CN114540544A - Primer-probe combination for detecting respiratory viruses, kit and application thereof - Google Patents

Primer-probe combination for detecting respiratory viruses, kit and application thereof Download PDF

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CN114540544A
CN114540544A CN202111602922.6A CN202111602922A CN114540544A CN 114540544 A CN114540544 A CN 114540544A CN 202111602922 A CN202111602922 A CN 202111602922A CN 114540544 A CN114540544 A CN 114540544A
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卢孟孟
孙杰
黄仕艺
杜锦然
李彦鹏
乔晓颖
王文轩
陈江坡
张志达
白立宽
李佳瑛
李都悦
胖铁良
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Langfang Norway Medical Laboratory Co ltd
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Abstract

The invention relates to the technical field of genetic engineering, in particular to a primer probe combination, a kit and application thereof for detecting respiratory viruses, wherein the primer probe combination comprises 15 pairs of primers and probes corresponding to the primers; the kit comprises the primer probe combination and is used for detecting and/or detecting the respiratory viruses in an auxiliary way. The sensitivity of the primer probe combination of the invention to the detection of the corresponding respiratory viruses is higher than that of the existing primer probe combination; the kit can be divided into 4 groups, each group has 4 channels, 15 respiratory viruses can be detected simultaneously, and the detection method has the advantages of simple operation, high sensitivity, good specificity, short time and good clinical application value.

Description

Primer probe combination for detecting respiratory viruses, kit and application thereof
Technical Field
The invention relates to a primer probe combination and application thereof, in particular to a primer probe combination for detecting respiratory viruses, a kit and application thereof.
Background
Respiratory tract infection is one of the most common infectious diseases, and the main pathogens include bacteria, viruses, mycoplasma, chlamydia, fungi and the like, wherein the main pathogens are mainly viral infection. Respiratory pathogens often cause acute respiratory infections in children, and the acute respiratory infections are one of the most major threats of children, are frequently generated in children, the elderly and people with low immune function, especially in common diseases and frequently encountered diseases in pediatrics, and are caused by respiratory virus infections in more than 90 percent of the children.
Clinically common viruses that can cause respiratory infections include respiratory syncytial virus a (rsva), respiratory syncytial virus b (rsvb), influenza virus a (flua), influenza virus b (flub), coronavirus (OC43), coronavirus (229E), human Metapneumovirus (MPV), bocavirus (HBOV), enterovirus (HEV), parainfluenza virus 1(HPIV1), parainfluenza virus 2(HPIV2), parainfluenza virus 3(HPIV3), parainfluenza virus 4(HPIV4), rhinovirus (HRV), Adenovirus (ADV), and the like.
Currently, the gold standard for clinical virus detection is still the virus culture method. However, the method has long time consumption, low sensitivity and high requirement on experimental operation. The virus antigen antibody detection can be used as infection evidence, the detection is rapid, but the sensitivity is low, and false positive and false negative results are easy to occur.
In view of the above, there is a need for a method for detecting respiratory viruses that has high sensitivity, good specificity, simple experimental procedures, and short time consumption.
Disclosure of Invention
Aiming at the problems, the invention provides a primer probe combination for detecting respiratory viruses, a kit and application thereof.
In order to achieve the purpose, the technical scheme adopted by the invention is as follows:
a primer probe combination for detecting respiratory syncytial virus A, wherein a forward primer for detecting the respiratory syncytial virus A is shown as SEQ ID NO: 1, and the reverse primer is shown as SEQ ID NO: 2, the probe is shown as SEQ ID NO: 3 is shown in the specification;
the forward primer for detecting the respiratory syncytial virus B is shown as SEQ ID NO: 4, the reverse primer is shown as SEQ ID NO: 5, the probe is shown as SEQ ID NO: 6 is shown in the specification;
the forward primer for detecting the influenza virus A is shown as SEQ ID NO: 7, the reverse primer is shown as SEQ ID NO: 8, the probe is shown as SEQ ID NO: 9 is shown in the figure;
the forward primer for detecting the influenza B virus is shown as SEQ ID NO: 10, and the reverse primer is shown as SEQ ID NO: 11, the probe is shown as SEQ ID NO: 12 is shown in the specification;
the forward primer for detecting the bocavirus is shown as SEQ ID NO: 13, the reverse primer is shown as SEQ ID NO: 14, the probe is shown as SEQ ID NO: 15 is shown in the figure;
the forward primer for detecting coronavirus OC43 is shown as SEQ ID NO: 16, and the reverse primer is shown as SEQ ID NO: 17, the probe is shown as SEQ ID NO: 18 is shown in the figure;
the forward primer for detecting coronavirus 229E is set forth in SEQ ID NO: 19, the reverse primer is shown as SEQ ID NO: 20, the probe is shown as SEQ ID NO: 21 is shown in the figure;
the forward primer for detecting parainfluenza virus 1 is shown as SEQ ID NO: 22, and the reverse primer is shown as SEQ ID NO: 23, the probe is shown as SEQ ID NO: shown at 24;
the forward primer for detecting parainfluenza virus 2 is shown as SEQ ID NO: 25, the reverse primer is shown as SEQ ID NO: 26, the probe is shown as SEQ ID NO: 27 is shown;
the forward primer for detecting parainfluenza virus 3 is shown as SEQ ID NO: 28, the reverse primer is shown as SEQ ID NO: 29, the probe is shown as SEQ ID NO: 30 is shown in the figure;
the forward primer for detecting parainfluenza virus 4 is shown as SEQ ID NO: 31, and the reverse primer is shown as SEQ ID NO: 32, and the probe is shown as SEQ ID NO: 33;
the forward primer for detecting the human metapneumovirus is shown as SEQ ID NO: 34, and the reverse primer is shown as SEQ ID NO: 35, the probe is shown as SEQ ID NO: 36 is shown;
the forward primer for detecting the enterovirus is shown as SEQ ID NO: 37, and the reverse primer is shown as SEQ ID NO: 38, and the probe is shown as SEQ ID NO: 39;
the forward primer for detecting adenovirus is shown as SEQ ID NO: 40, and the reverse primer is shown as SEQ ID NO: 41, the probe is shown as SEQ ID NO: 42 is shown;
the forward primer for detecting rhinovirus is shown as SEQ ID NO: 43, and the reverse primer is shown as SEQ ID NO: 44, the probe is shown as SEQ ID NO: shown at 45.
