Accepted Manuscript Title: Development, validation and evaluation of added diagnostic value of a q(RT)-PCR for the detection of genotype A strains of small ruminant lentiviruses Author: Nick De Regge Brigitte Cay PII: DOI: Reference:
S0166-0934(13)00388-1 http://dx.doi.org/doi:10.1016/j.jviromet.2013.09.001 VIRMET 12306
To appear in:
Journal of Virological Methods
Received date: Revised date: Accepted date:
22-2-2013 28-8-2013 3-9-2013
Please cite this article as: De Regge, N., Cay, B., Development, validation and evaluation of added diagnostic value of a q(RT)-PCR for the detection of genotype A strains of small ruminant lentiviruses., Journal of Virological Methods (2013), http://dx.doi.org/10.1016/j.jviromet.2013.09.001 This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.
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Development, validation and evaluation of added diagnostic value of a q(RT)-PCR for the
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detection of genotype A strains of small ruminant lentiviruses.
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Nick De Regge, Brigitte Cay
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CODA-CERVA, Groeselenberg 99, 1180 Brussel, Belgium
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Nick De Regge:
[email protected]
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Brigitte Cay:
[email protected]
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Corresponding author:
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Nick De Regge
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Groeselenberg 99
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1180 Brussel
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Belgium
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Phone: 0032 (0)2 379 05 80
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Fax: 0032 (0)2 379 06 70
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Email:
[email protected] 1 Page 1 of 30
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Summary
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Small ruminant lentiviruses (SRLV) infect sheep and goats. Diagnosis of SRLV infection
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mostly relies on serological testing but more recently, also PCR is regarded as a useful
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complementary tool in SRLV diagnosis. The goal of this study was to develop and validate a
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quantitative PCR capable to detect a broad range of SRLV strains from genotype A, including
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strains circulating in Belgium.
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The developed q(RT)-PCR targets a region of the gag gene and showed to be highly sensitive
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and specific with a limit of detection of 6 DNA and 40 RNA copies/reaction respectively.
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SRLV sequences could be detected in lung samples and leukocytes pellets. The q(RT)-PCR
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identified SRLV positive animals in Belgian sheep flocks, but also SRLV isolates and
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samples from Scotland, The Netherlands, Spain, Portugal, UK, Iceland, Finland and USA
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were found positive. Samples known to contain ‘CAEV like’ SRLV from France and Spain
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were not identified as positive. Combined serological and PCR analysis of a limited number
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(n=35) of Belgian sheep underlined the usefulness of the described PCR as a complementary
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diagnostic tool since 3 seronegative animals were found positive by the PCR.
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In conclusion, the validated q(RT)-PCR shows excellent analytical characteristics and is
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capable to detect SRLV strains belonging to genotype A from various countries.
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Keywords: small ruminant lentiviruses; diagnosis; q(RT)-PCR; validation; control program
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1. Introduction
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Small ruminant lentiviruses (SRLV), including Maedi-Visna virus (MVV) and Caprine
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arthritis-encephalitis virus (CAEV), form a viral continuum of strains which can infect sheep
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and goats (Leroux et al., 2010). They cause a chronic inflammatory degenerative disease
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sometimes associated with clinical signs such as neurological disorders, pneumonia, dyspnea,
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arthritis, mastitis and weight lose leading to economic losses, trade limitations and a negative
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impact on animal welfare (reviewed in Blacklaws, 2012; Peterhans et al., 2004). Vertical
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transmission through ingestion of infected colostrum or milk seems the main route of virus
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transmission, but horizontal transmission via respiratory secretions between animals that are
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in close contact has also been described (reviewed in Blacklaws et al., 2004; McNeilly et al.,
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2008; Peterhans et al., 2004).
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SRLV belong to the family of the Retroviridae and are ss(+) RNA viruses with a tropism for
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cells of the monocyte/macrophage lineage and dendritic cells, but also other cell types can
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become infected in tissues (Bolea et al., 2006; Gendelman et al., 1985, 1986; Lerondelle et al.,
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1999; Ryan et al., 2000; Zink et al., 1990). For virus replication, as other lentiviruses, they
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integrate as a provirus in the DNA of the host cell genome. By consequence, infection of bone
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marrow stem cells or precursor cells allows for continuous production of infected cells and a
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persistent life-long infection of the animal (Gendelman et al., 1985; Grossi et al., 2005).
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Partial genetic characterization of SRLV strains from many different countries and subsequent
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phylogenetic analysis classifies SRLV strains for the moment into five different groups, from
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A to E. Group A, B and E are further subdivided in subgroups. Group A consist of MVV like
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genotypes, group B of CAEV like genotypes, while the other three groups harbor genotypes
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from more restricted geographical regions (Bertolotti et al., 2011; Giammarioli et al., 2011;
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Gjerset et al., 2006; Glaria et al., 2009; Grego et al., 2007; Olech et al., 2012; Pisoni et al.,
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2010; Reina et al., 2006; Reina et al., 2010; Shah et al., 2004).
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Since no adequate prophylactic tools are on the market, many countries rely on control
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programs to decrease SRLV prevalence (Peterhans et al., 2004; Reina et al., 2009). Good
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diagnostic tools are of crucial importance for the detection of SRLV infected animals.
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Serological tests as agar gel immunodiffusion (AGID) and ELISA are the most frequently
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used assays to identify anti-SRLV antibodies in positive animals (reviewed by de Andres et
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al., 2005; Hermann-Hoesing, 2010; Ramirez et al., 2013). The long time between infection
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and seroconversion, the existence of non-responders, fluctuating antibody titers throughout
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the animal’s life, and the antigenic differences between circulating strains and test antigens
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used can however interfere with the sensitivity of the serological tests (Cardinaux et al., 2013;
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de Andrés et al., 2013; Peterhans et al., 2004; Ramirez et al., 2013). More recently, also (RT)-
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PCR and quantitative (RT)-PCR assays have been developed that are able to detect the viral
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RNA genome, proviral sequences and viral RNA transcripts (reviewed by Hermann-Hoesling,
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2010). PCR based diagnosis of SRLV infected animals can however be hampered by the low
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proviral load during a latent state of infection and the large genetic variation between strains
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(Peterhans et al., 2004). Studies comparing the sensitivity of PCRs and serological tests have
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shown that PCR can sometimes identify SRLV positive animals that tested negative in
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serology, thereby indicating that both tests should be seen as complementary tests in SRLV
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diagnosis (reviewed by Ramirez et al., 2013).
