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EBV Conference 2008 Guangzhou - Baylor College of Medicine

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207 (RegID: 1526)<br />

Patrice MORAND<br />

Institution: University Hospital Grenoble<br />

e-mail: PMorand@chu-grenoble.fr<br />

EVALUATION OF 3 NEW VIDAS TESTS FOR THE DETECTION OF EPSTEIN-BARR VIRUS<br />

VCA IGM, VCA/EA IGG AND EBNA IGG ANTIBODIES IN HUMAN SERUM SAMPLES<br />

M. Baccard, A. Foussadier, L. Allard, P. Desmottes, P. Morand, J.M. Seigneurin<br />

Posterabstract:<br />

Objectives:<br />

The aim <strong>of</strong> the study was to evaluate the performance <strong>of</strong> 3 new automated VIDAS <strong>EBV</strong> diagnostic tests<br />

for the determination <strong>of</strong> the patient <strong>EBV</strong> serological status. The <strong>EBV</strong> reagents currently under<br />

development on VIDAS instrument are aimed to detect immunoglobulins against Viral Capsid Antigen<br />

(VCA), Early Antigen (EA) and Epstein-Barr nuclear antigen (EBNA) : VIDAS VCA IgM, VIDAS<br />

VCA/EA IgG and VIDAS EBNA IgG. Sensitivities and specificities were determined on characterized<br />

sera samples for each <strong>of</strong> the 3 tests.<br />

Methods:<br />

VIDAS <strong>EBV</strong> VCA/EA IgG and EBNA IgG tests are based on indirect sandwich format, with peptides<br />

coated on the solid phase. VIDAS <strong>EBV</strong> VCA IgM test is based on immunocapture with labelled peptides<br />

as revelation phase.<br />

Fifty seven serum samples from <strong>EBV</strong> negative individuals, 109 from <strong>EBV</strong> primary infection and 93 from<br />

<strong>EBV</strong> past infection were tested on VIDAS. <strong>EBV</strong> clinical status was initially established using 2 microtiter<br />

plates tests: Dade Behring, which detects <strong>EBV</strong> IgM and <strong>EBV</strong> IgG, and BMD for the specific detection <strong>of</strong><br />

EBNA IgG. Discrepant results were analysed using IF.<br />

Results:<br />

On characterized serum samples, the sensitivities <strong>of</strong> VIDAS VCA IgM, VCA/EA IgG and EBNA IgG<br />

were 97.5 % [93.6 – 99.0%], 95.9 % [92.0 –97.9%] and 98.1 % [93.2- 99.5%] respectively and the<br />

specificities <strong>of</strong> VIDAS VCA IgM , VCA/EA IgG and EBNA IgG were 95.2 % [88.2 – 98.2%], 100 %<br />

[93.4 – 100%] and 96.5 % [91.9 – 98.5%] respectively.<br />

Conclusions:<br />

The new VIDAS <strong>EBV</strong> reagents presented good performance in accordance with the patients’ serological<br />

status established with the other immunoassay methods. VIDAS <strong>EBV</strong> reagents will be a good alternative<br />

to currently used manual method for Infectious Mononucleosis determination, enabling single testing as<br />

well as series.<br />

<strong>EBV</strong> <strong>Conference</strong> <strong>2008</strong> <strong>Guangzhou</strong><br />

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