WO2005021798A1 - Multi-allelic molecular detection of sars-associated coronavirus - Google Patents
Multi-allelic molecular detection of sars-associated coronavirus Download PDFInfo
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- WO2005021798A1 WO2005021798A1 PCT/US2004/026380 US2004026380W WO2005021798A1 WO 2005021798 A1 WO2005021798 A1 WO 2005021798A1 US 2004026380 W US2004026380 W US 2004026380W WO 2005021798 A1 WO2005021798 A1 WO 2005021798A1
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Definitions
- SARS Severe acute respiratory syndrome
- SARS-CoV SARS coronavirus
- coronaviruses are enveloped positive single-stranded RNA viruses with genomes approximately 30 kb in length - the largest of any of the RNA viruses - that replicate in the cytoplasm of host cells without going through DNA intermediates. Coronaviruses have been reported to cause common colds in humans, and to cause respiratory, enteric, and neurological diseases, as well as hepatitis, in animals. Human coronaviruses are usually difficult to culture in vitro, whereas most animal coronaviruses and SARS-CoV can easily be cultured in Vero E6 cells [4]. There are three groups of coronaviruses: Groups 1 and 2 encompass mammalian viruses, whereas Group 3 encompasses avian viruses.
- coronaviruses are classified into distinct species according to host range, antigenic relationships, and genomic organization.
- Human coronaviruses were previously reported to belong in Group 1 (HCoV-229E) and Group 2 (HCoV-OC43), and are responsible for mild respiratory illnesses.
- HCA Human coronaviruses
- HCoV-229E Group 1
- HoV-OC43 Group 2
- researchers for mild respiratory illnesses were first to obtain full genomic sequences of SARS-CoV.
- BCCA British Columbia Cancer Agency
- DCP Centers for Disease Control and Prevention
- the SARS-CoV rep gene which is approximately 20,000 nudeotides long, is predicted to encode two polyproteins (ORFla and ORFlb) that undergo proteolytic processing, resulting in several nonstructural proteins. There are four genes downstream of rep that encode the structural proteins S, E, M, and N.
- SARS-CoV The genome of SARS-CoV has several distinct genomic characteristics that distinguish it from other coronavirus isolates and that could be of biological significance.
- the gene encoding hemagglutinin-esterase, which is present between ORFla and S in Group 2 coronaviruses (and in some Group 3 coronaviruses) is absent, and so is the short anchor of the S protein.
- the short anchor of the S protein, the specific number and location of the small ORFs, and the presence of only one copy of PLP PR0 provide a combination of genetic features that readily distinguish SARS-CoV isolates from previously the described coronaviruses [5, 6].
- RT-PCR assays reverse-transcriptase polymerase chain reaction assays
- Perris et al. [2] developed an RT-PCR assay that identifies the virus from nasopharyngeal aspiration samples obtained from patients infected with SARS-CoV. Total RNA from clinical samples is reverse transcribed in the presence of random hexamers, and the resulting cDNA is amplified with primers 5'-TACACACCTCAGCGTTG-3* and 5'- CACGAACGTGACGAAT-3'. To determine the genetic sequence of an unknown RNA virus, they perform a random RT-PCR assay.
- RNA from virus-infected and virus-uninfected fetal rhesus kidney cells were isolated, reverse transcribed with primer 5'- GCCGGAGCTCTGCAGAATTCNNNNNN-3*, and the resulting cDNA was amplified with primer 5'-GCCGGAGCTCTGCAGAATTC-3'.
- Ksiazek et al. [1] developed a reverse transcription and real-time PCR assay to identify SARS-CoV. Oligonucleotide primers used for amplification and sequencing of the SARS-related coronavirus were designed from alignments in open reading frame lb of the coronavirus polymerase gene sequences.
- SARS-specific PCR primers and diagnostic procedures were developed in several World Health Organization network laboratories for the amplification of a region of the open reading frame lb (ORFlb) of the SARS-CoV polymerase gene sequence [8]. These primers are currently being assessed to determine their relative performance and sensitivity with different specimens obtained at different times over the course of illness. Lipkin and Briese have announced they develop a PCR-based SARS diagnostic that detects a SARS-CoV gene that is present in multiple copies, but no further information is available in the literature. Problems with the prior art that the current invention is designed to solve.
