Abstract
The interest in developing new diagnostic methods based on arrays of multiple probes to detect and type simultaneously a wide range of different infectious agents is increasing. This becomes a necessity in the case of infectious agents such as respiratory viruses that cause diseases with very similar signs and symptoms. Such tools will permit rapid and accurate diagnosis of different agents causing respiratory infection leading to the most adequate prevention and/or treatment measures. In this article a reverse‐line blot hybridization (RLB) assay for the detection of a wide range of respiratory viruses is presented and evaluated for its usefulness in routine diagnosis. This assay employs an array of 18 oligonucleotide probes immobilized on a nylon membrane. Biotin‐labeled PCR products obtained with two multiplex reverse transcription (RT)‐polymerase chain reaction (PCR) assays described previously, which allow for the detection of fourteen different groups of respiratory viruses, were hybridized to the oligonucleotide array. Detection was performed using a chemiluminescent method. The standardization of the method showed that the RLB assay could be an alternative to the nested PCR assay for enhancing the sensitivity in the detection of the amplified products, avoiding the problem of cross‐over contamination, increasing the specificity, and therefore simplifying the method. This is of main interest in laboratories with few facilities. The feasibility and accuracy of the RT‐PCR‐RLB assay for detecting respiratory viruses proves that such approach could be a first stage to develop a microarray assay for routine diagnosis of infectious diseases. J. Med. Virol. 76:256–264, 2005. © 2005 Wiley‐Liss, Inc.
Keywords: macroarray, multiplex RT‐PCR, diagnostic methods
REFERENCES
- Avellón A, Pérez P, Aguilar JC, Ortiz de Lejarazu R, Echevarría JE. 2001. Rapid and sensitive diagnosis of human adenovirus infections by a generic polymerase chain reaction. J Virol Methods 92: 113–120. [DOI] [PubMed] [Google Scholar]
- Casas I, Powell L, Klapper PE, Cleator GM. 1995. New method for the extraction of viral RNA and DNA from cerebrospinal fluid for use in the polymerase chain reaction. J Virol Methods 53: 25–36. [DOI] [PubMed] [Google Scholar]
- Coiras MT, Perez‐Breña P, García ML, Casas I. 2003. Simultaneous detection of influenza A, B, and C viruses, respiratory syncytial virus, and adenoviruses in clinical samples by multiplex reverse transcription nested‐PCR assay. J Med Virol 69: 132–144. [DOI] [PubMed] [Google Scholar]
- Coiras MT, Aguilar JC, García ML, Casas I, Perez‐Breña P. 2004. Simultaneous detection of fourteen respiratory viruses in clinical specimens by two multiplex reverse transcription nested‐PCR assays. J Med Virol 72: 484–495. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Hopert A, Uphoff CC, Wirth M, Hauser H, Drexler HG. 1993. Specificity and sensitivity of polymerase chain reaction (PCR) in comparison with other methods for the detection of mycoplasma contamination in cell lines. J Immunol Methods 26: 91–100. [DOI] [PubMed] [Google Scholar]
- Hu A, Colella M, Tam JS, Rappaport R, Cheng SM. 2003. Simultaneous detection, subgrouping, and quantitation of respiratory syncytial virus A and B by real‐time PCR. J Clin Microbiol 41: 149–154. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Kamerbeek J, Schouls L, Kolk A, van Agterveld M, van Soolingen D, Kuijper S, Bunschoten A, Molhuizen H, Shaw R, Goyal M, van Embden J. 1997. Simultaneous detection and strain differentiation of Mycobacterium tuberculosis for diagnosis and epidemiology. J Clin Microbiol 35: 907–914. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Kaufhold A, Podbielski A, Baumgarten G, Blokpoel M, Top J, Schouls L. 1994. Rapid typing of group A streptococci by the use of DNA amplification and non‐radioactive allele‐specific oligonucleotide probes. FEMS Microbiol Lett 119: 19–25. [DOI] [PubMed] [Google Scholar]
- Liolios L, Jenney A, Spelman D, Kotsimbos T, Catton M, Wesselingh S. 2001. Comparison of a multiplex reverse transcription‐PCR‐enzyme hybridization assay with conventional viral culture and immunofluorescence techniques for the detection of seven viral respiratory pathogens. J Clin Microbiol 39: 2779–2783. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Myint S. 2002. Recent advances in the rapid diagnosis of respiratory tract infection. Br Med Bull 61: 97–114. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Poddar SK, Espina R, Schnurr DP. 2002. Evaluation of a single‐step multiplex RT‐PCR for influenza virus type and subtype detection in respiratory samples. J Clin Lab Anal 16: 163–166. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Vabret A, Sapin G, Lezin B, Mosnier A, Cohen J, Burnouf L, Petitjean J, Gouarin S, Campet M, Freymuth F. 2000. Comparison of three non‐nested RT‐PCR for the detection of influenza A viruses. J Clin Virol 17: 167–175. [DOI] [PubMed] [Google Scholar]
- van Elden LJ, Nijhuis M, Schipper P, Schuurman R, van Loon AM. 2001. Simultaneous detection of influenza viruses A and B using real‐time quantitative PCR. J Clin Microbiol 39: 196–200. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Vinjé J, Koopmans MPG. 2000. Simultaneous detection and genotyping of “Norwalk‐like viruses” by oligonucleotide array in a reverse line blot hybridization format. J Clin Microbiol 38: 2595–2601. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Winiarczyk S, Gradzki Z. 1999. Comparison of polymerase chain reaction and dot hybridization with enzyme‐linked immunoassay, virological examination and polyacrylamide gel electrophoresis for the detection of porcine rotavirus in faecal specimens. Zentralbl Veterinarmed B 46: 623–634. [DOI] [PubMed] [Google Scholar]
