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Journal of Clinical Microbiology, December 2002, p. 4472-4478, Vol. 40, No. 12
0095-1137/02/$04.00+0     DOI: 10.1128/JCM.40.12.4472-4478.2002
Copyright © 2002, American Society for Microbiology. All Rights Reserved.

Detection of Dengue Virus Replication in Peripheral Blood Mononuclear Cells from Dengue Virus Type 2-Infected Patients by a Reverse Transcription-Real-Time PCR Assay

Wei-Kung Wang,1* Tzu-Ling Sung,1 Yu-Chen Tsai,1 Chuan-Liang Kao,2 Shu-Mei Chang,3 and Chwan-Chuen King4

Institute of Microbiology,1 Graduate Institute of Medical Technology,2 College of Medicine, and Institute of Epidemiology, College of Public Health,4 National Taiwan University, Taipei, and The Yuan General Hospital, Kaohsiung, Taiwan3

Received 24 June 2002/ Returned for modification 8 August 2002/ Accepted 20 September 2002

While dengue virus is thought to replicate in mononuclear phagocytic cells in vivo, attempts to detect it in peripheral blood mononuclear cells (PBMC) by virus isolation or antigen detection have had variable and generally low rates. In this study, we developed a reverse transcription (RT)-real-time PCR assay to quantify positive- and negative-sense RNA of dengue virus type 2 within the cells. The assay includes an RT step using either sense or antisense primer followed by a real-time PCR step using the designed primers and probe, which target a capsid region highly conserved in dengue virus type 2 strains. It can be used to monitor the dynamic change of intracellular dengue virus RNA species during the course of infection. When this assay is employed in quantification of dengue virus RNA species in PBMC from 10 patients infected with dengue virus type 2, both positive- and negative-sense dengue RNA can be detected, indicating that dengue virus is actively replicating in PBMC in vivo. Moreover, the amounts of negative-sense dengue virus RNA in PBMC correlate very well with the viral load of dengue virus in plasma, suggesting that quantification of negative-sense dengue virus RNA in PBMC may provide another indicator of dengue virus replication in vivo. Use of this convenient, sensitive, and accurate method of quantification in clinical samples from patients with different disease severity would further our understanding of the pathogenesis of dengue.


* Corresponding author. Mailing address: Institute of Microbiology, College of Medicine, National Taiwan University, No. 1 Sec. 1 Jen-Ai Rd., Taipei, Taiwan. Phone: 886-2-2312-3456, ext. 8286. Fax: 886-2-2391-5293. E-mail: wwang60{at}yahoo.com.


Journal of Clinical Microbiology, December 2002, p. 4472-4478, Vol. 40, No. 12
0095-1137/02/$04.00+0     DOI: 10.1128/JCM.40.12.4472-4478.2002
Copyright © 2002, American Society for Microbiology. All Rights Reserved.




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