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

Author:

Korn Klaus1,Weissbrich Benedikt2,Henke-Gendo Cornelia3,Heim Albert3,Jauer Christin Mariel4,Taylor Ninon5,Eberle Josef4

Affiliation:

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

2. Institute of Virology and Immunobiology, University of Würzburg, Würzburg, Germany

3. Institute of Virology, Medical School Hannover, Hannover, Germany

4. Max von Pettenkofer-Institute, Ludwig-Maximilians-University, Munich, Germany

5. Third Medical Department, Paracelsus Medical University of Salzburg, Salzburg, Austria

Abstract

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.

Publisher

American Society for Microbiology

Subject

Microbiology (medical)

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