# Patent

## Title
Respiratory syncytial virus (RSV) viral load detection assay

## Abstract

The invention concerns a method for the extraction of nucleic acids from biological samples e.g. tissue material or sputum derived from human or animal species and the quantitative detection thereafter of said nucleic acids e.g. in terms of viral load, more specifically RSV viral load detection.

## Background
CROSS REFERENCE TO RELATED APPLICATIONS
This application is the national stage of PCT Application No. PCT/EP2008/054073 filed Apr. 4, 2008, which claims priority from European Patent Application No. 07108211.9, filed May 15, 2007, and European Patent Application No. 07105823.4 filed Apr. 6, 2007, the entire disclosures of which are hereby incorporated in their entirety.
NAMES OF THE PARTIES TO A JOINT RESEARCH AGREEMENT
The subject matter of this application was developed under a joint research agreement between Johnson and Johnson Research Pty Limited, Virco BVBA and Tibotec Pharmaceuticals, effective Sep. 13, 2006.
The invention relates to a method for the extraction of nucleic acids from biological samples e.g. tissue material or sputum derived from human or animal species and the quantitative detection thereafter of said nucleic acids e.g. in terms of viral load, more specifically RSV viral load detection.
Human respiratory syncytial virus (RSV) is a negative sense, single-stranded RNA virus of the family Paramyxoviridae, which includes common respiratory viruses such as those causing measles and mumps. RSV is a member of the paramyxovirus subfamily Pneumovirinae. The virion is variable in shape and size (average diameter of between 120 and 300 nm), is unstable in the environment (surviving only a few hours on environmental surfaces), and is readily inactivated with soap and water and disinfectants.
Clinical features: Respiratory syncytial virus (RSV) is the most common cause of bronchiolitis and pneumonia among infants and children under 1 year of age. Illness begins most frequently with fever, runny nose, cough, and sometimes wheezing. During their first RSV infection, between 25% and 40% of infants and young children have signs or symptoms of bronchiolitis or pneumonia, and 0.5% to 2% require hospitalization. Most children recover from illness in 8 to 15 days. The majority of children hospitalized for RSV infection are under 6 months of age. RSV also causes repeated infections throughout life, usually associated with moderate-to-severe cold-like symptoms; however, severe lower respiratory tract disease may occur at any age, especially among the elderly or among those with compromised cardiac, pulmonary, or immune systems.
Epidemiologic features: RSV is spread from respiratory secretions through close contact with infected persons or contact with contaminated surfaces or objects. Infection can occur when infectious material contacts mucous membranes of the eyes, mouth, or nose, and possibly through the inhalation of droplets generated by a sneeze or cough. In temperate climates, RSV infections usually occur during annual community outbreaks, often-lasting 4 to 6 months, during the late fall, winter, or early spring months. The timing and severity of outbreaks in a community vary from year to year. RSV spreads efficiently among children during the annual outbreaks, and most children will have serologic evidence of RSV infection by 2 years of age.
Diagnosis: Diagnosis of RSV infection can be made by virus isolation, detection of viral antigens, detection of viral RNA, demonstration of a rise in serum antibodies, or a combination of these approaches. Clinical laboratories use either antigen detection assays to diagnose infection or nucleic acid amplification techniques to detect viral nucleic acids.
To demonstrate antiviral activity of pharmaceutical compounds on the market or in development, a sensitive viral load test or assay is needed to measure any drop in RSV viral load upon treatment with the compound(s).
Viral load is a measure of the severity of a viral infection, and can be calculated by determining the amount of virus in an involved body fluid, for example, it can be given in nucleic acid copies per milliliter of blood. Determination of viral load is part of the therapy monitoring during chronic viral infections for instance in immunocompromised patients.
Thus, there is an ongoing need in the art for simple, fast and cost effective methods for detecting, identifying and quantifying RSV in biological samples in terms of viral load. Biological samples can be obtained from any organism but are preferably from human or animal origin.
Preferably such a method must be able to process RNA derived from sputum and naso-pharyngeal wash (NPW). As a consequence thereof the detection assay, i.e. the RSV viral load detection assay, must include a sputum and NPW treatment method in preparation for RNA extraction from these samples. The assay must also be quantitative and able to distinguish between RSV-A and RSV-B in order not to miss a potential shift in RSV outbreak in a certain season.
The problem with sputum and NPW is that aliquots thereof are quite difficult to handle especially with regard to the extraction of nucleic acid material from said aliquots. Using the so-called EasyMAG® procedure (BioMérieux) for the extraction of nucleic acid material (such as RNA) from a sample, requires a more or less liquid solution for the extraction of nucleic acid from said solution. It is obvious that sputum, lung tissue but also NPW or cellular fractions containing RSV to be detected, do not qualify as a feasible liquid solution for further nucleic acid extraction thereof.
The solution is now found in a treatment method of samples, especially sputum and NPW, prior to the extraction of nucleic acid from said samples. After the extraction of nucleic acid from the samples, the nucleic acid is quantified e.g. viral load detection either by an additional real-time Polymerase Chain Reaction (q-RT-PCR) or additional by the so-called multi component nucleic acid enzyme technology (MNAzyme).
The inventive method for treating samples, whereafter an extraction method is used for isolation and subsequent detection of nucleic acids (RNA and/or DNA), is not limited to RSV RNA containing samples but can be applied for the detection of any viral (RNA or DNA) or bacterial (DNA) respiratory pathogen such as but not limited to Influenza A and B, Para-influenza types 1, 2, 3 and/or 4, meta-pneumovirus, rhinovirus and adenovirus.
In accordance with the present invention a method for the extraction of nucleic acids from a biological sample has been found comprising the following steps:

    
    
        a) obtaining a biological sample (e.g. tissue material from a human being or animal species,
        b) adding phosphate buffered saline/10% dithiothreitol to said tissue material of step a),
        c) incubating under ultrasonic conditions,
        d) adding lysis buffer,
        e) obtaining lysed tissue material and
        f) extracting said nucleic acid from said lysed tissue material.
    
    


Above mentioned step c) is preferably performed with a so-called Covaris S2 ultrasonic apparatus while the extraction step f) is preferably performed using the so-called EasyMAG procedure (BioMérieux).
Above mentioned step c) can alternatively be a mixing step using a Dyspomix apparatus specifically for (lung) tissue.
The nucleic acid can be either or both DNA or RNA from pathogens such as viruses or any other micro-organism while said tissue material can be either frozen sputum, naso-pharyngeal wash (NPW) or lung tissue wherein said virus is for instance human respiratory syncytial virus (RSV).
Said nucleic acid is further quantified by either the so-called quantitative real time Polymerase Chain Reaction technology (q-RT PCR) or by the so-called multi component nucleic acid enzyme technology (MNAzyme).
The combination of the above described extraction method of nucleic acid preferably from RSV containing patient samples with the further quantification by either q-RT-PCR or by the MNAzyme technology is also part of the present invention.
The invention further relates to a method for identifying, detecting or quantifying the presence of at least one target Respiratory Syncytial Virus (RSV) comprising the following steps:

    
    
        (a) providing two or more oligonucleotide components wherein at least a first oligonucleotide component and at least a second oligonucleotide component are capable of self-assembly in the presence of said target to form a catalytically active multi-component nucleic acid enzyme (MNAzyme);
        (b) contacting said oligonucleotide components with a sample putatively containing said at least one target under conditions:
        
            (1) permitting the binding of said target to said oligonucleotide components and
            (2) permitting the catalytic activity of the MNAzyme; and
        
        
        (c) identifying, detecting or quantifying the presence of the catalytic activity of the MNAzyme, wherein the presence of the catalytic activity is indicative of the presence of said target.
    
    


