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Difference in antibody reactivity between complement fixation and immune adherence hemagglutination tests with virus
Journal of Clinical Microbiology
|September 1, 1981
Summary
Immune adherence hemagglutination (IAHA) is less sensitive to early, low-affinity antibodies compared to complement fixation (CF). This difference aids in distinguishing recent rotavirus infections and improves viral serotyping.
Area of Science:
- Virology
- Immunology
- Serology
Background:
- Complement fixation (CF) and immune adherence hemagglutination (IAHA) are serological assays used to detect viral antibodies.
- Antibody affinity and subclass can influence the performance of different diagnostic assays.
Purpose of the Study:
- To compare the reactivity of early and late antibodies in IAHA and CF assays for rotavirus and Japanese encephalitis virus.
- To evaluate the utility of IAHA and CF assays in diagnosing recent viral infections and serotyping viruses.
Main Methods:
- Detection of immunoglobulin M (IgM) and immunoglobulin G (IgG) antibodies using CF and IAHA assays.
- Experimental infection of guinea pigs with Japanese encephalitis virus.
- Analysis of antibody titers in patient and animal sera.
Main Results:
- Infantile gastroenteritis virus (rotavirus) IgM antibodies showed no IAHA reactivity.
- Early IgG antibodies to Japanese encephalitis virus (a flavivirus) exhibited weak IAHA reactivity compared to CF.
- Late IgG antibodies demonstrated higher titers in IAHA than in CF, suggesting increased affinity.
Conclusions:
- Low-affinity antibodies are less efficient in IAHA reactions.
- A low IAHA/CF antibody titer ratio may indicate a recent rotavirus infection.
- IAHA offers higher type specificity than CF for serotyping antigenically cross-reacting viruses.