Studies of human hepatitis A (infectious hepatitis) have been hampered by the lack of a simple assay for antibody against hepatitis A virus. Such a test has been developed as the present report will show.Historically, Deinhardt et al.(1) first presented evidence for propagation of hepatitis A virus in Saguinus nigricollis and Saguinus oedipus marmosets. Provost et al.(2) in our laboratories developed an assay for neutralizing antibody against hepatitis A virus in S. mystax marmosets and provided definitive proof of etiologic relationship between human hepatitis A isolate CR326 and human hepatitis A. The serum neutralization findings were confirmed by Holmes et al. (3). Using another approach, Feinstone et al. (4) later demonstrated a 27 nm diameter particle in the stool filtrate of a case of hepatitis A and the development of an antibody against it that was detected by immune electron microscopy.The present report describes the development of a specific complement-fixation (CF) test for human hepatitis A antibody employing, as antigen, liver extract of marmosets infected with the CR326 strain (2, 5 ) of human hepatitis A virus. Data relating to the development of CF antibody against the virus in hepatitis A cases are presented and discussed.Materials and Methods. Virus. The CR326 strain (5) of human hepatitis A virus isolated in marmosets from a case of hepatitis A in Costa Rica was used to prepare CF antigen. Preparation of CF antigen. The hepatitis A CF antigen preparations were made from livers of S. mystax marmosets infected intravenously with CR326 virus (2, 5). The livers were collected from the animals at a time when the serum enzyme values (SGOT and SICD) were ele-vated. The control CF antigens were made from livers of uninfected marmosets. All livers were perfused thoroughly with phosphate buffered saline (PBS), pH 7.2, minced with a scissors, and ground in a mortar with sterile alundum to give a 10% suspension by weight in PBS. The antigens consisted of the supernatant fluids obtained after low speed clarification. Both viral and control antigens were heated at 56" for 2 hr prior to use in the CF tests. Hepatitis A complement-fixation (CF) tests. Grid titrations were performed using serial dilutions of human hepatitis A convalescent serum and serial dilutions of antigen. The CF antigen titers were low and it was usually necessary to employ the infected liver preparation at a 1 :2 dilution (2 units of antigen) in the tests for hepatitis A antibody. The normal control CF antigen was used at the same dilution. Two and one half full units of guinea pig complement were employed in the tests. Incubation with complement was overnight at 4". The hemolytic system consisted of a 1 % suspension of sensitized sheep red blood cells. Antibody titers were expressed as the highest initial dilution of serum giving 50% or greater fixation of complement. Hepatitis B CF tests. Tests for the surface antigen (HB,Ag, Australia antigen) were performed according to Purcell et al. (6).Patients' sera. Natural hepatitis A and B ca...