%0 Journal Article %9 ACL : Articles dans des revues avec comité de lecture répertoriées par l'AERES %A Becquart, Pierre %A Foulongne, Vincent %A Willumsen, J. %A Rouzioux, C. %A Segondy, Michel %A Van de Perre, Philippe %T Quantitation of HIV-1 RNA in breast milk by real time PCR %D 2006 %L fdi:010035732 %G ENG %J Journal of Virological Methods %@ 0166-0934 %K real time PCR ; HIV 1 RNA quantitation ; breast milk %M CC:0002397693-0017 %N 1 %P 109-111 %R 10.1016/j.jviromet.2005.10.022 %U https://www.documentation.ird.fr/hor/fdi:010035732 %> https://www.documentation.ird.fr/intranet/publi/2006/09/010035732.pdf %V 133 %W Horizon (IRD) %X HIV-1 RNA in breast milk is a strong predictor of HIV-1 transmission through breastfeeding. In the present report, breast milk samples from HIV-1 uninfected donors were spiked with dilution of quantified culture supernatant from HIV-1(NDK) infected PBMC. Two RNA extraction techniques based on silica extraction, Nuclisens (R) (BioMerieux) and Triazol (Qiagen), two techniques based on guanidine thiocynanate/chloroforme extraction, TRIzol (Life Technologic) and Amplicor HIV-1 Monitor (TM) (Roche Diagnostic Systems), and one technique based on electrostatic adsorption on iron oxide micro beads (Promega) were compared. HIV-1 RNA was quantitated by real time PCR (LTR gene) and Amplicor HIV-1 Monitor (TM). Combining magnetic micro beads extraction and real time PCR quantitation allowed to correctly quantify breast milk HIV-1 RNA, with a difference between the expected and measured HIV-1 RNA levels always lower than 0.3 log copies/mi. The same combination was confirmed on 25 breast milk samples from HIV-1 infected women collected in Kwazulu-Natal, South Africa, by comparing measurements with those obtained by the Amplicor HIV-1 Monitor (TM) (r(2) = 0.88). Nucleic acid extraction by magnetic micro beads followed by real time PCR is a reliable, sensitive, rapid and simple procedure to quantify HIV-1 RNA in breast milk and allows for PCR inhibitors found frequently in these samples. (c) 2005 Elsevier B.V. All rights reserved. %$ 052