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Novel light-upon-extension real-time PCR assays for detection and quantification of genogroup I and II noroviruses in clinical specimens

Nordgren, Johan, 1980- (author)
Linköpings universitet,Molekylär virologi,Hälsouniversitetet
Bucardo, Filemón (author)
Department of Microbiology, University of León, León, Nicaragua
Dienus, Olaf (author)
Microbiological Laboratory, Ryhov County Hospital, Jönköping, Sweden
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Svensson, Lennart (author)
Linköpings universitet,Molekylär virologi,Hälsouniversitetet
Lindgren, Per-Eric (author)
Linköpings universitet,Medicinsk mikrobiologi,Hälsouniversitetet
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 (creator_code:org_t)
2008
2008
English.
In: Journal of Clinical Microbiology. - 0095-1137 .- 1098-660X. ; 46:1, s. 164-170
  • Journal article (peer-reviewed)
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  • Norovirus is now recognized as the leading cause of nonbacterial acute gastroenteritis in adults, causing numerous outbreaks worldwide. We have developed two novel light-upon-extension (LUX) real-time PCR assays for detection and quantification of norovirus genogroups I and II. The LUX system uses a fluorophore attached to one primer having a self-quenching hairpin structure, making it cost-effective and specific. The assays were evaluated against clinical stool specimens (n = 103) from Sweden and Nicaragua and compared to established methods. The norovirus assay detected more positive stool specimens (47/103) than conventional PCR (39/103) and corresponded to a TaqMan real-time PCR, with the exception of one specimen. Furthermore, the assays correctly identified all (n = 11) coded control specimens in a reference panel containing various genogroups and genotypes. Both LUX real-time PCR assays had a wide dynamic range, detecting from < or = 10(1) to 10(7) genes per reaction, resulting in a theoretical lower limit of < or = approximately 20,000 viruses per gram of stool. No cross-reactivity was noticed with specimens containing other enteric viruses, and by using melting curve analysis we could differentiate between norovirus genogroups I and II.

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