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Published on: April 2, 2012
Human herpesvirus 6 (HHV6) DNA persistence and reactivation in healthy children
Mary T Caserta1, Michael P McDermott, Stephen Dewhurst
1Department of Pediatrics, University of Rochester School of Medicine, Rochester, New York, USA. mary_caserta@urmc.rochester.edu <mary_caserta@urmc.rochester.edu>
Insights
Human herpesvirus 6 (HHV6) DNA persists intermittently in most children after initial infection and does not cause illness. HHV6 reactivation can occur in healthy children without symptoms.
Area of Science:
- Virology
- Pediatric Infectious Diseases
- Immunology
Background:
- Human herpesvirus 6 (HHV6) is a common childhood infection.
- Understanding HHV6 persistence and reactivation is crucial for pediatric health.
- The role of HHV6 and HHV7 in childhood illness requires further investigation.
Purpose of the Study:
- To assess HHV6 DNA persistence after primary infection in children.
- To determine the frequency of HHV6 reactivation or re-infection.
- To correlate HHV6/HHV7 presence with childhood illness.
Main Methods:
- Prospective evaluation of children aged 1-12 years with prior HHV6 infection.
- Utilized HHV6 and HHV7 DNA polymerase chain reaction (PCR) and RT-PCR.
- Measured HHV6 plasma antibody titers and recorded illnesses via diaries and medical records.
Main Results:
- HHV6 DNA was found in 89% of peripheral blood mononuclear cell (PBMC) samples.
- HHV6 reactivation/re-infection occurred in 1.1% of samples.
- HHV6 DNA detection was intermittent in 76% and not linked to illness; absence of HHV6/HHV7 DNA correlated with illness.
Conclusions:
- HHV6 DNA persists intermittently in most children post-primary infection, independent of illness.
- HHV6 reactivation can happen in healthy children without apparent symptoms.
- Further research into HHV6 and HHV7 dynamics in children is warranted.
Objective:
To determine in healthy children after primary infection the persistence of human herpesvirus 6 (HHV6) DNA, the presence and frequency of HHV6 re-activation or re-infection, and the relationship of both to illness and the presence of human herpesvirus 7 (HHV7) infection.
Study Design:
Children 1 to 12 years of age with previous HHV6 infection were prospectively evaluated by HHV6 and HHV7 DNA polymerase chain reaction (PCR) and reverse transcription (RT)-PCR for HHV6. HHV6 plasma antibody titers were measured. Illnesses were recorded by diary, and physician records were reviewed.
Results:
HHV6 DNA was detected in >or=1 peripheral blood mononuclear cell (PBMC) samples in 89% of children. HHV6 reactivation and re-infection were detected by RT-PCR in 1.1% of samples. Detection of HHV6 DNA was intermittent in 76% of children and was not associated with cumulative rates of illness. Illness at a study visit was significantly associated with the absence of HHV6 and HHV7 DNA in PBMC samples and was not associated with HHV6 antibody titer or the presence of HHV6 DNA in saliva.
Conclusions:
HHV6 DNA persists in most children intermittently following primary infection and is unrelated to illness. Reactivation of HHV6 occurs in healthy children without apparent illness.
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