Liver tissue obtained from a chimpanzee during the acute phase of an experimental non-A, non-B (NANB) hepatitis virus infection was studied by a sensitive immunocytochemical staining procedure for the presence of NANB viral antigens. Initial investigations were conducted with a model system of hepatitis B virus (HBV) antigens for purposes of comparing two immunocytochemical staining methods. Of these two procedures, an immunoperoxidase procedure, utilizing an avidin-biotinylated enzyme complex, was at least 40-fold more sensitive than a conventional immunoperoxidase technique for the detection of HBV-specific tissue antigens. Utilization of the avidin-biotin-amplified immunoperoxidase staining procedure, in conjunction with four primary convalescent antisera obtained from NANB hepatitis-implicated donors, resulted in the observation of NANB virus-associated antigen in the cytoplasm of hepatocytes from an infected chimpanzee liver. These same human antisera were not reactive with a number of uninfected control cells nor with cells infected with HBV, hepatitis A virus, or cytomegalovirus. Preincubation of one of these convalescent NANB sera, or IgG derived thereof, with an acute-phase serum obtained from a NANB hepatitis virus-infected chimpanzee abolished the antibody reactivity. We conclude from these observations that selected convalescent sera from NANB hepatitis virus-infected patients contain low levels of antibody that specifically react with a cytoplasmic antigen associated with NANB virus-infected hepatocytes.Non-A, non-B (NANB) hepatitis has been recognized as a virus-induced disease that is distinct from other forms of viral-associated liver diseases, including hepatitis A virus (HAV) and hepatitis B virus (HBV), and the hepatitides induced by cytomegalovirus or Epstein-Barr virus (1-3). Clinical (19,20). In addition, studies in chimpanzees involving the chronic sequelae associated with NANB hepatitis now appear to be more serious than chronic disease developments arising from HBV infection (21-23).In an effort to study the various aspects of this serious human disease, chimpanzees have been shown to be suitable experimental models that are susceptible to NANB hepatitis virus infection (2,3,16,17,24). The reagent materials (NANB antigen) obtained from experimental animals have been used in conjunction with presumed convalescent human antibody to NANB in attempts to demonstrate immunological reactions with specificity for NANB hepatitis antigen. The present study describes a highly sensitive immunocytochemical procedure that utilizes NANB-infected chimpanzee liver expressing NANB antigen and human convalescent sera containing anti-NANB.Control and specificity studies are described herein that provide convincing evidence for the specificity of the NANB hepatitis virus immunocytochemical reactivity.
MATERIALS AND METHODSChimpanzee Materials. Liver biopsy material was obtained from four chimpanzees (nos. 90, 92, 94, and 159) infected with human plasma containing infectious NANB hepatitis virus (1...