Porcine epidemic diarrhea virus: Viral RNA detection and quantification using a validated one-step real time RT-PCR

✅ 全文

猪流行性腹泻病毒:采用经验证的实时一步法RT-PCR进行病毒RNA检测与定量

作者 L. Bigault; Paul Brown; C. Bernard; Y. Blanchard; B. Grasland 期刊 Journal of Virological Methods 发表日期 2020 DOI 10.1016/j.jviromet.2020.113906 类型 原创研究 (Original Research)

📄 中文摘要 Chinese Abstract

中文
自2014年以来,猪流行性腹泻病毒(PEDV)在欧洲重新出现,各种S-INDEL和S-non-INDEL毒株在全球范围内流行,导致仔猪出现显著的发病率和死亡率。在法国,由S-non-INDEL引起的PED是一种须申报的疾病,要求将疑似病例通报给法国农业部,并由国家参考实验室进行基因型确认。迄今为止,尚无官方方法根据相关标准进行验证以用于PEDV病毒RNA的检测与定量。 实时PCR是一种具有高特异性、标准化、省时且重现性好的病毒RNA检测工具。尽管已有多种用于PEDV的RT-PCR方法被报道,但尚无一种完全按照法国NF U47-600标准进行验证,该标准评估了从样品制备到检测和定量的全过程。为了解决这一问题,本研究开发并验证了一种SYBR™ Green一步法RT-qPCR,该方法靶向保守的N开放阅读框(ORF),以实现对S-non-INDEL和S-INDEL毒株的广泛检测,并与传染性胃肠炎病毒(TGEV)进行区分。

📋 英文结构化总结 English Structured Summary

全文整理

EN

Background:

Porcine epidemic diarrhea virus (PEDV) has reemerged in Europe since 2014, with various S-INDEL and S-non-INDEL strains circulating globally and causing significant morbidity and mortality in piglets. In France, PED caused by S-non-INDEL is a notifiable disease, requiring suspicions to be notified to the French Ministry of Agriculture and genotypes confirmation by the national reference laboratory. Until now, no official method has been validated according to a norm for the detection and quantification of PEDV viral RNA.

Real-time PCR is a highly specific, standardized, time-efficient, and reproducible tool for viral RNA detection. Although several RT-PCRs have been described for PEDV, none have been completely validated according to the French NF U47-600 norm, which evaluates the entire process from sample preparation through to detection and quantification. To address this, a SYBR™ Green one-step RT-qPCR was developed and validated, targeting the conserved N open reading frame (ORF) to allow broad range detection of both S-non-INDEL and S-INDEL strains and differentiation from Transmissible Gastro-Enteric virus (TGEV).

Methods:

The method was developed and validated according to the French norm NF U47-600. Primers were designed based on an alignment of 192 PEDV N ORF sequences, refining a previously published forward primer (PEDNF) to create mPEDNF, which was checked against European S-INDEL and S-non-INDEL strains. The method was validated from sample preparation (feces or jejunum) through nucleic acid extraction and RT-qPCR. RNA extraction was performed using the RNeasy® Mini kit with the addition of an External Exogenous Control (Mengovirus) and proteinase K.

The SYBR™ Green one-step RT-qPCR was performed on an Applied Biosystems 7500 Real-Time PCR system using primers mPEDNF and PEDNR at 300 nM. Validation included assessing analytical and diagnostic specificity and sensitivity, limit of detection (LoD), limit of quantification (LQ), linearity, and intra- and inter-assay variability. These parameters were evaluated using in vitro transcribed RNA and fecal and jejunum matrices spiked with virus (infectious reference materials). LoD was determined by Probit calculation, and LQ was defined as the range where the statistical bias was under or equal to 0.25log10.

Results:

The newly designed forward primer mPEDNF had perfect base pairing with 188 of 192 (97.9%) international N ORF sequences and 54 of 56 European strains, a vast improvement over the original PEDNF primer which matched only 3.6% of sequences. The analytical specificity and sensitivity were both 100%; only PEDV strains were positive, and all other tested viruses (including other coronaviruses and swine pathogens) were negative. Primer dimer formation, which interferes with SYBR™ Green quantification, was eliminated by optimizing the primer concentration to 300 nM.

The addition of a proteinase K treatment during RNA extraction maintained the statistical bias within acceptable limits (<0.25log10), ensuring good reproducibility. The diagnostic sensitivity and specificity were both 100% using samples from infected and specific pathogen free (SPF) pigs. The LoD was determined to be 50 genome copies/5 μl for RNA transcripts and spiked feces, and 100 genome copies/5 μl for spiked jejunum. The Lower LQ (LLQ) was 100 genome copies/5 μl and the Upper LQ (ULQ) was 10^8 copies/5 μl.

Data Summary:

PCR efficiency was 91.04% ± 1.31 for RNA transcripts, 93.51% ± 3.97 for spiked jejunum, and 99.36% ± 5.12 for spiked feces. All coefficients of variation (CV) for repeatability and reproducibility were below the 0.1 limit defined by the norm, with intra-assay CVs ranging from 0.0004 to 0.035 and inter-assay CVs ranging from 0.007 to 0.064 across all matrices. The LoD corresponded to 10^0.01 TCID50/ml for both spiked feces and jejunum. For the limit of quantification, the statistical bias (mean of uncertainty) was 0.14 for RNA transcripts, 0.22 for jejunum, and 0.21 for feces, all falling within the acceptable norm limit of ≤ 0.25log10.

Conclusions:

This study describes the first PEDV detection and quantification method fully validated according to a norm (French NF U47-600), evaluating the complete process from sample preparation to RT-qPCR. The validated SYBR™ Green one-step RT-qPCR demonstrates high specificity, sensitivity, and reproducibility for a broad range of PEDV strains, including both S-INDEL and S-non-INDEL genotypes. This method may serve as a global reference method to harmonize the detection and quantification of PEDV viral RNA.

Practical Significance:

This fully validated method provides a reliable, rapid, and standardized diagnostic tool for the detection and quantification of PEDV in both field and experimental settings, which is crucial for territory monitoring and notifiable disease management in the swine industry. By harmonizing PEDV RNA detection across laboratories, it can improve the accuracy of diagnosing PEDV infections, tracking viral shedding, and evaluating the efficacy of control measures against diverse circulating strains.

📋 中文结构化总结 Chinese Structured Summary

中文

背景:

自2014年以来,猪流行性腹泻病毒(PEDV)在欧洲重新出现,各种S-INDEL和S-non-INDEL毒株在全球范围内流行,导致仔猪出现显著的发病率和死亡率。在法国,由S-non-INDEL引起的PED是一种须申报的疾病,要求将疑似病例通报给法国农业部,并由国家参考实验室进行基因型确认。迄今为止,尚无官方方法根据相关标准进行验证以用于PEDV病毒RNA的检测与定量。

实时PCR是一种具有高特异性、标准化、省时且重现性好的病毒RNA检测工具。尽管已有多种用于PEDV的RT-PCR方法被报道,但尚无一种完全按照法国NF U47-600标准进行验证,该标准评估了从样品制备到检测和定量的全过程。为了解决这一问题,本研究开发并验证了一种SYBR™ Green一步法RT-qPCR,该方法靶向保守的N开放阅读框(ORF),以实现对S-non-INDEL和S-INDEL毒株的广泛检测,并与传染性胃肠炎病毒(TGEV)进行区分。

方法:

该方法的开发和验证均按照法国NF U47-600标准进行。基于192条PEDV N ORF序列的比对结果设计引物,对先前发表的正向引物(PEDNF)进行改进以创建mPEDNF,并针对欧洲S-INDEL和S-non-INDEL毒株进行了比对验证。该方法从样品制备(粪便或空肠)到核酸提取及RT-qPCR的全过程进行了验证。RNA提取使用RNeasy® Mini试剂盒进行,并添加了外源外部对照(曼哥病毒)和蛋白酶K。

SYBR™ Green一步法RT-qPCR在Applied Biosystems 7500实时PCR系统上进行,使用浓度为300 nM的引物mPEDNF和PEDNR。验证内容包括评估分析和诊断特异性及灵敏度、检测限(LoD)、定量限(LQ)、线性,以及批内和批间变异度。这些参数使用体外转录RNA以及加标病毒(有感染性的参考物质)的粪便和空肠基质进行评估。LoD通过Probit计算确定,LQ则定义为统计偏差小于或等于0.25log10的范围。

