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Mem. Inst. Oswaldo Cruz ; 110(4): 461-467, 09/06/2015. tab, graf
Article in English | LILACS | ID: lil-748869

ABSTRACT

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.


Subject(s)
Humans , DNA, Viral/analysis , Hematopoietic Stem Cell Transplantation , /genetics , Real-Time Polymerase Chain Reaction/methods , Roseolovirus Infections/diagnosis , Prospective Studies , Reproducibility of Results , Sensitivity and Specificity , Transplantation, Homologous , Viral Load
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