PMID- 17376882 OWN - NLM STAT- MEDLINE DCOM- 20070613 LR - 20210102 IS - 0095-1137 (Print) IS - 1098-660X (Electronic) IS - 0095-1137 (Linking) VI - 45 IP - 5 DP - 2007 May TI - Simultaneous quantification of Epstein-Barr virus, cytomegalovirus, and human herpesvirus 6 DNA in samples from transplant recipients by multiplex real-time PCR assay. PG - 1426-32 AB - We developed a multiplex real-time PCR assay using 6-carboxyfluorescein, 6-carboxy-4',5'-dichloro-2',7'-dimethoxyfluorescein, and carbocyanine 5-labeled probes to simultaneously quantify Epstein-Barr virus (EBV), cytomegalovirus (CMV), and human herpesvirus 6 (HHV-6) DNA. When previously tested and stored DNA samples were examined, results of the multiplex real-time PCR assay were as sensitive and specific as those of a single real-time PCR assay. The multiplex assay was used to quantify the EBV, CMV, and HHV-6 DNA in 46 transplant recipients. A total of 303 whole-blood and plasma specimens were collected and analyzed. According to the results of the multiplex assay, the detection rates for viral DNA in whole blood and plasma were 23.8% and 5.9% for EBV, 11.2% and 5.3% for CMV, and 12.5% and 2.0% for HHV-6, respectively. All forms of viral DNA were detected more frequently in whole blood than in plasma. During the symptomatic period, EBV DNA was detected in all whole-blood specimens but not in all plasma specimens. Furthermore, the EBV DNA load in whole blood was higher during the symptomatic period than during the asymptomatic period, whereas the EBV DNA load in plasma was similar for both periods. These results demonstrate that whole blood is more suitable for the quantification of EBV DNA in transplant patients. However, a cutoff value with clinical relevance still needs to be determined. FAU - Wada, Kaoru AU - Wada K AD - Department of Virology, Nagoya University Graduate School of Medicine, 65 Tsuruma-cho, Showa-ku, Nagoya 466-8550, Japan. FAU - Kubota, Naomi AU - Kubota N FAU - Ito, Yoshinori AU - Ito Y FAU - Yagasaki, Hiroshi AU - Yagasaki H FAU - Kato, Koji AU - Kato K FAU - Yoshikawa, Tetsushi AU - Yoshikawa T FAU - Ono, Yasuyuki AU - Ono Y FAU - Ando, Hisami AU - Ando H FAU - Fujimoto, Yasuhiro AU - Fujimoto Y FAU - Kiuchi, Tetsuya AU - Kiuchi T FAU - Kojima, Seiji AU - Kojima S FAU - Nishiyama, Yukihiro AU - Nishiyama Y FAU - Kimura, Hiroshi AU - Kimura H LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20070321 PL - United States TA - J Clin Microbiol JT - Journal of clinical microbiology JID - 7505564 RN - 0 (Antigens, Viral) RN - 0 (DNA, Viral) SB - IM MH - Adolescent MH - Adult MH - Antigens, Viral/blood MH - Child MH - Child, Preschool MH - Cytomegalovirus/genetics/*isolation & purification MH - Cytomegalovirus Infections/diagnosis/transmission MH - DNA, Viral/*blood MH - Epstein-Barr Virus Infections/diagnosis/transmission MH - Female MH - Hematopoietic Stem Cell Transplantation/*adverse effects MH - Herpesvirus 4, Human/genetics/*isolation & purification MH - Herpesvirus 6, Human/genetics/*isolation & purification MH - Humans MH - Infant MH - Liver Transplantation/*adverse effects MH - Male MH - Polymerase Chain Reaction MH - Roseolovirus Infections/diagnosis/transmission MH - Sensitivity and Specificity MH - Viral Load PMC - PMC1865882 EDAT- 2007/03/23 09:00 MHDA- 2007/06/15 09:00 PMCR- 2007/09/01 CRDT- 2007/03/23 09:00 PHST- 2007/03/23 09:00 [pubmed] PHST- 2007/06/15 09:00 [medline] PHST- 2007/03/23 09:00 [entrez] PHST- 2007/09/01 00:00 [pmc-release] AID - JCM.01515-06 [pii] AID - 1515-06 [pii] AID - 10.1128/JCM.01515-06 [doi] PST - ppublish SO - J Clin Microbiol. 2007 May;45(5):1426-32. doi: 10.1128/JCM.01515-06. Epub 2007 Mar 21.