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Single Genotype (single + genotype)

Distribution by Scientific Domains

Life Sciences	56%
Medical Sciences	37%

Selected Abstracts

Factors driving pathogenicity vs. prevalence of amphibian panzootic chytridiomycosis in Iberia

ECOLOGY LETTERS, Issue 3 2010
Susan F. Walker
Ecology Letters (2010) 13: 372,382 Abstract Amphibian chytridiomycosis is a disease caused by the fungus Batrachochytrium dendrobatidis (Bd). Whether Bd is a new emerging pathogen (the novel pathogen hypothesis; NPH) or whether environmental changes are exacerbating the host-pathogen dynamic (the endemic pathogen hypothesis; EPH) is debated. To disentangle these hypotheses we map the distribution of Bd and chytridiomycosis across the Iberian Peninsula centred on the first European outbreak site. We find that the infection-free state is the norm across both sample sites and individuals. To analyse this dataset, we use Bayesian zero-inflated binomial models to test whether environmental variables can account for heterogeneity in both the presence and prevalence of Bd, and heterogeneity in the occurrence of the disease, chytridiomycosis. We also search for signatures of Bd -spread within Iberia using genotyping. We show (1) no evidence for any relationship between the presence of Bd and environmental variables, (2) a weak relationship between environmental variables and the conditional prevalence of infection, (3) stage-dependent heterogeneity in the infection risk, (4) a strong association between altitude and chytridiomycosis, (5) multiple Iberian genotypes and (6) recent introduction and spread of a single genotype of Bd in the Pyrenees. We conclude that the NPH is consistent with the emergence of Bd in Iberia. However, epizootic forcing of infection is tied to location and shaped by both biotic and abiotic variables. Therefore, the population-level consequences of disease introduction are explained by EPH-like processes. This study demonstrates the power of combining surveillance and molecular data to ascertain the drivers of new emerging infections diseases. [source]

Genetic and expression analysis of all non-synonymous single nucleotide polymorphisms in the human deoxyribonuclease I-like 1 and 2 genes

ELECTROPHORESIS, Issue 12 2010
Misuzu Ueki
Abstract Members of the human DNase I family, DNase I-like 1 and 2 (DNases 1L1 and 1L2), with physiological role(s) other than those of DNase I, possess three and one non-synonymous SNPs in the genes, respectively. However, only limited population data are available, and the effect of these SNPs on the catalytic activity of the enzyme remains unknown. Genotyping of all the non-synonymous SNPs was performed in three ethnic groups including six different populations using the PCR-RFLP method newly developed. Asian and African groups including Japanese, Koreans, Ghanaians and Ovambos were typed as a single genotype at each SNP, but polymorphism at only SNP V122I in DNase 1L1 was found in Caucasian groups including Germans and Turks; thus a Caucasian-specific allele was identified. The DNase 1L1 and 1L2 genes show relatively low genetic diversity with regard to these non-synonymous SNPs. The level of activity derived from the V122I, Q170H and D227A substituted DNase 1L1 corresponding to SNPs was similar to that of the wild-type, whereas replacement of the Asp residue at position 197 in the DNase 1L2 protein with Ala, corresponding to SNP D197A, reduced its activity greatly. Thus, SNP V122I in DNase 1L1 exhibiting polymorphism exerts no effect on the catalytic activity, and furthermore SNP D197A in DNase 1L2, affecting its catalytic activity, shows no polymorphism. These findings permit us to postulate that the non-synonymous SNPs identified in the DNase 1L1 and 1L2 genes may exert no influence on the activity levels of DNases 1L1 and 1L2 in human populations. [source]

Persistence of a biocontrol strain of Phlebiopsis gigantea in conifer stumps and its effects on within-species genetic diversity

