A comparison of methods for the detection of hepatitis B virus surface antigen (HBsAg). 1983

O Lostia, and P Lorenzini, and E Maroccia

Our aim was to check the relative sensitivity of the various commercial kits available on the Italian market for the detection of hepatitis B virus surface antigen (HBsAg) in its two subtypes ay and ad. To this end, panels from different producers were compared by parallel sensitivity assays of several kits. It was found that the kits revealed different sensitivities depending on the panel used, and that sensitivity curves were not parallel. Given the lack of uniformity of response in the various panels currently available, we preferred to use two panels prepared at the Istituto Superiore di Sanità, one for each of the aforementioned subtypes. These HBsAg serial-concentration preparations were used to measure the sensitivity of the different kits on the basis of distinct methodological principles, i.e. RIA, ELISA and RPHA. These are currently considered the most sensitive methodologies and are used for kits classified as belonging to the 3rd generation. For each kit we used the procedure indicated by its manufacturer as being the most sensitive. For some of the kits we adopted all procedures in parallel recommended by respective manufacturers for different conditions of use. Sensitivity was found to be a function of lot, kit, methodology and procedure used. For the RIA and ELISA kits, we also used a modified method in parallel with the normal procedures. This method consisted in presaturating the solid phase in a solution of bovine albumin serum and was generally shown to increase the sensitivity of the kit adopted. For the majority of the kits examined, as well as the direct tests, a confirmatory test was also used, i.e. a specific inhibition test to verify the positivity revealed. In this way an increase in the sensitivity of the sample was also obtained.

UI MeSH Term Description Entries
D011863 Radioimmunoassay Classic quantitative assay for detection of antigen-antibody reactions using a radioactively labeled substance (radioligand) either directly or indirectly to measure the binding of the unlabeled substance to a specific antibody or other receptor system. Non-immunogenic substances (e.g., haptens) can be measured if coupled to larger carrier proteins (e.g., bovine gamma-globulin or human serum albumin) capable of inducing antibody formation. Radioimmunoassays
D011933 Reagent Kits, Diagnostic Commercially prepared reagent sets, with accessory devices, containing all of the major components and literature necessary to perform one or more designated diagnostic tests or procedures. They may be for laboratory or personal use. Diagnostic Reagent Kits,Diagnostic Reagents and Test Kits,Diagnostic Test Kits,In Vitro Diagnostic Device,In Vitro Diagnostic Devices,In Vitro Diagnostic Medical Device,In Vitro Diagnostic Medical Devices,Kits, Diagnostic Reagent,Diagnostic Reagent Kit,Diagnostic Test Kit,Kit, Diagnostic Reagent,Kit, Diagnostic Test,Kits, Diagnostic Test,Reagent Kit, Diagnostic,Test Kit, Diagnostic,Test Kits, Diagnostic
D004797 Enzyme-Linked Immunosorbent Assay An immunoassay utilizing an antibody labeled with an enzyme marker such as horseradish peroxidase. While either the enzyme or the antibody is bound to an immunosorbent substrate, they both retain their biologic activity; the change in enzyme activity as a result of the enzyme-antibody-antigen reaction is proportional to the concentration of the antigen and can be measured spectrophotometrically or with the naked eye. Many variations of the method have been developed. ELISA,Assay, Enzyme-Linked Immunosorbent,Assays, Enzyme-Linked Immunosorbent,Enzyme Linked Immunosorbent Assay,Enzyme-Linked Immunosorbent Assays,Immunosorbent Assay, Enzyme-Linked,Immunosorbent Assays, Enzyme-Linked
D006386 Hemagglutination Tests Sensitive tests to measure certain antigens, antibodies, or viruses, using their ability to agglutinate certain erythrocytes. (From Stedman, 26th ed) Hemagglutination Test,Test, Hemagglutination,Tests, Hemagglutination
D006514 Hepatitis B Surface Antigens Those hepatitis B antigens found on the surface of the Dane particle and on the 20 nm spherical and tubular particles. Several subspecificities of the surface antigen are known. These were formerly called the Australia antigen. Australia Antigen,HBsAg,Hepatitis B Surface Antigen,Antigen, Australia
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man

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