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Development of a Real Time RT-PCR Assay for

Neuraminidase Subtyping of Avian Influenza Virus

Yanyan Huang (Shandong Academy of Agricultural Sciences), Mazhar Khan and Ion Mandoiu (University of Connecticut)

Introduction

• Avian influenza virus (AIV) belongs to the influenza type

A genus of the

Orthomyxoviridae family of

RNA viruses. It is a highly mutable virus, with the

Haemagglutinin (HA) and the

Neuraminidase (NA) genes being the most variable. To date, 16 HA and 9 NA subtypes have been identified.

•C.W.Lee and Y.M. Saif. Avian influenza virus. Comparative

Immunology, Microbiology & Infectious Diseases, 32:301-310,

2009

• Rapid AIV subtype identification is critical for accurate diagnosis of human infections, effective response to epidemic outbreaks, and global-scale surveillance of highly pathogenic subtypes.

• Polymerase Chain Reaction (PCR) has become the method of choice for virus subtype identification due to its high sensitivity and specificity, fast response time, and affordable cost [Suarez et al. 2007].

• In [Duitama et al. 2009] we presented an open source software tool, called PrimerHunter, that can be used to select highly sensitive and specific primers for virus subtyping.

We have also confirmed the sensitivity and specificity of PrimerHunter's primers for hemagglutinin (HA) subtyping of Avian influenza virus using individual real time PCR (R-PCR) reactions testing the presence of each subtype.

• To increase sensitivity of detection when the quantity of viral

RNA is limited, we propose using PCR reactions with pools of subtype-specific primer pairs designed so that each subtype yields a unique amplification pattern.

• In this poster we describe an integer linear program (ILP) for designing the minimum number of uniquely decodable pools subject to primer non-dimerization constraints.

We also present results of real time RT-PCR reactions demonstrating the sensitivity of the assay for NA subtyping of AIV.

Primer Design

Sequence Data

• Complete Avian Influenza

NA sequences from North

America available in NCBI flu database [Bao et al.

2008] as of March 2008

• Phylogenetic analysis detected a N1 sequence mislabeled as N4

• For each subtype N i

, we used all available N i sequences as targets, and all sequences with different subtype as non-targets

PrimerHunter Parameters & Results

• PrimerHunter was run with default parameters: primer length 20 25, amplicon length 75 200 , GC content 25% -

75% , Max mononucleotide repeat 5 , matching mask M =

11, no required 3 ’ GC clamp, primer concentration 0.8

μM , salt concentration 50mM, T min_target

= T max_nontarget

= 40 o C

• Between 7 and 9,665 pairs of primers were found by

PrimerHunter for each subtype, full results are available at http://dna.engr.uconn.edu/software/PrimerHunter/

Subtype

N1

N2

N3

N4

N5

N6

N7

N8

N9

110

241

65

15

32

77

22

84

42

Targets

Non-

Targets

Avg. %

Dissimilarity

Forward

Primers

Reverse

Primers

578

447

623

673

656

611

666

604

646

8.8

11.7

8.8

7.1

6.4

10.3

7.2

6.7

6.6

97

77

45

370

355

29

97

140

292

71

44

61

360

353

43

103

211

305

Primer

Pairs

553

234

113

9665

8380

7

480

1785

6310

Pool Design

• To reduce the number of reactions needed to identify the subtype of a sample we perform RRT-PCR reactions with pools of primer pairs.

• Pools must be designed so that the result of these reactions uniquely identifies the subtype present in the sample. As noted by [Rash and Gusfield 2002], this is equivalent to ensuring that for every pair of subtypes there is a pool that results in a positive signal for one but not for the other.

• Additional constraints:

 Each subtype results in positive amplification for at least one pool

 Bounded pool size (no more than m pairs in a pool)

 No primer dimers (set of pairs of subtypes whose primers are predicted to form dimers is denoted by D ; we used the autodimer tool at the National Institute of Standards and Technology with a total score threshold of 4 to predict primer dimers)

• Optimization objective:

 Minimize the number of pools

 Subject to this, minimize total size of pools

• Notations

 N = number of subtypes ( N =9 for NA subtyping)

 P = set of of candidate pools, i.e., subsets of size at most m of {1, …,N} that do not contain any pair in D

 x p

= 0/1 variable set to 1 if pool otherwise p is selected and to 0

 M = constant larger than N |P|:

AIV NA Subtyping Assay

• We selected for each NA subtype one pair of primers

• For each pair, detection limits were determined using RRT-PCR on serially diluted RNA standards

• 10 potential primer dimers were identified using autodimer

Position of PCR products in the NA segment

• The ILP formulation had 85 variables (pool candidates) and 45 constraints that was solved to optimality in a fraction of a second using CPLEX; the four resulting pools are shown below

Primer Pool N1 N2 N3 N4 N5 N6 N7 N8 N9

A (2,6,7) + + + -

B (4,5,7,8) -

C (3,5,9) -

D (1,4,6,9) +

-

-

-

-

+

-

+

-

+

+

+

-

-

-

+

+

-

-

+

-

+

-

+

Experimental Validation

• Experiments show that RRT-PCR with primer pools can detect and differentiate NA RNA of all nine subtypes extracted from AIV-infected allantoid fluids.

• Amplification and dissociation properties of N4 RNA in primer pool tests are shown below; full results will be presented in [Huang et al 2010].

Discussion & Conclusions

• In this study, 9 pairs of neuraminidase (NA) subtype-specific primers were designed and successfully used in real time

RT-PCR with four primer-pool reactions to differentiate 9 NA subtypes of AIV

• The RRT-PCR assays are sensitive and can detect in vitro transcribed RNA of different NA subtypes ranging from 176 to

4000 copies per reaction, or 2-30fg of AIV RNA

• The assays also possess good specificity. There was no cross reaction between RNA of different NA subtypes in RRT-

PCR with each subtype-specific primers, and no amplification was displayed for RNA of IBV, IBDV, NDV

• This study validated further the powerful function of Primer

Hunter for the design of subtyping primers and also introduced a sensitive and specific method for NA subtyping of AIV

• The quadruplicate primer pool test described decreases the amount of reactions needed to differentiate NA subtypes from

9 to 4. This reduces costs and labor, and could also improve sensitivity of detection when the quantity of viral RNA is limited

References

• Y. Bao, P. Bolotov, D. Dernovoy, B. Kiryutin, L. Zaslavsky, T. Tatusova,

J. Ostell, and D. Lipman. The influenza virus resource at the national center for biotechnology information. J. Virol., 82(2), pp. 596-601,

2008

• J. Duitama, D.M. Kumar, E. Hemphill, M. Kahn, I.I. Mandoiu, and C.E.

Nelson. PrimerHunter: A Primer Design Tool for PCR-Based Virus

Subtype Identification, Nucleic Acids Research 37, pp. 2483-2492,

2009

• Y. Huang, M. Kahn, and I.I. Mandoiu. Manuscript in preparation

• S. Rash and D. Gusfield. String barcoding: Uncovering optimal virus signatures, Proc. 6th Annual International Conference on

Computational Biology, pp. 254-261, 2002

• D. Suarez, A. Das, and E. Ellis. Review of rapid molecular diagnostic tools for avian influenza. Avian Diseases, 51, pp. 201-208, 2007

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