real-time RT-PCR

实时 RT - PCR
  • 文章类型: Journal Article
    盘虫感染了各种各样的植物物种,许多pospiviroids可以传播到马铃薯和番茄。pospiviroids仍然是主要的生产制约因素,也是种质转移的检疫问题,并在几个国家/地区受到监管。美国农业部APHIS发布了一项联邦命令,要求所有进口的番茄和胡椒种子都必须经过认证,不含六种具有检疫意义的pospiviroid。六种检疫对象包括CLVd,PCFVd,PSTVd,TASVd,TCDVd,TPMVd。目前,通过实时RT-PCR检测这六个类病毒。在过去的五年中,基于CRISPR/Cas的基因组编辑越来越多地用于病毒检测。我们使用了一个快速的基于Cas13的特异性高灵敏度酶报道者unLOCKing(SHERLOCK)平台来进行后类病毒检测,确定CRISPR-Cas13a测定的检测限和特异性。该平台将重组酶聚合酶扩增(RPA)与CRISPR和CRISPR相关(CRISPR-Cas)RNA指导的核糖核酸内切酶相结合,快速且不需要昂贵的设备。并可适用于现场检测。
    Pospiviroids infect a wide range of plant species, and many pospiviroids can be transmitted to potato and tomato. Pospiviroids continue to be a major production constraint as well as of quarantine concern for the movement of germplasm, and are regulated in several countries/regions. The USDA APHIS issued a federal order requiring all imported tomato and pepper seeds be certified free of six pospiviroids of quarantine significance. The six pospiviroids of quarantine interest include CLVd, PCFVd, PSTVd, TASVd, TCDVd, TPMVd. Currently, those six viroids are detected by real-time RT-PCR. CRISPR/Cas-based genome editing has been increasingly used for virus detection in the past five years. We used a rapid Cas13-based Specific High-sensitivity Enzymatic Reporter unLOCKing (SHERLOCK) platform for pospiviroid detection, determined the limits of detection and specificity of CRISPR-Cas13a assays. This platform combines recombinase polymerase amplification (RPA) with CRISPR and CRISPR-associated (CRISPR-Cas) RNA-guided endoribonuclease that is rapid and does not require expensive equipment, and can be adapted for on-site detection.
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  • 文章类型: Journal Article
    我们对1984年至2018年从日本的牛或Culicoides咬mid中分离出的15种Palyam血清群病毒(PALV)株进行了全基因组测序(WGS)。我们发现PALV毒株由Chuzan(Kasba)病毒(CHUV)组成,D\'阿吉拉尔病毒(DAGV),BunyipCreek病毒,和另一个PALV,马拉卡病毒(MARV)。1997年分离的日本MARV菌株与1968-1976年分离的澳大利亚PALV菌株在基因组片段2和10中密切相关,但在其他基因组片段中与其他日本PALV菌株最密切相关。我们的数据表明,日本MARV毒株是亚洲和澳大利亚PALV之间的重配病毒。除了WGS,我们开发了一种实时逆转录聚合酶链反应测定法,可以广泛检测PALV并特异性检测CHUV和DAGV,利用WGS在本研究中获得的数据。我们在2019年使用新开发的方法检测了牛死胎和先天性异常小牛的DAGV基因。据我们所知,这是澳大利亚以外地区首次分离MARV的报告,也是非洲以外地区首次在患有先天性异常的牛胎儿或小牛中检测到PALV的报告。
    We performed whole genome sequencing (WGS) of 15 Palyam serogroup virus (PALV) strains isolated from cattle or Culicoides biting midges in Japan from 1984 to 2018. We found that the PALV strains consisted of Chuzan (Kasba) virus (CHUV), D\'Aguilar virus (DAGV), Bunyip Creek virus, and another PALV, Marrakai virus (MARV). The Japanese MARV strains isolated in 1997 were closely related to Australian PALV strains isolated in 1968-1976 in genome segments 2 and 10, but they were most closely related to other Japanese PALV strains in the other genome segments. Our data suggest that the Japanese MARV strains were reassortant viruses between Asian and Australian PALVs. In addition to the WGS, we developed a real-time reverse-transcription polymerase chain reaction assay that can broadly detect PALV and specifically detect CHUV and DAGV, utilizing the data obtained by the WGS in this study. We detected the DAGV gene in bovine stillborn fetuses and congenitally abnormal calves in 2019 using the newly developed assay. To our knowledge, this is the first report of isolation of MARV outside of Australia and the first report of detection of PALV in bovine fetuses or calves with congenital abnormality outside of Africa.
