HIV-1 isolation from small amounts of whole blood: a technical evaluation

Microbiologica. 1992 Jan;15(1):35-44.

Abstract

We have evaluated a simple and sensitive culture technique for isolation of Human Immunodeficiency Virus Type-1 (HIV-1) from small amounts of whole blood. Data shown in the paper demonstrate that: 1) cell cultures from small amounts of heparinized whole blood (HWB) allow a high isolation rate in infected subjects at all stages of diseases; 2) among asymptomatic subjects the HIV-1 isolation rate is increased in cell cultures from HWB, with respect to cell cultures from peripheral blood mononuclear cells; 3) cultural results from HWB are not influenced by the presence of detectable serum p24 antigen, but a good correlation was found with the titre of anti p24 antibodies in serum; 4) continuous cell lines (such as Molt-3 cells) instead of peripheral blood mononuclear cells can be used, obtaining good results, for HIV-1 isolation from HWB; 5) frozen samples of HWB can be used in cell cultures for HIV-1 isolation; 6) the type of anticoagulant (Heparin or EDTA) used for the collection of blood does not influence viral replication in cell cultures from whole blood; 7) viral isolation from HWB is highly sensitive; amounts so small as five microliters of whole blood are sufficient, in some cases, to obtain viral replication in cell cultures; 8) the minimal dose of HWB sufficient to infect cell cultures (HWB M.D.I.) varied among different patients. Although this work failed to establish a correlation between this parameter and the clinical and immunological status of patients, it is conceivable that HWB M.D.I. could give information about viral load in blood and have a prognostic significance; 9) the HWB M.D.I. rise in patients treated with Zidovudine, suggesting that this method could be employed in the virological evaluation of trials with antiretroviral drugs.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acquired Immunodeficiency Syndrome / drug therapy
  • Acquired Immunodeficiency Syndrome / microbiology
  • Cell Line
  • Cells, Cultured
  • Cryopreservation
  • Edetic Acid / pharmacology
  • Evaluation Studies as Topic
  • HIV Antibodies / blood
  • HIV Core Protein p24 / blood
  • HIV Core Protein p24 / immunology
  • HIV Infections / drug therapy
  • HIV Infections / microbiology*
  • HIV-1 / isolation & purification*
  • HIV-1 / physiology
  • Heparin / pharmacology
  • Humans
  • Kinetics
  • Leukocytes, Mononuclear / microbiology
  • Sensitivity and Specificity
  • Time Factors
  • Viremia / microbiology*
  • Virus Replication
  • Zidovudine / therapeutic use

Substances

  • HIV Antibodies
  • HIV Core Protein p24
  • Zidovudine
  • Heparin
  • Edetic Acid