Table 2.
Advantages and limitations of newer HIV reservoir assays
Assay description | Advantages | Limitations |
---|---|---|
Inducible virus assays: HIV-1 RNA detected in supernatant after cell stimulation | Faster, less costly and more sensitive than QVOA | Does not differentiate inducible virus from replication competent virus |
Limiting dilution and near full-length sequencing of proviruses | More sensitive for likely replication competent virus than QVOA | Limited throughput; costly; apparently intact proviral genome does not prove infectiousness |
Fractional single cell assays by limiting dilution PCR | Allows investigation of the contribution of individual cells in transcription and virus production | Limited throughput. High-throughput single cell assays are in development |
Integration site assays | Investigate the role of clonal proliferation in viral persistence | Current assays have a low throughput and cannot link proviral sequences to integration sites. Not suitable to study the effect of interventions on population size and survival of particular clones |
QVOA, quantitative viral outgrowth assay.