12">
<addr-line>Department of Laboratory Medicine, Tan Tock Seng Hospital, Singapore, Singapore</addr-line>
</nlm:aff>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Department of Laboratory Medicine, Tan Tock Seng Hospital, Singapore</wicri:regionArea>
<wicri:noRegion>Singapore</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Chow, Vincent T K" sort="Chow, Vincent T K" uniqKey="Chow V" first="Vincent T. K." last="Chow">Vincent T. K. Chow</name>
<affiliation wicri:level="4">
<nlm:aff id="aff13">
<addr-line>Department of Microbiology, National University of Singapore, Singapore, Singapore</addr-line>
</nlm:aff>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Department of Microbiology, National University of Singapore, Singapore</wicri:regionArea>
<orgName type="university">Université nationale de Singapour</orgName>
</affiliation>
</author>
<author>
<name sortKey="Lin, Raymond T P" sort="Lin, Raymond T P" uniqKey="Lin R" first="Raymond T. P." last="Lin">Raymond T. P. Lin</name>
<affiliation wicri:level="1">
<nlm:aff id="aff9">
<addr-line>National Public Health Laboratory, Ministry of Health, Singapore, Singapore</addr-line>
</nlm:aff>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>National Public Health Laboratory, Ministry of Health, Singapore</wicri:regionArea>
<wicri:noRegion>Singapore</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Leo, Yee Sin" sort="Leo, Yee Sin" uniqKey="Leo Y" first="Yee-Sin" last="Leo">Yee-Sin Leo</name>
<affiliation wicri:level="1">
<nlm:aff id="aff8">
<addr-line>Department of Infectious Diseases, Tan Tock Seng Hospital, Singapore, Singapore</addr-line>
</nlm:aff>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Department of Infectious Diseases, Tan Tock Seng Hospital, Singapore</wicri:regionArea>
<wicri:noRegion>Singapore</wicri:noRegion>
</affiliation>
</author>
</analytic>
<series>
<title level="j">PLoS ONE</title>
<idno type="eISSN">1932-6203</idno>
<imprint>
<date when="2010">2010</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc>
<textClass></textClass>
</profileDesc>
</teiHeader>
<front>
<div type="abstract" xml:lang="en">
<sec>
<title>Background</title>
<p>We describe the serological response following H1N1-2009 influenza A infections confirmed by reverse-transcriptase polymerase chain reaction (RT-PCR).</p>
</sec>
<sec>
<title>Methodology and Principal Findings</title>
<p>The study included patients admitted to hospital, subjects of a seroepidemiologic cohort study, and participants identified from outbreak studies in Singapore. Baseline (first available blood sample) and follow-up blood samples were analyzed for antibody titers to H1N1-2009 and recently circulating seasonal influenza A virus strains by hemagglutination inhibition (HI) and virus micro-neutralization (VM) assays. 267 samples from 118 cases of H1N1-2009 were analyzed. Geometric mean titers by HI peaked at 123 (95% confidence interval, CI 43-356) between days 30 to 39. The chance of observing seroconversion (four-fold or greater increase of antibodies) was maximized when restricting analysis to 45 participants with baseline sera collected within 5 days of onset and follow-up sera collected 15 or more days after onset; for these participants, 82% and 89% seroconverted to A/California/7/2009 H1N1 by HI and VM respectively. A four-fold or greater increase in cross-reactive antibody titers to seasonal A/Brisbane/59/2007 H1N1, A/Brisbane/10/2007 H3N2 and A/Wisconsin/15/2009 H3N2 occurred in 20%, 18% and 16% of participants respectively.</p>
</sec>
<sec>
<title>Conclusions and Significance</title>
<p>Appropriately timed paired serology detects 80–90% RT-PCR confirmed H1N1-2009; Antibodies from infection with H1N1-2009 cross-reacted with seasonal influenza viruses.</p>
</sec>
</div>
</front>
<back>
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</TEI>
<affiliations>
<list>
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<li>Singapour</li>
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<orgName>
<li>Université nationale de Singapour</li>
</orgName>
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<country name="Singapour">
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<country name="Australie">
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</record>

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