FOREST PATHOLOGY, Issue 5 2001
E. J. Vainio
Fungal isolations and genetic fingerprinting were used to determine whether Phlebiopsis gigantea stump treatment against Heterobasidion annosum sl. using a single genotype (Rotstop) would affect the genetic diversity of P. gigantea populations. The survival time of P. gigantea was longer in Norway spruce (Picea abies) stumps compared to Scots pine (Pinus sylvestris) as no isolates were obtained from pine stumps 6 years after treatment, whereas in about half of the spruce stumps the fungus was still present. The usage of Rotstop did not seem to increase the occurrence of the fungus 5 years after the treatment in fresh (1-year-old) untreated stumps within the same forest stands. All the isolates from the 6-year-old treated spruce stumps were identical in genotype with the Rotstop-strain, whereas all isolates from the fresh untreated spruce and pine stumps differed from it. Within the treated pine stand, the biocontrol usage seemed to have caused a slight reduction in genetic markers not related to Rotstop, but there were no statistically significant differences between the marker frequencies and the local natural population. Thus, Rotstop is not likely to cause any immediate threat to the genetic diversity of P. gigantea. Persistance dans les souches de conifères d'un génotype de Phlebiopsis gigantea utilisée en lutte biologique, et effets sur la diversité génétique de l'espèce L'isolement et l'empreinte génétique ont été utilisés pour savoir si le traitement de souches contre Heterobasidion annosum avec un seul génotype de Phlebiopsis gigantea (Rotstop) peut affecter la diversité génétique des populations de P. gigantea. La durée de survie de P. gigantea a été plus longue dans les souches de Picea abies que dans celles de Pinus sylvestris. Chez celles-ci, aucun isolat n'a été obtenu six ans après le traitement alors que chez environ la moitié des souches d'épicéa le champignon était encore présent. Dans les mêmes peuplements, cinq ans après l'application du Rotstop, l'incidence du champignon ne semblait pas avoir augmenté chez les souches fraîches non traitées, âgées de un an. Tous les isolats obtenus à partir des souches traitées six ans auparavant avaient le même génotype que l'isolat du Rotstop, alors que tous ceux issus de souches fraîches non traitées d'épicéa et de pin étaient différents. Chez le peuplement de pins, le traitement biologique semblait avoir causé une légère réduction des marqueurs génétiques non liés au Rotstop, mais leur fréquence n'était pas statistiquement différente de celle de la population naturelle locale. Ainsi, il apparaît peu probable que le Rotstop soit une menace immédiate pour la diversité génétique du P. gigantea. Persistenz eines Phlebiopsis gigantea -Isolates in Koniferenstümpfen und seine Auswirkungen auf die intraspezifische genetische Diversität Mit Isolierungen und genetischem Fingerprinting wurde untersucht, ob eine Stumpfbehandlung mit einem einzelnen Genotyp von Phlebiopsis gigantea (Rotstop) gegen Heterobasidion annosum sl. die genetische Diversität von P. gigantea -Populationen beeinträchtigen könnte. P. giganteaüberlebte auf Stümpfen von Picea abies länger als auf solchen von Pinus sylvestris. Auf Kiefernstümpfen konnte der Pilz sechs Jahre nach der Behandlung nicht mehr nachgewiesen werden, während er auf 50% der Fichtenstümpfe noch vorhanden war. Eine Rotstop-Anwendung 5 Jahre zuvor hatte offenbar keinen Einfluss auf das Vorkommen von P. gigantea in frischen (einjährigen) unbehandelten Stümpfen im gleichen Bestand. Alle Isolate von den sechs Jahre alten behandelten Fichtenstümpfen hatten den gleichen Genotyp wie das Rotstop-Isolat, während alle Isolate von den frischen (unbehandelten) Fichten-und Kiefernstümpfen anderen Genotypen angehörten. In dem behandelten Kiefernbestand war die Frequenz der nicht mit dem Rotstop-Isolat assoziierten genetischen Marker etwas verringert, der Unterschied zur lokalen natürlichen Population war aber statistisch nicht signifikant. Die Anwendung von Rotstop dürfte somit keine kurzfristige Bedrohung der genetischen Diversität von P. gigantea darstellen. [source]

Impact of the hepatitis B virus genotype and genotype mixtures on the course of liver disease in Vietnam,