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Most of the described q(RT)-PCR assays are developed for the detection of a specific SRLV
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strain and mostly no broad evaluation of their capacity to detect strains circulating in different
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geographical regions has been done (Brajon et al., 2012; Carrozza et al., 2010; Gudmundsson
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et al., 2003; Herrmann-Hoesling et al., 2007; Zhang et al., 2000). An exception is the qPCR
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developed by Brinkhof et al. (2008) that is described to detect several SRLV strains. This
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PCR uses the SybrGreen technology, thereby partly circumventing the problem of high
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genetic variation. It requires however a melting curve analysis to confirm specific
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amplification what is not always straightforward seen the probability that variable SRLV
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sequences will denature at different temperatures.
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In Belgium, a voluntary control program for SRLV exists and certification of SRLV negative
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flocks depends on serological results obtained by AGID (Maeditect, VLA scientific) and
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ELISA (Elitest, Hyphen) testing. In this study the development and validation of a sensitive
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q(RT)-PCR assay capable to detect SRLV strains belonging to genotype A is described. This
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test can in the future be implemented in the Belgian control program as a complementary or
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confirmatory test besides serology to help identifying additional ‘Maedi Visna like’ SRLV
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infected animals or to help defining the status of ELISA positive animals that cannot be
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confirmed in AGID. This qPCR could also be of interest to other countries since the
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validation demonstrates that the PCR is capable to detect SRLV strains belonging to genotype
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A originating from different geographical regions.
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2. Material and Methods
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2.1. Ethical statement
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All samples used in this study were collected by veterinarians in accordance with existing
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legislation on animal welfare.
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2.2. Clinical specimens and virus isolates
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Whole blood and organ samples from 79 Belgian sheep belonging to flocks that are certified
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as SRLV negative were collected at the slaughterhouse. Whole blood from 35 sheep
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belonging to 5 Belgian sheep flocks and 16 goats belonging to 4 Belgian goat flocks in which 5 Page 5 of 30
SRLV seropositive animals were present was collected by the farm veterinarian and sent to
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CODA-CERVA. Another SRLV seropositive Belgian sheep (6612) was housed and
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euthanized at the animal facilities of CODA-CERVA and lung samples were collected.
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Other samples of defined SRLV positive status (by serology or PCR) were sent to CODA-
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CERVA including whole blood samples from 31 sheep belonging to 4 Scottish sheep flocks; a
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lung sample from a Finnish sheep (H S2L 2006 Fin); SRLV virus isolates WLC1, P1OLV,
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EV-1, 1514 and 2 Dutch isolates (ZVV-1050, MVV-7); and DNA extracts from organs or
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PBMC originating from The Netherlands (positive control, 5282652786000016, 11 (20890),
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12 (302739)), Portugal (3951, 5834-09), France (623, 663, 683, 684, 685, 760, 761, 762, 763,
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766) and Spain (697, 258, 496).
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2.3. SRLV serology
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The serological status for SRLV of Belgian sheep used in this study was determined by the
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use of the Elitest ELISA (Hyphen, Neuville-sur-Oise, France) and the Maeditect AGID test
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(VLA scientific, London, United Kingdom) following manufacturer’s instructions.
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2.4. Preparation of control DNA and RNA transcripts from strain 1514 background
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A plasmid containing a part of the SRLV strain 1514 gag sequence and the corresponding
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RNA transcripts were produced using standard cloning and in vitro transcription protocols.
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After RNA extraction from a virus stock of strain 1514 and cDNA synthesis, a DNA fragment
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corresponding to 524 base pairs (bp) was produced by classical PCR using the Seq 1 and Seq
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2 primer described in table 1. The fragment was cloned into the pCR 2.1-TOPO cloning
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vector (Life Technologies, Ghent, Belgium) and subsequently transformed into competent
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Escherichia coli TOP10F’ cells and multiplied. Purified plasmids were linearised with BamHI
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and in vitro transcribed (TranscriptAid T7 High Yield Transcription Kit, Thermo Scientific,
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Aalst, Belgium). Remaining plasmid DNA was eliminated by a Turbo DNA free treatment
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(Life Technologies, Ghent, Belgium) and the RNA was purified using the RNeasy Mini kit
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(Qiagen, Hilden, Germany). The produced plasmid and RNA transcripts were quantified
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using a Nanodrop device (Thermofisher Scientific, Aalst, Belgium) and the copy number was
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calculated based on the predicted molecular weight of either the plasmid or RNA transcripts.
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Aliquots of the DNA plasmid and RNA transcripts were stored at -80 °C.
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2.5. Sample preparation, DNA and RNA extraction and reverse transcription
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Whole blood samples were used to prepare leucocyte pellets by adding 1,5 ml blood to 8,5 ml
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hemolysis buffer (16.6 g NH4Cl, 2.0 g NaHCO3, 0.185g diNa EDTA per l H2O; pH 7.4
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(Mignon et al., 1992)). After 15 min of incubation, the samples were centrifuged for 15 min at
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1000g and after elimination of the supernatans, the pellet was resuspended in 100 µl of
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phosphate buffered saline (PBS). Lung samples were homogenized by adding ± 0.5 g of tissue
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to 1 ml PBS and 10 to 15 1mm silicon carbid beads (Biospec Products, Bartlesville, OK,
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USA), followed by high speed shaking (2 min, 25 Hz) in a TissueLyser (Qiagen, Hilden,
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Germany).
