Over the past decade, many authors have focused on PCR as a powerful technique for the evaluation of human cytomegalovirus (CMV). The key to PCR lies in the design of oligonucleotides, as the specific sequences largely affect PCR's efficacy and sensitivity. This study was designed to examine the quality of published sequences of CMV primers and probes.
PubMed was searched in the National Center for Biotechnology Information website (http://www.ncbi.nlm.nih.gov) for English peer-reviewed articles using CMV and PCR as keywords. Articles reporting on virus genotyping or species-level identification, as well as letters to editors and reviews were excluded. The full texts of 91 papers published between 1993 and 2004 were studied. Of these, 34 papers did not describe the detailed nucleotide sequence, including 17 papers using commercially available kits. The remaining 57 papers with a total of 199 CMV-specific oligonucleotides were examined. Oligonucleotides with identical sequences or with one additional nucleotide at either the 3′ or 5′ end of the sequence were identified as synonymous.
Using The Sequence Manipulation Suite web-based programs (written by Paul Stothard, University of Alberta, Canada), the binding sites of all 199 oligonucleotides were identified using GenBank strain AD169 genome sequence (GenBank accession no. X17403 and NC_001347). Mismatches to all published sequences of CMV were analyzed by the Basic Local Alignment Search Tool (BLAST) (http://www.ncbi.nlm.nih.gov/BLAST/). Papers containing oligonucleotide errors were studied for technical reasons for employment of mutated oligonucleotides or subsequently published errata. Moreover, information on identified errors was conveyed to all corresponding authors and coauthors.
Ten oligonucleotides did not match any CMV strain, and reasons were specified neither in the respective articles nor in authors' replies (Table 1). Primers R2, F6, and F9 were incorrectly transferred from previous publications (2, 5, 7) as indicated by the authors (V. H. Aquino and X. L. Pang, personal communication). The oligonucleotides F1, R3, and P10 were apparently also incorrectly transferred from prior publications (14). Moreover, primers F4 and R5 possessed mismatches at their 3′-end triplets, which may reduce PCR efficiency (21). Furthermore, the two degenerated probes (P7 and P8) contained Y (C/T) instead of R (A/G) in P7 and vice versa in P8. Obviously, these mismatches may drastically affect the efficacies of these probes (17).
TABLE 1.
Oligonucleotidea | Sequence (5′-3′)b | Positionc | Stated correctlyd |
---|---|---|---|
F1 (11) | GAA ACG CGC GCGC AAT CGG | 81873-81890 | 2, 3, 9, 12, 22 |
R2 (9, 12, 22) | TAC GCT GCA GTT CAC/CCC AG | 82055-82036 | 2 |
R3 (11) | T-G AAC TGG AAC GTT TGG C | 82174-82156 | 2, 8, 9, 12, 13, 22 |
F4 (18, 19) | CGG AAA CGA TGG TGT AGT TGG | 82571-82591 | |
R5 (18, 19) | TCC AAC ACC CAC T/AG ACC GGT | 82838-82818 | |
F6 (15) | ATA GGA GGC GCC ACG TAT TCT | 82975-82994 | 1, 5, 6, 20 |
P7 (16, 20) | ACA CCA CTT ATC TYC TGG GCA GC | 83023-83001 | |
P8 (16, 20) | CGT TTC GTC GTA GCT ACG CRT ACA T | 83050-83026 | |
F9 (2) | TGG TGT TTT TCAC GCA GGA A | 109961-109979 | 7 |
P10 (4) | CCT CCC GCT CCT GAG/C-T | 171149-171166 | 10, 14 |
Oligonucleotides coded (F, forward primer; R, reverse primer; P, probe); reference(s) of the erroneous oligonucleotide shown in parentheses.
Mismatch position is bold and underlined. Y, C/T; R, G/A; -, missing nucleotide. An added nucleotide is shown as a bold superscript nucleotide. Exchanged nucleotides are shown in bold underlined type with a slash.