HEPATOLOGY, Issue 6 2006
Nguyen L. Toan
Eight genotypes (A-H) of hepatitis B virus (HBV) have been identified. However, the impact of different genotypes on the clinical course of hepatitis B infection remains controversial. We investigated the frequency and clinical outcome of HBV genotypes and genotype mixtures in HBV-infected patients from Vietnam, Europe, and Africa. In addition, we analyzed the effects of genotype mixtures on alterations in in vitro viral replication. In Asian patients, seven genotypes (A-G) were detected, with A, C, and D predominating. In European and African patients, only genotypes A, C, D, and G were identified. Genotype mixtures were more frequently encountered in African than in Asian (P = .01) and European patients (P = .06). In Asian patients, the predominant genotype mixtures included A/C and C/D, compared to C/D in European and A/D in African patients. Genotype A was more frequent in asymptomatic compared with symptomatic patients (P < .0001). Genotype C was more frequent in patients with hepatocellular carcinoma (HCC; P = .02). Genotype mixtures were more frequently encountered in patients with chronic hepatitis in comparison to patients with acute hepatitis B (P = .015), liver cirrhosis (P = .013), and HCC (P = .002). Viral loads in patients infected with genotype mixtures were significantly higher in comparison to patients with a single genotype (P = .019). Genotype mixtures were also associated with increased in vitro HBV replication. In conclusion, infection with mixtures of HBV genotypes is frequent in Asia, Africa, and Europe. Differences in the replication-phenotype of single genotypes compared to genotype-mixtures suggest that co-infection with different HBV-genotypes is associated with altered pathogenesis and clinical outcome. (HEPATOLOGY 2006;43:1375,1384.) [source]

Genetic identity of interspecific neighbours mediates plant responses to competition and environmental variation in a species-rich grassland

JOURNAL OF ECOLOGY, Issue 5 2007
JASON D. FRIDLEY
Summary 1Although outbreeding populations of many grassland plants exhibit substantial genetic and phenotypic variation at fine spatial scales (< 100 m2), the implications of local genetic diversity for community structure are poorly understood. Genetic diversity could contribute to local species diversity by mediating the effects of competition between species and by enhancing species persistence in the face of environmental variation. 2We assayed the performance of three genotypes each of a dominant tussock grass (Koeleria macrantha [Ledeb.] J.A. Schultes) and dominant sedge (Carex caryophyllea Lat.) derived from a single 10 × 10 m quadrat within a limestone grassland in Derbyshire, UK. Genotypes were grown in monoculture and grass,sedge mixtures of different genetic composition in two environments of contrasting fertility. Species mixtures also included one genotype of the subordinate forb Campanula rotundifolia L. 3When grown without neighbours, intraspecific genotypes responded similarly to environmental treatments. One genotype of the sedge performed worse in both environments than the other two sedge genotypes. 4When grown in species mixtures, genotype performance was significantly influenced by the genetic identity of the neighbouring species for both the sedge and the grass. At high fertility, differential genotype performance was not sufficient to alter the expectation of competitive exclusion of the sedge by the grass. However, at low fertility, the competitive dominant depended on the genetic identity of both the grass and the sedge. In addition, each genotype of the grass performed best next to a different genotype of the sedge, and the identity of the best genotype pairings switched with environment. 5Performance of a single genotype of the subordinate Campanula was not predictable by fertility alone, but by how fertility interacted with different neighbouring genotypes of both the grass and the sedge. 6Results support the hypothesis that the genetic identity of interspecific neighbours influences plant performance in multispecies assemblages and mediates species' responses to environmental variation. Such interactions could be a key factor in the contribution of local intraspecific genetic diversity to species diversity. [source]

Individual growth rates do not predict aphid population densities under altered atmospheric conditions

AGRICULTURAL AND FOREST ENTOMOLOGY, Issue 3 2010
Edward B. Mondor
1Altered atmospheric composition, associated with climate change, can modify herbivore population dynamics through CO2 and/or O3 -mediated changes in plant quality. 2Although pea aphid Acyrthosiphon pisum genotypes exhibit intraspecific variation in population growth in response to atmospheric composition, the proximate mechanisms underlying this variation are largely unknown. 3By rearing single (green, pink) and mixed (green + pink) pea aphid genotypes on red clover Trifolium pratense at the Aspen Free Air CO2 and O3 Enrichment (Aspen FACE) site, we assessed whether: (i) elevated CO2 and/or O3 concentrations alter aphid growth and development and (ii) individual aphid growth rates predict aphid population densities. 4We showed that growth and development of individual green and pink aphids were not influenced by CO2 and/or O3 concentrations when reared as individual or mixed genotypes. Individual growth rates, however, did not predict population densities. 5Reared as a single genotype, green pea aphid populations decreased in response to elevated CO2 concentrations, but not in response to elevated CO2 + O3 concentrations. Pink pea aphid populations reared as a single genotype were unaffected by augmented CO2 or O3. Populations of mixed genotypes, however, were reduced under elevated CO2 concentrations, irrespective of O3 concentrations. 6Herbivore population sizes may not readily be predicted from growth rates of individual organisms under atmospheric conditions associated with global climate change. [source]

