Journal Information
Vol. 14. Issue 3.
Pages 322-324 (May - June 2010)
Share
Share
Download PDF
More article options
Vol. 14. Issue 3.
Pages 322-324 (May - June 2010)
Brief communication
Open Access
Comparison of a rapid cytomegalovirus pp65 antigenemia assay revealed by immunofluorescence to an in-house assay revealed by immunoperoxidase for diagnosis in solid organ transplant recipient patients
Visits
2773
Emerson Carraro1,2,
Corresponding author
emersoncarraro@bol.com.br

Correspondence to: Laboratório de Virologia Clínica Rua Pedro de Toledo, 781, 15° andar, Vila Clementino São Paulo – SP – Brasil CEP: 04039-032.
, Jacyr Pasternak2, Ana Perosa2, Itacy Siqueira2, Marines Dalla Vale Martino2
1 Microbiology Section, Clinical Laboratory, Hospital Albert Einstein, São Paulo, SP, Brazil
2 Clinical Virology Laboratory, Infectious Diseases Department, UNIFESP, São Paulo, SP, Brazil
This item has received

Under a Creative Commons license
Article information
Abstract

Cytomegalovirus (CMV) antigenemia is still one of the two major assays available for diagnosis and monitoring of CMV infections. A commercial rapid test recently available in Brazil for quantification of human cytomegalovirus pp65 antigenemia revealed by immunofluorescence technique was compared with the original in-house method revealed by immunoperoxidase in patients receiving solid organ transplants. Of 80 blood samples tested for CMV antigenemia, 34 (42.5%) were positive: commercial assay detected 33 (97%) and in-house assay detected 20 (58.8%) samples. The numbers of positive cells in the two assays were different, with a median of 4.5 and 12 positive cells obtained by in-house and commercial kit, respectively. Discrepancies between assays occurred in 15 specimens from patients with low-grade antigenemia (median 6 positive cells). The assay-time was reduced in approximately 50% compared to in-house methodology. In conclusion, besides comparable results obtained for both assays, the commercial antigenemia assay provides more rapid and sensitive results.

Keywords:
cytomegalovirus
antigenemia assay
immmunoperoxidase
immunofluorescence
Full text is only aviable in PDF
References
[1.]
L. Grangeot-Keros, D. Cointe.
Diagnosis and prognostic markers of HCMV infection.
J Clin Virol, 21 (2001), pp. 213-221
[2.]
F. Baldanti, M.G. Revello, E. Percivalle, G. Gerna.
Use of the human cytomegalovirus (HCMV) antigenemia assay for diagnosis and monitoring of HCMV infections and detection of antiviral drug resistance in the immunocompromised.
J Clin Virol, 11 (1998), pp. 51-60
[3.]
W. Van Der Bij, J. Schirm, R. Torensma, et al.
Comparison between viremia and antigenemia for detection of cytomegalovirus in blood.
J Clin Microbiol, 26 (1988), pp. 2531-2535
[4.]
S.K. Ho, C.Y. Lo, I.K. Cheng, T.M. Chan.
Rapid cytomegalovirus pp65 antigenemia assay by direct erythrocyte lysis and immunofluorescence staining.
J Clin Microbiol, 36 (1998), pp. 638-640
[5.]
C.E. Visser, C.J. Van Zeijl, E.P. De Klerk, et al.
First experiences with an accelerated CMV antigenemia test: CMV Brite Turbo assay.
J Clin Virol, 17 (2000), pp. 65-68
[6.]
B. Gratacap-Cavallier, A. Bonadona, R. Berthier, et al.
A simplified cytomegalovirus pp65 antigenemia assay procedure.
J Clin Virol, 28 (2003), pp. 317-322
[7.]
G. Gerna, M.G. Revello, E. Percivalle, F. Morini.
Comparison of different immunostaining techniques and monoclonal antibodies to the lower matrix phosphoprotein (pp65) for optimal quantitation of human cytomegalovirus antigenemia.
J Clin Microbiol, 30 (1992), pp. 1232-1237
[8.]
D. Lilleri, G. Gerna, M. Furione, et al.
Use of a DNAemia cutoff for monitoring human cytomegalovirus infection reduces the number of preemptively treated children and young adults receiving hematopoietic stem-cell transplantation compared with qualitative pp65 antigenemia.
Blood, 110 (2007), pp. 2757-2760
[9.]
M.L. Landry, D. Ferguson, S. Cohen, K. Huber, P. Wetherill.
Effect of delayed specimen processing on cytomegalovirus antigenemia test results.
J Clin Microbiol, 33 (1995), pp. 257-259
[10.]
M.L. Landry, D. Ferguson, T. Stevens-Ayers, M.W. De Jonge, M. Boeckh.
Evaluation of CMV Brite kit for detection of cytomegalovirus pp65 antigenemia in peripheral blood leukocytes by immunofluorescence.
J Clin Microbiol, 34 (1996), pp. 1337-1339
[11.]
J. Niubò, J.L. Pérez, A. Carvajal, C. Ardanuy, R. Martín.
Effect of delayed processing of blood samples on performance of cytomegalovirus antigenemia assay.
J Clin Microbiol, 32 (1994), pp. 1119-1120
[12.]
P. Schäfer, W. Tenschert, K. Gutensohn, R. Laufs.
Minimal effect of delayed sample processing on results of quantitative PCR for cytomegalovirus DNA in leukocytes compared to results of an antigenemia assay.
J Clin Microbiol, 35 (1997), pp. 741-744
[13.]
M. Boeckh, P.M. Woogerd, T. Stevens-Ayers, C.G. Ray, R.A. Bowden.
Factors influencing detection of quantitative cytomegalovirus antigenemia.
J Clin Microbiol, 32 (1994), pp. 832-834
Copyright © 2010. Elsevier Editora Ltda.. All rights reserved
The Brazilian Journal of Infectious Diseases
Article options
Tools