AEGiS-AP: Test to Quantify AIDS Virus in the Works Associated PressImportant note: Information in this article was accurate in 1993. The state of the art may have changed since the publication date.
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Test to Quantify AIDS Virus in the Works

The Associated Press; Wednesday, December 15, 1993


WASHINGTON - Researchers are racing to develop the first simple, widely available and exquisitely sensitive blood tests that will disclose how much AIDS virus people harbor inside their bodies.

The tests, when they reach the market, should help doctors monitor the effects of AIDS treatment and also may provide earlier diagnosis of AIDS infections, particularly in newborns.

Current widely used tests, available since the mid 1980s, reveal only the presence of AIDS antibodies, which are the body's reaction to an AIDS infection. But these widely available tests do not directly detect HIV, the AIDS virus.

Two new generations of tests are under development, both based on greatly streamlined versions of polymerase chain reaction, or PCR, a sophisticated lab technique that expands tiny amounts of genetic material so it can be easily detected. The PCR technique has been used in research to search for the HIV virus itself in humans.

The AIDS virus, unlike most other forms of life, carries its genes as RNA rather than DNA, both of which are acids found inside cells and help produce the proteins that build and regulate the body.

To make new copies of itself, the AIDS virus must first convert its genes from RNA into DNA and then stitch them into the genetic material of infected blood cells.

Furthest along are tests that will spot viral genes that have become part of blood cells this way. These tests, which look for viral DNA, will reveal whether or not someone is infected with the AIDS virus. But they do not show how much virus actually dwells within the cells.

The latest innovation, outlined at a scientific meeting Tuesday, are tests that reveal viral RNA.


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