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1、JournalofVirologicalMethods138(2006)218222ShortcommunicationReal-timeRT-PCRdetectionofBovineViralDiarrhoeavirusinwholebloodusinganexternalRNAreferenceN.J.Young,C.J.Thomas,M.E.Collins,J.BrownlieDepartmentofPathologyandInfectiousDiseases,TheRoyalVeterinaryCollege,HawksheadLane,NorthMymms,Hateld,Hertfo
2、rdshireAL97TA,UKReceived21March2006;receivedinrevisedform3August2006;accepted29August2006Availableonline9October2006AbstractAnoveltwo-stepreal-timeRT-PCRassayusingSYBR®GreenIwasdevelopedforthedetectionofacuteBovineViralDiarrhoeavirus(BVDV)infectioninwholebloodfromcattle.Duringinfectionanimalsex
3、perienceacharacteristictransientleucopeniaandthenumberofcellspervolumeofbloodchangesovertime;soquantitationofviralloadbyreferencetoacellularhousekeepinggeneisnotidealasthismayhidesignicantanimaltoanimalvariation.Therefore,tofacilitatecomparisonofdifferentsamples,anexternalRNAreferencewasusedfornorma
4、lisationwherebyeachsamplewasspikedwiththeRNAvirus,CanineEntericCoronavirus(CECov),priortoRNAextraction,forcomparativepurposes.Real-timeRT-PCRwascarriedoutwithtwoprimersetsdesignedtoamplifyeithera156bpregionoftheBVDV5 -UTRora280bpregionoftheCECovnucleocapsidproteingene.Linearityandefciencyoftheassayw
5、asestablishedandthemethodassessedusingsamplesfromBVDV-challengedcalves.ViralRNAwasquantiedondays6and14post-challengebyreal-timeRT-PCR.Infectiousvirusisolationbytraditionalcellculturewasnegativeafterday7.Thisstudydemonstratesencouragingresultsforrapid,sensitiveandreliabledetectionofacuteBVDVinfection
6、andprovidesanalternativereal-timeRT-PCRmethodforuseonwholebloodsamplesorsampleswheresuitablehousekeepinggenesarenotavailable.©2006ElsevierB.V.Allrightsreserved.Keywords:Real-timeRT-PCR;BovineViralDiarrhoeavirus;Pestivirus;CanineEntericCoronavirusBovineViralDiarrhoeavirus(BVDV)isapathogenofworld
7、wideimportanceforcattle,causingsignicanteconomiclosses(Brownlie,1991).BVDVisclassiedwithinthePes-tivirusgenusoftheFlaviviridae(Heinzetal.,2000).Pestivirusesaresmall,envelopedvirusesthatcontainasingle-strandpositivesenseRNAmoleculeofapproximately12.5kb.Thegenomeistranscribedasasingleopenreadingframe,
8、ankedby5 -and3 -untranslatedregions(UTRs).TheBVDVpolyproteinisco-andpost-translationallycleavedtogiverisetoanumberofviralstructuralandnon-structuralproteins(Collettetal.,1988).AcuteBVDVinfectionisoftenclinicallyunapparentormild;clinicalsignsincludingtransientpyrexia,leucopenia,oculonasaldischargeand
9、depression.Althoughfrequentlyunnoticed,acuteinfectioncancontributetoorcauseavarietyofproblemsincludingdiseasesofthereproductive,respiratoryandentericsystems(Baker,1995).BVDVinfectionduringpreg-Correspondingauthor.Tel.:+441707666811;fax:+441707661464.E-mailaddress:nyoungrvc.ac.uk(N.J.Young).nancymayr
10、esultinfoetalinfection.Foetusesinfectedbeforetheonsetofimmunocompetencecanbecomepersistentlyinfected.Persistentlyinfected(PI)animalscontinuouslyshedvirusandactasamajorreservoirofinfectionforothercattle(Patonetal.,1999).Currentlaboratory-basedBVDVdetectionmethodsincludeserologicalassays,virusisolatio