结果:

新设计的正向引物mPEDNF与192条国际N ORF序列中的188条(97.9%)以及56株欧洲毒株中的54株实现了完美碱基配对,这相较于仅匹配3.6%序列的原始PEDNF引物有了巨大改进。分析特异性和灵敏度均为100%;仅PEDV毒株呈阳性,所有其他测试病毒(包括其他冠状病毒和猪病原体)均呈阴性。通过将引物浓度优化至300 nM,消除了会干扰SYBR™ Green定量的引物二聚体的形成。

在RNA提取过程中加入蛋白酶K处理,使统计偏差保持在可接受范围内(<0.25log10),确保了良好的重现性。使用感染猪和特定病原体-free(SPF)猪的样本,诊断灵敏度和特异性均为100%。RNA转录本和加标粪便的LoD确定为50个基因组拷贝/5 μl,加标空肠的LoD确定为100个基因组拷贝/5 μl。定量下限(LLQ)为100个基因组拷贝/5 μl,定量上限(ULQ)为10^8个拷贝/5 μl。

数据总结:

RNA转录本的PCR效率为91.04% ± 1.31,加标空肠为93.51% ± 3.97,加标粪便为99.36% ± 5.12。重复性和重现性的所有变异系数(CV)均低于标准定义的0.1限值,在所有基质中,批内CV范围从0.0004至0.035,批间CV范围从0.007至0.064。加标粪便和空肠的LoD均对应于10^0.01 TCID50/ml。对于定量限,RNA转录本的统计偏差(不确定度均值)为0.14,空肠为0.22,粪便为0.21,均落在可接受的标准限值≤ 0.25log10范围内。

结论:

本研究描述了首个根据标准(法国NF U47-600)完全验证的PEDV检测与定量方法,评估了从样品制备到RT-qPCR的完整过程。该验证过的SYBR™ Green一步法RT-qPCR对广泛的PEDV毒株(包括S-INDEL和S-non-INDEL基因型)表现出高特异性、灵敏度和重现性。该方法可作为全球参考方法,用于统一PEDV病毒RNA的检测与定量。

实际意义:

这种完全验证的方法为在现场和实验环境中检测与定量PEDV提供了一种可靠、快速且标准化的诊断工具,这对于养猪业的区域监测和须申报疾病的管理至关重要。通过统一各实验室的PEDV RNA检测,它可以提高诊断PEDV感染、追踪病毒排毒以及评估针对各种流行毒株的控制措施效果的准确性。

📖 英文全文 English Full Text

EN

3815 pheelsevier Journal of Virological Methods J Virol Methods PMC7261358 7261358 7261358 32485176 10.1016/j.jviromet.2020.113906 Porcine epidemic diarrhea virus: Viral RNA detection and quantification using a validated one-step real time RT-PCR Bigault Lionel 1 * Brown Paul 1 Bernard Cécilia 1 Blanchard Yannick 1 Grasland Béatrice 1 1 Anses, Laboratory of Ploufragan-Plouzané-Niort, BP53, 22440, Ploufragan, France ⁎ Corresponding author. lionel.bigault@anses.fr 31 5 2020 283 113906 113906 1 6 2020 © 2020 Elsevier B.V. All rights reserved. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active. Highlights • Development and complete validation of a one-step RT-qPCR method for the detection and quantification of PEDV. • Broad range detection of S-INDEL and S-non-INDEL strains. • Optimization of Primer concentrations reduce primer dimer formation. • Addition of a proteinase K treatment allow good reproducibility. Keywords: Porcine epidemic diarrhea virus, RT-qPCR, NF U47-600, Validation Abstract Since 2014, porcine epidemic diarrhea virus (PEDV) has reemerged in Europe. RT-PCR methods have been described for the detection of PEDV, but none have been validated according to a norm. In this study we described the development and validation of a SYBR™ Green one-step RT-qPCR according to the French norm NF U47-600, for the detection and quantification of PEDV viral RNA. The method was validated from sample preparation (feces or jejunum) through to nucleic acid extraction and RT-qPCR detection. Specificity and sensitivity, limit of detection (LoD), limit of quantification (LQ), linearity, intra and inter assay variability were evaluated using transcribed RNA and fecal and jejunum matrices spiked with virus. The analytical and diagnostic specificities and sensitivities of this RT-qPCR were 100% in this study. A LoD of 50 genome copies/5 μl of extract from fecal matrices spiked with virus or RNA transcript and 100 genome copies/5 μl of extract from jejunum matrices spiked with virus were obtained. The Lower LQ (LLQ) was 100 genome copies/5 μl and the Upper LQ (ULQ) 10 8 copies/5 μl. This method is the first, validated according a norm for PEDV and may serve as a global reference method to harmonize detection and quantification of PEDV viral RNA in both field and experimental settings. status released display-pdf yes is-in-collection-domain yes is-olf no is-manuscript no is-preprint no is-journal-matter no is-scanned no is-retracted no Received 2020 Feb 14; Revised 2020 May 28; Accepted 2020 May 28; Issue date 2020 Sep. 1. Introduction Porcine Epidemic Diarrhea (PED) was first described in Europe in 1971. It is characterized by watery diarrhea, vomiting, dehydration, and is most notable in young piglets. The etiologic agent, porcine epidemic diarrhea virus (PEDV) which was first identified by electron microscopy (EM) in 1977 ( Chasey and Cartwright, 1978 ; Debouck and Pensaert, 1980 ) is now characterized as an enveloped virus with a single stranded positive sense RNA genome, member of the order Nidovirales , suborder Cornidovirinae, family Coronaviridae , subfamily Orthocoronavirinae , genus Alphacoronavirus, subgenus Pedacovirus ( Walker et al., 2019 ). In the 1980’s, PEDV was detected for the first time in Asia whilst in Europe it was endemic. During the 90’s only few sporadic cases were reported in Europe and most of these were reported in Italy were it remains endemic ( Martelli et al., 2008 ). During the last two decades new PEDV strains have appeared in China and some of these strains have caused extremely severe outbreaks characterized by a morbidity of 100% and a mortality of 80–100% on suckling piglets ( Sun et al., 2012 ). This has led to the naming of PEDV as either S-non-INDEL or S-INDEL genotypes. In general the more virulent viruses belong to the S-non-INDEL group. In the last decade both S-non-INDEL and S-INDEL viruses have emerged in the USA with serious consequences for the industry. Throughout Europe, the predominant types are now closely related to the viruses circulating in Asia and North and Central America ( Boniotti et al., 2016 ). Furthermore, all viruses reported in Europe since 2014 belong to the S-INDEL group ( Grasland et al., 2015 ; Stadler et al., 2015 ; Steinrigl et al., 2015 ; Theuns et al., 2015 ) except for one in the Ukraine ( Dastjerdi et al., 2015 ). This data highlights the importance of PEDV diversity across several continents. In France, since 2014, PED caused by S-non-INDEL is a notifiable disease. For territory monitoring purpose, all PEDV suspicions have to be notified to French Ministry of Agriculture and the PEDV genotype has to be confirmed by the national reference laboratory at the French agency for food, environmental and occupational health safety (Anses). Until today, no official method has been validated for the detection and quantification of the PEDV viral RNA. Since the 2000s, real-time PCR emerged as a tool of choice for the detection and quantification of viral RNA and has multiple benefits: i) these tests are highly specific ii) are easily standardized compared to “classical” virology procedures, iii) are much less time consuming, and iv) are highly reproducible. Several RT-PCRs have been described for the detection of PEDV RNA ( Kim et al., 2007 ; Miller et al., 2016 ). For a rapid, accurate and reliable diagnosis of PED in the veterinary laboratory, a method for the detection of PEDV viral RNA has been developed and more importantly validated according to the “Association Francaise de NORmalisation” (AFNOR) French NF U47-600 norm entitled “requirement and recommendation for the implementation, development and validation of PCR in animal health”( AFNOR, 2015a , b ). This validated SYBR™ Green one-step RT-qPCR was based on a previously published TaqMan® probe real time RT-qPCR ( Kim et al., 2007 ) and targeted the same zones of sequence in the conserved N open reading frame (ORF) as this had previously allowed for broad range detection and the capability to differentiate between the closely related virus Transmissible Gastro-Enteric virus (TGEV). The method developed in the current study under NF U47-600, unlike other molecular tests developed for PEDV, evaluates the whole process from sample preparation through to the detection and quantification by RT-qPCR. This method should help harmonize detection and quantification of viral RNA from PEDV belonging to both S-non-INDEL and S-INDEL strains in both field and experimental settings. 2. Materials and methods All commercial methods were performed according to the manufacturers’ recommendations unless otherwise stated. 2.1. Primer design An alignment of 192 PEDV N ORF sequences that were available on the data base at the time of the study (2014) was made using MAFFT ( Katoh and Standley, 2013 ) and the probabilities of the nucleotides at the priming zones defined by Kim et al. (2007) (PEDNF : 5’-CGCAAAGACTGAACCCACTAATTT-3’, and PEDNR : 5’-TTGCCTCTGTTGTTACTT-GGAGAT-3’) were calculated using R ( Wagih, 2017 ) ( Fig. 1