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  • 文章类型: Journal Article
    目标:2004年,食用天使翅蘑菇后,胸膜囊孢原,日本报告了59起食物中毒事件。因此,17人死于急性脑病。2023年,我们证明了凝集素,胸膜环胺,这种蘑菇的胸膜环氮吡啶对小鼠的大脑造成了损害。尽管我们在2013年报道了P.porrigens的基因组和转录组数据,但转录组数据的装配质量不足以进行准确的功能注释。因此,我们使用IlluminaNovaSeq6000获得了有关该蘑菇子实体和菌丝体的详细转录组数据。
    结果:从头组装数据表明,子实体和菌丝体的N50长度与以前报道的相比有所改善。子实体和菌丝体之间的差异表达分析表明,子实体和菌丝体中1,937和1,555个基因显着上调,分别。P.porrigens转录本的生物学功能,包括PA生物合成途径,使用BLAST搜索进行调查,基因本体论,和京都百科全书的基因和基因组途径分析。获得的结果显示L-缬氨酸,PA的预测前兆,在子实体和菌丝体中生物合成。此外,进行实时RT-PCR以评估差异表达分析结果的准确性。
    OBJECTIVE: In 2004, after consuming angel-wing mushrooms, Pleurocybella porrigens, 59 incidents of food poisoning were reported in Japan. Consequently, 17 individuals died of acute encephalopathy. In 2023, we proved that a lectin, pleurocybelline, and pleurocybellaziridine from this mushroom caused damage to the brains of mice. Although we reported genomic and transcriptomic data of P. porrigens in 2013, the assembly quality of the transcriptomic data was inadequate for accurate functional annotation. Thus, we obtained detailed transcriptomic data on the fruiting bodies and mycelia of this mushroom using Illumina NovaSeq 6000.
    RESULTS: De novo assembly data indicated that the N50 lengths for the fruiting bodies and mycelia were improved compared with those previously reported. The differential expression analysis between the fruiting bodies and the mycelia revealed that 1,937 and 1,555 genes were significantly up-regulated in the fruiting bodies and the mycelia, respectively. The biological functions of P. porrigens transcripts, including PA biosynthetic pathways, were investigated using BLAST search, Gene Ontology, and Kyoto Encyclopedia of Genes and Genomes pathway analysis. The obtained results revealed L-valine, a predicted precursor of PA, is biosynthesized in the fruiting bodies and mycelia. Furthermore, real-time RT-PCR was performed to evaluate the accuracy of the results of differential expression analysis.