11、n,antigendetectionanddetec-tionofviralRNAbyreversetranscription(RT)PCR(Sandvik,2005).Real-timePCRisnowbeingusedtoidentify,classifyandquantifymanyviralpathogensasitisahighlysensitiveandrapidmethodfordetectingviralnucleicacidsequencesinclinicalspecimens.Furthermore,real-timePCRisaquantita-tivetechniqu
12、eandassuchmaybeusedtoassessviralRNAlevels.Real-timeRT-PCRmethodsforgenotypingBVDVhavebeendescribedpreviously(BhudeviandWeinstock,2001,2003;LettellierandKerkhofs,2003).ThesepapershavefocusedonthedetectionandclassicationofBVDVintoeitherofthetworecognisedgenotypes(BVDV-1andBVDV-2)ratherthanmon-itoringt
13、hechangesinviralloadduringthecourseofanacuteorpersistentinfection.However,asreal-timePCRisaquantitative0166-0934/$seefrontmatter©2006ElsevierB.V.Allrightsreserved.doi:10.1016/j.jviromet.2006.08.008N.J.Youngetal./JournalofVirologicalMethods138(2006)218222219techniqueitmayalsobeusedtoassessviralR
14、NAlevelsduringthecourseofinfectionandrecovery.Usingreal-timePCRtoquantifytheviralRNAlevelsinBVDV-infectedanimalspresentsparticulartechnicalandbio-logicalchallenges.Collectionandprocessingofsamplesfromdifferentanimalsoveranumberofdifferentdaysinevitablyresultsinsomedegreeofsampletosamplevariationinth
15、etechnicaldetectionofthetargetnucleicacids.ThisarisesfromdifferencesinefciencyofRNAextraction,reversetranscrip-tionorPCRreactionswhichismadeparticularlysignicantbythesensitivityofthistechnique.Thesetechnicalvariationsareoften“controlled”forbynormalisationofthesignaltoaninter-nalstandard,typicallya“h
16、ousekeeping”gene,facilitatingthecomparisonofdifferentdatasets.Thispresentstwofurtherprob-lems:rstly,whilstthisiscommonpractice,suchhousekeepinggenesarerarelytrulystaticandmayalterunderexperimentalconditions(Thellinetal.,1999;Whelanetal.,2003).Totakeaccountofthis,bestpracticewouldrecommendassessingth
17、evalidityofanumberofdifferenthousekeepinggenetargetsandcomparingthemunderthetestconditionsused.ThislaborioustaskistheonlywaytoobjectivelyidentifymorestablemRNAsets.However,thisprocessisnotrelevanttotheBVDVsituationduringinfectionas,secondly,duringacuteinfectionwithBVDVanimalsexperienceameasurableleu
18、copeniaandthenumberofcellspervolumeofbloodchangesovertime.Traditionalmeth-odsofvirusisolationquantitatetheamountofvirusrecoveredfromaxedvolumeofbloodirrespectiveofthecellnumbersinthissample,whichduringacuteBVDVinfectionwilluc-tuate(PolakandZmudzinski,2000).BystandardisingtheviralRNAmeasuredbyreal-ti
19、mePCRtoahousekeepinggenesetthequantitationisessentiallydoneonapercellbasisratherthanapervolumebasisrenderingthecomparisonofsamplesfromleucopeniccalvesmoredifcultandprecludingasimplecomparisonwithmoretraditionalvirologicalmethods.Toovercomethesedifcultiesanoveltwo-stepreal-timeRT-PCRmethodusinganexte
20、rnalRNAreferencestandardwasdeveloped,whichhasbeenevaluatedonsamplesfromexperi-mentallyinfectedcattle.EachsamplewasspikedwithaknownamountofasecondRNAvirus,CanineEntericCoronavirus(CECov),priortoRNAextraction.Whiletheexternalstandardisnotanexactmimicofthetruetargetitissubjecttothesameexperimentalproce
