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<title xml:lang="en">Development of a multiplex RT-PCR for simultaneous diagnosis of human metapneumovirus (HMPV) and human respiratory syncytial virus (HRSV) from clinical specimens</title>
<author>
<name sortKey="Dayakar, Seetha" sort="Dayakar, Seetha" uniqKey="Dayakar S" first="Seetha" last="Dayakar">Seetha Dayakar</name>
<affiliation>
<nlm:aff id="Aff1">Laboratory Medicine and Molecular Diagnostics, Rajiv Gandhi Centre for Biotechnology, Bio-Innovation Center (BIC), KINFRA Film & Video Park, Thiruvananthapuram, Kerala 695585 India</nlm:aff>
</affiliation>
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<author>
<name sortKey="Pillai, Heera R" sort="Pillai, Heera R" uniqKey="Pillai H" first="Heera R." last="Pillai">Heera R. Pillai</name>
<affiliation>
<nlm:aff id="Aff1">Laboratory Medicine and Molecular Diagnostics, Rajiv Gandhi Centre for Biotechnology, Bio-Innovation Center (BIC), KINFRA Film & Video Park, Thiruvananthapuram, Kerala 695585 India</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Thulasi, Vineetha P" sort="Thulasi, Vineetha P" uniqKey="Thulasi V" first="Vineetha P." last="Thulasi">Vineetha P. Thulasi</name>
<affiliation>
<nlm:aff id="Aff1">Laboratory Medicine and Molecular Diagnostics, Rajiv Gandhi Centre for Biotechnology, Bio-Innovation Center (BIC), KINFRA Film & Video Park, Thiruvananthapuram, Kerala 695585 India</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Nair, Radhakrishnan R" sort="Nair, Radhakrishnan R" uniqKey="Nair R" first="Radhakrishnan R." last="Nair">Radhakrishnan R. Nair</name>
<affiliation>
<nlm:aff id="Aff1">Laboratory Medicine and Molecular Diagnostics, Rajiv Gandhi Centre for Biotechnology, Bio-Innovation Center (BIC), KINFRA Film & Video Park, Thiruvananthapuram, Kerala 695585 India</nlm:aff>
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<title xml:lang="en" level="a" type="main">Development of a multiplex RT-PCR for simultaneous diagnosis of human metapneumovirus (HMPV) and human respiratory syncytial virus (HRSV) from clinical specimens</title>
<author>
<name sortKey="Dayakar, Seetha" sort="Dayakar, Seetha" uniqKey="Dayakar S" first="Seetha" last="Dayakar">Seetha Dayakar</name>
<affiliation>
<nlm:aff id="Aff1">Laboratory Medicine and Molecular Diagnostics, Rajiv Gandhi Centre for Biotechnology, Bio-Innovation Center (BIC), KINFRA Film & Video Park, Thiruvananthapuram, Kerala 695585 India</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Pillai, Heera R" sort="Pillai, Heera R" uniqKey="Pillai H" first="Heera R." last="Pillai">Heera R. Pillai</name>
<affiliation>
<nlm:aff id="Aff1">Laboratory Medicine and Molecular Diagnostics, Rajiv Gandhi Centre for Biotechnology, Bio-Innovation Center (BIC), KINFRA Film & Video Park, Thiruvananthapuram, Kerala 695585 India</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Thulasi, Vineetha P" sort="Thulasi, Vineetha P" uniqKey="Thulasi V" first="Vineetha P." last="Thulasi">Vineetha P. Thulasi</name>
<affiliation>
<nlm:aff id="Aff1">Laboratory Medicine and Molecular Diagnostics, Rajiv Gandhi Centre for Biotechnology, Bio-Innovation Center (BIC), KINFRA Film & Video Park, Thiruvananthapuram, Kerala 695585 India</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Nair, Radhakrishnan R" sort="Nair, Radhakrishnan R" uniqKey="Nair R" first="Radhakrishnan R." last="Nair">Radhakrishnan R. Nair</name>
<affiliation>
<nlm:aff id="Aff1">Laboratory Medicine and Molecular Diagnostics, Rajiv Gandhi Centre for Biotechnology, Bio-Innovation Center (BIC), KINFRA Film & Video Park, Thiruvananthapuram, Kerala 695585 India</nlm:aff>
</affiliation>
</author>
</analytic>
<series>
<title level="j">VirusDisease</title>
<idno type="ISSN">2347-3584</idno>
<idno type="eISSN">2347-3517</idno>
<imprint>
<date when="2016">2016</date>
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<div type="abstract" xml:lang="en">
<p>Human metapneumovirus (HMPV) and human respiratory syncytial virus (HRSV) are ubiquitous respiratory viral pathogens. They belong to the family
<italic>Paramyxoviridae</italic>
(subfamily
<italic>Pneumovirinae</italic>
) and is responsible for acute respiratory tract infections in children, elderly and immunocompromised patients. We designed and tested a multiplex reverse transcriptase polymerase chain reaction (mRT-PCR) as a cost-effective alternative to real-time PCR and cell culture based detection for HMPV and HRSV. The newly developed PCR was used to screen nasal/throat swab samples from 356 patients with suspected acute respiratory infection attending the Government Medical College, Thiruvananthapuram, Kerala, India. The method was compared with a commercially available kit employing real time PCR, for its sensitivity and specificity. 53 (14.9 %) samples were positive for at least one tested pathogen by mRT-PCR. All except one among the positive samples showed similar pathogen profile when tested using real time PCR. 8 (15.1 %) among these 53 were positive for HRSVA, 33 (62.3 %) positive for HRSVB and 12 (22.6 %) were positive for HMPV. 17 (32.7 %) samples showed co-infections in them. Sensitivity and specificity of the mRT-PCR was comparable to that of the commercial kit. Our findings indicate that this newly developed mRT-PCR can be used as a cost-effective alternative for laboratory diagnosis of HMPV/HRSV infection and will significantly reduce diagnostic costs for these viruses in clinical settings.</p>