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  • 文章类型: Journal Article
    非洲马病病毒(AHSV)属于Orbivirus,Sedoreoviridae科,迄今为止,已经描述了该病毒的9种血清型。AHSV基因组由双链(ds)RNA的十个线性片段组成,按尺寸递减顺序编号(Seg-1到Seg-10)。基因组片段2(Seg-2)编码外衣壳蛋白VP2,最可变的AHSV蛋白和中和抗体的主要靶标。因此,Seg-2确定病毒血清型的身份。在无AHS状态的国家爆发非洲马病(AHS),需要尽快确定血清型,以实施血清型特异性疫苗接种计划。考虑到目前“多价减毒活疫苗”是控制该疾病的唯一市售疫苗接种策略,不同血清型的田间和疫苗株可以共同循环。此外,在AHS流行国家,多于一种血清型通常同时循环。因此,在两种流行病学情况下,强烈建议采用快速确定AHS阳性样本中病毒血清型的策略.本研究的主要目的是描述用于快速AHSV血清型检测的三种三重实时RT-PCR(rRT-PCR)方法的开发和验证。来自肯尼亚最近的AHS暴发(2015-2017)的样本,泰国(2020年),尼日利亚(2023年),来自西班牙的AHS爆发(1987-1990),被包括在这些方法的验证研究中。
    The African horse sickness virus (AHSV) belongs to the Genus Orbivirus, family Sedoreoviridae, and nine serotypes of the virus have been described to date. The AHSV genome is composed of ten linear segments of double-stranded (ds) RNA, numbered in decreasing size order (Seg-1 to Seg-10). Genome segment 2 (Seg-2) encodes outer-capsid protein VP2, the most variable AHSV protein and the primary target for neutralizing antibodies. Consequently, Seg-2 determines the identity of the virus serotype. An African horse sickness (AHS) outbreak in an AHS-free status country requires identifying the serotype as soon as possible to implement a serotype-specific vaccination program. Considering that nowadays \'polyvalent live attenuated\' is the only commercially available vaccination strategy to control the disease, field and vaccine strains of different serotypes could co-circulate. Additionally, in AHS-endemic countries, more than one serotype is often circulating at the same time. Therefore, a strategy to rapidly determine the virus serotype in an AHS-positive sample is strongly recommended in both epidemiological situations. The main objective of this study is to describe the development and validation of three triplex real-time RT-PCR (rRT-PCR) methods for rapid AHSV serotype detection. Samples from recent AHS outbreaks in Kenia (2015-2017), Thailand (2020), and Nigeria (2023), and from the AHS outbreak in Spain (1987-1990), were included in the study for the validation of these methods.
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  • 文章类型: Journal Article
    SARS-CoV-2突变的出现对诊断测试提出了重大挑战,因为这些突变会降低常用RT-PCR检测的灵敏度。因此,需要设计具有多个靶标的诊断测定法以增强灵敏度。在这项研究中,我们确定了一个新的诊断目标,nsp10基因,使用纳米孔测序。首先,我们确定了COVID-19-nsp10检测的分析灵敏度和特异性.COVID-19-nsp10检测的检出限为74拷贝/mL(95%置信区间:48-299拷贝/mL),与其他呼吸道病毒没有交叉反应。接下来,我们使用261个呼吸道标本确定了COVID-19-nsp10测定法的诊断性能,包括147个SARS-CoV-2阳性标本,属于祖先菌株和α,Beta,Gamma,Delta,穆,埃塔,Kappa,Theta和Omicron谱系。使用LightMixE基因RT-PCR检测作为参考方法,COVID-19-nsp10检测的诊断敏感性和特异性为100%.LightMixE基因RT-PCR和我们的COVID-19-nsp10RT-PCR的Cp中位数分别为22.48(范围:12.95-36.60)和25.94(范围16.37-36.87),分别。COVID-19-nsp10RT-PCR测定的Cp值与LightMixE基因RT-PCR测定的Cp值密切相关(Spearman'sρ=0.968;p<0.0001)。总之,nsp10是SARS-CoV-2RT-PCR测定的合适靶标。
    The emergence of SARS-CoV-2 mutations poses significant challenges to diagnostic tests, as these mutations can reduce the sensitivity of commonly used RT-PCR assays. Therefore, there is a need to design diagnostic assays with multiple targets to enhance sensitivity. In this study, we identified a novel diagnostic target, the nsp10 gene, using nanopore sequencing. Firstly, we determined the analytical sensitivity and specificity of our COVID-19-nsp10 assay. The COVID-19-nsp10 assay had a limit of detection of 74 copies/mL (95% confidence interval: 48-299 copies/mL) and did not show cross-reactivity with other respiratory viruses. Next, we determined the diagnostic performance of the COVID-19-nsp10 assay using 261 respiratory specimens, including 147 SARS-CoV-2-positive specimens belonging to the ancestral strain and Alpha, Beta, Gamma, Delta, Mu, Eta, Kappa, Theta and Omicron lineages. Using a LightMix E-gene RT-PCR assay as the reference method, the diagnostic sensitivity and specificity of the COVID-19-nsp10 assay were found to be 100%. The median Cp values for the LightMix E-gene RT-PCR and our COVID-19-nsp10 RT-PCR were 22.48 (range: 12.95-36.60) and 25.94 (range 16.37-36.87), respectively. The Cp values of the COVID-19-nsp10 RT-PCR assay correlated well with those of the LightMix E-gene RT-PCR assay (Spearman\'s ρ = 0.968; p < 0.0001). In conclusion, nsp10 is a suitable target for a SARS-CoV-2 RT-PCR assay.
