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2017 ; 17
(1
): 89
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Simultaneous detection of respiratory syncytial virus and human metapneumovirus
by one-step multiplex real-time RT-PCR in patients with respiratory symptoms
#MMPMID28347279
You HL
; Chang SJ
; Yu HR
; Li CC
; Chen CH
; Liao WT
BMC Pediatr
2017[Mar]; 17
(1
): 89
PMID28347279
show ga
BACKGROUND: Both respiratory syncytial virus (RSV) and human metapneumovirus
(hMPV) are important viral pathogens causing respiratory tract infection (RTI) in
the pediatric population. However, the clinical manifestations of RSV and hMPV
infections are similar. Therefore, a reliable and rapid diagnostic tool is needed
for diagnostic performance. METHODS: In order to optimize diagnosis efficiency of
RTI, the aim of this study is to establish a rapid and advanced method for
simultaneous detecting RSV and hMPV in nasopharyngeal aspirates specimens from
patients. We designed a one-step triplex real-time RT-PCR (qRT-PCR) protocol
using TaqMan probes for detecting RSV and hMPV. The plasmid clones containing RSV
nucleoprotein gene and hMPV fusion gene were established as reference standards.
We used virus culture supernatants from 86 known pediatric RTI patient to test
the specificity and sensitivity of our assay. Then we used total 222
nasopharyngeal aspirates specimens from pediatric patients hospitalized with
respiratory symptoms to evaluate our assay. RESULTS: Our one-step triplex qRT-PCR
assay showed 100% sensitivity and specificity in testing RSV and hMPV in 86 known
virus culture supernatants, with excellent linearity (R(2)?>?0.99) and reliable
reproducibility (CV lower than 1.04%). This assay has a wide dynamic range
10(2)-10(9)copies/reaction (limit of detection; LOD?=?100 copies/reaction). A
total of 222 patients hospitalized with respiratory symptoms were enrolled for
clinical evaluation. In these samples, our qRT-PCR assay detected 68 RSV positive
and 18 hMPV positive cases. However, standard virus culture only detected 8 RSV
positive cases and 0 hMPV cases. Based on this improved triplex qRT-PCR assay, we
found that RSV infection was associated with severe inflammation by chest X-ray
and occurrence of pneumonia which were not observed previously. CONCLUSIONS: In
summary, we have developed a highly specific and sensitive one-step triplex
qRT-PCR assay to detect hMPV and RSV simultaneously. This assay offers a valuable
tool for routine diagnosis.