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Ren M, Mei H, Zhou J, Zhou M, Han H, Zhao L. Early diagnosis of rabies virus infection by RPA-CRISPR techniques in a rat model. Arch Virol 2021; 166:1083-1092. [PMID: 33544254 PMCID: PMC7862975 DOI: 10.1007/s00705-021-04970-x] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2020] [Accepted: 12/07/2020] [Indexed: 12/14/2022]
Abstract
Rabies, which is caused by rabies virus (RABV), poses an ever-present threat to public health in most countries of the world. Once clinical signs appear, the mortality of rabies approaches 100%. To date, no effective method for early rabies diagnosis has been developed. In this study, an RPA-CRISPR nucleic-acid-based assay was developed for early rabies diagnosis by detecting viral RNA shedding in the cerebrospinal fluid (CSF) of rats. This method can detect a single copy of RABV genomic RNA in 1 μL of liquid. RABV genomic RNA released from viral particles in the CSF could be detected via RPA-CRISPR as early as 3 days postinfection in a rat model. This study provides an RPA-CRISPR technique for early detection of RABV with potential application in the clinical diagnosis of human rabies.
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Affiliation(s)
- Meishen Ren
- State Key Laboratory of Agricultural Microbiology, Huazhong Agricultural University, Wuhan, 430070, China.,Key Laboratory of Preventive Veterinary Medicine in Hubei Province, College of Veterinary Medicine, Huazhong Agricultural University, Wuhan, 430070, China
| | - Hong Mei
- State Key Laboratory of Agricultural Microbiology, Huazhong Agricultural University, Wuhan, 430070, China.,Key Laboratory of Preventive Veterinary Medicine in Hubei Province, College of Veterinary Medicine, Huazhong Agricultural University, Wuhan, 430070, China
| | - Jiaojiao Zhou
- State Key Laboratory of Agricultural Microbiology, College of Science, Huazhong Agricultural University, Wuhan, 430070, China
| | - Ming Zhou
- State Key Laboratory of Agricultural Microbiology, Huazhong Agricultural University, Wuhan, 430070, China.,Key Laboratory of Preventive Veterinary Medicine in Hubei Province, College of Veterinary Medicine, Huazhong Agricultural University, Wuhan, 430070, China
| | - Heyou Han
- State Key Laboratory of Agricultural Microbiology, College of Science, Huazhong Agricultural University, Wuhan, 430070, China
| | - Ling Zhao
- State Key Laboratory of Agricultural Microbiology, Huazhong Agricultural University, Wuhan, 430070, China. .,Key Laboratory of Preventive Veterinary Medicine in Hubei Province, College of Veterinary Medicine, Huazhong Agricultural University, Wuhan, 430070, China.
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2
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Prabhu KN, Isloor S, Veeresh BH, Rathnamma D, Sharada R, Das LJ, Satyanarayana ML, Hegde NR, Rahman SA. Application and Comparative Evaluation of Fluorescent Antibody, Immunohistochemistry and Reverse Transcription Polymerase Chain Reaction Tests for the Detection of Rabies Virus Antigen or Nucleic Acid in Brain Samples of Animals Suspected of Rabies in India. Vet Sci 2018; 5:E24. [PMID: 29495649 PMCID: PMC5876580 DOI: 10.3390/vetsci5010024] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2017] [Revised: 02/19/2018] [Accepted: 02/23/2018] [Indexed: 10/25/2022] Open
Abstract
Accurate and early diagnosis of animal rabies is critical for undertaking public health measures. Whereas the direct fluorescent antibody (DFA) technique is the recommended test, the more convenient, direct rapid immunochemistry test (dRIT), as well as the more sensitive, reverse transcription polymerase chain reaction (RT-PCR), have recently been employed for the laboratory diagnosis of rabies. We compared the three methods on brain samples from domestic (dog, cat, cattle, buffalo, horse, pig and goat) and wild (leopard, wolf and jackal) animals from various parts of India. Of the 257 samples tested, 167 were positive by all the three tests; in addition, 35 of the 36 decomposed samples were positive by RT-PCR. This is the first study in which such large number of animal samples have been subjected to the three tests simultaneously. The results confirm 100% corroboration between DFA and dRIT, buttress the applicability of dRIT in the simple and rapid diagnosis of rabies in animals, and reaffirm the suitability of RT-PCR for samples unfit for testing either by DFA or dRIT.