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  • 文章类型: Journal Article
    已知流感病毒在所有年龄的个体中引起不同严重程度的呼吸道感染。EasyNAT快速流感测定法是一种新开发的体外诊断测试,它采用交叉引发等温扩增(CPA)来检测和区分人鼻咽(NP)拭子中的甲型和乙型流感病毒。这项研究的目的是确定EasyNAT快速流感测定法用于流感病毒快速检测的性能特征。评估了EasyNAT快速流感测定的检测限(LOD)和交叉反应性。使用用实时逆转录聚合酶链反应(RT-PCR)和XpertXpressFlu/RSV测定测试的NP拭子样品评估测定的临床性能。发现使用EasyNAT快速流感测定法检测甲型和乙型流感的LOD为500拷贝/mL。此外,该试验与其他常见呼吸道病毒无交叉反应.对于使用EasyNAT快速流感测定和实时RT-PCR测试甲型流感的114个NP拭子样品,两种检测方法具有较高的一致性(κ=0.963,P<0.001),正百分比协议(PPA)为97.7%,负百分比协议(NPA)为98.6%。同样,对于使用EasyNAT快速流感测定法和XpertXpress流感/RSV测定法测试甲型和乙型流感的43个NP拭子样品,两种检测方法具有较高的一致性(κ=0.933,P<0.001),甲型流感的总体一致性(ORA)为97.7%,乙型流感的总体一致性(ORA)为100%。突出的是其与基于RT-PCR的测定的强烈一致性。IMPORTANCE新开发的EasyNAT快速流感检测是一种创新的基于交叉引发等温扩增的方法,旨在检测甲型和乙型流感病毒在护理点设置。这项研究旨在彻底评估分析和临床表现的分析,提供对其潜在优势和局限性的宝贵见解。这项研究的结果对临床实践具有重要意义。
    Influenza virus is known to cause respiratory tract infections of varying severity in individuals of all ages. The EasyNAT Rapid Flu assay is a newly developed in vitro diagnostic test that employs cross-priming isothermal amplification (CPA) to detect and differentiate influenza A and B viruses in human nasopharyngeal (NP) swabs. The aim of this study is to determine the performance characteristics of the EasyNAT Rapid Flu assay for rapid detection of influenza virus. The limit of detection (LOD) and cross-reactivity of the EasyNAT Rapid Flu assay were assessed. The clinical performance of the assay was evaluated using NP swab samples that were tested with real-time reverse-transcription polymerase chain reaction (RT-PCR) and Xpert Xpress Flu/RSV assay. The LOD for the detection of influenza A and B using the EasyNAT Rapid Flu assay was found to be 500 copies/mL. Furthermore, the assay exhibited no cross-reactivity with other common respiratory viruses tested. For the 114 NP swab samples tested for influenza A using both the EasyNAT Rapid Flu assay and real-time RT-PCR, the two assays demonstrated a high level of agreement (κ = 0.963, P < 0.001), with a positive percentage agreement (PPA) of 97.7% and a negative percentage agreement (NPA) of 98.6%. Similarly, for the 43 NP swab samples tested for influenza A and B using both the EasyNAT Rapid Flu assay and Xpert Xpress Flu/RSV assay, the two assays showed a high level of agreement (κ = 0.933, P < 0.001), with the overall rate of agreement (ORA) of 97.7% for influenza A and 100% for influenza B. The EasyNAT Rapid Flu assay demonstrates excellent performance in the detection of influenza A, highlighted by its strong agreement with RT-PCR-based assays.IMPORTANCEThe newly developed EasyNAT Rapid Flu assay is an innovative cross-priming isothermal amplification-based method designed for detecting influenza A and B viruses at point-of-care settings. This study aims to thoroughly assess the analytical and clinical performance of the assay, offering valuable insights into its potential advantages and limitations. The findings of this research hold significant implications for clinical practice.