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Extraction of DNA and total RNA from leucocyte pellets, lung homogenates and virus
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isolates was respectively done by the QIAamp DNA minikit (Qiagen, Hilden, Germany) and
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the RNeasy Mini kit (Qiagen, Hilden, Germany) following manufacturer’s instructions. DNA
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and RNA were respectively eluted in 100 and 50 µl H2O.
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Total RNA was converted to cDNA using the M-MLV reverse transcriptase system (Life
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Technologies, Ghent, Belgium). For each reaction, a mix of 4 µl 5x first strand buffer, 2 µl
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0.1M DTT, 1 µl 10nM dNTP mix (Roche, Basel, Switzerland), 2 µl 1x hexanucleotide mix
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(Roche, Basel, Switzerland), 1 µl M-MLV RT and 10 µl RNA was prepared and incubated at
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37°C for 45min, followed by inactivation at 95°C for 10min.
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2.6. Real time PCR assay
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All DNA and cDNA samples were analysed for the presence of SRLV by using the FastStart
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TaqMan Probe Master kit (Roche, Basel, Switzerland) following manufacturer’s instructions
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with primers and probe directed against a part of the gag gene of SRLV. To check the DNA or
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RNA extraction, reverse transcription and amplification reaction, each sample was also tested
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for the presence of -actin in a separate reaction (forward primer: 5’-
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cagcacaatgaagatcaagatcatc-3’; reverse primer: 5’-cggactcatcgtactcctgctt-3’; probe: HEX-5’-
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tcgctgtccaccttccagcagatgt-3’-BHQ1 (Toussaint et al., 2007)). Briefly, a master mix consisting
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of 5 µl RNase-free water, 10 µl 2x Faststart Taqman probe master buffer, 1 µl forward primer
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(10µM), 1 µl reverse primer (10µm) and 1 µl probe (4µM) for one reaction was prepared and
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2 µl DNA or cDNA template was added. For amplification, the following temperature profile
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was used: 10 min at 95°C, followed by 45 cycles of 15s at 95°C and 45s at 60°C. All qRT-
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PCRs were done on a LightCycler 480 Real-Time PCR system (Roche, Basel, Switzerland).
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In all q(RT)-PCR analyses performed, negative extraction controls and negative and positive
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amplification controls were included and tests were only validated when all controls were
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satisfactory.
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2.7. Construction of standard curve and parameters used for evaluation of q(RT)-PCR
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performance
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For the construction of the DNA standard curve, the constructed plasmid containing part of
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the 1514 strain gag sequence was 10 fold serially diluted in a DNA extract obtained from an
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SRLV negative lung and all dilutions were assayed in the qPCR with input material ranging
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from 3x107 to 3x10-2 copies/µl. Same was done for RNA whereby the RNA transcripts were
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10 fold serially diluted in an RNA extract obtained from an SRLV negative lung. Input RNA
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transcripts ranging from 4x107 to 4x10-2 RNA copies/µl were reverse transcribed, followed by
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analysis in the qPCR. For both DNA and RNA, three independent replicates were run, mean
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values of each dilution were calculated and a standard curve was constructed by plotting the
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Ct values against the log of the input DNA or RNA copy number. These standard curves were
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used to evaluate the q(RT)-PCR performance based on dynamic range (the range of
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respectively template DNA and RNA copies/µl for which accurate CT values were obtained),
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r2 value (a statistical measure indicating how well the linear regression curve fits the real data
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points; an r² of 1.0 indicates that the regression line perfectly fits the data), efficiency (%)
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(efficiency was calculated using the following formula: Efficiency = -1+10(-1/slope)) and
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sensitivity (limit of detection (LOD) was determined as the lowest concentration for which
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3/3 replicates produced a positive result).
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2.8. Sequencing of a gag gene fragment of SRLV strain 6612 and amplified fragments
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obtained by the developed q(RT)-PCR
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For sequencing of a gag gene fragment of SRLV strain 6612, PCR amplification using
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primers targeting a part of the gag gene of SRLV1514 strain (Seq1 and Seq 2 primers in Table
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1) was performed on cDNA prepared from the lung of the Belgian sheep 6612 using the
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FastStart PCR Master kit from Roche (Basel, Switzerland) following manufacturer’s
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instruction. An initial denaturation for 5 min at 95°C was followed by 40 cycles of 1 min at
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95°C, 1 min at 55°C and 1 min at 72°C, and a final extention at 72°C for 10 min. PCR
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products were visualised on a 1% agarose gel and bands of the correct size were cut from the
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gel and purified using QIAquick Gel Extraction Kit (Qiagen, Hilden, Germany).
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Approximately 5 ng of PCR product was used as template for sequencing using the forward
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and reverse primer mentioned above and 3 additional primers (Seq 3, Seq 4 and Seq 5 primer
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in Table 1) with the BigDye Terminator v3.1 sequencing kit (Life Technologies, Ghent,
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Belgium). Sequencing reactions were purified using the BigDye Xterminator reagent (Life
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Technologies, Ghent, Belgium) and ran on an ABI3130 Genetic Analyser (Life Technologies,
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Ghent, Belgium).
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For sequencing of the fragments obtained by the developed q(RT)-PCR, the realtime reaction
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product was separated on an 0.6% agarose gel and a similar protocol as described above was
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followed using 2 ng of PCR product and the forward and reverse primer of the developed
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q(RT)-PCR (Table 1) as sequencing primers.
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3. Results
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3.1. Partial gag gene sequencing of Belgian SRLV strain 6612, sequence alignment and
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primer/probe selection
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The lung of a Belgian serological SRLV positive sheep 6612 was found positive for the
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presence of SRLV by the classical PCR described by Celer et al. (2000). Using primers
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homologous to the gag gene sequence of SRLV strain 1514, a part of the gag gene from
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SRLV strain 6612 was amplified and sequenced (Genbank accession number: KC560792). A
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similarity search in the NCBI nucleotide database using BLAST showed that considerable
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similarity (between 80 and 90%) existed with the EV-1, 1514, SA-OMVV, 83.7, WLC-1 and
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P1OLV SRLV strain sequences in the database. These strains have been classified before as
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strains belonging to genotype A, based on phylogenetic analysis of ± 1.8 kb sequences of the
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gag-pol region and ± 1.2 kb sequences of the pol region (Shah et al., 2004). Clearly less
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similarity was found after alignment of the 6612 sequence with corresponding sequences of
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SRLV strains of genotype B, C and E.
