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Lineage-specific detection of influenza B virus using real-time polymerase chain reaction with melting curve analysis

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Abstract

Influenza B viruses comprise two lineages, Victoria (B/Vic) and Yamagata (B/Yam), which co-circulate globally. The surveillance data on influenza B virus lineages in many countries often underestimate the true prevalence due to the lack of a rapid, accurate, and cost-effective method for virus detection. We have developed a real-time PCR with melting curve analysis for lineage-specific differential detection of influenza B virus. By amplifying a region of the hemagglutinin gene using real-time PCR with SYBR Green I dye, B/Vic and B/Yam could be differentiated based on their melting temperature peaks. This method was efficient (B/Vic = 93.2 %; B/Yam 97.7 %), sensitive (B/Vic, 94.6 %; B/Yam, 96.3 %), and specific (B/Vic, 97.7 %; B/Yam, 97.1 %). The lower detection limit was 102 copies per microliter. The assay was evaluated using 756 respiratory specimens that were positive for influenza B virus, obtained between 2010 and 2015. The incidence of influenza B virus was approximately 18.9 % of all influenza cases, and the percentage was highest among children aged 6–17 years (7.57 %). The overall percentage of mismatched influenza B vaccine was 21.1 %. Our findings suggest that real-time PCR with melting curve analysis can provide a rapid, simple, and sensitive lineage-specific influenza B virus screening method to facilitate influenza surveillance.

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References

  1. Fiore AE, Uyeki TM, Broder K, Finelli L, Euler GL, Singleton JA, Iskander JK, Wortley PM, Shay DK, Bresee JS, Cox NJ, Centers for Disease Control and Prevention (CDC) (2010) Prevention and control of influenza with vaccines: recommendations of the Advisory Committee on Immunization Practices (ACIP), 2010. MMWR Recomm Rep 59(RR-8):1–62

    PubMed  Google Scholar 

  2. Kanegae Y, Sugita S, Endo A, Ishida M, Senya S, Osako K, Nerome K, Oya A (1990) Evolutionary pattern of the hemagglutinin gene of influenza B viruses isolated in Japan: cocirculating lineages in the same epidemic season. J Virol 64(6):2860–2865

    CAS  PubMed  PubMed Central  Google Scholar 

  3. Rota PA, Wallis TR, Harmon MW, Rota JS, Kendal AP, Nerome K (1990) Cocirculation of two distinct evolutionary lineages of influenza type B virus since 1983. Virology 175(1):59–68

    Article  CAS  PubMed  Google Scholar 

  4. Ambrose CS, Levin MJ (2012) The rationale for quadrivalent influenza vaccines. Hum Vaccin Immunother 8(1):81–88. doi:10.4161/hv.8.1.17623

    Article  PubMed  PubMed Central  Google Scholar 

  5. Thai National Influenza Center (2015) Influenza surveillance weekly report. Thai National Influenza Center, Nonthaburi. http://www.thainihnic.org/influenza/main.php?option=report. Accessed 4 July 2015

  6. Chi CY, Wang SM, Lin CC, Wang HC, Wang JR, Su IJ, Liu CC (2008) Clinical features of children infected with different strains of influenza B in southern Taiwan. Pediatr Infect Dis J 27(7):640–645. doi:10.1097/INF.0b013e31816be008

    Article  PubMed  Google Scholar 

  7. Gutiérrez-Pizarraya A, Pérez-Romero P, Alvarez R, Aydillo TA, Osorio-Gómez G, Milara-Ibáñez C, Sánchez M, Pachón J, Cordero E (2012) Unexpected severity of cases of influenza B infection in patients that required hospitalization during the first postpandemic wave. J Infect 65(5):423–430. doi:10.1016/j.jinf.2012.07.004

    Article  PubMed  Google Scholar 

  8. Owusu JT, Prapasiri P, Ditsungnoen D, Leetongin G, Yoocharoen P, Rattanayot J, Olsen SJ, Muangchana C (2015) Seasonal influenza vaccine coverage among high-risk populations in Thailand, 2010–2012. Vaccine 33(5):742–747. doi:10.1016/j.vaccine.2014.10.029

    Article  PubMed  PubMed Central  Google Scholar 

  9. Toback SL, Levin MJ, Block SL, Belshe RB, Ambrose CS, Falloon J (2012) Quadrivalent Ann Arbor strain live-attenuated influenza vaccine. Expert Rev Vaccines 11(11):1293–1303. doi:10.1586/erv.12.108

    Article  CAS  PubMed  Google Scholar 

  10. Zhao B, Qin S, Teng Z, Chen J, Yu X, Gao Y, Shen J, Cui X, Zeng M, Zhang X (2015) Epidemiological study of influenza B in Shanghai during the 2009–2014 seasons: implications for influenza vaccination strategy. Clin Microbiol Infect 21(7):694–700. doi:10.1016/j.cmi.2015.03.009