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  • 文章类型: Journal Article
    托斯卡纳病毒(TOSV),沙蝇传播的病毒,是夏季地中海地区人类急性脑膜炎和脑膜脑炎的重要病因。然而,TOSV感染的实际数量被低估了.实验室确认是必要的,因为TOSV感染与其他神经侵袭性病毒感染具有重叠的临床特征。如今,在TOSV感染急性期直接诊断的参考测试是基于PCR的方法,用于检测脑脊液和/或血浆中的TOSV,血清,或者血.虽然就业差,尿液是另一种有助于TOSV检测的生物基质。尿液是富含影响PCR效率的PCR抑制剂的基质;因此,可能会产生假阴性。探讨尿液PCR抑制剂对TOSV检测的潜在影响,我们使用10倍系列加标TOSV比较了未稀释和稀释的尿液。结果表明,稀释尿液中的TOSV检测性能显着改善(1TCID50与1×104TCID50检测限和101.35%vs.129.62%效率,分别,在稀释和未稀释的尿液中)。总之,我们的数据为使用稀释的尿液限制尿液对基于RT-PCR的TOSV检测的抑制作用的影响提供了初步的重要见解.
    Toscana virus (TOSV), a sandfly-borne virus, is an important etiological agent in human acute meningitis and meningoencephalitis in the Mediterranean area during the summer. However, the actual number of TOSV infections is underestimated. Laboratory confirmation is necessary because TOSV infection has overlapping clinical features with other neuro-invasive viral infections. Nowadays, the reference test for direct diagnosis in the acute phase of TOSV infection is the PCR based method for detecting TOSV in cerebrospinal fluid and/or plasma, serum, or blood. Although poorly employed, urine is another helpful biological matrix for TOSV detection. Urine is a matrix rich in PCR inhibitors that affect PCR efficiency; consequently, false negatives could be generated. To investigate the potential effect of urine PCR inhibitors on TOSV detection, we compared undiluted and diluted urine using 10-fold series of spiked TOSV. The results showed a significant improvement in TOSV detection performance in diluted urine (1 TCID50 vs. 1 × 104 TCID50 limit of detection and 101.35% vs. 129.62% efficiency, respectively, in diluted and undiluted urine). In conclusion, our data provide preliminary important insights into the use of diluted urine to limit the impact of the inhibitory effects of urine on the detection of TOSV in RT-PCR-based approaches.
