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Analytical and Clinical Validation of Six Commercial Middle East Respiratory Syndrome Coronavirus RNA Detection Kits Based on Real-Time Reverse-Transcription PCR

Identifieur interne : 001376 ( Main/Exploration ); précédent : 001375; suivant : 001377

Analytical and Clinical Validation of Six Commercial Middle East Respiratory Syndrome Coronavirus RNA Detection Kits Based on Real-Time Reverse-Transcription PCR

Auteurs : Mi-Na Kim [Corée du Sud] ; Young Jin Ko [Corée du Sud] ; Moon-Woo Seong [Corée du Sud] ; Jae-Seok Kim [Corée du Sud] ; Bo-Moon Shin [Corée du Sud] ; Heungsup Sung [Corée du Sud]

Source :

RBID : PMC:4940488

Descripteurs français

English descriptors

Abstract

Background

During the 2015 outbreak of Middle East Respiratory Syndrome coronavirus (MERS-CoV), six different commercial MERS-CoV RNA detection kits based on real-time reverse-transcription polymerase chain reaction (rRT-PCR) were available in Korea. We performed analytical and clinical validations of these kits.

Methods

PowerChek (Kogene Biotech, Korea), DiaPlexQ (SolGent, Korea), Anyplex (Seegene, Korea), AccuPower (Bioneer, Korea), LightMix (Roche Molecular Diagnostics, Switzerland), and UltraFast kits (Nanobiosys, Korea) were evaluated. Limits of detection (LOD) with 95% probability values were estimated by testing 16 replicates of upstream of the envelope gene (upE) and open reading frame 1a (ORF1a) RNA transcripts. Specificity was estimated by using 28 nasopharyngeal swabs that were positive for other respiratory viruses. Clinical sensitivity was evaluated by using 18 lower respiratory specimens. The sensitivity test panel and the high inhibition panel were composed of nine specimens each, including eight and six specimens that were positive for MERS-CoV, respectively.

Results

The LODs for upE ranged from 21.88 to 263.03 copies/reaction, and those for ORF1a ranged from 6.92 to 128.82 copies/reaction. No cross-reactivity with other respiratory viruses was found. All six kits correctly identified 8 of 8 (100%) positive clinical specimens. Based on results from the high inhibition panel, PowerChek and AccuPower were the least sensitive to the presence of PCR inhibition.

Conclusions

The overall sensitivity and specificity of all six assay systems were sufficient for diagnosing MERS-CoV infection. However, the analytical sensitivity and detection ability in specimens with PCR inhibition could be improved with the use of appropriate internal controls.


Url:
DOI: 10.3343/alm.2016.36.5.450
PubMed: 27374710
PubMed Central: 4940488


Affiliations:


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<term>Coronavirus Infections (diagnosis)</term>
<term>Coronavirus Infections (virology)</term>
<term>Humans</term>
<term>Middle East Respiratory Syndrome Coronavirus (genetics)</term>
<term>Middle East Respiratory Syndrome Coronavirus (isolation & purification)</term>
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<term>Real-Time Polymerase Chain Reaction</term>
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<sec>
<title>Background</title>
<p>During the 2015 outbreak of Middle East Respiratory Syndrome coronavirus (MERS-CoV), six different commercial MERS-CoV RNA detection kits based on real-time reverse-transcription polymerase chain reaction (rRT-PCR) were available in Korea. We performed analytical and clinical validations of these kits.</p>
</sec>
<sec>
<title>Methods</title>
<p>PowerChek (Kogene Biotech, Korea), DiaPlexQ (SolGent, Korea), Anyplex (Seegene, Korea), AccuPower (Bioneer, Korea), LightMix (Roche Molecular Diagnostics, Switzerland), and UltraFast kits (Nanobiosys, Korea) were evaluated. Limits of detection (LOD) with 95% probability values were estimated by testing 16 replicates of upstream of the envelope gene (
<italic>upE</italic>
) and open reading frame 1a (
<italic>ORF1a</italic>
) RNA transcripts. Specificity was estimated by using 28 nasopharyngeal swabs that were positive for other respiratory viruses. Clinical sensitivity was evaluated by using 18 lower respiratory specimens. The sensitivity test panel and the high inhibition panel were composed of nine specimens each, including eight and six specimens that were positive for MERS-CoV, respectively.</p>
</sec>
<sec>
<title>Results</title>
<p>The LODs for
<italic>upE</italic>
ranged from 21.88 to 263.03 copies/reaction, and those for
<italic>ORF1a</italic>
ranged from 6.92 to 128.82 copies/reaction. No cross-reactivity with other respiratory viruses was found. All six kits correctly identified 8 of 8 (100%) positive clinical specimens. Based on results from the high inhibition panel, PowerChek and AccuPower were the least sensitive to the presence of PCR inhibition.</p>
</sec>
<sec>
<title>Conclusions</title>
<p>The overall sensitivity and specificity of all six assay systems were sufficient for diagnosing MERS-CoV infection. However, the analytical sensitivity and detection ability in specimens with PCR inhibition could be improved with the use of appropriate internal controls.</p>
</sec>
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<name sortKey="Scieux, C" uniqKey="Scieux C">C Scieux</name>
</author>
<author>
<name sortKey="Resche Riggon, M" uniqKey="Resche Riggon M">M Resche-Riggon</name>
</author>
<author>
<name sortKey="Feghoul, L" uniqKey="Feghoul L">L Feghoul</name>
</author>
<author>
<name sortKey="Xhaard, A" uniqKey="Xhaard A">A Xhaard</name>
</author>
<author>
<name sortKey="Gallien, S" uniqKey="Gallien S">S Gallien</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Cotten, M" uniqKey="Cotten M">M Cotten</name>
</author>
</analytic>
</biblStruct>
<biblStruct></biblStruct>
</listBibl>
</div1>
</back>
</TEI>
<affiliations>
<list>
<country>
<li>Corée du Sud</li>
</country>
<region>
<li>Région capitale de Séoul</li>
</region>
<settlement>
<li>Séoul</li>
</settlement>
</list>
<tree>
<country name="Corée du Sud">
<region name="Région capitale de Séoul">
<name sortKey="Kim, Mi Na" sort="Kim, Mi Na" uniqKey="Kim M" first="Mi-Na" last="Kim">Mi-Na Kim</name>
</region>
<name sortKey="Kim, Jae Seok" sort="Kim, Jae Seok" uniqKey="Kim J" first="Jae-Seok" last="Kim">Jae-Seok Kim</name>
<name sortKey="Ko, Young Jin" sort="Ko, Young Jin" uniqKey="Ko Y" first="Young Jin" last="Ko">Young Jin Ko</name>
<name sortKey="Seong, Moon Woo" sort="Seong, Moon Woo" uniqKey="Seong M" first="Moon-Woo" last="Seong">Moon-Woo Seong</name>
<name sortKey="Shin, Bo Moon" sort="Shin, Bo Moon" uniqKey="Shin B" first="Bo-Moon" last="Shin">Bo-Moon Shin</name>
<name sortKey="Sung, Heungsup" sort="Sung, Heungsup" uniqKey="Sung H" first="Heungsup" last="Sung">Heungsup Sung</name>
</country>
</tree>
</affiliations>
</record>

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