用于流感病毒定量和定性检测及奥司他韦耐药突变的分子检测方法。
Molecular assays for quantitative and qualitative detection of influenza virus and oseltamivir resistance mutations.
机构信息
Department of Virology, Erasmus MC, Rotterdam, The Netherlands.
出版信息
J Mol Diagn. 2013 May;15(3):347-54. doi: 10.1016/j.jmoldx.2012.11.007. Epub 2013 Apr 16.
Sensitive and reproducible molecular assays are essential for influenza virus diagnostics. This manuscript describes the design, validation, and evaluation of a set of real-time RT-PCR assays for quantification and subtyping of human influenza viruses from patient respiratory material. Four assays are included for detection of oseltamivir resistance mutations H275Y in prepandemic and pandemic influenza A/H1N1 and E119V and R292K in influenza A/H3N2 neuraminidase. The lower limits of detection of the quantification assay were determined to be 1.7 log(10) virus particles per milliliter (vp/mL) for influenza A and 2.2 log(10) vp/mL for influenza B virus. The lower limits of quantification were 2.1 and 2.3 log(10) vp/mL, respectively. The RT-PCR efficiencies and lower limits of detection of the quantification assays were only marginally affected when tested on the most dissimilar target sequences found in the GenBank database. Finally, the resistance RT-PCR assays detected at least 5% mutant viruses present in mixtures containing both wild-type and mutant viruses with approximated limits of detection of 2.4 log(10) vp/mL. Overall, this set of RT-PCR assays is a powerful tool for enhanced influenza virus surveillance.
灵敏且可重现的分子检测对于流感病毒诊断至关重要。本文描述了一组实时 RT-PCR 检测方法的设计、验证和评估,用于从患者呼吸道样本中定量和分型人源流感病毒。该方法包含了 4 种针对奥司他韦耐药突变 H275Y 的检测,包括大流行前和大流行期间的 A/H1N1 流感病毒以及 A/H3N2 流感病毒的神经氨酸酶 E119V 和 R292K。定量检测的最低检测限为 1.7 log(10) 病毒颗粒/毫升(vp/mL),适用于 A 型流感病毒,2.2 log(10) vp/mL 适用于 B 型流感病毒。定量检测的最低定量限分别为 2.1 和 2.3 log(10) vp/mL。当在 GenBank 数据库中发现的最不相似的靶序列上进行测试时,定量检测的 RT-PCR 效率和最低检测限仅略有影响。最后,耐药 RT-PCR 检测方法能够检测到至少 5%的混合野生型和突变型病毒中的突变病毒,近似的最低检测限为 2.4 log(10) vp/mL。总的来说,这组 RT-PCR 检测方法是加强流感病毒监测的有力工具。