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TITLE: Assessment of spontaneous fluctuations of viral load in
untreated patients with chronic hepatitis C by two standardized
quantitation methods: branched DNA and Amplicor Monitor.
Quantitation of hepatitis C virus (HCV) RNA in serum has been
used to predict and monitor the efficacy of interferon therapy in
chronic HCV infection. We prospectively studied the fluctuation of
viremia by a longitudinal follow-up of HCV RNA levels for 2 months
in six untreated patients. Spontaneous fluctuations of HCV RNA
ranged from 2.8- to 5.7-fold with branched DNA assay and from 2.9-
to 5.6-fold with Monitor. These large spontaneous fluctuations (up
to 0.75 log), observed daily, weekly, and monthly, raise doubt
about the clinical value of a single assessment of pretherapeutic
viremia.
AUTHOR: Halfon P, Bourliere M, Halimi G, Khiri H, Bertezene
P, Portal I, Botta-Fridlund D, Gauthier AP, Jullien M, Feryn JM,
Gerolami V, Cartouzou G, Alphabio Laboratory, Department of
Biochemistry, Hopital de la Conception, Marseille, France.
alphabio@wanadoo.fr
SOURCE: J Clin Microbiol 1998 Jul;36(7):2073-2075
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