G. Belliot et al., Characterization of capsid genes, expressed in the Baculovirus system, of three new genetically distinct strains of "Norwalk-Like viruses", J CLIN MICR, 39(12), 2001, pp. 4288-4295
"Norwalk-like viruses" (NLVs), members of a newly defined genus of the fami
ly Caliciviridae, are the most common agents of outbreaks of gastroenteriti
s in the United States. Two features of NLN's have hindered the development
of simple methods for detection and determination of serotype: their genet
ic diversity and their inability to grow in cell culture. To assess the imm
une responses of patients involved in outbreaks of gastroenteritis resultin
g from infection with NLN's, we previously used recombinant-expressed capsi
d antigens representing four different genetic clusters, but this panel pro
ved insufficient for detection of an immune response in many patients. To e
xtend and further refine this panel, we expressed in baculovirus the capsid
genes of three additional genetically distinct viruses, Burwash Landing vi
rus (BLV), White River virus (WRV), and Florida virus. All three expressed
proteins assembled into virus-like particles (VLPs) that contained a full-l
ength 64-kDa protein, but both the BLV and WRV VLPs also contained a 58-kDa
protein that resulted from deletion of 39 amino acids at the amino terminu
s. The purified VLPs were used to measure the immune responses in 403 patie
nts involved in 37 outbreaks of acute gastroenteritis. A majority of patien
ts demonstrated a fourfold rise in the titer of immunoglobulin G to the ant
igen homologous to the outbreak strain, but most seroconverted in response
to other genetically distinct antigens as well, suggesting no clear pattern
of type-specific immune response. Further study of the antigenicity of the
NLVs by use of VLPs should allow us to design new detection systems with e
ither broader reactivity or better specificity and to define the optimum pa
nel of antigens required for routine screening of patient sera.