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The Fluorescent Antibody Technique in Diagnosis of Herpes Simplex Keratitis FREE

THOMAS H. PETTIT, MD; SAMUEL J. KIMURA, MD; HELEN PETERS
[+] Author Affiliations

Submitted for publication Jan 6, 1964.

Research supported in part by National Institutes of Health research grant No. NB-02542, and National Council to Combat Blindness grant-in-aid No. G-238.


Arch Ophthalmol. 1964;72(1):86-98. doi:10.1001/archopht.1964.00970020088020
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The use of antibody labeled with fluorescein to localize specific antigens in various tissue preparations was originally described by Coons.1 It has since been used as a laboratory means of rapid diagnosis in a variety of microbiological systems and for the study of disease pathogenesis in a number of conditions in which an antigen-antibody system is involved.2

In 1959 Biegeleisen3 used this technique in differentiating clinically similar skin and mucus lesions due to herpes simplex virus and nonherpetic agents. He demonstrated an excellent correlation between the presence of positive fluoresecent staining and the ability to isolate the herpes virus from the lesions.3 The clinical usefulness of this test as a rapid diagnostic tool in herpetic keratitis has been suggested by the preliminary studies of Kaufman4 and Vozza and Balducci.5

The direct technique of Coons is based on the specificity of the antigen-antibody reaction which

REFERENCES

Kindly donated by the Pacific area office of the American National Red Cross, San Francisco.
We are indebted to Miss Birgitta Pehrsson and Dr. Phillips Thygeson for the electron microscopic studies of herpes-infected rabbit corneal epithelium, with which we made our comparisons.
Coons, A. H., and Kaplan, M. H.:  Localization of Antigen in Tissue Cells: II. Improvement in Method for Detection of Antigen by Means of Fluorescent Antibody , J Exp Med 91:1-13, 1950;.
Spink, W. W.:  The Young Investigator and His Fluorescent Antibody , JAMA 181:889-891, 1962;.
Biegeleisen, J. Z., Jr.; Scott, L. V.; and Lewis, V., Jr.:  Rapid Diagnosis of Herpes Simplex Virus Infections With Fluorescent Antibody , Science 129: 640-641, 1959;.
Kaufman, H. E.:  Diagnosis of Corneal Herpes Simplex Infection by Fluorescent Antibody Staining , Arch Ophthal 64:382-384, 1960;.
Vozza, R., and Balducci, D.:  Technique of Fluorescent Antibodies in Ophthalmology: Study of Herpes Simplex Vaccinia Keratoconjunctivitis and Human Trachomatous Infection , Amer J Ophthal 52:72-77, 1961;.
Lebrun, J.:  Cellular Localization of Herpes Simplex Virus With Fluorescent Antibody , Virology 2:496-510, 1956;.
Ross, R. W., and Orlans, E.:  Redistribution of Nucleic Acids and Appearance of Specific Antigen in HeLa Cells Infected With Herpes Virus , J Path Bact 76:393, 1958;.
Roizman, B.:  Virus Infection of Cells in Mitosis, Bearing on the Site of Virus Antigen Formation , Virology 13:387-401, 1961;.
Scott, T. F. McN., et al:  Growth Curve of Virus of Herpes Simplex in Rabbit Corneal Cells Grown in Tissue Culture With Parallel Observations on Development of Intranuclear Inclusion Body , J Immun 71:385-396, 1953;.
Kaufman, H. E., and Kaufman, E.:  Human Amnion Cell Tissue Culture: Study of Herpes Simplex and Adenovirus , AMA Arch Ophthal 59: 342-349, 1958;.
Smadel, J.: Viral and Rickettsial Infections in Man , 2nd ed, T. M. Rivers, ed., Philadelphia: J. B. Lippincott Company, 1952;, p 7.
Jawetz, E.; Melnick, J. L.; and Adelberg, E. A.: Review of Medical Microbiology , 5th ed, Los Altos, Calif: Lange Medical Publications, 1962;, p 323.
Riggs, J. L., et al:  Isothiocyanate Compounds as Fluorescein Labeling Agents for Immune Serum , Amer J Path 34:1081-1097, 1958;.
Marshall, J. C.; Eveland, W. C.; and Smith, C. W.:  Superiority of Fluorescein Isothiocyanate (Riggs) for Fluorescent-Antibody Technic With Modification of Its Application , Proc Soc Exp Biol Med 98:898-900, 1958;.
Morgan, C., et al:  Electron Microscopic Observations on Development of Herpes Simplex Virus , J Exp Med 110:643-656, 1959;.
Epstein, M. A.:  Observations on Mode of Release of Herpes Virus From Infected HeLa Cells , J Cell Biol 12:589-597, 1962;.

