Development of two types of rapid diagnostic test kits to detect the hemagglutinin or nucleoprotein of the swine-origin pandemic influenza A virus H1N1

Clin Vaccine Immunol. 2011 Mar;18(3):494-9. doi: 10.1128/CVI.00269-10. Epub 2011 Jan 12.

Abstract

Since its emergence in April 2009, pandemic influenza A virus H1N1 (H1N1 pdm), a new type of influenza A virus with a triple-reassortant genome, has spread throughout the world. Initial attempts to diagnose the infection in patients using immunochromatography (IC) relied on test kits developed for seasonal influenza A and B viruses, many of which proved significantly less sensitive to H1N1 pdm. Here, we prepared monoclonal antibodies that react with H1N1 pdm but not seasonal influenza A (H1N1 and H3N2) or B viruses. Using two of these antibodies, one recognizing viral hemagglutinin (HA) and the other recognizing nucleoprotein (NP), we developed kits for the specific detection of H1N1 pdm and tested them using clinical specimens of nasal wash fluid or nasopharyngeal fluid from patients with influenza-like illnesses. The specificities of both IC test kits were very high (93% for the HA kit, 100% for the NP kit). The test sensitivities for detection of H1N1 pdm were 85.5% with the anti-NP antibody, 49.4% with the anti-HA antibody, and 79.5% with a commercially available influenza A virus detection assay. Use of the anti-NP antibody could allow the rapid and accurate diagnosis of H1N1 pdm infections.

Publication types

  • Evaluation Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Antibodies, Monoclonal / isolation & purification
  • Antibodies, Viral / isolation & purification
  • Clinical Laboratory Techniques / methods*
  • Female
  • Hemagglutinin Glycoproteins, Influenza Virus / analysis*
  • Hemagglutinin Glycoproteins, Influenza Virus / immunology
  • Humans
  • Immunoassay / methods
  • Influenza A Virus, H1N1 Subtype / isolation & purification*
  • Influenza, Human / diagnosis*
  • Influenza, Human / virology
  • Mice
  • Mice, Inbred BALB C
  • Nasal Mucosa / virology
  • Nasopharynx / virology
  • Nucleocapsid Proteins
  • RNA-Binding Proteins / analysis*
  • RNA-Binding Proteins / isolation & purification
  • Reagent Kits, Diagnostic*
  • Sensitivity and Specificity
  • Time Factors
  • Viral Core Proteins / analysis*
  • Viral Core Proteins / isolation & purification

Substances

  • Antibodies, Monoclonal
  • Antibodies, Viral
  • Hemagglutinin Glycoproteins, Influenza Virus
  • NP protein, Influenza A virus
  • Nucleocapsid Proteins
  • RNA-Binding Proteins
  • Reagent Kits, Diagnostic
  • Viral Core Proteins
  • hemagglutinin, human influenza A virus