21、duresandprovidesanexternalstandardforcorrectionofdifferencesintheefciencyofRNAextractionorRT-PCR.Furthermore,tofacilitateeaseofsamplehandlingthemethodwasbasedonquanticationofBVDVRNApervolumeoffrozenwholeblood.FiveHolsteinFriesiancalvesranginginagefrom2to4monthswereobtainedfromaBVDVfree-supplierandte
22、stedtoconrmBVDV-freestatusbyantigenandantibodyELISA.Thecalveswerehousedinapurpose-builtbarnwithappropriatebio-securitymeasuresinplacetoavoidexposuretoadventitiouspathogens.Afteraninitialacclimatisationperiodthecalveswerechallengedintranasallywith2×106TCID50ofvirus456497(earlypassageBVDV-1;kindl
23、ydonatedbyVLA,Weybridge,UK).EDTAbloodsamplesweretakenatappropriatedayspost-challengetoprocessforvirusisolationandreal-timePCR.AllEDTAbloodsamplestakenforvirologywerepreparedbylysisoftheerythrocytesusingammoniumchloridelysisbuffer.Thesamplesweresubsequentlypelletedandwashed,asdescribedinNobironetal.(
24、2003).TodetectBVDV,thesampleswerediluted1:5inmaintenancemediumandthenseeded,induplicate,ontofreshlypreparedfoetalbovinelung(FBL)cellsandincubatedfor5daysat37C,5%CO2.Afteroneroundoffreezethawanddilutionofmaterial,theinoculumwaspassedoncemoreontoFBLs,whichhadbeenpreviouslyseededontocoverslips,andincub
25、atedforafurther5days.Presenceofviruswasdetectedviaimmuno-uorescencestainingusingaBVDVhyperimmuneserumandaCy-3-conjugatedanti-bovineantibody.Scoringwasperformedusingauorescencemicroscopeandappropriatel-tersets.RNAwasextractedfromfrozenwholeblood(allowingsam-plesfromseveraldifferenttimepointstobeproce
26、ssedonthesameday)usingtheQIAampDNAbloodminikit(Qiagen).TheDNABloodMiniKitwasusedwithseveralmodications(madeindiscussionwiththesupplier)asitenabledpuricationofRNAfromfrozenwholebloodwhiletheViralRNAKitwasnotabletoprocessfrozenbloodsamples.First400lbloodwasthawedand50lCECov(1×105TCID50/ml)addedas
27、anexternalRNAreference.Thiswasaddedto400lproteasesolu-tionfollowedby400lbufferAL.Afterincubationat56Cfor10min,thesamplewascooledand460l100%ethanoladdedbeforeapplyingtothespincolumn.Aftertwowashes,RNAwaselutedwith50ltissueculturegradedH2O(Invitrogen).RNAwasreverse-transcribedusingSuperscriptII(Invitr
28、ogen)andrandom®primers(AmershamPharmaciaBiotech).SYBRGreenIdyewasusedinthisreal-timeRT-PCRmethod,whichbindstoanydoublestrandedDNAproducedinthereaction.Eachreactioncontained10lSYBR®GreenJumpStartTaqReadyMixforQPCR(Sigma),2.5lforwardprimer(10pmol/l),2.5lreverseprimer(10pmol/l)and5ltemplatecD
29、NA.Sampleswereanalysedintriplicate.ThePCRconditionswere94Cfor10minfollowedby35cyclesof94Cfor10s;53Cfor20s;72Cfor20s;80Cfor10safterwhichaplatereadwastaken.ThereactionswerecarriedoutonaDNAEngineOpticon2(MJResearch)anddataanalysedusingtheOpticonMonitorAnalysisSoftwareversion2.02.Theprimersweredesignedt
30、oamplifya156bpregionofBVDV5 -UTR(sense5 -TAGTCGTCAGTGGTTCACGCC;antisense5 -CCTCTGCAGCACCCTATCAG),ora280bpregionofCECovnucleocapsidgene(sense5 -CTCGTGGYCGGAAGAGTAAT;antisense5 -GCAACCCAGAMRACTCCATC)andweretestedtoconrmsensitivityandefciencyoverarangeofDNAcon-centrations.Primerefciencywasconrmedforeac
