Table 2. Characteristics of assays.
Assay | Assay characteristics | Sample size | Assay input | Primersa | Unit of comparison | Limit of detectionb (LOD) | Dynamic rangec (logs) | Normalization method | Explanation for negative values | Ref. |
Viral outgrowth | 95% CI for individual determinations = ±0.7 logs based on Poisson statistics and 2 replicates/cell number; coefficient of variation = 0.95d | 120–180 ml blood | resting CD4+ T cells | none | infectious units per 106 (IUPM) resting CD4+ T cells | 0.02 | 2.7 | none | frequency<LOD | 5,6,9, 10,33 |
Droplet digital PCR for HIV-1 DNA | coefficient of variation depends on template number (Strain et al., submitted); accuracy superior to kinetic PCR (5 fold at low copy numbers) | variable, 5×106 cells in this study | resting CD4+ T cells or PBMC | primers: 2539→2562, 2659→2634. probe: 2589→2604 | copies per 106 cells | 2 | 3.2 | normalized using RNAse P to quantify host genomic DNA | frequency<LOD; primer mismatch | 53 |
Alu PCR for integrated HIV-1 DNA | detects individual integrated HIV-1 genomes with standard curve to correct for sites too far from an Alu sequence to be detected; coefficient of variation = 0.20 | variable, 5×106 cells in this study | resting CD4+ T cells or PBMC | primers, outer: Alu primer, 800→782; inner: 525→542, 619-599. probe: 559→596 | copies per 106 cells | 3 | 3.0 | normalized by [DNA] assuming 1 µg = 150,000 cells | all assays above LOD in this study | 39, 40, 55, 80 |
qPCR for HIV-1 DNA rectal biopsies | coefficient of variation for 10 copy standard = 0.18 | up to 30 3 mm biopsies | cells from biopsy | primers: 522→543, 640→626. probe: 581→559. | HIV-1 genomes per 106 CD4+ T cells | 0.05 | 5.3 | normalized by [DNA] and %CD4+ T cells (assuming 1 ug = 160,000 cells and all virus in CD4+ T cells) | all assays above LOD in this study | 44 |
Droplet digital PCR for 2-LTR circles | coefficient of variation depends on template number (Strain et al., submitted); accuracy superior to kinetic PCR (>10 fold at low copy numbers) | variable, 5×106 cells in this study | resting CD4+ T cells or PBMC | primers: 9588→9607, 48→28. probe: 556→530 | copies per 106 cells | 2 | 1.1 | normalized using RNAse P to quantify host genomic DNA | frequency<LOD; primer mismatch | 53 |
Single copy assay for residual viremia | sensitivity superior to approved clinical assay; internal control for virus recovery | 8 ml plasma | plasma | primers: 1299→1323 | copies/ml of plasma | 0.2 | 1.1 | none | viral RNA<LOD; primer mismatch | 46,47, 67 |
HXB2 coordinates.
Based in standard sample size. Except for residual viremia, LOD is expressed as infectious units or copies per 106 cells. For residual viremia, the LOD is 0.2 copies/ml of plasma.
Dynamic range is reported here as the difference in log units between the highest value measured in these study patients and the limit of detection of the relevant assay.
Based on repeat measurements in the same patient as reported in reference 10 and assuming no decay in the reservoir.