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HIVASE 1+2

GENERAL BIOLOGICALS HIVASE 1+2 ─ A Direct Sandwich Enzyme


Immunoassay Kit for the Detection of Antibodies to Human
Immunodeficiency Virus Type 1 and/or Type 2 (Anti-HIV 1/2) in Human
Serum or Plasma

Reagents for in vitro Diagnosis Only

December 2012

This kit can be used with a fully automatic EIA microtiterplate immunoanalyzer

FEATURES:
‧Direct Sandwich Method
‧High Sensitivity and Specificity
‧rDNA HIV-1Envelope and HIV-2
Envelope Antigens are included

Cat. No. 4HIV3 96 Tests/Kit


4HIV11 480 Tests/Kit Instrumental Test w/TMB

GENERAL BIOLOGICALS CORPORATION


#6, INNOVATION FIRST ROAD, SCIENCE- PARK,
HSIN CHU, TAIWAN, R.O.C.
TEL: 886-3-5779221
FAX: 886-3-5779227
E-mail:Sales.group@gbc.com.tw
PREFACE PRINCIPLES OF THE TEST
Acquired immune deficiency syndrome The reagent kit, HIVASE 1+2, developed
(AIDS) was first recognized and described by General Biologicals Corporation adopts
in 1981. It is caused by virus, which are the "direct sandwich principle" as the basis
transmitted by sexual contact, by sharing for the assay to detect antibodies to HIV-1
contaminated needles and syringes, by and/or HIV-2.
contaminated blood products, or transmitted
The GBC’s HIVASE 1+2 is a sandwich
from an infected mother to her fetus or child
enzyme immunoassay which employs
during the prenatal period. Public education
recombinant HIV-1 and HIV-2 antigens for
of AIDS prevention plus HIV antibodies
the detection of antibodies to HIV-1 and
screening on donor blood can prevent wide
HIV-2 in human serum or plasma. These
spreading of AIDS infection.
rDNA antigens which are reactive with the
FUNCTION predominant antibodies to HIV-1 and HIV-2,
constitute the solid-phase antigenic
The disease is considered to involve at least absorbent. When human serum or plasma is
two different Human Immunodeficiency added to the well, the HIV-1/2 antigens and
Viruses (HIV-1 and HIV-2). Evidence of Anti-HIV 1/2 will form complexes on the
widespread HIV-1 infection has been well if Anti-HIV 1/2 is present in the
reported from almost every country in the specimen. After washing, the well is filled
world. HIV-2 infection has been found in with a solution containing conjugate of
only a few people in Europe and countries in rDNA HIV-1/2 antigens and horseradish
West Africa. HIV-1 and HIV-2 have a peroxidase (HRPO), allowing the formation
substantial degree of immunological of ( HIV-1/2 )‧( Anti-HIV-1/2 )‧( HIV-
homology among their core proteins but 1/2‧HRPO ) complex. After washing out
their envelope glycoproteins show the unbound conjugate, TMB solution
considerable differences. To ensure (3,3’,5,5’-tetramethylbenzidine) is added for
satisfactory detection of antibodies to both color development. The absorbance of the
types of viruses, it is necessary that epitopes color development is a measurement of the
from envelope proteins of both viruses is anti-HIV1 and/or anti-HIV2 content in the
used in screening assay. sample.

CONTENTS OF THE KIT


Items 1-8 on the following table should be refrigerated at 2-8℃ and the others stored at room
temperature (20-30℃).
ITEMS 96 TESTS 480 TESTS
1. HIV 1+2 Antigens Plate: 96-well microtiter plate coated with
rDNA HIV-1 env (gp120/41) and HIV-2 env (gp 105/gp36) 1 plate 5 plates
antigens.
2. Conc. HIV Antigen Conjugate: rDNA HIV-1 and HIV-2 antigens
conjugated with horseradish peroxidase (HRPO), diluted in Tris- 1 bottle 1 bottle
buffer with bovine serum. Preservatives: 0.01% Thimerosal and 0.3 ml 1.0 ml
0.003% Gentamycin.
3. Anti-HIV1 Positive Control: Inactivated rabbit serum positive for
1 bottle 1 bottle
anti-HIV1. Preservatives: 0.01% Thimerosal and 0.003%
1.5 ml 3.0 ml
Gentamycin.
4. Anti-HIV2 Positive Control: Inactivated rabbit serum positive for
1 bottle 1 bottle
anti-HIV-2. Preservatives: 0.01% Thimerosal and 0.003%
1.5 ml 3.0 ml
Gentamycin.
5. HIV Negative Control: Normal human serum non-reactive for
1 bottle 1 bottle
HBsAg, anti-HCV and for anti-HIV-1 and 2. Preservatives: 0.01%
1.5 ml 3.0 ml
Thimerosal and 0.003% Gentamycin.
6. Conjugate Diluent D: Tris-buffer contains bovine serum and
1 bottle 1 bottle
protein stabilizer. Preservatives: 0.01% Thimerosal and 0.003%
20 ml 100 ml
Gentamycin.