Preferably the viral load of the target, RSV, is quantified by the above-mentioned method.
For a detailed explanation of q-RT-PCR technology specific reference is made to EP 543, 942 filed by F. Hoffmann-La Roche AG, Switzerland, while the MNAzyme technology is explained in great detail in patent application PCT/AU2006/001473 filed by Johnson & Johnson Research Pty Limited, Australia) and both documents are herewith incorporated by reference for sake of detailed explanation of both technologies.
Regarding the MNAzyme technology a general description of said technology is given hereafter.
MNAzymes (patent application PCT/AU2006/001473 by Johnson & Johnson Research Pty Limited, Australia) are novel catalytic nucleic acids based on DNAzymes. MNAzymes consist of two or more oligonucleotide sequences (e.g. partzymes) which, only in the presence of a MNAzyme assembly facilitator molecule (e.g. target which may be quantitatively amplified), form an active nucleic acid enzyme that is capable of catalytically modifying a substrate, for example a reporter substrate. An exemplary MNAzyme comprising partzyme A and partzyme B is depicted in FIG. 2. With reference to FIG. 2, DNA partzymes A and B each bind to a target, i.e. the MNAzyme assembly facilitator molecule (e.g., through Watson-Crick base pairing with a nucleic acid target). The MNAzyme only forms when the sensor arms of partzymes A and B hybridize adjacent to each other on the target. The substrate arms of the MNAzyme engage the reporter substrate, the cleavage of which is catalyzed by the catalytic core of the MNAzyme, formed by the interaction of the catalytic domains of partzymes A and B. The MNAzyme cleaves the substrate between a fluorophore and a quencher dye pair, thus generating signal. Cleavage of a DNA/RNA chimera (reporter substrate) is exemplified in the drawing. The term “MNAzyme” is also referred to as “multi-component nucleic acid enzyme”. An MNAzyme may also comprise a stabilizing oligonucleotide, which provides stability of the MNAzyme by interacting with an assembly facilitator or substrate. It is apparent that formation of an MNAzyme requires the assembly of at least the partzyme components with the target (or assembly facilitator), as well as the binding of a reporter substrate, for catalytic activity to be detectable, and that the absence of any of these components will result in a lack of catalytic activity.
The reporter substrate used with the MNAzymes can be labeled by any of a large variety of means including, for example, fluorophores (with or without one or more additional components, such as quenchers), radioactive labels, labeling with biotin (e.g. biotinylation) or chemiluminescent labels. Reporter substrates for catalytic nucleic acids may also include protein or nucleic acid enzymes, for example, covalently attached to their termini.
The reporter substrates used with the MNAzymes may be generic reporter substrate systems, which allow rapid assay development by allowing facile design changes to create new MNAzymes which recognize different targets.
The substrate arm portion and the catalytic core portion of the partzymes may remain unchanged, with changes only to the sensor arm portion of one or more partzymes required for new targets. Generic substrate sequences are provided and the same substrate can therefore be incorporated in assays for many different targets. Further, the same substrate can be incorporated into the methods in various embodiments herein, including assays where the substrate is free in solution or is tethered or attached to a support. A series of generic substrates can be used in a multiplex reaction allowing simultaneous detection of multiple targets. MNAzyme strategies using generic substrates offer a major advantage over technologies such as TaqMan® or Beacons which require the design and use of probes specific for each new target.
As described in more detail below, MNAzymes have an advantageous property in certain embodiments of being able to utilize a universal or generic reporter substrate. Such a substrate is shown in FIG. 2 in a presently preferred configuration wherein the reporter substrate comprises both a detectable portion and a quencher portion. The quencher portion is adapted to diminish or eliminate a detectable signal from the detectable portion of the substrate until the MNAzyme cleaves the substrate. For example, the quencher portion may comprise “Black Hole Quencher 1” (BHQ1) or “Black Hole Quencher 2” (BHQ2). Thus, the MNAzyme cleaves the reporter substrate between the detectable portion and the quencher portion allowing the two portions to separate in solution, thereby allowing the detectable signal to appear or increase as the quencher portion is distanced from, or effectively removed from the local environment of the detectable portion.
The use of the generic or universal reporter substrate is enabled through the design of the MNAzyme's component partzymes. By altering only the sensor arms of the partzymes, but by leaving the substrate arms unchanged, a large variety of MNAzymes specific for each of a plurality of targets can be designed all of which utilize a universal reporter substrate for detection. The skilled artisan will appreciate the advantages that this offers in terms of eliminating the need for customized or unique substrates for each target. Each new target requires only one or more changes in one or more of the sensor arm portions; the substrate arm portion and the catalytic core portion can remain constant. Thus, a single reporter substrate can be used for a single target using an MNAzyme, and multiple targets in a series of assays using altered MNAzymes. A plurality of reporter substrates allows multiplexing to detect multiple targets in a single assay using multiple MNAzymes, one for each target. Such multiplexed methods of using MNAzymes are readily accomplished in solution or with attachment to a support system. It is contemplated herein that multiplexed assays can thus be accomplished in systems involving attaching one or more of the reporter substrate, or the MNAzyme partzymes or assembly facilitator, or additional enzyme activities, to a support as described herein.
Substrates can be modified by an MNAzyme thereby providing a detectable effect. In the detection process, the reporter substrate modification by an MNAzyme may involve, for example, cleavage, ligation, porphyrin metallation, and formation of carbon-carbon bonds, ester bonds or amide bonds. As a consequence of the reporter substrate modification by an MNAzyme, a detectable effect is generated and the magnitude of the effect may therefore be indicative of the quantity of the target sought to be measured. The detectable effect may be detected by a variety of methods, including fluorescence spectroscopy, surface plasmon resonance, mass spectroscopy, NMR, electron spin resonance, polarization fluorescence spectroscopy, circular dichroism, immunoassay, chromatography, radiometry, photometry, scintigraphy, electronic methods, UV, visible light or infra red spectroscopy, enzymatic methods or any combination thereof.
MNAzymes may contain one or more substitutions such as analogues, derivatives, modified or altered bases, ribonucleotides, alterations of the sugar or phosphate backbone, various deletions, insertions, substitutions, duplications or other modifications, or any combination of these, well known to those skilled in the art. Such modifications, substitutions, deletions, insertions, etc may be made in the sensor and/or substrate arms and/or in the catalytic core portions such that the molecule retains catalytic activity. Substitutions and modifications to arms that bind the substrate or assembly facilitator may be well tolerated and in fact are the basis of allowing tailoring of the molecules to different substrates/assembly facilitators. For example, modification of the sensor arms will allow tailoring to different assembly facilitators, while modification of the substrate arms will allow tailoring to different substrates.
The skilled artisan will appreciate that MNAzymes comprise either deoxyribonucleotides or ribonucleotides, or even both. Those MNAzymes comprising at least one and more preferably, all, deoxyribonucleotide component oligonucleotides are presently preferred. Also preferred are those MNAzymes comprising at least one deoxyribonucleotide base, or its analogue, within the catalytic core of the MNAzyme. Even more preferred are those embodiments where such a base is required for catalytic activity.
A basic example of a MNAzyme structure is depicted in FIG. 2. The structure shown comprises partzyme A and partzyme B which have base-paired with an MNAzyme assembly facilitator molecule, shown here simply as Target. Partzymes A and B by interacting with Target, have allowed the catalytic core to come into close proximity and thereby form. The substrate arms of the MNAzyme have interacted with and base-paired with a substrate, here Reporter Substrate. Thus the MNAzyme has self-assembled and this process is facilitated through the presence of the MNAzyme assembly facilitator molecule Target. In the absence of Target, no MNAzyme will form. Modification (in this case, cleavage) of the substrate is catalyzed by the catalytic core of the MNAzyme at the MNAzyme Cleavage Site within the substrate denoted by the vertical arrow. The substrate in this particular embodiment of the invention comprises a detectable portion having a detectable signal, for example fluorophore F, and a quencher portion having a quenching effect on the detectable signal F through the action of quencher Q. Upon cleavage at the MNAzyme Cleavage Site, there is a substantial increase in detectable signal, here fluorescence, which is readily detected or quantified.
More specifically, the partzyme A and partzyme B, shown in FIG. 2, each comprise a substrate arm portion, a catalytic core portion, and a sensor arm portion. In the presence of a target, the sensor arm portions of partzyme A and partzyme B can begin to hybridize to, and base pair with complementary portions of the target, for example a DNA or RNA sequence. Upon contacting the target in this fashion, the MNAzyme self-assembles forming a catalytic core, which can modify a substrate which is bound by the substrate arms. Preferably the presence of the MNAzyme is detected through the detection or measurement of its catalytic activity. The substrate arms of the thus assembled MNAzyme can engage a substrate, for example the reporter substrate shown in FIG. 2, through the interaction of the complementary sequences on the substrate arms and the substrate. Once the substrate is so engaged with the substrate arms, the catalytic core can promote the modification (eg. cleavage) of the substrate, which can in turn be measured or detected, directly or indirectly.
Multiple MNAzymes are useful in the present invention as they allow detection of related sequences differing by as little as a single nucleotide. Similarly, a unique reporter substrate is required to detect each of the several targets. In some cases, to multiplex the method requires the use of a distinct or unique detectable signal for each reporter substrate to facilitate the design of the method.
The target nucleic acid can be amplified in accordance with a procedure for amplifying that nucleic acid (i.e. DNA or RNA). Preferably, standard methods of in vitro amplification are used. The amplicons generated during the amplification serve as targets for an MNAzyme, thus MNAzyme activity is indicative of the presence of the target. The skilled artisan will appreciate that such monitoring can be conducted in a single vessel under conditions that permit both the amplification and the MNAzyme assembly and catalytic activity, or the MNAzyme assay can be conducted subsequent to, or at time points throughout the amplification, by removing samples at the end or during the course of the amplification reactions.
The method for detecting the presence of at least one target or assembly facilitator may further comprise providing at least a third and fourth oligonucleotide component, wherein said at least third and at least fourth oligonucleotide component are capable of self assembling in the presence of at least one additional target or assembly facilitator to form at least one additional catalytically active MNAzyme, and wherein at least one additional reporter substrate is present in the sample, said additional reporter substrate is capable of being modified only by the additional MNAzyme, wherein said modification provides said additional detectable effect.
Standard curves of threshold cycle (Ct) values over time for the target(s) are obtained and plotted onto the standard curves, generally obtained from a control or housekeeping gene, and the proportion of a given target in the viral population or in a given environment is visualized and calculated.
The protocols and products of the present invention may be used for diverse diagnostic, clinical, toxicological, research and forensic purposes including, drug discovery, designing patient therapy, drug efficacy testing, and patient management. The present methods may be used in combination with other assays. The results may be implemented in computer models and databases.
Additionally, the protocols and products of the present invention also allow monitoring of the effect of anti-RSV compounds on viral load.
DEFINITIONS
The terms “assembly facilitator molecule”, “assembly facilitator”, “MNAzyme assembly facilitator molecule”, “facilitator” and “MNAzyme assembly facilitator” as used herein refer to entities that can facilitate the self-assembly of component partzymes to form a catalytically active MNAzyme. In preferred embodiments an assembly facilitator is required for the self-assembly of an MNAzyme. An assembly facilitator in some embodiments comprises a target such as a nucleic acid or non-nucleic acid analyte. Assembly facilitator molecules may comprise one or more regions or molecules that may pair with, or bind to, one or more oligonucleotide “partzymes,” which constitute components or portions of an “MNAzyme”. It is not required that the assembly facilitator interact with, pair with, or bind to each component partzyme or oligonucleotide provided that it interacts with, pairs with, or binds to, at least one of the component partzymes of an MNAzyme. As used herein, MNAzyme assembly facilitator molecules are intended to encompass the broadest range of constituents, which can facilitate self-assembly of an MNAzyme. In some embodiments, an assembly facilitator may comprise a nucleic acid. In other embodiments, an assembly facilitator may comprise any cell or any portion thereof, for example, any eukaryotic or prokaryotic cell, a virus, prion, yeast or fungus, or any other molecule, for example, including but not limited to a protein, polypeptide, peptide or nucleic acid. In other embodiments, an assembly facilitator may comprise a virus, prion, yeast or fungus, or any other molecule, for example, including but not limited to glycoproteins, lipids, lipoproteins, entire organisms, cells, viruses, bacteria, archaea, fungi, antibodies, metabolites, pathogens, toxins, contaminants, poisons, small molecules, polymers, metal ions, metal salts, prions or any derivatives, portions or combinations thereof.
The term “target” as used herein includes any natural or synthetic entity, constituent or analyte, which is sought to be detected, identified or quantified by a particular MNAzyme(s). Targets therefore encompass the broadest range of detectable entities, constituents or analytes for which methods of sensitive detection, identification and/or quantification are desirable. In some embodiments, a target comprises an assembly facilitator. Some exemplary targets include, but are not limited to, protein, polypeptide, peptide or nucleic acid, glycoproteins, lipids, lipoproteins, entire organisms, cells, viruses, bacteria, archaea, yeast, fungi, antibodies, metabolites, pathogens, toxins, contaminants, poisons, small molecules, polymers, metal ions, metal salts, prions or any derivatives, portions or combinations thereof. Other targets are also contemplated for use herein.
The terms “substrate”, “substrate molecule” and “chemical substrate” as used herein include any molecule which is capable of being recognized, and acted upon or chemically modified by a catalytic molecule. In particular embodiments, a substrate may be recognized and modified by an enzyme. In other embodiments, a substrate may be recognized and modified by a catalytic nucleic acid molecule. The chemical modification of a substrate can be measured by the appearance of, or increase in, a product of the modification reaction, or by the disappearance of, or decrease in, a substrate of the modification reaction(s). A particular catalytic molecule may recognize one or more different substrate molecules provided each substrate molecule has at least a minimum structure, which is recognizable for catalytic activity by the catalytic molecule.
A “reporter substrate”, “reporter probe” or “reporter probe substrate” as used herein is a substrate that is particularly adapted to facilitate measurement of either the disappearance of a substrate or the appearance of a product in connection with a catalysed reaction. Reporter substrates can be free in solution or bound (or “tethered”), for example, to a surface, or to another molecule. A reporter substrate can be labelled by any of a large variety of means including, for example, fluorophores (with or without one or more additional components, such as quenchers), radioactive labels, labelling with biotin (e.g. biotinylation) or chemiluminescent labels. Reporter substrates for catalytic nucleic acids may also include protein or nucleic acid enzymes, for example, covalently attached to their termini.
As used herein, the terms “partzyme”, “component partzyme” and “component oligonucleotide” refer to a DNA-containing or RNA-containing or DNA-RNA-containing oligonucleotide, two or more of which, only in the presence of a MNAzyme assembly facilitator molecule, can together form an “MNAzyme.” In certain preferred embodiments, one or more component partzymes, and preferably at least two, may comprise three regions or domains: a “catalytic” domain, which forms part of the MNAzyme's catalytic core that catalyzes a chemical modification; a “sensor arm” domain, which may associate with and/or bind to an assembly facilitator (e.g. a target); and a “substrate arm” domain, which may associate with and/or bind to a substrate. A depiction of these regions or domains can be seen, for example, in FIG. 2. A partzyme may comprise one or more molecules.










Abbreviations


















MNAzyme :
multi-component nucleic acid enzyme, 




or multipartite nucleic acid enzyme;



DNAzyme : 
deoxyribonucleic acid enzyme;



RNAzyme : 
ribonucleic acid enzyme, or ribozyme;



PCR :
polymerase chain reaction;



dH2O : 
deionized distilled water;



F : 
fluorophore;



Q : 
quencher;



JOE or 6-JOE : 
6-carboxy-4′,5′-dichloro-2′,7′-




dimethoxyfluorescein;



FAM or 6-FAM :
6-Carboxyfluorescein;



BHQ1 :
Black Hole Quencher 1;



BHQ2 : 
Black Hole Quencher 2.













FIGURES
FIG. 1 is a diagnostic workflow for RSV viral load determination.
FIG. 2 is a depiction of an exemplary design for an MNAzyme, wherein substrate arm portions (A) of partzymes A and B bind to a Reporter substrate, to which is attached a fluorescent tag (left) and a quencher (right). Catalytic core portions (C) are located between substrate arm portions (A) and sensor arm portions (B). Upon binding of sensor arm portions (B) to a Target, the Reporter substrate is cleaved at the MNAzyme Cleavage Site, thereby increasing fluorescence.
FIG. 3: Schematic representation of an exemplary multiplex analysis of multiple targets: Two or more targets can be simultaneously detected using two or more substrates, each specific for one MNAzyme. Substrates are preferably labeled with different fluorophores. In this example, Target 1 can be detected by monitoring the increase in FAM fluorescence and Target 2 can be detected by monitoring the increase in JOE fluorescence. Q: quencher; FAM, JOE: fluorophores.
FIG. 4: Schematic representation of the External Quantification Control sequences cloned in the TOPO-TA vector (Invitrogen, Merelbeke): EQC-A (A) and EQC-B (B). The vectors indicate the T7 promotor and the flanking primers used to generate the amplicon that was cloned. Also shown are the two primers used during the q-RT-PCR assay in each vector as well as the location of the NdeI restriction site used to linearize the vectors before transcription.
FIG. 5a/b: Schematic representation of the internal extraction control sequences. The q-RT-PCR amplification uses an RSV-A and RSV-B conserved and specific sequence in the RSV genome. These sequences are located in the F-gene for RSV-A (1) and the N-gene for RSV-B (3). The primers to amplify the RSV RNA or the RSV internal extraction control are identical per sub-strain: The sequences in between the primers are probe-specific: RSV-A RNA =RSVA-Fgen-TP probe (1) (SEQ ID NO: 5), RSV-A internal extraction control =RSVA-EC-Fgen-TP probe (2) (SEQ ID NO: 7); RSV-B RNA =RSVB-Ngen-TP probe (3) (SEQ ID NO: 6), RSV-B internal extraction control =RSVB-EC-Ngen-TP probe (4) (SEQ ID NO: 8).
FIG. 6: Schematic representation of the Internal Extraction Control (IEC) sequences cloned in the TOPO-TA vector (Invitrogen, Merelbeke): pIEC-A (A) and pIEC-B (B). The vectors indicate the T7 promotor, the two primers and the probe location for each vector as well as the location of the ApaLI restriction sites used to linearize the vectors before transcription.



The following non-limiting examples help to illustrate the principles of the invention.
EXAMPLES
Example 1
Sputum and NPW was received from various sources (REGA, Leuven, Belgium; O. L. V. Ziekenhuis, Aalst, Belgium). Sputa and NPW samples used in these experiments when not infected with RSV were spiked with an RSV virus stock (RSV-A: RSV-GFP 011828) whenever applicable.
Additionally a Dyspomix (Wilten Instruments, Cat nr 900.021.00, Berchem, Belgium), an AFA (Covaris, Hoddesdon, UK) and an ABI9700HT (Applied Biosystems, Calif., USA) were used during the course of these experiments.
Sample Processing in Preparation of Automated RNA Extraction
A method was developed for the preparation of different RSV samples for automated RNA extraction (see FIG. 1 for the schematic diagnostic workflow).
Different kinds of processing could occur with different kinds of samples (as described in Table 1).







TABLE 1







Overview of different sample types and different preparation methods.














Sputum
NPW
Bal (mouse)
Virus Culture
Virus Culture
Lung



(human)
(human)
fluid
(Supernatant)
(Cell fraction)
tissue (rat)





Covaris S2
Yes
Yes
Yes
Yes
Yes
No


Dyspomix
Yes
Yes
Yes
Yes
Yes
Yes


EasyMAG
No
Yes
Yes
Yes
No
No





NPW: Nasopharyngeal Wash; BAL: Bronchoalveolar Lavage






Samples were stored in-house at −80° C. The weight of the frozen samples was determined while still frozen, 1 volume of PBS/10% DTT was added to the samples with a minimal final volume of 2.2 ml (in Becton Dickinson 14 ml polypropylene round-bottom tube, ref number 352059 (25 per bag, sterile)). Samples with an estimated initial volume larger than 1.5 ml were first transferred to a 50 ml tube before addition of one volume PBS/10% DTT by slightly warming the 15 ml tube until the frozen sample could be slid into the 50 ml Falcon tube (Red cap). The frozen sample/PBS-10% DTT was placed in the Covaris S2 instrument and processed with SonoLAB Single v2.4.3 with the following settings:

    Mode=Power Tracking, Number of Cycles=10, Bath Temperature Limit=15° C.
    Treatment 1: “Duty Cycle”=20%, “Intensity”=10 and “Cycles/Burst”=100 for 30 s.
    Treatment 2: “Duty Cycle”=0.1%, “Intensity”=0.1 and “Cycles/Burst”=50 for 10 s.


