Pathogen transcriptional profile in nasopharyngeal aspirates of children with acute respiratory tract infection

Highlights • nCounter enables detection of pathogen transcripts in NPA with low RNA input. • nCounter detects, in a single reaction, the presence of multiple pathogens in NPA. • nCounter displayed a good agreement with Real-Time PCR for RSV.

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Published inJournal of clinical virology Vol. 69; pp. 190 - 196
Main Authors Fukutani, Kiyoshi F, Nascimento-Carvalho, Cristiana M, Van der Gucht, Winke, Wollants, Elke, Khouri, Ricardo, Dierckx, Tim, Van Ranst, Marc, Houspie, Lieselot, Bouzas, Maiara L, Oliveira, Juliana R, Barral, Aldina, Van Weyenbergh, Johan, de Oliveira, Camila I
Format Journal Article
LanguageEnglish
Published Netherlands Elsevier B.V 01.08.2015
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Abstract Highlights • nCounter enables detection of pathogen transcripts in NPA with low RNA input. • nCounter detects, in a single reaction, the presence of multiple pathogens in NPA. • nCounter displayed a good agreement with Real-Time PCR for RSV.
AbstractList • nCounter enables detection of pathogen transcripts in NPA with low RNA input. • nCounter detects, in a single reaction, the presence of multiple pathogens in NPA. • nCounter displayed a good agreement with Real-Time PCR for RSV.
BACKGROUNDAcute respiratory tract infections (ARI) present a significant morbidity and pose a global health burden. Patients are frequently treated with antibiotics although ARI are most commonly caused by virus, strengthening the need for improved diagnostic methods. OBJECTIVESDetect viral and bacterial RNA in nasopharyngeal aspirates (NPA) from children aged 6-23 months with ARI using nCounter. STUDY DESIGNA custom-designed nCounter probeset containing viral and bacterial targets was tested in NPA of ARI patients. RESULTSInitially, spiked control viral RNAs were detectable in ≥6.25 ng input RNA, indicating absence of inhibitors in NPA. nCounter applied to a larger NPA sample (n=61) enabled the multiplex detection of different pathogens: RNA viruses Parainfluenza virus (PIV 1-3) and RSV A-B in 21%, Human metapneumovirus (hMPV) in 5%, Bocavirus (BoV), CoV, Influenza virus (IV) A in 3% and, Rhinovirus (RV) in 2% of samples, respectively. RSV A-B was confirmed by Real Time PCR (86.2-96.9% agreement). DNA virus (AV) was detected at RNA level, reflecting viral replication, in 10% of samples. Bacterial transcripts from Staphylococcus aureus, Haemophilus influenzae, Streptococcus pneumoniae, Moraxella catarrhalis, Mycoplasma pneumoniae and Chlamydophila pneumoniae were detected in 77, 69, 26, 8, 3 and 2% of samples, respectively. CONCLUSIONnCounter is robust and sensitive for the simultaneous detection of viral (both RNA and DNA) and bacterial transcripts in NPA with low RNA input (<10 ng). This medium-throughput technique will increase our understanding of ARI pathogenesis and may provide an evidence-based approach for the targeted and rational use of antibiotics in pediatric ARI.
Highlights • nCounter enables detection of pathogen transcripts in NPA with low RNA input. • nCounter detects, in a single reaction, the presence of multiple pathogens in NPA. • nCounter displayed a good agreement with Real-Time PCR for RSV.
•nCounter enables detection of pathogen transcripts in NPA with low RNA input.•nCounter detects, in a single reaction, the presence of multiple pathogens in NPA.•nCounter displayed a good agreement with Real-Time PCR for RSV. Acute respiratory tract infections (ARI) present a significant morbidity and pose a global health burden. Patients are frequently treated with antibiotics although ARI are most commonly caused by virus, strengthening the need for improved diagnostic methods. Detect viral and bacterial RNA in nasopharyngeal aspirates (NPA) from children aged 6–23 months with ARI using nCounter. A custom-designed nCounter probeset containing viral and bacterial targets was tested in NPA of ARI patients. Initially, spiked control viral RNAs were detectable in ≥6.25ng input RNA, indicating absence of inhibitors in NPA. nCounter applied to a larger NPA sample (n=61) enabled the multiplex detection of different pathogens: RNA viruses Parainfluenza virus (PIV 1–3) and RSV A-B in 21%, Human metapneumovirus (hMPV) in 5%, Bocavirus (BoV), CoV, Influenza virus (IV) A in 3% and, Rhinovirus (RV) in 2% of samples, respectively. RSV A-B was confirmed by Real Time PCR (86.2–96.9% agreement). DNA virus (AV) was detected at RNA level, reflecting viral replication, in 10% of samples. Bacterial transcripts from Staphylococcus aureus, Haemophilus influenzae, Streptococcus pneumoniae, Moraxella catarrhalis, Mycoplasma pneumoniae and Chlamydophila pneumoniae were detected in 77, 69, 26, 8, 3 and 2% of samples, respectively. nCounter is robust and sensitive for the simultaneous detection of viral (both RNA and DNA) and bacterial transcripts in NPA with low RNA input (<10ng). This medium-throughput technique will increase our understanding of ARI pathogenesis and may provide an evidence-based approach for the targeted and rational use of antibiotics in pediatric ARI.