Nucleotide number according to GenBank accession no. X17403.
Paper(s) in which the oligonucleotide was stated correctly.
In summary, we show that 5% of the CMV oligonucleotides included mismatches to all published sequences half of which were incorrectly reported mostly in secondary publications. Moreover, since we considered all sequences correct when they matched at least one CMV strain, even when the authors used a different strain for design or admitted an error, the number of errors is underestimated by our approach. These observations point to the possibility that the report of erroneous primers and probes is a widespread problem irritating other researchers. It might therefore be advisable for authors and reviewers alike to pay special attention to the verification of such sequences and for researchers citing or following published work.
Acknowledgments
We thank Xiaoli Pang, Victor Hugo Aquino, Julio Mendez, Kristin Lund, Jean-Pierre Allain, Ursula Meyer-König, Yi-Wei Tang, Stephen Garner, Lars Schaade, Otávia Caballero, Junko Ohyashiki, Peter Schäfer, Andrew Simpson, and Svein Nordbø for their cooperative correspondence. We are indebted to Klaus Roemer for critical review of the manuscript.
REFERENCES
- 1.Allen, R. D., P. E. Pellett, J. A. Stewart, and M. Koopmans. 1995. Nonradioactive PCR-enzyme-linked immunosorbent assay method for detection of human cytomegalovirus DNA. J. Clin. Microbiol. 33:725-728. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 2.Aquino, V. H., and L. T. Figueiredo. 2001. Cytomegalovirus infection in renal transplant recipients diagnosed by nested-PCR. Braz. J. Med. Biol. Res. 34:93-101. [DOI] [PubMed] [Google Scholar]
- 3.Aquino, V. H., and L. T. Figueiredo. 2000. High prevalence of renal transplant recipients infected with more than one cytomegalovirus glycoprotein B genotype. J. Med. Virol. 61:138-142. [PubMed] [Google Scholar]
- 4.Aritaki, K., J. H. Ohyashiki, A. Suzuki, T. Ojima, K. Abe, N. Shimizu, K. Yamamoto, K. Ohyashiki, and A. Hoshika. 2001. A rapid monitoring system of human herpesviruses reactivation by LightCycler in stem cell transplantation. Bone Marrow Transplant. 28:975-980. [DOI] [PubMed] [Google Scholar]
- 5.Bai, X., G. Hosler, B. B. Rogers, D. B. Dawson, and R. H. Scheuermann. 1997. Quantitative polymerase chain reaction for human herpesvirus diagnosis and measurement of Epstein-Barr virus burden in posttransplant lymphoproliferative disorder. Clin. Chem. 43:1843-1849. [PubMed] [Google Scholar]
- 6.Bai, X., B. B. Rogers, P. C. Harkins, J. Sommerauer, R. Squires, K. Rotondo, A. Quan, D. B. Dawson, and R. H. Scheuermann. 2000. Predictive value of quantitative PCR-based viral burden analysis for eight human herpesviruses in pediatric solid organ transplant patients. J. Mol. Diagn. 2:191-201. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 7.Chou, S. 1992. Molecular epidemiology of envelope glycoprotein H of human cytomegalovirus. J. Infect. Dis. 166:604-607. [DOI] [PubMed] [Google Scholar]
- 8.Chou, S. W., and K. M. Dennison. 1991. Analysis of interstrain variation in cytomegalovirus glycoprotein B sequences encoding neutralization-related epitopes. J. Infect. Dis. 163:1229-1234. [DOI] [PubMed] [Google Scholar]
- 9.Cunha Ade, A., L. J. Marin, V. H. Aquino, and L. T. Figueiredo. 2002. Diagnosis of cytomegalovirus infections by qualitative and quantitative PCR in HIV infected patients. Rev. Inst. Med. Trop. Sao Paulo 44:127-132. [DOI] [PubMed] [Google Scholar]