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7. TMB Substrate Solution A: 3,3',5,5'-tetramethylbenzidine (TMB) 1 bottle 1 bottle
in an organic base. 12 ml 35 ml
8. TMB Substrate Solution B: A Citric Acid buffer contains 1 bottle 1 bottle
H2 O 2 . 12 ml 35 ml
9. 2 N Sulfuric Acid. 1 bottle,12 ml 1 bottle,50 ml
10. Con. Washing Solution D (20X): A concentrated Phosphate 1 bottle 1 bottle
buffer with Tween-20. 110 ml 400 ml
Accessories: (provided as needed)
11. Adhesive Slips
12. Black Covers
13. Absorbent Pads

thoroughly with 5% sodium


OTHER MATERIALS AND hypochlorite.
DEVICES NEEDED 12. All waste materials should be properly
disinfected before disposal. Both liquid
1. 20 μ μl micropipettes and and solid waste should be autoclaved
disposable tips. for at least one hour at 121℃. Solid
2. Automatic microplate washing equipment. waste can also be incinerated. Non-
3. Water bath or circulated incubator with acidic liquid waste can be treated with
temperature control. sodium hypochlorite diluted to a final
4. Precision ELISA Reader: Performance of concentration of 1%. Liquid wastes
the assay requires the use of a precision containing acid must be neutralized
ELISA Reader for results reading. before treatment mentioned above and
5. Fully automatic EIA microplate analyzer should stand for 30 minutes to obtain
e.g. DYNATECH MR4000, MR5000, effective disinfection.
MR7000, Labotech, Rosys Plato 3300 13. TMB substrate solution contains
(optional). dimethyl sulfoxide, an irritant to skin
and mucous membranes. Avoid
PRECAUTIONS contact of TMB substrate solution
and sulfuric acid with skin and
1.This kit is for physicians or medical mucous membranes.
technicians used only.
2.The reagent kit is for in vitro diagnosis SPECIMEN COLLECTION
only. AND STORAGE
3. Bring all kit reagents and samples to
room temperature (20-30℃) and mix 1. Either serum or plasma can be used with
gently before use. this diagnostic kit. Whole blood
4. Do not use kit beyond its expiration specimens should be separated as soon as
date. possible in order to avoid hemolysis. Also,
5. Do not interchange reagents between clots must be removed.
different lots. 2. Specimens must be stored at 2-8℃ and
6. Reagents must be protected from avoided heat-inactivation to minimize
microbial contamination. deterioration. For long-term storage, they
7. The positive control has been should be frozen below -20℃. Storage in
inactivated, however, for safety reason, self-defrosting freezer is not
it must be treated as infectious material. recommended.
8. Do not smoke or eat in areas where 3. Frozen specimens must be thawed
specimens or reagents are handled. thoroughly and mixed before test.
9. Do not mouth pipette. 4. Avoid multiple freeze-thaw procedures.
10. Wear gloves when handling reagents
or specimens, and wash hands
thoroughly afterwards.
11. Infectious specimens and nonacid
containing spills should be wiped up

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REAGENT STORAGE NOTE: Dilute Washing Solution D (20X)
Concentrate with distilled or
1. The kit must be stored at 2-8℃. Do not deionized water to 1: 20 dilution.
freeze. Do not use tap water.
2. Strips of the plate should be used within
one month after open the original AUTOMATIC MICROPLATE
aluminum foil bag. The unused strips WASHING PROCEDURE:
should be kept in the aluminum foil bag
a. Any commercial automatic microplate
and taped the opening tightly.
washer or other liquid aspirating /
3. Return the reagents to 2-8℃ immediately
dispensing devices can be used for
after use.
washing purpose. The user should test the
4. Washing Solution D (20X) Concentrate
devices to determine the proper volume of
should be stored at room temperature to
water and wash cycles to insure proper
avoid crystallization. If the crystal has
washing. We suggest that 6 cycles with at
been precipitated before use, warm up the
least 0.4ml wash buffer per well per wash
solution in a 37℃ water bath till crystal
and soaking for 10 seconds.
dissolved.
b. Blot dry by inverting the plate and tapping
Preparation of firmly onto absorbent paper. All residual
Diluted Conjugate washing buffer should be blotted dry.