). Based on these probabilities forward primer mPEDNF (5’-CGCAAAGACTGAACCCACTAA-3’) and reverse primer PEDNR were chosen ( Fig. 1 ). These primers were subsequently checked against N ORFs of the S-INDEL and S-non-INDEL PEDV strains circulating in Europe ( Dastjerdi et al., 2015 ; Grasland et al., 2015 ; Hanke et al., 2017 ; Martelli et al., 2008 ; Stadler et al., 2015 ; Steinrigl et al., 2015 ; Theuns et al., 2015 ). Fig. 1 Alignment of primer hybridization sequences within 192 N ORFs available in May 2014 (A and B). Alignment of primer hybridization sequences within 56 N ORFs of the S-INDEL and S-non-INDEL PEDV strains circulating in Europe (C and D). Nucleotide probabilities at each position are shown as coloured text above the alignments. Red text in the alignment sequences represent a mismatch. Sequences of primers are shown above the alignment (PEDNF, mPEDNF or PEDNR). PEDNR is shown as reverse complement. Each line represents a hybridization sequence, the number of strains presenting this sequence is indicated to the left of the sequence (For interpretation of the references to colour in this figure legend, the reader is referred to the web version of this article.). Fig. 1 2.2. Viruses Original CV777, the PEDV reference strain isolated in 1977, was collected from perfused jejunum performed in 1981 and kept at −80 °C. This stock was named wt CV777. wt CV777 was propagated in cell culture as previously described ( Hofmann and Wyler, 1988 ) and was named cc CV777. A stock of cc CV777 was produced as follows: 20 × 175 mm 2 confluent monolayer of Vero cells (ATCC® CCL-81) were infected each with 500 μl of 6.8 × 10 4 TCID 50 of cc CV777 in infection media; EMEM (ThermoFisher Scientific, France) supplemented with 0.3% tryptone phosphate broth, 0.02% yeast extract, 1% Penicillin/Streptomycin and 10 μg/ml trypsin. After 24 h of infection, cells were subjected to three freeze thaw cycles and the culture medium was clarified by centrifugation at 10,000 g for 10 min. A total volume of 1 l of supernatant was then centrifuged for four hours at 20,000 g to pellet the virus. The pellet was then re-suspended in 100 ml of PBS. The infectious viral titer of cc CV777 was determined by immune-peroxidase monolayer assay according Kärber’s method ( Kärber, 1931 ). The virus stock solution was titrated by immuno-peroxidase monolayer assay to 1.2 × 10 7 TCID 50 /ml. Four other PEDV strains were used: three French field strains (PEDV/FR/001/2014 Genbank accession number (GB acc) KR011756 , PEDV/FR/001/2017 and PEDV/FR/001/2019 GB acc MN056942 ), and one American strain (PEDV/USA/2014/IOWA GB acc MF373643 , kindly provided by Dr P.GAUGER from IOWA State University). Nine other ‘non-PEDV’ RNA viruses were also used: one pig alpha-coronavirus (Porcine Respiratory Coronavirus, PRCV), and two gamma-coronaviruses (infectious bronchitis virus (IBV) GB acc FJ904713 ), turkey coronavirus (TCoV) GB acc KR822424 ) as well as other pig viruses: a pig artevirus (Porcine Reproductive and Respiratory Syndrome Virus (PRRSV), GB acc KY366411 ), a pestivirus (classical swine fever virus (CSFV)), three pig ortomyxoviruses (swine influenza viruses H1NI, H1N2, H3N2), and two Swine DNA virus, one circovirus (porcine circovirus type 2 (PCV2) GB acc AF201311 ), and an asfavirus (African swine fever virus (ASFV) BankIt1774827 ANSES-MADA68322). 2.3. Matrices Jejunum and fecal samples were collected from both specific pathogen free (SPF) pigs confirmed negative for coronavirus RNA by deep sequencing and from PEDV infected pigs positive for PEDV RNA. The PEDV positive samples had been collected during previous experimental studies ( Gallien et al., 2018a , b ; Gallien et al., 2019 ). SPF samples were used as negative controls or were spiked with PEDV produced in vitro as described in section 2.2 . Spiked SPF samples were used for the validation of the method and are later referred to as ‘infectious reference materials’. For each jejunum sample, 200 mg were homogenized in 1 ml of Phosphate Buffered Saline (PBS) (Merck, France) with 4 mm stainless steel beads in a TissueLyserII (Qiagen, France). Samples were then clarified by centrifugation at 10,000 g for 10 min. For each fecal sample, 1 ml was diluted in 9 ml of PBS and vortexed for 5 min before clarification by centrifugation as describe above. 2.4. Method description 2.4.1. Production of standards To determine the limit of quantification (LQ) of the PCR and produce standard for quantification, a RNA transcript was produced by in vitro transcription of the PEDV wt CV777 N ORF sequence. wt CV777 RNA was extracted using Trizol (ThermoFisher Scientific, France). Viral RNA extract was subjected to reverse transcription using hexanucleotide primers and superscript III reverse transcriptase (ThermoFisher Scientific, France). Reverse transcription was performed at 55°C for 1 h followed by enzyme inactivation at 70°C for 15 min. To amplify the N ORF, 5μl of RT were subjected to PCR amplification in 50μl reaction containing 400nM of primers oGVB160−f (GTCGGATCCACTTTATGGCTTCT) and oGVB160−r (GTCCTCGAGATT GTTTAATTTCCT), 2.5 units of Platinum Taq HiFi (Invitrogen, France), 5 μl of 10x High Fidelity PCR Buffer, and MgSO 4 at a final concentration of 2 mM. The PCR was performed as follows: 95 °C for 2 min for initial denaturation, 5 cycles of 95 °C for 15 s, 30 s at 55 °C decreasing by 2.5 °C per cycle and then 68 °C for 2 min, follow by 40 cycles of 95 °C for 15 s, 60 °C for 30 s and 68 °C for 2 min. Amplified PEDV N cDNA was separated on 2% agarose gel and extracted using Montage gel extraction kit (Millipore, France). 100 ng of extracted product were cloned in pCR4-TOPO vector (Invitrogen, France). Plasmid DNA was prepared using NucleoSpin® plasmid kit (Macherey Nagel, France). In vitro transcription was performed with MAXIscript™ T7 transcription kit (ThermoFisher Scientific, France) using 1 μg of precipitated SpeI linearized N ORFs plasmid. RNA was purified with Agencourt® RNAclean XP kit (BeckmanCoulter, France), and quantified using Qubit® fluorometer (Life Technology, France, Saint Aubin). Stock of in vitro transcribed RNA was stored at −80 °C. Number of molecular copies was calculated according the following formula: Y m o l e c u l e s / μ l = X g / μ l R N A t r a n s c r i p t   l e n g h t   i n   n u c l e o t i d e × 6.023 × 10 23 RNA transcript was diluted to 10 9 molecules/5 μl, aliquoted in 100 μl, supplemented with 20 μl of RNAstable® (M, France) and dried in SpeedVac® vacuum concentrator (ThermoElectron, France). The standard transcript was resuspended in 1 ml in deionized nuclease-free water and then Log10 serially diluted from 10 8 to 10 2 copies/5 μl and stored at −80 °C. 2.4.2. RNA extraction All RNA extractions were performed using RNeasy® Mini kit (Qiagen, France) with the following modifications. 