A kit comprising the primer-probe combination for detecting the respiratory viruses.
Further, the detection of the kit is divided into 4 groups, each group has 4 channels, which are respectively:
the first group detects respiratory syncytial virus A, coronavirus OC43, respiratory syncytial virus B and bocavirus;
a second set of detection parainfluenza virus 1, parainfluenza virus 2, parainfluenza virus 3 and parainfluenza virus 4;
the third group detects influenza virus A, influenza virus B, human metapneumovirus and enterovirus;
and the fourth group detects coronavirus, rhinovirus, adenovirus and internal reference, wherein the internal reference is human beta-globin.
Further, the reagent in the kit comprises: 4 groups of primer probe combination liquid, 2 XPCR premixed reaction liquid, Taq DNA enzyme, reverse transcriptase and DEPC water.
Furthermore, the primer probe combination solution in any one of the 4 groups contains 500nM of any primer and 250nM of any probe.
An application of the kit in detecting/detecting respiratory viruses in an auxiliary way.
Further, the specific steps of the application are that a sample to be detected is respectively mixed with reagents in the kit to prepare 4 groups of reaction systems, then the reaction systems are respectively added into nucleic acid amplification reaction liquid for dilution, PCR amplification reaction is carried out to obtain 4 groups of amplification curve graphs and CT values, and then the sample to be detected is judged to be positive/negative according to the 4 groups of amplification curve graphs and the CT values.
Furthermore, a single group of the reaction system comprises 2 mu L of a sample to be detected, 10 mu L of 2 XPCR premixed reaction liquid, 0.5 mu L of Taq DNA enzyme, 0.5 mu L of reverse transcriptase and 2 mu L of single group of primer probe combined liquid, and DEPC water is supplemented to 20 mu L.
Furthermore, in a single group of the reaction system, the final concentration of any primer is 500nM, and the final concentration of any probe is 250 nM.
Furthermore, in the application process, a positive quality control substance and a negative quality control substance are required to be detected;
the PCR amplification reaction conditions are 50 ℃ pre-denaturation for 15min, 95 ℃ denaturation for 5min, 1 cycle, 95 ℃ denaturation for 10s, 58 ℃ annealing extension and fluorescence collection for 50s, and 40 cycles.
The primer probe combination, the kit and the application thereof for detecting the respiratory viruses have the beneficial effects that:
the sensitivity of the primer probe combination of the invention to the detection of the corresponding respiratory viruses is higher than that of the existing primer probe combination;
the kit can be divided into 4 groups, 15 respiratory viruses can be detected simultaneously, and the detection method is simple and convenient to operate, high in sensitivity, good in specificity, short in time and good in clinical application value;
the kit is added with the reference gene, and whether the sample nucleic acid is successfully extracted can be judged according to the normality of the reference gene, for example, if the reference gene in the sample PCR result has no CT value, the sample nucleic acid extraction or the sample nucleic acid extraction process has problems, the sample nucleic acid extraction or the sample re-acquisition is needed because the nucleic acid is not extracted, and the false negative result is avoided;
the kit can realize multiple detection of samples and can carry out batch detection on the samples.