- 10.Exner, M. M., and M. A. Lewinski. 2002. Sensitivity of multiplex real-time PCR reactions, using the LightCycler and the ABI PRISM 7700 Sequence Detection System, is dependent on the concentration of the DNA polymerase. Mol. Cell Probes 16:351-357. [DOI] [PubMed] [Google Scholar]
- 11.Hong, K. M., H. Najjar, M. Hawley, and R. D. Press. 2004. Quantitative real-time PCR with automated sample preparation for diagnosis and monitoring of cytomegalovirus infection in bone marrow transplant patients. Clin. Chem. 50:846-856. [DOI] [PubMed] [Google Scholar]
- 12.Marin, L. J., A. A. Cunha, V. H. Aquino, and L. T. Figueiredo. 2004. The use of qualitative and quantitative polymerase chain reactions for diagnosis of cytomegalovirus infections in bone marrow and kidney transplant recipients. Rev. Soc. Bras. Med. Trop. 37:158-164. [DOI] [PubMed] [Google Scholar]
- 13.Meyer-Koenig, U., M. Weidmann, G. Kirste, and F. T. Hufert. 2004. Cytomegalovirus infection in organ-transplant recipients: diagnostic value of pp65 antigen test, qualitative polymerase chain reaction (PCR) and quantitative Taqman PCR. Transplantation 77:1692-1698. [DOI] [PubMed] [Google Scholar]
- 14.Nitsche, A., N. Steuer, C. A. Schmidt, O. Landt, and W. Siegert. 1999. Different real-time PCR formats compared for the quantitative detection of human cytomegalovirus DNA. Clin. Chem. 45:1932-1937. [PubMed] [Google Scholar]
- 15.Pang, X. L., L. Chui, J. Fenton, B. LeBlanc, and J. K. Preiksaitis. 2003. Comparison of LightCycler-based PCR, COBAS Amplicor CMV Monitor, and pp65 antigenemia assays for quantitative measurement of cytomegalovirus viral load in peripheral blood specimens from patients after solid organ transplantation. J. Clin. Microbiol. 41:3167-3174. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 16.Schaade, L., P. Kockelkorn, K. Ritter, and M. Kleines. 2000. Detection of cytomegalovirus DNA in human specimens by LightCycler PCR. J. Clin. Microbiol. 38:4006-4009. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 17.Schaade, L., P. Kockelkorn, K. Ritter, and M. Kleines. 2001. Detection of cytomegalovirus DNA in human specimens by LightCycler PCR: melting point analysis is mandatory to detect virus strains with point mutations in the target sequence of the hybridization probes. J. Clin. Microbiol. 39:3809. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 18.Schäfer, P., W. Tenschert, L. Cremaschi, K. Gutensohn, and R. Laufs. 1998. Utility of major leukocyte subpopulations for monitoring secondary cytomegalovirus infections in renal-allograft recipients by PCR. J. Clin. Microbiol. 36:1008-1014. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 19.Schäfer, P., W. Tenschert, M. Schröter, K. Gutensohn, and R. Laufs. 2000. False-positive results of plasma PCR for cytomegalovirus DNA due to delayed sample preparation. J. Clin. Microbiol. 38:3249-3253. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 20.Sekhon, H. S., R. D. Press, W. A. Schmidt, M. Hawley, and A. Rader. 2004. Identification of cytomegalovirus in a liquid-based gynecologic sample using morphology, immunohistochemistry, and DNA real-time PCR detection. Diagn. Cytopathol. 30:411-417. [DOI] [PubMed] [Google Scholar]
- 21.Singh, V., and A. Kumar. 2001. PCR primer design. Mol. Biol. Today 2:27-32. [Google Scholar]
- 22.Siqueira, R. C., A. Cunha, F. Oréfice, W. R. Campos, and L. T. Figueiredo. 2004. PCR with the aqueous humor, blood leukocytes and vitreous of patients affected by cytomegalovirus retinitis and immune recovery uveitis. Ophthalmologica 218:43-48. [DOI] [PubMed] [Google Scholar]