Optimisation of a quantitative polymerase chain reaction-based strategy for the detection and quantification of human herpesvirus 6 DNA in patients undergoing allogeneic haematopoietic stem cell transplantation

Human herpesvirus 6 (HHV-6) may cause severe complications after haematopoietic stem cell transplantation (HSCT). Monitoring this virus and providing precise, rapid and early diagnosis of related clinical diseases, constitute essential measures to improve outcomes. A prospective survey on the incide...

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Bibliographic Details
Main Authors: Miriam YH Ueda, Paulo G Alvarenga, Juliana M Real, Eloisa de Sá Moreira, Aripuanã Watanabe, Ana Maria Passos-Castilho, Matheus Vescovi, Yana Novis, Vanderson Rocha, Adriana Seber, Jose SR Oliveira, Celso A Rodrigues, Celso FH Granato
Format: Article
Language:English
Published: Fundação Oswaldo Cruz (FIOCRUZ) 2015-06-01
Series:Memorias do Instituto Oswaldo Cruz
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Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0074-02762015000400461&lng=en&tlng=en
Description
Summary:Human herpesvirus 6 (HHV-6) may cause severe complications after haematopoietic stem cell transplantation (HSCT). Monitoring this virus and providing precise, rapid and early diagnosis of related clinical diseases, constitute essential measures to improve outcomes. A prospective survey on the incidence and clinical features of HHV-6 infections after HSCT has not yet been conducted in Brazilian patients and the impact of this infection on HSCT outcome remains unclear. A rapid test based on real-time quantitative polymerase chain reaction (qPCR) has been optimised to screen and quantify clinical samples for HHV-6. The detection step was based on reaction with TaqMan® hydrolysis probes. A set of previously described primers and probes have been tested to evaluate efficiency, sensitivity and reproducibility. The target efficiency range was 91.4% with linearity ranging from 10-106 copies/reaction and a limit of detection of five copies/reaction or 250 copies/mL of plasma. The qPCR assay developed in the present study was simple, rapid and sensitive, allowing the detection of a wide range of HHV-6 loads. In conclusion, this test may be useful as a practical tool to help elucidate the clinical relevance of HHV-6 infection and reactivation in different scenarios and to determine the need for surveillance.
ISSN:1678-8060