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Since the high genetic variability in this genomic region did not allow to find conserved
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sequences when all genotypes were taken into account, primer express software was used to
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select primers (Eurogentec, Seraing, Belgium) and a minor groove binding (MGB) probe
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(Life Technologies, Ghent, Belgium) in the conserved regions of genotype A strains (Table
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1). Figure 1 shows the similarity between the selected primers and probe sequences with
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corresponding sequences of SRLV strains of genotype A and the heterogeneity with SRLV
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strains belonging to the other genotypes.
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3.2. Analytical q(RT)-PCR performance
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After production of control DNA and RNA from strain 1514 background, standard curves
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were constructed and used to determine the analytical q(RT)-PCR performance.
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For DNA, the limit of detection of the real time PCR was 3 plasmid copies/µl (corresponding
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to 6 copies/reaction). The typical standard curve amplification plot and linear regression
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analysis (Fig.2a) showed an amplification efficiency of 91% and a dynamic range of detection
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between 3x107 and 3x100 copies/µl. For RNA, the detection limit was 40 copies/µl
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(corresponding to 40 copies/reaction) (Fig. 2b). An amplification efficiency of 92% and a
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linear range of detection between 4x107 and 4x101 copies/µl were obtained.
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3.3. Matrix effect
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Since the q(RT)-PCR on plasmid DNA and RNA transcripts showed promising results
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regarding the limit of detection and PCR efficiency, its capability to detect SRLV in different
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biological samples was evaluated in a next step. Again, this was done for SRLV detection on
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both DNA and RNA level.
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The lung of the Belgian sheep 6612 (Ct=29.3) and a leucocyte pellet prepared from whole
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blood of a Scottish sheep (Ct=29.8) tested positive in the q(RT)-PCR under validation. These
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samples were used to study the impact of sample material on SRLV detection after DNA
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extraction. A homogenate of the positive lung was 10 fold serially diluted in a homogenate of
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an SRLV negative lung. Same was done for the blood by diluting it in whole blood of an
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SRLV negative animal. After sample preparation and DNA extraction, all dilutions were
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tested in the qPCR. This resulted (Fig.3a) in linear assays over several dilutions and the slopes
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(respectively -3.3 and -3.38 for lung and blood), and therefore the PCR efficiency, were
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similar to the slope found for the DNA standard curve (-3.56).
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To study the impact of sample material on SRLV detection upon RNA extraction, the same
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experiment with the lung material of animal 6612 as described above was repeated with the
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difference that now RNA was extracted from the dilution series, followed by reverse
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transcription and PCR analysis. Furthermore, a homogenate of an SRLV negative lung and a
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whole blood sample of an SRLV negative sheep were spiked with SRLV strain WLC-1 (104.8
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TCID50/ml homogenate or whole blood). These spiked samples were then respectively 10
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fold serially diluted in a homogenate of a negative lung or in whole blood from a negative
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sheep, followed by sample preparation, RNA extraction, reverse transcription and qPCR
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analysis. Figure 3b shows that SRLV could be detected in all biological samples and that the
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qPCR was linear over several dilutions. Also here, the slopes of all dilution series (-3.29 for
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lung pos in lung neg; -3.54 for WLC-1 in lung neg; -3.29 for WLC-1 in blood neg) were
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similar to the slope of the RNA standard curve (-3.54).
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These results indicate that the PCR assay is capable to detect SRLV DNA and RNA
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sequences in different biological samples and that the DNA and RNA standard curves (Fig.2)
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can be used for the calculation of the (pro)viral load in the different samples.
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3.4. Specificity
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To test the diagnostic specificity, 79 leucocyte pellets prepared from whole blood samples
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from AGID and ELISA negative sheep from SRLV free certified Belgian farms were tested
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using the developed qPCR after DNA extraction. All samples were found negative, showing a
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100% concordance with the serological results. Also 2 organ samples known to be PCR
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positive for equine infectious anemia virus, a lentivirus of horses, were tested and were both
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negative, giving a preliminary idea of the analytical specificity of the PCR.
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3.5. Diagnostic sensitivity
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The results described above show that the PCR is capable to detect SRLV sequences present
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in the lung of Belgian sheep 6612 and in the blood of a Scottish serological positive sheep. To
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get further insight in the range of SRLV strains that can be detected by the PCR, reference
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laboratories and research institutes of several countries were contacted and asked to provide
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us with SRLV strains or material from SRLV positive animals. Most laboratories responded
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positively to our demand and provided us with virus isolates, organ or blood samples, or DNA
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extracts from organs or blood from defined SRLV positive animals (by serology or PCR).
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Table 2 gives an overview of the received samples and the obtained PCR results.
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All isolates and samples containing SRLV strains known to belong to genotype A tested
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positive in the qPCR. Also several samples containing genetically non-characterized SRLV
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strains were found positive. The specificity of the amplification products of all q(RT)-PCR
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positive samples mentioned in table 2 was confirmed by sequencing. All amplicons showed
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similarity with sequences of the gag region of SRLV strains when a similarity search was
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done with the NCBI database using BLAST (data not shown).
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The samples that remained negative were a sample containing group B SRLV strain 496 from
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Spain (Glaria et al., 2009), 10 samples containing ‘CAEV like’ strains from France (Leroux et
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al., 1995) and samples from 4 serological SRLV positive Belgian goat flocks. The SRLV
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positive status of these samples was confirmed by the use of the classical PCR assay
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described by Leroux et al. (1995), except for samples from 2 out of 4 Belgian goat flocks
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(data not shown).
