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Journal of Clinical Microbiology, April 2001, p. 1378-1384, Vol. 39, No. 4
0095-1137/01/$04.00+0 DOI: 10.1128/JCM.39.4.1378-1384.2001
Copyright © 2001, American Society for Microbiology. All rights reserved.
Single Rapid Real-Time Monitored Isothermal RNA
Amplification Assay for Quantification of Human Immunodeficiency Virus
Type 1 Isolates from Groups M, N, and O
Michel P.
de
Baar,1,*
Maaike W.
van Dooren,2
Esther
de Rooij,1,2
Margreet
Bakker,1,3
Bob
van Gemen,2
Jaap
Goudsmit,1,3 and
Anthony
de Ronde2
Department of Human Retrovirology, Academic
Medical Center, University of Amsterdam,1
PrimaGen,2 and Amsterdam
Institute of Viral Genomics,3 Amsterdam, The
Netherlands
Received 7 September 2000/Returned for modification 6 November
2000/Accepted 26 January 2001
Because human immunodeficiency virus type 1 (HIV-1) subtypes and
circulating recombinant forms (CRFs) are spreading rapidly worldwide
and are becoming less confined to a geographical area, RNA assays that
can detect and quantify all HIV-1 isolates reliably are in demand. We
have developed a fast, real-time monitored RNA assay based on an
isothermal nucleic acid sequence-based amplification technology that
amplifies a part of the long terminal repeat region of the HIV-1
genome. Real-time detection was possible due to the addition of
molecular beacons to the amplification reaction that was monitored in a
fluorimeter with a thermostat. The lower level of detection of the
assay was 10 HIV-1 RNA molecules per reaction, and the lower level of
quantification was 100 copies of HIV-1 RNA with a dynamic range of
linear quantification between 102 and 107 RNA
molecules. All HIV-1 groups, subtypes, and CRFs could be detected and
quantified with equal efficiency, including the group N isolate YBF30
and the group O isolate ANT70. To test the clinical utility of the
assay, a series of 62 serum samples containing viruses that encompassed
subtypes A through G and CRFs AE and AG of HIV-1 group M were analyzed,
and these results were compared to the results of a commercially
available assay. This comparison showed that the quantification results
correlated highly (R2 = 0.735) for those
subtypes that could be well quantified by both assays (subtypes B, C,
D, and F), whereas improved quantification was obtained for subtypes A
and G and CRFs AE and AG. A retrospective study with six individuals
infected with either a subtype A, B, C, or D or an AG isolate of HIV-1
group M, who were treated with highly active antiretroviral therapy,
revealed that the assay was well suited to the monitoring of therapy
effects. In conclusion, the newly developed real-time monitored HIV-1
assay is a fast and sensitive assay with a large dynamic range of
quantification and is suitable for quantification of most if not all
subtypes and groups of HIV-1.
*
Corresponding author. Mailing address: Department of
Human Retrovirology, Academic Medical Center, University of Amsterdam, Meibergdreef 15, 1105 AZ Amsterdam, The Netherlands. Phone: 31-20-566 6780. Fax: 31-20-691 6531. E-mail:
M.P.deBaar{at}amc.uva.nl.
Journal of Clinical Microbiology, April 2001, p. 1378-1384, Vol. 39, No. 4
0095-1137/01/$04.00+0 DOI: 10.1128/JCM.39.4.1378-1384.2001
Copyright © 2001, American Society for Microbiology. All rights reserved.
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