title: SARS-coronavirus replicates in mononuclear cells of peripheral blood (PBMCs) from SARS patients.
abstract: BACKGROUND
  The etiologic agent of severe acute respiratory syndrome (SARS) is a recently identified, positive single-stranded RNA (ssRNA) coronavirus (SARS-CoV). Little is known about the dynamic changes of the viral replicative form in SARS cases.
  
  
  OBJECTIVE
  Evaluate whether SARS-CoV can infect and replicate in peripheral blood mononuclear cells (PBMCs) of infected persons and reveal any dynamic changes to the virus during the course of the disease.
  
  
  METHODS
  Peripheral blood mononuclear cells collected from SARS cases infected by the same infectious source were tested for both negative-stranded RNA (minus-RNA, "replicative intermediates") and positive-stranded RNA (genomic RNA) of SARS-CoV during the course of hospitalization by reverse transcription-polymerase chain reaction (RT-PCR).
  
  
  RESULTS
  SARS-CoV minus-RNA was detected in PBMCs from SARS patients. The viral replicative forms in PBMCs were detectable during a period of 6 days post-onset of the disease, while the plus-RNA were detectable for a longer period (8-12 days post-onset).
  
  
  CONCLUSIONS
  SARS-coronavirus can infect and replicate within PBMCs of SARS patients, but viral replication in PBMCs seems subject to self-limitation.
authors.affiliation: Key Laboratory of Infectious Diseases, Ministry of Public Health of China, Institute of Infectious Diseases, First Affiliated Hospital, Medical College, Zhejiang University, Qingchun Road 79, Hangzhou, Zhejiang 310003, China.
authors.forename: Lanjuan
authors.initials: L
authors.lastname: Li
authors.forename: Jianer
authors.initials: J
authors.lastname: Wo
authors.forename: Junbing
authors.initials: J
authors.lastname: Shao
authors.forename: Haihong
authors.initials: H
authors.lastname: Zhu
authors.forename: Nanping
authors.initials: N
authors.lastname: Wu
authors.forename: Minwei
authors.initials: M
authors.lastname: Li
authors.forename: Hangpin
authors.initials: H
authors.lastname: Yao
authors.forename: Minjun
authors.initials: M
authors.lastname: Hu
authors.forename: Reinhard H
authors.initials: RH
authors.lastname: Dennin
mesh_terms: D005260:Female; D016679:Genome, Viral; D006760:Hospitalization; D006801:Humans; D007963:Leukocytes, Mononuclear / Q000821:virology*; D008297:Male; D008875:Middle Aged; D012367:RNA, Viral / Q000097:blood; D045473:Severe acute respiratory syndrome-related coronavirus / Q000302:isolation & purification / Q000502:physiology*; D045169:Severe Acute Respiratory Syndrome / Q000821:virology*; D013997:Time Factors; D014779:Virus Replication
chemical_list: D012367:RNA, Viral