title: Human cytomegalovirus immediate early and late transcripts in peripheral blood leukocytes: diagnostic value in renal transplant recipients.
abstract: Peripheral blood leukocytes of renal transplant recipients were investigated to compare the following markers of human cytomegalovirus (HCMV) infection: pp65 antigen by indirect immunofluorescence, viral DNA by nested polymerase chain reaction (PCR), and immediate early (IE) and late (pp150) mRNA by nested PCR following reverse transcription. Sixty-five patients were monitored weekly for 20 weeks after transplantation. In 76 samples from 20 patients positive for HCMV DNA by PCR, HCMV mRNA was detected. Detectable amounts of IE and pp150 mRNA were positively correlated with high numbers of pp65 antigen-positive cells and confirmed the significance of pp65 antigen as a marker for active viral replication. However, with respect to the early diagnosis of HCMV-related disease and monitoring of antiviral therapy, the test for viral mRNA was not superior to the pp65 antigen test.
authors.affiliation: Abteilung Virologie, Institut für Medizinische Mikrobiologie und Hygiene, Universität Freiburg, Germany.
authors.forename: U
authors.initials: U
authors.lastname: Meyer-König
authors.forename: A
authors.initials: A
authors.lastname: Serr
authors.forename: D
authors.initials: D
authors.lastname: von Laer
authors.forename: G
authors.initials: G
authors.lastname: Kirste
authors.forename: C
authors.initials: C
authors.lastname: Wolff
authors.forename: O
authors.initials: O
authors.lastname: Haller
authors.forename: D
authors.initials: D
authors.lastname: Neumann-Haefelin
authors.forename: F T
authors.initials: FT
authors.lastname: Hufert
mesh_terms: D001483:Base Sequence; D003587:Cytomegalovirus / Q000235:genetics*; D003586:Cytomegalovirus Infections / Q000175:diagnosis*; D006801:Humans; D017874:Immediate-Early Proteins / Q000235:genetics*; D016030:Kidney Transplantation / Q000009:adverse effects*; D007962:Leukocytes / Q000737:chemistry; D008562:Membrane Glycoproteins; D008969:Molecular Sequence Data; D010323:Passive Cutaneous Anaphylaxis; D010750:Phosphoproteins / Q000097:blood; D012333:RNA, Messenger / Q000097:blood*; D012367:RNA, Viral / Q000097:blood*; D015534:Trans-Activators; D014759:Viral Envelope Proteins; D014763:Viral Matrix Proteins / Q000097:blood / Q000235:genetics*; D014764:Viral Proteins
chemical_list: C069186:IE2 protein, Cytomegalovirus; D017874:Immediate-Early Proteins; D008562:Membrane Glycoproteins; D010750:Phosphoproteins; D012333:RNA, Messenger; D012367:RNA, Viral; D015534:Trans-Activators; C077406:UL115 protein, Human herpesvirus 5; D014759:Viral Envelope Proteins; D014763:Viral Matrix Proteins; D014764:Viral Proteins; C065418:cytomegalovirus matrix protein 65kDa; C071440:glycoprotein H, Cytomegalovirus; C499358:glycoprotein H, Human cytomegalovirus; C439068:glycoprotein O, cytomegalovirus; C056367:pp150 protein, Cytomegalovirus