Acute respiratory tract infections (ARI) present a significant morbidity and pose a global health burden. Patients are frequently treated with antibiotics although ARI are most commonly caused by virus, strengthening the need for improved diagnostic methods. Detect viral and bacterial RNA in nasopharyngeal aspirates (NPA) from children aged 6-23 months with ARI using nCounter. A custom-designed nCounter probeset containing viral and bacterial targets was tested in NPA of ARI patients. Initially, spiked control viral RNAs were detectable in ≥6.25 ng input RNA, indicating absence of inhibitors in NPA. nCounter applied to a larger NPA sample (n=61) enabled the multiplex detection of different pathogens: RNA viruses Parainfluenza virus (PIV 1-3) and RSV A-B in 21%, Human metapneumovirus (hMPV) in 5%, Bocavirus (BoV), CoV, Influenza virus (IV) A in 3% and, Rhinovirus (RV) in 2% of samples, respectively. RSV A-B was confirmed by Real Time PCR (86.2-96.9% agreement). DNA virus (AV) was detected at RNA level, reflecting viral replication, in 10% of samples. Bacterial transcripts from Staphylococcus aureus, Haemophilus influenzae, Streptococcus pneumoniae, Moraxella catarrhalis, Mycoplasma pneumoniae and Chlamydophila pneumoniae were detected in 77, 69, 26, 8, 3 and 2% of samples, respectively. nCounter is robust and sensitive for the simultaneous detection of viral (both RNA and DNA) and bacterial transcripts in NPA with low RNA input (<10 ng). This medium-throughput technique will increase our understanding of ARI pathogenesis and may provide an evidence-based approach for the targeted and rational use of antibiotics in pediatric ARI.
Background Acute respiratory tract infections (ARI) present a significant morbidity and pose a global health burden. Patients are frequently treated with antibiotics although ARI are most commonly caused by virus, strengthening the need for improved diagnostic methods. Objectives Detect viral and bacterial RNA in nasopharyngeal aspirates (NPA) from children aged 6-23 months with ARI using nCounter. Study design A custom-designed nCounter probeset containing viral and bacterial targets was tested in NPA of ARI patients. Results Initially, spiked control viral RNAs were detectable in greater than or equal to 6.25ng input RNA, indicating absence of inhibitors in NPA. nCounter applied to a larger NPA sample (n =61) enabled the multiplex detection of different pathogens: RNA viruses Parainfluenza virus (PIV 1-3) and RSV A-B in 21%, Human metapneumovirus (hMPV) in 5%, Bocavirus (BoV), CoV, Influenza virus (IV) A in 3% and, Rhinovirus (RV) in 2% of samples, respectively. RSV A-B was confirmed by Real Time PCR (86.2-96.9% agreement). DNA virus (AV) was detected at RNA level, reflecting viral replication, in 10% of samples. Bacterial transcripts from Staphylococcus aureus, Haemophilus influenzae, Streptococcus pneumoniae, Moraxella catarrhalis, Mycoplasma pneumoniae and Chlamydophila pneumoniae were detected in 77, 69, 26, 8, 3 and 2% of samples, respectively. Conclusion nCounter is robust and sensitive for the simultaneous detection of viral (both RNA and DNA) and bacterial transcripts in NPA with low RNA input (<10ng). This medium-throughput technique will increase our understanding of ARI pathogenesis and may provide an evidence-based approach for the targeted and rational use of antibiotics in pediatric ARI.
Author Barral, Aldina
Fukutani, Kiyoshi F
Nascimento-Carvalho, Cristiana M
Dierckx, Tim
Van Ranst, Marc
Bouzas, Maiara L
Oliveira, Juliana R
Khouri, Ricardo
Van Weyenbergh, Johan
de Oliveira, Camila I
Houspie, Lieselot
Van der Gucht, Winke
Wollants, Elke
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  fullname: Khouri, Ricardo
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Keywords ARI
Diagnostics
RSV
nCounter
Language English
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Snippet Highlights • nCounter enables detection of pathogen transcripts in NPA with low RNA input. • nCounter detects, in a single reaction, the presence of multiple...
•nCounter enables detection of pathogen transcripts in NPA with low RNA input.•nCounter detects, in a single reaction, the presence of multiple pathogens in...
Acute respiratory tract infections (ARI) present a significant morbidity and pose a global health burden. Patients are frequently treated with antibiotics...
BACKGROUNDAcute respiratory tract infections (ARI) present a significant morbidity and pose a global health burden. Patients are frequently treated with...
Background Acute respiratory tract infections (ARI) present a significant morbidity and pose a global health burden. Patients are frequently treated with...
• nCounter enables detection of pathogen transcripts in NPA with low RNA input. • nCounter detects, in a single reaction, the presence of multiple pathogens in...
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SubjectTerms Allergy and Immunology
ARI
Bacteria - classification
Bacteria - genetics
Bacteria - isolation & purification
Bacterial Infections - diagnosis
Chlamydophila pneumoniae
Diagnostics
Gene Expression Profiling - methods
Haemophilus influenzae
Human metapneumovirus
Humans
Infant
Infectious Disease
Influenza virus
Moraxella catarrhalis
Multiplex Polymerase Chain Reaction - methods
Mycoplasma pneumoniae
Nasopharynx - microbiology
nCounter
Parainfluenza virus
Phylogeny
Respiratory Tract Infections - diagnosis
Respiratory Tract Infections - microbiology
Rhinovirus
RNA, Bacterial - analysis
RNA, Viral - analysis
RSV
Sensitivity and Specificity
Staphylococcus aureus
Streptococcus pneumoniae
Virus Diseases - diagnosis
Viruses - classification
Viruses - genetics
Viruses - isolation & purification
Title Pathogen transcriptional profile in nasopharyngeal aspirates of children with acute respiratory tract infection
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https://dx.doi.org/10.1016/j.jcv.2015.06.005
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https://search.proquest.com/docview/1698964656
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https://pubmed.ncbi.nlm.nih.gov/PMC7106536
Volume 69
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