Cuende J I, Ruiz J, Civeira M P, Prieto J
Department of Internal Medicine, University Clinic, University of Navarra, Pamplona, Spain.
J Med Virol. 1994 Jun;43(2):115-8. doi: 10.1002/jmv.1890430203.
The aim of the study was the evaluation of human herpesvirus-6 (HHV-6) infection rate and semiquantification of viremia in healthy people. Healthy blood donors were studied. Human herpesvirus-6 IgG and IgM antibody titers were measured by indirect immunofluorescence assay. Human herpesvirus-6 DNA amplification (nested-PCR) was performed in peripheral blood mononuclear cells (PBMC) and in serum. Seventeen of 50 (34 percent) individuals were positive for IgG anti-HHV-6 and the titers ranged from 1:40 to 1:160. None of 30 individuals was positive for IgM anti-HHV-6, suggesting no recent infection nor reactivation. Human herpesvirus-6 DNA was detected by nested-PCR amplification in peripheral blood mononuclear cells but not in sera. When 1 microgram DNA was amplified, HHV-6 DNA was detected in 8 of 20 individual (40%), but in 18 of 20 (90%) when 5 micrograms DNA were amplified. It is concluded that HHV-6 is present in a high proportion of the healthy population but in minimal amounts, and although it can be detected in 1.4 x 10(5) PBMC, 7 x 10(5) cells are necessary to detect most cases. No reactivation was observed in healthy people.
该研究的目的是评估健康人群中人类疱疹病毒6型(HHV-6)的感染率及病毒血症的半定量情况。研究对象为健康献血者。采用间接免疫荧光法检测人类疱疹病毒6型IgG和IgM抗体滴度。对外周血单个核细胞(PBMC)和血清进行人类疱疹病毒6型DNA扩增(巢式PCR)。50名个体中有17名(34%)IgG抗HHV-6呈阳性,滴度范围为1:40至1:160。30名个体中无一例IgM抗HHV-6呈阳性,提示近期无感染及再激活情况。通过巢式PCR扩增在外周血单个核细胞中检测到人类疱疹病毒6型DNA,但血清中未检测到。当扩增1微克DNA时,20名个体中有8名(40%)检测到HHV-6 DNA,而扩增5微克DNA时,20名个体中有18名(90%)检测到。结论是HHV-6在健康人群中存在比例较高但数量极少,虽然在1.4×10⁵个PBMC中可检测到,但检测大多数病例需要7×10⁵个细胞。在健康人群中未观察到再激活情况。