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3.6. Testing of Belgian field samples
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To get an idea of the concordance between serological tests and the developed qPCR for
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SRLV detection in sheep and the usefulness of implementing the qPCR in the Belgian SRLV
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control program, whole blood samples of 35 animals from 5 different farms in which at least
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one serological positive sheep was detected were analyzed by the qPCR while the
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corresponding serum samples were tested in AGID and ELISA. Cross table 3a shows that
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there is a positive concordance of 87% (13/15) between AGID and qPCR results. Four
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samples were found positive in the qPCR while they were negative in the AGID test. The
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positive concordance between the ELISA and qPCR test was 61% (14/23), while 3 samples
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positive in the qPCR were negative in the ELISA (table 3b). Taken together, 3 out of 35
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samples were positive in the qPCR but negative in both serological tests. On the other hand, 2
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AGID and 9 ELISA positive samples were not confirmed in the qPCR, indicating that not all
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seropositive animals are detected by the qPCR.
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4. Discussion
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A combination of aspects related to the SRLV replication cycle, their genetic variability and
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the slow and sometimes hampered humoral immune response to these viruses makes it not
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always straightforward to correctly identify the SRLV infection status of an animal (de
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Andres et al., 2013; Peterhans et al., 2004; Ramirez et al., 2013). In Belgium, the voluntary
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SRLV control program relies on serological testing using ELISA and AGID. The discrepancy
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that is sometimes observed between both test results raises questions about the true infection
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status of an animal and the related measures to apply since these have important economic
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impact for the farmers. To assist in the determination of the SRLV infection status of
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suspected sheep, a q(RT)-PCR capable to detect SRLV strains from genotype A circulating in
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Belgian herds was developed.
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The validation showed that the developed q(RT)-PCR is capable to detect SRLV in different
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biological samples and that it can be used to detect SRLV sequences on both DNA and RNA
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levels. This latter property can be important since depending on the moment of infection
350
(acute or latent), the sample received, and the context of the analysis (diagnosis, in vivo or in
351
vitro experimental infection), it can be preferable to search for proviral DNA, the viral RNA
352
genome or viral RNA transcripts (since hexanucleotides were used during reverse
353
transcription, no differentiation between both RNA molecules was made in this study).
354
Furthermore, the assay turned out to be sensitive with a limit of detection of 3 copies/µl DNA
355
extract and 40 copies/µl RNA extract. This LOD is similar to sensitivities that were
356
previously reported for other q(RT)-PCR assays for the detection of SRLV (Carroza et al.,
357
2010; Gudmundsson et al., 2003). Since positive results were obtained for blood and organ
358
samples of sheep without clinical symptoms in this study, it seems reasonable to assume that
359
the sensitivity of the test is satisfactory to detect SRLV from genotype A in most infected
360
animals. Follow up of SRLV positive animals over time will have to show if the PCR is able
361
to detect the virus during the latent phase of infection, the moment where the lowest provirus
362
quantities are present.
363
The analysis of the diagnostic sensitivity has shown that the PCR is capable to detect SRLV
364
strains circulating in Belgium, as well as strains from several other countries. The fact that the
365
primer/probe selection was done using conserved regions within the gag gene of SRLV strains
366
belonging to the phylogenetic group A and that all received samples containing genotype A
367
sequences tested positive in the PCR makes it reasonable to assume that this PCR is especially
368
useful to detect SRLV strains belonging to this genotype (‘Maedi-Visna like strains’).
369
Although uncertain, probably also the non-characterized samples from Portugal, Finland and
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15 Page 15 of 30
Scotland that tested positive contain genotype A SRLV strains since mainly strains belonging
371
to this genotype have been isolated in these countries (Barros et al., 2004; Laamanen et al.,
372
2007; Sargan et al., 1991). Further indications that the PCR detects probably SRLV strains
373
belonging to genotype A are found in the fact that all ‘CAEV like’ strains tested were not
374
identified as positive. The observation that seropositive samples from Belgian goats were
375
found positive in the PCR described by Leroux et al. (1995) but tested negative in the newly
376
developed q(RT)-PCR indicates that probably strains belonging to different genotypes
377
circulate in Belgium. The sequences used for primer selection by Leroux et al. (1995) and the
378
widespread distribution of genotype B strains in goats (Ramirez et al., 2013) suggest that the
379
Belgian goats are probably infected by strains of genotype B. It will be a future challenge to
380
identify these strains and to adapt the PCR accordingly so they can also be detected. However,
381
surveillance on both species is highly recommended since SRLV strains are able to cross
382
species barriers between sheep and goats (Leroux et al, 2010).
383
When interpreting results obtained with this q(RT)-PCR, it should be kept in mind that this
384
PCR is directed to a part of the gag region that falls out of the genomic region that is used for
385
the phylogenetic classification (Shah et al., 2004) and that strains positive in this PCR should
386
not automatically be regarded as strains belonging to group A. Further sequencing is required
387
before such phylogenetic classification of the strain can be done.
388
In the limited number of serological SRLV positive Belgian sheep flocks tested till now,
389
always one or more qPCR positive animals were identified, supporting its capability to detect
390
SRLV strains circulating in Belgian sheep. The comparison between serological test results
391
and qPCR results on samples from Belgian sheep showed that a high positive concordance
392
existed between AGID results and the qPCR, but that this was considerably lower between the
393
ELISA and qPCR results. Care should however be taken in the interpretation of these data
394
since they represent only a very limited sample size (n=35) which moreover was not selected
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16 Page 16 of 30
randomly, since it contains samples from SRLV free certified flocks that tested unexpectedly
396
positive in ELISA what could not be confirmed by other tests. More samples from a random
397
sampling need to be tested before making definite statements about the concordance of the
398
qPCR with serological tests. What is however interesting is that 3 out of 35 animals were
399
positive in the qPCR while they were negative in both ELISA and AGID. This indicates that
400
the qPCR can be a useful complementary tool in a control program to identify animals that
401
would not be detected if only serological testing is done. These animals would pose a risk for
402
transmission of the virus to the rest of the herd if they remain in the flock. Since the validation
403
demonstrated that the q(RT)-PCR is capable to detect SRLV strains originating from different
404
geographical regions, it could for the same reason also be of interest to diagnostic and
405
research laboratories in other countries. It should however also be emphasized that several
406
ELISA and AGID positive samples were not confirmed in the qPCR. These could be
407
explained as false positive reactions in serology, but they most likely represent animals in
408
which the viral load was too low or that were infected by a strain that is not recognized by the
409
PCR. This further supports the view that PCR and serology have to be considered as
410
complementary tests in SRLV diagnosis.
