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Identification of nonspecific reactions in laboratory rodent specimens tested by Rotazyme rotavirus ELISA.

Fecal specimens from several laboratory animal species were tested for rotavirus antigen by Rotazyme II, a commercially available enzyme-linked immunosorbent assay (ELISA) that is widely used in human diagnostic studies. Fecal samples from rabbits, hamsters, guinea pigs, dogs, and cats tested negative; whereas those from rats and mice yielded a high proportion of positive results. Rats had the highest rate with 82% of the samples being positive. However, the presence of rotavirus in positive rodent samples could not be confirmed by virus isolation, electron microscopy or blocking ELISA using anti-EDIM mouse rotavirus serum. Several lines of evidence indicated that these positive reactions were false positives, apparently due to a non-specifically reacting substance in the diet of rats and mice. All the positive fecal samples were from rats and mice that had been fed nonautoclaved diet. Samples from rodents fed autoclaved diet were consistently negative in the Rotazyme test. When rats fed autoclaved diet were subsequently fed nonautoclaved diet, their stool converted from negative to positive within 6 hours. Conversely, rats with positive stool samples converted to negative within 15 hours when fed autoclaved diet. Similar results were found with mice. Positive fecal specimens and nonautoclaved rodent diet both contained a substance that apparently attached nonspecifically to the antibody coated beads used in the ELISA and reacted directly with the substrate in the absence of the conjugate. This substance was heat labile and trypsin sensitive, suggesting that it was a protein.

Animal Feed↗

[Automatic reading of ABO and Rh groups on microplates using FMC medium and an IBG Systems reader].

We present in this paper our experience in the routine use of an automatic reader for microtiter plates (IBG Systems). A total of 2044 samples from blood donors have been tested for ABO (haematic and seric) and Rh (D antigen) blood group typing. The red blood cell samples have been tested against monoclonal anti-A, anti-B, anti-AB and anti-Rh 1 (D) sera (using two different anti-D reagents). As a negative control, 3% albumin solution was employed. In order to determine the seric groups, the plasma samples were tested against A1, A2, B and 0 cells. In all cases the red cells were suspended in Ficoll 400R-Methyl cellulose (FMC), and 0.01 Bromelin was added to red blood cell samples to be typed. The obstacles in the automatic readings were mainly solved by visual reading of the microplates. In the 2,044 samples analysed with the automatic reader, 19 discrepancies (0.94%) were found in ABO typing. In all cases the error was in the seric blood group. Three false positive reactions were found with 0 red cells. Two false negative with B red cells, interpreted by the automatic reader as doubtful results. Three positive readings were detected, in one case the positivity was due to alloantibodies (C + D specificities), the other two cases were autoagglutinations. False negative reactions were found, in 11 cases, 8 of them due to lipaemia and the remaining three were haemolysed plasma samples. It should be stressed that out of 19 cases of discrepancy, only 5 (0.24%) were due to the automatic reader while the remaining were due, to sample troubles.(ABSTRACT TRUNCATED AT 250 WORDS)

ABO Blood-Group System↗

False-positive polymerase chain reaction results for human papillomavirus in lichen planus. Potential laboratory pitfalls of this procedure.

BACKGROUND: The polymerase chain reaction (PCR) is a common tool in laboratory evaluation of tissue samples. It has been particularly useful in testing for nucleic acids of infectious organisms implicated in the pathogenesis of cutaneous diseases. OBJECTIVE: Our purpose was to evaluate archival biopsy material (paraffin-embedded) of lichen planus for human papillomavirus (HPV) DNA with PCR and in situ hybridization (ISH). METHODS: Tissue sections were obtained from 13 specimens of lichen planus and 10 control tissues. Standard methods for PCR and ISH were used to evaluate the presence of HPV DNA. RESULTS. Initial PCR results demonstrated HPV DNA in 11 of 13 specimens and in none of the control tissue. However, testing for specific HPV types revealed nucleic acid contamination. ISH was negative in all specimens. CONCLUSION: Accurate evaluation of tissue with PCR is difficult because of the procedure's profound sensitivity. Positive results reported in the literature should be viewed with caution. Potential causes for false-positive and false-negative results should be considered.

Biopsy↗

The indirect fluorescent antibody test for the detection of circulating antibodies in bovine tuberculosis.

Indirect fluorescent antibody (IFA) tests were carried out on a total of 545 individual serums from beef cattle just before tuberculin testing, using specific FITC-anti-bovine IgG and IgM conjugates. Phenol-killed M. tuberculosis (H37Rv strain) or field strains of M. bovis and M. avium were used as antigenic substrates. All cattle were examined at abattoirs for the presence of tuberculous lesions. A statistically significant difference (p less than 0.001) was found between the number of cattle with serums containing IgM and those with IgG antibody to M. bovis. The majority of cross-reactions that occurred with M. avium was due to IgM antibody. The IFA test using M. bovis and both antiglobulin conjugates detected 77% of cattle with visible lesions of tuberculosis, while the single intradermal caudal fold tuberculin test detected 83%. The IFA test detected 25 of 31 cattle with lesions that failed to react in the tuberculin test. The tuberculin test gave apparently false positive reactions in 6.2% and the IFA test gave false positive reactions in 21.2% of all cattle. The IFA test is of potential use as a further aid in the detection of tuberculous cattle that fail to react to tuberculin. It offers no advantage over the tuberculin test for the detection of all forms of the disease because it fails to detect a significant proportion of tuberculous cattle and produces an unacceptably high number of false positive results.