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  • 文章类型: Journal Article
    肠道病毒(EV),属于小导航科,无症状地感染个体或引起轻度症状(发烧,流鼻涕,咳嗽,皮疹,打喷嚏,嘴巴起泡)。严重的病例会导致各种疾病,如急性出血性结膜炎,无菌性脑膜炎,或者心肌炎,尤其是婴儿。这些病毒可以通过粪便-口腔途径通过污染的水传播。在这项研究中,我们建立了使用柯萨奇病毒B5(CV-B5)和Echovirus30(E-30)检测水样中EV的聚合酶链反应(PCR)方法,属于四种电动汽车(EV-A至D)中的B种。已经研究并比较了几种检测电动汽车的方法,包括实时逆转录(RT)聚合酶链反应和常规RT-PCR。选择最敏感的引物组,并修改PCR条件以增加灵敏度。我们还定量了实时和常规RT-PCR的检测限。常规RT-PCR的检测限分别为CV-B5的105-106拷贝/mL和E-30的106-107拷贝/mL。这种用于检测EV的优化方法预计将大大有助于水样中EV爆发的调查。
    Enteroviruses (EVs), which belong to the Picornaviridae family, infect individuals asymptomatically or cause mild symptoms (fever, runny nose, cough, skin rash, sneezing, mouth blister). Severe cases can cause various diseases, such as acute hemorrhagic conjunctivitis, aseptic meningitis, or myocarditis, especially in infants. These viruses can be transmitted via the fecal-oral route via contaminated water. In this study, we established a polymerase chain reaction (PCR) method for detecting EVs in water sample using Coxsackievirus B5 (CV-B5) and Echovirus 30 (E-30), which belong to species B of the four species of EVs (EV-A to D). Several methods have been investigated and compared for the detection of EVs, including real-time reverse transcription (RT) polymerase chain reaction and conventional RT-PCR. The most sensitive primer sets were selected, and the PCR conditions were modified to increase sensitivity. We also quantified the detection limits of real-time and conventional RT-PCR. The detection limits of conventional RT-PCR were detected in 105-106 copy/mL for CV-B5 and 106-107 copy/mL for E-30, respectively. This optimized method for detecting EVs is expected to contribute substantially to the investigation of EV outbreaks in water samples.
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  • 文章类型: Journal Article
    口蹄疫(FMD)在许多亚洲国家都很流行,由于血清型O的病毒,A,和亚洲1在该地区共同流通。能够快速描述新的病毒发生的特征,为了解与现场爆发相关的流行病学和风险提供了关键信息。并有助于选择适当的疫苗来控制疾病。FMD谱系特异性表征通常通过测序确定;然而,这种能力并不总是现成的。在这项研究中,我们提供了一组实时RT-PCR(rRT-PCR)检测方法,以区分已知2020年在亚洲共同传播的口蹄疫病毒(FMDV)谱系.该小组包括五个新的rRT-PCR测定,旨在检测谱系O/ME-SA/PanAsia-PanAsia-2,O/ME-SA/Ind-2001,O/SEA/Mya-98,O/CATHAY,和A/ASIA/Sea-97,以及A/ASIA/Iran-05,A/ASIA/G-VII,和Asia1血清型。已知FMD谱系(n=85)的样品与所有八个谱系特异性测定和建立的3Dpan-FMDrRT-PCR测定平行测试。并对五种新开发的检测方法进行了比较检测限(LOD)实验。所有样本(85/85)都被分配到正确的血清型,并且正确的谱系被分配给85个样本中的70个,其中扩增仅发生在同源测定中。对于85个样本中的13个,在两个测定中有扩增;然而,可以基于13个样本中12个的最强Ct值指定正确的谱系。为85个样品中的3个分配了不正确的谱系。五个新的rRT-PCR检测的扩增效率在79.7和100.5%之间,与3Dpan-FMDrRT-PCR测定相比,核酸稀释实验证明了广泛相等的检测限。这些新的测试,与其他已发表的谱系特异性rRT-PCR检测一起,组成一组测定(或分子工具箱),可以选择用于FMD流行国家(单独或部分测定,取决于已知正在流通的地区/谱系),以快速表征在亚洲流通的FMDV谱系成本相对较低。该分子工具箱将增强国家实验室在地方性环境中准确表征循环FMDV菌株的能力,并促进及时实施控制策略,并且在难以获得测序能力的环境中可能特别有用。
    Foot-and-mouth disease (FMD) is endemic in many Asian countries, with outbreaks occurring regularly due to viruses from serotypes O, A, and Asia1 that co-circulate in the region. The ability to rapidly characterize new virus occurrences provides critical information to understand the epidemiology and risks associated with field outbreaks, and helps in the selection of appropriate vaccines to control the disease. FMD lineage-specific characterization is usually determined through sequencing; however, this capacity is not always readily available. In this study, we provide a panel of real-time RT-PCR (rRT-PCR) assays to allow differentiation