412 413
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5. Conclusion
414
The q(RT)-PCR developed in this study targets a region of the gag gene of SRLV. During
415
validation, the PCR showed to have excellent q(RT)-PCR characteristics. It is capable to
416
detect SRLV proviral DNA and RNA in blood and lung and showed to be highly sensitive
417
and specific. Furthermore, several SRLV isolates and positive samples, most probably ‘Maedi
418
Visna like’, from Belgium, Scotland, The Netherlands, Spain, Portugal, UK, Iceland, Finland
419
and USA were identified as positive. This q(RT)-PCR could therefore be used as a useful
17 Page 17 of 30
420
diagnostic tool to detect genotype A strains of SRLV, and it can also be an interesting tool for
421
research purposes.
422
6. Acknowledgements
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We thank Virginie Colasse, Sarah Matuyia, and Thibault De Maesschalck for the excellent
426
technical assistance during the qPCR validation. We thank Guido Bertels for his help in the
427
collection of samples from Belgian sheep. We particularly thank Hans Kramps, Gerard
428
Wellenberg, Beatriz Amorena, Barbara Blacklaws, Brian Hosie, Miguel Fevereiro, Liisa
429
Sihvonen, Valgerdur Andresdottir and Caroline Leroux for their willingness to provide us
430
with SRLV positive samples that were used in this validation.
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7. References
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Barros, S.C., Ramos, F., Duarte, M., Fagulha, T., Cruz, B., Fevereiro, M., 2004. Genomic characterization of a slow/low Maedi Visna virus. Virus Genes 29, 199-210.
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Bertolotti, L., Mazzei, M., Puggioni, G., Carrozza, M.L., Dei Giudici, S., Muz, D., Juganaru, M., Patta, C., Tolari, F., Rosati, S., 2011. Characterization of new small ruminant lentivirus subtype B3 suggests animal trade within the Mediterranean Basin. J. Gen. Virol. 92, 1923– 1929. Blacklaws B.A., 2012. Small ruminant lentiviruses: Immunopathogenesis of visna-maedi and caprine arthritis and encephalitis virus. Comp. Immunol. Microbiol. Infect. Dis. 35, 259-269. Blacklaws, B.A., Berriatua, E., Torsteinsdottir, S., Watt, N.J., de Andres, D., Klein, D., Harkiss, G.D., 2004. Transmission of small ruminant lentiviruses. Vet. Microbiol. 101, 199– 208. Bolea, R., Monleon, E., Carrasco, L., Vargas, A., de Andrés, D., Amorena, B., Badiola, J.J., Lujan, L., 2006. Maedi-visna virus infection of ovine mammary epithelial cells. Vet. Res. 37, 133-44. Brinkhof, J.M., van Maanen, C., Wigger, R., Peterson, K., Houwers, D.J., 2008. Specific detection of small ruminant lentiviral nucleic acid sequences located in the proviral long terminal repeat and leader-gag regions using real-time polymerase chain reaction. J. Virol. Methods 147, 338-344.
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Cardinaux, L., Zahno, M.L., Deubelbeiss, M., Zanoni, R., Vogt, H.R., Bertoni, G., 2013. Virological and phylogenetic characterization of attenuated small ruminant lentivirus isolates eluding efficient serological detection. Vet. Microbiol. 162, 572-581.
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Carrozza, M.L., Mazzei, M., Bandecchi, P., Fraisier, C., Pérez, M., Suzan-Monti, M., de Andrés, D., Amorena, B., Rosati, S., Andrésdottir, V., Lujan, L., Pepin, M., Blacklaws, B., Tolari, F., Harkiss, G.D., 2010. Development and comparison of strain specific gag and pol real-time PCR assays for the detection of Visna/maedi virus. J. Virol. Methods 165, 161-167.
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Celer, V. Jr., Celer, V., Nejekla, E., Bertoni, G., Peterhans, E., Zanoni, R.G., 2000. The detection of proviral DNA by semi-nested polymerase chain reaction and phylogenetic analysis of Czech maedi-visna isolates based on gag gene sequences. J. Vet. Med. B Infect. Dis. Vet. Public Health 47, 203–215.
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de Andres, D., Klein, D., Watt, N.J., Berriatua, E., Torsteinsdottir, S., Blacklaws, B.A., Harkiss, G.D., 2005. Diagnostic tests for small ruminant lentiviruses. Vet. Microbiol. 107, 49–62.
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de Andres, X., Ramirez, H., Bertolotti, L., San Roman, B., Glaria, I., Crespo, H., Jauregui, P., Minguijon, E., Juste, R., Leginagoikoa, I., Perez, M., Lujan, L., Badiola, J.J., Polledo, L., Garcia-Marin, J.F., Riezu, J.I., Borras-Cuesta, F., de Andres, D., Rosati, S., Reina, R., Amorena, B., 2013. An insight into a combination of ELISA strategies to diagnose small ruminant lentivirus infections. Vet. Immunol. Immunopathol. 152, 277-288.