31、hexperi-mentusingtheformula:Primerefciency=101/slope(Pfaf,2001),wherebyavalueof2.0indicates100%efciency.ThisensuredPCRproductswereampliedatanefcientrateandexperimentswerecompa-rable.ThestandardsamplesusedwereplasmidDNAcontainingBVDVorCECovPCRproductsclonedintopGemT(Promega).AscDNAisapotentiallymorec
32、omplexsamplethanthepuriedplasmidDNAusedforthestandardcurveatestwascarriedouttoconrmthecomponentsofaviralcDNApreparationwouldnotbedetrimentaltothePCRreactionwherebystandardsampleswerespikedwithcDNAfromuninfectedbovinebloodandthe220N.J.Youngetal./JournalofVirologicalMethods138(2006)218222cyclethreshol
33、d(CT)valuescomparedtonon-spikedsamples.MeltingcurveanalysisofthePCRproductswasalsocarriedoutforeachexperimentandconrmedthatbothprimerdimersandnon-specicproductswereabsentanduorescencewasmeasuredattemperatureswhereonlyBVDVorCECovspe-cicampliconsweredetected(datanotshown).ThemeanCTvalueforCECovwasdete
34、rminedaftermultipleextractionsofCECovspikedblood(meanCT=12.457,S.D.=0.484;n=30).SamplesthatfellwithintherangeofmeanCECovCT±1S.D.werecorrectedasdescribedinNiesters(2001);theprocedurewasrepeatedforanysamplesthatwereoutsideofthisrange.AfterBVDVchallenge,leucopeniawasevidentinallcalves(Fig.1).Thede
35、creaseinwhitebloodcellcountsrangedfrom7%to52%comparedtothemeanpre-challengelevelsforallanimals3dayspost-challenge.Themeanreductionwasstatisti-callysignicantonday3(P=0.009),day5(P=0.025)andday6(P=0.017).ThisdemonstratesthecharacteristicleucopeniaobservedfollowingacuteBVDVinfectionandhighlightsthecomp
36、lexitiesfacedwhenundertakingreal-timePCRonacutelyinfectedcattleifnormalizingtocellularhousekeepinggenes.Primersweredesignedtoamplifya156bpregionofthehighlyconservedBVDV5 -UTR.Thelinearityofthe5 -UTRassaywasconrmedusingcDNAobtainedfromBVDVspikedblood(Fig.2A)withintherangeof7000ngto7ng,fromsam-Fig.1.W
37、hitebloodcellcountsfollowingchallenge.Countswerecalculatedasapercentageofthepre-challengebaselinevaluesforcalf1(),calf3( ),calf10( ),calf15(*)andcalf20( ).plescontaining2.1×104TCID50to2.1×101TCID50BVDV,indicatingthesensitivityofthetechnique.ThePCRefciencywas2.3andtheregressioncoefcientwas0
38、.993.Itwasnotpossibletoefcientlydetectvirusinsamplescontaininglessthan2.1×101TCID50BVDV.LinearityoftheprimerswasFig.2.OptimisationofBVDV5 -UTRreal-timePCRprimers.MeanCTvaluesof(A)seriallydilutedcDNAfromBVDVspikedblood,y=2.76x+30.06,r2=0.993,(B)plasmidDNAstandardcurve,y=3.42x+35.83,r2=0.995,and(
39、C)plasmidDNA( )andcDNAspikedplasmidDNA(×),y=3.55x+38.11,r2=0.997.Errorbarsshowstandarddeviation.N.J.Youngetal./JournalofVirologicalMethods138(2006)218222221Table1VirusisolationfollowingchallengeCalfDaypost-challenge356710141+3+10+15+20Virusisolationfrombuffycoatwasperformedbyimmunouorescenceass
