Volume 37, Issue 1, Pages 2-6 (July 2002)

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Volume 37, Issue 1, Pages 2-6 (July 2002) Feinstone SM, Kapikian AZ, Purcell RH. Hepatitis A: detection by immune electron microscopy of a virus like antigen associated with acute illness [Science 1973;182:1026–1028]  Raymond S. Koff  Journal of Hepatology  Volume 37, Issue 1, Pages 2-6 (July 2002) DOI: 10.1016/S0168-8278(02)00169-1

Fig. 1 A representative sample of hepatitis A virus-like particles observed after 0.9 ml of the 2% stool suspension was incubated with 0.1 ml of diluted serum, and then centrifuged and prepared for electron microscopy. The particles appeared to have cubic symmetry and resembled picornaviruses or parvoviruses morphologically (A and B). An aggregate (A) and a single particle (B) observed after incubation of the stool filtrate with a serum from a convalescent patient from the Illinois study. The aggregate is composed of three ‘full’ and two ‘empty’ particles heavily coated with antibody. The single particle (B) is also heavily coated with antibody. The quantity of antibody in this serum to the hepatitis A antigen was scored as 3 to 4 (C and D). Aggregates after incubation of the stool filtrate with the serum of a patient convalescing from hepatitis contracted during the naturally occurring outbreak in Massachusetts. This serum was rated 3 to 4 also (E and F). Aggregates and particles after incubation of the stool filtrate with immune serum globulin; they are heavily coated with antibody. [The bar is equivalent to 100 nm and applies to (A) through (F).] (Reprinted with permission from Science 1973;182:1026–1028). Journal of Hepatology 2002 37, 2-6DOI: (10.1016/S0168-8278(02)00169-1)