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Giammarioli, M., Bazzucchi, M., Puggioni, G., Brajon, G., Dei Giudici, S., Taccori, F., Feliziani, F., De Mia, G.M., 2011. Phylogenetic analysis of small ruminant lentivirus (SRLV) in Italian flocks reveals the existence of novel genetic subtypes. Virus Genes 43, 380–384. Gjerset, B., Storset, A.K., Rimstad, E., 2006. Genetic diversity of small-ruminant lentiviruses: characterization of Norwegian isolates of caprine arthritis encephalitis virus. J. Gen. Virol., 87, 573–580. Glaria, I., Reina, R., Crespo, H., de Andrés, X., Ramírez, H., Biescas, E., Pérez, M.M., Badiola, J., Luján, L., Amorena, B., de Andrés, D., 2009. Phylogenetic analysis of SRLV sequences from an arthritic sheep outbreak demonstrates the introduction of CAEV-like viruses among Spanish sheep. Vet. Microbiol. 138, 156-162. Glaria, I., Reina, R., Ramírez, H., de Andrés, X., Crespo, H., Jauregui, P., Salazar, E., Lujan, L., Pérez, M.M., Benavides, J., Pérez, V., Polledo, L., Garcia-Marin, J.F., Riezu, J.I., Borras, F., Amorena, B., de Andrés, D., 2012. Visna/Maedi virus genetic characterization and
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Gudmundsson, B., Bjarnadottir, H., Kristjansdottir, S., Jonsson, J.J., 2003. Quantitative assays for maedi-visna virus genetic sequences and mRNA's based on RT-PCR with real-time FRET measurements. Virology, 307, 135–142.
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Herrmann-Hoesing L.M., 2010. Diagnostic assays used to control small ruminant lentiviruses. J. Vet. Diagn. Invest., 22, 843-55.
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Herrmann-Hoesing, L.M., White, S.N., Lewis, G.S., Mousel, M.R., Knowles, D.P., 2007. Development and validation of an ovine progressive pneumonia virus quantitative PCR. Clin. Vaccine Immunol., 14, 1274–1278. Laamanen, I., Jakava-Viljanen, M., Sihvonen, L., 2007. Genetic characterization of maedivisna virus (MVV) detected in Finland. Vet. Microbiol. 122, 357-365.
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Lerondelle, C., Godet, M., Mornex, J.F., 1999. Infection of primary cultures of mammary epithelial cells by small ruminant lentiviruses. Vet. Res. 30, 467-74.
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Leroux, C., Vuillermoz, S., Mornex, J.F., Greenland, T., 1995. Genomic heterogeneity in the pol region of ovine lentiviruses obtained from bronchoalveolar cells of infected sheep from France. J. Gen. Virol. 76, 1533-1537. McNeilly, T.N., Baker, A., Brown, J.K., Collie, D., Maclachlan, G., Rhind, S.M., Harkiss, G.D., 2008. Role of alveolar macrophages in respiratory transmission of visna/maedi virus. J. Virol. 82, 1526–1536. Mignon, B., Waxweiler, S., Thiry, E., Boulanger, D., Dubuisson, J., Pastoret, P.P., 1992. Epidemiological evaluation of a monoclonal ELISA detecting bovine viral diarrhoea pestivirus antigens in field blood samples of persistently infected cattle. J. Virol. Methods, 40, 85-94. Olech, M., Rachid, A., Croisé, B., Kuźmak, J., Valas, S., 2012. Genetic and antigenic characterization of small ruminant lentiviruses circulating in Poland. Virus Res. 163, 528-536. 20 Page 20 of 30
Peterhans, E., Greenland, T., Badiola, J., Harkiss, G., Bertoni, G., Amorena, B., Eliaszewicz, M., Juste, R.A., Krassnig, R., Lafont, J.P., Lenihan, P., Petursson, G., Pritchard, G., Thorley, J., Vitu, C., Mornex, J.F., Pepin, M., 2004. Routes of transmission and consequences of small ruminant lentiviruses (SRLVs) infection and eradication schemes. Vet. Res. 35, 257-274.
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Pisoni, G., Bertoni, G., Manarolla, G., Vogt, H.R., Scaccabarozzi, L., Locatelli, C., Moroni, P., 2010. Genetic analysis of small ruminant lentiviruses following lactogenic transmission. Virology 407, 91–99.
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Reina, R., Berriatua, E., Luján, L., Juste, R., Sánchez, A., de Andrés, D., Amorena, B., 2009. Prevention strategies against small ruminant lentiviruses: an update. Vet. J. 182, 31-37.
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Reina, R., Bertolotti, L., Dei Giudici, S., Puggioni, G., Ponti, N., Profiti, M., Patta, C., Rosati, S., 2010. Small ruminant lentivirus genotype E is widespread in Sarda goat. Vet. Microbiol., 144, 24–31.
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Reina, R., Mora, M.I., Glaria, I., Garcia, I., Solano, C., Lujan, L., Badiola, J.J., Contreras, A., Berriatua, E., Juste, R., Mamoun, R.Z., Rolland, M., Amorena, B., de Andres, D., 2006. Molecular characterization and phylogenetic study of maedi visna and caprine arthritis encephalitis viral sequences in sheep and goats from Spain. Virus Res. 121, 189–198.
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Ryan, S., Tiley, L., McConnel, I., Blacklaws, B., 2000. Infection of dendrictic cells by the maedi-visna lentivirus. J. Virol. 74, 10096-10103.
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Sargan, D.R., Bennet, E.D., Cousens, C., Roby, D.J., Blacklaws, B.A., Dalziel, R.G., Watt, N.J., McConnell, I., 1991. Nucleotide sequence of EV1, a British isolate of maedi-visna virus. J. Gen. Virol. 72, 1893-1903.
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Shah, C., Böni, J., Huder, J.B., Vogt, H.R., Mühlherr, J., Zanoni, R., Miserez, R., Lutz, H., Schüpbach, J., 2004. Phylogenetic analysis and reclassification of caprine and ovine lentiviruses based on 104 new isolates: evidence for regular sheep-to-goat transmission and worldwide propagation through livestock trade. Virology 319, 12–26. Toussaint, J.F., Sailleau, C., Breard, E., Zientara, S., De Clerq, K., 2007. Bluetongue virus detection by two real-time RT-qPCRs targeting two different genomic segments. J. Virol. Methods 140, 115-123. Zhang, Z., Watt, N.J., Hopkins, J., Harkiss, G., Woodall, C.J., 2000. Quantitative analysis of maedi-visna virus DNA load in peripheral blood monocytes and alveolar macrophages. J. Virol. Methods 86, 13–20. Zink, M.C., Yager, J.A., Myers, J.D., 1990. Pathogenesis of caprine arthritis encephalitis virus. Cellular localization of viral transcripts in tissues of infected goats. Am. J. Pathol. 136, 843-854.
