Anti-EBNA-1 (carboxy-half) IgG antibodies as a seroepidemiological marker for Epstein-Barr virus infection

Beitr Infusionsther Transfusionsmed. 1994:32:134-7.

Abstract

A population of 2,024 voluntary blood donors was tested for anti-EBNA-1 IgG and anti-VCA IgG serum antibodies to define the EBV infection rate and to compare two different epidemiological markers. Initial screening was performed with a sensitive EBNA-1-IgG ELISA based on recombinant antigen (Biotest) and a VCA-IgG ELISA based on conventional antigen. Both ELISAs had concordant results in 90.4% of the sera. The infection rate was found to be 96.8%. The expected immune status VCA+/EBNA+ was observed in 98.1% of the seropositives. The comparison of sensitivity, specificity, and predictive values between the two screening assays underlines the superiority of the EBNA-1 ELISA. The marker anti-EBNA-1 IgG as detected by a sensitive ELISA (Biotest anti-EBV recombinant) is suitable for defining previous EBV infection (positive predictive value 99.8%). The high infection rate in the adult population, however, renders the supply with EBV-negative blood rather difficult.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • Antibodies, Viral / blood*
  • Blood Donors*
  • Enzyme-Linked Immunosorbent Assay / methods
  • Epstein-Barr Virus Nuclear Antigens / immunology*
  • False Positive Reactions
  • Herpesviridae Infections / diagnosis*
  • Herpesviridae Infections / epidemiology*
  • Herpesvirus 4, Human*
  • Humans
  • Immunoglobulin G / blood*
  • Patient Selection
  • Sensitivity and Specificity

Substances

  • Antibodies, Viral
  • Epstein-Barr Virus Nuclear Antigens
  • Immunoglobulin G