Value of a ligase chain reaction assay for detection of ganciclovir resistance-related mutation 594 in UL97 gene of human cytomegalovirus

J Virol Methods. 1997 Sep;67(2):167-75. doi: 10.1016/s0166-0934(97)00093-1.

Abstract

Human cytomegalovirus (HCMV) isolates resistant to ganciclovir were found in patients undergoing therapy. Therefore, we have developed a new specific and sensitive method--a ligase chain reaction (LCR) assay--for detection of frequently encountered 594 mutated codon in ganciclovir (GCV) resistant virus. Previous studies characterized an alanine to valine change on codon 594 in resistant strains. A novel substitution in 594, alanine to glycine, is described which is also capable of conferring ganciclovir resistance. LCR products were analyzed on polyacrylamide gel- and the mutant was detected using a non radioactive method. The LCR product detection was then adapted to a microtitre plate format with a colorimetric detection. This method allowed the distinction of mutated GCV-resistant strains from sensitive strains with a high sensitivity, and the detection of a low percentage of mutated DNA in virus load. This assay could be useful in following the evolution of mutated DNA compared to viral infection.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Alanine / genetics
  • Cytomegalovirus / chemistry
  • Cytomegalovirus / drug effects
  • Cytomegalovirus / genetics*
  • Drug Resistance, Microbial
  • Electrophoresis, Polyacrylamide Gel
  • Ganciclovir / pharmacology*
  • Genes, Viral*
  • Glycine / genetics
  • Humans
  • Phosphotransferases (Alcohol Group Acceptor) / chemistry
  • Phosphotransferases (Alcohol Group Acceptor) / genetics*
  • Point Mutation*
  • Polymerase Chain Reaction / methods*
  • Sensitivity and Specificity
  • Viral Structural Proteins / genetics*

Substances

  • Viral Structural Proteins
  • Phosphotransferases (Alcohol Group Acceptor)
  • ganciclovir kinase
  • Alanine
  • Ganciclovir
  • Glycine