Viral DIagnostics: Diagnosis of disease Flashcards

1
Q

In Direct antibody test

A

uses primary and secondary antibodies

antibody tests can be used for testing of patient’s serum for specific viral antibodies

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Enzyme linked Immunosorbant Assay

A
  • indicator antibodies bonded to enzymes which catalyze a reaction yeilding a visible end product
  • The product can be observed visibly or autonated with a spectrophotometric reading
  • ELISA is a very sensitive assay
  • The assay is easily automated
  • can be used to quantitate antigen or antibody
  • Many different types of ELISA
    • indirect / direct
    • Sandwich / capture
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Virus Neutralization tests: Serum neutralization tests

A
  • Used to identify antibodies in patient serum that neutralize viruses
  • The living cell systems are inoculated with a mixture of serum which will be tested, and with virus
  • In the presence of neutralizing antibodies, virus recepotors are blocked by these antibodies, and the expected effects have not been produced
  • NO INFECTION
    • no cytopathic effect in cell cultures if virus capable of CPE
    • No lesion production in embryonated eggs
    • No clinical symptom or death in animals
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Serum/Virus Neutralization Assay

A

requires tissue culture or animal host

Not all labs perform neutraliation assays

most informative serological assay about “protective antibodies”

Important tool used to characterize “serotypes”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Virus Neutralization Assay

A
  • Turn around time 6-14 days
  • Virus specific antibodies will bind to the virus and block virus entry into the cells
  • In viruses that cause cytopathic effect these antibodies will block this effect
  • Virus type specific assay and interpretation should be done with caution
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Example Confirmatory assay - Western Blot

A
  • Infectious agent specific proteins transferred to nitrocellulose membrane
  • IgG or IgM antibodies binds to antigens on strip
  • Conjugated anti-IgM added to strip
  • Substrate converted to purple band number and/or intensity of reaction determines positive or negative results
  • Detects IgM antibody produced against infectious agent
  • Highly specific and sensitive
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Hemagglutination Inhibition

A

serum antibodies to virus

interfere with agglutination

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Agar Gel Immunodiffusion Assay (AGID)

A
  • Assay is easy to perform and does not require complex equipment in the laboratory
  • Assay can be set-up in many labs if reagents are available
  • Used as reference test for many disease
  • Principle of double diffusion:
    • serum is placed in one well
    • Ag placed in adjacent well
    • Antibody and Antigen diffuse thru the agar, and form a line
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Specific Diagnostic Approaches:

Genotypic Detection Method

A

genotype = the entire genetic make-up of a virus

Looking for the presence of a specific nucleic acid sequence

Genomic nucleic acids or transcriptional RNA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Polymerase Chain Reaction - PCR

A
  • Rapid amplification of a DNA fragment
  • Exponential amplification
    • 2^30 > 1 billion
    • 2^35> 34 billion
    • 2^40 > 1 trillion
  • End-point visualization
  • cloning
  • Sequencing
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Real-time PCR detection chemistry

A

SYBR green

Taqman probe

molecular beacon

Scorpion primers

Plexor

Cycling probe

Light upon eXtension (LUX)

Amplifluor / sunrise

Locked Nucleic acid (LNA)

Other binding enhancement methods

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Taqman probe

A
  • Exploits Taq polymerase’s 5’ exonuclease activity
  • 5’ end has flurophore reporter, with a quencher molecule nearby
  • Probe is specific to gene sequence – will not fluoresce without amplification
  • Thermal cycles of PCR reaction
    • denaturation
    • Annealing
    • Elongation
    • Sometimes cycles could be combined
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Why real-time PCR

A

Quantification

Sensitivity

Accuracy

Repeatability

analyze dozens of genes at a time

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Real-time PCR data acquisition-CT

A
  • Camera measures the fluorescence of the well following each extension step
  • The fluorescence is plotted on a graph with realtive fluorescence on the y-axis and cycle number on the x-axis
  • During data analysis, the threshold cycle is determined and used to calculate gene expression levels
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Recent Emerging Non FAD swine threats

A

Genotype identification and sequene determination are valuable tools for monitoring strains in herds

PRRSV

PCV2d, PCV3, PCV4

APPV

Influenza A virus

Seneca Valley Virus

Tescho Viruses

PEDV
Porcine Deltacoronavirus

Other Disease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

“bug hunting” new tools of the trade

A
  • Non Biased Diagnostics – deep sequencing 454 Pyrosequencing
    • MiSeq
    • Ion torrent
  • Micro array
  • Proteomics
    • Mass Spec
      • MALDI-TOF
  • Genome Sequence – molecular signature
17
Q

Sample Type – From Oral Fluids

A
  • Bocavirus, parvovirus, sapovirus, picobirnavirus, various small circular DNA viruses, Kobuvirus, astrovirus, enterovirus, rotavirus, adeno-associated virus, porcine adenovirus 5, orthoreoviurs, posavirus and porcine parainfluenza virus 1.

Nasal swabs are suitable specimens for viral surveys using metagenomics

18
Q

Sample Type – from Nasal Swabs

A
  • Bocavirus
  • hemagglutinating
  • encephalomyelitis virus
  • Parvovirus
  • Porcine cytomegalovirus
  • Sapelovirus
  • Transmissible gastroenteritis virus
  • Picobirnavirus
  • Various small circular DNA viruses
  • Kobuvirus
  • Astrovirus
  • Enterovirus
  • Rotavirus
  • adeno-associated virus
19
Q

From Tissues or Serum

A

PCV

Pesti

PPV

Posavirus

20
Q

New or Never Formally identified in the US

A

Porcine parvovirus 6

Porcine pestivirus 1

Posavirus

Porcine parainfluenza virus 1

Porcine enterovirus G

21
Q

Use of Sequencing in Diagnostics

A
  • Target (contians NA of pathogen)
    • tissue
    • swab
    • blood
    • hair follicle
    • Oral fluid
    • Meat
    • juice
  • Extract NA and generate PCR product of a unique region of the genome via specific primers
  • Generate and Align sequences
  • Analysis and dendogram
22
Q

Evaluation / Verification / Validation

Why?

A

Evaluation investigates the assay performance

Validation defines the performance characteristics

Verification checks the performance characteristics

Sensitivity

Specificity

Accuracy

Percision

23
Q

Validation of assay

A

diagnostic sensitivity and Specificity

24
Q

To remember: Choose Appropriate Assays

A
  • Identify goals of testing
  • Know your clients
  • Use more than one assay to answer questions / goals
  • Test convalescent serum when possible
  • Know pathogenesis of animal diseases
  • Understand assay that you are using and your client’s needs
  • Have quality data to build confidence in your decisions
  • If you still have questions call the Diagnostic lab to ask questions associated with case