2019
DOI: 10.2144/btn-2018-0184
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A Mismatch-Tolerant RT-Quantitative PCR: Application to Broad-Spectrum Detection of Respiratory Syncytial Virus

Abstract: Quantitative PCR (qPCR) is widely used to detect viruses. However, mismatches occurring in the 3′-end of the primers reduce amplification efficiency of qPCR and limit its capacity in detection of highly variable viruses. Here, we reported a mismatch-tolerant RT-qPCR with a small amount of additional high-fidelity DNA polymerase for simultaneous detection of RSV-A and RSV-B. The novel assay had higher amplification efficiency for various variants forming mismatches with the primers than the conventional RT-qPCR… Show more

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Cited by 16 publications
(17 citation statements)
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“…The reason for two samples testing positive by the RT-qPCR assay but negative by the RT-LAMP assay may be the very low copy numbers (having high CT values of >38 in the RT-qPCR assay). However, regarding the other two samples tested positive by the RT-LAMP assay (with a high time threshold of >45 min) but negative by the RT-qPCR assay, the reason is speculated to be the presence of viral variants, that have caused mismatches with the primers and/or probe [11,14].…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…The reason for two samples testing positive by the RT-qPCR assay but negative by the RT-LAMP assay may be the very low copy numbers (having high CT values of >38 in the RT-qPCR assay). However, regarding the other two samples tested positive by the RT-LAMP assay (with a high time threshold of >45 min) but negative by the RT-qPCR assay, the reason is speculated to be the presence of viral variants, that have caused mismatches with the primers and/or probe [11,14].…”
Section: Discussionmentioning
confidence: 99%
“…Real-time PCR (qPCR) is the most robust and widely used technology for the qualitative and quantitative diagnosis of viruses, including coronaviruses [8][9][10][11]. Since the outbreak of COVID-19, 2 of 10 many real-time qPCR (RT-qPCR) assays had been developed, and have played an essential role in laboratory confirmation of SARS-CoV-2 infection [3,9,12].…”
Section: Introductionmentioning
confidence: 99%
“…The inconsistency and FNR of RT-qPCR can be attributed to many different factors, including the variation that occurs in viral RNA sequences, which subsequently affects results that use primers in the ORF1a/b gene and N genes. The influence of variation in viral RNA sequences can be minimized by the mismatch-tolerant amplification methods (Li et al, 2019;Zhou et al, 2019) which would be very helpful for improving the sensitivity and reliability of RNA detection. Another factor that thwarts the accuracy and consistency of RT-qPCR tests is sampling procedures, since the viral loads varies in different anatomic sites.…”
Section: Rt-qpcr Dpcr Lamp and Crisprmentioning
confidence: 99%
“…Since the COVID-19 outbreak [12], many real-time qPCR (RT-qPCR) detection reagents have been developed and used in the laboratory tests for the detection of SARS-CoV-2 [13]. However, RT-qPCR requires professional personnel, sophisticated experimental equipment, and a duration of 1.5 h [14][15][16].…”
Section: Introductionmentioning
confidence: 99%