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FIG. 1 is a diagram showing the results of a single PCR screening experiment using the RSVA primer probe combination in example 1 of the present invention;
FIG. 2 is a diagram showing the results of a single PCR screening experiment using the RSVB primer probe combination in example 1 of the present invention;
FIG. 3 is a diagram showing the results of a FluA primer probe combination single PCR screening experiment in example 1 of the present invention;
FIG. 4 is a diagram showing the results of a FluB primer probe combination single PCR screening experiment in example 1 of the present invention;
FIG. 5 is a graph showing the results of the HBOV primer probe combination single PCR screening experiment in example 1 of the present invention;
FIG. 6 is a graph showing the results of the single PCR screening experiment using the combination of the OC43 primer probe in example 1;
FIG. 7 is a graph showing the results of 229E primer probe combination singleplex PCR screening experiments in example 1 of the present invention;
FIG. 8 is a graph showing the results of the HPIV1 primer probe combination single PCR screening experiment in example 1 of the present invention;
FIG. 9 is a diagram showing the results of the HPIV2 primer probe combination single PCR screening experiment in example 1 of the present invention;
FIG. 10 is a graph showing the results of the HPIV3 primer probe combination single PCR screening experiment in example 1 of the present invention;
FIG. 11 is a diagram showing the results of a single PCR screening experiment using the HPIV4 primer probe combination in example 1;
FIG. 12 is a diagram showing the results of a single PCR screening experiment using the MPV primer probe combination in example 1 of the present invention;
FIG. 13 is a graph showing the results of a single PCR screening experiment using the HEV primer probe combination in example 1;
FIG. 14 is a diagram showing the results of the ADV primer probe combination single PCR screening experiment in example 1 of the present invention;
FIG. 15 is a graph showing the results of a single PCR screening experiment using HRV primer probe combinations in example 1 of the present invention;
FIG. 16 is a graph of multiplex PCR amplification with a first set of primer probe combinations in example 1 of the present invention;
FIG. 17 is a graph of multiplex PCR amplification with the second set of primer-probe combinations in example 1 of the present invention;
FIG. 18 is a graph showing the multiplex PCR amplification with the third set of primer probe combinations in example 1 of the present invention;
FIG. 19 is a graph of multiplex PCR amplification with a fourth set of primer probe combinations in example 1 of the present invention;
FIG. 20 is a graph showing the results of the sensitivity test of the reagent kit for RSVA virus in example 3 of the present invention;
FIG. 21 is a graph showing the results of the sensitivity test of the reagent kit to RSVB virus in example 3 of the present invention;
FIG. 22 is a graph showing the results of the sensitivity test of the reagent kit for FluA virus in example 3 of the present invention;
FIG. 23 is a graph showing the results of the sensitivity test of the reagent kit for FluB virus in example 3 of the present invention;
FIG. 24 is a graph showing the results of the test of the sensitivity of the reagent kit to HBOV virus in example 3 of the present invention;
FIG. 25 is a graph showing the results of the sensitivity test of the kit for OC43 virus in example 3 of the present invention;
FIG. 26 is a graph showing the results of the sensitivity test of the kit for 229E virus in example 3 of the present invention;
FIG. 27 is a graph showing the results of the sensitivity test of the kit for HPIV1 virus in example 3 of the present invention;
FIG. 28 is a graph showing the results of the sensitivity test of the kit for HPIV2 virus in example 3 of the present invention;
FIG. 29 is a graph showing the results of the sensitivity test of the kit for HPIV3 virus in example 3 of the present invention;
FIG. 30 is a graph showing the results of the sensitivity test of the kit for HPIV4 virus in example 3 of the present invention;
FIG. 31 is a graph showing the results of the sensitivity test of the kit for MPV virus in example 3 of the present invention;
FIG. 32 is a graph showing the results of the sensitivity test of the kit for HEV virus in example 3 of the present invention;
FIG. 33 is a graph showing the results of the sensitivity test of the reagent kit for ADV virus in example 3 of the present invention;
FIG. 34 is a graph showing the results of the sensitivity test of the reagent kit for HRV virus in example 3 of the present invention.
Detailed Description
The technical solutions in the embodiments of the present invention are clearly and completely described below. In the following description, numerous specific details are set forth in order to provide a thorough understanding of the present invention, but the present invention may be practiced in other ways than those specifically described and will be readily apparent to those of ordinary skill in the art without departing from the spirit of the present invention, and therefore the present invention is not limited to the specific embodiments disclosed below.
Example 1 design and screening of primer Probe combinations
One) design of primer-probe combination
1) Extraction of viral genomic DNA
And collecting nasopharyngeal swab or sputum samples of the patients to be detected by adopting a commercially available viral genome DNA/RNA extraction kit.
2) Primer probe combination design
Through literature review and market research, 15 target viruses for respiratory tract infection and specific genes thereof are determined, and the specific genes of the 15 target viruses are downloaded through NCBI inquiry to obtain corresponding DNA sequences of Respiratory Syncytial Virus A (RSVA), Respiratory Syncytial Virus B (RSVB), influenza virus A (FluA), influenza virus B (FluB), coronavirus OC43, coronavirus 229E, human Metapneumovirus (MPV), bocavirus (HBOV), enterovirus (HEV), parainfluenza virus 1(HPIV1), parainfluenza virus 2(HPIV2), parainfluenza virus 3(HPIV3), parainfluenza virus 4(HPIV4), rhinovirus (HRV) and Adenovirus (ADV). The corresponding DNA sequences of the obtained 15 viruses are introduced into biological software such as Beacon Designer, oligo, Primer 5 and the like, a Primer probe combination is designed by combining a Primer probe design principle and a personal probe design experience, the sequences of the designed Primer probe combination are input to NCBI for specific comparison, and a single Primer probe combination which can amplify the corresponding viruses and does not generate specific amplification with other viruses is screened out, and the specific amplification is shown in Table 1.