Mostly one (1) cycle was sufficient to dissolve the sample, if not, extra cycles were added as needed.
The cooling of the Covaris was set at 1° C.
After Covaris treatment, 4 initial sample volumes of Lysis buffer (EasyMAG, BioMérieux) were added and incubated for 10 minutes.
The Covaris S2 instrument as described above can be found on the website of Covaris viz www.covarisinc.com. In summary the Covaris process produces a controlled acoustic field inside a sealed vessel. The process is based on a computer-controlled, focused acoustic energy technology. The Covaris Adaptive Focused Acoustics (AFA) process works by sending acoustic energy wave packets from a dish-shaped transducer that converges and focuses to a small-localized area (it is sometimes visualized as a vibrating loudspeaker cone). At this focal point, the energy density may be controllably focused into the sample of interest which has proven to be beneficial to numerous applications of sample preparation. Essentially, the process enables mechanical energy to be applied to a sample without directly contacting the sample.
An advanced Covaris instrument comprises a so-called intensifier which is attached to the transducer producing the waves. Said waves starting from the centre of the concave intensifier are reflected by the cone and the obtained vertical waves produces an extra heating at the bottom of the vessel.
Automated RNA Extraction
The RNA was extracted using the EasyMAG platform (BioMérieux) according to the instructions provided by the supplier with the following adaptation: 3 ml of the lysed sample volume was used (No lysis dispensing on the EasyMAG), per 8 samples to be extracted: 110 μl IEC-B (internal extraction control for RSV-B, stored in −80° C.) was mixed with 440 μl EasyMAG Buffer 3 and 55000 μl magnetic beads. A total of 125 μl of this mix was dispensed in separate wells using the pre-programmed settings number 2 of the EasyMAG dispensing pipet. Using the pre-programmed settings number 3 of the EasyMAG dispensing pipet 100 μl of this mix was added to each sample. Elution occurred in 110 μl (Buffer 3, EasyMAG). As soon as the extraction was completed, the q-RT-PCR technology or MNAzyme technology was performed as described in Example 2 (A) and (B) respectively. The remainder of the RNA was stored at −80° C.
Two possibilities were used for quantification, either q-RT PCR using Taqman technology (q-RT PCR technology and Taqman probes) or the MNAzyme technology.
For a detailed explanation of q-RT-PCR technology specific reference is made to EP 543, 942 filed by F. Hoffmann-La Roche AG, Switzerland, while the MNAzyme technology is explained in great detail in patent application PCT/AU2006/001473 filed by Johnson & Johnson Research Pty Limited, Australia) and both are herewith incorporated by reference for detailed explanation of both technologies.
Example 2
(A) Use of q-RT PCR Technology and Taqman Probes for the Quantification of RSV-A and RSV-B Viral Strains and a Control Nucleic Acid Sequences Via Monoplex Real Time PCR
Probes and Primers:
The primers for the RSV-A q-RT-PCR amplification (and hence also pIEC-A) were:











Oligonucleotide
Sequence

















RSV-A-Fgen-FW
5′-CTGTGATAGA RTTCCAACAA
SeqID



AAGAACA-3′
No. 1


 


RSV-A-Fgen-RV
5′-AGTTACACCT GCATTAACAC
SeqID



TAAATTCC-3′
No. 2









The primers for the RSV-B q-RT-PCR amplification (and hence also pIEC-B) were:











Oligonucleotide
Sequence

















RSV-B-Ngen-FW
5′-GGCTCCAGAA TATAGGCATG
SeqID



ATTC-3′
No. 3


 


RSV-B-Ngen-RV
5′-TGGTTATTAC AAGAGCAGCT
SeqID



ATACACAGT-3′
No. 4









The probe for RSV-A was:











Probe
Sequence

















RSV-A-Fgen-
FAM 5′-CAGACTACTAGAGATT
SeqID No. 5


TP
ACC-3′ NFQ-MGB*





*NFQ-MGB: Non-Fluorescent Quencher - Minor Groove Binding Sequence






The probe for RSV-B was:













Probe
Sequence



















RSV-B-Ngen-TP
FAM 5′-TATCATCCCAC
SeqID No. 6




AGTCTG-3′ NFQ-MGB









The probe for pIEC-A was:











Probe
Sequence

















RSV-A-EC-Fgen-
FAM 5′-AATGACCAATCCATA
SeqID No. 7


TP
CGCA-3′ NFQ-MGB









The probe for pIEC-B was:











Probe
Sequence

















RSV-B-EC-Ngen-
FAM 5′-TACCGTACTCTAG
SeqID No. 8


TP
CCTA-3′ NFQ-MGB









For each sample, three q-RT-PCR mixes were prepared in duplicate:
RSV-A, RSV-B and IEC










RSV-A, RSV-B and IEC

















Samples
1



Reaction Vol. (μl)
30






Concentration
Volume for (μl)












Mix item
Unit
Stock
Final
1 sample
X samples





Rnase free water



0.77
2.31


Yeast tRNA
ng/ml
10000
120
0.360
1.08


2x Reaction
X
2.00
1.000
15.000
45.00


buffer







Euroscript RT
kU/ml
50.00
0.250
0.150
0.45


Probe RSV
μM
25.00
0.100
0.120
0.36


RSV primer FW
μM
20.00
0.900
1.350
4.05


RSV primer RV
μM
20.00
0.900
1.350
4.05


MgCl2
μM
50.00
1.500
0.900
2.70











Total Volume Mix (μl)

60.00



Volume Mix/Tube (μl)
20.00




Total RNA RSV-A
10.00









When all components were added to the plate, the plate was sealed with an Optical Adhesive Cover (ABI) and centrifuged for 1 minute at 1500 rpm. Before processing on the ABI7900HT, the plate was covered with a MicroAmpTM Snap-On Optical Film Compression Pad (ABI).
Thermal Profile was:

    “Stage 1” reverse transcriptase reaction: 48° C., 30 minutes
    “Stage 2” activation of polymerase: 95° C., 10 minutes
    “Stage 3”: 45 repeats:
    95° C. denaturation, 15 seconds
    60° C. elongation, 1 minute

Construction of the External Quantification Control (EQC) for the RSV q-RT PCR Assay



In order to define the dynamic range of the q-RT-PCR assay, external quantification controls were constructed. This included:

    
    
        Design of the following plasmid constructs containing:
        
            The sequence situated between the forward (EQC-RSV-A-FW) and reverse primer (EQC-RSV-A-RV) covering a region of RSV-A of 1004 base pairs including the region where the RSV-A q-RT-PCR assay primers and probes anneal. This construct is labeled as external quantification control RSV-A (pEQC-A).
            The sequence situated between the forward (EQC-RSV-B-FW) and reverse primer (EQC-RSV-B-RV) covering a region of RSV-A of 1399 base pairs including the region where the RSV-B q-RT-PCR assay primers and probes anneal. This construct is labeled as external quantification control RSV-B (pEQC-B).

Primers and Probes

        
        
    
    


The primers ordered the pEQC-A (EQC-RSV-A-FW, EQC-RSV-A-RV and EQC-RSV-A-RVret) and pEQC-B (EQC-RSV-B-FW, EQC-RSV-B-RV and EQC-RSV-B-RVret) constructs are described hereunder.










Oligonucleotide

















EQC-RSV-A-FW
5′-AATCAAAATAAACTCTGGGGC-3′ bp 5631-5651*
SeqID No. 9


 


EQC-RSV-A-RV
5′-GTTGGTTGTACATAGAGGGG-3′ bp 6634-6615*
SeqID No. 10


 


EQC-RSV-A-RVret
5′-TACATGTTTCAGCTTGTGGG-3′ bp 6734-6715*
SeqID No. 11


 


EQC-RSV-B-FW
5′-ATATTTATCAATCATGGCGGG-3′ bp 908-928**
SeqID No. 12


 


EQC-RSV-B-RV
5′-CTACATCATCTTCTTTGGGG-3′ bp 2306-2286**
SeqID No. 13


 


EQC-RSV-B-RVret
5′-GTGCCAGATGTTATCGGGC-3′ bp 2524-2507**
SeqID No. 14





*Positions are base on the Long strain (AY911262, RSV-A)


**Positions are based on AY353550 (RSV-B)






RSV Samples

For this experiment an aliquot of RSV-A-GFP (GST011828) and RSV-B-P3-Hep2 (REGA) virus stock were used.
RNA Extraction and Amplification of Desired RSV Genome Fragments
An RSV-A-GFP (GST011828) and RSV-B-P3-Hep2 (REGA) virus stock was extracted on the EasyMAG: 1000 μl input, 55 μl output. The RNA was subsequently submitted to an RT-hemi-nested PCR amplification. The PCR mixes and conditions are specified hereunder.
Overview of the different (RT) PCR amplification mixes and conditions to generate the hemi-nested amplification products for RSV-A (1004 bp) and RSV-B (1399 bp). The exact primer sequences are mentioned above.












RT-PCR












# Samples
1



Reaction Vol. (μl)
35






Concentration
Volume for (μl)












Mix Item
Unit
Stock
Final
1 sample
x samples





Rnase Free water



6.10
12.20


2x Reaction
X
2.00
1.000
17.50
35.00


buffer HiFi







Primer FW
μM
20.00
0.200
0.35
0.70


Primer RVret
μM
20.00
0.200
0.35
0.70


SuperscriptTM
U/μl
100.00
2.000
0.70
1.40


III HiFi
















Total Volume Mix (μl)
25.00
50.00



Total Volume RNA (μl)
10.00










thermal cycling












step
temp. (° C.)
time
cycles






1
53
30′




2
94
 2′




3
92
15′′
40



4
55
30′′




5
68
1′30′′




6
68
 7′




7
 4
hold










Heminested












# Samples
1



Reaction Vol. (μl)
50






Concentration
Volume for (μl)












Mix Item
Unit
Stock
Final
1 sample
x samples





Rnase Free water



39.17
78.34


PCR Buffer
X
10.00
1.000
5.00
10.00


(15 mM MgCl2)







dNTPs
mM
25.00
0.200
0.40
0.80


Primer FW
μM
20.00
0.200
0.50
1.00


Primer RV
μM
20.00
0.200
0.50
1.00


Expand TMHF PCR
U/μl
3.50
0.030
0.43
0.86











Total Volume Mix (μl)
46.00
92.00



Total Volume
4.00




RT-PCR mix (μl)










thermal cycling












step
temp. (° C.)
time
cycles






1
94
2 min




2
94
15′′
35



3
60
30′′




4
68
 1′




5
68
 7′




6
 4
hold









TOPO-TA Cloning

The obtained PCR fragments were cloned using the TOPO TA cloning kit (Invitrogen, Merelbeke, Belgium) following the manufacturer's instructions. Briefly, 4 μl PCR product (unpurified) was mixed with 1 μl salt solution and 1 μl vector.
The ligation reaction was transformed into TOP10 chemically competent E. coli cells following the manufacturer's instructions.
After growing the E. coli cultures overnight, 10 colonies per construct (pEQC-A and pEQC-B) were transferred to liquid LB/Ampicillin medium, grown overnight and a miniprep (Qiagen, Hilden, Germany) was performed. Final volume=50 μl, concentration not measured.
Sequencing
A total of 0.75 μl of the generated DNA was submitted to sequencing. Sequencing was done using the Big Dye Terminator (BDT) Cycle Sequencing Kit v3.1 (Cat n°. 4337457, Applied Biosystems, Calif., USA).
The mix composition of each well is indicated in below table. The sequencing reactions were performed using the primer set

    “T3” (5′-ATTAACCCTCACTAAAGGGA-3′) (SeqID No. 15) and
    “T7” (5′-TAATACGACTCACTATAGGG-3′) (SeqID No. 16) which are located on the TOPO-TA vector.


The sequencing PCR was done using the 9800 Fast Thermal Cycler (Applied Biosystems (ABI), Cat. nr. 4356204, Calif., USA). The PCR conditions were 96° C. for 5 seconds, 50° C. for 5 seconds, 60° C. for 1 minute and 15 seconds and this for 25 cycles in total followed by a final hold at 12° C.







TABLE





The mix composition of a single sequencing reaction, with a


final volume of 5.75 μl.







Sequencing Mix preparation (μl):











×wells



1 well
20















BDT
0.25
5.25
μl



DB
1.25
26.25
μl



Water
1.50
31.50
μl



Primer*
2.00
42.00
μl



tot mix
5.00
105.00
μl



amplicon
0.75










Speed PCR program:












96° C.
5′′
# cycli


50° C.
5′′
25


60° C.
1′15′′



12° C.
hold





(*T7 or T3 sequencing primer was used).


“BDT” = Big Dye Terminator,


“DB” = Dilution Buffer






In Vitro RNA Transcription

One correct clone of each EQC construct (Clone 6 for EQC-A and Clone 3 for EQC-B) was linearized using the restriction enzyme Ndel (FIGS. 4 A & B).
Restriction enzyme digestion proceeded at 37° C. for 3 hours using restriction enzyme buffer 4. The reactions were stopped by incubation at 65° C. (20 minutes) and purified. To the restriction digest mix, 1/20 volumes of 0.5M EDTA (1 μl), 1/10 volumes of NaOAC (2 μl) and 2 volumes of EtOH (40 μl) were added. The mixture was placed at −20° C. for minimum 15 minutes, and then spun for 15 minutes at maximum speed. The supernatant was discarded and the pellet was dissolved in 50 μl TE buffer. The linearized constructs were then transcribed using the MEGAshortscriptTM T7 Kit (Ambion, Cat. nr. 1354, Tex., USA). The reaction mixtures were incubated at 37° C. for 4 hours. The total length of the transcribed RNA was predicted to be 1250 (EQC-A) and 1600 (EQC-B) nucleotides. Multiple parallel reactions were set up for each EQC.
DNA Removal
The transcription mixtures were treated with TURBO DNaseTM (2 μl added to transcription mix, Ambion, Cat. Nr. 2238, Tex., USA). The DNase treatment lasted for 1 hour at 37° C. in a final volume of 100 μl. The RNA was purified by means of an RNA extraction on the EasyMAG (BioMérieux) eluting in 100 μl The purified eluates were pooled resulting in a final volume of about 1 ml per EQC.
Real-time EQC Quantification
The purified transcripts were submitted to a real-time PCR quantification either in the presence or the absence of the RT enzyme. The mix compositions of the various mixes can be found hereafter:












EQC-A












# Samples
1



Reaction Vol. (μl)
30






Concentration
Volume for (μl)












Mix item
Unit
Stock
Final
1 sample
X samples





Rnase free water



1.670
5.01


Yeast tRNA
ng/ml
10000
120
0.360
1.08


2x Reaction
X
2.00
1.000
15.000
45.00


buffer







Euroscript RT
kU/ml
50.00
0.250
0.150
0.45


Probe RSV-A
μM
25.00
0.100
0.120
0.36


RSV-A primer FW
μM
20.00
0.900
1.350
4.05


RSV-A primer RV
μM
20.00
0.900
1.350
4.05











Total Volume Mix (μl)

60.00



Volume Mix/Tube (μl)
20.00




Total RNA
10.00










EQC-B












# Samples
1



Reaction Vol. (μl)
30






Concentration
Volume for (μl)












Mix item
Unit
Stock
Final
1 sample
X samples





Rnase free water



1.670
5.01


Yeast tRNA
ng/ml
10000
120
0.360
1.08


2x Reaction
X
2.00
1.000
15.000
45.00


buffer







Euroscript RT
kU/ml
50.00
0.250
0.150
0.45


Probe RSV-B
μM
25.00
0.100
0.120
0.36


RSV-B primer FW
μM
20.00
0.900
1.350
4.05


RSV-B primer RV
μM
20.00
0.900
1.350
4.05











Total Volume Mix (μl)

