Evidence map›Paper›PMID 20211581›Full record

ArticleJournal of clinical virology : the official publication of the Pan American Society for Clinical Virology2010

Diagnostic assays for active infection with human herpesvirus 6 (HHV-6).

Mary T Caserta, Caroline Breese Hall, Kenneth Schnabel, Geraldine Lofthus, Andrea Marino, Lynne Shelley, Christina Yoo, Jennifer Carnahan, Linda Anderson, Hongyue Wang

Open access · greenAbstract read
In one paragraph

Article in Journal of clinical virology : the official publication of the Pan American Society for Clinical Virology, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
4.7field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 88 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Observational
  8. Human herpesvirus 6 meningitis in an adult.Proceedings (Baylor University. Medical Center) · 2020
    Article
  9. RNA Sequencing of theJournal of virology · 2019
    Article
  10. Review
  11. A Celebration of the Life and Work of Caroline Breese Hall, MD.Journal of the Pediatric Infectious Diseases Society · 2016
    Article
  12. Article
  13. Article
  14. Review
  15. Review
  16. Article
  17. Article
  18. Article
  19. Review
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 1 institution in 1 country.

Mary T CasertaDepartment of Pediatrics, University of Rochester School of Medicine and Dentistry, Rochester, NY 14642, United States. mary_caserta@urmc.rochester.edu
Caroline Breese Hall
Kenneth Schnabel
Geraldine Lofthus
Andrea Marino
Lynne Shelley
Christina Yoo
Jennifer Carnahan
Linda Anderson
Hongyue Wang
University of Rochester · US

Funding

YOHIMBINE CHALLENGE IN PARKINSONIAN PATIENTS WITH PANIC DISORDERM01RR000044 · NCRR · UNIVERSITY OF ROCHESTER · PI GUZICK, DAVID S · 1985 to 2006
$13.8M
Congenital HHV6 Infection: Characteristics and OutcomeR01HD044430 · NICHD · UNIVERSITY OF ROCHESTER · PI HALL, CAROLINE BREESE · 2003 to 2007
$3.1M
PRIMARY HHV6 INFECTION--CLINICAL &VIRAL CHARACTERISTICSR01AI033020 · NIAID · UNIVERSITY OF ROCHESTER · PI HALL, CAROLINE BREESE · 1992 to 2001
$1.6M
NCRR NIH HHS 5 MO1 RR00044NCRR NIH HHS M01 RR000044NIAID NIH HHS 5R01 AI 33020-09NIAID NIH HHS R01 AI033020NICHD NIH HHS R01 HD044430NICHD NIH HHS R01 HD 44430-01
6 · The paper itself

Abstract

backgroundHuman herpesvirus 6 (HHV-6) causes ubiquitous infection in early childhood with lifelong latency or persistence. Reactivation of HHV-6 has been associated with multiple diseases including encephalitis. Chromosomal integration of HHV-6 also occurs. Previous studies have suggested that the detection of HHV-6 DNA in plasma is an accurate marker of active viral replication.

objectiveWe sought to determine whether PCR assays on plasma could correctly differentiate between primary HHV-6 infection, chromosomal integration of HHV-6 and latent HHV-6 infection. STUDY

designWe performed qualitative PCR, real-time quantitative PCR (RQ-PCR), and reverse-transcriptase PCR (RT-PCR) assays on samples of peripheral and cord blood mononuclear cells, as well as plasma, from groups of subjects with well defined HHV-6 infection, including subjects with chromosomally integrated HHV-6. RESULTS AND

conclusionsThe detection of HHV-6 DNA in plasma was 92% sensitive compared to viral isolation for the identification of primary infection with HHV-6. All plasma samples from infants with chromosomally integrated HHV-6 had HHV-6 DNA detectable in plasma while only 5.6% were positive by RT-PCR. The specificity of plasma PCR for active replication of HHV-6 was 84% compared to viral culture while the specificity of RT-PCR was 98%. Our results demonstrate that qualitative or quantitative PCR of plasma is insufficient to distinguish between active viral replication and chromosomal integration with HHV-6. We found a higher specificity of RT-PCR performed on PBMC samples compared to PCR or RQ-PCR performed on plasma when evaluating samples for active HHV-6 replication.

Indexed as

ChildDNA, ViralHerpesvirus 6, HumanHumansPolymerase Chain ReactionRoseolovirus InfectionsSensitivity and SpecificityVirologyVirus IntegrationVirus ReplicationDNA, Viral

Identifiers

PMID20211581
PMCPMC2855742
OpenAlexW2114618442

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.