120 μl of sample mixture containing 100 μl of sample, 10 μl of an External Exogenous Control (EEC) and 10 μl of proteinase K were used as opposed to 100 μl of sample alone as recommended by the kit. RNA was eluted with 50 μl of nuclease-free water and stored at −80 °C until use. EEC used in this study was viral RNA genome (Mengovirus). 2.4.3. Conditions of the one-step PEDV RT-qPCR Reactions were carried out in an Applied Biosystems 7500 Real-Time PCR system, with Power SYBR™ Green RNA-to-Ct™ 1-Step Kit (Applied Biosystems, Saint Aubin, France). The final PCR mix volume was composed of 12.5 μl of master mix (2x), 0.2 μl of enzyme mix, 5 μl of RNA template, primers mPEDNF and PEDNR at 300 nM or 600 nM, H 2 O to final volume of 25 μl. RT-PCR cycles were as follows: reverse transcription at 48 °C for 30 min, followed by 95 °C for 10 min, then 40 cycles of 95 °C for 15 s, 60 °C for 1 min, and a final melting curve analysis step as defined by the applied 7500 software V2.3. All sample amplifications with a melting temperature corresponding to the standard with a viral RNA concentration equal to, or above to the limit of detection (LoD) were considered positive. 2.5. Method validation All of the following tests were performed using primers at 300 nM. 2.5.1. Analytical sensitivity and specificity The analytical sensitivity and specificity were determined as described in the NF U47-600 norm. All nucleic acid extractions from viruses listed in 2.2 were tested. Five strains of PEDV were tested for inclusivity, and eleven other virus for exclusivity, among which, four coronaviruses, five other RNA viruses, and two DNA virus, all known as pathogens in pigs. 2.5.2. Diagnostic sensitivity and specificity The diagnostic sensitivity and specificity were determined as described in the NF U47-600 norm as the true positive rate [number of true positive / (number of true positive + number of false negative)] ×100, and true negative rate [number of true negative / (number of true negative + number of false positive)] ×100. Thirty-six infected pigs from five different experimental studies were used as true positive samples. The true negative samples were the twenty-five SPF negative pigs of the same experiments. The experiments were carried out with two field PEDV strains, one French (PEDV/FR/001/2014, GB acc KR011756 ) and one American (PEDV/USA/2014/IOWA, GB acc MF373643 ). All pigs were sampled each day during the first week and thereafter at fourteen days post infection (dpi). 2.5.3. Limit of detection (LoD) According to NF U47-600, LoD is the last dilution of reference material that allows a detection of the target with a confidence level of 95%. N RNA transcript dilutions were tested for the LoD of the PCR. Six points of a two-fold dilution series ranging from 400 to 12.5 genome copies/5 μl were analyzed in eight replicates. Three independent assays were performed for RNA transcripts (LoD PCR ). To determine the LoD of the method, SPF jejunum and fecal samples spiked with cc CV777 from 10 6 to 10 −2 TCID50/ml, were tested in two independent assays on a hundredfold serial dilution ranging from 10 8 to 10 2 and 50 N transcripts equivalent/5 μl, as infectious reference materials (LoD jejunum or LoD feces ). LoD’s were determined by Probit calculation ( Finney and Stevens, 1948 ). 2.5.4. Limit of quantification (LQ) According to NF U47-600, LQ is defined as the lowest (Lower LQ, LLQ) and highest level (Upper LQ, ULQ) between which, for each dilution, the statistical bias is under or equal to 0.25log 10 . The bias is the difference between the measured value and the theoretical value calculated by linear regression on all dilutions. Uncertainty is calculated as the variance of calculated point plus the medium bias value. The statistical bias is defined as the medium of uncertainty. For the LQ, seven points of a ten-fold serial dilution of N RNA transcript were tested (10 8 to10 2 ). Ten independent assays were performed on four independent serial dilutions. The LQ for organic matrices were calculated on results obtained for the LoD assessment (hundredfold dilution from 10 8 to 10 2 ). 2.5.5. PCR parameters PCR efficiency was evaluated by plotting the Ct against an expected RNA copy number in respect to the TCID 50 /ml (data not shown) for infectious reference material or by Qubit quantification for RNA transcript. In agreement with the NF U47-600 norm, an efficiency of 75–125% was accepted. 3. Results 3.1. Alignments of 192 PEDV N ORFs The forward primer of Kim et al. ( Kim et al., 2007 ) (PEDNF) had perfect base pairing with 7 of the 192 (3.6%) N ORFs sequences. The forward primer designed in the current study (mPEDNF) which did not contain the last three bases of Kim et al. (2007) had perfect base pairing with 188 of 192 (979%) and of those that did not match at 100% only one had a mismatch at the last 3’ position ( Fig. 1 A). Sequence of the reverse primer (PEDNR) had perfect base pairing with 123 of 192 sequence (64.1%) and those that did not match at 100% did not have any mismatches in the last three nucleotides of the 3’ end ( Fig. 1 B). Concerning the alignments with the European strains available after May 2014, PEDNF had perfect base pairing with 7 of 56 N ORFs sequences ( Fig. 1 C). mPEDNF had perfect base pairing with 54 of 56 sequences, those sequences that did not match at 100% only contained one mismatch and these were localized close to the 5’ end ( Fig. 1 C). PEDNR had perfect base pairing with 55 of 56 sequences and only one single miss-match with the remaining sequence at the 5’ end. 3.2. Analytical specificity and sensitivity Amongst the different viruses strains listed in 2.2, only the PEDV strains (CV777, American field strain, and three French field strains) were positive. wt CV777 (Ct = 20), cc CV777 (Ct = 12), all with a Tm of 79.5 ± 0.5 °C which is the expected Tm for the PEDV sequence amplicon according to the in vitro transcription control. All the other viruses were negative. The analytical specificity and sensibility were both 100%. 3.3. PCR efficiency and effects of PCR conditions Efficiency of the method, calculated by linear regression, was 91.04% ± 1.31(0.01) for RNA transcripts, 93.51% ± 3.97(0.04) for spiked jejunum and 99.36% ± 5.12(0.05) for spiked feces. Different concentrations of primers had no effect on the efficiency of the method (data not shown), however melting curve analysis showed the presence of primer dimers at 600 nM and not at 300 nM ( Fig. 2