Amplification primers and probes for Table 115 respiratory viruses
Figure BDA0003432414160000051
Figure BDA0003432414160000061
The probe is labeled with any one of fluorescence reporter groups FAM, JOE, ROX and Cy5 at the 5 'end and fluorescence quencher groups BHQ1 and BHQ2 at the 3' end.
The designed primer probe combinations were each synthesized by general biology companies.
3) Primer probe combination screening
31) Establishment of Single PCR System
The PCR amplification experiments were performed separately for the single primer probe combinations in Table 1, and the specific procedures were as follows:
respectively taking the single primer probe combination in the table 1, and diluting the single primer probe combination to 10 mu mol/L by DEPC water to obtain a single primer probe combination solution of the corresponding virus (the concentration of the forward primer and the reverse primer in the single primer probe combination solution is 5 mu mol/L, and the concentration of the probe is 2.5 mu mol/L);
respectively taking 10 mu L of 2 XPCR premixed reaction liquid, 0.5 mu L of Taq DNA enzyme, 0.5 mu L of reverse transcriptase and 5 mu L of DEPC water, sequentially adding the premixed reaction liquid, the Taq DNA enzyme, the reverse transcriptase and the DEPC water into a PCR8 combined pipe, then adding 2 mu L of single primer probe combined liquid, and finally adding 2 mu L of nucleic acid template (a virus sample corresponding to the primer probe combination) to obtain a corresponding single reaction system; wherein the enzyme mixed solution comprises Taq DNA enzyme and reverse transcriptase.
mu.L of each of the above single reaction systems was taken, and the final concentration of the primer and the final concentration of the probe in the corresponding single reaction system were 500nM and 250nM, respectively.
And respectively putting the single systems into a fluorescence quantitative PCR instrument for PCR amplification reaction under the conditions of 50 ℃ pre-denaturation for 15min, 95 ℃ denaturation for 5min, 1 cycle, 95 ℃ denaturation for 10s, 58 ℃ annealing extension and collection of fluorescence for 50s and 40 cycles, and obtaining detection results shown in the figure 1-15.
Meanwhile, water is used for replacing the nucleic acid template, and detection is carried out according to the method so as to judge whether the false positive problem is caused by environmental pollution and the like.
And (3) screening the quality of the probe according to the CT value and the fluorescence intensity, wherein the smaller the CT value is, the better the sensitivity of the probe is, and the stronger the fluorescence signal value is (namely, the higher the Rn value is), the stronger the binding capacity of the primer probe and the template is. As can be seen from FIGS. 1 to 15, the sensitivity and binding capacity of the single primer probe combination corresponding to 1c in FIG. 1 are optimal, the sensitivity and binding capacity of the single primer probe combination corresponding to 2c in FIG. 2 are optimal, the sensitivity and binding capacity of the single primer probe combination corresponding to 3c in FIG. 3 are optimal, the sensitivity and binding capacity of the single primer probe combination corresponding to 4a in FIG. 4 are optimal, the sensitivity and binding capacity of the single primer probe combination corresponding to 5a in FIG. 5 are optimal, the sensitivity and binding capacity of the single primer probe combination corresponding to 6c in FIG. 6 are optimal, the sensitivity and binding capacity of the single primer probe combination corresponding to 7a in FIG. 7 are optimal, the sensitivity and binding capacity of the single primer probe combination corresponding to 8c in FIG. 8 are optimal, and the sensitivity and binding capacity of the single primer probe combination corresponding to 9a in FIG. 9 are optimal, the sensitivity and binding capacity of the single primer probe combination corresponding to 10a in fig. 10 is optimal, the sensitivity and binding capacity of the single primer probe combination corresponding to 11b in fig. 11 is optimal, the sensitivity and binding capacity of the single primer probe combination corresponding to 12b in fig. 12 is optimal, the sensitivity and binding capacity of the single primer probe combination corresponding to 13a in fig. 13 is optimal, the sensitivity and binding capacity of the single primer probe combination corresponding to 14a in fig. 14 is optimal, the sensitivity and binding capacity of the single primer probe combination corresponding to 15b in fig. 15 is optimal, and 15 primer probe combinations for detecting corresponding single viruses, namely forward primers for detecting respiratory syncytial virus a such as SEQ ID NO: 1, and the reverse primer is shown as SEQ ID NO: 2, and the probe is shown as SEQ ID NO: 3 is shown in the figure; the forward primer for detecting the respiratory syncytial virus B is shown as SEQ ID NO: 4, the reverse primer is shown as SEQ ID NO: 5, the probe is shown as SEQ ID NO: 6 is shown in the specification; the forward primer for detecting the influenza virus A is shown as SEQ ID NO: 7, and the reverse primer is shown as SEQ ID NO: 8, the probe is shown as SEQ ID NO: 9 is shown in the figure; the forward primer for detecting the influenza B virus is shown as SEQ ID NO: 10, and the reverse primer is shown as SEQ ID NO: 11, the probe is shown as SEQ ID NO: 12 is shown in the specification; the forward primer for detecting the bocavirus is