Objective To explore the effects of amino acid variation of recombinant proteins of the different genotypes and subtypes of hepatitis E virus (HEV) on the antigenicity of HEV antigen and to screen the best HEV antigen for hepatitis E immunodiagnosis.Method Applying the HEV recombinant proteins with known sequences as the coated antigens, the serum samples with known background were tested by ELISA.Results No antigenicity for all the 6 different antigens was found to 30 serum samples obtained from normal blood donors.Positive reactions to each of these antigens were observed for all of the 17 serum specimens obtained from patients with acute hepatitis E and 5 serum samples from experimently infected animals.However,the titers of the anti HEV antibody were associated with the genotypes of the antigens applied in the assay, especially were determined by the variation of the amino acid located at the position 76 within the amino acid sequence of the HEV recombinant proteins.Conclusion The mixture of multi genotype HEV antigens is the best one for HEV immunodiagnostics.
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