PMID- 14715744 OWN - NLM STAT- MEDLINE DCOM- 20040305 LR - 20220309 IS - 0095-1137 (Print) IS - 1098-660X (Electronic) IS - 0095-1137 (Linking) VI - 42 IP - 1 DP - 2004 Jan TI - Rapid diagnosis of human herpesvirus 6 infection by a novel DNA amplification method, loop-mediated isothermal amplification. PG - 140-5 AB - A novel nucleic acid amplification method, termed loop-mediated isothermal amplification (LAMP), which amplifies DNA with high specificity, efficiency, and rapidity under isothermal conditions, may be a valuable tool for the rapid detection of infectious agents. LAMP was developed for human herpesvirus 6 (HHV-6), and its reliability was evaluated in this study. Although LAMP products were detected in HHV-6 B and HHV-6 A DNA, they were not detected in HHV-7 and human cytomegalovirus DNA. The sensitivity of the original HHV-6 LAMP protocol was 50 copies/tube. In order to increase the method's sensitivity, HHV-6 LAMP was modified by increasing the primer concentration. As a result of the modification, sensitivity increased to 25 copies/tube. After these initial validation studies, 13 patients with fever were tested for HHV-6 by viral isolation, serological analysis, and HHV-6 LAMP. In three of the eight patients with primary HHV-6 infection, HHV-6 DNA was detected in whole blood by the original HHV-6 LAMP protocol in not only the acute phase but also the convalescent phase. HHV-6 DNA was detected by modified HHV-6 LAMP in all eight plasma samples collected in the acute phase; however, no HHV-6 DNA was detected in plasma samples collected in the convalescent phase. Although HHV-6 DNA was detected in both the acute and convalescent phases of whole-blood samples in patients with past HHV-6 infection, it was not detected in plasma samples that did not contain latent viral DNA. Thus, detection of HHV-6 DNA in plasma by using this modified HHV-6 LAMP protocol is appropriate for diagnosis of active HHV-6 infection. FAU - Ihira, Masaru AU - Ihira M AD - Department of Medical Information Technology, Fujita Health University College, Konan, Aichi, Japan. FAU - Yoshikawa, Tetsushi AU - Yoshikawa T FAU - Enomoto, Yoshihiko AU - Enomoto Y FAU - Akimoto, Shiho AU - Akimoto S FAU - Ohashi, Masahiro AU - Ohashi M FAU - Suga, Sadao AU - Suga S FAU - Nishimura, Naoko AU - Nishimura N FAU - Ozaki, Takao AU - Ozaki T FAU - Nishiyama, Yukihiro AU - Nishiyama Y FAU - Notomi, Tsugunori AU - Notomi T FAU - Ohta, Yoshinori AU - Ohta Y FAU - Asano, Yoshizo AU - Asano Y LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - J Clin Microbiol JT - Journal of clinical microbiology JID - 7505564 RN - 0 (DNA, Viral) SB - IM MH - Base Sequence MH - DNA, Viral/analysis MH - Exanthema Subitum/*diagnosis MH - Herpesvirus 6, Human/*genetics MH - Molecular Sequence Data MH - Nucleic Acid Amplification Techniques/*methods MH - Polymerase Chain Reaction MH - Sensitivity and Specificity PMC - PMC321673 EDAT- 2004/01/13 05:00 MHDA- 2004/03/06 05:00 PMCR- 2004/01/01 CRDT- 2004/01/13 05:00 PHST- 2004/01/13 05:00 [pubmed] PHST- 2004/03/06 05:00 [medline] PHST- 2004/01/13 05:00 [entrez] PHST- 2004/01/01 00:00 [pmc-release] AID - 0777 [pii] AID - 10.1128/JCM.42.1.140-145.2004 [doi] PST - ppublish SO - J Clin Microbiol. 2004 Jan;42(1):140-5. doi: 10.1128/JCM.42.1.140-145.2004.