Le SIDA au Ghana (serveur d'exploration)

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Performance of HerpeSelect and Kalon Assays in Detection of Antibodies to Herpes Simplex Virus Type 2

Identifieur interne : 000C22 ( Main/Exploration ); précédent : 000C21; suivant : 000C23

Performance of HerpeSelect and Kalon Assays in Detection of Antibodies to Herpes Simplex Virus Type 2

Auteurs : Jérome Legoff [France] ; Philippe Mayaud [Royaume-Uni] ; Gérard Gresenguet [Afrique du Sud] ; Helen A. Weiss [Royaume-Uni] ; Khonde Nzambi [Ghana] ; Eric Frost [Canada] ; Jacques Pepin [Canada] ; Laurent Belec [France]

Source :

RBID : Pascal:08-0307437

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English descriptors

Abstract

The performances of commercial enzyme-linked immunosorbent assays (ELISAs) in detecting herpes simplex virus type 2 (HSV-2) antibodies have been inconsistent for African and human immunodeficiency virus (HIV)-positive populations. We compared the performances of the HerpeSelect and Kalon glycoprotein G2 ELISAs for patients with genital ulcer disease in Ghana and the Central African Republic. Sera from 434 women were tested with the HerpeSelect assay, and a subsample (n = 199) was tested by the Kalon assay. Ulcer swabs and cervicovaginal lavage samples were tested for HSV-2 DNA by PCR. HSV-2-seronegative women with detectable genital HSV-2 DNA were retested for HSV-2 antibodies 14 and 28 days later by the two ELISAs. A total of 346 (80%) women were positive by HerpeSelect at baseline, and 225 (54%) had detectable genital (lesional or cervicovaginal) HSV-2 DNA. Sixty-six (19%) HerpeSelect-positive samples had low-positive index values (1.1 to 3.5), and 58% of these samples had detectable genital HSV-2 DNA. Global agreement between the two serological assays was 86%. Concordance was high (99%) for sera that were negative by HerpeSelect or had high index values (>3.5). Defining infection detected by HSV-2 DNA PCR and/or Kalon assay as true infection, 71% of sera with low-positive index values were associated with true HSV-2 infection. Twenty-five women were identified as having nonprimary first-episode genital HSV-2 infection. Rates of HSV-2 seroconversion at day 14 were 77% (10/13 patients) by HerpeSelect assay and 23% (3/13 patients) by Kalon assay, with four additional seroconversions detected by Kalon assay at day 28. HIV serostatus did not influence assay performance. Low index values obtained with the HerpeSelect assay may correspond to true HSV-2 infection, in particular to nonprimary first episodes of genital HSV-2 infection, and need to be interpreted in the context of clinical history.

