title: Antiviral susceptibility testing-flow cytometric analysis (AST-FCA) for the detection of cytomegalovirus drug resistance.
abstract: Antiviral susceptibility testing-flow cytometric analysis (AST-FCA), an application of flow cytometry in conjunction with cell culture, was developed to identify susceptibility of cytomegalovirus (CMV) isolates to the antiviral drugs ganciclovir (GCV) and foscarnet (PFA). The viral isolates used in this study were obtained from peripheral blood of AIDS patients. Among GCV-susceptible strains, the mean 50% inhibitory concentration (IC50) using AST-FCA was 18 microns (SI50 = 1.4). Among GCV resistant strains, the mean IC50 was 47 microns (SI50 = 3.6). For PFA, the mean IC50 was 80 microns (SI50 = 1.0) for susceptible strains. IC50s for strains resistant to PFA, showed no significant reduction of infectivity at the highest drug concentration (i.e., 200 microns PFA) tested. Additional analyses confirmed the accuracy of AST-FCA by parallel testing using plaque reduction assay. AST-FCA is a novel, nonisotopic, and relatively simple to perform laboratory procedure for the identification of CMV drug-resistant strains.
authors.affiliation: Jane and Dayton Brown and Dayton T. Brown, Jr. Virology Laboratory, Department of Laboratories, North Shore University, Hospital-New York University School of Medicine, Manhasset 11030, USA.
authors.forename: S M
authors.initials: SM
authors.lastname: Lipson
authors.forename: M
authors.initials: M
authors.lastname: Soni
authors.forename: F X
authors.initials: FX
authors.lastname: Biondo
authors.forename: D H
authors.initials: DH
authors.lastname: Shepp
authors.forename: M H
authors.initials: MH
authors.lastname: Kaplan
authors.forename: T
authors.initials: T
authors.lastname: Sun
mesh_terms: D000998:Antiviral Agents / Q000494:pharmacology*; D002478:Cells, Cultured; D003587:Cytomegalovirus / Q000187:drug effects* / Q000302:isolation & purification; D004305:Dose-Response Relationship, Drug; D005434:Flow Cytometry; D017245:Foscarnet / Q000494:pharmacology*; D015774:Ganciclovir / Q000494:pharmacology*; D006801:Humans; D008826:Microbial Sensitivity Tests; D012680:Sensitivity and Specificity
chemical_list: D000998:Antiviral Agents; D017245:Foscarnet; D015774:Ganciclovir