Hepatitis C Virus or HCV is an enveloped RNA virus recently classified in the family of Flaviviridae.

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Product Catalog No: CCONF Pack Size: 12 Tests

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Summary

Hepatitis C Virus or HCV is an enveloped RNA virus recently classified in the family of Flaviviridae.

The genome encodes for structural components, a nucleocapsid protein and two envelope glycoproteins, and functional constituents involved in the virus replication and protein processing. The nucleocapsid-encoding region seems to be the most conservative among the isolates obtained all over the world.

HCV accounts for about 95% of hepatitis infections in recipients of blood transfusion and 50% of cases of sporadic NANB hepatitis. HCV commonly gives origin to asymptomatic hepatitis and chronicity develops in a high number of cases, sometime evolving in severe forms of illness, as hepatocarcinoma.

The determination of antibody to HCV has become mandatory in the screening of blood units to prevent post-transfusion hepatitis. It is also currently used to follow-up risk individuals and patients under treatment with interferon. Confirmation of any positive result is strongly recommended in the clinical laboratory practice before considering the patient truly positive for anti HCV antibodies.

Test Principle

The strip is first treated with the sample turned out to be positive in the screening assay. Anti HCV antibodies are captured, if present, by the specific antigens.

After washing out all the other components of the sample, in the 2nd incubation bound HCV Ab are detected by the addition of anti hIgG&M antibody, labeled with peroxidase (HRP). The enzyme captured on the solid phase, acting on the substrate/chromogen mixture, generates an optical signal that is proportional to the amount of anti HCV antibodies present in the sample.

Controls are included to provide an internal check of the analytical system.

The sample is confirmed positive if at least two specific reactivities are present.

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References
  1. CDC. Public Health Service inter-agency guidelines for screening donors of blood, plasma, organs, tissues, and semen for evidence of hepatitis B and hepatitis C. MMWR 1991;40(No. RR-4):1-17.
  2. Alter MJ. Epidemiology of hepatitis C. Hepatology 1997;26:62S-5S.
  3. McQuillan GM, Alter MJ, Moyer LA, Lambert SB, Margolis HS. A population based serologic study of hepatitis C virus infection in the United States. In Rizzetto M, Purcell RH, Gerin JL, Verme G, eds. Viral Hepatitis and Liver Disease, Edizioni Minerva Medica, Turin, 1997, 267-70.
  4. Dufour MC. Chronic liver disease and cirrhosis. In Everhart JE, ed. Digestive diseases in the United States: epidemiology and impact. US Department of Health and Human Services, Public Health Service, National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases. Washington, DC: US Government Printing Office, 1994; NIH publication no. 94-1447, 615-45.
  5. Alter MJ, Hadler SC, Judson FN, et al. Risk factors for acute non-A, non-B hepatitis in the United States and association with hepatitis C virus infection. JAMA 1990;264:2231-35.
  6. Alter HJ, Holland PV, Purcell RH, et al. Posttransfusion hepatitis after exclusion of commercial and hepatitis-B antigen-positive donors. Ann Intern Med 1972;77:691-9.
  7. Alter HJ, Purcell RH, Holland PV, Feinstone SM, Morrow AG, Moritsugu Y. Clinical and serological analysis of transfusion-associated hepatitis. Lancet 1975;2:838-41.
  8. Seeff LB, Wright EC, Zimmerman HJ, McCollum RW, VA Cooperative Studies Group. VA cooperative study of post-transfusion hepatitis and responsible risk factors. Am J Med Sci 1975;270:355-62.
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