shown as SEQ ID NO: 13, the reverse primer is shown as SEQ ID NO: 14, the probe is shown as SEQ ID NO: 15 is shown in the figure; the forward primer for detecting coronavirus OC43 is shown as SEQ ID NO: 16, and the reverse primer is shown as SEQ ID NO: 17, the probe is shown as SEQ ID NO: 18 is shown in the figure; the forward primer for detecting coronavirus 229E is set forth in SEQ ID NO: 19, the reverse primer is shown as SEQ ID NO: 20, the probe is shown as SEQ ID NO: 21 is shown in the figure; the forward primer for detecting parainfluenza virus 1 is shown as SEQ ID NO: 22, and the reverse primer is shown as SEQ ID NO: 23, the probe is shown as SEQ ID NO: shown at 24; the forward primer for detecting parainfluenza virus 2 is shown as SEQ ID NO: 25, the reverse primer is shown as SEQ ID NO: 26, the probe is shown as SEQ ID NO: 27 is shown; the forward primer for detecting parainfluenza virus 3 is shown as SEQ ID NO: 28, and the reverse primer is shown as SEQ ID NO: 29, the probe is shown as SEQ ID NO: 30 is shown in the figure; the forward primer for detecting parainfluenza virus 4 is shown as SEQ ID NO: 31, and the reverse primer is shown as SEQ ID NO: 32, and the probe is shown as SEQ ID NO: 33; the forward primer for detecting the human metapneumovirus is shown as SEQ ID NO: 34, and the reverse primer is shown as SEQ ID NO: 35, the probe is shown as SEQ ID NO: 36 is shown; the forward primer for detecting the enterovirus is shown as SEQ ID NO: 37, and the reverse primer is shown as SEQ ID NO: 38, and the probe is shown as SEQ ID NO: 39; the forward primer for detecting adenovirus is shown as SEQ ID NO: 40, and the reverse primer is shown as SEQ ID NO: 41, the probe is shown as SEQ ID NO: 42 is shown; the forward primer for detecting rhinovirus is shown as SEQ ID NO: 43, and the reverse primer is shown as SEQ ID NO: 44, the probe is shown as SEQ ID NO: shown at 45.
32) Establishment of multiple PRC systems
Single primer probes corresponding to 15 viruses screened in the construction of the single PCR system are combined and screened by using the multiplex PRC system.
Considering the difficulty that a fluorescent quantitative PCR instrument can only collect 4 types of fluorescence simultaneously, a single group can only distinguish 4 types of viruses once for detection, and different single primer probe combinations are mixed to distinguish and detect different viruses, the grouping detection is performed for multiple times according to the principle that the viruses of the same genus are divided into one group and the viruses of the other genera are randomly grouped to obtain a grouping mode that the primer probe combinations cannot interfere with each other and can be sensitively detected (it needs to be noted here that in the grouping detection process, if the mutual interference or the sensitivity detection limit of the primer probe combinations is not at the same level, the primer probe combinations need to be redesigned to be screened, and only the final result is introduced here), the specific steps are as follows:
the detection of 15 single primer probe combinations is divided into 4 groups, each group has 4 channels, a multiple PRC system is constructed, and the fluorescence channels corresponding to different viruses are specifically grouped, which is shown in the following table:
TABLE 2 packet and channel correspondence for multiple PRC systems
Figure BDA0003432414160000081
Figure BDA0003432414160000091
The multiplex PCR amplification experiments were performed according to the groupings in table 2, as follows:
taking corresponding single primer probe combinations according to the groups in the table 2 respectively, and diluting the primer probe combinations by DEPC water until the concentration of any primer in a single group is 5 mu mol/L and the concentration of any probe is 2.5 mu mol/L to obtain single group primer probe combination liquid of corresponding groups (4 groups are prepared by single group primer probe combination liquid);
sequentially adding 10 mu L of 2 XPCR premixed reaction liquid, 0.5 mu L of Taq DNA enzyme, 0.5 mu L of reverse transcriptase and 5 mu L of DEPC water into a PCR8 joint calandria, then adding 2 mu L of single-group primer probe combination liquid, and finally adding 2 mu L of nucleic acid template (containing nucleic acid templates of all virus samples corresponding to the single-group primer probe combination) to obtain a corresponding single-group primer probe reaction system; wherein, a single group of primer probe reaction system prepares 4 groups in total, and the enzyme mixed solution comprises Taq DNA enzyme and reverse transcriptase.
Respectively taking 20 mu L of single-group primer probe reaction systems, wherein the final concentration of any primer in the obtained single-group system is 500nM, and the final concentration of any probe is 250 nM; any one single-group primer probe reaction system in the 4 groups is diluted according to the method to obtain 4 single-group systems.
And respectively taking 4 groups of single-group systems, putting the single-group systems into a fluorescent quantitative PCR instrument, carrying out PCR amplification reaction under the reaction conditions of 50 ℃ pre-denaturation for 15min, 95 ℃ denaturation for 5min, 1 cycle, 95 ℃ denaturation for 10s, 58 ℃ annealing extension and fluorescence collection for 50s and 40 cycles, wherein the CT value is obtained and is shown in a table 3, and the multiple PCR amplification curve chart is shown in a table 16-19.
