Abstract
Diagnosis and epidemiological analysis of human parvovirus B19 (hB19V) infections are essential for disease management in severely ill patients. This study aimed to evaluate the performance of an optimized NS1-VP1u nested PCR for detection and sequencing of viruses in clinical samples using 224 clinical and five reference samples. PCR sensitivity, specificity, and positive and negative predictive values were perfect (100%). While phylogenetic analysis of a 615 bp-long fragment demonstrated that the viruses in all of the samples belonged to genotype 1, this study confirmed that this optimized PCR could detect all known hB19V with high performance.
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References
Servey JT, Reamy BV, Hodge J (2007) Clinical presentations of parvovirus B19 infection. Am Fam Physician 75:373–376
Kaufmann B, Simpson AA, Rossmann MG (2004) The structure of human parvovirus B19. Proc Natl Acad Sci USA 101:11628–11633
Kahn JS, Kesebir D, Cotmore SF et al (2008) Seroepidemiology of human bocavirus defined using recombinant virus-like particles. J Infect Dis 198:41–50
Momoeda M, Wong S, Kawase M et al (1994) A putative nucleoside triphosphate-binding domain in the nonstructural protein of B19 parvovirus is required for cytotoxicity. J Virol 68:8443–8446
Raab U, Beckenlehner K, Lowin T et al (2002) NS1 protein of parvovirus B19 interacts directly with DNA sequences of the p6 promoter and with the cellular transcription factors Sp1/Sp3. Virology 293:86–93
Vassias I, Hazan U, Michel Y et al (1998) Regulation of human B19 parvovirus promoter expression by hGABP (E4TF1) transcription factor. J Biol Chem 273:8287–8293
Norbeck O, Isa A, Pöhlmann C et al (2005) Sustained CD8+ T-Cell responses induced after acute parvovirus B19 infection in humans. J Virol 79:12117–12121
Jia J, Ma Y, Zhao X et al (2016) Existence of various human parvovirus B19 genotypes in Chinese plasma pools: genotype 1, genotype 3, putative intergenotypic recombinant variants and new genotypes. Virol J 13:155
Anderson MJ, Higgins PG, Davis LR et al (1985) Experimental parvoviral infection in humans. J Infect Dis 152:257–265
Azzi A, Morfini M, Mannucci PM (1999) The transfusion-associated transmission of parvovirus B19. Transfus Med Rev 13:194–204
Brodin-Sartorius A, Mekki Y, Pastural M et al (2011) Severe transfusion-transmitted parvovirus B19 infection in a naive immunocompromised patient. Transpl Infect Dis 13:97–98
Lindblom A, Isa A, Norbeck O et al (2005) Slow clearance of human parvovirus B19 viremia following acute infection. Clin Infect Dis 41:1201–1203
Young N, Harrison M, Moore J et al (1984) Direct demonstration of the human parvovirus in erythroid progenitor cells infected in vitro. J Clin Invest 74:2024–2032
Serjeant GR, Topley JM, Mason K et al (1981) Outbreak of aplastic crises in sickle cell anaemia associated with parvovirus-like agent. Lancet Lond Engl 2:595–597
Luzzi GA, Kurtz JB, Chapel H (1985) Human parvovirus arthropathy and rheumatoid factor. Lancet Lond Engl 1:1218
Anderson LJ (1987) Role of parvovirus B19 in human disease. Pediatr Infect Dis J 6:711–718
Le Scanff J, Vighetto A, Mekki Y et al (2010) Acute ophthalmoparesis associated with human parvovirus B19 infection. Eur J Ophthalmol 20:802–804
Modrow S, Dorsch S (2002) Antibody responses in parvovirus B19 infected patients. Pathol Biol (Paris) 50:326–331
Zavattoni M, Paolucci S, Sarasini A et al (2016) Diagnostic and prognostic value of molecular and serological investigation of human parvovirus B19 infection during pregnancy. New Microbiol 39:181–185
Servant A, Laperche S, Lallemand F et al (2002) Genetic diversity within human erythroviruses: identification of three genotypes. J Virol 76:9124–9134
Simel DL, Samsa GP, Matchar DB (1991) Likelihood ratios with confidence: sample size estimation for diagnostic test studies. J Clin Epidemiol 44:763–770
Hübschen JM, Mihneva Z, Mentis AF et al (2009) Phylogenetic analysis of human parvovirus B19 sequences from eleven different countries confirms the predominance of Genotype 1 and suggests the spread of Genotype 3b. J Clin Microbiol 47:3735–3738
Lamont RF, Sobel JD, Vaisbuch E et al (2011) Parvovirus B19 infection in human pregnancy. BJOG Int J Obstet Gynaecol 118:175–186
Coumau E, Peynet J, Harzic M et al (1996) Severe parvovirus B19 infection in an immunocompetent child with hemophilia A. Arch Pédiatrie Org 3:35–39
Koppelman MHGM, Rood IGH, Fryer JF et al (2007) Parvovirus B19 genotypes 1 and 2 detection with real-time polymerase chain reaction assays. Vox Sang 93:208–215
Koppelman MHGM, van Swieten P, Cuijpers HTM (2011) Real-time polymerase chain reaction detection of parvovirus B19 DNA in blood donations using a commercial and an in-house assay. Transfusion (Paris) 51:1346–1354
Eid AJ, Brown RA, Patel R, Razonable RR (2006) Parvovirus B19 infection after transplantation: a review of 98 cases. Clin Infect Dis 43:40–48. https://doi.org/10.1086/504812
Crane J, Mundle W, Boucoiran I et al (2014) Parvovirus B19 infection in pregnancy. J Obstet Gynaecol Can 36:1107–1116
Enders M, Weidner A, Enders G (2007) Current epidemiological aspects of human parvovirus B19 infection during pregnancy and childhood in the western part of Germany. Epidemiol Infect 135:563
Fairley CK, Smoleniec JS, Caul OE, Miller E (1995) Observational study of effect of intrauterine transfusions on outcome of fetal hydrops after parvovirus B19 infection. Lancet 346:1335–1337
Acknowledgements
The authors want to thank all the technicians of the molecular biology and virology laboratories for their help in these experiments, and Dr. Servant’s laboratory for help in providing the reference samples. The authors want to thank Ms. Viatte, Jeffrey Ashram, and Bruno Simon for valuable advice and correction.
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This research did not receive any specific Grant from funding agencies in the public, commercial or not-for-profit sectors.
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Conceptualization, MP and CL; data curation, VTG; formal analysis, MP, CL and DM; funding acquisition, BL; investigation, VTG and PG; methodology, MP, CL and JSC; project administration, GB; software, CL; supervision, YM; Writing – original draft, MP; writing – review & editing, MP.
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Pichon, M., Labois, C., Tardy-Guidollet, V. et al. Optimized nested PCR enhances biological diagnosis and phylogenetic analysis of human parvovirus B19 infections. Arch Virol 164, 2775–2781 (2019). https://doi.org/10.1007/s00705-019-04368-w
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DOI: https://doi.org/10.1007/s00705-019-04368-w