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Journal of Clinical Microbiology, September 1998, p. 2634-2639, Vol. 36, No. 9
0095-1137/98/$04.00+0
Copyright © 1998, American Society for Microbiology. All rights reserved.

Typing of Dengue Viruses in Clinical Specimens and Mosquitoes by Single-Tube Multiplex Reverse Transcriptase PCR

Eva Harris,1,* T. Guy Roberts,1 Leila Smith,1 John Selle,1 Laura D. Kramer,2 Sonia Valle,3 Erick Sandoval,3 and Angel Balmaseda3

Program in Molecular Pathogenesis, University of California, San Francisco, San Francisco, California 94143-04221; Center for Vector-Borne Disease Research, University of California, Davis, Davis, California 956162; and Centro Nacional de Diagnóstico y Referencia, Ministerio de Salud, Managua, Nicaragua3

Received 17 February 1998/Returned for modification 15 May 1998/Accepted 8 June 1998

In recent years, dengue viruses (serotypes 1 to 4) have spread throughout tropical regions worldwide. In many places, multiple dengue virus serotypes are circulating concurrently, which may increase the risk for the more severe form of the disease, dengue hemorrhagic fever. For the control and prevention of dengue fever, it is important to rapidly detect and type the virus in clinical samples and mosquitoes. Assays based on reverse transcriptase (RT) PCR (RT-PCR) amplification of dengue viral RNA can offer a rapid, sensitive, and specific approach to the typing of dengue viruses. We have reduced a two-step nested RT-PCR protocol to a single-tube reaction with sensitivity equivalent to that of the two-step protocol (1 to 50 PFU) in order to maximize simplicity and minimize the risk of sample cross-contamination. This assay was also optimized for use with a thermostable RT-polymerase. We designed a plasmid-based internal control that produces a uniquely sized product and can be used to control for both reverse transcription or amplification steps without the risk of generating false-positive results. This single-tube RT-PCR procedure was used to type dengue viruses during the 1995 and 1997-1998 outbreaks in Nicaragua. In addition, an extraction procedure that permits the sensitive detection of viral RNA in pools of up to 50 mosquitoes without PCR inhibition or RNA degradation was developed. This assay should serve as a practical tool for use in countries where dengue fever is endemic, in conjunction with classical methods for surveillance and epidemiology of dengue viruses.


* Corresponding author. Present address: Division of Public Health Biology and Epidemiology, School of Public Health, University of California, Berkeley, 140 Warren Hall, Berkeley, CA 94720. Phone: (510) 643-9773. Fax: (510) 642-6350. E-mail: eharris{at}uclink4.berkeley.edu.


Journal of Clinical Microbiology, September 1998, p. 2634-2639, Vol. 36, No. 9
0095-1137/98/$04.00+0
Copyright © 1998, American Society for Microbiology. All rights reserved.



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