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Plasma Cell-Free DNA Levels Are Elevated in Acute Puumala Hantavirus Infection

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by Tuula K. Outinen, Taru Kuparinen, Juulia Jylhävä, Sonja Leppänen, Jukka Mustonen, Satu Mäkelä, Ilkka Pörsti, Jaana Syrjänen, Antti Vaheri, Mikko Hurme
Introduction Puumala hantavirus (PUUV) causes a hemorrhagic fever with renal syndrome called nephropathia epidemica (NE). The aim of the present study was to evaluate plasma cell-free DNA (cf-DNA) levels and urinary cf-DNA excretion in acute NE as well as their associations with the severity of the disease. Methods Total plasma cf-DNA was quantified directly in plasma of 61 patients and urine of 20 patients with acute NE. We also carried out a qualitative high-sensitivity lab-on-a-chip DNA assay in 20 patients to elucidate the appearance of cf-DNA in plasma and urine. Results The maximum plasma cf-DNA values taken during acute NE were significantly higher than the control values taken after the hospitalization period (median 1.33 µg/ml, range 0.94–3.29 µg/ml vs. median 0.77 µg/ml, range 0.55–0.99 µg/ml, P

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15 weeks 1 day ago
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