Internally Controlled, Multiplex Real-Time Reverse Transcription PCR for Dengue Virus and Yellow Fever Virus Detection

Alejandra Rojas Departamento de Producción, Instituto de Investigaciones en Ciencias de la Salud, Universidad Nacional de Asunción, Asunción, Paraguay;

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Cheikh T. Diagne Institut Pasteur de Dakar, Dakar, Sénégal;

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Victoria D. Stittleburg Division of Infectious Diseases, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia;

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Alisha Mohamed-Hadley Department of Pathology, Stanford University School of Medicine, Stanford, California;

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Yvalena Arévalo de Guillén Departamento de Producción, Instituto de Investigaciones en Ciencias de la Salud, Universidad Nacional de Asunción, Asunción, Paraguay;

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Angel Balmaseda Laboratorio Nacional de Virología, Centro Nacional de Diagnóstico y Referencia, Ministry of Health, Managua, Nicaragua;
Sustainable Sciences Institute, Managua, Nicaragua;

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Oumar Faye Institut Pasteur de Dakar, Dakar, Sénégal;

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Ousmane Faye Institut Pasteur de Dakar, Dakar, Sénégal;

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Amadou A. Sall Institut Pasteur de Dakar, Dakar, Sénégal;

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Eva Harris Sustainable Sciences Institute, Managua, Nicaragua;
Division of Infectious Diseases and Vaccinology, School of Public Health, University of California, Berkeley, Berkeley, California;

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Benjamin A. Pinsky Department of Pathology, Stanford University School of Medicine, Stanford, California;
Division of Infectious Diseases and Geographic Medicine, Department of Medicine, Stanford University School of Medicine, Stanford, California;

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Jesse J. Waggoner Division of Infectious Diseases, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia;
Department of Global Health, Rollins School of Public Health, Atlanta, Georgia

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The differential diagnosis of dengue virus (DENV) and yellow fever virus (YFV) infections in endemic areas is complicated by nonspecific early clinical manifestations. In this study, we describe an internally controlled, multiplex real-time reverse transcription polymerase chain reaction (rRT-PCR) for the detection of DENV and YFV. The DENV–YFV assay demonstrated specific detection and had a dynamic range of 2.0–8.0 log10 copies/μL of eluate for each DENV serotype and YFV. Clinical performance was similar to a published pan-DENV assay: 48/48 acute-phase samples from dengue cases were detected in both assays. For YFV detection, mock samples were prepared with nine geographically diverse YFV isolates over a range of concentrations. The DENV–YFV assay detected 62/65 replicates, whereas 54/65 were detected using a reference YFV rRT-PCR. Given the reemergence of DENV and YFV in areas around the world, the DENV–YFV assay should be a useful tool to narrow the differential diagnosis and provide early case detection.

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Author Notes

Address correspondence to Jesse J. Waggoner, Division of Infectious Diseases, Department of Medicine, Emory University School of Medicine, 1760 Haygood Dr. NE, Atlanta, GA 30329. E-mail: jesse.j.waggoner@emory.edu

Financial support: The research was supported by the National Institutes of Health (NIH) grant K08AI110528 (J. J. W., salary support) and a Robert E. Shope International Fellowship in Infectious Diseases (J. J. W.) distributed by the American Society of Tropical Medicine and Hygiene. Research was also supported by a fellowship from the Consejo Nacional de Ciencia y Tecnología (CONACYT) of Paraguay, awarded as part of the Programa de Vinculación de Científicos y Tecnólogos, PVCT 16-66 (A. R.).

Ethical approval: Research specifically performed for this study involved archived, de-identified patient samples collected as part of routine care or IRB-approved research. As such, this work was considered exempt from review by the Institutional Review Board at Emory University. The Pediatric Dengue Cohort Study, from which dengue samples were obtained, was reviewed and approved by Institutional Review Boards of the Nicaraguan Ministry of Health and the University of California, Berkeley. Parents or legal guardians of all subjects provided written informed consent and subjects ≥ 6 years old provided assent. Serum samples from patients with yellow fever were collected during the outbreak in Angola (2016-2017). These have been de-identified, archived, and approved for future research by the Institut Pasteur de Dakar.

Authors’ addresses: Alejandra Rojas and Yvalena Arévalo de Guillén, Instituto de Investigaciones en Ciencias de la Salud, Producción, Asunción, Central, Paraguay, E-mails: alerojaspy@gmail.com and ivalenaguillen@yahoo.com. Cheikh T. Diagne and Oumar Faye, Department of Virology, Institut Pasteur de Dakar, Dakar, Sénégal, E-mails: cheikhtidiane.diagne@pasteur.sn and oumar.faye@pasteur.sn. Victoria D. Stittleburg, Division of Infectious Diseases, Department of Medicine, Emory University School of Medicine, Atlanta, GA, E-mail: victoria.d.simmons@emory.edu. Alisha Mohamed-Hadley, Department of Pathology, Stanford University School of Medicine, Stanford, CA, E-mail: alisha.mohamedhadley@gmail.com. Angel Balmaseda, Departamento de Virología, Centro Nacional de Diagnóstico y Referencia, Ministerio de Salud, Managua, Nicaragua, E-mail: abalmaseda@minsa.gob.ni. Ousmane Faye and Amadou A. Sall, Arbovirus and Viral Hemorrhagic Fevers Unit, Institut Pasteur de Dakar, Dakar, Sénégal, E-mails: ousmane.faye@pasteur.sn and amadou.sall@pasteur.sn. Eva Harris, Division of Infectious Diseases, University of California, Berkeley, Berkeley, CA, E-mail: eharris@berkeley.edu. Benjamin A. Pinsky, Department of Medicine–Infectious Diseases, Stanford University, Stanford, CA, E-mail: bpinsky@stanford.edu. Jesse J. Waggoner, Division of Infectious Diseases, Department of Medicine, Emory University School of Medicine, Atlanta, GA, and Department of Global Health, Emory University School of Public Health, Atlanta, GA, E-mail: jesse.j.waggoner@emory.edu.