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Kindly donated by the Pacific area office of the American National Red Cross, San Francisco.
We are indebted to Miss Birgitta Pehrsson and Dr. Phillips Thygeson for the electron microscopic studies of herpes-infected rabbit corneal epithelium, with which we made our comparisons.
Coons, A. H., and Kaplan, M. H.:  Localization of Antigen in Tissue Cells: II. Improvement in Method for Detection of Antigen by Means of Fluorescent Antibody , J Exp Med 91:1-13, 1950;.
Spink, W. W.:  The Young Investigator and His Fluorescent Antibody , JAMA 181:889-891, 1962;.
Biegeleisen, J. Z., Jr.; Scott, L. V.; and Lewis, V., Jr.:  Rapid Diagnosis of Herpes Simplex Virus Infections With Fluorescent Antibody , Science 129: 640-641, 1959;.
Kaufman, H. E.:  Diagnosis of Corneal Herpes Simplex Infection by Fluorescent Antibody Staining , Arch Ophthal 64:382-384, 1960;.
Vozza, R., and Balducci, D.:  Technique of Fluorescent Antibodies in Ophthalmology: Study of Herpes Simplex Vaccinia Keratoconjunctivitis and Human Trachomatous Infection , Amer J Ophthal 52:72-77, 1961;.
Lebrun, J.:  Cellular Localization of Herpes Simplex Virus With Fluorescent Antibody , Virology 2:496-510, 1956;.
Ross, R. W., and Orlans, E.:  Redistribution of Nucleic Acids and Appearance of Specific Antigen in HeLa Cells Infected With Herpes Virus , J Path Bact 76:393, 1958;.
Roizman, B.:  Virus Infection of Cells in Mitosis, Bearing on the Site of Virus Antigen Formation , Virology 13:387-401, 1961;.
Scott, T. F. McN., et al:  Growth Curve of Virus of Herpes Simplex in Rabbit Corneal Cells Grown in Tissue Culture With Parallel Observations on Development of Intranuclear Inclusion Body , J Immun 71:385-396, 1953;.
Kaufman, H. E., and Kaufman, E.:  Human Amnion Cell Tissue Culture: Study of Herpes Simplex and Adenovirus , AMA Arch Ophthal 59: 342-349, 1958;.
Smadel, J.: Viral and Rickettsial Infections in Man , 2nd ed, T. M. Rivers, ed., Philadelphia: J. B. Lippincott Company, 1952;, p 7.
Jawetz, E.; Melnick, J. L.; and Adelberg, E. A.: Review of Medical Microbiology , 5th ed, Los Altos, Calif: Lange Medical Publications, 1962;, p 323.
Riggs, J. L., et al:  Isothiocyanate Compounds as Fluorescein Labeling Agents for Immune Serum , Amer J Path 34:1081-1097, 1958;.
Marshall, J. C.; Eveland, W. C.; and Smith, C. W.:  Superiority of Fluorescein Isothiocyanate (Riggs) for Fluorescent-Antibody Technic With Modification of Its Application , Proc Soc Exp Biol Med 98:898-900, 1958;.
Morgan, C., et al:  Electron Microscopic Observations on Development of Herpes Simplex Virus , J Exp Med 110:643-656, 1959;.
Epstein, M. A.:  Observations on Mode of Release of Herpes Virus From Infected HeLa Cells , J Cell Biol 12:589-597, 1962;.

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