). Fig. 2 Measured Tm for in vitro transcribed RNA (Red), viral RNA in spiked feces (Green) and viral RNA in spiked jejunum (Blue). Two primer concentrations were tested with transcribed RNA, 300 nM (solid line), and 600 nM (dashed line). Primer dimers were detected at concentrations of 600 nM (first peak, dashed line). No primer dimers were observed at 300 nM (For interpretation of the references to colour in this figure legend, the reader is referred to the web version of this article.). Fig. 2 3.4. Limit of detection (LoD) and quantification (LQ) The LoD was determined at 50 copies/5 μl for the RNA transcript, 50 copies/5 μl (0.5 × 10 0.01 TCID 50 /ml for the spiked feces and 100 copies/5 μl (10 0.01 TCID 50 /ml) for spiked jejunum ( Table 1

). For every selected RNA dilution tested, from 10 8 to 10 2 copies/5 μl, bias enlarged of uncertainty were included in the norm limits (-0.5 to 0.5) and statistical bias (mean of uncertainty) were < 0.25 log 10 ( Table 2

). The ULQs and LLQ were 10 8 and 10 2 copies/5 μl respectively for all matrices. Table 1 Limit of detection for RNA transcripts, spiked jejunum and fecal samples, intra and inter-assay mean Ct, standard deviation (SD), and coefficient of variation (CV) for each point is calculated. In cases where the confidence level did not reach 95%, the number of positives from the number tested are shown. Table 1 Matrix Viral RNA Assay 1 Assay 2 Assay 3 Interassay Copies / 5 μl mean Ct ± SD(CV) mean Ct ± SD(CV) mean Ct ± SD(CV) mean Ct ± SD(CV) RNA transcript 400 32.45 ± 0.13 (0.004) 31.14 ± 0.13 (0.004) 30.69 ± 0.11 (0.004) 31.44 ± 0.7 (0.022) 200 33.93 ± 0.69 (0.02) 31.84 ± 0.22 (0.007) 31.75 ± 0.2 (0.006) 32.51 ± 1.38 (0.042) 100 35.61 ± 0.46 (0.013) 33.42 ± 1.08 (0.032) 32.65 ± 0.27 (0.008) 33.89 ± 2.18 (0.064) 50 36.24 ± 0.58 (0.016) 34.3 ± 0.59 (0.017) 34.11 ± 0.45 (0.013) 34.82 ± 1.43 (0.041) 25 7+/8 6+/8 8+/8 / 12.5 3+/8 3+/8 3+/8 / Jejunum 10 8 14.23 ± 0.04 (0.003) 13.69 ± 0.04 (0.003) / 13.96 ± 0.11 (0.008) 10 6 21.52 ± 0.06 (0.003) 20.77 ± 0.16 (0.008) / 21.15 ± 0.25 (0.012) 10 4 28.55 ± 0.04 (0.002) 27.57 ± 0.07 (0.002) / 28.06 ± 0.29 (0.010) 10 2 35.17 ± 0.82 (0.023) 34.75 ± 1.21 (0.035) / 34.96 ± 1.05 (0.030) 50 3+/4 4+/4 / / Feces 10 8 12.41 ± 0.22 (0.018) 13.25 ± 0.20 (0.015) / 12.83 ± 0.39 (0.031) 10 6 18.56 ± 0.03 (0.001) 19.23 ± 0.01 (0.0004) / 18.90 ± 0.13 (0.007) 10 4 25.80 ± 0.14 (0.006) 26.22 ± 0.14 (0.005) / 26.01 ± 0.19 (0.007) 10 2 32.88 ± 0.45 (0.014) 32.67 ± 0.52 (0.016) / 32.78 ± 0.50 (0.015) 50 34.276 ± 1.07 (0.31) 33.22 ± 1.11 (0.33) / 33.75 ± 1.15 (0.034) LoDs determined for each matrix are shown in bold text. Table 2 Bias, uncertainty and statistical bias for the linearity range selected. Table 2 Matrix Viral RNA bias Statistical Bias copies/5 μl mean ± uncertainty mean of uncertainty RNA transcript 10 8 0.06 ± 0.16 0.14 10 7 −0.01 ± 0.07 10 6 −0.04 ± 0.11 10 5 −0.03 ± 0.17 10 4 −0.03 ± 0.16 10 3 0.02 ± 0.11 10 2 0.04 ± 0.15 Jejunum 10 8 0.03 ± 0.13 0.22 10 6 −0.03 ± 0.11 10 4 −0.01 ± 0.30 10 2 0.02 ± 0.21 Feces 10 8 −0.07 ± 0.12 0.21 10 6 0.11 ± 0.36 10 4 −0.01 ± 0.21 10 2 −0.03 ± 0.18 3.5. Repeatability and reproducibility Calculations were done when a minimum of 23 out of 24 results were positive for the LoD and for all replicates for LQ. All coefficients of variation (CV) were below the 0.1 limit given by the norm NF U47-600 with 0.004 – 0.032, 0.002 – 0.035, 0.0004 – 0.018, for RNA transcript, jejunum and feces intra-assay CVs respectively and 0.022 – 0.064, 0.008 – 0.031, 0.007 – 0.031 for RNA transcript, jejunum and feces inter-assay CVs respectively ( Table 1 ). 3.6. Diagnostic specificity and sensitivity The diagnostic sensitivity was 100% at two and fourteen dpi, PEDV viral RNA were detected in all true positive pigs. The diagnostic specificity was 100% as all non PEDV infected pigs were found negative all along all experiments. 4. Discussion PEDV is of global importance to the pig industry with many different strains and genotypes existing in different continents. After 2013 and the introduction of both S-INDEL and S-non-INDEL strains to North America and the resulting huge economic losses, the French ministry for agriculture classified PED caused by the S-non-INDEL virulent strains as a notifiable disease. Thus there was a need for a reliable method for rapid, accurate and specific detection and quantification of a broad range of PEDV strains and one that was completely validated according to French norm NF U47-600. Many methods have been developed and used for PEDV detection and quantification as previously reviewed ( Diel et al., 2016 ) such as direct viral isolation, but it is laborious, time consuming, and requires a reliable model for all possible strains. Furthermore, many PEDV strains cannot be isolated in vitro . Many immuno-assay tests have been developed to detect viral proteins (IFA, Blotting, ELISA) but all these methods are time consuming, have a low sensitivity and reaction, and are subject to cross reactivity decreasing the specificity. For these reasons the current study focused on developing and validating a specific and rapid diagnostic test for the detection of PEDV viral RNA. Basing this test on a TaqMan® multiplex RT-qPCR, published by Kim et al. (2007) , we developed and validated a SYBR™ Green one-step RT-qPCR method. The development and validation of the complete method, including the steps of sample preparation, RNA extraction, and RT-qPCR, were done according to the French standard NF U47-600. This norm is an adaptation to the French context of the Manual of diagnostic tests and vaccines for terrestrial animals ( International Office of Epizootics, 2018 ) and respects the criteria stated by the World Organization for Animal Health (OIE). These standards describe the validation criteria for a PCR method in animal health and allows the characteristics not only of RT-qPCR to be determined, but also of the complete method, including sample preparation and extraction. For this, fecal and jejunum samples were used as this material has previously been described as the best matrices for detection of PEDV RNA in animals ( Gallien et al., 2018a ). Validating the complete method in this way means that the method is applicable for both experimental and diagnostic purposes. In the current study the primers used by Kim e t al. in 2007 were refined by in silico analysis. N ORF alignments of the priming site showed that the PEDNF forward primer of Kim et al. (2007) had mismatches with several different PEDV N ORFs and that the last three nucleotides at the 3’ end only matched with 3.6% of the sequences. Removing these three nucleotides in primer mPEDNF allowed a 100% match with 97.9% of international sequences and with 96.4% of European strains. The method using the new coupled primers demonstrated sufficient sensitivity to detect all tested PEDV strains (historical, S-INDEL and S-non-INDEL strains). Although SYBR™ Green PCRs are characteristically less specific than probe based PCRs, the specificity of the method was 100% against all viral types tested. Primer dimer formation, which are problematic for fluorescent dye based methods as they interfere dramatically with quantification, were eliminated by optimizing the primer concentration to 300 nM. During validation, the sample preparation and RNA extraction step were optimized by the addition of a proteinase K treatment step which allowed the statistical bias to be maintained in acceptable limits (<0.25log10). The statistical bias obtain with the proteinase K treatment confirms a correct reproducibility at all quantification points, and guarantees a near or equivalent LoD (50 and 100 copies/5 μl for feces and jejunum) for the different matrices than for the transcribed RNA (50 copies/5 μl). In addition, the detection limit determined in this study (10 0.01 TCID 50 /ml) is very similar to other RT-qPCRs (10 0.03 TCID 50 /ml) ( Miller et al., 2016 ). In conclusion, many PCRs have been developed to detect and monitor the presence of PEDV, but, as yet to the authors’ knowledge none have been developed with a complete validation according to a norm such as the French NF U47-600. This fully validated method is the first of its kind for PEDV and should help harmonize detection and quantification of PEDV viral RNA in both field and experimental settings. Authorship contributions

Category 1 Conception and design of study: Lionel Bigault, Béatrice Grasland Acquisition of data: Lionel Bigault, Cécilia Bernard Analysis and/or interpretation of data: Lionel Bigault, Béatrice Grasland

Category 2 Drafting the manuscript: Lionel Bigault Revising the manuscript critically for important intellectual content: Paul Brown, Yannick Blanchard, Béatrice Grasland

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# 猪流行性腹泻病毒:采用经验证的一步法实时RT-PCR进行病毒RNA检测与定量

Bigault Lionel 1 * Brown Paul 1 Bernard Cécilia 1 Blanchard Yannick 1 Grasland Béatrice 1

1 法国食品、环境与职业安全局(Anses),普卢弗拉冈-普洛赞内-尼奥尔实验室,BP53, 22440, 普卢弗拉冈,法国

* 通讯作者:lionel.bigault@anses.fr

2020年5月31日;283卷:113906

2020年6月1日

© 2020 Elsevier B.V. 保留所有权利。

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**亮点** • 开发并完整验证了一种用于PEDV检测和定量的一步法RT-qPCR方法。 • 可广泛检测S-INDEL和非S-INDEL毒株。 • 引物浓度的优化减少了引物二聚体的形成。 • 添加蛋白酶K处理步骤确保了良好的重复性。