Molecular epidemiology of hepatitis A virus in Korea,

JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY, Issue 5 2001
Kwan Soo Byun
Abstract Background: The prevalence of antibodies for hepatitis A virus (anti-HAV) in adolescents and young adults has decreased remarkably following the economic growth in Korea. As a result, this age group has a high risk for HAV infection paradoxically, and over 1500 cases of clinically overt hepatitis A occurred in 1998. Human isolates of hepatitis A virus (HAV) are categorized within four genotypes (I, II, III, and VII). In some geographic regions, closely related isolates cluster, suggesting endemic spread of the virus, while in other regions multiple genotypes circulate. Virtually no data are available with regard to the genetic relatedness of Korean strains of HAV. Methods and Results: A 168 base pair segment encompassing the putative VP1/2A junction of the HAV genome was amplified by RT-PCR and sequenced in sera of 18 Korean patients with a sporadic form of acute hepatitis A. Pairwise comparisons of the nucleic acid and amino acid sequences of 18 Korean isolates with one another revealed that the Korean isolates showed > 94.6% and > 96.4% identity, respectively. All of the 18 Korean isolates clustered within genotype IA, irrespective of the geographic locations and the time that hepatitis occurred. Unique amino acid sequence changes that had never been reported in genotype IA were found in nine of the 18 isolates. These changes were Gln,Ser and Lys,Arg in 2A-19 and 2A-10 amino acid positions. Conclusion: The presence of single genotype and unique mutations may be related with the circulation of endemic HAV over a long period of time in Korea. [source]

Variation in Reproductive Behaviour within a Sex:Neural Systems and Endocrine Activation

JOURNAL OF NEUROENDOCRINOLOGY, Issue 7 2002
T. Rhen
Abstract Intrasexual variation in reproductive behaviour, morphology and physiology is taxonomically widespread in vertebrates, and is as biologically and ecologically significant as the differences between the sexes. In this review, we examine the diverse patterns of intrasexual variation in reproductive behaviours within vertebrates. By illustrating the genetic, cellular, hormonal and/or neural mechanisms underlying behavioural variation in a number of species, another level of complexity is added to studies of brain organization and function. Such information increases our understanding of the unique and conserved mechanisms underlying sex and individual differences in behaviour in vertebrates as a whole. Here, we show that intrasexual variation in behaviour may be discrete or continuous in nature. Moreover, this variation may be due to polymorphism at a single genetic locus or many loci, or may even be the result of phenotypic plasticity. Phenotypic plasticity simply refers to cases where a single genotype (or individual) can produce (or display) different phenotypes. Defined in this way, plasticity subsumes many different types of behavioural variation. For example, some behavioural phenotypes are established by environmental factors during early ontogeny, others are the result of developmental transitions from one phenotype early in life to another later in life, and still other strategies are facultative with different behaviours displayed in different social contexts. [source]

Genetic variation in eastern North American and putatively introduced populations of Ceratocystis fimbriata f. platani

MOLECULAR ECOLOGY, Issue 10 2004
C. J. B. ENGELBRECHT
Abstract The plant pathogenic fungus Ceratocystis fimbriata f. platani attacks Platanus species (London plane, oriental plane and American sycamore) and has killed tens of thousands of plantation trees and street trees in the eastern United States, southern Europe and Modesto, California. Nuclear and mitochondrial DNA fingerprints and alleles of eight polymorphic microsatellite markers of isolates of C. fimbriata from these regions delineated major differences in gene diversities. The 33 isolates from the eastern United States had a moderate degree of gene diversity, and unique genotypes were found at each of seven collection sites. Fingerprints of 27 isolates from 21 collection sites in southern Europe were identical with each other; microsatellite markers were monomorphic within the European population, except that three isolates differed at one locus each, due perhaps to recent mutations. The genetic variability of C. fimbriata f. platani in the eastern United States suggests that the fungus is indigenous to this region. The genetic homogeneity of the fungus in Europe suggests that this population has gone through a recent genetic bottleneck, perhaps from the introduction of a single genotype. This supports the hypothesis that the pathogen was introduced to Europe through Naples, Italy during World War II on infected crating material from the eastern United States. The Californian population may also have resulted from introduction of one or a few related genotypes because it, too, had a single nuclear and mitochondrial genotype and limited variation in microsatellite alleles. [source]

Lack of molluscan host diversity and the transmission of an emerging parasitic disease in Bolivia