Animals↗

False positive serology in cerebrospinal fluid associated with a spinal cord tumor.

Biologic false positive serology in cerebrospinal fluid has been reported as exceedingly rare. In a patient with a spinal cord tumor and elevated cerebrospinal fluid protein, the cerebrospinal fluid was reactive to VDRL and fluorescent treponemal antibody absorption (fta-abs) tests, but became nonreactive with removal of the tumor. This biologic false positive reaction may be related to the elevated cerebrospinal fluid protein, as similar false positive reactions have occurred in blood with abnormal or elevated proteins. Cerebrospinal fluid reactive to the VDRL and FTA-ABS tests does not always indicate neurosyphilis.

Cerebrospinal Fluid Proteins↗

Comparison of monoclonal and polyclonal anti-P1 reagents.

Whereas monoclonal reagents for ABO, Rhesus, Kell, Kidd, Lewis and MNS antigens are widely used in blood grouping laboratories and have been well evaluated, little attention has been given so far to monoclonal anti-P1 reagents. Therefore it was the aim of our study to examine the suitability of monoclonal anti-P1 reagents for routine use in comparison to polyclonal anti-P1 reagents. 10 polyclonal anti-P1 reagents (9 from goat, 1 from rabbit) and 5 monoclonal anti-P1 reagents (4 with clone 650, 1 with clone OSK17) were tested by the tube-spin-method at room temperature (incubation time as prescribed by the manufacturer) using untreated P1+ red blood cells (RBCs) for titration and untreated P1- RBCs as negative controls. P1- RBCs with a positive direct anti-globulin test (DAT+) (coated with incomplete anti-D) and sialidase-treated P1- RBCs (T+) were used to recognize false positive reactions. 3 monoclonal anti-P1 reagents had a titer of < or = 1 with P1+(weak) RBCs, but all polyclonal anti-P1 reagents showed a titer > or = 2. Negative controls (untreated P1- RBCs) were inconspicuous. 7 polyclonal and 1 monoclonal anti-P1 reagents showed false positive reactions with P1- DAT+ RBCs. All polyclonal and 1 monoclonal (containing clone OSK17) reagent showed false positive reactions with P1- T+ RBCs. As several monoclonal anti-P1 reagents are less suitable for routine use than polyclonal anti-P1 reagents, quality control of anti-P1 reagents should be intensified.

Antibodies↗

[False-positive ELISA reactions for the hepatitis C virus and the human immunodeficiency virus after anti-influenzal vaccination].

Possible appearance of ELISA false-positive results for hepatitis C virus (HCV) and human immunodeficiency virus (HIV) after vaccination against influenza was studied on 402 volunteers before, and 30 and 90 days after that. Our results prove that influenza vaccine can sometimes induce false-positive ELISA for HCV, but not for HIV. Their frequency is relatively small--0.96% in 10-20-years-old group and 3.1% in over 60 years age, while in 3-6 years age there were not registered this kind of reactions. The surveillance of individual ELISA-positive cases over time proves that cross-reacting antibodies HCV raised after vaccination against influenza are present only in second sera, that means 30 days after vaccination, but these antibodies disappeared 90 days later.

Adolescent↗

[Application of the HLA system to forensic medicine--from serology to DNA polymorphism].

HLA antigens are highly polymorphic and therefore considered useful for personal identification in forensic medicine. The HLA system was first applied to forensic medicine for serological typing and is currently being applied to DNA typing. We first applied the HLA system to serological typing for paternity testing. Exclusion of paternity was confirmed in 39 of 93 cases. While serological HLA typing and other testing yielded consistent results in 37 of these 39 cases, exclusion of paternity could be confirmed only by serological HLA typing in 1 case and only by other testing in 1 case. Even in cases where exclusion could not be confirmed, it was possible to increase the probability of paternity. Bloodstains with known HLA types were then subjected to lymphocytotoxic inhibition tests to detect HLA antigens using one of the following methods: a two-stage method using an antibody and a bloodstain extract; a one-stage method where a bloodstain was allowed to react directly with an antiserum; or a washing method where washing was combined with one of the two above methods. Although HLA antigen detection was possible using any of these methods, some antisera yielded false-positive reactions, which limited the range of usable antisera. With the exception of cross-reactions, the washing method eliminated false-positive reactions. Antigens were detectable in bloodstains that were left to stand for up to 42 days. DNA typing based on the HLA system was investigated by determining DR and DQB1 types using the Hot Start PCR-SSP method with various samples of known HLA types and tissue samples collected from unidentified corpses. With bloodstains, DR typing was possible in all 61 cases, while DQB1 typing was possible in 31 of 33 cases. DR typing was possible even when bloodstains had been stored for 10 to 20 years. With saliva stains, typing was possible in all cases by purifying DNA using a Microcon 100 microconcentrator. With hair samples, typing was possible with all hair root samples and about half of hair shaft samples. With mixed stains, the detection of minor components was possible even at a low mixing ratio of 10:1. With cigarette butts, as was the case with saliva stains, typing was possible using purified DNA. Lipstick did not affect the results of DNA typing. Although DNA typing was possible in many cases using tissue samples collected from unidentified corpses, the results were affected by factors such as status of corpse, postmortem interval, postmortem change and tissue type. With some aorta samples, for example, typing was possible up to one year after death. The results of typing were also fairly favorable using bone samples.

DNA↗