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Innovations in the quantitative virus outgrowth assay and its use in clinical trials.

Title: Innovations in the quantitative virus outgrowth assay and its use in clinical trials.
Authors: Norton, Nicholas; Fun, Axel; Bandara, Mikaila; Wills, Mark; Mok, Hoi Ping; Lever, Andrew
Publisher Information: BioMed Central; Retrovirology
Publication Year: 2017
Collection: Apollo - University of Cambridge Repository
Subject Terms: CD4-Positive T-Lymphocytes; Humans; HIV-1; HIV Infections; Anti-HIV Agents; Clinical Laboratory Techniques; Viral Load; Reproducibility of Results; Virus Latency; Clinical Trials as Topic
Description: A robust measure of the size of the latent HIV reservoir is essential to quantifying the effect of interventions designed to deplete the pool of reactivatable, replication competent proviruses. In addition to the ability to measure a biologically relevant parameter, any assay designed to be used in a clinical trial needs to be reproducible and scalable. The need to quantify the number of resting CD4+ T cells capable of releasing infectious virus has led to the development of the quantitative viral outgrowth assay (VOA). The assay as originally described has a number of features that limit its scalability for use in clinical trials; however recent developments reducing the time and manpower requirements of the assay, while importantly improving reproducibility mean that it is becoming much more practical for it to enter into more widespread use. This review describes the background to VOA development and the practical issues that they present in utilising them in clinical trials. It describes the innovations that have made their usage more practical and the limitations that still exist.
Document Type: article in journal/newspaper
File Description: Electronic; application/pdf; application/vnd.openxmlformats-officedocument.wordprocessingml.document; image/jpeg
Language: English
Relation: https://www.repository.cam.ac.uk/handle/1810/273500
DOI: 10.17863/CAM.20569
Availability: https://www.repository.cam.ac.uk/handle/1810/273500; https://doi.org/10.17863/CAM.20569
Rights: Attribution 4.0 International ; http://creativecommons.org/licenses/by/4.0/
Accession Number: edsbas.B63BDBD9
Database: BASE