1. Bring Conc. HIV Antigen Conjugate WARNING: Improper washing will cause
and Conjugate Diluent D to room false results.
temperature (20-30℃) before use.
2. Use only clean container to avoid TEST PROCEDURE
contamination. Assay process can be performed manually
3. Prepare diluted conjugate by making or by automatic EIA microplate
1:101 dilution of Conc. HIV Antigen
immunoanalyzer.
conjugate with Conjugate Diluent D, or
following Conjugate Preparation Chart 1. Bring all Reagents and Specimens to
below. Swirl gently to mix thoroughly room temperature (20-30℃) before begin
and avoid foaming. the assay.
4. Excess diluted conjugate solution should
be discarded after use. 2. Prepare the needed number of wells,
including two wells for Blanks, two
Conjugate Preparation Chart: wells for Negative Control, two wells
Volume of Volume of Conc. for each Anti-HIV1 and Anti-HIV2
Number of Conjugate HIV Antigen Positive Control, and one well for each
Wells used Diluent needed Conjugate needed Specimen.
(ml) (μl)
8 1 10 3. Add 100 μl of each Control and
16 2 20 Specimen into each appropriate well.
24 3 30 NOTE:
32 4 40 (1) Use a new pipette tip for each
40 5 50 sample to avoid cross
48 6 60 contamination.
56 7 70 (2) Avoid touching the edge of the well
64 8 80 during each pipette step.
72 – 80 9 90
81 - 96 10 100 4. Seal the Plate with an Adhesive Slip.
Incubate the plate in a 37±1℃ water bath
or humidified incubator for 30 minutes.
PLATE WASHING
PROCEDURE 5. Prepare diluted conjugate by following
the conjugate preparation chart.

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6. At the end of the incubation period, CALCULATION AND
remove and discard the Adhesive Slip
and wash the Plate by following the
DETERMINATION
Plate Washing Procedures. 1. Calculation of NCx:
7. Add 100 μl of the diluted Conc. HIV Example: NC Absorbance
Antigen Conjugate in each well (except 1 0.022
blank wells). 2 0.024
8. Seal the plate with an Adhesive Slip and NCx = (0.022 + 0.024) / 2 = 0.023
incubate the plate in a 37±1℃ water bath
or humidified incubator for 20 minutes. NCx should be ≦0.1
9. Repeat step 6. 2. Calculation of Anti-HIV1 PCx and
Anti-HIV2 PCx:
10. Choose one of the following two
methods for color development: Example:
A. Mix an equal volume of TMB Anti-HIV1 PC Absorbance
Substrate Solution A and B in a clean 1 1.045
container before use. Add 100 μl of 2 1.170
the mixture to each well including 2
blanks. Anti-HIV1 PCx = (1.045 + 1.170) / 2
= 1.108
NOTE: The mixture of TMB Substrate
Solution A and B must not be Anti-HIV2 PC Absorbance
stored longer than 10 minutes 1 1.116
after preparation. Do not expose 2 1.097
the mixture of TMB solution Anti-HIV-2 PCx = (1.116 + 1.097) / 2
under intense light.
= 1.107
B. Add 50 μl of TMB Substrate
Both Anti-HIV1 PCx and Anti-HIV2
Solution A and 50 μl of TMB
PCx should be ≧ 0.5, otherwise, the
Substrate Solution B into each well
test is invalid.
including 2 blanks. Mix well gently.
3. Determination of Cutoff Value:
11. Cover the plate with Black Cover and
incubate the plate at room temperature Cutoff Value = NCx + 0.10
for 15 minutes.
Example:
12. Stop the reaction by adding 100 μl of 2N
Sulfuric Acid to each well, including Cutoff Value = 0.023 + 0.10 = 0.123
blank wells.
INTERPRETATION
13. Measure the optical density within 15 OF RESULT
minutes by a precision ELISA reader.
Blank the instrument by using the 1. Non-reactive Result: Specimens with
lighter one of the two blanks. Read the absorbance values LESS than the
absorbence at wavelength of 450nm or CUTOFF VALUE are considered NON-
450/650nm. REACTIVE by the criteria of HIVASE
1+2.
NOTE: The color of the blank should be
colorless to light yellow ; 2. Reactive Result: Specimens with
otherwise, the test results are absorbance values EQUAL to or
invalid. Test has to be repeated. GREATER than the CUTOFF VALUE
Substrate blank: absorbance are considered INITIALLY
value must be less than 0.100. REACTIVE and should be RETESTED
in duplicate using the original sample

