Monitoring human cytomegalovirus viral load in peripheral blood leukocytes of renal transplant recipients by a simple limiting dilution-PCR assay

To assess the clinical relevance of a semi-quantitative measurement of human cytomegalovirus (HCMV) DNA in renal transplant recipients within the typical clinical context of a developing country where virtually 100% of both receptors and donors are seropositive for this virus, we have undertaken HCMV DNA quantification using a simple, semi-quantitative, limiting dilution polymerase chain reaction (PCR). We evaluated this assay prospectively in 52 renal transplant patients from whom a total of 495 serial blood samples were collected. The samples scored HCMV positive by qualitative PCR had the levels of HCMV DNA determined by end-point dilution-PCR. All patients were HCMV DNA positive during the monitoring period and a diagnosis of symptomatic infection was made for 4 of 52 patients. In symptomatic patients the geometric mean of the highest level of HCMV DNAemia was 152,000 copies per 106 leukocytes, while for the asymptomatic group this value was 12,050. Symptomatic patients showed high, protracted HCMV DNA levels, whereas asymptomatic patients demonstrated intermittent low or moderate levels. Using a cut-off value of 100,000 copies per 106 leukocytes, the limiting dilution assay had sensitivity of 100%, specificity of 92%, a positive predictive value of 43% and a negative predictive value of 100% for HCMV disease. In this patient group, there was universal HCMV infection but relatively infrequent symptomatic HCMV disease. The two patient groups were readily distinguished by monitoring with the limiting dilution assay, an extremely simple technology immediately applicable in any clinical laboratory with PCR capability

Monitoring human cytomegalovirus viral load in peripheral blood leukocytes of renal transplant recipients by a simple limiting dilution-PCR assay

To assess the clinical relevance of a semi-quantitative measurement of human cytomegalovirus (HCMV) DNA in renal transplant recipients within the typical clinical context of a developing country where virtually 100% of both receptors and donors are seropositive for this virus, we have undertaken HCMV DNA quantification using a simple, semi-quantitative, limiting dilution polymerase chain reaction (PCR). We evaluated this assay prospectively in 52 renal transplant patients from whom a total of 495 serial blood samples were collected. The samples scored HCMV positive by qualitative PCR had the levels of HCMV DNA determined by end-point dilution-PCR. All patients were HCMV DNA positive during the monitoring period and a diagnosis of symptomatic infection was made for 4 of 52 patients. In symptomatic patients the geometric mean of the highest level of HCMV DNAemia was 152,000 copies per 106 leukocytes, while for the asymptomatic group this value was 12,050. Symptomatic patients showed high, protracted HCMV DNA levels, whereas asymptomatic patients demonstrated intermittent low or moderate levels. Using a cut-off value of 100,000 copies per 106 leukocytes, the limiting dilution assay had sensitivity of 100%, specificity of 92%, a positive predictive value of 43% and a negative predictive value of 100% for HCMV disease. In this patient group, there was universal HCMV infection but relatively infrequent symptomatic HCMV disease. The two patient groups were readily distinguished by monitoring with the limiting dilution assay, an extremely simple technology immediately applicable in any clinical laboratory with PCR capability

CRESCIMENTO E RELAÇÕES HÍDRICAS EM PLANTAS DE GOIABEIRA SUBMETIDAS A ESTRESSE SALINO COM NaCl GROWTH AND WATER RELATIONS IN GUAVA PLANTS UNDER NaCl SALINE STRESS

Tendo como objetivo determinar os efeitos do estresse salino sobre o crescimento e as relações hídricas de plantas de goiabeira (Psidium guajava L), conduziu-se um experimento em casa de vegetação, em solução nutritiva, na Universidade Federal do Ceará, no período de setembro a dezembro de 1997. Os tratamentos consistiram de sete níveis de NaCl (0; 25; 50; 75; 100; 125 e 150 mmol L-1). Avaliaram-se, aos 50 dias após o estresse salino (DAE): altura da planta, número de folhas e área foliar unitária e por planta. A taxa de crescimento relativo (TCR) foi determinada entre 30 e 50 DAE. Aos 20; 30; 40 e 50 DAE, foram determinadas condutâncias estomáticas, transpiração, potencial hídrico e teor relativo de água (TRA). Dentre as variáveis estudadas, a área foliar por planta foi a mais afetada, com uma redução de 92% quando submetida ao nível mais elevado de salinidade (150 mmol L-1). A condutância estomática, a transpiração, o potencial hídrico foliar (psiwf) e o teor relativo de água (TRA) decresceram com o aumento dos níveis e do tempo de exposição ao NaCl. As plantas jovens de goiabeira são sensíveis à salinidade, com uma salinidade limiar de 1,2 dSm-1. A taxa de sobrevivência foi reduzida em 75% quando as plantas foram submetidas a 150 mmol L-1 até 50 dias após o estresse.<br>A hidroponic greenhouse experiment was conducted, in the Universidade Federal do Ceará, from September to December 1999, with the objective of studying the response of guava plants (Psidium guajava L.) to increased levels of NaCl concentrations. The plants were treated with seven levels of NaCl concentrations in the nutrient solution (0, 25, 50, 75, 100, 125 and 150 mmol L-1). Plant height, leaf number, leaf area per plant and unit leaf area were measured at 50 days after stress (DAS). Relative growth rate (RGR) was determined between 30 and 50 DAE. Leaf conductance; transpiration; water potential and relative water content (RGR) were determined at 20, 30, 40 and 50 DAS. The leaf area per plant was the most susceptible among the variables studied, with a reduction of 92% when submitted to the highest salinity level (150 mmol L-1). The stomatal conductance, the leaf transpiration, the relative water content and the water potential decreased with increasing time and level of saline stress. The young guava plants were susceptible to salinity with a threshold salinity of 1,2 dSm-1. The rate of plant survival was reduced by 75% when the plants were submitted to 150 mmol L-1 up to 50 days after stress