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单点突变导致使用Cobas TaqMan HIV-1实时荧光定量PCR检测法对1型人类免疫缺陷病毒(HIV-1)载量的低估超过100倍。

Single-point mutations causing more than 100-fold underestimation of human immunodeficiency virus type 1 (HIV-1) load with the Cobas TaqMan HIV-1 real-time PCR assay.

作者信息

Korn Klaus, Weissbrich Benedikt, Henke-Gendo Cornelia, Heim Albert, Jauer Christin Mariel, Taylor Ninon, Eberle Josef

机构信息

Institute of Clinical and Molecular Virology, National Reference Center for Retroviruses, University of Erlangen-Nuremberg, Erlangen, Germany.

出版信息

J Clin Microbiol. 2009 Apr;47(4):1238-40. doi: 10.1128/JCM.02204-08. Epub 2009 Feb 4.

Abstract

Systematic sequence analysis of human immunodeficiency virus type 1 (HIV-1) variants with RNA levels underestimated by the Cobas TaqMan HIV-1 assay demonstrated that mutations at a single position of the downstream primer can lead to the underestimation of HIV-1 RNA levels by more than 2 log and to false-negative results in minipool screening of blood donors. Mutations at this position are found in about 2% of all HIV-1 M gag sequences.

摘要

对人类免疫缺陷病毒1型(HIV-1)变异体进行系统序列分析,这些变异体的RNA水平被Cobas TaqMan HIV-1检测法低估,结果表明下游引物单个位置的突变可导致HIV-1 RNA水平被低估超过2个对数,并在献血者混合样本筛查中产生假阴性结果。在所有HIV-1 M gag序列中约2%发现了该位置的突变。

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