Molecular detection of human cytomegalovirus and determination of genotypic ganciclovir resistance in clinical specimens.

Molecular detection of human cytomegalovirus and determination of genotypic ganciclovir resistance in clinical specimens.
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人类巨细胞病毒的分子检测和临床标本中更昔洛韦基因型耐药性的测定。

DOI:
10.1093/clinids/21.supplement_2.s170
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发表时间:
1995
期刊:
Clinical infectious diseases : an official publication of the Infectious Diseases Society of America
影响因子:
--
通讯作者:
Smith,I
Smith,I
中科院分区:
--
文献类型:
--
作者:
Spector,SA;Hsia,K;Wolf,D;Shinkai,M;Smith,I

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本文提供的数据表明,聚合酶链反应(PeR)可用于检测感染个体的血浆和脑脊液(CSF)中的人巨细胞病毒(HCMV)DNA。在移植受者和感染人类免疫缺陷病毒的人的血浆中检测HCMVDNA,可识别急性内脏疾病患者和发展HCMV疾病风险最高的患者。脑脊液中HCMV DNA的检测对鉴别HCMV相关性中枢神经系统疾病具有重要意义。此外,已发现编码HCMV蛋白激酶的UL97区域内的特定突变赋予更昔洛韦抗性,并且可以通过PeR产物的直接测序在血浆和CSF中检测到。这些数据将有助于为临床医生提供更好地诊断,管理和治疗HCMV疾病的工具。
The data presented in this article demonstrate how the polymerase chain reaction (PeR) can be used to detect human cytomegalovirus (HCMV) DNA in the plasma and cerebrospinal fluid (CSF) of infected individuals. Detection of HCMVDNA in plasma of transplant recipients and persons infected with human immunodeficiency virus identifies people with acute visceral disease and those at highest risk for development of HCMV disease. The detection of HCMV DNA in CSF is of particular help in identifying persons with HCMV-related central nervous system disease. In addition, specific mutations within the UL97 region, which encodes for a HCMV protein kinase, have been found to confer ganciclovir resistance and can be detected in plasma and CSF by direct sequencing of PeR products. These data will help provide tools for clinicians to better diagnose, manage, and treat persons with HCMV disease.
肾移植、心脏移植、心肺移植和肝移植中的巨细胞病毒感染
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