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Le document en format XML

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<title xml:lang="en" level="a">Performance of HerpeSelect and Kalon Assays in Detection of Antibodies to Herpes Simplex Virus Type 2</title>
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<s1>Department of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine</s1>
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<settlement type="city">Londres</settlement>
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<name sortKey="Gresenguet, Gerard" sort="Gresenguet, Gerard" uniqKey="Gresenguet G" first="Gérard" last="Gresenguet">Gérard Gresenguet</name>
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<s1>Centre National de Référence des Maladies Sexuellement Transmissibles et du SIDA de Bangui and Unité de Recherches et d'lntervention sur les Maladies Sexuellement Transmissibles et du SIDA, Faculté des Sciences de la Santé</s1>
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<name sortKey="Weiss, Helen A" sort="Weiss, Helen A" uniqKey="Weiss H" first="Helen A." last="Weiss">Helen A. Weiss</name>
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<s1>Clinical Research Unit, Department of Infectious and Tropical Diseases, and Infectious Diseases Epidemiology Unit, London School of Hygiene and Tropical Medicine</s1>
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<settlement type="city">Londres</settlement>
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<s1>Department of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine</s1>
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<name sortKey="Nzambi, Khonde" sort="Nzambi, Khonde" uniqKey="Nzambi K" first="Khonde" last="Nzambi">Khonde Nzambi</name>
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<name sortKey="Frost, Eric" sort="Frost, Eric" uniqKey="Frost E" first="Eric" last="Frost">Eric Frost</name>
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<sZ>6 aut.</sZ>
<sZ>7 aut.</sZ>
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<sZ>7 aut.</sZ>
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<name sortKey="Belec, Laurent" sort="Belec, Laurent" uniqKey="Belec L" first="Laurent" last="Belec">Laurent Belec</name>
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<s1>Université Paris Descartes, Equipe Immunité et Biothérapie Muqueuse, Unité INSERM Internationale U743 (Immunologie Humaine), Centres de Recherches Biomédicales des Cordeliers and Laboratoire de Virologie, Hôpital Européen Georges Pompidou</s1>
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<placeName>
<region type="region">Île-de-France</region>
<region type="old region">Île-de-France</region>
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<title level="j" type="main">Journal of clinical microbiology : (Print)</title>
<title level="j" type="abbreviated">J. clin. microbiol. : (Print)</title>
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<date when="2008">2008</date>
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<title level="j" type="main">Journal of clinical microbiology : (Print)</title>
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<term>Acyclovir (administration & dosage)</term>
<term>Acyclovir (therapeutic use)</term>
<term>Antibodies, Viral (blood)</term>
<term>Antibody</term>
<term>Antiviral Agents (administration & dosage)</term>
<term>Antiviral Agents (therapeutic use)</term>
<term>Central African Republic (epidemiology)</term>
<term>DNA, Viral (analysis)</term>
<term>DNA, Viral (isolation & purification)</term>
<term>Detection</term>
<term>Enzyme-Linked Immunosorbent Assay (methods)</term>
<term>Female</term>
<term>Ghana (epidemiology)</term>
<term>Herpes Genitalis (diagnosis)</term>
<term>Herpes Genitalis (drug therapy)</term>
<term>Herpes Genitalis (epidemiology)</term>
<term>Herpes Genitalis (virology)</term>
<term>Herpesvirus 2, Human (genetics)</term>
<term>Herpesvirus 2, Human (immunology)</term>
<term>Herpesvirus 2, Human (isolation & purification)</term>
<term>Human herpesvirus 2</term>
<term>Humans</term>
<term>Microbiology</term>
<term>Polymerase Chain Reaction (methods)</term>
<term>Reagent Kits, Diagnostic</term>
<term>Sensitivity and Specificity</term>
<term>Viral Envelope Proteins (immunology)</term>
</keywords>
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<term>ADN viral (analyse)</term>
