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Erschienen in: Archivum Immunologiae et Therapiae Experimentalis 3/2007

01.06.2007 | Short Communication

Comparison of two methods used for monitoring low-copy cytomegalovirus infection in a patient with chronic myeloid leukemia after unrelated umbilical cord blood transplantation

verfasst von: Tomasz Dzieciątkowski, Maciej Przybylski, Agnieszka Tomaszewska, Małgorzata Rokicka, Mirosław Łuczak

Erschienen in: Archivum Immunologiae et Therapiae Experimentalis | Ausgabe 3/2007

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Abstract

Introduction:

Detection of human cytomegalovirus (CMV, HHV-5) DNA in clinical specimens is considered a cornerstone in the diagnosis of HHV-5 disease. The present study compared two quantitative methods used for diagnosing cytomegalovirus infection in a 21-year-old woman with chronic myeloid leukemia after an unrelated umbilical cord blood transplantation.

Materials and Methods:

Blood samples were tested for the presence of HHV-5 DNA using the LightCycler PCR, the quantitative Eclipse® CMV DNA Detection Kit, and a qualitative in-house PCR assay using primers that amplify part of the HHV-5 MIE gene.

Results:

Results from samples containing a low cytomegalovirus load were more accurate with the LightCycler test than those obtained with the Eclipse® test, which underestimated the viral load of samples containing low DNA copy numbers.

Conclusions:

