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Virology

Evaluation of Altona Diagnostics RealStar Zika Virus Reverse Transcription-PCR Test Kit for Zika Virus PCR Testing

Arnaud G. L'Huillier, Ernesto Lombos, Elaine Tang, Stephen Perusini, Alireza Eshaghi, Sandeep Nagra, Christine Frantz, Romy Olsha, Erik Kristjanson, Kristina Dimitrova, David Safronetz, Mike Drebot, Jonathan B. Gubbay
Alexander J. McAdam, Editor
Arnaud G. L'Huillier
aHospital for Sick Children, Toronto, Ontario, Canada
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Ernesto Lombos
bPublic Health Ontario, Toronto, Ontario, Canada
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Elaine Tang
bPublic Health Ontario, Toronto, Ontario, Canada
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Stephen Perusini
bPublic Health Ontario, Toronto, Ontario, Canada
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Alireza Eshaghi
bPublic Health Ontario, Toronto, Ontario, Canada
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Sandeep Nagra
bPublic Health Ontario, Toronto, Ontario, Canada
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Christine Frantz
bPublic Health Ontario, Toronto, Ontario, Canada
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Romy Olsha
bPublic Health Ontario, Toronto, Ontario, Canada
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Erik Kristjanson
bPublic Health Ontario, Toronto, Ontario, Canada
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Kristina Dimitrova
cNational Microbiology Laboratory, Public Health Agency of Canada, Winnipeg, Manitoba, Canada
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David Safronetz
cNational Microbiology Laboratory, Public Health Agency of Canada, Winnipeg, Manitoba, Canada
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Mike Drebot
cNational Microbiology Laboratory, Public Health Agency of Canada, Winnipeg, Manitoba, Canada
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Jonathan B. Gubbay
aHospital for Sick Children, Toronto, Ontario, Canada
bPublic Health Ontario, Toronto, Ontario, Canada
dUniversity of Toronto, Toronto, Ontario, Canada
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Alexander J. McAdam
Boston Children's Hospital
Roles: Editor
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DOI: 10.1128/JCM.02153-16
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    FIG 1

    Distribution of serum specimens according to ZIKV reference PCR, Altona PCR, and NS5 gene PCR results. ZIKV, Zika virus; reference PCR, 2-step dual-target real-time reverse transcription-PCR, designed by the U.S. Centers for Disease Control and Prevention, targeting the Zika virus envelope (E) and premembrane (prM) genes; NS5, nonstructural protein 5; NSQ, insufficient quantity for testing.

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    FIG 2

    (A) Serum ZIKV reference PCR positivity by day following symptom onset. (B) CT values of E and prM gene targets by day following symptom onset. ZIKV, Zika virus; reference PCR, 2-step dual-target real-time reverse transcription-PCR, designed by the U.S. Center for Disease Control and Prevention, targeting the Zika virus envelope (E) and premembrane (prM) genes; CT, cycle threshold. The horizontal bars represent median CT values.

  • FIG 3
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    FIG 3

    Distribution of urine specimens according to ZIKV reference PCR, Altona PCR, and NS5 gene PCR results. ZIKV, Zika virus; reference PCR, 2-step dual-target real-time reverse transcription-PCR, designed by the U.S. Centers for Disease Control and Prevention, targeting the Zika virus envelope (E) and premembrane (prM) genes; NS5, nonstructural protein 5; NT, not tested.

  • FIG 4
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    FIG 4

    ZIKV genome and locations targeted by the ZIKV reference PCR, Altona PCR, and NS5 gene PCR. ZIKV, Zika virus; reference PCR, 2-step dual-target real-time reverse transcription-PCR, designed by the U.S. Centers for Disease Control and Prevention, targeting the Zika virus envelope (E) and premembrane (prM) genes; NS, nonstructural protein gene; C, capsid protein gene. The schematic representation depicts the coding and untranslated regions (UTRs) of the ZIKV genome. The three structural proteins C, prM, and E and the nonstructural (NS) proteins NS1, NS2A, NS2B, NS3, NS4A, NS4B, and NS5 are specified. The assay targets are indicated above. Briefly, the reference PCR dual-target assay amplifies a 75-bp region spanning the prM-E boundary (Zika1) and a 76-bp portion of the E gene (Zika2), the NS5 PCR targets a 191-bp internal region of the NS5 gene, and the Altona PCR targets the NS1 gene (personal communication with the manufacturer). The viral schematic and genomic locations are based on Zika virus reference strain MR-766 (GenBank accession no. NC_012532.1 ).

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Evaluation of Altona Diagnostics RealStar Zika Virus Reverse Transcription-PCR Test Kit for Zika Virus PCR Testing
Arnaud G. L'Huillier, Ernesto Lombos, Elaine Tang, Stephen Perusini, Alireza Eshaghi, Sandeep Nagra, Christine Frantz, Romy Olsha, Erik Kristjanson, Kristina Dimitrova, David Safronetz, Mike Drebot, Jonathan B. Gubbay
Journal of Clinical Microbiology Apr 2017, 55 (5) 1576-1584; DOI: 10.1128/JCM.02153-16

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Evaluation of Altona Diagnostics RealStar Zika Virus Reverse Transcription-PCR Test Kit for Zika Virus PCR Testing
Arnaud G. L'Huillier, Ernesto Lombos, Elaine Tang, Stephen Perusini, Alireza Eshaghi, Sandeep Nagra, Christine Frantz, Romy Olsha, Erik Kristjanson, Kristina Dimitrova, David Safronetz, Mike Drebot, Jonathan B. Gubbay
Journal of Clinical Microbiology Apr 2017, 55 (5) 1576-1584; DOI: 10.1128/JCM.02153-16
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KEYWORDS

blood
cerebrospinal fluid
RNA, Viral
real-time polymerase chain reaction
urine
Zika virus
Zika Virus Infection
diagnostic testing
PCR
Zika virus
flavivirus

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