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Affiliation(s)
- K Nithin Prabhu
- Commonwealth Veterinary Association-Crucell Rabies Diagnostic Laboratory, Department of Microbiology, Veterinary College-Bengaluru, Karnataka Veterinary Animal and Fisheries Sciences University, Bengaluru 560024, India.
- Department of Microbiology, Veterinary College-Bengaluru, Karnataka Veterinary Animal and Fisheries Sciences University, Bengaluru 560024, India.
| | - Shrikrishna Isloor
- Commonwealth Veterinary Association-Crucell Rabies Diagnostic Laboratory, Department of Microbiology, Veterinary College-Bengaluru, Karnataka Veterinary Animal and Fisheries Sciences University, Bengaluru 560024, India.
- Department of Microbiology, Veterinary College-Bengaluru, Karnataka Veterinary Animal and Fisheries Sciences University, Bengaluru 560024, India.
| | - B Hanchinal Veeresh
- Department of Microbiology, Veterinary College-Bengaluru, Karnataka Veterinary Animal and Fisheries Sciences University, Bengaluru 560024, India.
| | - Doddamane Rathnamma
- Department of Microbiology, Veterinary College-Bengaluru, Karnataka Veterinary Animal and Fisheries Sciences University, Bengaluru 560024, India.
| | - R Sharada
- Department of Microbiology, Veterinary College-Bengaluru, Karnataka Veterinary Animal and Fisheries Sciences University, Bengaluru 560024, India.
| | - Lekshmi J Das
- Department of Microbiology, Veterinary College-Bengaluru, Karnataka Veterinary Animal and Fisheries Sciences University, Bengaluru 560024, India.
| | - M L Satyanarayana
- Department of Pathology, Veterinary College-Bengaluru, Karnataka Veterinary Animal and Fisheries Sciences University, Bengaluru 560024, India.
| | - Nagendra R Hegde
- National Institute of Animal Biotechnology, Miyapur, Hyderabad 500049, India.
| | - Sira Abdul Rahman
- Commonwealth Veterinary Association, Jayanagar, Bengaluru 560011, India.
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Kyaw SP, Hanthamrongwit J, Jangpatarapongsa K, Khaenam P, Leepiyasakulchai C. Sensitive detection of the IS6110 sequence of Mycobacterium tuberculosis complex based on PCR-magnetic bead ELISA. RSC Adv 2018; 8:33674-33680. [PMID: 35548803 PMCID: PMC9086544 DOI: 10.1039/c8ra06599c] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2018] [Accepted: 09/23/2018] [Indexed: 11/21/2022] Open
Abstract
Tuberculosis (TB) is ranked as the top killer among infectious diseases worldwide. Early and accurate diagnosis of the disease is crucial to end the global TB epidemic. The current commercially available molecular tests are still unaffordable by most TB affected communities. Herein, we developed a novel rapid and sensitive diagnostic method to detect the IS6110 sequence of Mycobacterium tuberculosis (M. tuberculosis) complex using PCR-magnetic bead ELISA. PCR amplification ofa 123 bp repetitive sequence of the IS6110 gene was performed by using digoxigenin (DIG) and biotin-labelled primers. Streptavidin-conjugated magnetic beads were used to collect the dual-labelled amplicons and subsequently, colourimetric detection was done by using horseradish peroxidase (HRP)-conjugated anti-DIG antibody. This method is able to detect M. tuberculosis DNA down to 0.5 fg per reaction within 3 hours. The sensitivity of IS6110 PCR detection by magnetic bead ELISA is 100 times higher than that of conventional agarose gel electrophoresis. The assay specificity was determined using a