60.00



Volume Mix/Tube (μl)
20.00




Total RNA
10.00









The program used on the ABI9700 HT real-time PCR equipment was 48° C. for 30 minutes, 95° C. for 10 minutes followed by 45 cycles of 95° C. for 15 seconds and 60° C. for 1 minute. For all experiments only FAM-labeled probes were used (Monoplex assays).
Reproducibility of EQC (Frozen Aliquots)
From the EQC RNA pools (evaluated for residual DNA content), dilution series were made over 8 logs (8 aliquots, diluted 1/10) with a total volume of 2500 μl. From these stocks aliquots were taken of 23 μl each and stored at −80° C. until processing occurred.
Sample Processing, an Example
In total 5 clinical samples were processed (Flow chart, see FIG. 1). All samples were transferred to a 15 ml falcon tube and PBS/1% DTT was added to a final volume of 2.2 ml. This mix was processed on the AFA (Covaris) for 60 seconds prior to the addition of 4 ml lysis buffer (EasyMAG, BioMérieux). From these 6.2 ml per sample, 3 ml was processed on the EasyMAG (BioMérieux) and the RNA was eluted in 110 μl of which 10 μl was processed in the q-RT-PCR in duplicate. The experiment was repeated once starting from extraction with the remaining 3 ml.
Results
PCR
The RT-Heminested PCR reactions were set up in duplo and both generated good results for each amplicon. The expected size for the RSV-A amplicon was 1004 bp and for RSV-B 1399 bp. These PCR amplified fragments were ligated in a TOPO-TA vector and transformed into competent E. coli. The transformants were grown overnight on solid LB/ampicillin plates. A total of 10 colonies were transferred to liquid LB/Ampicillin medium and again grown overnight. A miniprep (Qiagen, Hilden, Germany) was prepared from these cultures and the resulting DNA was submitted to sequencing.
Sequencing
Not all PCR fragments ligated in the same direction in the TOPO-TA vector. A total of 2 clones for pEQC-A and 6 clones for pEQC-B were cloned in the correct direction into the TopoTA vector. Of these clones, Clone 6 (pEQC-A) and Clone 3 (pEQC-B) were chosen for the in vitro transcription.
In Vitro Transcription
Clone 6 (pEQC-A) and Clone 3 (pEQC-B) were submitted to a restriction digest using NdeI and purified as described above. The linearized and purified constructs were submitted to an in vitro transcription (using the MEGAshortscriptTM T7 Kit (Ambion)). The residual DNA was removed using the TURBO DNaseTM (Ambion). The transcripts were purified by means of an RNA extraction on the EasyMAG (BioMérieux) as described above.
Real-time PCR Results
The pure transcripts were diluted 1/1000 and submitted to a real-time PCR quantification reaction with (dark blue signal) and without (light blue signal) RT enzyme to determine the residual DNA content of the transcripts. The 4-hour transcript of pEQC-A showed a difference of 12 Cts between the reaction performed without RT and the reaction performed in the presence of RT. The residual DNA in the RSV-B transcripts was comparable to that of pEQC-A with about 10 Cts difference between the reactions performed in the presence or the absence of the RT enzyme.
Both controls contain less than 1 DNA molecule in 1000 RNA molecules. This is acceptable to use as an RNA control.
Stability (Reproducibility) of Ct Value Determination on Dilution Series of EQC
Over several days and by different operators frozen EQC (A and B) dilution series were analyzed by means of q-RT-PCR quantification. The results of these tests (n=6) show a dynamic range of 6-7 logs. The repeated experiments indicated a good reproducibility with an average slope of −3.39 (EQC-A) and −3.33 (EQC-B), a Y-axis intercept of 42.56 (EQC-A) and 41.51 (EQC-B) and a correlation of 0.999 of the data points for both EQC-A and EQC-B. For EQC-A, 5⁄6 runs had a linear range of 7 logs. The mean Ct value of the lowest dilution (n=6) was 11.98511 (stdev 0.484211) and of the highest dilution was 35.90961 (stdev 0.988846) (n=5, for run 5 the highest dilution was not measured). For EQC-B 4/6 only had a linear range of 6 logs. The mean Ct value of the lowest dilution (n=6) was 10.98107 (stdev 0.569094) and of the highest common dilution (n=6) was 30.8342 (stdev 0.657034).
Interpretation of the Standard Curve, an Example
A total of 4 NPW samples and one sputum sample were processed. For both experiments also the external quantification controls EQC-A and EQC-B were taken along. Two settings were tested to investigate what the best interpretation mode was for the standard curves (i.e. what would allow to calculate “Ct value 1” of a sample in one experiment according to standard curve 1, and “Ct value 2” of that same sample in a second experiment according to standard curve 2 in such a way that both Ct values would be closest to each other): setting the threshold identical for all experiments or setting the Y-axis intercept identical for all experiments?
In a first setting, the threshold of the standard curves in both experiments was set to 0.1. As can be observed, none of the measurements deviated by more than 1 Ct. The mean of the differences was 0.56 Ct with a standard deviation of 0.39.
In another setting, it was tried to minimize the difference of the standard curves concerning the Y-axis intercept. As such, the threshold of the repeat experiment was modified to make the Y-axis intercept of the second EQC-A standard curve move closer to 42.43 (42.428). With this setting, one measurement differed more than 1 Ct (NPW 5: 1.04). The average of the differences however was only 0.47 with a standard deviation of 0.43.
CONCLUSION
Two vectors were constructed and sequenced. They both contained a part of the RSV genome (RSV-A 1004 bp and RSV-B 1399 bp). The purified DNase-treated transcripts were analyzed in the presence or the absence of the RT enzyme in a real-time PCR quantification assay. This indicated that for both EQCs, a suited RNA control transcript was obtained that contained less than 1 DNA molecule in 1000 RNA molecules.
Repeated experiments indicated that the EQC dilution series delivered stable, reproducible results over different days and different operators with a dynamic range of 6 to 7 logs.
The sequence of pEQC-A (clone 6) and pEQC-B (clone 3) respectively are depicted below.








Sequence of pEQC-A: (SeqID No. 17)



(Bold = primer sequence; underlined = probe sequence)


TGCACTGGCCAGGGGGATCACCATCCGTCGCCCCGGCGTGTCAATAATATCACTCTGTACATCCACAAAC


 


AGACGATAACGGCTCTCTCTTTTATAGGTGTAAACCTTAAACTGCCGTACGTATAGGCTGCGCAACTGTT


 


GGGAAGGGCGATCGGTGCGGGCCTCTTCGCTATTACGCCAGCTGGCGAAAGGGGGATGTGCTGCAAGGCG


 


ATTAAGTTGGGTAACGCCAGGGTTTTCCCAGTCACGACGTTGTAAAACGACGGCCAGTGAATTGTAATAC


 


GACTCACTATAGGGCGAATTGAATTTAGCGGCCGCGAATTCGCCCTTAATCAAAATAAACTCTGGGGCAA


 


ATAACAATGGAGTTGCCAATCCTCAAAGCAAATGCAATTACCACAATCCTCGCTGCAGTCACATTTTGCT


 


TTGCTTCTAGTCAAAACATCACTGAAGAATTTTATCAATCAACATGCAGTGCAGTTAGCAAAGGCTATCT


 


TAGTGCTCTAAGAACTGGTTGGTATACTAGTGTTATAACTATAGAATTAAGTAATATCAAGGAAAATAAG


 


TGTAATGGAACAGATGCTAAGGTAAAATTGATAAACCAAGAATTAGATAAATATAAAAATGCTGTAACAG


 


AATTGCAGTTGCTCATGCAAAGCACAACAGCAGCAAACAATCGAGCCAGAAGAGAACTACCAAGGTTTAT


 


GAATTATACACTCAACAATACCAAAAAAACCAATGTAACATTAAGCAAGAAAAGGAAAAGAAGATTTCTT


 


GGTTTTTTGTTAGGTGTTGGATCTGCAATCGCCAGTGGCATTGCTGTATCTAAGGTCCTGCACTTAGAAG


 


GAGAAGTGAACAAGATCAAAAGTGCTCTACTATCCACAAACAAGGCCGTAGTCAGCTTATCAAATGGAGT


 


TAGTGTCTTAACCAGCAAAGTGTTAGACCTCAAAAACTATATAGATAAACAATTGTTACCTATTGTGAAT


 


AAGCAAAGCTGCAGAATATCAAATATAGAAACTGTGATAGAGTTCCAACAAAAGAACAACAGACTACTAG


 


AGATTACCAGGGAATTTAGTGTTAATGCAGGTGTAACTACACCTGTAAGCACTTACATGTTAACTAATAG


 


TGAATTATTGTCATTAATCAATGATATGCCTATAACAAATGATCAGAAAAAGTTAATGTCCAACAATGTT


 


CAAATAGTTAGACAGCAAAGTTACTCTATCATGTCCATAATAAAAGAGGAAGTCTTAGCATATGTAGTAC


 


AATTACCACTATATGGTGTGATAGATACACCTTGTTGGAAATTACACACATCCCCTCTATGTACAACCAA


 


CAAGGGCGAATTCGTTTAAACCTGCAGGACTAGTCCCTTTAGTGAGGGTTAATTCTGAGCTTGGCGTAAT


 


CATGGTCATAGCTGTTTCCTGTGTGAAATTGTTATCCGCTCACAATTCCACACAACATACGAGCCGGAAG


 


CATAAAGTGTAAAGCCTGGGGTGCCTAATGAGTGAGCTAACTCACATTAATTGCGTTGCGCTCACTGCCC


 


GCTTTCCAGTCGGGAAACCTGTCGTGCCAGCTGCATTAATGAATCGGCCAACGCGCGGGGAGAGGCGGTT


 


TGCGTATTGGGCGCTCTTCCGCTTCCTCGCTCACTGACTCGCTGCGCTCGGTCGTTCGGCTGCGGCGAGC


 


GGTATCAGCTCACTCAAAGGCGGTAATACGGTTATCCACAGAATCAGGGGATAACGCAGGAAAGAACATG


 


TGAGCAAAAGGCCAGCAAAAGCCCAGGAACCGTAAAAAGGCCGCGTTGCTGGCGTTTTTCCATAGGCTCC


 


GCCCCCCTGACGAGCATCACAAAAATCGACGCTCAAGTCAGAGGTGGCGAAACCCGACAGGACTATAAAG


 


ATACCAGGCGTTTCCCCCTGGAAGCTCCCTCGTGCGCTCTCCTGTTCCGACCCTGCCGCTTACCGGATAC


 


CTGTCCGCCTTTCTCCCTTCGGGAAGCGTGGCGCTTTCTCATAGCTCACGCTGTAGGTATCTCAGTTCGG


 


TGTAGGTCGTTCGCTCCAAGCTGGGCTGTGTGCACGAACCCCCCGTTCAGCCCGACCGCTGCGCCTTATC


 


CGGTAACTATCGTCTTGAGTCCAACCCGGTAAGACACGACTTATCGCCACTGGCAGCAGCCACTGGTAAC


 


AGGATTAGCAGAGCGAGGTATGTAGGCGGTGCTACAGAGTTCTTGAAGTGGTGGCCTAACTACGGCTACA


 


CTAGAAGGACAGTATTTGGTATCTGCGCTCTGCTGAAGCCAGTTACCTTCGGAAAAAGAGTTGGTAGCTC


 


TTGATCCGGCAAACAAACCACCGCTGGTAGCGGTGGTTTTTTTGTTTGCAAGCAGCAGATTACGCGCAGA


 


AAAAAAGGATCTCAAGAAGATCCTTTGATCTTTTCTACGGGGTCTGACGCTCAGTGGAACGAAAACTCAC


 


GTTAAGGGATTTTGGTCATGAGATTATCAAAAAGGATCTTCACCTAGATCCTTTTAAATTAAAAATGAAG


 


TTTTAAATCAATCTAAAGTATATATGAGTAAACTTGGTCTGACAGTTACCAATGCTTAATCAGTGAGGCA


 


CCTATCTCAGCGATCTGTCTATTTCGTTCATCCATAGTTGCCTGACTCCCCGTCGTGTAGATAACTACGA


 


TACGGGAGGGCTTACCATCTGGCCCCAGTGCTGCAATGATACCGCGAGACCCACGCTCACCGGCTCCAGA


 


TTTATCAGCAATAAACCAGCCAGCCGGAAGGGCCGAGCGCAGAAGTGGTCCTGCAACTTTATCCGCCTCC


 


ATCCAGTCTATTAATTGTTGCCGGGAAGCTAGAGTAAGTAGTTCGCCAGTTAATAGTTTGCGCAACGTTG


 


TTGCCATTGCTACAGGCATCGTGGTGTCACGCTCGTCGTTTGGTATGGCTTCATTCAGCTCCGGTTCCCA


 


ACGATCAAGGCGAGTTACATGATCCCCCATGTTGTGCAAAAAAGCGGTTAGCTCCTTCGGTCCTCCGATC


 


GTTGTCAGAAGTAAGTTGGCCGCAGTGTTATCACTCATGGTTATGGCAGCACTGCATAATTCTCTTACTG


 


TCATGCCATCCGTAAGATGCTTTTCTGTGACTGGTGAGTACTCAACCAAGTCATTCTGAGAATAGTGTAT


 


GCGGCGACCGAGTTGCTCTTGCCCGGCGTCAATACGGGATAATACCGCGCCACATAGCAGAACTTTAAAA


 


GTGCTCATCATTGGAAAACGTTCTTCGGGGCGAAAACTCTCAAGGATCTTACCGCTGTTGAGATCCAGTT


 


CGATGTAACCCACTCGTGCACCCAACTGATCTTCAGCATCTTTTACTTTCACCAGCGTTTCTGGGTGAGC


 


AAAAACAGGAAGGCAAAATGCCGCAAAAAAGGGAATAAGGGCGACACGGAAATGTTGAATACTCATACTC


 


TTCCTTTTTCAATATTATTGAAGCATTTATCAGGGTTATTGTCTCATGAGCGGATACATATTTGAATGTA


 


TTTAGAAAAATAAACAAATAGGGGTTCCGCGCACATTTCCCCGAAAAGTGCCACCTGTATGCGGTGTGAA


 


ATACCGCACAGATGCGTAAGGAGAAAATACCGCATCAGGAAATTGTAAGCGTTAATAATTCAGAAGAACT


 


CGTCAAGAAGGCGATAGAAGGCGATGCGCTGCGAATCGGGAGCGGCGATACCGTAAAGCACGAGGAAGCG


 


GTCAGCCCATTCGCCGCCAAGCTCTTCAGCAATATCACGGGTAGCCAACGCTATGTCCTGATAGCGGTCC


 


GCCACACCCAGCCGGCCACAGTCGATGAATCCAGAAAAGCGGCCATTTTCCACCATGATATTCGGCAAGC


 


AGGCATCGCCATGGGTCACGACGAGATCCTCGCCGTCGGGCATGCTCGCCTTGAGCCTGGCGAACAGTTC


 


GGCTGGCGCGAGCCCCTGATGCTCTTCGTCCAGATCATCCTGATCGACAAGACCGGCTTCCATCCGAGTA


 


CGTGCTCGCTCGATGCGATGTTTCGCTTGGTGGTCGAATGGGCAGGTAGCCGGATCAAGCGTATGCAGCC


 


GCCGCATTGCATCAGCCATGATGGATACTTTCTCGGCAGGAGCAAGGTGAGATGACAGGAGATCCTGCCC


 


CGGCACTTCGCCCAATAGCAGCCAGTCCCTTCCCGCTTCAGTGACAACGTCGAGCACAGCTGCGCAAGGA


 


ACGCCCGTCGTGGCCAGCCACGATAGCCGCGCTGCCTCGTCTTGCAGTTCATTCAGGGCACCGGACAGGT


 


CGGTCTTGACAAAAAGAACCGGGCGCCCCTGCGCTGACAGCCGGAACACGGCGGCATCAGAGCAGCCGAT


 


TGTCTGTTGTGCCCAGTCATAGCCGAATAGCCTCTCCACCCAAGCGGCCGGAGAACCTGCGTGCAATCCA


 


TCTTGTTCAATCATGCGAAACGATCCTCATCCTGTCTCTTGATCAGAGCTTGATCCCCTGCGCCATCAGA


 