    Article  CAS  PubMed  Google Scholar 

  11. WHO information for molecular diagnosis of Influenza virus-update, Revision May 2015. http://www.who.int/influenza/gisrs_laboratory/molecular_diagnosis_influenza_virus_humans_update_201403rev201505.pdf. Accessed 4 June 2015

  12. Arvia R, Corcioli F, Pierucci F, Azzi A (2014) Molecular markers of influenza B lineages and clades. Viruses 6(11):4437–4446. doi:10.3390/v6114437

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  13. Zhang N, Fang S, Wang T, Li J, Cheng X, Zhao C, Wang X, Lv X, Wu C, Zhang R, Cheng J, Xue H, Lu Z (2012) Applicability of a sensitive duplex real-time PCR assay for identifying B/Yamagata and B/Victoria lineages of influenza virus from clinical specimens. Appl Microbiol Biotechnol 93:797–805

    Article  CAS  PubMed  Google Scholar 

  14. Biere B, Bauer B, Schweiger B (2010) Differentiation of influenza B virus lineages Yamagata and Victoria by real-time PCR. J Clin Microbiol 48(4):1425–1427. doi:10.1128/JCM.02116-09

    Article  PubMed  PubMed Central  Google Scholar 

  15. Nakauchi M, Takayama I, Takahashi H, Oba K, Kubo H, Kaida A, Tashiro M, Kageyama T (2014) Real-time RT-PCR assays for discriminating influenza B virus Yamagata and Victoria lineages. J Virol Methods 205C:110–115. doi:10.1016/j.jviromet.2014.04.016

    Article  PubMed  Google Scholar 

  16. Reed GH, Kent JO, Wittwer CT (2007) High-resolution DNA melting analysis for simple and efficient molecular diagnostics. Pharmacogenomics 8(6):597–608

    Article  CAS  PubMed  Google Scholar 

  17. Lin JH, Tseng CP, Chen YJ, Lin CY, Chang SS, Wu HS, Cheng JC (2008) Rapid differentiation of influenza A virus subtypes and genetic screening for virus variants by high-resolution melting analysis. J Clin Microbiol 46(3):1090–1097. doi:10.1128/JCM.02015-07

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  18. Varillas D, Bermejo-Martin JF, Almansa R, Rojo S, Nogueira B, Eiros JM, Rico L, Iglesias V, de Lejarazu RO (2011) A new method for detection of pandemic influenza virus using High Resolution Melting analysis of the neuraminidase gene. J Virol Methods 171(1):284–286. doi:10.1016/j.jviromet.2010.10.003

    Article  CAS  PubMed  Google Scholar 

  19. Payungporn S, Chutinimitkul S, Chaisingh A, Damrongwantanapokin S, Nuansrichay B, Pinyochon W, Amonsin A, Donis RO, Theamboonlers A, Poovorawan Y (2006) Discrimination between highly pathogenic and low pathogenic H5 avian influenza A viruses. Emerg Infect Dis 12(4):700–701

    Article  PubMed  PubMed Central  Google Scholar 

  20. Nakagawa T, Higashi N, Nakagawa N (2008) Detection of antigenic variants of the influenza B virus by melting curve analysis with LCGreen. J Virol Methods 148(1–2):296–299. doi:10.1016/j.jviromet.2007.12.002

    Article  CAS  PubMed  Google Scholar 

  21. Wong CK, Tsang GC, Chan KH, Li OT, Peiris M, Poon LL (2014) A novel molecular test for influenza B virus detection and lineage differentiation. J Med Virol 86(12):2171–2176. doi:10.1002/jmv.23955

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  22. Berton MT, Naeve CW, Webster RG (1984) Antigenic structure of the influenza B virus hemagglutinin: nucleotide sequence analysis of antigenic variants selected with monoclonal antibodies. J Virol 52:919–927

    CAS  PubMed  PubMed Central  Google Scholar 

  23. Tewawong N, Suwannakarn K, Prachayangprecha S, Korkong S, Vichiwattana P, Vongpunsawad S, Poovorawan Y (2015) Molecular epidemiology and phylogenetic analyses of influenza B virus in Thailand during 2010 to 2014. PLoS One 10(1):e0116302. doi:10.1371/journal.pone.0116302

    Article  PubMed  PubMed Central  Google Scholar 

  24. Suwannakarn K, Payungporn S, Chieochansin T, Samransamruajkit R, Amonsin A, Songserm T, Chaisingh A, Chamnanpood P, Chutinimitkul S, Theamboonlers A, Poovorawan Y (2008) Typing (A/B) and subtyping (H1/H3/H5) of influenza A viruses by multiplex real-time RT-PCR assays. J Virol Methods 152(1–2):25–31. doi:10.1016/j.jviromet.2008.06.002

    Article  CAS  PubMed  Google Scholar 

  25. Prachayangprecha S, Vichaiwattana P, Korkong S, Felber JA, Poovorawan Y (2015) Influenza activity in Thailand and occurrence in different climates. Springerplus 16(4):356. doi:10.1186/s40064-015-1149-6

