Moret Hélène, Brodard Véronique, Barranger Côme, Jovenin Nicolas, Joannes Martine, Andréoletti Laurent
Laboratoire de Virologie, Service de Microbiologie, Hôpital Robert Debré, Avenue du Général Koenig, Reims 51092 Cedex, France.
J Clin Microbiol. 2006 Apr;44(4):1305-9. doi: 10.1128/JCM.44.4.1305-1309.2006.
JC and BK human polyomaviruses (family Polyomaviridae) may cause severe neurological or urinary tract pathologies in immunocompromised hosts. In the present study, we evaluated a new commercially available PCR and microplate colorimetric hybridization assay for the standardized differential detection of JC virus (JCV) and BK virus (BKV) genomes in clinical samples. This JC/BK Consensus test was first evaluated by testing serial dilutions of JCV or BKV plasmid DNA standards and was then compared with an in-house reference PCR assay for the detection of JC and BK virus genomes in 70 cerebrospinal fluid (CSF) samples of patients with neurological disorders and in 75 serum or plasma samples and 125 urine samples of renal graft recipients. This new test allowed a limit of detection of 10 copies and 1 copy of JC and BK virus genomes, respectively, and was able to differentiate various levels of JCV, BKV, and mixed JCV and BKV DNA genomes in a single reaction tube. Our results showed 100% specificity and sensitivity for the JC/BK Consensus test with CSF samples. With serum or plasma samples, this test had a sensitivity and a specificity of 100% for both JCV and mixed JCV and BKV DNA detection and a sensitivity and a specificity of 100 and 97.8% for BKV DNA detection, respectively. With urine samples, the sensitivity and specificity were 100 and 96.6%, respectively, for JCV DNA detection; 100 and 89.4%, respectively, for BKV DNA detection; and 44.4 and 100%, respectively, for mixed JCV and BKV DNA detection. In conclusion, our data indicate that this new test, the JC/BK Consensus test, is valuable for the sensitive and specific differential detection of single JCV and BKV infections in CSF, serum or plasma, and urine samples. The use of this reliable PCR assay would improve the routine virological diagnosis as well as the clinical care of immunocompromised patients with polyomavirus-related pathologies.
JC和BK人多瘤病毒(多瘤病毒科)可在免疫功能低下的宿主中引起严重的神经或泌尿系统病变。在本研究中,我们评估了一种新的市售聚合酶链反应(PCR)和微孔板比色杂交检测法,用于临床样本中JC病毒(JCV)和BK病毒(BKV)基因组的标准化鉴别检测。首先通过检测JCV或BKV质粒DNA标准品的系列稀释液对这种JC/BK共识检测法进行评估,然后将其与一种内部参考PCR检测法进行比较,以检测70例神经系统疾病患者的脑脊液(CSF)样本、75例肾移植受者的血清或血浆样本以及125例尿液样本中的JC和BK病毒基因组。这种新检测法对JC和BK病毒基因组的检测限分别为10拷贝和1拷贝,并且能够在单个反应管中区分不同水平的JCV、BKV以及混合的JCV和BKV DNA基因组。我们的结果显示,对于CSF样本,JC/BK共识检测法的特异性和敏感性均为100%。对于血清或血浆样本,该检测法对JCV以及混合的JCV和BKV DNA检测的敏感性和特异性均为100%,对BKV DNA检测的敏感性和特异性分别为100%和97.8%。对于尿液样本,JCV DNA检测的敏感性和特异性分别为100%和96.6%;BKV DNA检测的敏感性和特异性分别为100%和89.4%;混合的JCV和BKV DNA检测的敏感性和特异性分别为44.4%和100%。总之,我们的数据表明,这种新检测法,即JC/BK共识检测法,对于在CSF、血清或血浆以及尿液样本中灵敏且特异地鉴别检测单一的JCV和BKV感染具有重要价值。使用这种可靠的PCR检测法将改善多瘤病毒相关病变的免疫功能低下患者的常规病毒学诊断以及临床护理。