- the main problems with current molecular diagnostic assays are: a) failure to consider the intrinsically polymorphic nature of coronaviruses, including the current SARS-CoV strains originated from the Tor2 and Urbani isolates - the ability of the virus to mutate and recombine during the period of time it is within the infected individual, and during horizontal transmission; and b) failure to account for the possibility of continuous and/or multiple introduction of non non-genetically identical SARS-CoV strains into the human population.
- RNA viruses A characteristic of RNA viruses is their high rate of genetic mutation, which leads to evolution of new viral strains, and is a well-established mechanism by which viruses escape the immune system.
- Coronaviruses including SARS-CoV, are quite sloppy when it comes to replicating their genetic material, producing one error for every 10,000 nudeotides that they copy, which is roughly the same error rate as occurs during the replication of the human immunodeficiency virus, HIV-1.
- Coronavirus RNA polymerase sometimes jumps between multiple copies of the viral genome that are present in an infected cell. Therefore, each new genome is actually copied from several templates, reducing the chance that any given mutation will become well established in the viral population.
- this finding may be viewed as indicating that the SARS virus fails to mutate; however, this virus has so far encountered little resistance from its new human hosts, and there has, therefore, been little selective pressure to cause new mutants to be retained. SARS-CoV will probably not remain as stable as it has been so far. Our immune systems could force changes, similar to the changes that frequently occur in flu viruses. In summary, we deemed it prudent to develop a new SARS- CoV diagnostic assay that accounts for the genetically polymorphic nature of coronaviruses, including SARS-CoV.
- the present invention includes a molecular-beacon-based multi-allelic RT-real-time-PCR assay for the detection of and discrimination between SARS-associated and other coronavirus isolates in clinical samples.
- the main elements of the assay design are: a) mismatch-tolerant molecular beacons; b) four sets of PCR primers for four different viral genes, and four different molecular beacons (each labeled with the same fluorophore, and each specific for a different SARS-CoV gene); c) an exogenous RNA standard that is added to the sample that can be reverse-transcribed and amplified by one of the primer sets; and d) a fifth molecular beacon that is labeled with a different fluorophore that is specific for the exogenous RNA standard.
- the assay further includes RNA isolation from clinical samples (blood, tissue, sputum, nasopharyngeal aspiration samples, and others), reverse transcription, PCR amplification and simultaneous automated amplicon detection in a spectrofluorometric thermal cycler that measures the fluorescence intensity of each color during the annealing phase of each thermal cycle.
- Multiple target sequences within the SARS-CoV S, E, M and N genes were identified.
- the S, M, and E genes encode structural proteins that are present on the outside of the virus, whereas the N gene encodes a structural protein that is required for viral RNA packaging inside the virion.
- the principle underlying the selection of four target sequences that uniquely identify SARS-CoV is that the use of four different targets enhances the likelihood that the fundamental genetic drift of the virus will not lead to a false negative result - that is, one has better chance of hitting a moving target with a shotgun than with a rifle.
- the design of the assay significantly minimizes the likelihood of missing the presence of the SARS-CoV in a clinical sample due to the continuous viral evolution of the viral sequence.
- the intrinsic sensitivity of the assay is enhanced.
- Sequence alignments were performed by CLUSTALW, which is a multiple sequence alignment tool that is commonly used in the bioinformatics community. It produces global multiple sequence alignments through three major phases: a) pairwise alignment, b) guide-tree construction, and c) multiple alignment.
- the guide tree generated by CLUSTALW is an estimate of relationships between sequences that are much like those shown by phylogenetic trees.
- the criteria for selecting SARS-CoV gene-specific PCR primers were based on: a) the identification of genomic regions in SARS-CoV that, as a result of an examination of the sequence alignments, showed the highest genetic distance between SARS-CoV and other coronavirus strains; b) selection of primer sequences for amplification of the SARS-CoV targets that form primer-target hybrids whose theoretical melting temperature maximizes the ability of the primer to bind to the target even if nucleotide substitutions are present (mismatch tolerance), and yet enable all of the primers to hybridize to their targets at the same temperature in a multiplex assay (T m approximately 60°C); and c) selection of primer sequences that enable the amplicons containing each of the four target sequences to be approximately the same (relatively short) length (approximately 100 nudeotides long).
