Key result
Pretreatment with PMA reduced positive qPCR signals for human adenovirus from 89% to 52%, exactly matching the 52% infectivity rate determined by the gold standard cell culture assay.
Dye pretreatment with EMA or PMA before qPCR provides a rapid and cost-effective method to improve the detection of infectious enteric viruses in environmental water samples by reducing false positives from non-infectious viral particles.
May improve qPCR specificity for infectious waterborne viruses; leaves open routine environmental or clinical adoption pending broader validation.
Quantitative PCR methods are commonly used to monitor enteric viruses in the aquatic environment because of their high sensitivity, short reaction times and relatively low operational cost. However, conclusions for public health drawn from results of such molecular techniques are limited due to their inability to determine viral infectivity. Ethidium monoazide (EMA) and propidium monoazide (PMA) are capable to penetrate the damaged or compromised capsid of the inactivated viruses and bind to the viral nucleic acids. We assessed whether dye treatment is a suitable approach to improve the ability of qPCR to distinguish between infectious and non-infectious human adenovirus, enterovirus and rotavirus A in surface water of an urban river and sewage before and after UV disinfection. Like the gold standard of cell culture assays, pretreatment EMA-/PMA-qPCR succeeded in removing false positive results which would lead to an overestimation of the viral load if only qPCR of the environmental samples was considered. A dye pretreatment could therefore provide a rapid and relatively inexpensive tool to improve the efficacy of molecular quantification methods in regards to viral infectivity.
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Leifels et al. (2016) studied Enteric viruses in environmental water (n=79). Ethidium monoazide (EMA) and propidium monoazide (PMA) pretreatment vs. Standard qPCR and cell culture assays was evaluated on Detection of infectious human adenovirus, enterovirus, and rotavirus A. Pretreatment with PMA reduced positive qPCR signals for human adenovirus from 89% to 52%, exactly matching the 52% infectivity rate determined by the gold standard cell culture assay.
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