Rapid identification of cytomegalovirus in liver allograft biopsies by in situ hybridization

A. S. Masih, James Linder, B. W. Shaw, R. P. Wood, J. P. Donovan, R. White, Rodney Smith Markin

Research output: Contribution to journalArticle

37 Citations (Scopus)

Abstract

Identifying the etiology of hepatic liver transplant patients is critical to their clinical management and in maintaining graft survival. While cytomegalovirus (CMV) is a well-known cause of posttransplant hepatitis, the morphologic diagnosis of CMV heptatitis in liver biopsies can be difficult. Because conventional tissue culture for CMV requires days to weeks, the final results often arrive too late to be clinically useful. In this study, 44 liver allograft biopsies from 21 patients with hepatic dysfunction were evaluated for CMV by routine light microscopy, conventional tissue culture, and in situ DNA hybridization (IH) using commercially available biotinylated CMV-specific DNA probes. Whereas 38.6% of the biopsy specimens were positive by IH, 15.9% were culture-positive biopsies and 13.6% were positive by routine light microscopy. Assuming tissue culture to be the standard, IH demonstrated a sensitivity of 100% and a specificity of 73%. In comparison, routine light microscopy showed a sensitivity of 71.4% and specificity of 97.3%. In addition, three biopsy specimens positive only by IH were from three patients who had other liver biopsies positive for CMV by either light microscopy or viral culture. In situ DNA hybridization allows rapid detection (5-6 h) of CMV in paraffin-embedded liver allograft biopsies; it also has a sensitivity that surpasses routine histologic examination and perhaps even tissue culture.

Original languageEnglish (US)
Pages (from-to)362-367
Number of pages6
JournalAmerican Journal of Surgical Pathology
Volume12
Issue number5
DOIs
StatePublished - Jan 1 1988

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Cytomegalovirus
In Situ Hybridization
Allografts
Biopsy
Liver
Microscopy
Light
DNA
DNA Probes
Graft Survival
Paraffin
Hepatitis
Transplants
Sensitivity and Specificity

ASJC Scopus subject areas

  • Anatomy
  • Surgery
  • Pathology and Forensic Medicine

Cite this

Rapid identification of cytomegalovirus in liver allograft biopsies by in situ hybridization. / Masih, A. S.; Linder, James; Shaw, B. W.; Wood, R. P.; Donovan, J. P.; White, R.; Markin, Rodney Smith.

In: American Journal of Surgical Pathology, Vol. 12, No. 5, 01.01.1988, p. 362-367.

Research output: Contribution to journalArticle

Masih, A. S. ; Linder, James ; Shaw, B. W. ; Wood, R. P. ; Donovan, J. P. ; White, R. ; Markin, Rodney Smith. / Rapid identification of cytomegalovirus in liver allograft biopsies by in situ hybridization. In: American Journal of Surgical Pathology. 1988 ; Vol. 12, No. 5. pp. 362-367.
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