Detection of Zika Virus Replication in Human Semen by Reverse-Transcription Polymerase Chain Reaction Targeting of Antisense Ribonucleic Acid.

Huits, Ralph; De Smet, Birgit; Grard, Gilda; Eggermont, Kaat; Minto-Bain, Catherine; Jess, Natalie; Leparc-Goffart, Isabelle; Malvy, Denis et al. · J Infect Dis · 2020

basic_science · Level V

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Abstract

Persistence of Zika virus (ZIKV) ribonucleic acid (RNA) in semen is common after infection. We designed a reverse-transcription polymerase chain reaction assay that targets antisense ZIKV RNA (asRNA) to assess ZIKV replication competence in ZIKV RNA-positive semen samples. We detected ZIKV asRNA in semen of 9 of 19 men (47.4%) diagnosed with ZIKV infection. All asRNA-positive samples had high ZIKV loads (cycle threshold values <26) and were obtained within 21 days of symptom onset. The sensitivity of the asRNA assay for detection of ZIKV replication was higher than that of conventional virus isolation methods (47.4% vs 21.1%, P = .032).

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