Meanwhile, water is respectively used for replacing the nucleic acid templates, and detection is carried out according to the method so as to judge whether the false positive problem caused by environmental pollution and the like exists.
TABLE 3 grouping and channel for single primer probe set
Figure BDA0003432414160000092
After the reaction is finished, analyzing the detection result according to the amplification curve graph and the Ct value, judging that the fluorescence curve is S-shaped curve and the CT is less than or equal to 37 in FAM, JOE, ROX and CY5 channels, and judging that the fluorescence curve is positive; no typical S-type amplification or CT is more than 39, and the CT of the internal standard is less than or equal to 40, and the internal standard is judged to be negative; if the CT value is between 37 and 39, retesting, and if the fluorescence curve is S-shaped and CT is more than or equal to 37 and less than or equal to 39, judging the result to be positive, otherwise, judging the result to be negative. As can be seen from Table 3, 4 sets of primer probe combinations can better detect corresponding viruses, the 15 primer probe combinations are finally selected, and the 15 primer probe combinations are divided into the following 4 sets:
the first group detects Respiratory Syncytial Virus A (RSVA), coronavirus OC43(OC43), Respiratory Syncytial Virus B (RSVB) and bocavirus (HBOV);
a second set of assays for parainfluenza virus 1(HPIV1), parainfluenza virus 2(HPIV2), parainfluenza virus 3(HPIV3), and parainfluenza virus 4(HPIV 4);
a third group for detecting influenza virus A (FluA), influenza virus B (FluB), human Metapneumovirus (MPV) and enterovirus (HEV);
the fourth group detects coronavirus 229E (229E), rhinovirus (HRV), Adenovirus (ADV), and internal reference, which is a human β -globin (IC).
3) Preparation and application of kit
The kit is prepared by utilizing the primer probe combination determined in the establishment of the multiple PRC system and grouping, and the prepared kit comprises 4 groups of primer probe combination liquids (wherein the concentration of any primer contained in any single group of primer probe combination liquid is 5 mu mol/L, and the concentration of any probe is 2.5 mu mol/L, namely the concentration of the primer for detecting respiratory syncytial virus A, coronavirus OC43, respiratory syncytial virus B and bocavirus contained in the first group of primer probe combination liquid is 5 mu mol/L, and the concentration of the probe for detecting respiratory syncytial virus A, coronavirus OC43, respiratory syncytial virus B and bocavirus is 2.5 mu mol/L), 2 x PCR premixed reaction liquid, enzyme mixed liquid, reverse transcriptase and DEPC water.
During detection, 10 mu L of 2 XPCR premixed reaction liquid, 0.5 mu L of Taq DNA enzyme, 0.5 mu L of reverse transcriptase and 5 mu L of DEPC water are sequentially added into a PCR8 combined pipe, 2 mu L of single-group primer probe combined liquid is added, finally 2 mu L of a sample to be detected is added to obtain a single-group reaction system (note that 4 groups of reaction systems containing different single-group primer probe combined liquids are required to be prepared for one-time sample detection), the final concentration of any primer in the obtained corresponding single-group reaction system is 500nM and the final concentration of any probe is 250nM, the single-group reaction system is put into a fluorescence quantitative PCR instrument for PCR amplification reaction under the conditions of 50 ℃ pre-denaturation for 15min, 95 ℃ denaturation for 5min, 1 cycle, 95 ℃ denaturation for 10s, 58 ℃ for annealing extension and collection of fluorescence for 50s and 40 cycles to obtain 4 amplification group graphs and CT values, the detection results are respectively analyzed according to the 4 groups of amplification and Ct values, the fluorescence curve in FAM, JOE, ROX and CY5 channels is S-shaped curve and CT is less than or equal to 37, and the fluorescence curve is judged to be positive; no typical S-type amplification or CT is more than 39, and the CT of the internal standard is less than or equal to 40, and the internal standard is judged to be negative; if the CT value is between 37 and 39, retesting, judging that the fluorescence curve is S-shaped curve and CT is more than or equal to 37 and less than or equal to 39, otherwise, judging that the fluorescence curve is positive; and when the judgment result is positive, the sample to be detected contains the virus to be detected.
Meanwhile, in the detection process, a positive quality control substance and a negative quality control substance are used for replacing samples to be detected respectively, and detection is carried out according to the method so as to judge whether the problem of false negative or false positive caused by reasons of substandard reaction reagents or environmental pollution exists. And when the false negative or false positive problem exists, the corresponding virus detection is carried out on the sample to be detected again.
