論文

国際誌
2021年8月25日

Development of Novel PCR Assays for Improved Detection of Enterovirus D68.

Journal of clinical microbiology
  • Tatsuki Ikuse
  • ,
  • Yuta Aizawa
  • ,
  • Hayato Takihara
  • ,
  • Shujiro Okuda
  • ,
  • Kanako Watanabe
  • ,
  • Akihiko Saitoh

59
11
開始ページ
JCM0115121
終了ページ
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1128/JCM.01151-21

Enterovirus D68 (EV-D68) causes a range of clinical manifestations, including asthma-like illness, severe respiratory disease, and acute flaccid myelitis. EV-D68 has caused worldwide outbreaks since 2014 and is now recognized as a re-emerging infection in many countries. EV-D68-specific PCR assays are widely used for the diagnosis of EV-D68 infection; however, assay sensitivity is a concern because of genetic changes in recently circulated EV-D68. To address this, we summarized EV-D68 sequences from previously reported world outbreaks from 2014 through 2020 on GenBank, and found several mutations at the primer and probe binding sites of the existing EV-D68-specific PCR assays. Subsequently, we designed two novel assays corresponding to the recently reported EV-D68 sequences: an EV-D68-specific real-time and semi-nested PCR. In an analysis of 22 EV-D68-confirmed cases during a recent EV-D68 outbreak in Japan, the new real-time PCR had higher sensitivity than the existing assay (100% vs. 45%, P < 0.01) and a lower median Ct value (27.8 vs. 32.8, P = 0.005). Sensitivity was higher for the new non-nested PCR (91%) than for the existing semi-nested PCR assay (50%, P < 0.01). The specificity of the new real-time PCR was 100% using samples from non-EV-D68-infected cases (n = 135). In conclusion, our novel assays had higher sensitivity than the existing assay and might lead to more accurate diagnosis of recently circulating EV-D68. To prepare for future EV-D68 outbreaks, EV-D68-specific assays must be continuously monitored and updated.

リンク情報
DOI
https://doi.org/10.1128/JCM.01151-21
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/34432489
PubMed Central
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8525583
ID情報
  • DOI : 10.1128/JCM.01151-21
  • PubMed ID : 34432489
  • PubMed Central 記事ID : PMC8525583

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