Comparison of Four Serological Tests To Determine the CagA or VacA Status of Helicobacter pylori Strains
Yoshio Yamaoka, Tadashi Kodama, David Y. Graham, Kei Kashima
Abstract
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Yoshio Yamaoka, Tadashi Kodama, David Y. Graham, Kei Kashima
Abstract
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We compared four tests for antibodies to CagA or VacA, HelicoBlot 2. 0, RIDA Blot Helicobacter, CHIRON RIBA H. pylori SIA, and an enzyme-linked immunosorbent assay using recombinant CagA. Immunoblot assays were accurate for determining Helicobacter pylori status but poor for determining CagA or VacA status (accuracy, 66 to 80% for CagA status and 34 to 67% for VacA status). None can be recommended for determining CagA or VacA status.
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We compared four tests for antibodies to CagA or VacA, HelicoBlot 2. 0, RIDA Blot Helicobacter, CHIRON RIBA H. pylori SIA, and an enzyme-linked immunosorbent assay using recombinant CagA. Immunoblot assays were accurate for determining Helicobacter pylori status but poor for determining CagA or VacA status (accuracy, 66 to 80% for CagA status and 34 to 67% for VacA status). None can be recommended for determining CagA or VacA status.
Key concepts: CagA, Helicobacter pylori, Serology, Spirillaceae, Microbiology, Helicobacter, Recombinant DNA, Antibody