panel of DNA extracted from 10 common bacteria causing lower respiratory tract infections. No cross-reactivity was detected from those bacteria by IS6110 PCR-magnetic bead ELISA. Thus, the novel highly sensitive and specific, reduced assay time and simplicity of this PCR-magnetic bead ELISA for the detection of the specific gene of M. tuberculosis complex makes it an attractive diagnostic tool for large-scale screening of tuberculosis in standard clinical laboratories. Tuberculosis (TB) is ranked as the top killer among infectious diseases worldwide.![]()
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Affiliation(s)
- Soe Paing Kyaw
- Department of Clinical Microbiology and Applied Technology
- Faculty of Medical Technology
- Mahidol University
- Bangkok
- Thailand
| | - Jariya Hanthamrongwit
- Department of Clinical Microbiology and Applied Technology
- Faculty of Medical Technology
- Mahidol University
- Bangkok
- Thailand
| | | | - Prasong Khaenam
- Center for Standardization and Product Validation
- Faculty of Medical Technology
- Mahidol University
- Bangkok
- Thailand
| | - Chaniya Leepiyasakulchai
- Department of Clinical Microbiology and Applied Technology
- Faculty of Medical Technology
- Mahidol University
- Bangkok
- Thailand
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Singh R, Singh KP, Cherian S, Saminathan M, Kapoor S, Manjunatha Reddy GB, Panda S, Dhama K. Rabies - epidemiology, pathogenesis, public health concerns and advances in diagnosis and control: a comprehensive review. Vet Q 2017. [PMID: 28643547 DOI: 10.1080/01652176.2017.1343516] [Citation(s) in RCA: 109] [Impact Index Per Article: 15.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022] Open
Abstract
Rabies is a zoonotic, fatal and progressive neurological infection caused by rabies virus of the genus Lyssavirus and family Rhabdoviridae. It affects all warm-blooded animals and the disease is prevalent throughout the world and endemic in many countries except in Islands like Australia and Antarctica. Over 60,000 peoples die every year due to rabies, while approximately 15 million people receive rabies post-exposure prophylaxis (PEP) annually. Bite of rabid animals and saliva of infected host are mainly responsible for transmission and wildlife like raccoons, skunks, bats and foxes are main reservoirs for rabies. The incubation period is highly variable from 2 weeks to 6 years (avg. 2-3 months). Though severe neurologic signs and fatal outcome, neuropathological lesions are relatively mild. Rabies virus exploits various mechanisms to evade the host immune responses. Being a major zoonosis, precise and rapid diagnosis is important for early treatment and effective prevention and control measures. Traditional rapid Seller's staining and histopathological methods are still in use for diagnosis of rabies. Direct immunofluoroscent test (dFAT) is gold standard test and most commonly recommended for diagnosis of rabies in fresh brain tissues of dogs by both OIE and WHO. Mouse inoculation test (MIT) and polymerase chain reaction (PCR) are superior and used for routine diagnosis. Vaccination with live attenuated or inactivated viruses, DNA and recombinant vaccines can be done in endemic areas. This review describes in detail about epidemiology, transmission, pathogenesis, advances in diagnosis, vaccination and therapeutic approaches along with appropriate prevention and control strategies.
