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Quantitation of HIV-1 RNA in plasma of asymptomatic, ARC and AIDS patients.

Zhu YS, Stricker R, Gong Y, Kiprov D, Isaacs S, Cimino G; International Conference on AIDS.

Int Conf AIDS. 1992 Jul 19-24; 8: B194 (abstract no. PoB 3623).

HRI Research Inc., Concord.

OBJECTIVE: To assess the range and variability of plasma viremia in HIV seropositive individuals, we developed a quantitative RT-PCR assay for HIV and applied this assay to plasma samples of asymptomatic, ARC and AIDS patients. METHODS: The plasma RNA from 38 HIV-1 seropositive patients (5 asymptomatic, 13 ARC and 20 AIDS) and 15 HIV-1 seronegative individuals was extracted with a guanidinium solution. These samples were reverse transcribed, amplified by PCR, and detected by oligomer hybridization to a 32P probe. Quantitation was achieved by the concurred amplification of an HIV cRNA standard. The cRNA standard was synthesized by T7 RNA polymerase using a plasmid pBKBH10S DNA as the template. Each patient's plasma was diluted appropriately to be within the quantitative range of the assay. RESULTS: The HIV-1 RNA assay was quantitative over a linear range from 50 to 1000 input copies. All 38 HIV-1 seropositive patients were tested as positive by RT-PCR. The HIV-1 RNA copies in plasma varied widely among the patients from 800 to 500,000 copies/ml plasma. We have found that the increase in HIV-1 RNA in plasma is related to a progressive decline in CD4+ lymphocytes and deteriorating clinical course in HIV-1-infected patients. Among 15 HIV-1 seronegative individuals one high risk person was treated as positive by RT-PCR. CONCLUSION: Quantitation of HIV-1 RNA by RT-PCR may provide useful tool for understanding HIV pathogenesis and monitoring antiviral drug therapy.

Publication Types:
  • Meeting Abstracts
Keywords:
  • AIDS-Related Complex
  • Acquired Immunodeficiency Syndrome
  • CD4-Positive T-Lymphocytes
  • HIV Infections
  • HIV Seropositivity
  • HIV-1
  • Humans
  • Nucleic Acid Hybridization
  • Plasma
  • Polymerase Chain Reaction
  • RNA
  • RNA, Viral
  • Reverse Transcriptase Polymerase Chain Reaction
  • Viremia
  • reverse transcriptase, Human immunodeficiency virus 1
Other ID:
  • 92401350
UI: 102199063

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