Abstract
The clinical value of a new RNA-DNA hybridization assay for quantification of Cytomegalovirus (CMV) DNA in leukocytes [Hybrid Capture CMV DNA Assay (HCA); Murex Biotech, UK] was evaluated. The HCA was compared with an assay for CMV pp65 antigen in leukocytes and an in-house CMV polymerase chain reaction PCR (CMV-PCR) on parallel blood samples. The HCA and the CMV-PCR were less sensitive than the CMV pp65 assay, but the positive predictive value of all three methods for CMV disease was 50% or less. However, when quantitation of viral load by HCA and CMV pp65 assay was taken into consideration, both assays were superior to CMV-PCR in predicting CMV disease.
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Hibberd PL, Tolkoff-Rubin NE, Cosimi AB, Schooley RT, Isaacson D, Doran M, Delvecchio A, Delmonico FL, Auchinloss H Jr, Rubin RH: Symptomatic cytomegalovirus disease in the cytomegalovirus antibody seropositive renal transplant recipients treated with OKT3. Transplantation (1992) 53:68–72
Hokeberg I, Eriksson BM, Zweygberg-Wirtgart B, Tufvesson G, Olding-Stenkvist E, Grillner L: Diagnostic markers and risk factors of cytomegalovirus infection and disease in renal allograft recipients. Scandinavian Journal of Infectious Diseases (1995) 27:435–440
van der Bij W, Schirm J, Toresma R, van Son W, Tegzess AM, The TH: Comparison between viremia and antigenemia for detection of cytomegalovirus in blood. Journal of Clinical Microbiology (1988) 26:2431–2535
Gerna G, Zipeto D, Parea M, Revello G, Silini E, Percivalle E, Zavanotti M, Grossi P, Milanesi G: Monitoring of human cytomegalovirus infections and ganciclovir treatment in heart transplant recipients by determination of viremia, antigenemia and DNAemia. Journal of Infectious Diseases (1991) 164:488–498
Sindre H, Tjønnfjord T, Rollag H, Ranneberg Nilsen T, Veiby OP, Beck S, Degré M, Hestdal K: Human cytomegalovirus suppression of and latency in early pluripotent hematopoietic stem cells. Blood (1996) 88:4526–4533
Nyberg G, Bergström T, Blohme L, Norden G, Olofsson S, Ricksten A: Clinical evaluation in organ transplant patients of a polymerase chain reaction test for CMV DNA applied on white blood cells and serum. Transplantation International (1994) 7:428–433
Peiris JSM, Taylor CE, Main J, Graham K, Madeley CR: Diagnosis of cytomegalovirus (CMV) disease in renal allograft recipients: the role of semiquantitative polymerase chain reaction (PCR). Nephrology Dialysis Transplantation (1995) 10:1198–1205
Zweygberg-Wirtgart B, Claesson K, Eriksson BM, Brundin M, Tufveson G, Tötterman T, Grillner L: Cytomegalovirus (CMV) DNA amplification from plasma compared with CMV-pp65 antigen (ppUL83) detection in leukocytes for early diagnosis of symptomatic CMV-infection in kidney transplant patients. Clinical and Diagnostic Virology (1996) 7:99–110
Grossi P, Minoli L, Percivalle E, Irish W, Vigano M, Gerna G: Clinical and virological monitoring of human cytomegalovirus infection in 294 heart transplant recipients. Transplantation (1995) 59:847–851
Imbert-Marcille BM, Cantarovich D, Boedec S, Vernoux L, Soulilou JP, Billaudel S: Evaluation of a new quantification method for cytomegalovirus DNA in leukocytes: clinical value in renal transplant recipients. Scandinavian Journal of Infectious Diseases Supplement (1995) 99:15–16
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Rollag, H., Sagedal, S., Holter, E. et al. Diagnosis of cytomegalovirus infection in kidney transplant recipients by a quantitative RNA-DNA hybrid capture assay for cytomegalovirus DNA in leukocytes. Eur. J. Clin. Microbiol. Infect. Dis. 17, 124–127 (1998). https://doi.org/10.1007/BF01682170
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DOI: https://doi.org/10.1007/BF01682170