Development of a non-infectious control for viral hemorrhagic fever PCR assays

PLoS Negl Trop Dis. 2024 Apr 22;18(4):e0011390. doi: 10.1371/journal.pntd.0011390. eCollection 2024 Apr.

Abstract

Assay validation is an essential component of disease surveillance testing, but can be problematic in settings where access to positive control material is limited and a safety risk for handlers. Here we describe a single non-infectious synthetic control that can help develop and validate the PCR based detection of the viral causes of Crimean-Congo hemorrhagic fever, Ebola virus disease, Lassa fever, Marburg virus disease and Rift Valley fever. We designed non-infectious synthetic DNA oligonucleotide sequences incorporating primer binding sites suitable for five assays, and a T7 promotor site which was used to transcribe the sequence. Transcribed RNA was used as template in a dilution series, extracted and amplified with RT-PCR and RT-qPCR to demonstrate successful recovery and determine limits of detection in a range of laboratory settings. Our results show this approach is adaptable to any diagnostic assay requiring validation of nucleic acid extraction and/or amplification, particularly where sourcing reliable, safe material for positive controls is infeasible.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • DNA Primers / genetics
  • Hemorrhagic Fevers, Viral* / diagnosis
  • Hemorrhagic Fevers, Viral* / virology
  • Humans
  • RNA, Viral / genetics
  • Real-Time Polymerase Chain Reaction / methods
  • Sensitivity and Specificity

Substances

  • RNA, Viral
  • DNA Primers

Grants and funding

This work was supported by funds from the World Organisation for Animal Health (Grant 3000034275; OIE Laboratory (or Collaborating Centre) Twinning Project: Enhancing capacity for early detection of viral haemorrhagic fevers in Liberia through epidemiological and laboratory training), Royal Society Te Apārangi Rutherford Discovery Fellowship (RDF-MAU1701) and the Percival Carmine Chair in Epidemiology and Public Health (all to DTSH). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.