  • 1.

    Monath TP, Vasconcelos PF, 2015. Yellow fever. J Clin Virol 64: 160173.

  • 2.

    Dexheimer Paploski IA et al. 2017. Epizootic outbreak of yellow fever virus and risk for human disease in Salvador, Brazil. Ann Intern Med 168: 301302.

  • 3.

    World Health Organization, 2017. Yellow Fever Outbreak Angola, Democratic Republic of the Congo and Uganda 2016–2017. Geneva, Switzerland: World Health Organization. Available at: http://www.who.int/emergencies/yellow-fever/en/. Accessed January 8, 2018.

    • PubMed
    • Export Citation
  • 4.

    Domingo C, Patel P, Yillah J, Weidmann M, Méndez JA, Nakouné ER, Niedrig M, 2012. Advanced yellow fever virus genome detection in point-of-care facilities and reference laboratories. J Clin Microbiol 50: 40544060.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 5.

    World Health Organization, 2016. Yellow Fever. Geneva, Switzerland: World Health Organization. Available at: http://www.who.int/mediacentre/factsheets/fs100/en/. Accessed April 4, 2017.

    • PubMed
    • Export Citation
  • 6.

    Domingo C, Escadafal C, Rumer L, Mendez JA, Garcia P, Sall AA, Teichmann A, Donoso-Mantke O, Niedrig M, 2012. First international external quality assessment study on molecular and serological methods for yellow fever diagnosis. PLoS One 7: e36291.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 7.

    Pan American Health Organization, 2017. Laboratory Diagnosis of Yellow Fever Virus Infection. Washington, DC: Pan American Health Organization.

    • PubMed
    • Export Citation
  • 8.

    World Health Organization, 2009. Dengue: Guidelines for Diagnosis, Treatment, Prevention and Control. Geneva, Switzerland: WHO Press.

    • PubMed
    • Export Citation
  • 9.

    Bae HG, Nitsche A, Teichmann A, Biel SS, Niedrig M, 2003. Detection of yellow fever virus: a comparison of quantitative real-time PCR and plaque assay. J Virol Methods 110: 185191.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 10.

    Nunes MR, Palacios G, Nunes KN, Casseb SM, Martins LC, Quaresma JA, Savji N, Lipkin WI, Vasconcelos PF, 2011. Evaluation of two molecular methods for the detection of yellow fever virus genome. J Virol Methods 174: 2934.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 11.

    Reusken CBEM, Knoester M, GeurtsvanKessel C, Koopmans M, Knapen DG, Bierman WFW, Pas S, 2017. Urine as sample type for molecular diagnosis of natural yellow fever virus infections. J Clin Microbiol 55: 32943296.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 12.

    Waggoner JJ et al. 2013. Development of an internally controlled real-time reverse transcriptase PCR assay for pan-dengue virus detection and comparison of four molecular dengue virus detection assays. J Clin Microbiol 51: 21722181.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 13.

    Waggoner JJ et al. 2014. Multiplex nucleic acid amplification test for diagnosis of dengue fever, malaria, and leptospirosis. J Clin Microbiol 52: 20112018.

  • 14.

    Waggoner JJ, Gresh L, Mohamed-Hadley A, Ballesteros G, Davila MJ, Tellez Y, Sahoo MK, Balmaseda A, Harris E, Pinsky BA, 2016. Single-reaction multiplex reverse transcription PCR for detection of zika, chikungunya, and dengue viruses. Emerg Infect Dis 22: 12951297.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 15.

    Burd EM, 2010. Validation of laboratory-developed molecular assays for infectious diseases. Clin Microbiol Rev 23: 550576.

  • 16.

    Kuan G, Gordon A, Aviles W, Ortega O, Hammond SN, Elizondo D, Nunez A, Coloma J, Balmaseda A, Harris E, 2009. The Nicaraguan pediatric dengue cohort study: study design, methods, use of information technology, and extension to other infectious diseases. Am J Epidemiol 170: 120129.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 17.

    Waggoner JJ et al. 2013. Comparison of the FDA-approved CDC DENV-1–4 real-time reverse transcription-PCR with a laboratory-developed assay for dengue virus detection and serotyping. J Clin Microbiol 51: 34183420.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 18.

    Colebunders R et al. 2002. A Belgian traveler who acquired yellow fever in the Gambia. Clin Infect Dis 35: e113e116.

  • 19.

    Shearer FM et al. 2017. Global yellow fever vaccination coverage from 1970 to 2016: an adjusted retrospective analysis. Lancet Infect Dis 17: 12091217.

  • 20.

    Pan American Health Organization/World Health Organization, 2017. Epidemiological Update: Yellow Fever. Washington, DC: PAHO/WHO.

    • PubMed
    • Export Citation
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