Example 2 specificity test of primer Probe combination
In the implementation, cross experiments are carried out on various respiratory virus plasmid standard products to verify the specificity of the respiratory virus plasmid standard products, and the specificity is as follows:
taking the first group of primer probe combinations as an example, the first group of primer probe combinations are respectively added into the wells of the same row of the 96-well plate, that is, 4 single primer probe combinations of the first group are added into each tube of the first row, and by this round, the first group to the fourth group of primer probe combinations are respectively and correspondingly added into each tube of the 1 st to 4 th rows, which are 4 rows in total. And then adding the same virus positive plasmids into the same tube hole, namely adding 4 virus positive plasmids corresponding to the first group of primer probe combinations into the first tube hole, and so on, and adding 4 virus positive plasmids corresponding to the first group to the fourth group of primer probe combinations into each tube in the 1 st to 4 th rows respectively, so as to ensure that each primer probe and any one of the 15 virus positive plasmids have independent contact opportunities, and counting each CT value through such cross experiments to verify the specificity of the primer probe combination. In addition, each tube in the fifth row is added with 5 other virus positive plasmids of coronavirus (HKU1), enterovirus E71 (E71), enterovirus CA16 (CA16), Mycoplasma Pneumoniae (MP) and Chlamydia Pneumoniae (CP), and cross experiments are carried out with the primer probe combination of the invention to further verify the specificity of the primer probe combination of the invention, the specific multiplex PCR amplification experiment method is the same as the multiplex PCR amplification experiment method established by the multiplex PRC system in example 1, and the experiment results are shown in the following table:
TABLE 4 summary of specificity test results for primer probe combinations
Figure BDA0003432414160000111
As can be seen from the results in Table 4, the single primer probe combination of any one of the 4 groups of the present invention only amplified with the corresponding virus-positive plasmid, while the other virus-positive plasmids did not amplify, indicating that the primer probe combination of the present invention has good specificity.
EXAMPLE 3 sensitivity test of primer Probe combination
The 15 kinds of virus-positive plasmids were mixed in groups in accordance with the virus grouping method obtained by establishing the multiplex PRC system in example 1, and then diluted ten-fold, each group was diluted to a concentration of 102~106copies/mL yielded 5 concentrations of virus-positive plasmid solutions (10 concentrations each)2copies/mL、103copies/mL、104copies/mL、105copies/mL and 106copies/mL) of the virus-positive plasmid, amplifying the virus-positive plasmid solutions with 5 concentrations in different groups by using the preparation and application of the kit in example 1, to obtain the detection sensitivity corresponding to 15 viruses, wherein the specific results are shown in FIGS. 20-34, from which the standard curve and R for detecting 15 viruses can be obtained2The values are shown in Table 5, and the detection limit results are shown in tables 6-7.
TABLE 5 Standard Curve and R2 values for the detection by the kit of the invention
Figure BDA0003432414160000121
TABLE 6 stability of detection limits of the test kit of the present invention
Figure BDA0003432414160000122
Figure BDA0003432414160000131
TABLE 7 stability of detection limits of the test kit of the present invention
Figure BDA0003432414160000132
From tables 5 to 7, it can be seen that the sensitivity of the kit of the present invention can reach 102copies/mL, superior to the kit of patent application 201910677694.5 and the vast majority of products on the market.
Example 4 accuracy test of primer Probe combination
Randomly selecting 5 cases of 15 virus samples, detecting by using the kit and the detection method prepared in the embodiment 1, sequencing the amplified samples, and performing Blast comparison on the obtained sequences to obtain sequencing results shown in the following table:
TABLE 8 sequencing results summary of the test kits of the invention
Figure BDA0003432414160000141
Figure BDA0003432414160000151
As can be seen from Table 8, the coincidence rate of the detection result of the kit of the present invention for viruses and the sequencing result is 100%.
EXAMPLE 5 practical clinical sample testing of primer Probe combinations
In this example, 784 clinical samples were collected from nasopharyngeal swab samples collected by hospitals in the corridor city (principle that collectors voluntarily), viral nucleic acids were extracted from the nasopharyngeal swab samples, and the detection was performed by using the kit and the detection method of the present invention, and the positive rate of the detection was 46.8% by comparing with the internal control and the positive control, and the time spent was 1.5 hours.
The virus nucleic acid extracted from the nasopharyngeal swab sample is detected by adopting a traditional virus culture method, the positive rate of the detection is 46.8 percent, and the use time is 7 days.
The virus nucleic acid extracted from the nasopharyngeal swab sample is detected by the kit in the patent application 201910677694.5, the positive rate of the detection is 46.8%, and the use time is 2 hours.
The actual clinical sample detection result of the kit is consistent with the detection result of the traditional virus culture method and the detection result of the kit in patent application 201910677694.5, but the time for using the kit is obviously shorter than the time for detecting the kit in the traditional virus culture method and the time for detecting the kit in patent application 201910677694.5.
The specific test results of the actual clinical samples are shown in the following table:
TABLE 9 summary of test results of actual clinical specimens
Figure BDA0003432414160000152
Figure BDA0003432414160000161
It is to be understood that the described embodiments are merely a few embodiments of the invention, and not all embodiments. All other embodiments, which can be obtained by a person skilled in the art without making any creative effort based on the embodiments in the present invention, belong to the protection scope of the present invention.
