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What are the limitations of using the norovirus HBGA binding assay? 


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The limitations of using the norovirus HBGA binding assay include the dependency of HBGA specificity on type and ionic strength, potential overestimation of infectious noroviruses with genome detection alone, and the need to consider the stability differences between virus-like particles (VLPs) and actual noroviruses during inactivation treatments . Additionally, the binding of bacteria to norovirus may not confer protection against heat-denaturation, impacting viral replication significantly . Furthermore, the blocking antibodies primarily target the P2 domain of norovirus VP1, with conformation-dependent binding epitopes, affecting the efficacy of the assay . Structural constraints, such as flexible aspartic acid hindering binding, may also limit the effectiveness of the assay for certain norovirus strains . These factors collectively highlight the complexities and challenges in utilizing the norovirus HBGA binding assay effectively.

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The limitations of the norovirus HBGA binding assay include the need for further elucidation of physiological and immunological consequences in nonsecretor individuals, as highlighted in the study.
Some noroviruses bind poorly to HBGAs due to structural constraints like flexible aspartic acid hindering binding, suggesting limitations in the HBGA binding assay.
Limitations of the norovirus HBGA binding assay include the lack of specific binding epitopes for GII.3 NoVs due to weak or absent binding to synthetic or salivary HBGAs.
Limitations of using the norovirus HBGA binding assay include reduced overestimation of infectious noroviruses compared to genome detection, with some identified constraints in specificity and ionic strength influence.
The norovirus HBGA binding assay limitations include failure to protect Tulane virus from heat-inactivation, regardless of HBGA-like molecule expression in Escherichia coli strains O86:H2 and K-12.

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