TCCTTGGCGGCGAGAAAGCCATCCAGTTTACTTTGCAGGGCTTCCCAACCTTACCAGAGGGCGCCCCAGC


 


TGGCAATTCCGGTTCGCTTGCTGTCCATAAAACCGCCCAGTCTAGCTATCGCCATGTAAGCCCACTGCAA


 


GCTACCTGCTTTCTCTTTGCGCTTGCGTTTTCCCTTGTCCAGATAGCCCAGTAGCTGACATTCATCCGGG


 


GTCAGCACCGTTTCTGCGGACTGGCTTTCTACGTGAAAAGGATCTAGGTGAAGATCCTTTTTGATAATCT


 


CATGCCTGACATTTATATTCCCCAGAACATCAGGTTAATGGCGTTTTTGATGTCATTTTCGCGGTGGCTG


 


AGATCAGCCACTTCTTCCCCGATAACGGAGACCGGCACACTGGCCATATCGGTGGTCATCATGCGCCAGC


 


TTTCATCCCCGATATGCACCACCGGGTAAAGTTCACGGGAGACTTTATCTGACAGCAGACG


 


Sequence of pEQC-B: (SeqID No. 18)


(Bold = primer sequence; underlined = probe sequence)


TGCACTGGCCAGGGGGATCACCATCCGTCGCCCCGGCGTGTCAATAATATCACTCTGTACATCCACAAAC


 


AGACGATAACGGCTCTCTCTTTTATAGGTGTAAACCTTAAACTGCCGTACGTATAGGCTGCGCAACTGTT


 


GGGAAGGGCGATCGGTGCGGGCCTCTTCGCTATTACGCCAGCTGGCGAAAGGGGGATGTGCTGCAAGGCG


 


ATTAAGTTGGGTAACGCCAGGGTTTTCCCAGTCACGACGTTGTAAAACGACGGCCAGTGAATTGTAATAC


 


GACTCACTATAGGGCGAATTGAATTTAGCGGCCGCGAATTCGCCCTTATATTTATCAATCATGGCGGGTT


 


TCTAGAATGTATTGGCATTAAGCCTACAAAACACACTCCTATAATATACAAATATGACCTCAACCCGTAA


 


ATTCCAACAAAAAACTAACCCATCCAAACTAAGCTATTCCTTAAATAACAGTGCTCAACAGTTAAGAAGG


 


GGCTAATCCATTTTAGTAATTAAAAATAAAGGTAAAGCCAATAACATAAATTGGGGCAAATACAAAGATG


 


GCTCTTAGCAAAGTCAAGTTAAATGATACATTAAATAAGGATCAGCTGCTGTCATCTAGCAAATACACTA


 


TTCAACGTAGTACAGGAGATAATATTGACACTCCCAATTATGATGTGCAAAAACACTTAAACAAACTATG


 


TGGTATGCTATTAATCACTGAAGATGCAAATCATAAATTCACAGGATTAATAGGTATGTTATATGCTATG


 


TCCAGGTTAGGAAGGGAAGACACTATAAAGATACTTAAAGATGCTGGATATCATGTTAAAGCTAATGGAG


 


TAGATATAACAACATATCGTCAAGATATAAATGGAAAGGAAATGAAATTCGAAGTATTAACATTATCAAG


 


CTTGACATCAGAAATACAAGTCAATATTGAGATAGAATCTAGAAAGTCCTACAAAAAAATGCTAAAAGAG


 


ATGGGAGAAGTGGCTCCAGAATATAGGCATGATTCTCCAGACTGTGGGATGATAATACTGTGTATAGCTG


 


CACTTGTAATAACCAAATTAGCAGCAGGAGATAGATCAGGTCTTACAGCAGTAATTAGGAGGGCAAACAA


 


TGTCTTAAAAAACGAAATAAAACGCTACAAGGGCCTCATACCAAAGGATATAGCTAACAGTTTTTATGAA


 


GTGTTTGAAAAACACCCTCATCTTATAGATGTTTTTGTGCACTTTGGCATTGCACAATCATCCACAAGAG


 


GGGGTAGTAGAGTTGAAGGAATCTTTGCAGGATTATTTATGAATGCCTATGGTTCAGGGCAAGTAATGCT


 


AAGATGGGGAGTTTTAGCCAAATCTGTAAAAAATATCATGCTAGGACATGCTAGTGTCCAGGCAGAAATG


 


GAGCAAGTTGTGGAAGTCTATGAGTATGCACAGAAGTTGGGAGGAGAAGCTGGATTCTACCATATATTGA


 


ACAATCCAAAAGCATCATTGCTGTCATTAACTCAATTTCCTAACTTCTCAAGTGTGGTCCTAGGCAATGC


 


AGCAGGTCTAGGCATAATGGGAGAGTATAGAGGTACACCAAGAAACCAGGATCTTTATGATGCAGCCAAA


 


GCATATGCAGAGCAACTCAAAGAAAATGGAGTAATAAACTACAGTGTATTAGACTTAACAGCAGAAGAAT


 


TGGAGGCCATAAAGCATCAACTCAACCCCAAAGAAGATGATGTAGAAAGGGCGAATTCGTTTAAACCTGC


 


AGGACTAGTCCCTTTAGTGAGGGTTAATTCTGAGCTTGGCGTAATCATGGTCATAGCTGTTTCCTGTGTG


 


AAATTGTTATCCGCTCACAATTCCACACAACATACGAGCCGGAAGCATAAAGTGTAAAGCCTGGGGTGCC


 


TAATGAGTGAGCTAACTCACATTAATTGCGTTGCGCTCACTGCCCGCTTTCCAGTCGGGAAACCTGTCGT


 


GCCAGCTGCATTAATGAATCGGCCAACGCGCGGGGAGAGGCGGTTTGCGTATTGGGCGCTCTTCCGCTTC


 


CTCGCTCACTGACTCGCTGCGCTCGGTCGTTCGGCTGCGGCGAGCGGTATCAGCTCACTCAAAGGCGGTA


 


ATACGGTTATCCACAGAATCAGGGGATAACGCAGGAAAGAACATGTGAGCAAAAGGCCAGCAAAAGCCCA


 


GGAACCGTAAAAAGGCCGCGTTGCTGGCGTTTTTCCATAGGCTCCGCCCCCCTGACGAGCATCACAAAAA


 


TCGACGCTCAAGTCAGAGGTGGCGAAACCCGACAGGACTATAAAGATACCAGGCGTTTCCCCCTGGAAGC


 


TCCCTCGTGCGCTCTCCTGTTCCGACCCTGCCGCTTACCGGATACCTGTCCGCCTTTCTCCCTTCGGGAA


 


GCGTGGCGCTTTCTCATAGCTCACGCTGTAGGTATCTCAGTTCGGTGTAGGTCGTTCGCTCCAAGCTGGG


 


CTGTGTGCACGAACCCCCCGTTCAGCCCGACCGCTGCGCCTTATCCGGTAACTATCGTCTTGAGTCCAAC


 


CCGGTAAGACACGACTTATCGCCACTGGCAGCAGCCACTGGTAACAGGATTAGCAGAGCGAGGTATGTAG


 


GCGGTGCTACAGAGTTCTTGAAGTGGTGGCCTAACTACGGCTACACTAGAAGGACAGTATTTGGTATCTG


 


CGCTCTGCTGAAGCCAGTTACCTTCGGAAAAAGAGTTGGTAGCTCTTGATCCGGCAAACAAACCACCGCT


 


GGTAGCGGTGGTTTTTTTGTTTGCAAGCAGCAGATTACGCGCAGAAAAAAAGGATCTCAAGAAGATCCTT


 


TGATCTTTTCTACGGGGTCTGACGCTCAGTGGAACGAAAACTCACGTTAAGGGATTTTGGTCATGAGATT


 


ATCAAAAAGGATCTTCACCTAGATCCTTTTAAATTAAAAATGAAGTTTTAAATCAATCTAAAGTATATAT


 


GAGTAAACTTGGTCTGACAGTTACCAATGCTTAATCAGTGAGGCACCTATCTCAGCGATCTGTCTATTTC


 


GTTCATCCATAGTTGCCTGACTCCCCGTCGTGTAGATAACTACGATACGGGAGGGCTTACCATCTGGCCC


 


CAGTGCTGCAATGATACCGCGAGACCCACGCTCACCGGCTCCAGATTTATCAGCAATAAACCAGCCAGCC


 


GGAAGGGCCGAGCGCAGAAGTGGTCCTGCAACTTTATCCGCCTCCATCCAGTCTATTAATTGTTGCCGGG


 


AAGCTAGAGTAAGTAGTTCGCCAGTTAATAGTTTGCGCAACGTTGTTGCCATTGCTACAGGCATCGTGGT


 


GTCACGCTCGTCGTTTGGTATGGCTTCATTCAGCTCCGGTTCCCAACGATCAAGGCGAGTTACATGATCC


 


CCCATGTTGTGCAAAAAAGCGGTTAGCTCCTTCGGTCCTCCGATCGTTGTCAGAAGTAAGTTGGCCGCAG


 


TGTTATCACTCATGGTTATGGCAGCACTGCATAATTCTCTTACTGTCATGCCATCCGTAAGATGCTTTTC


 


TGTGACTGGTGAGTACTCAACCAAGTCATTCTGAGAATAGTGTATGCGGCGACCGAGTTGCTCTTGCCCG


 


GCGTCAATACGGGATAATACCGCGCCACATAGCAGAACTTTAAAAGTGCTCATCATTGGAAAACGTTCTT


 


CGGGGCGAAAACTCTCAAGGATCTTACCGCTGTTGAGATCCAGTTCGATGTAACCCACTCGTGCACCCAA


 


CTGATCTTCAGCATCTTTTACTTTCACCAGCGTTTCTGGGTGAGCAAAAACAGGAAGGCAAAATGCCGCA


 


AAAAAGGGAATAAGGGCGACACGGAAATGTTGAATACTCATACTCTTCCTTTTTCAATATTATTGAAGCA


 


TTTATCAGGGTTATTGTCTCATGAGCGGATACATATTTGAATGTATTTAGAAAAATAAACAAATAGGGGT


 


TCCGCGCACATTTCCCCGAAAAGTGCCACCTGTATGCGGTGTGAAATACCGCACAGATGCGTAAGGAGAA


 


AATACCGCATCAGGAAATTGTAAGCGTTAATAATTCAGAAGAACTCGTCAAGAAGGCGATAGAAGGCGAT


 


GCGCTGCGAATCGGGAGCGGCGATACCGTAAAGCACGAGGAAGCGGTCAGCCCATTCGCCGCCAAGCTCT


 


TCAGCAATATCACGGGTAGCCAACGCTATGTCCTGATAGCGGTCCGCCACACCCAGCCGGCCACAGTCGA


 


TGAATCCAGAAAAGCGGCCATTTTCCACCATGATATTCGGCAAGCAGGCATCGCCATGGGTCACGACGAG


 


ATCCTCGCCGTCGGGCATGCTCGCCTTGAGCCTGGCGAACAGTTCGGCTGGCGCGAGCCCCTGATGCTCT


 


TCGTCCAGATCATCCTGATCGACAAGACCGGCTTCCATCCGAGTACGTGCTCGCTCGATGCGATGTTTCG


 


CTTGGTGGTCGAATGGGCAGGTAGCCGGATCAAGCGTATGCAGCCGCCGCATTGCATCAGCCATGATGGA


 


TACTTTCTCGGCAGGAGCAAGGTGAGATGACAGGAGATCCTGCCCCGGCACTTCGCCCAATAGCAGCCAG


 


TCCCTTCCCGCTTCAGTGACAACGTCGAGCACAGCTGCGCAAGGAACGCCCGTCGTGGCCAGCCACGATA


 


GCCGCGCTGCCTCGTCTTGCAGTTCATTCAGGGCACCGGACAGGTCGGTCTTGACAAAAAGAACCGGGCG


 


CCCCTGCGCTGACAGCCGGAACACGGCGGCATCAGAGCAGCCGATTGTCTGTTGTGCCCAGTCATAGCCG


 


AATAGCCTCTCCACCCAAGCGGCCGGAGAACCTGCGTGCAATCCATCTTGTTCAATCATGCGAAACGATC


 


CTCATCCTGTCTCTTGATCAGAGCTTGATCCCCTGCGCCATCAGATCCTTGGCGGCGAGAAAGCCATCCA


 


GTTTACTTTGCAGGGCTTCCCAACCTTACCAGAGGGCGCCCCAGCTGGCAATTCCGGTTCGCTTGCTGTC


 


CATAAAACCGCCCAGTCTAGCTATCGCCATGTAAGCCCACTGCAAGCTACCTGCTTTCTCTTTGCGCTTG


 


CGTTTTCCCTTGTCCAGATAGCCCAGTAGCTGACATTCATCCGGGGTCAGCACCGTTTCTGCGGACTGGC


 


TTTCTACGTGAAAAGGATCTAGGTGAAGATCCTTTTTGATAATCTCATGCCTGACATTTATATTCCCCAG


 


AACATCAGGTTAATGGCGTTTTTGATGTCATTTTCGCGGTGGCTGAGATCAGCCACTTCTTCCCCGATAA


 


CGGAGACCGGCACACTGGCCATATCGGTGGTCATCATGCGCCAGCTTTCATCCCCGATATGCACCACCGG


 


GTAAAGTTCACGGGAGACTTTATCTGACAGCAGACG






A similar procedure as for above described EQC was worked out for the construction of the internal extraction control (IEC) for said RSV q-RT PCR assay.
Construction of the Internal Extraction Control (IEC) for the RSV q-RT PCR Assay
In order to monitor the RNA extraction efficiency of the EasyMAG (BioMérieux, Boxtel, The Netherlands) internal extraction controls (IEC) were constructed
This included design of the following plasmid constructs containing:

    
    
        Primer sequence identical to the RSV-A selected primers with a random ‘in-between’ sequence. A Taqman probe containing the fluorescent dye TET or FAM will detect this sequence. This construct is labeled as internal extraction control RSV-A (pIEC-A)
        Primer sequence identical to the RSV-B selected primers with a random ‘in-between’ sequence. A Taqman probe containing the fluorescent dye NED or FAM will detect this sequence. This construct is labeled as internal extraction control RSV-B (pIEC-B)

Primers and Probes

    
    


The primers ordered to generate the sequence to be cloned in pIEC-A (RSV-A-Fgen-EC-FW and RSV-A-Fgen-EC-RV) and pIEC-B (RSV-B-Ngen-EC-FW and RSV-B-Ngen-EC-RV) are described below and cover roughly one primer sequence and half of the specific probe sequence. A schematic representation of the RSV sequences and the corresponding primers and probes can be found in FIG. 5. The primers overlap partly, which enables them to anneal during a PCR amplification (see below).