- the criteria for selecting the molecular beacon probe sequences, and their arm sequences were based on: a) the identification of approximately 30-nucleotide-long regions in SARS-CoV (within the amplicons to be generated) that, as a result of an examination of the sequence alignments, showed the highest genetic distance between SARS-CoV and other coronavirus strains (with special emphasis on probe target sequences that encompass gaps or deletions in the SARS-CoV sequence compared to the sequence of other coronaviruses); b) selection of probe sequences that form probe-target hybrids whose theoretical melting temperature maximizes the ability of the probe to bind to the target sequence even if nucleotide substitutions are present (mismatch tolerance), and yet enable all of the probes to hybridize to their targets at the same temperature in a multiplex assay (Tm approximately 63°C); and c) selection of arm sequences that provide the same degree of stability for the stem hybrids of all of the molecular beacon probes (stem T m of approximately 70
- the assays described herein can be performed in either a heterogeneous or homogeneous format.
- the reagents needed for performance of the assay can be supplied in a kit format.
- the kit contains the detectants necessary for measuring two or more of the coronavirus genes S, E, M and N. It is recommended that the kit also contain an internal standard IPC.
- the reagents including the detectants can be separately packaged in individual ccontainers.
- the kits may also contain a substrate including reaction tubes for performing an assay for a given sample.
- the kit may also contain additional reagents for performing amplification reactions including PCR and also for saple pretreatment including those reagent necessary to release and /or purify the coronavirus.
- a multiplex format can be utilized. Such formats are known in the art. Multiplex assays are typically used to determine simultaneously the presence or concentratin of more than one molecule in the samle being analyzed, or alternatively, several characteristics of a single molecule.
- Figure 2 shows the Phylogenetic Analysis of S Gene.
- Figure 3 shows molecular designs for SARS-Associated S Gene.
- Figure 4 lists Molecular Designs for S Gene.
- Figure 5 shows the DNA Sequence Alignment of Coronavirus E Genes isolated from different Species.
- Figure 6 shows the phylogenetic analysis of E Gene.
- Figure 7 shows molecular designs for SARS-Associated E Gene.
- FIG. 8 shows molecular designs for SARS-Associated E Gene
- Figure 9 shows the DNA Sequence Alignment of Coronavirus M Genes isolate from different species.
- Figure 10 shows the phylogenetic analysis of M Gene
- FIG. 11 shows the molecular designs for SARS-Associated M Gene.
- Figure 13 shows the DNA Sequence Alignment of Coronavirus N Genes isolate from different species.
- Figure 14 shows the phylogenetic analysis of N Gene.
- Figure 15 shows the molecular designs for SARS-Associated N Gene.
- Figure 17 shows molecular designs for Internal Positive Control (IPC).
- IPC Internal Positive Control
- Figure 19 shows Molecular Beacon Melting Curves.
- Figure 20 shows Uniplex Real-time PCR Amplifications (Serial Dilutions-Dynamic Range).
- the general steps for the assay involve the performance of the following steps:
- Step 1 An RNA standard that can be reverse-transcribed and amplified by one of the primer sets is added to each sample prior to isolation of RNA from the sample. RNA is then extracted from each clinical sample (nasopharyngeal aspirations, stool samples, or whole blood, obtained from patients suspected of being infected with SARS-CoV). RNA is then purified, using a QIAamp Viral RNA Kit (Qiagen, Inc., Valencia, CA), according to the manufacturer's instructions.
- QIAamp Viral RNA Kit Qiagen, Inc., Valencia, CA
- Step 2 The isolated RNA obtained from each clinical sample is then reverse transcribed with four target-specific primers (S Gene, S-RT 5'-AGGCTGTAAGAA-3'; E-Gene, E-RT 5'-TATTGCAGCAGTAC-3'; M Gene, M-RT 5'-AAGCAACGAAGTAG-3'; N Gene, N-RT 5'-GCCTTCTTTGTTAG-3'; Internal Positive Control, E-RT 5'-TATTGCAGCAGTAC-3').
