Real-time reverse transcription-polymerase chain reaction assays for identification of wild poliovirus 1 & 3

Deepa K Sharma1, Uma P Nalavade, Jagadish M Deshpande

  • 1Enterovirus Research Centre (ICMR), Mumbai, India.

Abstract

Insights

New real-time reverse transcription-polymerase chain reaction (rRT-PCR) assays accurately detect wild poliovirus 1 and 3 (WPV1 and WPV3) in various mixtures. These validated assays are crucial for confirming wild poliovirus presence, even with vaccine strains.

Area of Science:

  • Virology
  • Molecular Biology
  • Public Health

Background:

  • Current real-time reverse transcription-polymerase chain reaction (rRT-PCR) assays are effective for poliovirus serotype identification but struggle with intratypic differentiation, particularly distinguishing wild and vaccine strains.
  • Accurate differentiation is critical for polio eradication efforts, necessitating improved diagnostic tools.

Purpose of the Study:

  • To develop specific real-time reverse transcription-polymerase chain reaction (rRT-PCR) assays for wild poliovirus 1 (WPV1) and wild poliovirus 3 (WPV3).
  • To validate these assays for detecting genetic variations of WPV1 and WPV3 circulating in India.

Main Methods:

  • Design of specific primers and probes for rRT-PCR based on VP1 sequences of WPV1 and WPV3 strains isolated in India since 2000.
  • Evaluation of assay specificity using diverse poliovirus strains (WPV1, WPV3, Sabin strains) and non-polio enteroviruses (NPEVs).
  • Determination of assay sensitivity through serial dilutions of WPV1 and WPV3 stock suspensions.

Main Results:

  • The developed rRT-PCR assays demonstrated high specificity, showing no cross-reactivity with Sabin strains, intertypic wild polioviruses, or 27 types of NPEVs.
  • All WPV1 and WPV3 strains isolated in India since 2000 were successfully amplified by the specific assays.
  • The assays detected WPV1 and WPV3 at low concentrations (10^4.40 and 10^4.00 CCID50/ml, respectively), even in mixtures with Sabin strains or other wild polioviruses.

Conclusions:

  • Validated rRT-PCR assays for WPV1 and WPV3 can effectively detect all genetic variations of these wild polioviruses circulating in India over the past decade.
  • These specific assays, when used with existing methods, provide complete confirmation of wild poliovirus presence in intratypic mixtures, aiding polio surveillance.