    Article  Google Scholar 

  26. Lalkhen AG, McCluskey A (2008) Clinical tests: sensitivity and specificity. Contin Educ Anaesth Crit Care Pain 8(6):221–223. doi:10.1093/bjaceaccp/mkn041

    Article  Google Scholar 

  27. Tamura K, Stecher G, Peterson D, Filipski A, Kumar S (2013) MEGA6: molecular evolutionary genetics analysis version 6.0. Mol Biol Evol 30(12):2725–2729

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  28. Binnicker MJ, Espy MJ, Irish CL, Vetter EA (2015) Direct detection of influenza A and B viruses in less than 20 minutes using a commercially available rapid PCR assay. J Clin Microbiol 53(7):2353–2354. doi:10.1128/JCM.00791-15

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  29. Nakagawa N, Kubota R, Maeda A, Nakagawa T, Okuno Y (2000) Heterogeneity of influenza B virus strains in one epidemic season differentiated by monoclonal antibodies and nucleotide sequences. J Clin Microbiol 38(9):3467–3469

    CAS  PubMed  PubMed Central  Google Scholar 

  30. Nakagawa N, Kubota R, Okuno Y (2005) Variation of the conserved neutralizing epitope in influenza B virus victoria group isolates in Japan. J Clin Microbiol 43(8):4212–4214

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  31. Chen R, Holmes EC (2008) The evolutionary dynamics of human influenza B virus. J Mol Evol 66:655–663

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  32. Glezen WP, Schmier JK, Kuehn CM, Ryan KJ, Oxford J (2013) The burden of influenza B: a structured literature review. Am J Public Health 103(3):e43–e51. doi:10.2105/AJPH.2012.301137

    Article  Google Scholar 

  33. Pannaraj PS, Wang HL, Rivas H, Wiryawan H, Smit M, Green N, Aldrovandi GM, El Amin AN, Mascola L (2014) School-located influenza vaccination decreases laboratory-confirmed influenza and improves school attendance. Clin Infect Dis 59(3):325–332. doi:10.1093/cid/ciu340

    Article  PubMed  PubMed Central  Google Scholar 

  34. Gaglani MJ (2014) Editorial commentary: school-located influenza vaccination: why worth the effort? Clin Infect Dis 59(3):333–335. doi:10.1093/cid/ciu344

    Article  PubMed  Google Scholar 

  35. Couch RB (2007) Background and presentation of possible vaccine options. Presented at: Food and Drug Administration, Center for Biologics Evaluation and Research, Vaccines and Related Biological Products Advisory Committee Meeting; February 27–28, 2007, Washington, DC

  36. Dolin R (2013) The quadrivalent approach to influenza vaccination. J Infect Dis 208(4):539–540. doi:10.1093/infdis/jit264

    Article  PubMed  Google Scholar 

  37. Ambrose CS, Yi T, Walker RE, Connor EM (2008) Duration of protection provided by live attenuated influenza vaccine in children. Pediatr Infect Dis J 27(8):744–748. doi:10.1097/INF.0b013e318174e0f8

    Article  PubMed  Google Scholar 

  38. Lee BY, Bartsch SM, Willig AM (2012) The economic value of a quadrivalent versus trivalent influenza vaccine. Vaccine 30(52):7443–7446. doi:10.1016/j.vaccine.2012.10.025

    Article  PubMed  PubMed Central  Google Scholar 

  39. Roos R (2009) Experts consider 4-strain flu vaccine to fight B viruses. CIDRAP News. Center for Infectious Disease Research and Policy. University of Minnesota, Minneapolis. http://www.cidrap.umn.edu/news-perspective/2009/01/experts-consider-4-strain-flu-vaccine-fight-b-viruses. Accessed 6 June 2015

  40. Richard SA, Viboud C, Miller MA (2010) Evaluation of Southern Hemisphere influenza vaccine recommendations. Vaccine 28(15):2693–2699. doi:10.1016/j.vaccine.2010.01.053

    Article  PubMed  PubMed Central  Google Scholar 

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Acknowledgments

This work was supported by the National Research University Project, Office of Higher Education Commission (WCU001-HR-57, WCU007-HR-57, and WCU-58-006-HR), the National Research Council of Thailand, the Research Chair Grant from the National Science and Technology Development Agency, Chulalongkorn University Centenary Academic Development Project (CU56-HR01), Ratchadaphiseksomphot Endowment Fund of Chulalongkorn University (RES560530093), the Outstanding Professor of Thailand Research Fund (DPG5480002), Siam Cement Group, and MK Restaurant Company Limited. The 100th Anniversary Chulalongkorn University Fund for doctoral scholarship was awarded to Nipaporn Tewawong.

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Correspondence to Yong Poovorawan.

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Tewawong, N., Chansaenroj, J., Klinfueng, S. et al. Lineage-specific detection of influenza B virus using real-time polymerase chain reaction with melting curve analysis. Arch Virol 161, 1425–1435 (2016). https://doi.org/10.1007/s00705-016-2802-2

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