1997
DOI: 10.1086/514079
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Detection of Antibodies to the Nonstructural 3C Proteinase of Hepatitis A Virus

Abstract: Hepatitis A virus (HAV) infection can stimulate the production of antibodies to structural and nonstructural proteins of the virus. However, vaccination with an inactivated vaccine produces antibodies exclusively to the structural proteins. Current diagnostic assays, such as the Abbott HAVAB test, used to determine exposure to HAV detect antibodies only to the structural proteins and as a result are not able to distinguish between a natural infection and vaccination with an inactivated virus. Therefore, an ELI… Show more

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Cited by 23 publications
(10 citation statements)
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“…Antibodies to nonstructural proteins have been detected in humans and experimentally infected chimpanzees but are absent in vaccinated individuals (126,202). However, because of what appears to be a variable host antibody response during HAV replication, a diagnostic test for these antibodies, which could be used to complement current anti-HAV testing and differentiate previously infected from vaccinated persons, has not been developed (201,233).…”
Section: Pathogenesis and Natural History Of Hav Infectionmentioning
confidence: 99%
“…Antibodies to nonstructural proteins have been detected in humans and experimentally infected chimpanzees but are absent in vaccinated individuals (126,202). However, because of what appears to be a variable host antibody response during HAV replication, a diagnostic test for these antibodies, which could be used to complement current anti-HAV testing and differentiate previously infected from vaccinated persons, has not been developed (201,233).…”
Section: Pathogenesis and Natural History Of Hav Infectionmentioning
confidence: 99%
“…Furthermore, detection of an immune response mediated against nonstructural proteins that are not present in the virion is suggestive of viral replication in vivo. Previous studies of hepatitis A virus (HAV) infection also suggested the severity of infection is correlated with the development of anti-3C antibodies (5,9). However, these studies also suggest that there is heterogeneity in the development of anti-3C and antistructural protein antibodies.…”
Section: Discussionmentioning
confidence: 98%
“…Klassevirus 3C protease shares only 38% amino acid identity and only one potential 7-mer epitope with its closest relative, the 3C protease of Aichi virus. Previous studies of hepatitis A virus (HAV), a prototypic picornavirus, indicate that antibodies are made against the picornaviral 3C protease during bona fide picornavirus replication and thus can distinguish between vaccinated and actively infected chimpanzees, humans, and tamarins (5,9).…”
mentioning
confidence: 99%
“…Other studies have found that children and adults naturally infected with hepatitis A virus (HAV) make antibodies to the viral protease and these are detected at least up to 15 months after infection (10,17). This has been useful in distinguishing antibody acquired in response to HAV infection and antibody induced by immunization with an inactivated vaccine.…”
mentioning
confidence: 99%