Parechovirus A Detection by a Comprehensive Approach in a Clinical Laboratory.
Parechovirus A (Human parechovirus, HPeV) causes symptoms ranging from severe neonatal infection to mild gastrointestinal and respiratory disease. Use of molecular approaches with RT-PCR and genotyping has improved the detection rate of HPeV. Conventional methods, such as viral culture and immunofluorescence assay, together with molecular methods facilitate comprehensive viral diagnosis. To establish the HPeV immunofluorescence assay, an antibody against HPeV capsid protein VP0 was generated by using antigenic epitope prediction data. The specificity of the anti-HPeV VP0 antibody was demonstrated on immunofluorescence assay, showing that this antibody was specific for HPeV but not enteroviruses. A total of 74 HPeV isolates, 7 non⁻polio-enteroviruses and 12 HPeV negative cell culture supernatant were used for evaluating the efficiency of the anti-HPeV VP0 antibody. The sensitivity of HPeV detection by the anti-HPeV VP0 antibody was consistent with 5'untranslated region (UTR) RT-PCR analysis. This study established comprehensive methods for HPeV detection that include viral culture and observation of cytopathic effect, immunofluorescence assay, RT-PCR and genotyping. The methods were incorporated into our routine clinical practice for viral diagnosis. In conclusion, this study established a protocol for enterovirus and HPeV virus identification that combines conventional and molecular methods and would be beneficial for HPeV diagnosis.
['Chen|Bao-Chen|BC|', 'Chang|Jenn-Tzong|JT|', 'Huang|Tsi-Shu|TS|', 'Chen|Jih-Jung|JJ|0000-0002-5680-9533', 'Chen|Yao-Shen|YS|', 'Jan|Ming-Wei|MW|', 'Chang|Tsung-Hsien|TH|0000-0003-4806-7864']
D000914:Antibodies, Viral D000918:Antibody Specificity D036022:Capsid Proteins D019411:Clinical Laboratory Techniques D019085:Fluorescent Antibody Technique, Direct D060005:Genotyping Techniques D006801:Humans D030061:Parechovirus D010850:Picornaviridae Infections D012367:RNA, Viral D060888:Real-Time Polymerase Chain Reaction
clinical laboratory human parechovirus immunofluorescence assay emerging virus virus diagnosis