A quantitative PCR assay for the detection of human herpesvirus 6 (HHV
-6) (variants A and B) and HHV-7 DNAs in clinical samples was develope
d. The assay uses a nonhomologous internal standard (IS) for each viru
s that is coamplified with the wild-type target sequence in the same v
ial and with the same pair of primers. This method allows for a correc
tion of the variability of efficiency of the PCR technique. A standard
curve is constructed for each experiment by coamplification of known
quantities of the cloned HHV-6 or HHV-7 target templates with the resp
ective IS. Absolute quantitation of the test samples is then achieved
by determining the viral target/IS ratio of the hybridization signals
of the amplification products and plotting this value against the stan
dard curve. Using this assay, we quantitated the amount of HHV-6 or HH
V-7 DNA in infected cell cultures and demonstrated an inhibitory effec
t of phosphonoformic acid on the replication of HHV-6 and HHV-7 in vit
ro. As the first clinical application of this procedure, we performed
preliminary measurements of the loads of HHV-6 and HHV-7 in lymph node
s from patients with Hodgkin's disease and AIDS. Application of this q
uantitative PCR method should be helpful for elucidating the pathogeni
c roles of HHV-6 and HHV-7.