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source. If duplicate retests are non- clone (HIV-2 caM2). Journal of General
reactive, the specimen is considered Virology, 72, 721-724.
NON-REACTIVE by the criteria of
HIVASE 1+2. If either duplicate retest 3. Mireille Guyader, 1987. Genome
is reactive, the specimen is considered Organization and transactivation of the
REPEATEDLY REACTIVE. human immunodeficiency virus type 2,
Nature, 326, 662-669.
3. Specimens found repeatedly reactive by
HIVASE 1+2 must be further tested by 4. Ray Sanchez-Pescador, 1985. Nucleotide
other confirmatory tests (such as Western Sequence and Expression of an AIDS-
Blot). If specimens tested reactive with Associated Retrovirus (ARV-2), Science,
these tests, the specimens are considered 227, 484-492.
REACTIVE or presence of antibody to
HIV-1 and/or HIV-2. 5. T. Mathiesen, 1989. Mapping of IgG
subclass and T-cell epitopes on HIV
4. This assay makes no distinction whether proteins by synthetic peptides,
the antibodies in reactive samples are Immunology, 67, 453-459.
directed against HIV-1 or against HIV-2.
Further testing by confirming the original 6. John W. Gnann, 1987. Synthetic Peptide
observations and distinctions between the Immunoassay Distinguishes HIV Type I
two viruses is necessary. and HIV Type 2 Infections, Science, 237,
346-349.

BIBLIOGRAPHY 7. Dante J. Marciani, 1987. Solubilization of


Inclusion Body Proteins by Reversible N-
1. Lee Ratner, 1985. Complete nucleotide Acylation, Protein Purification, 443-458.
sequence of the AIDS virus, HTLV-III,
Nature 313, 277-284. 8. Gerald A. Beltz, 1989. Development of
Assays to Detect HIV-1, HIV-2 and
2. M. Tristem, 1991. Nucleotide sequence of HTLV-I, Molecular Probes, 131-142.
a Guinea-Bissau-derived human
immunodeficiency virus type 2 proviral

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HIVASE 1+2 SIMPLIFIED PROCEDURE
THE SIMPLIFIED PROCEDURE IS USED FOR THE EXPERIENCED
USERS. NEW USERS ARE ADVISED TO READ AND FOLLOW THE
DETAILED TEST PROCEDURE CAREFULLY.

Add 100 μl of Controls (2X NC, 2X Anti-HIV1 PC, 2X Anti-


HIV2 PC) and 100 μl of each Specimen into well. Reserve 2
wells for blanks.

Incubate the plate at 37±1℃ for 30 minutes.

Wash the plate.

Add 100 μl of Diluted HIV Antigen Conjugate to each well
except the blanks.

Incubate the plate at 37±1℃ for 20 minutes.

Wash the plate.
(Choose one of the following methods
for color development)
↙ ↘
Mix the TMB Substrate Solution A Add 50 μl of TMB Substrate
and B by the equal volume. Add Solution A to wells and then add 50
100 μl of the mixture solution to μl of TMB Substrate Solution B.
each well. Mix gently.
↘ ↙
Incubate at R.T. for 15 minutes.

Add 100 μl of 2N H2SO4 into each well.

Determine absorbance at 450nm or 450/650nm.

GENERAL BIOLOGICALS CORPORATION


#6, INNOVATION FIRST ROAD, SCIENCE- PARK,
HSIN CHU, TAIWAN, R.O.C.
TEL: 886-3-5779221
FAX: 886-3-5779227
E-mail:Sales.group@gbc.com.tw

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