of the FMD virus (FMDV) lineages known to have been co-circulating in Asia during 2020. This panel included five new rRT-PCR assays designed to detect lineages O/ME-SA/PanAsia-PanAsia-2, O/ME-SA/Ind-2001, O/SEA/Mya-98, O/CATHAY, and A/ASIA/Sea-97, along with three published rRT-PCR assays for A/ASIA/Iran-05, A/ASIA/G-VII, and Asia1 serotypes. Samples of known FMD lineage (n = 85) were tested in parallel with all eight lineage-specific assays and an established 3D pan-FMD rRT-PCR assay, and comparative limit of detection (LOD) experiments were conducted for the five newly developed assays. All samples (85/85) were assigned to the correct serotype, and the correct lineage was assigned for 70 out of 85 samples where amplification only occurred with the homologous assay. For 13 out of 85 of the samples, there was amplification in two assays; however, the correct lineage could be designated based on the strongest Ct values for 12 out of 13 samples. An incorrect lineage was assigned for 3 out of 85 samples. The amplification efficiencies for the five new rRT-PCR assays ranged between 79.7 and 100.5%, with nucleic acid dilution experiments demonstrating broadly equivalent limits of detection when compared to the 3D pan-FMD rRT-PCR assay. These new tests, together with other published lineage-specific rRT-PCR assays, constitute a panel of assays (or molecular toolbox) that can be selected for use in FMD endemic countries (individually or a subset of the assays depending on region/lineages known to be circulating) for rapid characterization of the FMDV lineages circulating in Asia at a relatively low cost. This molecular toolbox will enhance the ability of national laboratories in endemic settings to accurately characterize circulating FMDV strains and facilitate prompt implementation of control strategies, and may be particularly useful in settings where it is difficult to access sequencing capability.
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  • 文章类型: Journal Article
    目的:自2019年冠状病毒疾病大流行以来,在病毒检测中不熟悉的人群中,使用实时PCR测定已变得普遍。因此,一次检测中的高实时PCR值是否表明病毒可传播成为一个复杂的社会问题,无论分析和/或扩增条件的差异,在感染的时间过程中进行诊断测试的时间和次数。此外,呼吸道病毒检测中的多重阳性进一步增加了对感染解释的混淆。为了解决这个问题,我们使用儿童SARI(严重急性呼吸道感染)标本对人支气管/气管上皮细胞培养的气-液界面培养进行病毒分离.这项研究的结果可以有力地证明,在实时PCR测试中显示多种试剂阳性的标本可能含有感染性病毒。
    OBJECTIVE: Since the pandemic of coronavirus diseases 2019, the use of real-time PCR assay has become widespread among people who were not familiar with it in virus detection. As a result, whether a high real-time PCR value in one time test indicates virus transmissibly became a complicated social problem, regardless of the difference in assays and/or amplification conditions, the time and number of diagnostic test during the time course of infection. In addition, the multiple positives in the test of respiratory viruses further add to the confusion in the interpretation of the infection. To address this issue, we performed virus isolation using pediatric SARI (severe acute respiratory infections) specimens on air-liquid interface culture of human bronchial/tracheal epithelial cell culture. The result of this study can be a strong evidence that the specimens showing positivity for multiple agents in real-time PCR tests possibly contain infectious viruses.
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