Ila Singh finds no XMRV in patients with chronic fatigue syndrome
Since the first association of the retrovirus XMRV with chronic fatigue syndrome in 2009 in the US, subsequent studies have failed to detect evidence of infection in patients from the US, Europe, and China. These studies were potentially compromised by a number of factors, such as differences in patient characterization, geographic locations, clinical samples used, and methods used to detect the virus. These and other potentially confounding conditions have been addressed in the most comprehensive study to date on the association of XMRV with CFS.In the introduction to their paper, published in the Journal of Virology , the authors note other problems with many of the studies of XMRV in CFS patients:
Too small control populations Patient and control samples collected at different times Investigators generally not blinded to sample identity PCR assays that rely on conservation of viral sequence mainly used Limits of detection, reproducibility, and precision of assays unknown Controls for each step that would identify analysis not done Insufficient numbers of negative controls included No study included positive samples from the original 2009 patient cohort of Lombardi et al.To address these issues, the authors collected blood from 105 CFS patients and 200 healthy volunteers in the Salt Lake City area. One hundred of the patients fulfilled both the CDC-Fukuda and the Canadian consensus criteria for diagnosis of ME/CFS. The patients were selected from a clinic that specializes in the diagnosis and management of CFS and fibromyalgia.
New blood samples were also collected (by a third party) from 14 patients from the original study by Lombardi et al . The samples were blinded for subsequent study. Detection of viral nucleic acids was done using four different PCR assays. Anti-XMRV antibodies in patient sera were detected by ELISA . Finally, virus growth from clinical specimens was attempted in cell culture. The authors used the multiple experimental approaches reported by Lombardi and colleagues .
Let's go through the results of each assay separately.
PCR for viral nucleic acids. Four different quantitative PCR assays were developed that detect different regions of the viral genome. The assay for pol regions of XMRV DNA. These assays could detect at least 5 viral copies of XMRV DNA. The precision and reproducibility of the PCR assays, as well as their specificity for XMRV, were also demonstrated. DNA prepared from white blood cells of 100 CFS patients and 200 controls were negative for XMRV. For every 96 PCR reactions, 12 water controls were included; these were always negative for XMRV DNA.
Serum Protein Electrophoresis - News
Recombinant XMRV SU protein was fractionated by gel electrophoresis. The protein on the gel is then transferred to a membrane which is mixed with human serum. If there are anti-XMRV antibodies in the human serum, they will react with the SU protein on
It examines the market for DNA and protein array testing equipment and supplies using screening reagents and instruments for analysis of individual components in blood, serum or plasma. It defines the dollar volume of sales, both worldwide and in the
The flow-through proteins representing depleted serum were analysed separately from the fraction containing the bound proteins. The proteins in each fraction were analysed intact in a top-down approach by 2D differential gel electrophoresis using
Serum protein electrophoresis: any role in monitoring for ...
[Specifically those on antiretroviral treatment (ART) versus those not on ART] asymptomatic HIV positive patients, and healthy blood donors. Five serum protein fractions (Albumin, Alpha-1, Alpha-2, Beta, and Gamma) were compared between these groups after measuring the density of the fractions.
RESULTS:
Concentration of gamma globulin was lowest among healthy blood donors, intermediate and comparable among asymptomatic HIV positive and symptomatic HIV positive on ART and highest among untreated symptomatic HIV positive. Concentration of gamma globulin was inversely correlated with the disease stage (p < 0.001).
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A manual of laboratory and diagnostic tests
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It can be detected by serum protein electrophoresis (SPEP) and/or urine protein electrophoresis (UPEP). SPEP can detect an M band or peak in 82% of patients ...Clinical laboratory medicine
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Serum protein electrophoresis (SPEP) is a laboratory test that examines specific proteins ... Electrophoresis is a laboratory technique where the blood serum (the ...
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Protein Electrophoresis Key Terms: Acute-phase proteins, Albumin, Antibodies, Antigen, Bence-Jones protein, Complement, Electrophoresis, Globulins,
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Serum Protein Electrophoresis (SPE)
This test measures specific proteins in the blood to help diagnose some diseases. ... The serum protein electrophoresis (SPEP) test measures specific proteins in the blood to ...
Protein electrophoresis - serum: MedlinePlus Medical Encyclopedia
Protein electrophoresis - serum. This test measures the types of protein in the fluid ... Albumin is the protein of highest concentration in the serum. ...