Résumé
Objectives Dried blood spots (DBS) and dried plasma spots (DPS) are easy to collect and store, and have been successfully tested as an alternative to plasma for performing virological analyses. Adequate storage conditions still need to be established and cell-associated proviral DNA in DBS can contribute to the amplified products. We evaluated these two parameters. Methods Residual samples from 34 HIV-1-infected patients [mean viral load (VL) = 3.93 log10 copies/mL] were used to prepare DPS and DBS, then stored at 20°C and 37°C. HIV-1 nucleic acids were extracted, with or without DNase treatments, to perform HIV-1 VL quantification and nested RT–PCR to amplify the reverse transcriptase gene (798 bp). Results For DBS stored for 3 months at 20°C, VL could be measured for all samples and results were comparable to plasma VL. At 37°C, a slight decrease was observed after 2 and 3 months (0.16 and 0.37 log10 copies/mL mean difference, respectively). For DPS, a significant decrease in VL (0.70 and 1.07 log10 copies/mL after 1 and 2 months, respectively) was seen at 37°C, but not at 20°C. PCR amplifications from DPS were only successful for 50% of samples with an initial VL >10 000 copies/mL after 1 month at 20°C. From DBS, PCR amplifications are possible until 3 months for samples with plasma VL >5000 copies/mL. VL and PCR results for DBS treated with DNase are close to results obtained for DPS. Conclusions Virological monitoring is still feasible for DBS after 3 months of storage at 37°C when VL is >5000 copies/mL, but DNA contributes largely to the final results.