Oligonucleotide
Sequence

















RSV-A-Fgen-EC-FW
5′-CTGTGATAGA GTTCCAACAA
SeqID



AAGAACAATG CGTATGGATT
No. 19



GGT-3′



 


RSV-A-Fgen-EC-RV
5′-AGTTACACCT GCATTAACAC
SeqID



TAAATTCCCT AATGACCAAT
No. 20



CCA-3′



 


RSV-B-Ngen-EC-FW
5′-GGCTCCAGAA TATAGGCATG
SeqID



ATTCTCTACC GTACTCTAGC
No. 21



C-3′



 


RSV-B-Ngen-EC-RV
5′-TGGTTATTAC AAGTGCTGCT
SeqID



ATACACAGTA TTAGGCTAGA
No. 22



G-3′









Amplification and Cloning

The complementary primer sequences (pIEC-A (RSV-A-Fgen-EC-FW and RSV-A-Fgen-EC-RV) and pIEC-B (RSV-B-Ngen-EC-FW and RSV-B-Ngen-EC-RV) were submitted to a PCR reaction forming a short piece of double stranded DNA. The PCR mixes and conditions are specified below:
















# Samples



Component
Vol (μl)
8















RSV-A












Rnase free water
39.17
352.53
μl



PCR Buffer (15 mM MgCl2)
5
45
μl



dNTPs
0.4
3.6
μl



RSV-A Fgen-EC-FW
0.5
4.5
μl



RSV-A Fgen-EC-RV
0.5
4.5
μl



Expand TM HF PCR
0.43
3.87
μl



Total volume
46
414
μl







RSV-B












Rnase free water
39.17
352.53
μl



PCT Buffer (15 mM MgCl2)
5
45
μl



dNTPs
0.4
3.6
μl



RSV-B Ngen-EC-FW
0.5
4.5
μl



RSV-B Ngen-EC-RV
0.5
4.5
μl



Expand TM HF PCR
0.43
3.87
μl



Total volume
46
414
μl









The PCR program used was 94° C. for 2 minutes followed by 35 cycles of 94° C. for 15 seconds, 54° C.-62° C. (gradient, performed on cycler 857) for 30 seconds and 68° C. for 30 seconds. A final step was performed at 68° C. for 10 minutes concluded with a final hold at 4° C.
TOPO-TA Cloning
The obtained PCR fragments were cloned using the TOPO TA cloning kit (Invitrogen, Merelbeke, Belgium) following the manufacturer's instructions. Briefly, 4 μl PCR product (without purification) was mixed with 1 μl salt solution and 1 μl vector.
The ligation reaction was transformed into TOP10 chemically competent E. coli cells following the manufacturer's instructions.
After growing the E. coli cultures overnight, 10 colonies per construct (pIEC-A and pIEC-B) were transferred to liquid LB medium, grown overnight and a miniprep (Qiagen, Hilden, Germany) was performed (total volume of 50 μl plasmid DNA (concentration not measured).
Sequencing
A total of 0.75 μl of the generated miniprep DNA was submitted to sequencing. Sequencing was done using the Big Dye Terminator (BDT) Cycle Sequencing Kit v3.1 (Cat n°. 4337457, Applied Biosystems, Calif., USA). The mix composition with a final volume of 5.75 micro liter in each well was as follows:













Component
Volume (μl)








BDT
0.25



Water
1.50



Total volume
5.00



amplicon
0.75





BDT = Big Dye Terminator






The sequencing reactions were performed using the primer set

    “T3” (5′-ATTAACCCTCACTAAAGGGA-3′) (Seg ID No. 15) and
    “T7” (5′-TAATACGACTCACTATAGGG-3′) (SeqID No. 16) which are located on the TOPO-TA vector.


The sequencing PCR was done using the 9800 Fast Thermal Cycler (Applied Biosystems (ABI), Cat. nr. 4356204, Calif., USA). The PCR conditions were 96° C. for 5 seconds, 50° C. for 5 seconds, 60° C. for 1 minute and 15 seconds and this for 25 cycles in total followed by a final hold at 12° C.
In Vitro RNA Transcription
One correct clone of each IEC construct was linearized using the restriction enzyme ApaLI (FIG. 6). Restriction enzyme digestion (ApaLI) proceeded at 37° C. for 3 hours using restriction enzyme buffer 4 and BSA. After restriction, the reactions were purified. To the restriction digest mix, 1/20 volumes of 0.5M EDTA (1 μl), 1/10 volumes of NaOAC (2 μl) and 2 volumes of EtOH (40 μl) were added. The mixture was placed at −20° C. for minimum 15 minutes, and then spun for 15 minutes at maximum speed. The supernatant was discarded and the pellet was dissolved in 50 μl TE buffer. These purified templates were then transcribed using the MEGAshortscriptTM T7 Kit (Ambion, Cat. nr. 1354, Tex., USA. The reaction mixtures were incubated at 37° C. for 4 hours. After incubation at 37° C. the reaction mixtures were put at 4° C. The total length of the transcribed RNA is predicted to be 1100 nucleotides.
DNA Removal
The transcription mixtures were treated with TURBO DNaseTM (2 μl added to transcription mix, Ambion, Cat. Nr. 2238, Tex., USA). The DNase treatment lasted for 1 hour at 37° C. in a final volume of 100 μl. The RNA was purified by means of an RNA extraction on the EasyMAG (BioMérieux) eluting in 100 μl.
Real-time IEC Quantification
The purified transcripts were diluted 1/1000 and submitted to a real-time PCR quantification either in the presence or the absence of the RT enzyme. The compositions of the various mixes are depicted below.
The amplification program used on the ABI9700 HT real-time PCR equipment was 48° C. for 30 minutes, 95° C. for 10 minutes followed by 45 cycles of 95° C. for 15 seconds and 60° C. for 1 minute.










Reaction Vol. (μl) 25










Concentration
Volume for (μl)












Mix item
Unit
Stock
Final
1 sample
X samples















Rnase free water



0.325
7.15


Yeast tRNA
ng/ml
10000
120
0.300
6.60


2x Master Mix w/o UNGr
X
2.00
1.000
12.500
275.00


40X MultiScribe and
X
40.00
0.013
0.625
13.75


Rnase Inhibitor Mix







Probe IEC-B
μM
5.00
0.100
0.500
11.00


primer 1
μM
20.00
0.300
0.375
8.25


primer 2
μM
20.00
0.300
0.375
8.25











Total Volume Mix (μl)

330.00



Volume Mix/Tube (μl)
15.00




Total RNA
10.00









Sample Processing, an Example

In total 5 clinical samples were processed Each clinical sample was diluted in PBS/1% DTT to a final volume of 2.2 ml. This mix was processed on the AFA (Covaris) for 60 seconds prior to the addition of 4 ml lysis buffer (EasyMAG, BioMérieux). From these 6.2 ml per sample, 3 ml was processed on the EasyMAG (BioMérieux) and the RNA was eluted in 110 μl of which 10 μl was processed in the q-RT-PCR in duplicate. The experiment was repeated once starting from extraction with the remaining 3 ml.
Aliquoting and Storage of IEC
A total of 24 negative samples (PBS, 10% DTT, 1 ml final volume) were lysed with 2 ml Lysis buffer (BioMérieux) and incubated for 10 minutes. Three aliquots of IEC-B (110 μl) were defrosted and diluted with buffer 3 (440 μl, BioMérieux). A total of 550 μl magnetic silica beads (BioMérieux) were added to this IEC dilution and all three mixes were pooled to obtain a final volume of 3300 μl IEC/magnetic silica beads mix. This mix was diluted as described for the IEC addition of the EasyQ (BioMérieux), i.e., 125 μl mix was dispensed in 24 wells (using the pre-programmed protocol “2” on the automatic dispensing pipet of BioMérieux) and of this total mix, 100 μl was added to each sample, using the pre-programmed protocol “3” on the automatic dispensing pipet of BioMérieux. The IEC were further extracted on the EasyMAG and eluted in 110 μl. From this mix 10 μl was submitted to a q-RT-PCR amplification.
Results
PCR
The amplicon for the RSV-A internal extraction control construct had a size of 77 base pairs while the amplicon for the RSV-B internal extraction control construct had a size of 74 base pairs. These PCR amplified fragments were ligated in a TOPO-TA vector and transformed into competent E. coli. The transformants were grown overnight on solid LB/ampicillin plates. A total of 10 colonies were transferred to liquid LB/Ampicillin medium and again grown overnight. A miniprep (Qiagen, Hilden, Germany) was prepared from these cultures and the resulting DNA was submitted to sequencing.
Sequencing
As expected, not all PCR fragments were ligated in the same direction in the TOPO-TA vector. The RSV-A internal extraction control PCR fragments in clones 5, 8 and 10 were ligated in the correct orientation. This was also the case for clones 1, 3, 7 and 8 for the RSV-B internal extraction control.
In Vitro Transcription
Clone 5 (pIEC-A) and clone 1 (pIEC-B) were submitted to a restriction digest using ApaLI and purified as described above. The linearized and purified constructs were submitted to an in vitro transcription (using the MEGAshortscriptTM T7 Kit (Ambion)). The residual DNA was removed using the TURBO DNaseTM (Ambion). The transcripts were purified by means of an RNA extraction on the EasyMAG (BioMérieux) as described above.
Real-time PCR Results
The pure transcripts were diluted 1/1000 and submitted to a real-time PCR quantification reaction with and without RT enzyme to determine the residual DNA content of the transcripts. For IEC-A, the signal generated in the presence of reverse transcriptase (RT) emerged at Ct 8 while in the absence of the RT enzyme the signal only emerged at Ct 30-31. For IEC-B this was respectively Ct 8 (+RT) and Ct 30 (−RT). Hence both IECs had a difference of 22 cycles between the signal with and without RT. This corresponds to a difference of more than 6 logs (22/3.3=6.6), indicating 1 residual DNA molecule for 106 RNA molecules. This is acceptable to use as an RNA control. The IEC RNA was diluted 1000 000 times (estimated Ct value 27.4 for IEC-A and 27.6 for IEC-B), aliquoted in 90 μl aliquots and stored at −80° C.
Analysis of Clinical Samples, an Example
In this experiment, five clinical samples were processed Since all assays were run in monoplex, only one IEC was needed.
Standard Curves
In the standard curves for EQC-A the slope was −3.34, with a Y-axis intercept of 42.43 and a linear range of 7 logs.
For EQC-B the slope was −3.34, with a Y-axis intercept of 41.23 and a linear range of 7 logs.
IEC
When looking at the IEC signals it could be observed that all signals emerged above the noise at the same moment, around Ct 28. This experiment was repeated once starting from extraction (Hence an independent addition of IEC-B to the samples during this extraction), resulting in comparable values. All values were combined and plotted. The average of all measurements of the IEC-B was 28.09, with a standard deviation of 0.36.
Sample Analysis
3⁄5samples produced a signal for RSV-A: sputum 17.38 and 17.68, “NPW 4” 21.74 and 22.15 and “NPW 6” 24.61 and 25.60. No signal was detected for NPW 3 and NPW 5 on the RSV-A analysis plate. These samples did produce an RSV-B signal: “NPW 3” 21.63 and 22.15 and “NPW 5” 25.49 and 25.58.
CONCLUSION
Two vectors were constructed and sequenced. They both contained a unique sequence covering either the RSV-A or RSV-B specific primers and a unique sequence in between the two primer sequences that can anneal with a unique fluorescent probe. The purified DNase-treated transcripts were analyzed in the presence or the absence of the RT enzyme in a real-time PCR quantification assay. This indicated that for both IECs a suited RNA control transcript was obtained that contained less than 1 DNA molecule in 1000 000 RNA molecules, covering the 2 log difference specified as an acceptance criteria.
The IEC-B was diluted 1000 000 times and added to clinical samples during their extraction on the EasyMAG. This process was repeated during a second, independent analysis of the samples. This experiment revealed comparable signals emerging around Ct 28.09, with a standard deviation of 0.36, regardless of the RSV RNA present in the sample (subtype A or B).
The IEC-B was aliquoted and stored in 110 μl aliquots in −80° C. The repeated testing of these aliquots revealed a Ct value of 26.32 when the threshold was set at 0.02.
The sequence of pIEC-A (clone 5) and pIEC-B (clone 1) respectively are depicted below:








Sequence of pIEC-A (SeqID No. 23):



(Bold = primer sequence; underlined = probe sequence)


TGCACTGGCCAGGGGGATCACCATCCGTCGCCCCGGCGTGTCAATAATATCACTCTGTACATCCACAAAC


 


AGACGATAACGGCTCTCTCTTTTATAGGTGTAAACCTTAAACTGCCGTACGTATAGGCTGCGCAACTGTT


 


GGGAAGGGCGATCGGTGCGGGCCTCTTCGCTATTACGCCAGCTGGCGAAAGGGGGATGTGCTGCAAGGCG


 


ATTAAGTTGGGTAACGCCAGGGTTTTCCCAGTCACGACGTTGTAAAACGACGGCCAGTGAATTGTAATAC


 


GACTCACTATAGGGCGAATTGAATTTAGCGGCCGCGAATTCGCCCTTCTGTGATAGAGTTCCAACAAAAG


 


AACAATGCGTATGGATTGGTCATTAGGGAATTTAGTGTTAATGCAGGTGTAACTAAGGGCGAATTCGTTT


 


AAACCTGCAGGACTAGTCCCTTTAGTGAGGGTTAATTCTGAGCTTGGCGTAATCATGGTCATAGCTGTTT


 


CCTGTGTGAAATTGTTATCCGCTCACAATTCCACACAACATACGAGCCGGAAGCATAAAGTGTAAAGCCT


 


GGGGTGCCTAATGAGTGAGCTAACTCACATTAATTGCGTTGCGCTCACTGCCCGCTTTCCAGTCGGGAAA


 


CCTGTCGTGCCAGCTGCATTAATGAATCGGCCAACGCGCGGGGAGAGGCGGTTTGCGTATTGGGCGCTCT


 


TCCGCTTCCTCGCTCACTGACTCGCTGCGCTCGGTCGTTCGGCTGCGGCGAGCGGTATCAGCTCACTCAA


 


AGGCGGTAATACGGTTATCCACAGAATCAGGGGATAACGCAGGAAAGAACATGTGAGCAAAAGGCCAGCA


 


AAAGCCCAGGAACCGTAAAAAGGCCGCGTTGCTGGCGTTTTTCCATAGGCTCCGCCCCCCTGACGAGCAT


 


CACAAAAATCGACGCTCAAGTCAGAGGTGGCGAAACCCGACAGGACTATAAAGATACCAGGCGTTTCCCC


 


CTGGAAGCTCCCTCGTGCGCTCTCCTGTTCCGACCCTGCCGCTTACCGGATACCTGTCCGCCTTTCTCCC


 


TTCGGGAAGCGTGGCGCTTTCTCATAGCTCACGCTGTAGGTATCTCAGTTCGGTGTAGGTCGTTCGCTCC


 


AAGCTGGGCTGTGTGCACGAACCCCCCGTTCAGCCCGACCGCTGCGCCTTATCCGGTAACTATCGTCTTG


 


AGTCCAACCCGGTAAGACACGACTTATCGCCACTGGCAGCAGCCACTGGTAACAGGATTAGCAGAGCGAG


 


GTATGTAGGCGGTGCTACAGAGTTCTTGAAGTGGTGGCCTAACTACGGCTACACTAGAAGGACAGTATTT


 


