Ashraf Waqas, Unger Hermann, Haris Sunaina, Mobeen Ameena, Farooq Muhammad, Asif Muhammad, Khan Qaiser Mahmood
National Institute for Biotechnology and Genetic Engineering (NIBGE), Faisalabad, Pakistan.
Pakistan Institute of Engineering and Applied Sciences (PIEAS), Islamabad, Pakistan.
BMC Vet Res. 2017 Jan 25;13(1):34. doi: 10.1186/s12917-016-0940-0.
The devastating viral disease of small ruminants namely Peste des petits ruminants (PPR) declared as target for "Global Eradication" in 2015 by the Food and Agriculture Organization (FAO) and the World Organization for Animal Health (OIE). For a successful eradication campaign, molecular diagnostic tools are preferred for their specificity, efficacy and robustness to compliment prophylactic measures and surveillance methods. However, molecular tools have a few limitations including, costly equipment, multi-step template preparation protocols, target amplification and analysis that restrict their use to the sophisticated laboratory settings. As reverse transcription-loop mediated isothermal amplification assay (RT-LAMP) has such an intrinsic potential for point of care diagnosis, this study focused on the genetic detection of causative PPR virus (PPRV) in field conditions. It involves the use of a sample buffer that can precipitate out virus envelope and capsid proteins through ammonium sulphate precipitation and exposes viral RNA, present in the clinical sample, to the LAMP reaction mixture.
The test was evaluated using 11 PPRV cultures, and a total of 46 nasal swabs (n = 32 collected in the field outbreaks, n = 14 collected from experimentally inoculated animals). The RT-LAMP was compared with the reverse transcription-PCR (RT-PCR) and real-time quantitative RT-PCR (RT-qPCR) for its relative specificity, sensitivity and robustness. RT-LAMP detected PPRV in all PPRV cultures in or less than 30 min. Its detection limit was of 0.0001TCID (tissue culture infective dose-50) per ml with 10-fold higher sensitivity than that of RT-PCR. In 59.4% of the field samples, RT-LAMP detected PPRV within 35-55 min. The analytical sensitivity and specificity of the RT-LAMP were equivalent to that of the RT-qPCR. The time of detection of PPRV decreased by at least forty minutes or 3-4 h in case of in the RT-LAMP as compared with the RT-qPCR and the RT-PCR, respectively.
The sensitive and specific RT-LAMP test developed in this study targeting a small fragment of the N gene of PPRV is a rapid, reliable and applicable molecular diagnostic test of choice under the field conditions. RT-LAMP requiring minimal training offers a very useful tool for PPR diagnosis especially during the "Global PPR Eradication Campaign".
小反刍兽疫(PPR)是一种对小反刍动物具有毁灭性的病毒性疾病,2015年被联合国粮食及农业组织(FAO)和世界动物卫生组织(OIE)列为“全球根除”目标。为了成功开展根除行动,分子诊断工具因其特异性、有效性和稳健性而更受青睐,可作为预防性措施和监测方法的补充。然而,分子工具存在一些局限性,包括设备成本高、模板制备协议步骤多、目标扩增和分析复杂,这限制了它们只能在先进的实验室环境中使用。由于逆转录环介导等温扩增检测法(RT-LAMP)具有即时诊断的内在潜力,本研究聚焦于在现场条件下对致病小反刍兽疫病毒(PPRV)进行基因检测。该方法使用一种样品缓冲液,通过硫酸铵沉淀使病毒包膜和衣壳蛋白沉淀,从而使临床样品中的病毒RNA暴露于LAMP反应混合物中。
使用11种PPRV培养物以及总共46份鼻拭子(n = 32份来自现场疫情,n = 14份来自实验接种动物)对该检测方法进行评估。将RT-LAMP与逆转录聚合酶链反应(RT-PCR)和实时定量逆转录聚合酶链反应(RT-qPCR)在相对特异性、敏感性和稳健性方面进行比较。RT-LAMP在30分钟及以内检测出所有PPRV培养物中的PPRV。其检测限为每毫升0.0001TCID(组织培养感染剂量-50),敏感性比RT-PCR高10倍。在59.4%的现场样品中,RT-LAMP在35至55分钟内检测出PPRV。RT-LAMP的分析敏感性和特异性与RT-qPCR相当。与RT-qPCR和RT-PCR相比,RT-LAMP检测PPRV的时间分别至少缩短了40分钟或3 - 4小时。
本研究开发的针对PPRV N基因小片段的灵敏且特异的RT-LAMP检测方法,是一种在现场条件下快速、可靠且适用的分子诊断方法。RT-LAMP所需培训极少,为PPR诊断提供了非常有用的工具,尤其是在“全球PPR根除运动”期间。