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Affiliation(s)
- Rajendra Singh
- a Division of Pathology , ICAR-Indian Veterinary Research Institute , Bareilly , Uttar Pradesh , India
| | - Karam Pal Singh
- b Centre for Animal Disease Research and Diagnosis (CADRAD) , ICAR-Indian Veterinary Research Institute , Bareilly , Uttar Pradesh , India
| | - Susan Cherian
- a Division of Pathology , ICAR-Indian Veterinary Research Institute , Bareilly , Uttar Pradesh , India
| | - Mani Saminathan
- a Division of Pathology , ICAR-Indian Veterinary Research Institute , Bareilly , Uttar Pradesh , India
| | - Sanjay Kapoor
- c Department of Veterinary Microbiology , LLR University of Veterinary and Animal Sciences , Hisar , Haryana , India
| | - G B Manjunatha Reddy
- d ICAR-National Institute of Veterinary Epidemiology and Disease Informatics , Bengaluru , Karnataka , India
| | - Shibani Panda
- a Division of Pathology , ICAR-Indian Veterinary Research Institute , Bareilly , Uttar Pradesh , India
| | - Kuldeep Dhama
- a Division of Pathology , ICAR-Indian Veterinary Research Institute , Bareilly , Uttar Pradesh , India
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5
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Chacko K, Parakadavathu RT, Al-Maslamani M, Nair AP, Chekura AP, Madhavan I. Diagnostic difficulties in human rabies: A case report and review of the literature. Qatar Med J 2017; 2016:15. [PMID: 28534007 PMCID: PMC5427514 DOI: 10.5339/qmj.2016.15] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2016] [Accepted: 10/31/2016] [Indexed: 12/25/2022] Open
Abstract
Rabies is a zoonotic disease with the highest fatality rate of any infectious disease. The clinical features of rabies encephalopathy are highly nonspecific at the onset and clinicians from low endemic areas usually face difficulties in recognizing cases during the early stages. The need for establishing a rapid and accurate test to identify rabies during the ante-mortem period is important. However, in actual clinical practice, the latter may remain difficult for various reasons. In human rabies, positively identifying the antigen, antibody or genetic material by various diagnostic methods during the symptomatic period is affected by the unpredictable nature of viremia, levels of antibody immune response of the host, and the virulence of the infecting strain. Also, more advanced testing with greater sensitivity may not be readily available at all centers. Here we describe a case of a young male who was bitten by a rabid dog and developed progressive encephalopathy with a fatal outcome, with negative antibodies in the cerebrospinal fluid (CSF). A review of the literature on the clinical features, diagnostic tests, treatment and prevention of rabies is also presented.
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Affiliation(s)
- Kadavil Chacko
- Infectious Diseases Division, Hamad Medical Corporation, Doha, Qatar
| | | | - Muna Al-Maslamani
- Infectious Diseases Division, Hamad Medical Corporation, Doha, Qatar
| | - Arun P Nair
- Infectious Diseases Division, Hamad Medical Corporation, Doha, Qatar
| | | | - Indira Madhavan
- Department of Medicine, Government Medical College, Thrissur, Kerala, India
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Beck S, Gunawardena P, Horton DL, Hicks DJ, Marston DA, Ortiz-Pelaez A, Fooks AR, Núñez A. Pathobiological investigation of naturally infected canine rabies cases from Sri Lanka. BMC Vet Res 2017; 13:99. [PMID: 28403882 PMCID: PMC5389160 DOI: 10.1186/s12917-017-1024-5] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2016] [Accepted: 04/03/2017] [Indexed: 12/25/2022] Open
Abstract
Background The recommended screening of rabies in ‘suspect’ animal cases involves testing fresh brain tissue. The preservation of fresh tissue however can be difficult under field conditions and formalin fixation provides a simple alternative that may allow a confirmatory diagnosis. The occurrence and location of histopathological changes and immunohistochemical (IHC) labelling for rabies in formalin fixed paraffin embedded (FFPE) canine brain is described in samples from 57 rabies suspect cases from Sri-Lanka. The presence of Negri bodies and immunohistochemical detection of rabies virus antigen were evaluated in the cortex, hippocampus, cerebellum and brainstem. The effect of autolysis and artefactual degeneration of the tissue was also assessed. Results Rabies was confirmed in 53 of 57 (93%) cases by IHC. IHC labelling was statistically more abundant in the brainstem. Negri bodies were observed in 32 of 53 (60.4%) of the positive cases. Although tissue degradation had no effect on IHC diagnosis, it was associated with an inability to detect Negri bodies. In 13 cases, a confirmatory Polymerase chain reaction (PCR) testing for rabies virus RNA was undertaken by extracting RNA from fresh frozen tissue, and also attempted using FFPE samples. PCR detection using fresh frozen samples was in agreement with the IHC results. The PCR method from FFPE tissues was suitable for control material but unsuccessful in our field cases. Conclusions Histopathological examination of the brain is essential to define the differential diagnoses of behaviour modifying conditions in rabies virus negative cases, but it is unreliable as the sole method for rabies diagnosis, particularly where artefactual change has occurred. Formalin fixation and paraffin embedding does not prevent detection of rabies virus via IHC labelling even where artefactual degeneration has occurred. This could represent a pragmatic secondary assay for rabies diagnosis in the field because formalin fixation can prevent sample degeneration. The brain stem was shown to be the site with most viral immunoreactivity; supporting recommended sampling protocols in favour of improved necropsy safety in the field. PCR testing of formalin fixed tissue may be successful in certain circumstances as an alternative test.
