1986
DOI: 10.1093/infdis/154.6.1031
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Lack of Association Between Titers of HAl Antibody and Whole-Virus ELISA Values for Patients with Congenital Rubella Syndrome

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Cited by 10 publications
(5 citation statements)
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“…HI or microneutralization assays may severely underestimate the degree of immunity by omitting the detection of antibodies raised against other viral proteins [15]. In our studies, NI titer did not positively correlate with HI titers ( P ≤ 0.84) nor was associated with IgG titers to whole virus (data not shown) illustrating the complexity of the antibody response to influenza.…”
Section: Discussioncontrasting
confidence: 48%
“…HI or microneutralization assays may severely underestimate the degree of immunity by omitting the detection of antibodies raised against other viral proteins [15]. In our studies, NI titer did not positively correlate with HI titers ( P ≤ 0.84) nor was associated with IgG titers to whole virus (data not shown) illustrating the complexity of the antibody response to influenza.…”
Section: Discussioncontrasting
confidence: 48%
“…Several limitations exist when protective responses are determined by antibody responses to HA alone. Measuring exclusively HA antibodies may severely underestimate the degree of immunity by omitting the detection of antibodies raised against other viral proteins [35]. In our previous study [20], we discovered that antibodies to NA did not positively correlate with antibodies to HA, thus supporting this idea.…”
Section: Discussionmentioning
confidence: 73%
“…Alternatively, this domain, as an adjacent epitope to the previously established neutralization and HAI domains, may also be recognized antigenically in the context of an effective immune response to RV. It is well established that congenital RV infection may be associated with long-term virus persistence in tissues and excretion of RV postnatally, as well as abnormal patterns of RV immunoreactivity (3,6,12,16). RV persistence in CRS patients may be due to development of selective immunologic tolerance to neutralization domains on RV El protein as a result of exposure of the immature fetal immune system to RV.…”
Section: Discussionmentioning
confidence: 99%
“…Similarly, lack of responsiveness to biologically relevant regions of RV El protein may lead to failed immunity to RV and reinfection. Numerous cases concerning the lack of association of immunity as determined by gold standard techniques such as HAI and neutralizing antibody tests and RV reinfection have been documented (9,12,15,21). This is of considerable concern because of the risk of RV reinfection in pregnant women (9,13).…”
Section: Discussionmentioning
confidence: 99%