ELISA in serodiagnosis of HCV infection.

Abstract:

:A high level of anti-HCV is generally associated with viral replication and the number of recognized epitopes appears to be correlated with the viral charge. Nevertheless, the absence of detectable antibodies in about 60% of patients during the acute phase of the disease and in 10% of chronically infected (generally immunocompromised subjects) are heavy handicaps for HCV serology. Moreover, low levels of anti-HCV antibodies can persist after complete recovery, and HCV viremia does not appear to be associated with the presence of a special antibody specificity. The immunoblots presented as 'confirmatory test' always appear to be less sensitive than the screening tests and therefore are unable to discriminate between post-infection antibodies and false-positive reactions, as rare as they can be. In these cases, as in non-responder patients, PCR appears essential. The possible reasons of immune response limitations and the possible improvements of HCV serology are discussed.

journal_name

FEMS Microbiol Rev

authors

Pillot J,Rioche M,Lazizi Y

doi

10.1111/j.1574-6976.1994.tb00092.x

subject

Has Abstract

pub_date

1994-07-01 00:00:00

pages

221-7

issue

3

eissn

0168-6445

issn

1574-6976

pii

0168-6445(94)90036-1

journal_volume

14

pub_type

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