40、ayaftertwopassagesinFBLcells.alsoconrmedusingplasmidDNAcontainingthe5 -UTRPCRproduct(Fig.2B)asthiswasusedforgenerationof5 -UTRstandardcurveineachexperiment.ThelinearrangeofthePCRwasfrom1×108to1×101DNAcopies/l,withanefciencyof2.02andregressioncoefcientof0.995.SpikingtheplasmidDNAstandardswi
41、thcDNAobtainedfromaBVDVnegativeanimalwasnotdetrimentaltotheefciencyofthereaction(Fig.2C)andtherewasnostatisticallysignicantdifferencebetweenCTvaluesobtainedfromplasmidcomparedtocDNAspikedplasmid(P=0.997).ThelinearrangeoftheCECovprimerswasalsoassessed2usingcDNAobtainedfromsamplescontaining1×10to
42、5×103TCID50CECovwithanefciencyof1.87andregressioncoefcientof0.990(datanotshown).ABVDVplasmidstandardcurverangingfrom1×108to1×101copies/lwasusedtoassess5 -UTRcopynumberineachsample.ThePCRefciencyforeachexperimentwasbetween1.96and2.07andtheregressioncoefcientwasgreaterthan0.992(datanots
43、hown).The5 -UTRCTvaluewasadjustedaccordinglybasedontheCTvalueoftheCECovreaction.Bystandardvirusisolationoneanimal,calf20,wasvirusnegativethroughoutthestudyperiod,whileviruscouldbeiso-latedfromtheremainingcalvesfor1,2or3daysbetweendays5and7post-challenge.Noviruswasisolatedfromanyanimalonday10or14post
44、-infection(Table1).Tovalidatethisnewmethodology,twotimepointswerecho-senforanalysis:day6post-infectionasthisrepresentsthepeakoftheviraemiaandalsoday14asthisrepresentsastagewhenvirusisolationindicatesallanimalstobevirusfree.BVDVviralRNAwasdetectedinwholebloodtakenatdays6and14post-challengeineverycalf
45、(Fig.3).Theestimatesforviralgenomecopy5numberrangedfrom1.95×105to5.88×105,and1.92×10to3.22×1055 -UTRcopies/mlbloodondays6and14,respectively.ViralRNAcopiespermlofbloodwerehigheronday6thanonday14inthreeofthevecalvesalthoughthisdifferencewasonlystatisticallysignicantincalf10(P=0.018
46、).TheremainingtwocalveshadverysimilarlevelsofviralRNAonbothdays6and14post-infection.Calf20whichhadbeenconsistentlynegativeforinfectiousvirusisolationwaspositiveforviralRNAatbothtimepointstested.ItwastobeexpectedthattherewouldbesomediscrepancybetweentheestimationoftheBVDV5 -UTRcopynumberoftheviralRNA
47、andtheinfectiousviralloadinthisstudyandresultsconrmthatRNAcopiesdonotcorrelatewiththenum-Fig.3.QuanticationofBVDVRNA.MeanBVDVRNAcopies/mlbloodfromcalvesonday6( )andday14( )post-challenge.Errorbarsshowstandarderrorofthemean“*”indicatessignicantvalues.berofinfectiousgenomespresentandthereforethepotent
48、ialforinfectivityandvirustransmission.LettellierandKerkhofs(2003)demonstratedusingaBVDVtype1virusstockthattherewere2400copiesofvirusgenomeperinfectiousparticle.Thispresumablyreectsaratioofinfectioustodefectiveviralgenomes.SimilarratioshavebeenobservedforYellowFeverVirus(Baeetal.,2003).Theresultsfrom
49、thecurrentstudywouldsupporttheseobservationsand,invivoatleast,itisproposedthatalthoughBVDVRNAisstillbeingdetected,infectiousvirushasbeencomplexedwithantibodiestherebyleadingtocessationofviraemia.Inthecaseofcalf20,virusneutralisingantibodytitresof1:564weremeasuredonday14(datanotshown),supportingthisp
