The potential of viral metagenomics in blood transfusion safety

Transfus Clin Biol. 2017 Sep;24(3):218-222. doi: 10.1016/j.tracli.2017.06.018. Epub 2017 Jul 8.

Abstract

Thanks to the significant advent of high throughput sequencing in the last ten years, it is now possible via metagenomics to define the spectrum of the microbial sequences present in human blood samples. Therefore, metagenomics sequencing appears as a promising approach for the identification and global surveillance of new, emerging and/or unexpected viruses that could impair blood transfusion safety. However, despite considerable advantages compared to the traditional methods of pathogen identification, this non-targeted approach presents several drawbacks including a lack of sensitivity and sequence contaminant issues. With further improvements, especially to increase sensitivity, metagenomics sequencing should become in a near future an additional diagnostic tool in infectious disease field and especially in blood transfusion safety.

Keywords: Blood safety; Blood-borne viruses; Découverte de virus; Emerging viruses; High throughput sequencing; Métagénomique; Sécurité transfusionnelle; Séquençage haut débit; Viral discovery; Viral metagenomics; Virus transmis par le sang; Virus émergents.

Publication types

  • Review

MeSH terms

  • Blood Donors*
  • Blood Safety / methods*
  • Blood-Borne Pathogens* / isolation & purification
  • Communicable Diseases, Emerging
  • DNA, Viral / blood
  • Donor Selection / methods*
  • Genome, Viral*
  • High-Throughput Nucleotide Sequencing
  • Humans
  • Metagenomics / methods*
  • RNA, Viral / blood
  • Sensitivity and Specificity
  • Transfusion Reaction / prevention & control*
  • Viremia / blood
  • Viremia / diagnosis*
  • Viremia / transmission

Substances

  • DNA, Viral
  • RNA, Viral