- Reverse transcription with SARS-CoV viral RNA from patient samples is performed by adding 20 ⁇ L viral RNA to a mixture of 0.125 ⁇ M of (each) gene- specific primer and incubating at 80°C for 5 minutes to denature secondary structures.
- Reverse transcription reactions consist of PCR buffer II (Applied Biosystems), 3 mM MgCl2, 0.5 mM (each) dNTP, 10 mM dithiothreitol, 20 Units ribonuclease inhibitor (Roche Molecular Biochemicals, Indianapolis, IN) and 80 Units Superscript II Ribonuclease H-reverse transcriptase (GibcoBRL) in a final volume of 40 ⁇ L. The reactions are then incubated at 42 °C for 50 minutes, followed by inactivation at 70°C for 15 minutes.
- Step 3 Real-time PCR amplification of SARS-CoV cDNA is performed using four primer pairs and five molecular beacons in the same reaction, one primer pair for each viral gene (amplification of the internal positive control is enabled by one of the primer pairs that was designed to enable the amplification of one of the for the viral gene targets).
- Each PCR reaction consists of 20 ⁇ L of cDNA products, 1 x PCR buffer II (Applied Biosystems), 3.5 mM MgCl2, 0.5 mM (each) dNTP, 0.4 ⁇ M of each primer, and 2.5 Units of AmpliTaq Gold DNA polymerase (Applied Biosystems) in a final volume of 50 ⁇ L.
- RNA samples Fifty cycles of amplification (94°C for 15 seconds, 53°C for 30 seconds, and 72°C for 30 seconds) are performed in an 7700 Prism spectrofluorometric thermal cycler (Applied Biosystems).
- Applied Biosystems For quantitative measurements, duplicates of six-fold serial dilutions (10 6 to 10 copies) of RNA standards are used as quantitative controls along with the samples being tested for a given experimental run.
- Viral RNA copy number for each clinical sample is' calculated by interpolation of the experimentally determined threshold cycle for the test specimen onto a standard regression curve obtained from the control RNA standards (the logarithm of the number of genomic copies present in the clinical sample is inversely proportional to the observed threshold cycle).
- the main problem with the prior art is its failure to consider the intrinsically polymorphic nature of coronaviruses and to account for the possibility of continuous and/or multiple introductions of non non-genetically identical SARS-CoV strains into the human population.
- the present invention solves these problems by using multiple genetic sequences as targets (the S, E, M, and N genes).
- targets the S, E, M, and N genes.
- the primary principle of using four different genetic targets to identify SARS-CoV is to evade the fundamental genetic drift of the virus.
- the assay design includes the presence of an internal positive control RNA, the reverse transcription and PCR amplification of which generates a signal in a different color, thus assuring that if there is an unexpected problem with RNA isolation, reverse transcription, or target amplification, the absence of the control signal will indicate that a problem occurred.
- SARS nucleic acid assays there are five SARS nucleic acid assays: an RT-PCR assay published by Perris et al. [2], an RT- real-time-PCR assay published by Ksiazek et al. [1], a similar RT-real-time-PCR assay published by Drosten et al. [4], another RT-real-time-PCR assay published by Poon et al. [7], and a PCR-based SARS diagnostic assay developed by Lipkin and Briese - no publication is available describing this assay.
- RNA extracted from clinical samples All of the published assays use RNA extracted from clinical samples.
- all of the published assays initiate reverse transcription of SARS-CoV RNA with random primers, and all of the published assays generate cDNA with primers previously designed to enable the amplification of conserved regions of open reading frame lb (ORFlb), in order to achieve broad reactivity with the coronavirus genus.
- ORFlb open reading frame lb
- the present invention differs from these inventions in many different ways.
- the present assay uses four different targets instead of one and it has an internal positive RNA control (artificial RNA molecule) that can be reverse-transcribed and amplified with primers designed for the viral genes (it possesses a unique target recognition sequence for detection by a unique molecular beacon).
- This RNA molecule serves as a control for RNA isolation, reverse transcription, and PCR amplification.
- the present uses real-time PCR for nucleic acid amplification and molecular beacons for realtime detection.
- the present employs a dual-color detection scheme, a yellow signal (tetrachlorofluorescein) for all four SARS-CoV targets and a green signal (fluorescein) indicating that the internal positive control has been isolated, reverse transcribed, and PCR amplified.
