Objective To provide a preliminary evaluation of the self?made horseradish peroxidase (HRP) marked Hantavirus (HV) recombinant N protein (rNP) rNP?IgM direct capture ELISA diagnostic kit. Methods Assessment of the specificity and stability of the kit and comparison of clinical results with similar products were performed to evaluate the sensitivity of the kit in the detection of serum anti?HV?IgM. Results (1) The kit was only responsive to anti?HV?IgM positive serum, and irresponsive to anti?varicella?zoster virus?IgM (anti?VZV?IgM), anti?Japanese encephalitis virus?IgM (anti?JEV?IgM), anti?dengue virus?IgM (anti?DV?IgM), anti?hand, foot and mouth EV71 virus?IgM (anti?EV71?IgM) positive sera. No obvious reduction in serum anti?HV?IgM detecting capability was noticed after placement at 37 ℃ for 3 d. (2) In 144 sera samples in 120 patients with suspected hemorrhagic fever with renal syndrome, inconsistency was observed only in the anti?HV?IgM test results in 12 sera of 12 patients between the two kinds of kits, in which 8 primary sera samples were detected positive by the kit and negative by commercial ones (the secondary sera samples were positive for both kits); 3 primary samples (the secondary samples unavailable) were at the critical value for the kit and negative for commercial kits. Meanwhile, one other primary serum sample was positive for the kit and negative for the commercial ones (the secondary and tertiary ones positive for both). Conclusion The laboratory developed capture ELISA anti?HV?IgM diagnostic kits had favorable specificity, stability and sensitivity, suitable for the clinical diagnosis and epidemiological surveillance of HV infections.
2010, 21 (2):
128-130.