PMID- 11472582 OWN - NLM STAT- MEDLINE DCOM- 20011004 LR - 20191210 IS - 1328-8067 (Print) IS - 1328-8067 (Linking) VI - 43 IP - 4 DP - 2001 Aug TI - Quantitation of human herpesvirus 6 DNA in infant with exanthem subitum by microplate PCR-hybridization assay. PG - 372-8 AB - BACKGROUND: Quantitative analysis of human herpesvirus 6 (HHV-6) genome is important for monitoring active virus infection. The purpose of our study is to evaluate the reliability of a hybridization-based microtiter plate assay (polymerase chain reaction enzyme-linked immunosorbent assay (PCR ELISA)) for quantifying the virus genome. METHODS: Semiquantitative analysis of the virus genome was carried out in 31 (18 male and 13 female) infants with primary HHV-6 infection. If the HHV-6 virus could be isolated from the peripheral blood mononuclear cells (PBMC), the infants were defined as being infected with HHV-6. The PCR ELISA method was used to determine the virus load. A titration of the virus was also carried out in the samples obtained during the acute phase of exanthem subitum. RESULTS: Specificity of the method was demonstrated by a lack of amplification of human herpesvirus 7 and cytomegalovirus DNA. The upper and lower detection limits of the method were 58 and 5800 copies of the virus genome, respectively. The quantity of HHV-6 DNA in the PBMC during the acute phase (879 +/- 975 copies/10(4) PBMC) was significantly higher than during the convalescent phase (54 +/- 76 copies/10(4) PBMC). Furthermore, the virus load in acute phase plasma (53 +/- 75 copies/microL) was also significantly higher than in the convalescent phase samples (2 +/- 9 copies/microL). Virus load in both PBMC and plasma gradually increased after the onset of exanthem subitum until about day 3 to 4 of the illness, but then decreased quickly. However, there was no significant association between virus load and the numbers of infected cells. CONCLUSION: Virus load in both PBMC and plasma gradually increased after the onset of exanthem subitum until about day 3 and day 4 of the illness, respectively, then it decreased quickly. These results indicate that our PCR ELISA system is reliable for monitoring active HHV-6 infection in vivo. FAU - Abe, T AU - Abe T AD - Department of Pediatrics, Fujita Health University Hospital, Toyoake, Aichi, Japan. FAU - Yoshikawa, T AU - Yoshikawa T FAU - Ihira, M AU - Ihira M FAU - Suzuki, K AU - Suzuki K FAU - Suga, S AU - Suga S FAU - Nishida, M AU - Nishida M FAU - Nagata, M AU - Nagata M FAU - Asano, Y AU - Asano Y LA - eng PT - Evaluation Study PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - Australia TA - Pediatr Int JT - Pediatrics international : official journal of the Japan Pediatric Society JID - 100886002 RN - 0 (DNA, Viral) SB - IM MH - DNA, Viral/*isolation & purification MH - Enzyme-Linked Immunosorbent Assay/*methods MH - Exanthema Subitum/*genetics MH - Female MH - Genome, Viral MH - Herpesvirus 6, Human/*genetics MH - Humans MH - Infant MH - Male MH - Polymerase Chain Reaction/*methods MH - Reproducibility of Results MH - Sensitivity and Specificity MH - Viral Load EDAT- 2001/07/27 10:00 MHDA- 2001/10/05 10:01 CRDT- 2001/07/27 10:00 PHST- 2001/07/27 10:00 [pubmed] PHST- 2001/10/05 10:01 [medline] PHST- 2001/07/27 10:00 [entrez] AID - ped1401 [pii] AID - 10.1046/j.1442-200x.2001.01401.x [doi] PST - ppublish SO - Pediatr Int. 2001 Aug;43(4):372-8. doi: 10.1046/j.1442-200x.2001.01401.x.