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Quantitation of HIV plasma viremia using the branched DNA signal amplification and p24 antigen assays during combination nucleoside antiviral therapy.

Bacheler L, Ackerman K, Sheridan P, Pachl C, Swanson K, Winslow D; International Conference on AIDS.

Int Conf AIDS. 1993 Jun 6-11; 9: 550 (abstract no. PO-B41-2488).

DuPont Merck Pharmaceutical Company, Wilmington, DE 19880-0400.

Eight patients enrolled in the CPCRA NuCombo Protocol 007 were monitored for CD4+ cell counts, plasma p24 antigen, and plasma HIV RNA. This protocol is a randomized, comparative trial of ZDV vs. ZDV plus ddl vs. ZDV plus ddC in HIV infected patients with CD4+ counts of < 200 cells per mm3. Filtered plasma samples were collected at the time of entry into the trial, and for an additional 4-8 months. Free p24 antigen levels in plasma were determined using a commercial ELISA kit (DuPont). Viral RNA levels in plasma were quantified in a HIV RNA assay using branched DNA (bDNA) signal amplification technology (Chiron). All patients were positive for HIV RNA, while free p24 antigen was detected in 4 out of 8 patients. The effect of filtering plasma samples through a 0.8 mu filter to remove platelets on the recovery of HIV RNA was studied. In specimens ranging from 1.5 x 10(4) to 3.6 x 10(5) HIV RNA equivalents/ml plasma, the average difference between filtered and unfiltered plasma was 13%, indicating that filtered plasma can be used in the bDNA assay. Results of this longitudinal survey in eight patients on anti-retroviral therapy will be presented.

Publication Types:
  • Meeting Abstracts
Keywords:
  • AIDS Vaccines
  • Acquired Immunodeficiency Syndrome
  • Antiviral Agents
  • CD4 Lymphocyte Count
  • HIV
  • HIV Antigens
  • HIV Core Protein p24
  • HIV Infections
  • HIV Seropositivity
  • Humans
  • Immunologic Techniques
  • Longitudinal Studies
  • RNA, Viral
  • Viremia
  • Zidovudine
  • immunology
  • organization & administration
Other ID:
  • 93336142
UI: 102205520

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