GGTATCTGCGCTCTGCTGAAGCCAGTTACCTTCGGAAAAAGAGTTGGTAGCTCTTGATCCGGCAAACAAA


 


CCACCGCTGGTAGCGGTGGTTTTTTTGTTTGCAAGCAGCAGATTACGCGCAGAAAAAAAGGATCTCAAGA


 


AGATCCTTTGATCTTTTCTACGGGGTCTGACGCTCAGTGGAACGAAAACTCACGTTAAGGGATTTTGGTC


 


ATGAGATTATCAAAAAGGATCTTCACCTAGATCCTTTTAAATTAAAAATGAAGTTTTAAATCAATCTAAA


 


GTATATATGAGTAAACTTGGTCTGACAGTTACCAATGCTTAATCAGTGAGGCACCTATCTCAGCGATCTG


 


TCTATTTCGTTCATCCATAGTTGCCTGACTCCCCGTCGTGTAGATAACTACGATACGGGAGGGCTTACCA


 


TCTGGCCCCAGTGCTGCAATGATACCGCGAGACCCACGCTCACCGGCTCCAGATTTATCAGCAATAAACC


 


AGCCAGCCGGAAGGGCCGAGCGCAGAAGTGGTCCTGCAACTTTATCCGCCTCCATCCAGTCTATTAATTG


 


TTGCCGGGAAGCTAGAGTAAGTAGTTCGCCAGTTAATAGTTTGCGCAACGTTGTTGCCATTGCTACAGGC


 


ATCGTGGTGTCACGCTCGTCGTTTGGTATGGCTTCATTCAGCTCCGGTTCCCAACGATCAAGGCGAGTTA


 


CATGATCCCCCATGTTGTGCAAAAAAGCGGTTAGCTCCTTCGGTCCTCCGATCGTTGTCAGAAGTAAGTT


 


GGCCGCAGTGTTATCACTCATGGTTATGGCAGCACTGCATAATTCTCTTACTGTCATGCCATCCGTAAGA


 


TGCTTTTCTGTGACTGGTGAGTACTCAACCAAGTCATTCTGAGAATAGTGTATGCGGCGACCGAGTTGCT


 


CTTGCCCGGCGTCAATACGGGATAATACCGCGCCACATAGCAGAACTTTAAAAGTGCTCATCATTGGAAA


 


ACGTTCTTCGGGGCGAAAACTCTCAAGGATCTTACCGCTGTTGAGATCCAGTTCGATGTAACCCACTCGT


 


GCACCCAACTGATCTTCAGCATCTTTTACTTTCACCAGCGTTTCTGGGTGAGCAAAAACAGGAAGGCAAA


 


ATGCCGCAAAAAAGGGAATAAGGGCGACACGGAAATGTTGAATACTCATACTCTTCCTTTTTCAATATTA


 


TTGAAGCATTTATCAGGGTTATTGTCTCATGAGCGGATACATATTTGAATGTATTTAGAAAAATAAACAA


 


ATAGGGGTTCCGCGCACATTTCCCCGAAAAGTGCCACCTGTATGCGGTGTGAAATACCGCACAGATGCGT


 


AAGGAGAAAATACCGCATCAGGAAATTGTAAGCGTTAATAATTCAGAAGAACTCGTCAAGAAGGCGATAG


 


AAGGCGATGCGCTGCGAATCGGGAGCGGCGATACCGTAAAGCACGAGGAAGCGGTCAGCCCATTCGCCGC


 


CAAGCTCTTCAGCAATATCACGGGTAGCCAACGCTATGTCCTGATAGCGGTCCGCCACACCCAGCCGGCC


 


ACAGTCGATGAATCCAGAAAAGCGGCCATTTTCCACCATGATATTCGGCAAGCAGGCATCGCCATGGGTC


 


ACGACGAGATCCTCGCCGTCGGGCATGCTCGCCTTGAGCCTGGCGAACAGTTCGGCTGGCGCGAGCCCCT


 


GATGCTCTTCGTCCAGATCATCCTGATCGACAAGACCGGCTTCCATCCGAGTACGTGCTCGCTCGATGCG


 


ATGTTTCGCTTGGTGGTCGAATGGGCAGGTAGCCGGATCAAGCGTATGCAGCCGCCGCATTGCATCAGCC


 


ATGATGGATACTTTCTCGGCAGGAGCAAGGTGAGATGACAGGAGATCCTGCCCCGGCACTTCGCCCAATA


 


GCAGCCAGTCCCTTCCCGCTTCAGTGACAACGTCGAGCACAGCTGCGCAAGGAACGCCCGTCGTGGCCAG


 


CCACGATAGCCGCGCTGCCTCGTCTTGCAGTTCATTCAGGGCACCGGACAGGTCGGTCTTGACAAAAAGA


 


ACCGGGCGCCCCTGCGCTGACAGCCGGAACACGGCGGCATCAGAGCAGCCGATTGTCTGTTGTGCCCAGT


 


CATAGCCGAATAGCCTCTCCACCCAAGCGGCCGGAGAACCTGCGTGCAATCCATCTTGTTCAATCATGCG


 


AAACGATCCTCATCCTGTCTCTTGATCAGAGCTTGATCCCCTGCGCCATCAGATCCTTGGCGGCGAGAAA


 


GCCATCCAGTTTACTTTGCAGGGCTTCCCAACCTTACCAGAGGGCGCCCCAGCTGGCAATTCCGGTTCGC


 


TTGCTGTCCATAAAACCGCCCAGTCTAGCTATCGCCATGTAAGCCCACTGCAAGCTACCTGCTTTCTCTT


 


TGCGCTTGCGTTTTCCCTTGTCCAGATAGCCCAGTAGCTGACATTCATCCGGGGTCAGCACCGTTTCTGC


 


GGACTGGCTTTCTACGTGAAAAGGATCTAGGTGAAGATCCTTTTTGATAATCTCATGCCTGACATTTATA


 


TTCCCCAGAACATCAGGTTAATGGCGTTTTTGATGTCATTTTCGCGGTGGCTGAGATCAGCCACTTCTTC


 


CCCGATAACGGAGACCGGCACACTGGCCATATCGGTGGTCATCATGCGCCAGCTTTCATCCCCGATATGC


 


ACCACCGGGTAAAGTTCACGGGAGACTTTATCTGACAGCAGACG


 


Sequence of pIEC-B (SeqID No. 24):


(Bold = primer sequence; Underlined = probe sequence)


TGCACTGGCCAGGGGGATCACCATCCGTCGCCCCGGCGTGTCAATAATATCACTCTGTACATCCACAAAC


 


AGACGATAACGGCTCTCTCTTTTATAGGTGTAAACCTTAAACTGCCGTACGTATAGGCTGCGCAACTGTT


 


GGGAAGGGCGATCGGTGCGGGCCTCTTCGCTATTACGCCAGCTGGCGAAAGGGGGATGTGCTGCAAGGCG


 


ATTAAGTTGGGTAACGCCAGGGTTTTCCCAGTCACGACGTTGTAAAACGACGGCCAGTGAATTGTAATAC


 


GACTCACTATAGGGCGAATTGAATTTAGCGGCCGCGAATTCGCCCTTGGCTCCAGAATATAGGCATGATT


 


CTCTACCGTACTCTAGCCTAATACTGTGTATAGCAGCACTTGTAATAACCAAAGGGCGAATTCGTTTAAA


 


CCTGCAGGACTAGTCCCTTTAGTGAGGGTTAATTCTGAGCTTGGCGTAATCATGGTCATAGCTGTTTCCT


 


GTGTGAAATTGTTATCCGCTCACAATTCCACACAACATACGAGCCGGAAGCATAAAGTGTAAAGCCTGGG


 


GTGCCTAATGAGTGAGCTAACTCACATTAATTGCGTTGCGCTCACTGCCCGCTTTCCAGTCGGGAAACCT


 


GTCGTGCCAGCTGCATTAATGAATCGGCCAACGCGCGGGGAGAGGCGGTTTGCGTATTGGGCGCTCTTCC


 


GCTTCCTCGCTCACTGACTCGCTGCGCTCGGTCGTTCGGCTGCGGCGAGCGGTATCAGCTCACTCAAAGG


 


CGGTAATACGGTTATCCACAGAATCAGGGGATAACGCAGGAAAGAACATGTGAGCAAAAGGCCAGCAAAA


 


GCCCAGGAACCGTAAAAAGGCCGCGTTGCTGGCGTTTTTCCATAGGCTCCGCCCCCCTGACGAGCATCAC


 


AAAAATCGACGCTCAAGTCAGAGGTGGCGAAACCCGACAGGACTATAAAGATACCAGGCGTTTCCCCCTG


 


GAAGCTCCCTCGTGCGCTCTCCTGTTCCGACCCTGCCGCTTACCGGATACCTGTCCGCCTTTCTCCCTTC


 


GGGAAGCGTGGCGCTTTCTCATAGCTCACGCTGTAGGTATCTCAGTTCGGTGTAGGTCGTTCGCTCCAAG


 


CTGGGCTGTGTGCACGAACCCCCCGTTCAGCCCGACCGCTGCGCCTTATCCGGTAACTATCGTCTTGAGT


 


CCAACCCGGTAAGACACGACTTATCGCCACTGGCAGCAGCCACTGGTAACAGGATTAGCAGAGCGAGGTA


 


TGTAGGCGGTGCTACAGAGTTCTTGAAGTGGTGGCCTAACTACGGCTACACTAGAAGGACAGTATTTGGT


 


ATCTGCGCTCTGCTGAAGCCAGTTACCTTCGGAAAAAGAGTTGGTAGCTCTTGATCCGGCAAACAAACCA


 


CCGCTGGTAGCGGTGGTTTTTTTGTTTGCAAGCAGCAGATTACGCGCAGAAAAAAAGGATCTCAAGAAGA


 


TCCTTTGATCTTTTCTACGGGGTCTGACGCTCAGTGGAACGAAAACTCACGTTAAGGGATTTTGGTCATG


 


AGATTATCAAAAAGGATCTTCACCTAGATCCTTTTAAATTAAAAATGAAGTTTTAAATCAATCTAAAGTA


 


TATATGAGTAAACTTGGTCTGACAGTTACCAATGCTTAATCAGTGAGGCACCTATCTCAGCGATCTGTCT


 


ATTTCGTTCATCCATAGTTGCCTGACTCCCCGTCGTGTAGATAACTACGATACGGGAGGGCTTACCATCT


 


GGCCCCAGTGCTGCAATGATACCGCGAGACCCACGCTCACCGGCTCCAGATTTATCAGCAATAAACCAGC


 


CAGCCGGAAGGGCCGAGCGCAGAAGTGGTCCTGCAACTTTATCCGCCTCCATCCAGTCTATTAATTGTTG


 


CCGGGAAGCTAGAGTAAGTAGTTCGCCAGTTAATAGTTTGCGCAACGTTGTTGCCATTGCTACAGGCATC


 


GTGGTGTCACGCTCGTCGTTTGGTATGGCTTCATTCAGCTCCGGTTCCCAACGATCAAGGCGAGTTACAT


 


GATCCCCCATGTTGTGCAAAAAAGCGGTTAGCTCCTTCGGTCCTCCGATCGTTGTCAGAAGTAAGTTGGC


 


CGCAGTGTTATCACTCATGGTTATGGCAGCACTGCATAATTCTCTTACTGTCATGCCATCCGTAAGATGC


 


TTTTCTGTGACTGGTGAGTACTCAACCAAGTCATTCTGAGAATAGTGTATGCGGCGACCGAGTTGCTCTT


 


GCCCGGCGTCAATACGGGATAATACCGCGCCACATAGCAGAACTTTAAAAGTGCTCATCATTGGAAAACG


 


TTCTTCGGGGCGAAAACTCTCAAGGATCTTACCGCTGTTGAGATCCAGTTCGATGTAACCCACTCGTGCA


 


CCCAACTGATCTTCAGCATCTTTTACTTTCACCAGCGTTTCTGGGTGAGCAAAAACAGGAAGGCAAAATG


 


CCGCAAAAAAGGGAATAAGGGCGACACGGAAATGTTGAATACTCATACTCTTCCTTTTTCAATATTATTG


 


AAGCATTTATCAGGGTTATTGTCTCATGAGCGGATACATATTTGAATGTATTTAGAAAAATAAACAAATA


 


GGGGTTCCGCGCACATTTCCCCGAAAAGTGCCACCTGTATGCGGTGTGAAATACCGCACAGATGCGTAAG


 


GAGAAAATACCGCATCAGGAAATTGTAAGCGTTAATAATTCAGAAGAACTCGTCAAGAAGGCGATAGAAG


 


GCGATGCGCTGCGAATCGGGAGCGGCGATACCGTAAAGCACGAGGAAGCGGTCAGCCCATTCGCCGCCAA


 


GCTCTTCAGCAATATCACGGGTAGCCAACGCTATGTCCTGATAGCGGTCCGCCACACCCAGCCGGCCACA


 


GTCGATGAATCCAGAAAAGCGGCCATTTTCCACCATGATATTCGGCAAGCAGGCATCGCCATGGGTCACG


 


ACGAGATCCTCGCCGTCGGGCATGCTCGCCTTGAGCCTGGCGAACAGTTCGGCTGGCGCGAGCCCCTGAT


 


GCTCTTCGTCCAGATCATCCTGATCGACAAGACCGGCTTCCATCCGAGTACGTGCTCGCTCGATGCGATG


 


TTTCGCTTGGTGGTCGAATGGGCAGGTAGCCGGATCAAGCGTATGCAGCCGCCGCATTGCATCAGCCATG


 


ATGGATACTTTCTCGGCAGGAGCAAGGTGAGATGACAGGAGATCCTGCCCCGGCACTTCGCCCAATAGCA


 


GCCAGTCCCTTCCCGCTTCAGTGACAACGTCGAGCACAGCTGCGCAAGGAACGCCCGTCGTGGCCAGCCA


 


CGATAGCCGCGCTGCCTCGTCTTGCAGTTCATTCAGGGCACCGGACAGGTCGGTCTTGACAAAAAGAACC


 


GGGCGCCCCTGCGCTGACAGCCGGAACACGGCGGCATCAGAGCAGCCGATTGTCTGTTGTGCCCAGTCAT


 


AGCCGAATAGCCTCTCCACCCAAGCGGCCGGAGAACCTGCGTGCAATCCATCTTGTTCAATCATGCGAAA


 


CGATCCTCATCCTGTCTCTTGATCAGAGCTTGATCCCCTGCGCCATCAGATCCTTGGCGGCGAGAAAGCC


 


ATCCAGTTTACTTTGCAGGGCTTCCCAACCTTACCAGAGGGCGCCCCAGCTGGCAATTCCGGTTCGCTTG


 


CTGTCCATAAAACCGCCCAGTCTAGCTATCGCCATGTAAGCCCACTGCAAGCTACCTGCTTTCTCTTTGC


 


GCTTGCGTTTTCCCTTGTCCAGATAGCCCAGTAGCTGACATTCATCCGGGGTCAGCACCGTTTCTGCGGA


 


CTGGCTTTCTACGTGAAAAGGATCTAGGTGAAGATCCTTTTTGATAATCTCATGCCTGACATTTATATTC


 


CCCAGAACATCAGGTTAATGGCGTTTTTGATGTCATTTTCGCGGTGGCTGAGATCAGCCACTTCTTCCCC


 


GATAACGGAGACCGGCACACTGGCCATATCGGTGGTCATCATGCGCCAGCTTTCATCCCCGATATGCACC


 


ACCGGGTAAAGTTCACGGGAGACTTTATCTGACAGCAGACG






(B) Use of MNAzymes for the Quantification of RSV-A and RSV-B Viral Strains and a Control Nucleic Acid Sequences Via Triplex Real Time PCR

A triplex PCR assay, which used three MNAzymes to facilitate real time monitoring, was developed for the simultaneous detection and quantification of (i) RSV-A (F gene sequences), (ii) RSV-B (N gene sequences) and (iii) an internal extraction control (IEC B) sequence. The RSV-A primers and partzymes, which targeted a region of the F gene, were designed to be fully complementary to the RSV-A sequence but to contain several base mismatches in the corresponding region of the RSV-B genome. Similarly, the RSV-B primers and partzymes, which targeted a region in N gene, were designed to be fully complementary to the RSV-B sequence but to contain several base mismatches in the corresponding region of the RSV-A genome.
#.1 Partzyme Oligonucleotides for a Triplex RT-PCR Assay
Multiple targets can be simultaneously detected in one multiplexed reaction that comprises multiple unique MNAzymes. Each MNAzyme has sensor arms specific for one target and substrate arms specific for a unique member of a series of generic reporter substrates, each one of which is labeled with a different fluorophore.
In the following example, two MNAzymes were designed to detect two strains of RSV from clinical samples with a third MNAzyme designed to detect a synthetic control sequence, which was applied to the sample prior to nucleic acid extraction.