- Another important aspect of our invention which is not an aspect of the published assays, is the construction of four viral RNA targets that contain gene-specific reverse transcription sequences built in to their 3' ends. Collectively, these molecules serve as SARS- specif ⁇ c positive controls.
- a mPCR reaction comprises: treating said extracted DNA to form single stranded complementary strands, adding a plurality of labelled paired oligonucleotide primers, each paired primer specific for a different short tandem repeat sequence, one primer of each pair substantially complementary to a part of the sequence in the sense strand and the other primer of each pair substantially complementary to a different part of the same sequence in the complementary antisense strand, annealing the plurality of paird primers to their complementary sequences, simultaneously extending said plurality of annealed primers from the 3' terminus of each primer to synthesize an extension product complementary to the strands annealed to each primer, said extension products, after separation from their complement, serving as templates for the synthesis of an extension product for the other primer of each pair, separating
- Lower stringent conditions are routinely used to accommodate the capture of multiple target sequences that contain variations in their nucleic acid sequences.
- the stringency is reduced by either powering the temperature of hybridization and wash or by modification of the buffer.
- the stringent conditions are reduced and the target nucleic acid sequence is very similar to nucleic acid sequences of another genus specificity of the capture probe for the target genus can be lost.
- the specificity under high stringent conditions can be regained.
- the blending of multiple probes pe ⁇ nits a single positive response for the presence of a grou pf target organisms.
- Multiplex analysis relies on the ability to sort sample components or the data associated therewith, during or after the assay is completed.
- EXAMPLE 1- Design of SARS-CoV-specific molecular beacons, and primers for reverse transcription and for PCR
- the molecular beacons were designed so that they are able to hybridize to their targets at the annealing temperature of the PCR, while unbound molecular beacons remain in the closed conformation. These basic aspects were achieved by using coronavirus gene-specific multiple alignments and thermodynamic considerations to select the target sequences, the identity and length of the PCR primers, the identity and length of the probe sequences (target recognition sequences), and the length of the arm sequences.
- the theoretical melting temperatures of the PCR primers was about 60°C; the T m of the reverse transcription primers was 47°C; the T m of the probe- target hybrid was about 63°C; and the T m of the stem hybrids of the molecular beacons was about 70°C.
- each molecular beacon melting curves were obtained by preparing two tubes containing 50 ⁇ L of 200 nM molecular beacon dissolved in 3.5 mM MgCl 2 and 10 mM Tris-HCl, pH 8.0, and by adding a complementary oligonucleotide target to one of the tubes at a final concentration of 400 nM.
- the fluorescence of each solution was determined as a function of temperature, using a thermal cycler with the capacity to monitor fluorescence. Temperature was decreased linearly with time from 80°C to 10°C in 1°C steps; with each holding period lasting one minute, and fluorescence intensity was measured during each hold.
- the theoretical melting temperature of the PCR primers was 60°C + 2°C; the theoretical T m of the reverse transcription primers was 47 + 2°C; the theoretical T m of the probe target-hybrids was about 63 + 3°C; and the theoretical T m of the stem hybrid of the molecular beacons was 70 ⁇ 2°C.
- a synthetic target DNA and molecular beacon are used. PCR reactions were performed using the spectrofluorometric thermal cycler (Cepheid). For each assay, utilized target dilutions are peformed to establish the linearity and the dynamic range of the molecular beacon-based real-time PCR assays.
- the overall rationale of these experiments is for each of the five amplicons (SARS-CoV S, E, M, and N genes and IPC) to produce dsDNA molecules that contain a bacteriophage T7 promoter target recognition sequence at their 5' ends and the gene-specific reverse transcriptase primer-binding site at their 3' ends.
- the synthesized amplicons are used for in vitro RNA production.
- the synthesized RNA molecules have the specific reverse transcriptase primer-binding site at their 3' ends.
