Development of multiplex real-time reverse-transcriptase polymerase chain reaction assay for simultaneous detection of Zika, dengue, yellow fever, and chikungunya viruses in a single tube

J Med Virol. 2018 Nov;90(11):1681-1686. doi: 10.1002/jmv.25253. Epub 2018 Aug 16.

Abstract

Zika virus (ZIKV), dengue virus (DENV), chikungunya virus (CHIKV) and yellow fever virus (YFV) share the same mosquito vectors and have similar clinical manifestations early stage of infection. Therefore, simultaneously differentiating these viruses from each other is necessary. We developed a multiplex real-time reverse-transcriptase polymerase chain reaction (RT-PCR) assay for the differentiation of these four viruses in a single tube. The linear range was established by regression analysis, and the R2 value for each virus was ≥0.98, and the 95% lower limit of detection for each virus was as follows (copies/reaction): ZIKV-Asian, 9; ZIKV-Africa, 15; CHIKV, 11; DENV-1, 19; DENV-2, 13; DENV-3, 24; DENV-4, 36; and YFV, 17. Meanwhile, our multiplex real-time RT-PCR has a good consistency with the commercial singleplex assay. In summary, the developed assay can be effectively used for the diagnosis of ZIKV, DENV, CHIKV, and YFV infections.

Keywords: Zika; chikungunya; dengue; multiplex real-time reverse-transcriptase polymerase chain reaction; yellow fever.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Africa
  • Chikungunya Fever / diagnosis*
  • Chikungunya Fever / virology
  • Chikungunya virus / genetics
  • Chikungunya virus / isolation & purification
  • Dengue / diagnosis*
  • Dengue / virology
  • Dengue Virus / genetics
  • Dengue Virus / isolation & purification
  • Humans
  • Molecular Diagnostic Techniques / methods
  • Multiplex Polymerase Chain Reaction / methods*
  • Real-Time Polymerase Chain Reaction / methods*
  • Reverse Transcriptase Polymerase Chain Reaction / methods*
  • Time Factors
  • Yellow Fever / diagnosis*
  • Yellow Fever / virology
  • Yellow fever virus / genetics
  • Yellow fever virus / isolation & purification
  • Zika Virus / genetics
  • Zika Virus / isolation & purification
  • Zika Virus Infection / diagnosis*
  • Zika Virus Infection / virology