These findings underline the value of novel PCR methods used in current therapeutic procedures and in monitoring antiviral therapy with nucleoside analogs. The high level of sensitivity, specificity, accuracy, and rapidity provided by the LightCycler instrument are favorable for the use of this system in the detection of HHV-5 DNA in clinical specimens.
Literatur
Zurück zum Zitat Apperley J., Carreras E. and Gluckman E. (2004): Haemopoetic stem cell transplantation. In The EBMT Handbook 2004. Forum Service Editore, Genoa, 79–90. Apperley J., Carreras E. and Gluckman E. (2004): Haemopoetic stem cell transplantation. In The EBMT Handbook 2004. Forum Service Editore, Genoa, 79–90.
Zurück zum Zitat Apperley J., Carreras E. and Gluckman E. (2004): Haemopoetic stem cell transplantation. In The EBMT Handbook 2004. Forum Service Editore, Genoa, 257–268. Apperley J., Carreras E. and Gluckman E. (2004): Haemopoetic stem cell transplantation. In The EBMT Handbook 2004. Forum Service Editore, Genoa, 257–268.
Zurück zum Zitat Arcese W., Rocha V., Labopin M., Sanz G., Iori A. P., de Lima M., Sirvent A., Busca A., Ionescu I., Wernet P., Gluckman E. and Eurocord-Netcord Tranplant group (2006): Unrelated cord blood transplants in adults with hematologic malignancies. Haematologica, 91, 223–230.PubMed Arcese W., Rocha V., Labopin M., Sanz G., Iori A. P., de Lima M., Sirvent A., Busca A., Ionescu I., Wernet P., Gluckman E. and Eurocord-Netcord Tranplant group (2006): Unrelated cord blood transplants in adults with hematologic malignancies. Haematologica, 91, 223–230.PubMed
Zurück zum Zitat Demmler G. J., Buffone G. J., Schimbor C. M. and May R. A. (1988): Detection of cytomegalovirus in urine from newborns by using polymerase chain reaction DNA amplification. J. Infect. Dis., 158, 1177–1184.PubMed Demmler G. J., Buffone G. J., Schimbor C. M. and May R. A. (1988): Detection of cytomegalovirus in urine from newborns by using polymerase chain reaction DNA amplification. J. Infect. Dis., 158, 1177–1184.PubMed
Zurück zum Zitat Emery V. C. (2001): Investigation of CMV disease in immunocompromised patients. J. Clin. Pathol., 54, 84–88.CrossRefPubMed Emery V. C. (2001): Investigation of CMV disease in immunocompromised patients. J. Clin. Pathol., 54, 84–88.CrossRefPubMed
Zurück zum Zitat George M. J., Snydman D. R., Werner B. G., Griffith J., Falagas M. E., Dougherty N. N. and Rubin R. H. (1997): The independent role of cytomegalovirus as a risk factor for invasive fungal disease in orthotopic liver transplant recipients. Am. J. Med., 103, 106–113.CrossRefPubMed George M. J., Snydman D. R., Werner B. G., Griffith J., Falagas M. E., Dougherty N. N. and Rubin R. H. (1997): The independent role of cytomegalovirus as a risk factor for invasive fungal disease in orthotopic liver transplant recipients. Am. J. Med., 103, 106–113.CrossRefPubMed
Zurück zum Zitat Gluckman E. (2005): Unrelated adult cord blood transplants for adults with acute leukemia: comparison with other stem cell sources. Biol. Blood Marrow Transplant., 11, 928.CrossRef Gluckman E. (2005): Unrelated adult cord blood transplants for adults with acute leukemia: comparison with other stem cell sources. Biol. Blood Marrow Transplant., 11, 928.CrossRef
Zurück zum Zitat Gratwohl A., Hermans J., Goldman J. M., Arcese W., Carreras E., Devergie A., Frassoni F., Gahrton G., Kolb H.-J., Niederwieser D., Ruutu T., Vernant J. P., de Witte T. and Apperley J. (1998): Risk assessment for patients with chronic myeloid leukaemia before allogenic blood or marrow transplantation. Lancet, 352, 1087–1092.CrossRefPubMed Gratwohl A., Hermans J., Goldman J. M., Arcese W., Carreras E., Devergie A., Frassoni F., Gahrton G., Kolb H.-J., Niederwieser D., Ruutu T., Vernant J. P., de Witte T. and Apperley J. (1998): Risk assessment for patients with chronic myeloid leukaemia before allogenic blood or marrow transplantation. Lancet, 352, 1087–1092.CrossRefPubMed
Zurück zum Zitat Griffiths P. D., Clark D. A. and Emery V. C. (2000): Betaherpesviruses in transplant recipients. J. Antimicrob. Chemother., 45, 29–34.CrossRefPubMed Griffiths P. D., Clark D. A. and Emery V. C. (2000): Betaherpesviruses in transplant recipients. J. Antimicrob. Chemother., 45, 29–34.CrossRefPubMed
Zurück zum Zitat Hamza N. S., Lisgaris M., Yadavalli G., Madeai L., Fox R., Fu P., Lazarus H. M., Koc O. N., Salata R. A. and Laughlin M. J. (2004): Kinetics of myeloid and lymphocyte recovery and infectious complications after unrelated umbilical cord blood versus HLA-matched unrelated donor allogenic transplantation in adults. Br. J. Haematol., 124, 488–498.CrossRefPubMed Hamza N. S., Lisgaris M., Yadavalli G., Madeai L., Fox R., Fu P., Lazarus H. M., Koc O. N., Salata R. A. and Laughlin M. J. (2004): Kinetics of myeloid and lymphocyte recovery and infectious complications after unrelated umbilical cord blood versus HLA-matched unrelated donor allogenic transplantation in adults. Br. J. Haematol., 124, 488–498.CrossRefPubMed
Zurück zum Zitat Reusser P., Einsele H., Lee J., Volin L., Rovira M., Engelhard D., Finke J., Cordonnier C., Link H. and Ljungman P. (2002): Randomized multicenter trial of foscarnet versus ganciclovir for preemptive therapy of cytomegalovirus infection after allogenic stem cell transplantation. Blood, 99, 1159–1164.CrossRefPubMed Reusser P., Einsele H., Lee J., Volin L., Rovira M., Engelhard D., Finke J., Cordonnier C., Link H. and Ljungman P. (2002): Randomized multicenter trial of foscarnet versus ganciclovir for preemptive therapy of cytomegalovirus infection after allogenic stem cell transplantation. Blood, 99, 1159–1164.CrossRefPubMed
Zurück zum Zitat Roizman B. (1992): The family Herpesviridae: an update. Arch. Virol., 123, 425–449.CrossRef Roizman B. (1992): The family Herpesviridae: an update. Arch. Virol., 123, 425–449.CrossRef
Zurück zum Zitat Sanz G. F. (2005): Unrelated donor umbilical cord blood transplantation in adults with hematologic malignancies. Pathol. Biol., 53, 165–166.CrossRefPubMed Sanz G. F. (2005): Unrelated donor umbilical cord blood transplantation in adults with hematologic malignancies. Pathol. Biol., 53, 165–166.CrossRefPubMed
Zurück zum Zitat Sanz G. F., Moscardo F. and Jimenez C. (2004): Unrelated-donor cord blood transplantation in patients with chronic myeloid leukemia. Biol. Blood Marrow Transplant., 10, 734. Sanz G. F., Moscardo F. and Jimenez C. (2004): Unrelated-donor cord blood transplantation in patients with chronic myeloid leukemia. Biol. Blood Marrow Transplant., 10, 734.
Zurück zum Zitat Schaade L., Kockelkorn P., Ritter K. and Kleines M. (2000): Detection of cytomegalovirus DNA in human specimens by LightCycler PCR. J. Clin. Microbiol., 38, 4006–4009. Schaade L., Kockelkorn P., Ritter K. and Kleines M. (2000): Detection of cytomegalovirus DNA in human specimens by LightCycler PCR. J. Clin. Microbiol., 38, 4006–4009.
Zurück zum Zitat Torok-Storb B., Boeckh M., Hoy C., Leisenring W., Myerson D. and Gooley T. (1997): Association of specific cytomegalovirus genotypes with death from myelosuppression after marrow transplantation. Blood, 90, 2097–2102.PubMed Torok-Storb B., Boeckh M., Hoy C., Leisenring W., Myerson D. and Gooley T. (1997): Association of specific cytomegalovirus genotypes with death from myelosuppression after marrow transplantation. Blood, 90, 2097–2102.PubMed
Zurück zum Zitat Tse W. and Laughlin M. J. (2005): Umbilical cord blood transplantation: a new alternative option. Hematology Am. Soc. Hematol. Educ. Program, 377–383. Tse W. and Laughlin M. J. (2005): Umbilical cord blood transplantation: a new alternative option. Hematology Am. Soc. Hematol. Educ. Program, 377–383.
Zurück zum Zitat Wagner J. E. and Barker J. (2004): Umbilical cord blood transplantation: novel approaches toward improving engraftment. Biol. Blood Marrow Transplant., 10, 733. Wagner J. E. and Barker J. (2004): Umbilical cord blood transplantation: novel approaches toward improving engraftment. Biol. Blood Marrow Transplant., 10, 733.
Metadaten
Titel
Comparison of two methods used for monitoring low-copy cytomegalovirus infection in a patient with chronic myeloid leukemia after unrelated umbilical cord blood transplantation
verfasst von
Tomasz Dzieciątkowski
Maciej Przybylski
Agnieszka Tomaszewska
Małgorzata Rokicka
Mirosław Łuczak
Publikationsdatum
01.06.2007
Erschienen in
Archivum Immunologiae et Therapiae Experimentalis / Ausgabe 3/2007
Print ISSN: 0004-069X
Elektronische ISSN: 1661-4917
DOI
https://doi.org/10.1007/s00005-007-0019-5

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