MOLECULAR ECOLOGY, Issue 5 2001
C. Meunier
Abstract Fasciolosis is a re-emerging parasitic disease that affects an increasing number of people in developing countries. The most severe endemic affects the Bolivian Altiplano, where the liver fluke (Fasciola hepatica) and its hermaphroditic snail host, Lymnaea truncatula, have been introduced from Europe. To achieve a better understanding of the epidemiological situation and the consequences of the colonization event of this invasive species, genetic analysis of Bolivian snail populations was needed. Here we compare the genetic diversity and population structure of snail samples from the Bolivian Altiplano with samples from the Old World at six polymorphic microsatellite loci. Whereas some variability exists in the snail populations from the Old World, we observe only a single genotype of L. truncatula in the Bolivian Altiplano. We discuss the possible explanations for such a reduction in genetic variability, and, given the high natural parasitism pressures exerted on the snail populations, we discuss the relevance of this result for host,parasite interactions. [source]

Pseudomonas aeruginosa in children with cystic fibrosis diagnosed through newborn screening: Assessment of clinic exposures and microbial genotypes,

PEDIATRIC PULMONOLOGY, Issue 7 2010
Don Hayes Jr MD
Abstract Background Chronic pulmonary infection with Pseudomonas aeruginosa (PA) is responsible for significant morbidity and mortality in cystic fibrosis (CF). Because of the limited studies evaluating early exposure and the progression of genetic variability of PA, our goal was to assess PA in young children with CF followed in two clinic types. Methods A total of 39 infants with CF diagnosed through newborn screening were randomly assigned to either a segregated (PA-free) or mixed (PA-positive) clinic at two different CF centers, one of which replaced an older, mixed clinic where nosocomial acquisition was suspected. Oropharyngeal (OP) swab cultures were examined with subsequent genotyping to characterize the strains of PA isolated. Results We found that 13/21 segregated clinic patients and 14/18 mixed clinic patients showed positive PA, with median acquisition ages of 3.3 and 2.2 years, respectively (P,=,0.57). The median time to PA acquisition, however, was significantly longer in the new clinic with proper hygiene precautions compared to an old site (5.0 years vs. 1.7 years, P,<,0.001). The majority of subjects isolated a single genotype of PA or AP-PCR types during the study period with eight subjects clearing the isolate after only one positive culture. The development of chronic colonization yielded the predominance of a single major genotype or AP-PCR type. Conclusions Segregation of infants and young children with CF in PA-negative or PA-positive clinics did not alter the time to first PA isolation in this randomized assessment of facilities with hygienic precautions. During the early infection period where PA is first isolated in young children with CF, patients cleared different PA strains until a predominant strain established permanent colonization. Pediatr Pulmonol. 2010; 45:708,716. © 2010 Wiley-Liss, Inc. [source]

Responses of genotypes from species of Trifolium, Ornithopus, Biserrula and Hedysarum to a highly virulent race of Phytophthora clandestina and new sources of resistance

ANNALS OF APPLIED BIOLOGY, Issue 2 2009
H. Li
Abstract Thirty-six genotypes, including 15 cultivars and 10 breeding lines of Trifolium subterraneum, a single genotype of each of seven other species of Trifolium (viz. Trifolium dasyurum, Trifolium glanduliferum, Trifolium incarnatum, Trifolium michelanium, Trifolium purpureum, Trifolium spumosum and Trifolium vesiculosum), Biserrula pelecinus, Hedysarum coronarium, Ornithopus compressus and Ornithopus sativus were screened under controlled environmental conditions for resistance to root disease caused by the most pathogenic race of Phytophthora clandestina occurring in Australia, namely race 177. This is the first time any of these genera/species other than T.subterraneum has ever been screened for its response to P. clandestina. The root disease caused by P.clandestina is the first report of susceptibility to this pathogen for the seven other species of Trifolium and also for B.pelecinus, H.coronarium and O.sativus. Within T.subterraneum, a very high level of resistance was identified in cvs Denmark, Junee and Meteora [scores ,1.5 (0,5 scale where 0 = no disease) across two separate screening tests] and in the breeding lines SL027 and SM023 (scores ,1.3 across two separate screening tests). Six of the seven other species of Trifolium (viz. T.dasyurum, T.glanduliferum, T.incarnatum, T.michelanium, T.purpureum and T.spumosum) showed a high level of resistance (scores ,0.8 across two separate screening tests), while T.vesiculosum showed a disease score of ,1.2 across both screening tests. O.compressus showed no disease in either test, and O.sativus showed a disease score of ,0.7 across both screening tests. H.coronarium was susceptible with a disease score of ,2.8 across two separate screening tests, while B.pelecinus was highly susceptible with disease scores of 3.5 and 4.6 in these tests. The high levels of resistance identified against P.clandestina are useful sources of resistance that can be exploited commercially, either directly to minimise damage from this disease or as parents in breeding programs to develop cultivars within the genera/species tested with improved resistance to this highly pathogenic race of P.clandestina. [source]