**关键词:** 猪流行性腹泻病毒,RT-qPCR,NF U47-600,验证

**摘要**

自2014年以来,猪流行性腹泻病毒(PEDV)在欧洲重新出现。已有RT-PCR方法被用于PEDV的检测,但尚无方法按照标准进行验证。本研究描述了一种SYBR™ Green一步法RT-qPCR方法的开发与验证,该方法依据法国标准NF U47-600,用于PEDV病毒RNA的检测和定量。该方法从样本制备(粪便或空肠)到核酸提取及RT-qPCR检测的全过程均进行了验证。使用体外转录的RNA以及经病毒接种的粪便和空肠基质,评估了特异性和灵敏度、检测限(LoD)、定量限(LQ)、线性、批内和批间变异。本研究中该RT-qPCR的分析和诊断特异性和灵敏度均为100%。粪便基质接种病毒或RNA转录物提取物的检测限为50个基因组拷贝/5 μl,空肠基质接种病毒的检测限为100个基因组拷贝/5 μl。定量下限(LLQ)为100个基因组拷贝/5 μl,定量上限(ULQ)为10⁸个拷贝/5 μl。该方法是根据标准进行验证的首个PEDV检测方法,可作为全球参考方法,以统一田间和实验条件下PEDV病毒RNA的检测和定量。

**1. 引言**

猪流行性腹泻(PED)于1971年首次在欧洲被描述,其特征为水样腹泻、呕吐、脱水,在仔猪中尤为显著。其病原体——猪流行性腹泻病毒(PEDV)于1977年首次通过电子显微镜(EM)鉴定(Chasey和Cartwright, 1978;Debouck和Pensaert, 1980),现已明确为一种具有单股正义RNA基因组的包膜病毒,属于网巢病毒目(Nidovirales)、网巢病毒亚目(Cornidovirinae)、冠状病毒科(Coronaviridae)、正冠状病毒亚科(Orthocoronavirinae)、α冠状病毒属(Alphacoronavirus)、猪冠状病毒亚属(Pedacovirus)(Walker等, 2019)。

20世纪80年代,PEDV首次在亚洲被检测到,而在欧洲则呈地方性流行。90年代,欧洲仅报告了少数散发病例,其中多数发生在意大利,至今仍在意大利呈地方性流行(Martelli等, 2008)。在过去二十年中,中国出现了新的PEDV毒株,其中一些毒株引发了极为严重的疫情,其特征为100%的发病率和80-100%的哺乳仔猪死亡率(Sun等, 2012)。这导致PEDV被分为S-非INDEL(S-non-INDEL)和S-INDEL两种基因型。一般而言,致病性更强的病毒属于S-非INDEL组。在过去十年中,S-非INDEL和S-INDEL病毒均在美国出现,给养猪业造成了严重后果。在整个欧洲,目前主要流行的类型与在亚洲和北美及中部美洲流行的病毒密切相关(Boniotti等, 2016)。此外,自2014年以来欧洲报告的所有病毒均属于S-INDEL组(Grasland等, 2015;Stadler等, 2015;Steinrigl等, 2015;Theuns等, 2015),仅乌克兰有一例例外(Dastjerdi等, 2015)。这些数据凸显了PEDV在多个大洲的多样性。

在法国,自2014年以来,由S-非INDEL引起的PED为法定报告疾病。为进行区域监测,所有PEDV疑似病例必须向法国农业部报告,且PEDV基因型必须由法国食品、环境与职业安全局(Anses)的国家参考实验室确认。迄今为止,尚无经过验证的官方方法用于PEDV病毒RNA的检测和定量。

自2000年代以来,实时PCR已成为病毒RNA检测和定量的首选工具,具有多重优势:i)这些检测具有高度特异性;ii)与传统病毒学操作相比更易标准化;iii)耗时更少;iv)具有高度重复性。已有多种RT-PCR方法被用于PEDV RNA的检测(Kim等, 2007;Miller等, 2016)。

为在兽医实验室中实现PED的快速、准确和可靠诊断,本研究开发并重点依据"法国标准化协会"(AFNOR)法国标准NF U47-600——"动物健康领域PCR实施、开发和验证的要求与建议"(AFNOR, 2015a, b)——对一种PEDV病毒RNA检测方法进行了验证。该经验证的SYBR™ Green一步法RT-qPCR基于先前发表的TaqMan®探针实时RT-qPCR(Kim等, 2007),靶向保守的N开放阅读框(ORF)中相同的序列区域,此前该区域已被证明可实现广泛检测,并能够区分密切相关的猪传染性胃肠炎病毒(TGEV)。

本研究在NF U47-600标准下开发的方法与其他PEDV分子检测方法不同,评估了从样本制备到RT-qPCR检测和定量的全过程。该方法应有助于统一田间和实验条件下PEDV S-非INDEL和S-INDEL毒株病毒RNA的检测和定量。

**2. 材料与方法**

所有商业方法均按照制造商的建议进行,另有说明除外。

**2.1. 引物设计**

使用MAFFT(Katoh和Standley, 2013)对研究时(2014年)数据库中可用的192条PEDV N ORF序列进行比对,并使用R(Wagih, 2017)计算Kim等(2007)确定的引物结合区域的核苷酸概率(PEDNF:5'-CGCAAAGACTGAACCCACTAATTT-3',PEDNR:5'-TTGCCTCTGTTGTTACTTGGAGAT-3')(图1)。

基于这些概率,选择了正向引物mPEDNF(5'-CGCAAAGACTGAACCCACTAA-3')和反向引物PEDNR(图1)。随后针对在欧洲流行的S-INDEL和S-非INDEL PEDV毒株的N ORF对这些引物进行了验证(Dastjerdi等, 2015;Grasland等, 2015;Hanke等, 2017;Martelli等, 2008;Stadler等, 2015;Steinrigl等, 2015;Theuns等, 2015)。

**图1.** 2014年5月可用的192条N ORF中引物杂交序列的比对(A和B)。在欧洲流行的S-INDEL和S-非INDEL PEDV毒株的56条N ORF中引物杂交序列的比对(C和D)。各位置的核苷酸概率以比对上方彩色文本表示。比对序列中的红色文本表示错配。引物序列显示在比对上方(PEDNF、mPEDNF或PEDNR)。PEDNR以反向互补序列显示。每条线代表一个杂交序列,左侧数字表示具有该序列的毒株数量。(有关本图例中颜色的解释,请参见本文的网络版本。)

**2.2. 病毒**

原始CV777毒株为1977年分离的PEDV参考毒株,采集自1981年进行的空肠灌注,保存于-80°C。该毒株命名为wt CV777。wt CV777按前述方法(Hofmann和Wyler, 1988)在细胞培养中传代,命名为cc CV777。cc CV777毒株制备如下:将20个175 mm²的Vero细胞(ATCC® CCL-81)汇合单层各接种500 μl含6.8 × 10⁴ TCID₅₀的cc CV777感染培养基;EMEM(ThermoFisher Scientific, France)补充0.3%色氨酸磷酸盐肉汤、0.02%酵母提取物、1%青霉素/链霉素和10 μg/ml胰蛋白酶。感染24小时后,细胞经历三个冻融循环,培养液以10,000 g离心10分钟澄清。将总计1升上清液以20,000 g离心4小时以沉淀病毒。沉淀物重悬于100 ml PBS中。cc CV777的感染性病毒滴度根据Kärber法(Kärber, 1931)通过免疫过氧化物酶单层测定法测定。病毒原液经免疫过氧化物酶单层测定法滴定至1.2 × 10⁷ TCID₅₀/ml。

另使用了四种PEDV毒株:三种法国田间毒株(PEDV/FR/001/2014 GenBank登录号(GB acc)KR011756、PEDV/FR/001/2017和PEDV/FR/001/2019 GB acc MN056942),以及一种美国毒株(PEDV/USA/2014/IOWA GB acc MF373643,由爱荷华州立大学P. GAUGER博士惠赠)。

