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Analysis of acquired human cytomegalovirus infections by polymerase chain reaction

J F Bale1, M E O'Neil, S S Fowler

  • 1Department of Pediatrics, University of Iowa College of Medicine, Iowa City 52242.

Insights

Human cytomegalovirus (HCMV) strains from children in a day-care center were analyzed using PCR. The HCMV

Area of Science:

  • Virology
  • Molecular Biology
  • Epidemiology

Background:

  • Human cytomegalovirus (HCMV) is a common pathogen, particularly in young children.
  • Understanding HCMV transmission dynamics in settings like day-care centers is crucial for public health.
  • Genetic variability within HCMV strains can aid in tracking outbreaks.

Purpose of the Study:

  • To investigate the genetic diversity of HCMV strains in a day-care center population.
  • To evaluate the utility of specific HCMV genomic regions as molecular markers for epidemiological studies.
  • To identify potential transmission events within the studied cohort.

Main Methods:

  • Polymerase chain reaction (PCR) was employed to amplify specific regions of the HCMV genome.
  • Primers targeting the pp65 gene, major immediate-early (MIE) gene, and the 'a' sequence were utilized.
  • Nucleotide homology analysis was performed on amplified DNA fragments.

Main Results:

  • Primers for pp65 and MIE genes showed uniform amplification across HCMV isolates.
  • Primers for the 'a' sequence exhibited significant variability, indicating their potential as an epidemiological tool.
  • Analysis revealed 50-70% nucleotide homology with the HCMV Towne strain 'a' sequence for some isolates.
  • High nucleotide homology (95%) was observed between father-child pair isolates.
  • Two children were found to excrete two distinct HCMV strains during the study period.

Conclusions:

  • The 'a' sequence of HCMV is a valuable genetic marker for distinguishing between different strains in epidemiological investigations.
  • HCMV transmission and shedding dynamics in day-care settings can be complex, involving multiple strains.
  • Close familial contact, such as between father and child, results in highly homologous HCMV strains.

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