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Journal of Clinical Microbiology, 03 1995, 581-588, Vol 33, No. 3
L van der Hoek, R Boom, J Goudsmit, F Snijders and CJ Sol
A simple method for the isolation and subsequent detection of human
immunodeficiency virus type 1 (HIV-1) RNA from feces is described. Viral
RNA was isolated by the method developed by Boom et al. (R. Boom, C.J.A.
Sol, M.M.M. Salimans, C.L. Jansen, P.M.E. Wertheim-van Dillen, and J. van
der Noordaa, J. Clin. Microbiol. 28:495-503, 1990), which was adapted for
feces. HIV-1 RNA was detected by reverse transcription (RT) followed by a
nested PCR encompassing the V3 region. Reconstruction experiments revealed
that the efficiencies of the extraction technique and the subsequent RT-PCR
were not considerably affected by the varied composition of feces. The
method was applied on fecal specimens from 18 HIV-1-infected individuals,
among which were samples that had been stored for 9 years. It appeared that
HIV-1 RNA was detectable in the feces of 12 persons (67%). Viral RNA was
present in the feces of persons who fulfilled the criteria for CDC class II
and CDC class III HIV infection as well as in patients who were diagnosed
with AIDS (CDC class IV). Direct sequencing of amplimers obtained from
paired fecal and serum specimens showed that differences in sequence
heterogeneity existed. In one patient a remarkable difference in the HIV-1
sequences between isolates from feces and serum was observed. In
conclusion, HIV-1 RNA is frequently present in the feces of HIV-1- infected
individuals, and in some cases the HIV-1 subpopulation in feces differs
from the HIV-1 subpopulation in serum.
Copyright © 1995 by the American Society for Microbiology. All rights reserved.
Isolation of human immunodeficiency virus type 1 (HIV-1) RNA from feces by a simple method and difference between HIV-1 subpopulations in feces and serum
Human Retrovirus Laboratory, University of Amsterdam, The Netherlands.
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