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Affiliation(s)
- S Beck
- Pathology Department, Animal and Plant Health Agency, Weybridge, UK.
| | - P Gunawardena
- Department of Veterinary Pathobiology, University of Peradeniya, Peradeniya, Sri Lanka
| | - D L Horton
- Wildlife Zoonoses and Vector Borne Diseases Research Group, Animal and Plant Health Agency, Weybridge, UK
| | - D J Hicks
- Pathology Department, Animal and Plant Health Agency, Weybridge, UK
| | - D A Marston
- Wildlife Zoonoses and Vector Borne Diseases Research Group, Animal and Plant Health Agency, Weybridge, UK
| | | | - A R Fooks
- Wildlife Zoonoses and Vector Borne Diseases Research Group, Animal and Plant Health Agency, Weybridge, UK
| | - A Núñez
- Pathology Department, Animal and Plant Health Agency, Weybridge, UK
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Aravindhbabu RP, Manoharan S, Ramadass P. Diagnostic evaluation of RT-PCR-ELISA for the detection of rabies virus. Virusdisease 2013; 25:120-4. [PMID: 24426319 DOI: 10.1007/s13337-013-0184-6] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2013] [Accepted: 11/11/2013] [Indexed: 10/26/2022] Open
Abstract
Rabies is primarily a disease of terrestrial and airborne mammals. In most cases, rabies is diagnosed primarily on the basis of clinical symptoms and signs, and a corroborative history of or evidence of an animal bite, death of an animal and incomplete or no vaccination following exposure. The facility for laboratory diagnosis and confirmation of rabies is available in only a few institutions in India. Diagnostic tests using conventional assays like fluorescent antibody test (FAT) are unreliable at times, despite the clinical diagnosis. Currently, there are a number of molecular tests that can be used to complement conventional tests in rabies diagnosis. We have developed and evaluated an RT-PCR-ELISA using a panel of brain tissue samples from rabies suspected animals of various species. This assay was able to detect rabies virus genome in all the 43 samples that were previously tested positive for rabies. Moreover this assay was shown to be 100 % sensitive and specific in detecting the rabies virus genome in post-mortem brain tissue samples from different species of animals. Our pilot study shows the potential of this assay as an alternative diagnostic test when the samples are unsuitable for use in FAT and also a supplementary test to FAT. In addition, the region of nucleoprotein gene amplified using this assay can be used for the molecular investigation of geographical origin of the field strains.
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Affiliation(s)
- R P Aravindhbabu
- Rabies Laboratory, Department of Animal Biotechnology, Madras Veterinary College, Chennai, 600007 India ; National Institute for Animal Biotechnology, 1-121/1, 4th Floor, Axis Clinicals Building, Miyapur, Hyderabad, 500049 India
| | - S Manoharan
- Rabies Laboratory, Department of Animal Biotechnology, Madras Veterinary College, Chennai, 600007 India
| | - P Ramadass
- Rabies Laboratory, Department of Animal Biotechnology, Madras Veterinary College, Chennai, 600007 India
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