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Diagnosis of herpes simplex virus encephalitis by the detection of intrathecal viral antigen with chemiluminescence assay.

Research Project

Project/Area Number 04670501
Research Category

Grant-in-Aid for General Scientific Research (C)

Allocation TypeSingle-year Grants
Research Field Neurology
Research InstitutionNihon University

Principal Investigator

KAMEI Satoshi  Department of Neurology, Nihon University School of Medicine, Assistant, 医学部, 助手 (40142509)

Co-Investigator(Kenkyū-buntansha) SHIMIZU Kazufumi  Department of Microbiology, Nihon University School of Medicine, Associate profe, 医学部, 助教授 (50004677)
Project Period (FY) 1992 – 1993
Project Status Completed (Fiscal Year 1993)
Budget Amount *help
¥1,900,000 (Direct Cost: ¥1,900,000)
Fiscal Year 1993: ¥1,000,000 (Direct Cost: ¥1,000,000)
Fiscal Year 1992: ¥900,000 (Direct Cost: ¥900,000)
KeywordsHerpes simplex virus encephalitis / Rapid diagnosis / Chemiluminescence / Cerebrospinal fluid / Intrathecal viral antigen / 単純ヘルペス脳炎 / 早期診断法 / 抗原検出法 / 定量性
Research Abstract

The purpose of this research is an establishment of a technique for detecting HSV antigen in cerebrospinal fluid(CSF) by measuring the antigen-antibody complex-activated complement-stimulated chemiluminescence in normal granulocytes. The materials consisted of 17 CSF samples from 10 patients with HSVE (10 from 6 pathologically and/or serologically definite HSVE,7 from 4 serologically probable HSVE), and 26 CSF samples from 22 patients with a non-HSVE,inflammatory disease of the central nervous system, and 30 CSF samples from 30 patients with non-infectious neurological diseases. The chemiluminescence of normal granulocytes was measured in two assays, one including CSF(assay A)and the other including CSF and anti-HSV antibody(assay B). The difference in chemiluminescence was evaluated as the ratio of the two values(B/A ratio)for each sample. The B/A ratios of all CSF samples taken from the 5th to 38th day of HSVE exceeded 1.3, while those for all non-HSVE were lower than 1.0. This assay required only 5 h to yield a result. Cultured HSV was diluted in a control CSF to a concentration of 10^0 to 10^6 infectious units. The chemiluminescence values of the diluted samples were measured in assay B.The relationship between the common logarithm of the infectious units and chemiluminescence values was statistically linear. This method represents a new valuable, especially quantitative and rapid diagnostic tool for intrathecal HSV antigen in HSVE ; it is sensitive, specific and even quantitative.

Report

(3 results)
  • 1993 Annual Research Report   Final Research Report Summary
  • 1992 Annual Research Report
  • Research Products

    (5 results)

All Other

All Publications (5 results)

  • [Publications] S Kamei,T Tetsuka,T Takasu,K Shimizu.: "New non-invasive rapid diagnosis of herpes simplex virus encephalitis by quantitative detection of intrathecal antigen with a chemiluminescence assay." Journal of Neurology,Neurosurgery,and Paychiatry. 57. 1112-1114 (1994)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1993 Final Research Report Summary
  • [Publications] 亀井聡,高須俊明,手塚統夫,清水一史,吉原剛: "単純ヘルペスウイルス脳炎の髄液診断-化学発光による抗原測定とPCR法によるDNA検出の比較-" 臨牀と研究. 71. 2107-2112 (1994)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1993 Final Research Report Summary
  • [Publications] Satoshi Kamei, Tsunao Tetsuka, Toshiaki Takasu, Kazufumi Shimizu: "New non-invasive rapid diagnosis of herpes simplex virus encephalitis by quantitative detection of intrathecal antigen with a chemiluminescence assay." Journal of Neurology, Neurosurgery, and Psychiatry. 57. 1112-1114 (1994)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1993 Final Research Report Summary
  • [Publications] Satoshi Kamei, Tosiaki Takasu, Tsunao Testuka, Kazufumi Shimizu, Tuyoshi Yoshihara: "Diagnosis of herpes simplex virus encephalitis using cerebrospinal fluid -Comparison between antigen detection by chemiluminescence assay and DNA detection by PCR-." Rinshou to Kenkyu. 71(in Japanese). 2107-2112 (1994)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1993 Final Research Report Summary
  • [Publications] S Kamei,T Tetsuka,T Takasu K Shimizu: "New non-invasive rapid diagnosis of herpes simplex virus encephalitis by guantitative detection of intrathecal antigen using chemluminescence assay" Journal of Neurology,Neurosusgery and psychiafrg. (in print).

    • Related Report
      1993 Annual Research Report

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Published: 1992-04-01   Modified: 2016-04-21  

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