<sec>
<title>Electronic supplementary material</title>
<p>The online version of this article (doi:10.1007/s13337-016-0348-2) contains supplementary material, which is available to authorized users.</p>
</sec>
</div>
</front>
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<pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">Virusdisease</journal-id>
<journal-id journal-id-type="iso-abbrev">Virusdisease</journal-id>
<journal-title-group>
<journal-title>VirusDisease</journal-title>
</journal-title-group>
<issn pub-type="ppub">2347-3584</issn>
<issn pub-type="epub">2347-3517</issn>
<publisher>
<publisher-name>Springer India</publisher-name>
<publisher-loc>New Delhi</publisher-loc>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">28004017</article-id>
<article-id pub-id-type="pmc">5142592</article-id>
<article-id pub-id-type="publisher-id">348</article-id>
<article-id pub-id-type="doi">10.1007/s13337-016-0348-2</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Original Article</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Development of a multiplex RT-PCR for simultaneous diagnosis of human metapneumovirus (HMPV) and human respiratory syncytial virus (HRSV) from clinical specimens</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Dayakar</surname>
<given-names>Seetha</given-names>
</name>
<xref ref-type="aff" rid="Aff1"></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Pillai</surname>
<given-names>Heera R.</given-names>
</name>
<xref ref-type="aff" rid="Aff1"></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Thulasi</surname>
<given-names>Vineetha P.</given-names>
</name>
<xref ref-type="aff" rid="Aff1"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Nair</surname>
<given-names>Radhakrishnan R.</given-names>
</name>
<address>
<phone>+91 471 2781222</phone>
<email>radhakrishnan@rgcb.res.in</email>
</address>
<xref ref-type="aff" rid="Aff1"></xref>
</contrib>
<aff id="Aff1">Laboratory Medicine and Molecular Diagnostics, Rajiv Gandhi Centre for Biotechnology, Bio-Innovation Center (BIC), KINFRA Film & Video Park, Thiruvananthapuram, Kerala 695585 India</aff>
</contrib-group>
<pub-date pub-type="epub">
<day>26</day>
<month>9</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="ppub">
<month>12</month>
<year>2016</year>
</pub-date>
<volume>27</volume>
<issue>4</issue>
<fpage>375</fpage>
<lpage>381</lpage>
<history>
<date date-type="received">
<day>29</day>
<month>3</month>
<year>2016</year>
</date>
<date date-type="accepted">
<day>12</day>
<month>9</month>
<year>2016</year>
</date>
</history>
<permissions>
<copyright-statement>© Indian Virological Society 2016</copyright-statement>
</permissions>
<abstract id="Abs1">
<p>Human metapneumovirus (HMPV) and human respiratory syncytial virus (HRSV) are ubiquitous respiratory viral pathogens. They belong to the family
<italic>Paramyxoviridae</italic>
(subfamily
<italic>Pneumovirinae</italic>
) and is responsible for acute respiratory tract infections in children, elderly and immunocompromised patients. We designed and tested a multiplex reverse transcriptase polymerase chain reaction (mRT-PCR) as a cost-effective alternative to real-time PCR and cell culture based detection for HMPV and HRSV. The newly developed PCR was used to screen nasal/throat swab samples from 356 patients with suspected acute respiratory infection attending the Government Medical College, Thiruvananthapuram, Kerala, India. The method was compared with a commercially available kit employing real time PCR, for its sensitivity and specificity. 53 (14.9 %) samples were positive for at least one tested pathogen by mRT-PCR. All except one among the positive samples showed similar pathogen profile when tested using real time PCR. 8 (15.1 %) among these 53 were positive for HRSVA, 33 (62.3 %) positive for HRSVB and 12 (22.6 %) were positive for HMPV. 17 (32.7 %) samples showed co-infections in them. Sensitivity and specificity of the mRT-PCR was comparable to that of the commercial kit. Our findings indicate that this newly developed mRT-PCR can be used as a cost-effective alternative for laboratory diagnosis of HMPV/HRSV infection and will significantly reduce diagnostic costs for these viruses in clinical settings.</p>
<sec>
<title>Electronic supplementary material</title>
<p>The online version of this article (doi:10.1007/s13337-016-0348-2) contains supplementary material, which is available to authorized users.</p>
</sec>
</abstract>
<kwd-group xml:lang="en">
<title>Keywords</title>
<kwd>Acute respiratory infection</kwd>
<kwd>Human metapneumovirus</kwd>
<kwd>Human respiratory syncytial virus</kwd>
<kwd>Multiplex reverse transcriptase PCR</kwd>
<kwd>Real-time reverse transcriptase PCR</kwd>
</kwd-group>
<funding-group>
<award-group>
<funding-source>
<institution>intramural research RGCB</institution>
</funding-source>
</award-group>
</funding-group>
<custom-meta-group>
<custom-meta>
<meta-name>issue-copyright-statement</meta-name>
<meta-value>© Indian Virological Society 2016</meta-value>
</custom-meta>
</custom-meta-group>
</article-meta>
</front>
</pmc>
</record>

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