603 21 Page 21 of 30
604
Tables
605
Table 1. Overview of developed primers and probe for the q(RT)-PCR detection of SRLV and
607
sequencing of the gag fragment of SRLV strain 6612.
608
Nucleotide sequence (5’-3’)
an
caa gag caa cac tgg taa gg cta ccg cct tcc aac ttc tc tag aga cat ggc gaa gca agg tgc aag gag gca aat tct ct cat taa gca agc cat tgt gg
613 614 615 616 617
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612
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611
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609 610
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tag aga cat ggc gaa gca agg gcc cat aga cag ttc cct tc 6-FAM - tac ccc gag ctc aa - MGBNFQ
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q(RT)-PCR forward reverse MGB-probe 6612 sequencing seq primer 1 seq primer 2 seq primer 3 seq primer 4 seq primer 5
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618 619 620 621 622 22 Page 22 of 30
623
Table 2. Overview of qPCR results for SRLV isolates and defined SRLV positive samples
624
from various countries. genotype
qPCR result
a
pos pos
P1OLV
isolate
A
U.K.
EV-1
isolate
Ab
The Netherlands
ZVV 1050
isolate
n.d.
pos
MVV-7
isolate
n.d.
pos
Iceland
1514
isolate
Ab
pos
USA
WLC-1
isolate
n.d.
pos
Belgium
35 sheep from 5 seropositive sheep flocks
whole blood
n.d.
pos
16 goats from 4 seropositive goat flocks
whole blood
n.d.
neg
sheep 6612
lung
n.d.
pos
DNA extract
n.d.
pos
528265278600016
DNA extract
n.d.
pos
11(20890)
DNA extract
n.d.
pos
12 (302739)
DNA extract
n.d.
pos
3951
DNA extract
n.d.
pos
5834-09
DNA extract
n.d.
pos
H S2L 2006 Fin
lung
n.d.
pos
pos contr
Portugal
Ac ce p
Finland
te
M
The Netherlands
cr
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Portugal
us
Field samples
sample
an
Virus isolates
strain/identification
d
origin
Scotland
31 sheep from 4 seropositive sheep flocks
whole blood
n.d.
pos
Spain
697
DNA extract
Ac
pos
258
DNA extract
n.d.
pos
France
d
496
DNA extract
B
10 SRLV pos sheep
DNA extract
CAEV likee
neg neg
625
n.d.= not determined; Barros et al., 2004; Shah et al., 2004; Glaria et al., 2012; Glaria et al., 2009; Leroux et
626
al., 1995
a
b
c
d
e
627 628 629
23 Page 23 of 30
630
Table 3. Comparison between serological (AGID (A) and ELISA (B)) and qPCR SRLV
631
diagnosis of 35 Belgian sheep from 5 different flocks.
B ELISA
pos neg
15 20 35
qPCR pos neg 14 9 3 9 17 18
23 12 35
cr
pos neg
us
AGID
qPCR pos neg 13 2 4 16 17 18
an
A
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632
633
M
634
638 639 640 641 642 643
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637
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635
644 645 646 647 648 24 Page 24 of 30
649
Figure legends
650
Figure 1. Alignment of the developed primer and probe sequences with corresponding
652
sequences of selected SRLV strains.
653
The sequences of the developed primers and probe were aligned with corresponding regions
654
of the Belgian strain 6612 and SRLV sequences of genotype A (1514 (NC_001452.1), EV1
655
(S51392.1), P1OLV (AF476938.1), WLC1.3 (GQ255434.1), 83.7 (GQ255410.1), SA-OMVV
656
(NC_001511.1)), B (CAEV Co (M33677)), C (1GA-NOR (AF322109)) and E (Roccaverano
657
(EU293537)).
us
cr
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651
an
658
Figure 2. (A) DNA and (B) RNA standard curve for detection of SRLV. A plasmid containing
660
a part of the gag gene sequence of the 1514 SRLV strain and corresponding RNA transcripts
661
were serially diluted in respectively a DNA and RNA extract from a SRLV negative sheep
662
lung. Each dilution was tested by the developed q(RT)-PCR using FastStart TaqMan Probe
663
Master kit (Roche). A standard curve was constructed by plotting the mean CT values of three
664
independent replicates against the log of the DNA and RNA copy number in each dilution.
d
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665
M
659
666
Figure 3. Matrix effect. A lung homogenate and whole blood of an SRLV positive sheep were
667
10 fold serially diluted in respectively a lung homogenate and whole blood of an SRLV
668
negative sheep followed by sample preparation and DNA extraction (A). The SRLV WLC1
669
isolate was spiked and subsequently 10 fold serially diluted in respectively a lung homogenate
670
and blood of an SRLV negative sheep. Also a lung homogenate of an SRLV positive sheep
671
was 10 fold serially diluted in a lung homogenate of an SRLV negative sheep. For all
672
dilutions, RNA extraction and reverse transcription was performed after sample preparation
25 Page 25 of 30
673
(B). All DNA extracts and cDNA samples were tested in the developed q(RT)-PCR using the
674
FastStart TaqMan Probe Master kit (Roche).
675
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676
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677
26 Page 26 of 30
Highlights
678
A q(RT)-PCR detecting genotype A SRLV strains was developed and validated.
679
It has a limit of detection of 6 DNA and 40 RNA copies/reaction.
680
It detects SRLV RNA and proviral DNA in lungs and leukocyte pellets.
681
It detects SRLV strains circulating in Belgium and various other countries.
682
The complementary value of PCR based diagnosis besides serology is evidenced.
cr
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683
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Figure(s)
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Figure 2
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Figure 3
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