Loose anagen syndrome: A prospective study of three families

AUSTRALASIAN JOURNAL OF DERMATOLOGY, Issue 2 2002
Alvin H Chong
SUMMARY Loose anagen syndrome (LAS) is an autosomal dominant, age-related disorder characterized by the ability to easily and painlessly extract unsheathed anagen hairs from the scalp with a gentle hair pull. The phenotype is heterogeneous with three distinct clinical presentations. To further characterize the phenotype of loose anagen syndrome and its fluctuations over time, a prospective study of eight cases from three families was conducted over a period of 18 months. Patients were examined using standardized hair-pull and hair-pluck protocols. Each of the three different phenotypes of LAS were found to be present in one family. This implies that these phenotypes are variants of a single genotype, modified by environmental or age-related factors. The hair-pluck trichogram from LAS cases consistently showed a high proportion of loose anagen (LA) hairs. In contrast the hair-pull test was found to vary over time with regards to the number of LA hairs that could be extracted. Periods where no hairs could be obtained on hair pull were found. These findings have important implications in the diagnosis of LAS. A single negative hair-pull test does not exclude the diagnosis. If LAS is suspected on clinical grounds, then either a hair-pluck trichogram or serial re-examination by hair pull would be required to exclude the diagnosis. [source]

Mining plant diversity: Gerbera as a model system for plant developmental and biosynthetic research

BIOESSAYS, Issue 7 2006
Teemu H. Teeri
Gerbera hybrida is a member of the large sunflower family (Asteraceae). Typical of Asteraceae, Gerbera bears different types of flowers in its inflorescence. The showy marginal flowers comprise elongate, ligulate corollas that are female, whereas the central and inconspicuous disc flowers are complete, with both male and female organs. As such, Gerbera offers great potential for comparative developmental research within a single genotype. Moreover, different Gerbera varieties show an impressive spectrum of color patterns, directly displaying responses to developmental cues at all important morphological levels (flower type, flower organ and within organs). Further, Gerbera harbors an arsenal of Asteraceae-type secondary metabolites, not present in other model plants. With powerful reverse genetics methods, a large collection of EST sequences and a new cDNA microarray, Gerbera has become a model plant of the sunflower family. BioEssays 28: 756,767, 2006. © 2006 Wiley Periodicals, Inc. [source]

Impact of the hepatitis B virus genotype and genotype mixtures on the course of liver disease in Vietnam,

Analysis of mixed infections by multiple genotypes of human cytomegalovirus in immunocompromised patients

JOURNAL OF MEDICAL VIROLOGY, Issue 5 2009
P. Sowmya
Abstract Human cytomegalovirus (HCMV) is a significant cause of morbidity and mortality in immunocompromised patients. The present study was carried out to determine the frequency of occurrence of multiple genotypes of HCMV in immunocompromised patients, to determine if there is any discrepancy in identification of mixed infections by multiple genotypes in paired clinical specimens obtained from patients and to determine the significance of viral load differences between patients infected with single and multiple genotypes. One hundred clinical specimens from 75 patients were included in the study. Real-time PCR; Multiplex PCR and PCR-based RFLP were applied for the determination of viral load and genotyping of HCMV, respectively. Out of the 75 patients, 36 (48%) carried multiple genotypes. Discrepancy with regard to detection of genotypes were found in 17/25 patients whose paired clinical specimens were analyzed. Mixed genotypes were found more often in peripheral blood than urine or intraocular fluids collected from the same patient. There was a statistically significant difference between the median viral loads of clinical specimens carrying single genotypes and multiple genotypes. Mixed infections with multiple genotypes were found predominantly in the leukocyte fraction of peripheral blood specimens. The detection of mixed infections by multiple genotypes in the hypervariable regions of HCMV can be a surrogate marker of an increase in viral load. J. Med. Virol. 81:861,869, 2009. © 2009 Wiley-Liss, Inc. [source]