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Detection of HIV-1 RNA in plasma and serum samples using the NASBA amplification system compared to RNA-PCR

Identifieur interne : 001352 ( Main/Exploration ); précédent : 001351; suivant : 001353

Detection of HIV-1 RNA in plasma and serum samples using the NASBA amplification system compared to RNA-PCR

Auteurs : Anne-Mieke Vandamme [Belgique] ; Sonia Van Dooren [Belgique] ; Wessel Kok [Pays-Bas] ; Patrick Goubau [Belgique] ; Katrien Fransen [Belgique] ; Tim Kievits [Pays-Bas] ; Jean-Claude Schmit [Belgique] ; Erik De Clercq [Belgique] ; Jan Desmyter [Belgique]

Source :

RBID : ISTEX:B3F22AEF49BBC880A6A450B5DBE92CF46EF5E7C3

English descriptors

Abstract

The presence of HIV-1 RNA in the plasma and serum of European and African patients was monitored using RNA-polymerase chain reaction (RNA-PCR) and the new isothermal NASBA nucleic acid amplification system encompassing a gel-based detection assay (ELGA). Identical RNA extraction procedures, provided by the NASBA amplification system, were used for both methods. The detection limit for HIV-1 RNA, measured on a 10-fold dilution series of spiked HIVIIIB in negative plasma, was about 0.05 CCID50 per test for both methods. Both NASBA and RNA-PCR were more sensitive than a p24 assay for the detection of circulating HIV-1 virus in blood: 17 of the 34 (50%) p24 antigen-tested seropositives were p24-positive while 32 (94%) were positive by NASBA and 30 (88%) by RNA-PCR. Among the 45 seropositives, 34 of which were tested for p24 antigen, 43 (96%) were positive by NASBA and 41 (91%) by RNA-PCR. Almost all seropositives had a detectable viral load in 100 μl plasma. Lower viral loads were only encountered in some healthy seropositives with a higher CD4 count. There was no cross-reactivity with HIV-2 or HTLV-I with both the RNA-PCR and NASBA. The extraction method used permitted the detection of HIV-1 RNA equally well in serum and in plasma with heparin or EDTA.

Url:
DOI: 10.1016/0166-0934(94)00151-6


Affiliations:


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Le document en format XML

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<term>Nasba amplification system</term>
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<div type="abstract" xml:lang="en">The presence of HIV-1 RNA in the plasma and serum of European and African patients was monitored using RNA-polymerase chain reaction (RNA-PCR) and the new isothermal NASBA nucleic acid amplification system encompassing a gel-based detection assay (ELGA). Identical RNA extraction procedures, provided by the NASBA amplification system, were used for both methods. The detection limit for HIV-1 RNA, measured on a 10-fold dilution series of spiked HIVIIIB in negative plasma, was about 0.05 CCID50 per test for both methods. Both NASBA and RNA-PCR were more sensitive than a p24 assay for the detection of circulating HIV-1 virus in blood: 17 of the 34 (50%) p24 antigen-tested seropositives were p24-positive while 32 (94%) were positive by NASBA and 30 (88%) by RNA-PCR. Among the 45 seropositives, 34 of which were tested for p24 antigen, 43 (96%) were positive by NASBA and 41 (91%) by RNA-PCR. Almost all seropositives had a detectable viral load in 100 μl plasma. Lower viral loads were only encountered in some healthy seropositives with a higher CD4 count. There was no cross-reactivity with HIV-2 or HTLV-I with both the RNA-PCR and NASBA. The extraction method used permitted the detection of HIV-1 RNA equally well in serum and in plasma with heparin or EDTA.</div>
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