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

Arch Virol. 2016 Jun;161(6):1425-35. doi: 10.1007/s00705-016-2802-2. Epub 2016 Feb 29.

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 10(2) 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.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Child
  • Child, Preschool
  • DNA, Viral / chemistry
  • DNA, Viral / genetics
  • Genes, Viral
  • Hemagglutinin Glycoproteins, Influenza Virus / genetics
  • Hemagglutinin Glycoproteins, Influenza Virus / immunology
  • Humans
  • Infant
  • Influenza B virus / classification*
  • Influenza B virus / genetics*
  • Influenza B virus / immunology
  • Influenza Vaccines / pharmacology
  • Influenza, Human / diagnosis
  • Influenza, Human / epidemiology
  • Influenza, Human / virology
  • Middle Aged
  • Molecular Epidemiology
  • Nucleic Acid Denaturation
  • Prevalence
  • Real-Time Polymerase Chain Reaction / methods
  • Young Adult

Substances

  • DNA, Viral
  • Hemagglutinin Glycoproteins, Influenza Virus
  • Influenza Vaccines