<term>ADN viral (isolement et purification)</term>
<term>Aciclovir (administration et posologie)</term>
<term>Aciclovir (usage thérapeutique)</term>
<term>Anticorps antiviraux (sang)</term>
<term>Antiviraux (administration et posologie)</term>
<term>Antiviraux (usage thérapeutique)</term>
<term>Femelle</term>
<term>Ghana (épidémiologie)</term>
<term>Herpès génital (diagnostic)</term>
<term>Herpès génital (traitement médicamenteux)</term>
<term>Herpès génital (virologie)</term>
<term>Herpès génital (épidémiologie)</term>
<term>Herpèsvirus humain de type 2 (génétique)</term>
<term>Herpèsvirus humain de type 2 (immunologie)</term>
<term>Herpèsvirus humain de type 2 (isolement et purification)</term>
<term>Humains</term>
<term>Protéines de l'enveloppe virale (immunologie)</term>
<term>Réaction de polymérisation en chaîne ()</term>
<term>République centrafricaine (épidémiologie)</term>
<term>Sensibilité et spécificité</term>
<term>Test ELISA ()</term>
<term>Trousses de réactifs pour diagnostic</term>
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<term>Acyclovir</term>
<term>Antiviral Agents</term>
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<term>DNA, Viral</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="blood" xml:lang="en">
<term>Antibodies, Viral</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="immunology" xml:lang="en">
<term>Viral Envelope Proteins</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="isolation & purification" xml:lang="en">
<term>DNA, Viral</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en">
<term>Acyclovir</term>
<term>Antiviral Agents</term>
</keywords>
<keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en">
<term>Central African Republic</term>
<term>Ghana</term>
</keywords>
<keywords scheme="MESH" qualifier="administration et posologie" xml:lang="fr">
<term>Aciclovir</term>
<term>Antiviraux</term>
</keywords>
<keywords scheme="MESH" qualifier="analyse" xml:lang="fr">
<term>ADN viral</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en">
<term>Herpes Genitalis</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr">
<term>Herpès génital</term>
</keywords>
<keywords scheme="MESH" qualifier="drug therapy" xml:lang="en">
<term>Herpes Genitalis</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en">
<term>Herpes Genitalis</term>
</keywords>
<keywords scheme="MESH" qualifier="genetics" xml:lang="en">
<term>Herpesvirus 2, Human</term>
</keywords>
<keywords scheme="MESH" qualifier="génétique" xml:lang="fr">
<term>Herpèsvirus humain de type 2</term>
</keywords>
<keywords scheme="MESH" qualifier="immunologie" xml:lang="fr">
<term>Herpèsvirus humain de type 2</term>
<term>Protéines de l'enveloppe virale</term>
</keywords>
<keywords scheme="MESH" qualifier="immunology" xml:lang="en">
<term>Herpesvirus 2, Human</term>
</keywords>
<keywords scheme="MESH" qualifier="isolation & purification" xml:lang="en">
<term>Herpesvirus 2, Human</term>
</keywords>
<keywords scheme="MESH" qualifier="isolement et purification" xml:lang="fr">
<term>ADN viral</term>
<term>Herpèsvirus humain de type 2</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Enzyme-Linked Immunosorbent Assay</term>
<term>Polymerase Chain Reaction</term>
</keywords>
<keywords scheme="MESH" qualifier="sang" xml:lang="fr">
<term>Anticorps antiviraux</term>
</keywords>
<keywords scheme="MESH" qualifier="traitement médicamenteux" xml:lang="fr">
<term>Herpès génital</term>
</keywords>
<keywords scheme="MESH" qualifier="usage thérapeutique" xml:lang="fr">
<term>Aciclovir</term>
<term>Antiviraux</term>
</keywords>
<keywords scheme="MESH" qualifier="virologie" xml:lang="fr">
<term>Herpès génital</term>
</keywords>
<keywords scheme="MESH" qualifier="virology" xml:lang="en">
<term>Herpes Genitalis</term>
</keywords>
<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr">
<term>Ghana</term>
<term>Herpès génital</term>
<term>République centrafricaine</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Female</term>
<term>Humans</term>
<term>Reagent Kits, Diagnostic</term>
<term>Sensitivity and Specificity</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr">
<term>Femelle</term>
<term>Herpesvirus hominis 2</term>
<term>Détection</term>
<term>Anticorps</term>
<term>Humains</term>
<term>Microbiologie</term>
<term>Réaction de polymérisation en chaîne</term>
<term>Sensibilité et spécificité</term>
<term>Test ELISA</term>
