Comparison of a Duplex Quantitative Real-Time PCR Assay and the COBAS Amplicor CMV Monitor Test for Detection of Cytomegalovirus
Autor: | Viviana Cavaglia Larsson, Fredrik Sund, Björn Herrmann, Britt-Marie Eriksson, Kåre Bondeson, Johan Arvidson, Jonas Blomberg, Zhibing Yun, Carl-Johan Rubin |
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Rok vydání: | 2004 |
Předmět: |
Microbiology (medical)
Genes Viral Sequence analysis Molecular Sequence Data Gene Dosage Cytomegalovirus Biology Polymerase Chain Reaction Gene dosage law.invention Viral Envelope Proteins Predictive Value of Tests law Virology Cobas amplicor Humans Polymerase chain reaction DNA Primers Detection limit Base Sequence Plasma samples Genetic Variation Reproducibility of Results Genes pol Molecular biology Quantitative Real Time PCR Cytomegalovirus Infections DNA Viral Primer (molecular biology) |
Zdroj: | Journal of Clinical Microbiology. 42:1909-1914 |
ISSN: | 1098-660X 0095-1137 |
DOI: | 10.1128/jcm.42.5.1909-1914.2004 |
Popis: | A duplex quantitative real-time PCR (qPCR) assay was designed to detect both the polymerase gene ( pol ) and the glycoprotein gene ( gB ) of cytomegalovirus (CMV). The detection limit of the qPCR was determined to be 1 to 3 copies/reaction and the linear measure interval was 10 3 to 10 8 copies/ml. The qPCR system was compared to the COBAS Amplicor CMV Monitor test (COBAS) by an analysis of 138 plasma samples. Both systems detected CMV in 71 cases and had negative results for 33 samples. In addition, 34 samples were positive by qPCR and negative by the COBAS assay, but in no case was the COBAS result positive and the qPCR result negative. Thus, qPCR detected 48% more positive cases than the COBAS method. For samples with ≥10 5 copies/ml by qPCR, a saturation effect was seen in the COBAS assay and quantification required dilution. Copy numbers for pol and gB by qPCR generally agreed. However, the reproducibility of qPCR assays and the need for an international standard are discussed. Discrepant copy numbers for pol and gB by qPCR were found for samples from two patients, and sequence analysis revealed that the corresponding CMV strains were mismatched at four nucleotide positions compared with the gB fragment primer sequences. In conclusion, a duplex qPCR assay in a real-time format facilitates quantitative measurements and minimizes the risk of false-negative results. |
Databáze: | OpenAIRE |
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