50、remise.Inordertocomparesamplesitisnecessarytousesomeformofstandardisationandoftenhousekeepinggeneexpressionisusedtoachievethis.However,housekeepinggeneexpressioncanvaryandtheuseofthesegenesasinternalcontrolsshouldbecarefullyconsideredinrelationtocelltypeandthecellmetabolism(Thellinetal.,1999).Thelar
51、genumberofpub-licationsfocusingonthevalidationofinternalreferencegenesdemonstratesthedifcultyinselectingappropriatecandidates.Indeed,manyauthorsnowrecommendtheuseofatleasttwo(Dentetal.,1997)orthree(Bustin,2000;Vandesompeleetal.,2002)validatedhousekeepinggenestoensuretheaccuracyofdata.Inaddition,theu
52、seofhousekeepinggenestocontrolforthevariationinRNAextractionandcDNAsynthesisisdif-cultwhenaxedamountofbloodisanalysed(Johanssonetal.,2000).Thenormalrangeofleucocytecountsinbloodfromhealthycattleis412×109l1(Blood,1994),thusdemonstrat-ingapotentialthreefoldvariationincellnumbers.Furthermore,acute
53、BVDVinfectioncausestransientleucopenia,leadingtoareductioninnumbersofcirculatingleucocyteswhichcanbepronounced.Virusvirulenceaswellashostfactorsmayresultinthereductionofwhitebloodcellsrangingfrommildtosevere.Inthecurrentstudyallvecalveswerechallengedwiththesamedoseofvirusandthedegreeofleucopeniavari
54、edfromanimaltoanimal(Fig.1).Tofacilitatevirusquanticationperxedvolumeofbloodinthefaceofcharacteristicleucopeniaobservedincattledur-ingacuteBVDVinfection,anoveltwo-stepreal-timeRT-PCR222N.J.Youngetal./JournalofVirologicalMethods138(2006)218222methodwhichutilisedanexternalRNAreferencestandardwasdevelo
55、ped.AsecondRNAvirus,CanineEntericCoronavirus(CECov)wasusedasacontrolfortheeachstageofthemethod.ToenableeaseofsamplehandlingthemethodwasbasedonquanticationofBVDVRNApervolumeoffrozenwholeblood.EachbovinebloodsamplewasspikedwithaknownamountofthereferenceCECovpriortoRNAextraction.Thecoronaviruswasco-ext
56、ractedandsubsequentlyampliedinaquantitativemanner.ThisenabledvalidationofnucleicacidisolationandamplicationefciencyforeachsampleanddetectionofthosesamplesforwhichsamplepreparationoramplicationfailedbydeterminingthesignalgeneratedfromtheCECovstandard.Thissystemofspikingsampleswithaheterologousvirusha
57、sbeenusedpreviouslyforHepatitisCvirusquantication(Clelandetal.,1999;Castelainetal.,2004)andforthedetectionofEpsteinBarsvirusandCytomegalovirus(Niesters,2001).CurrentlythereismuchinterestincontrolstrategiesforBVDVinfectionofcattle.Tothisendrapidandreliablediagno-sisofbothpersistentlyandacutelyinfecte
58、dcattleisimperative.Moleculardiagnosticmethodsarebeingincreasinglyutilisedastoolsforthedetectionofnumerousviralpathogens.Theuseofreal-timeRT-PCRmethodstoestablishthepresenceorabsenceofBVDVRNAincattlemayhaveimportantimplicationsforfuturediagnosticscreeningandcontrolstrategies.AcknowledgementTheauthor
59、swishtothankDr.KerstinErles(RVC)forkindlydonatingtheCanineEntericCoronavirusandcorrespondingprimersequences.ReferencesBae,H.G.,Nitsche,A.,Teichmann,A.,Biel,S.S.,Niedrig,M.,2003.Detectionofyellowfevervirus:acomparisonofquantitativereal-timePCRandplaqueassay.J.Virol.Meth.110(2),185191.Baker,J.C.,1995.Theclinicalmanifestationsofbovineviraldiarrhoeainfection.Vet
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