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Table 1 Characteristics of assays measuring the inducible HIV reservoir

From: Inducible HIV RNA transcription assays to measure HIV persistence: pros and cons of a compromise

References

Formata and applicationb

Target transcript

Stimulation method

Stimulation time (hours)

RT-ddPCR/RT-qPCR/scdPCRc

Required CD4 T cells/assay (million)

Advantages

Limitations

 

cfRNA

caRNA

 

Procopio et al. [14]

LD RQ + LRA

tat/Rev

PMA + ionomycin

12

RT-qPCR

< 1

Fast, simple, robust and sensitive method, with no RNA extraction and small amounts of cells required

Measures frequency of cells expressing msRNA

Does not evaluate RNA levels produced in individual cell

Yukl et al. [11]

B LRA

Profiling panel

aCD3/CD28 + IL-2

24–48

RT-ddPCR

6–10

Exhaustive analysis of the modulation of the transcriptional profile upon activation

Enables the identification of blocks HIV transcription, elongation and splicing after stimulation

Does not evaluate RNA levels produced in individual cell

Bullen et al. [17]

B LRA

poly-A

Profiling panel

PMA + ionomycin or LRA

6–18

RT-qPCR

5–10

Analysis of the modulation of the transcriptional profile upon activation

Enables the quantification of mature HIV transcripts

Adapted to evaluate the activity of LRAs

Does not evaluate RNA levels produced in individual cell

Massanella et al. [13]

LD RQ + LRA

gag

gag tat/rev

aCD3/CD28

72

RT-ddPCR

4.5–9

Combines the value of frequency based assays with cell-associated/cell-free assays

Great potential for translational analysis from provirus to virion detection

Measures frequency of cells expressing msRNA

Labour intensive

Does not evaluate RNA levels produced in individual cell

Cillo et al. [10]

LD RQ + LRA

pol

pol

aCD3/CD28or SAHA

168

RT-qPCR

12

Combines the value of frequency based assays with cell-associated/cell-free assays

Good potential for translational analysis from provirus to virion detection

pol RNA increases chances of measuring defective proviruses

Labour intensive

Does not evaluate RNA levels produced in individual cell

Fromentin et al. [15]

B RQ + LRA

LTR-gag

aCD3/CD28 or LRA

168

RT-qPCR

5

Fast and simple

Adapted to evaluate the activity of LRAs

Does not evaluate RNA levels produced in individual cell

Yucha et al. [12]

B + SC RQ + LRA

gag tat/rev

aCD3/CD28 or LRA

18

scdPCR/RT-ddPCR/RT-qPCR

0.5–1

Allows characterization and quantification of transcriptionally active cells in response to various stimuli

High-throughput and reduced costs compared to other single-cell platforms

Can be adapted to other HIV transcripts

Enables the characterization of reservoir cells by rescuing genomic and viral DNA as well as mRNA

Technically demanding

  1. aFormat. LD Limiting dilution, B bulk, SC single-cells
  2. bApplication. RQ Reservoir quantification, LRA Assessment of LRA potency
  3. cRT-ddPCR reverse transcription digital droplet PCR, RT-qPCR quantitative reverse transcription real-time PCR, scdPCR single-cell-in-droplet PCR