还使用了九种其他"非PEDV"RNA病毒:一种猪α冠状病毒(猪呼吸道冠状病毒,PRCV),两种γ冠状病毒(传染性支气管炎病毒(IBV)GB acc FJ904713、火鸡冠状病毒(TCoV)GB acc KR822424),以及其他猪病毒:一种猪动脉炎病毒(猪繁殖与呼吸综合征病毒(PRRSV),GB acc KY366411),一种瘟病毒(猪瘟病毒(CSFV)),三种猪正黏病毒(猪流感病毒H1N1、H1N2、H3N2),以及两种猪DNA病毒,一种圆环病毒(猪圆环病毒2型(PCV2)GB acc AF201311),以及一种非洲猪瘟病毒(非洲猪瘟病毒(ASFV)BankIt1774827 ANSES-MADA68322)。

**2.3. 基质**

空肠和粪便样本采集自经深度测序确认冠状病毒RNA阴性的无特定病原体(SPF)猪,以及PEDV RNA阳性的PEDV感染猪。PEDV阳性样本采集自先前的实验研究(Gallien等, 2018a, b;Gallien等, 2019)。SPF样本用作阴性对照,或接种体外生产的PEDV(如2.2节所述)。接种的SPF样本用于方法验证,后文称为"感染性参考物质"。

对于每个空肠样本,取200 mg在1 ml磷酸盐缓冲盐水(PBS)(Merck, France)中用4 mm不锈钢珠在TissueLyserII(Qiagen, France)中匀浆。然后将样本以10,000 g离心10分钟澄清。对于每个粪便样本,取1 ml用9 ml PBS稀释,涡旋5分钟,然后按上述方法离心澄清。

**2.4. 方法描述**

**2.4.1. 标准品的制备**

为确定PCR的定量限(LQ)并制备定量标准品,通过PEDV wt CV777 N ORF序列的体外转录制备RNA转录物。

使用Trizol(ThermoFisher Scientific, France)提取wt CV777 RNA。病毒RNA提取物使用六核苷酸引物和superscript III逆转录酶(ThermoFisher Scientific, France)进行逆转录。逆转录在55°C下进行1小时,随后在70°C下酶灭活15分钟。

为扩增N ORF,取5 μl RT产物在50 μl反应体系中进行PCR扩增,反应体系包含400 nM引物oGVB160-f(GTCGGATCCACTTTATGGCTTCT)和oGVB160-r(GTCCTCGAGATTGTTTAATTTCCT),2.5单位Platinum Taq HiFi(Invitrogen, France),5 μl 10×高保真PCR缓冲液,MgSO₄终浓度为2 mM。PCR程序如下:95°C 2分钟初始变性,5个循环(95°C 15秒,55°C 30秒每循环降低2.5°C,68°C 2分钟),随后40个循环(95°C 15秒,60°C 30秒,68°C 2分钟)。

扩增的PEDV N cDNA在2%琼脂糖凝胶上分离,使用Montage凝胶提取试剂盒(Millipore, France)提取。取100 ng提取产物克隆至pCR4-TOPO载体(Invitrogen, France)。使用NucleoSpin®质粒试剂盒(Macherey Nagel, France)制备质粒DNA。

使用MAXIscript™ T7转录试剂盒(ThermoFisher Scientific, France),以1 μg沉淀的SpeI线性化N ORF质粒进行体外转录。RNA使用Agencourt® RNAclean XP试剂盒(BeckmanCoulter, France)纯化,使用Qubit®荧光计(Life Technology, France, Saint Aubin)定量。体外转录的RNA原液保存于-80°C。

分子拷贝数按以下公式计算:

Y 分子/μl = (X g/μl) / (RNA转录物长度(核苷酸)× 660) × 6.023 × 10²³

将RNA转录物稀释至10⁹个分子/5 μl,分装为100 μl等份,补充20 μl RNAstable®(M, France),在SpeedVac®真空浓缩仪(ThermoElectron, France)中干燥。标准转录物重悬于1 ml无核酸酶去离子水中,然后进行10倍系列稀释,从10⁸至10²个拷贝/5 μl,保存于-80°C。

**2.4.2. RNA提取**

所有RNA提取均使用RNeasy® Mini试剂盒(Qiagen, France)进行,修改如下:使用120 μl样本混合物(含100 μl样本、10 μl外源外源性对照(EEC)和10 μl蛋白酶K),而非试剂盒建议的仅100 μl样本。RNA用50 μl无核酸酶水洗脱,保存于-80°C备用。本研究中使用的EEC为病毒RNA基因组(Mengovirus)。

**2.4.3. PEDV一步法RT-qPCR条件**

反应在Applied Biosystems 7500实时PCR系统中进行,使用Power SYBR™ Green RNA-to-Ct™ 1-Step试剂盒(Applied Biosystems, Saint Aubin, France)。最终PCR混合液组成为:12.5 μl预混液(2×),0.2 μl酶混合液,5 μl RNA模板,引物mPEDNF和PEDNR浓度为300 nM或600 nM,H₂O补至终体积25 μl。

RT-PCR循环条件如下:48°C 30分钟逆转录,95°C 10分钟,然后40个循环(95°C 15秒,60°C 1分钟),最后按7500软件V2.3定义的熔解曲线分析步骤进行。所有熔解温度对应于标准的样本扩增,且病毒RNA浓度等于或高于检测限(LoD)者,判定为阳性。

**2.5. 方法验证**

以下所有测试均使用300 nM浓度的引物进行。

**2.5.1. 分析灵敏度和特异性**

分析灵敏度和特异性按NF U47-600标准所述进行测定。测试了2.2节所列所有病毒的核酸提取。五种PEDV毒株用于包容性测试,十一种其他病毒用于排他性测试,其中包括四种冠状病毒、五种其他RNA病毒和两种DNA病毒,均为猪的已知病原体。

**2.5.2. 诊断灵敏度和特异性**

诊断灵敏度和特异性按NF U47-600标准所述进行测定,即真阳性率[真阳性数/(真阳性数+假阴性数)]×100,和真阴性率[真阴性数/(真阴性数+假阳性数)]×100。来自五项不同实验研究的36头感染猪用作真阳性样本。真阴性样本为同一实验的25头SPF阴性猪。实验使用两种PEDV田间毒株进行:一种法国毒株(PEDV/FR/001/2014,GB acc KR011756)和一种美国毒株(PEDV/USA/2014/IOWA,GB acc MF373643)。所有猪在感染后第一周内每天采样,此后在感染后14天(dpi)采样。

**2.5.3. 检测限(LoD)**

根据NF U47-600,LoD为能够以95%置信水平检测到目标的参考物质的最高稀释度。测试N RNA转录物稀释度以确定PCR的LoD。分析400至12.5个基因组拷贝/5 μl的6倍系列稀释的八个重复。对RNA转录物进行三次独立检测(LoD PCR)。

为确定方法的LoD,测试了接种cc CV777(10⁶至10⁻² TCID₅₀/ml)的SPF空肠和粪便样本,在两次独立检测中对10⁸至10²的百倍系列稀释和50个N转录物当量/5 μl进行分析,作为感染性参考物质(LoD空肠或LoD粪便)。LoD通过Probit计算确定(Finney和Stevens, 1948)。

**2.5.4. 定量限(LQ)**

根据NF U47-600,LQ定义为最低(定量下限,LLQ)和最高(定量上限,ULQ)水平,在此范围内各稀释度的统计偏倚小于或等于0.25 log₁₀。偏倚为测量值与通过所有稀释度线性回归计算的理论值之间的差异。不确定度计算为计算点方差加上平均偏倚值。统计偏倚定义为不确定度的平均值。

对于LQ,测试N RNA转录物的7个10倍系列稀释点(10⁸至10²)。对四个独立的系列稀释进行十次独立检测。有机基质的LQ根据LoD评估获得的结果计算(10⁸至10²的百倍稀释)。

**2.5.5. PCR参数**

通过绘制Ct值与预期RNA拷贝数的关系(相对于TCID₅₀/ml,数据未显示)来评估PCR效率,对于感染性参考物质或通过Qubit定量对于RNA转录物。根据NF U47-600标准,接受75-125%的效率。

**3. 结果**

**3.1. 192条PEDV N ORF的比对**

Kim等(Kim等, 2007)的正向引物(PEDNF)与192条(3.6%)N ORF序列中的7条完全碱基配对。本研究中设计的正向引物(mPEDNF)不包含Kim等(2007)的最后三个碱基,与192条中的188条(97.9%)完全碱基配对,在那些非100%匹配的序列中,仅有一条在最后一个3'位置存在错配(图1A)。