TABLE 2





SEQ

Partzyme
Partzyme sequence listed in 5′ to 3′ direction


ID #
Target
Name
(P = phosphate group)







25
RSVA
RSVAA5/2-P
CAGACTACTAGAGATTACCATACAACGAGAGGAAACCTT-P


 


26
RSVA
RSVAB6/2-P
TGCCCAGGGAGGCTAGCGGGAATTTAGTGTTAATGCA-P


 


27
RSVB
RSVBA5/3-P
AGACTGTGGGATGATAATACTACAACGAGGTTGTGCTG-P


 


28
RSVB
RSVBB6/3-P
CGGTTGGTGAGGCTAGCTGTGTATAGCTGCACTTGTA-P


 


29
IEC B
IEC3A5/6-P
ACCTGCAGGACTAGTCCCTTTACAACGAGAGGCGTGAT-P


 


30
IEC B
IEC3B6/6-P
CTGGGAGGAAGGCTAGCTAGTGAGGGTTAATTCTGAG-P









#.2 Reporter Substrates

In this example, three different reporter substrates, each labeled with a different fluorophore, were used. The sequences of the substrates are written 5′ to 3′ below. In the current example, a first substrate SubBi-2 was end-labeled with a 6-FAM moiety at the 5′ end and a BHQ1 moiety at the 3′ end and was designated SubBi-2-FB. The substrate SubBi-2-FB was used to monitor the accumulation of RSVA amplicons. The cleavage of SubBi-2-FB was monitored at 516 nm with excitation at 492 nm. A second substrate SubBi-3 was end-labeled with a 6-JOE moiety at the 5′ end and a BHQ1 moiety at the 3′ end and was designated SubBi-3-JB. The substrate SubBi-3-JB was used to follow the amplification of the region of the RSVB and SubBi-3-JB cleavage was monitored at 555 nm with excitation at 535 nm. The third substrate SubBi-6 was end-labeled with a Quasar 670 moiety at the 5′ end and a BHQ2 moiety at the 3′ end and was designated SubBi-6-Q6B2. The substrate SubBi-6-Q6B2 was used to monitor the amplification of the internal extraction control (IEC B) and cleavage of SubBi-3-Q6B2 was monitored at 665 nm with excitation at 635 nm. The sequences of the three substrates are listed below. The lower case bases represent RNA and the upper case bases represent DNA. The moieties at the 5′ and 3′ ends are indicated.









TABLE 3





SEQ.




ID
Substrate sequence



No.
listed in 5′ to 3′ direction
Name







31
(FAM)AAGGTTTCCTCguCCCTGGGCA(BHQ1)
SubBi-2-FB


 


32
(JOE)CAGCACAACCguCACCAACCG(BHQ1)
SubBi-3-JB


 


33
(Q670)ATCACGCCTCguTCCTCCCAG(BHQ2)
SubBi-6-




Q6B2









#.3. PCR Primers for Amplification of the Target Sequences

The primers 5RSVA/3 and 3RSVA/3 were used for the amplification of RSVA F gene sequence. The primers 5RSVB/3 and 3RSVB/3 were used to amplify the RSVB N gene sequence. The primers 51ECB/1 and 31ECA3/3 were used to amplify the Internal extraction control (IECB) sequence. The sequences of the oligonucleotide PCR primers are listed below.









TABLE 4





SEQ.
Primer sequence listed



ID No.
in 5′ to 3′ direction
Name







34
GTGATAGAGTTCCAACAAAAGA
5RSVA/3


 


35
AAGTGCTTACAGGTGTAGTTA
3RSVA/3


 


36
GCTCCAGAATATAGGCATGAT
5RSVB/3


 


37
GATCTATCTCCTGCTGCTAAT
3RSVB/3


 


38
CTTGTAATAACCAAAGGGCGA
5IECB/1


 


39
GGAAACAGCTATGACCATGATT
3IECA3/3









#.4. Reaction Components: Amplification and Quantification of Target Sequences

Reverse transcription, real time amplification and quantification of the target sequences were performed in a total reaction volume of 25 μL. All reactions were conducted on an Mx3005PTM QPCR System (Stratagene). The cycling parameters were 50° C. for 30 minutes (reverse transcription step), followed by 95° C. for 7 minutes, then 10 cycles of 95° C. for 15 seconds and initially 65° C. for 30 seconds with a 1° C. decrease in temperature per cycle to 55° C., and finally 50 cycles of 95° C. for 15 seconds and 50° C. for 120 seconds. The reactions contained 40 nM of 5RSVA/3, 40 nM of 5RSVB/3, 40 nM of 51ECB/1, 200 nM of 3RSVA/3, 200 nM of 3RSVB/3, 200 nM of 31ECA3/3, 200 nM of each substrate (SubBi-2-FB, SubBi-3-JB and SubBi-6-Q6B2), 8 mM MgCl2, 200 μM of each dNTP, 10 units Rnasin (Promega), 1× Immobuffer (Bioline) 1 unit of 1 mmolase (Bioline) and 40U of M-MLV(—H) (Promega). Each duplicate reaction contained a dilution of both RSVA and RSVB genomic RNA along with an RNA preparation of a T7 Transcription of the IECB sequence, or no template nucleic acid.
Two standard curves were produced, each performed in duplicate. The first standard curve was generated by performing four fold dilutions of both RSVA viral genomic RNA and the T7 transcript of the IECB through a constant concentration of background of RSVB viral genomic RNA. The second standard curve was generated by performing four fold dilutions of both RSVB viral RNA and the T7 transcript of the IECB through a constant concentration of background RSVA genomic RNA.







TABLE 5







RSVA/IECB Standard curves









Threshold (Ct)











RSVA
RSVB
IECB



(FAM)
(JOE)
(Quasar 670)














Standard 1
22.9
19.6
11.6


Standard 2
25.3
19.9
13.8


Standard 3
28.1
20.4
15.9


Standard 4
30.6
20.4
19.0


Standard 5
32.9
20.3
20.8


Standard 6
36.4
20.6
23.4


Water only (no
No Ct
No Ct
No Ct


template control)


Standard Curve
R2 = 0.995
N/A
R2 = 0.997



Slope = −4.102

Slope = −3.954



Efficiency = 75.2%

Efficiency = 79%
















TABLE 6







RSVB/IECB Standard curves









Threshold (Ct)











RSVA
RSVB
IECB



(FAM)
(JOE)
(Quasar 670)














Standard 1
26.7
15.4
11.2


Standard 2
27.1
17.6
13.7


Standard 3
27.3
20.0
16.3


Standard 4
27.4
22.4
18.6


Standard 5
27.4
25.3
21.1


Standard 6
27.3
28.3
22.2


Water only
No Ct
No Ct
No Ct


(no template


control)


Standard Curve
N/A
R2 = 0.996
R2 = 0.989




Slope = −4.276
Slope = −3.771




Efficiency = 71.3%
Efficiency = 84.2%









Each calibration dilution series produced a standard curve that had a high correlation coefficient (≧0.989), and high specificity indicated by the lack of background in no template controls. Further, the fact that the threshold cycle (Ct) for RSVB remained relatively constant (varying by ≦1 Ct value) in reactions, where there was a constant input amount of RSVB but varying amounts of RSVA, indicates the specificity of the primer and substrate systems for the specific viral strains being quantified.
The suitability of the real time MNAzyme assay for the detection and quantification of RSVA and RSVB was further tested by analysing human specimens. RNA extracted from sputum and/or nasopharyngeal washes was analysed and RSVA and/or RSVB was detected in several samples.
Results of the Comparison Between Method A (=q-RT PCR Technology) and Method B (=MNAzyme Technology)







TABLE 7





Analysis of sputum and nasopharyngeal washes using Method A and Method B respectively.




















Data (Cts) Method B
Data (Cts) Method A
Method B Results
Method A Results
















Sample
RSVA
RSVB
IECB
RSVA
RSVB
RSVA
RSVB
RSVA
RSVB





Sputum 36
15.6/17.1
ND × 2r
30/27.3
21.2
ND
+
−
+
−


NPW 10
19.7/20.2
ND × 2r
28.2
25.0
ND
+
−
+
−


NPW 11
34.4/36.0
23.2/24.0
29.1
39.8
22.4
+
+
+
+


NPW 12
37.1/39.3
25.1/26.3
28.3
42.5
24.0
+
+
+
+


NPW 13
ND × 2r
27.2/39
28.8
ND
25.1
−
+
−
+


NPW 14
18.9/19.5
ND × 2r
ND
24.3
ND
+
−
+
−


NPW 15
18.4/18.9
ND × 2r
28.5
23.5
ND
+
−
+
−


NPW 16
ND/41.7
26.1/26.8
27.8
43.6
24.7
+ 1/4
+
+
+


NPW 17
38/37
ND × 2r
28.2
ND
40.7
+
−
−
+


NPW 18
ND × 2r
14.2/15.3
26.4
ND
15.1
−
+
−
+


NPW 19
37.1/ND
21.1/21.7
28.7
ND
20.8
+ 1/4
+
−
+


NPW 20
ND/41.4
19.7/20.0
27.5
ND
19.6
+ 1/4
+
−
+


NPW 21
19.2/20.1
ND × 2r
29.1
23.7
ND
+
−
+
−


NPW 22
41.8/ND
ND × 2r
28.6
ND
30.3
+ 1/4
−
−
+


NPW 23
38.3/36.4
23.5/23.8
28.3
ND
22.7
+ 3/4
+
−
+


NPW 24
40.6/ND
34.5/ND
27.9
ND
30.7
+ 1/4
+ 1/4
−
+


NPW 25
30.7/34.3
ND × 2r
28.5
34.8
42.5
+
−
+
+


NPW 26
18.6/19.3
ND × 2r
28.2
22.9
ND
+
−
+
−


NPW 27
ND × 2r
19.0/20.1
27.7
ND
19.6
−
+
−
+


NPW 30
18.1/19.2
ND × 2r
28.2
23.4
ND
+
−
+
−


NPW 32
ND × 2r
25.1/26.3
29.1
ND
24.3
−
+
−
+


NPW 33
15.2
ND
28.4
20.2
ND
+
−
+
−


NPW 34
21.4
ND
27.8
25.7
ND
+
−
+
−


NPW 36
19.4
ND
27.7
24.3
ND
+
−
+
−


NPW 37
ND
19.5
28.6
ND
20.7
−
+
−
+


NPW 38
17.1
ND
ND
21.8
42.0
+
−
+
+


NPW 39
36.7
21.5
27.3
40.6
21.2
+
+
+
+


Sputum 1
27.2/29.6
15.0/14.2
ND
35.4
15.8
+
+
+
+


Sputum 2
22.8/25.1
15.2/14.0
ND
28.0
15.5
+
+
+
+

















Method B
Method A



Method B
Method A
Results
Results

















Sample
RSVA
RSVB
RSVA

RSVB

RSVA
RSVB
RSVA
RSVB




















Sputum 3
27.5/29.2
ND × 2r
NA
17.4
NA
−
+
−
+
−


NPW 6
25.4/26.5
ND × 2r
38.0
−
22.9
21.6
+
−
+
+


NPW 7
23.8/25.1
ND × 2r
25.9
21.7
−
−
+
−
+
−


NPW 8
23.7/25.6
ND × 2r
NA
−
NA
25.5
+
−
−
+


NPW 9
26.8/28.7
ND × 2r
26.1
24.6
−
−
+
−
+
−





Ct = threshold cycle/positive signal; ND = not detected; + = positive result; − = negative result.






Up to four (4) replicates of each sample were analyzed and when only some were detectable the number of positive per total number of replicates analyzed is indicated (e.g. 1 in 4=1⁄4).
When sufficient material was present each sample was analyzed in duplicate twice (i.e. duplicates in 2 separate runs).
The results in the Table show that there is high concordance between the two methods (A and B) used in terms of Ct value (threshold cycle value).

## Claims

1. A method for identifying, detecting or quantifying the presence of at least one target Respiratory Syncytial Virus (RSV) nucleic acid in a sample, comprising the following steps:
(a) providing two or more oligonucleotide components having the ability to anneal to the target RSV nucleic acid, wherein a first oligonucleotide component and a second oligonucleotide component are capable of forming a catalytically active multi-component nucleic acid enzyme (MNAzyme) once annealed to the target RSV nucleic acid;
(b) contacting said two or more oligonucleotide components with said sample wherein said sample permits the binding of said at least one target RSV nucleic acid to said two or more oligonucleotide components and formation of the MNAzyme;
(c) contacting the MNAzyme with a catalyzable nucleic acid reporter substrate that is separate from the at least one target RSV nucleic acid; and
(d) identifying, detecting or quantifying the presence of the target RSV nucleic acid by detecting catalysis of the nucleic acid reporter substrate.

2. The method according to claim 1, wherein the viral load of RSV in said sample is determined by quantifying the catalytic products produced by the MNAzyme.

3. The method of claim 1, wherein the catalytic activity of the MNAzyme comprises cleavage of a nucleic acid reporter substrate.

4. The method of claim 3, wherein the nucleic acid reporter substrate is labeled.

5. The method of claim 4, wherein detection of the label is enhanced following cleavage of the nucleic acid reporter substrate.

6. The method of claim 4, wherein the label is a fluorophore.