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Journal of Clinical Microbiology, 11 1997, 2795-2801, Vol 35, No. 11
S Cassol, MJ Gill, R Pilon, M Cormier, RF Voigt, B Willoughby and J Forbes
To assess dried plasma spots (DPSs) as a source of material for virus
quantification, human immunodeficiency virus type 1 (HIV-1) RNA levels were
quantified in matched DPS and liquid plasma samples from 73 infected
patients, including 5 neonates and 4 adult patients with acute HIV-1
infection. Quantifications were performed by commercially available assays
(NASBA [nucleic acid sequence-based amplification] or Amplicor, or both).
There was a strong correlation between HIV-1 RNA levels in plasma and DPSs.
More importantly, there was no decline in HIV-1 RNA levels in DPSs stored
for as long as 2 weeks at 20 degrees C. Similarly, storage of DPSs for 3
days at 37 degrees C resulted in no decrease in viral RNA levels. For
patients with primary infection, the DPS method allowed for the measurement
of RNA levels in plasma during the initial spike in the level of viremia
and in the subsequent period of suppressed viral replication. DPS
quantification was equally informative in the neonatal setting, with all
five newborns showing HIV- 1 RNA loads of greater than 4.991 log10
copies/ml. We conclude that the viral RNA levels in DPSs are equivalent to
those measured in fresh- frozen plasma. The ease and economy of DPS
sampling, the minute volumes required, and the unexpected stability of
dried RNA suggest that the use of DPSs will be particularly valuable for
small-volume neonatal samples and large, population-based studies in which
cold storage and transportation present special problems, as is often the
case in developing countries. The ability to measure viral changes during
primary infection suggests that the method will be useful for assessing
vaccine efficacy in large field trials.
Copyright © 1997 by the American Society for Microbiology. All rights reserved.
Quantification of human immunodeficiency virus type 1 RNA from dried plasma spots collected on filter paper [In Process Citation]
Ottawa General Hospital Research Institute and the University of Ottawa, Ontario, Canada.
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