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Sequencing drug-resistant cytomegalovirus in paediatric patients: towards personalised medicine

Houldcroft, CJ; (2015) Sequencing drug-resistant cytomegalovirus in paediatric patients: towards personalised medicine. Future Virology , 10 (7) pp. 813-816. 10.2217/fvl.15.58. Green open access

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Abstract

Cytomegalovirus is an ubiquitous herpesvirus that causes silent-to-mild infections in healthy individuals, and potentially fatal infections in the immunocompromised, especially paediatric patients. CMV reactivation during periods of intense immune suppression is associated with significant economic costs and poor patient outcomes. With a limited range of drugs licensed to treat CMV reactivation, managing antiviral resistance is vital. In research settings, high-throughput sequencing is superseding PCR-based monitoring of resistance mutations, revealing a more complicated – and more informative – picture of emerging mutation profiles in clinical samples. In the next decade, it is foreseeable that CMV whole genome sequencing for management of antiviral drug resistance will become as important for personalised patient care as qPCR monitoring of virus loads is today.

Type: Article
Title: Sequencing drug-resistant cytomegalovirus in paediatric patients: towards personalised medicine
Open access status: An open access version is available from UCL Discovery
DOI: 10.2217/fvl.15.58
Publisher version: http://dx.doi.org/10.2217/fvl.15.58
Language: English
Additional information: Copyright © 2015 Future Medicine Ltd.
Keywords: Herpesviruses, Next-generation sequencing, TORCH infection, Immune suppression, Immune deficiency, Evolution, antivirals
UCL classification: UCL
URI: https://discovery-pp.ucl.ac.uk/id/eprint/1469276
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