Sequence listing
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Claims (10)

1. A primer probe combination for detecting respiratory viruses is characterized in that,
the forward primer for detecting the respiratory syncytial virus A is shown as SEQ ID NO: 1, and the reverse primer is shown as SEQ ID NO: 2, the probe is shown as SEQ ID NO: 3 is shown in the figure;
the forward primer for detecting the respiratory syncytial virus B is shown as SEQ ID NO: 4, the reverse primer is shown as SEQ ID NO: 5, the probe is shown as SEQ ID NO: 6 is shown in the specification;
the forward primer for detecting the influenza virus A is shown as SEQ ID NO: 7, the reverse primer is shown as SEQ ID NO: 8, the probe is shown as SEQ ID NO: 9 is shown in the figure;
the forward primer for detecting the influenza B virus is shown as SEQ ID NO: 10, and the reverse primer is shown as SEQ ID NO: 11, the probe is shown as SEQ ID NO: 12 is shown in the specification;
the forward primer for detecting the bocavirus is shown as SEQ ID NO: 13, the reverse primer is shown as SEQ ID NO: 14, the probe is shown as SEQ ID NO: 15 is shown in the figure;
the forward primer for detecting coronavirus OC43 is shown as SEQ ID NO: 16, and the reverse primer is shown as SEQ ID NO: 17, the probe is shown as SEQ ID NO: 18 is shown in the figure;
the forward primer for detecting coronavirus 229E is set forth in SEQ ID NO: 19, the reverse primer is shown as SEQ ID NO: 20, the probe is shown as SEQ ID NO: 21 is shown in the figure;
the forward primer for detecting parainfluenza virus 1 is shown as SEQ ID NO: 22, and the reverse primer is shown as SEQ ID NO: 23, the probe is shown as SEQ ID NO: shown at 24;
the forward primer for detecting parainfluenza virus 2 is shown as SEQ ID NO: 25, the reverse primer is shown as SEQ ID NO: 26, the probe is shown as SEQ ID NO: 27 is shown;
the forward primer for detecting parainfluenza virus 3 is shown as SEQ ID NO: 28, and the reverse primer is shown as SEQ ID NO: 29, the probe is shown as SEQ ID NO: 30 is shown in the figure;
the forward primer for detecting parainfluenza virus 4 is shown as SEQ ID NO: 31, and the reverse primer is shown as SEQ ID NO: 32, and the probe is shown as SEQ ID NO: 33;
the forward primer for detecting the human metapneumovirus is shown as SEQ ID NO: 34, and the reverse primer is shown as SEQ ID NO: 35, the probe is shown as SEQ ID NO: 36 is shown;
the forward primer for detecting the enterovirus is shown as SEQ ID NO: 37, and the reverse primer is shown as SEQ ID NO: 38, and the probe is shown as SEQ ID NO: 39;
the forward primer for detecting adenovirus is shown as SEQ ID NO: 40, and the reverse primer is shown as SEQ ID NO: 41, the probe is shown as SEQ ID NO: 42 is shown;
the forward primer for detecting rhinovirus is shown as SEQ ID NO: 43, and the reverse primer is shown as SEQ ID NO: 44, the probe is shown as SEQ ID NO: shown at 45.
2. A kit comprising the primer-probe combination for detecting a respiratory virus of claim 1.
3. The kit according to claim 2, wherein the detection of the kit is divided into 4 groups, each of which is:
the first group detects respiratory syncytial virus A, coronavirus OC43, respiratory syncytial virus B and bocavirus;
a second set of detection parainfluenza virus 1, parainfluenza virus 2, parainfluenza virus 3 and parainfluenza virus 4;
the third group detects influenza virus A, influenza virus B, human metapneumovirus and enterovirus;
and the fourth group detects coronavirus, rhinovirus, adenovirus and internal reference, wherein the internal reference is humanized beta-globin.
4. The kit of claim 3, wherein the reagents in the kit comprise: 4 groups of primer probe combination liquid, 2 XPCR premixed reaction liquid, Taq DNA enzyme, reverse transcriptase and DEPC water.
5. The kit according to claim 4, wherein the primer probe combination solution in any one of the 4 groups contains any primer at a concentration of 500nM and any probe at a final concentration of 250 nM.
6. Use of a kit according to any one of claims 2 to 5 for the detection/co-detection of respiratory viruses.
7. The application of claim 6, wherein the application comprises the specific steps of mixing a sample to be tested with reagents in a kit to prepare 4 groups of reaction systems, adding the reaction systems into a nucleic acid amplification reaction solution for dilution, performing PCR amplification reaction to obtain 4 groups of amplification curve graphs and CT values, and judging whether the sample to be tested is positive or negative according to the 4 groups of amplification curve graphs and the CT values.
8. The application of claim 7, wherein the single set of reaction system comprises 2 μ L of sample to be tested, 10 μ L of 2 XPCR premixed reaction solution, 0.5 μ L of Taq DNase, 0.5 μ L reverse transcriptase, 2 μ L of single set of primer probe combined solution, and 20 μ L of DEPC water.
9. The use of claim 7 or 8, wherein the final concentration of each primer and the final concentration of each probe in a single set of the reaction system are 500nM and 250nM, respectively.
10. The use of claim 7 or 8, wherein the positive and negative quality control materials are further tested during the application process;
the PCR amplification reaction conditions are 50 ℃ pre-denaturation for 15min, 95 ℃ denaturation for 5min, 1 cycle, 95 ℃ denaturation for 10s, 58 ℃ annealing extension and fluorescence collection for 50s, and 40 cycles.
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