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Quantitative Detection and Differentiation of Human Herpesvirus 6 Subtypes in Bone Marrow Transplant Patients by Using a Single Real-Time Polymerase Chain Reaction Assay Sushruth Reddy, Pradip Manna Biology of Blood and Marrow Transplantation Volume 11, Issue 7, Pages (July 2005) DOI: /j.bbmt Copyright © 2005 American Society for Blood and Marrow Transplantation Terms and Conditions
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Figure 1 Design of primers and probes to distinguish between HHV-6A and 6B subtypes in quantitative real-time PCR. The region of the DNA polymerase gene shows significant homology between the 2 subtypes: HHV-6A (top) and HHV-6B (bottom). The MGB probe was designed in a region where the 2 subtypes differ in 1 base. This single mismatch causes a significant difference in the melting point, thus enabling identification at the subtype level. Forward and reverse primers were designed in the region of 100% homology between the subtypes. Biology of Blood and Marrow Transplantation , DOI: ( /j.bbmt ) Copyright © 2005 American Society for Blood and Marrow Transplantation Terms and Conditions
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Figure 2 Sequence alignment of the HHV-6 genome for the large tegument gene. Forward and reverse primers, as indicated by the underlined sequences, were designed on conserved regions to amplify a 162-bp fragment of the HHV-6 large tegument protein gene in both HHV-6A and HHV-6B. The HHV-6B amplicon contains a HindIII restriction site (as indicated by the arrow). As designed, HindIII digestion of the 162-bp HHV-6B amplicon would generate 97- and 66-bp fragments. However, the HHV-6A amplicon does not contain this restriction site, and the 162-bp amplicon will be undigested by HindIII. Biology of Blood and Marrow Transplantation , DOI: ( /j.bbmt ) Copyright © 2005 American Society for Blood and Marrow Transplantation Terms and Conditions
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Figure 3 Sequence alignment of the HHV-6 genome for the immediate-early gene. Forward and reverse primers, as indicated by the underlined sequences, were designed on conserved regions to amplify a portion of the HHV-6 immediate-early gene in both HHV-6A and HHV-6B. Amplification of HHV-6A would produce a 206-bp amplicon. However, amplification of HHV-6B would produce a distinctly longer 431-bp amplicon with the same primer set. Biology of Blood and Marrow Transplantation , DOI: ( /j.bbmt ) Copyright © 2005 American Society for Blood and Marrow Transplantation Terms and Conditions
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Figure 4 PCR amplification of HHV-6A and -6B. A 207-bp fragment of the HHV-6 genome was amplified by using the primer pairs described in Table 1 with HHV-6A (lane 2) and HHV-6B (lane 3) genomic DNA. PCR-amplified products were run on 2.5% agarose gel. Lane 1, 100-bp ladder; lane 2, HHV-6A; lane 3, HHV-6B; lane 4, negative control. Biology of Blood and Marrow Transplantation , DOI: ( /j.bbmt ) Copyright © 2005 American Society for Blood and Marrow Transplantation Terms and Conditions
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Figure 5 Real-time detection and quantitation of HHV-6. A, Amplification profile of standards for HHV-6A and -6B real-time PCR. Concentrated standard DNA was serially diluted to produce 107, 106, 105, 104, 103, 102, and 101 copies per milliliter standard solutions (left to right, as shown). B, Standard curve for HHV-6A and -6B real-time PCR. Biology of Blood and Marrow Transplantation , DOI: ( /j.bbmt ) Copyright © 2005 American Society for Blood and Marrow Transplantation Terms and Conditions
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Figure 6 Differentiation of HHV-6A and HHV-6B by real-time PCR melting point analysis. A, Exploiting a single-base mismatch between the subtypes, this assay was able to produce distinct melting peaks for HHV-6A (melting point, 61.5°C) and HHV-6B (melting point, 49.8°C). B, This assay was able to produce equally distinct melting peaks for single reactions containing both HHV-6A and HHV-6B genomic DNA. Biology of Blood and Marrow Transplantation , DOI: ( /j.bbmt ) Copyright © 2005 American Society for Blood and Marrow Transplantation Terms and Conditions
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Figure 7 PCR-RFLP discrimination of HHV-6 subtypes. A, PCR amplification of a portion of the HHV-6 large tegument protein gene. A 162-bp fragment of the gene was amplified by using primer pairs as described in Table 1 with HHV-6A and HHV-6B genomic DNA. PCR-amplified products were run on 2.0% agarose gel and stained with ethidium bromide (lane 1, negative control; lane 2, HHV-6A; lane 3, HHV-6B; lane 4, 100-bp ladder). B, HindIII digestion of the 162-bp amplicons shown in A. Digestion of the HHV-6A amplicon resulted in preservation of the original 162-bp amplicon (lane 2). Digestion of the 162-bp HHV-6B amplicon resulted in 97- and 66-bp fragments (lane 3) (lane 1, 100-bp ladder; lane 4, negative control). C, PCR-RFLP confirmation of subtype in 2 HHV-6A-positive patients (lanes 1 and 2) and 2 HHV-6B-positive patients (lanes 3 and 4). Biology of Blood and Marrow Transplantation , DOI: ( /j.bbmt ) Copyright © 2005 American Society for Blood and Marrow Transplantation Terms and Conditions
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Figure 8 PCR amplicon size-discrimination analysis of HHV-6 subtypes. A, A 206-bp fragment (lane 2) of HHV-6A genomic DNA was amplified by using the primer pair described in Table 1. A 421-bp fragment (lane 3) of HHV-6B genomic DNA was amplified by the same primer set. PCR-amplified products were run on 2.0% agarose gel and stained with ethidium bromide. B, PCR amplicon size confirmation of subtype in 2 HHV-6A-positive patients (lanes 1 and 2) and 2 HHV-6B-positive patients (lanes 3 and 4). Biology of Blood and Marrow Transplantation , DOI: ( /j.bbmt ) Copyright © 2005 American Society for Blood and Marrow Transplantation Terms and Conditions
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