反向引物(PEDNR)序列与192条序列中的123条(64.1%)完全碱基配对,那些非100%匹配的序列在3'端最后三个核苷酸中无任何错配(图1B)。

关于2014年5月后可获得的欧洲毒株比对,PEDNF与56条N ORF序列中的7条完全碱基配对(图1C)。mPEDNF与56条序列中的54条完全碱基配对,那些非100%匹配的序列仅含一个错配,且位于5'端附近(图1C)。PEDNR与56条序列中的55条完全碱基配对,仅一条序列在5'端存在单个错配。

**3.2. 分析特异性和灵敏度**

在2.2节所列的不同病毒毒株中,仅PEDV毒株(CV777、美国田间毒株和三种法国田间毒株)呈阳性。wt CV777(Ct = 20)、cc CV777(Ct = 12),所有毒株的Tm为79.5 ± 0.5°C,这是根据体外转录对照预期的PEDV序列扩增子的Tm。所有其他病毒均为阴性。分析特异性和灵敏度均为100%。

**3.3. PCR效率和PCR条件的影响**

通过线性回归计算的方法效率:RNA转录物为91.04% ± 1.31(0.01),接种空肠为93.51% ± 3.97(0.04),接种粪便为99.36% ± 5.12(0.05)。

不同引物浓度对方法效率无影响(数据未显示),但熔解曲线分析显示在600 nM时存在引物二聚体,而在300 nM时不存在(图2)。

**图2.** 体外转录RNA(红色)、接种粪便中的病毒RNA(绿色)和接种空肠中的病毒RNA(蓝色)的实测Tm。使用转录RNA测试了两种引物浓度:300 nM(实线)和600 nM(虚线)。在600 nM浓度下检测到引物二聚体(第一峰,虚线)。在300 nM下未观察到引物二聚体。(有关本图例中颜色的解释,请参见本文的网络版本。)

**3.4. 检测限(LoD)和定量限(LQ)**

RNA转录物的LoD确定为50个拷贝/5 μl,接种粪便为50个拷贝/5 μl(0.5 × 10⁰·⁰¹ TCID₅₀/ml),接种空肠为100个拷贝/5 μl(10⁰·⁰¹ TCID₅₀/ml)(表1)。

对于测试的每个选定的RNA稀释度(10⁸至10²个拷贝/5 μl),偏倚加不确定度包含在标准限值(-0.5至0.5)内,统计偏倚(不确定度平均值)< 0.25 log₁₀(表2)。

所有基质的ULQ和LLQ分别为10⁸和10²个拷贝/5 μl。

**表1.** RNA转录物、接种空肠和粪便样本的检测限,计算了每个点的批内和批间平均Ct、标准差(SD)和变异系数(CV)。当置信水平未达到95%时,显示阳性数/检测数。

**表2.** 所选线性范围的偏倚、不确定度和统计偏倚。

**3.5. 重复性和再现性**

当LoD的24个结果中至少有23个为阳性且LQ的所有重复均为阳性时进行计算。所有变异系数(CV)均低于NF U47-600标准规定的0.1限值:RNA转录物、空肠和粪便的批内CV分别为0.004-0.032、0.002-0.035、0.0004-0.018;RNA转录物、空肠和粪便的批间CV分别为0.022-0.064、0.008-0.031、0.007-0.031(表1)。

**3.6. 诊断特异性和灵敏度**

在感染后2天和14天,诊断灵敏度为100%,所有真阳性猪均检测到PEDV病毒RNA。诊断特异性为100%,所有非PEDV感染猪在整个实验期间均为阴性。

**4. 讨论**

PEDV对全球养猪业具有重要意义,不同大陆存在多种不同的毒株和基因型。2013年S-INDEL和S-非INDEL毒株传入北美并造成巨大经济损失后,法国农业部将由S-非INDEL致病毒株引起的PED列为法定报告疾病。因此,需要一种可靠的方法来快速、准确和特异地检测和定量广泛的PEDV毒株,且该方法需按照法国标准NF U47-600进行完整验证。

如前文综述(Diel等, 2016),已有多种方法被开发并用于PEDV的检测和定量,如直接病毒分离,但其操作繁琐、耗时,且需要适用于所有可能毒株的可靠模型。此外,许多PEDV毒株无法在体外分离。已开发了多种免疫检测方法来检测病毒蛋白(IFA、印迹法、ELISA),但这些方法均耗时、灵敏度和反应性低,且存在交叉反应,降低了特异性。

基于这些原因,本研究的重点是开发并验证一种用于PEDV病毒RNA检测的特异且快速的诊断方法。以Kim等(2007)发表的TaqMan®多重RT-qPCR为基础,我们开发并验证了一种SYBR™ Green一步法RT-qPCR方法。完整方法的开发和验证,包括样本制备、RNA提取和RT-qPCR步骤,均按照法国标准NF U47-600进行。该标准是《陆生动物诊断试验和疫苗手册》(国际兽疫局, 2018)在法国背景下的改编版,符合世界动物卫生组织(OIE)规定的标准。这些标准描述了动物健康领域PCR方法的验证标准,不仅可以确定RT-qPCR的特性,还可以确定包括样本制备和提取在内的完整方法的特性。为此,使用了空肠和粪便样本,因为此前已有文献描述这些是检测动物PEDV RNA的最佳基质(Gallien等, 2018a)。

以这种方式验证完整方法意味着该方法适用于实验和诊断目的。在本研究中,通过计算机模拟分析对Kim等在2007年使用的引物进行了优化。引物结合位点的N ORF比对显示,Kim等(2007)的PEDNF正向引物与多条不同的PEDV N ORF存在错配,且3'端最后三个核苷酸仅与3.6%的序列匹配。去除引物mPEDNF中的这三个核苷酸后,与国际序列的97.9%和欧洲毒株的96.4%实现了100%匹配。使用新引物对的方法显示出足够的灵敏度,可检测所有测试的PEDV毒株(历史毒株、S-INDEL和S-非INDEL毒株)。

尽管SYBR™ Green PCR的特异性通常低于基于探针的PCR,但该方法对所有测试病毒类型的特异性为100%。通过将引物浓度优化至300 nM,消除了引物二聚体的形成——引物二聚体对基于荧光染料的方法而言是个严重问题,会严重干扰定量。

在验证过程中,通过添加蛋白酶K处理步骤对样本制备和RNA提取步骤进行了优化,使统计偏倚保持在可接受范围内(< 0.25 log₁₀)。蛋白酶K处理获得的统计偏倚证实了在所有定量点均具有良好的重复性,并保证了不同基质(粪便和空肠)的检测限(分别为50和100个拷贝/5 μl)与转录RNA(50个拷贝/5 μl)接近或相当。此外,本研究确定的检测限(10⁰·⁰¹ TCID₅₀/ml)与其他RT-qPCR(10⁰·⁰³ TCID₅₀/ml)(Miller等, 2016)非常相似。

总之,已有许多PCR方法被开发用于检测和监测PEDV的存在,但据作者所知,尚无方法按照如法国NF U47-600标准进行过完整验证。该经验证的方法是首个此类PEDV检测方法,应有助于统一田间和实验条件下PEDV病毒RNA的检测和定量。

**作者贡献**

**类别1** 研究构思与设计:Lionel Bigault, Béatrice Grasland 数据获取:Lionel Bigault, Cécilia Bernard 数据分析和/或解读:Lionel Bigault, Béatrice Grasland

**类别2** 手稿起草:Lionel Bigault 手稿重要智力内容的关键修订:Paul Brown, Yannick Blanchard, Béatrice Grasland

**类别3** 待发表版本手稿的批准(必须列出所有作者姓名):Lionel Bigault, Paul Brown, Cécilia Bernard, Yannick Blanchard, Béatrice Grasland。

**利益冲突声明**

作者声明,他们不存在可能影响本论文报告的已知竞争性财务利益或个人关系。

**致谢**

作者感谢Cherbonnel-Pansart女士在AFNOR验证方法方面的帮助,感谢Le Guyader博士提供Mengovirus,感谢P. GAUGER博士提供S-INDEL毒株。本研究部分由法国农业部"食品总局"资助(项目编号2014-145)。