<term>Trousses de réactifs pour diagnostic</term>
</keywords>
<keywords scheme="Wicri" type="geographic" xml:lang="fr">
<term>Ghana</term>
<term>République centrafricaine</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front>
<div type="abstract" xml:lang="en">The performances of commercial enzyme-linked immunosorbent assays (ELISAs) in detecting herpes simplex virus type 2 (HSV-2) antibodies have been inconsistent for African and human immunodeficiency virus (HIV)-positive populations. We compared the performances of the HerpeSelect and Kalon glycoprotein G2 ELISAs for patients with genital ulcer disease in Ghana and the Central African Republic. Sera from 434 women were tested with the HerpeSelect assay, and a subsample (n = 199) was tested by the Kalon assay. Ulcer swabs and cervicovaginal lavage samples were tested for HSV-2 DNA by PCR. HSV-2-seronegative women with detectable genital HSV-2 DNA were retested for HSV-2 antibodies 14 and 28 days later by the two ELISAs. A total of 346 (80%) women were positive by HerpeSelect at baseline, and 225 (54%) had detectable genital (lesional or cervicovaginal) HSV-2 DNA. Sixty-six (19%) HerpeSelect-positive samples had low-positive index values (1.1 to 3.5), and 58% of these samples had detectable genital HSV-2 DNA. Global agreement between the two serological assays was 86%. Concordance was high (99%) for sera that were negative by HerpeSelect or had high index values (>3.5). Defining infection detected by HSV-2 DNA PCR and/or Kalon assay as true infection, 71% of sera with low-positive index values were associated with true HSV-2 infection. Twenty-five women were identified as having nonprimary first-episode genital HSV-2 infection. Rates of HSV-2 seroconversion at day 14 were 77% (10/13 patients) by HerpeSelect assay and 23% (3/13 patients) by Kalon assay, with four additional seroconversions detected by Kalon assay at day 28. HIV serostatus did not influence assay performance. Low index values obtained with the HerpeSelect assay may correspond to true HSV-2 infection, in particular to nonprimary first episodes of genital HSV-2 infection, and need to be interpreted in the context of clinical history.</div>
</front>
</TEI>
<affiliations>
<list>
<country>
<li>Afrique du Sud</li>
<li>Canada</li>
<li>France</li>
<li>Ghana</li>
<li>Royaume-Uni</li>
</country>
<region>
<li>Angleterre</li>
<li>Grand Londres</li>
<li>Région du Grand Accra</li>
<li>Île-de-France</li>
</region>
<settlement>
<li>Accra</li>
<li>Londres</li>
<li>Paris</li>
</settlement>
<orgName>
<li>Université Paris-Descartes</li>
</orgName>
</list>
<tree>
<country name="France">
<region name="Île-de-France">
<name sortKey="Legoff, Jerome" sort="Legoff, Jerome" uniqKey="Legoff J" first="Jérome" last="Legoff">Jérome Legoff</name>
</region>
<name sortKey="Belec, Laurent" sort="Belec, Laurent" uniqKey="Belec L" first="Laurent" last="Belec">Laurent Belec</name>
<name sortKey="Legoff, Jerome" sort="Legoff, Jerome" uniqKey="Legoff J" first="Jérome" last="Legoff">Jérome Legoff</name>
</country>
<country name="Royaume-Uni">
<region name="Angleterre">
<name sortKey="Mayaud, Philippe" sort="Mayaud, Philippe" uniqKey="Mayaud P" first="Philippe" last="Mayaud">Philippe Mayaud</name>
</region>
<name sortKey="Mayaud, Philippe" sort="Mayaud, Philippe" uniqKey="Mayaud P" first="Philippe" last="Mayaud">Philippe Mayaud</name>
<name sortKey="Weiss, Helen A" sort="Weiss, Helen A" uniqKey="Weiss H" first="Helen A." last="Weiss">Helen A. Weiss</name>
<name sortKey="Weiss, Helen A" sort="Weiss, Helen A" uniqKey="Weiss H" first="Helen A." last="Weiss">Helen A. Weiss</name>
</country>
<country name="Afrique du Sud">
<noRegion>
<name sortKey="Gresenguet, Gerard" sort="Gresenguet, Gerard" uniqKey="Gresenguet G" first="Gérard" last="Gresenguet">Gérard Gresenguet</name>
</noRegion>
</country>
<country name="Ghana">
<region name="Région du Grand Accra">
<name sortKey="Nzambi, Khonde" sort="Nzambi, Khonde" uniqKey="Nzambi K" first="Khonde" last="Nzambi">Khonde Nzambi</name>
</region>
</country>
<country name="Canada">
<noRegion>
<name sortKey="Frost, Eric" sort="Frost, Eric" uniqKey="Frost E" first="Eric" last="Frost">Eric Frost</name>
</noRegion>
<name sortKey="Pepin, Jacques" sort="Pepin, Jacques" uniqKey="Pepin J" first="Jacques" last="Pepin">Jacques Pepin</name>
</country>
</tree>
</affiliations>
</record>

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