- Example 6- In vitro RNA transcription of SARS-CoV- and IPC-specific RNA molecules Purpose: The overall rationale for these experiments is to produce RNA molecules containing the specific reverse transction primer-binding site at their 3' ends. Design: For each SARS-CoV gene-specific and IPC amplification, a T7-RT-PCR dsDNA ampiicon (generated from Experiment 5) is used. Materials: RNA transcripts corresponding to the four SARS-CoV-specif ⁇ c and IPC alleles were prepared by in vitro transcription of PCR products that contain the T7 RNA polymerase promoter site, by using a MEGAscript T7 kit (Ambion, Houston, TX).
- RNA molecules had the correct lengths, based on 8% polyacrylamide gel electrophoretic analysis of the product strands.
- SARS-CoV-specific T7-RT amplicons were generated to be used for in vitro RNA transcription.
- RNA molecules containing the specific reverse transcription primer-binding site at their 3 ' ends can be reverse transcribed and the generated cDNA can be amplified and detected by real-time PCR.
- T7-RT-PCR dsDNA ampiicon (generated from Experiment 5) is used.
- Reverse transcription with viral and IPC RNA was performed by adding 20 ⁇ L of SARS-CoV-specific and IPC-specific RNA to 0.125 ⁇ M of SARS-CoV-specific and IPC-specific primers and incubated at 80°C for 5 minutes. The PCR-tubes were then immediately placed on ice for at least
- the reverse transcriptase reactions contained PCR buffer II (Applied Biosystems), 3 mM MgCl2, 0.5 mM of each dNTP (GibcoBRL), 10 mM dithiothreitol, 20 Units ribonuclease inhibitor (Roche Molecular Biochemicals) and 80 Units Superscript II RNase H-reverse transcriptase (GibcoBRL) in a final volume of 40 ⁇ L. The reactions were incubated at 42°C for 50 minutes, followed by inactivation at 70°C for 15 minutes.
- SARS-CoV-specific and IPC-specific RNA molecules can be reverse transcribed, and the generated cDNA can be amplified and detected by SARS-CoV-specific and IPC-specific molecular-beacons in real-time PCR assays.
- SARS-CoV-specific RNA molecules can be used as controls in the final assay.
- SARS-CoV-specific and IPC-specific RNA molecules can be reverse transcribed and generate cDNA, and can then be amplified and detected by SARS-CoV-specific and IPC-specific molecular beacons in a real-time PCR assay.
- SARS-CoV-specific RNA molecules can be used as controls in a multiplex assay.
- SARS-CoV assay detects SARS-CoV and discriminates between SARS-CoV and other non-pathogenic coronaviruses.
- SARS-CoV assay detects SARS RNA extracted from cultured SARS strains and primary isolates.
- bronchial lavage and sputnum pre-mortem samples
- lung liver, small and large bowel, and spleen tissue (post mortem).
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Application Number | Priority Date | Filing Date | Title |
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AU2004269335A AU2004269335A1 (en) | 2003-08-22 | 2004-08-13 | Multi-allelic molecular detection of SARS-associated coronavirus |
US10/569,070 US7709188B2 (en) | 2003-08-22 | 2004-08-13 | Multi-allelic detection of SARS-associated coronavirus |
EP04781121A EP1658382A1 (en) | 2003-08-22 | 2004-08-13 | Multi-allelic molecular detection of sars-associated coronavirus |
JP2006524704A JP2007503213A (en) | 2003-08-22 | 2004-08-13 | Multi-allelic molecule detection of SARS-related coronavirus |
BRPI0413825-2A BRPI0413825A (en) | 2003-08-22 | 2004-08-13 | multiallelic molecular detection of coronavirus associated with sars |
MXPA06002077A MXPA06002077A (en) | 2003-08-22 | 2004-08-13 | Multi-allelic molecular detection of sars-associated coronavirus. |
CA002536335A CA2536335A1 (en) | 2003-08-22 | 2004-08-13 | Multi-allelic molecular detection of sars-associated coronavirus |
IL173843A IL173843A0 (en) | 2003-08-22 | 2006-02-21 | Assay for coronaviruses, reagents for use therein and kits containing the same |
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KR100773241B1 (en) | 2006-12-06 | 2007-11-05 | 주식회사한국야쿠르트 | Identification and application of neutralizing epitope of porcine epidemic diarrhea virus |
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CN111676218A (en) * | 2020-03-12 | 2020-09-18 | 安徽省疾病预防控制中心(省健康教育所) | Full-length amplification sequencing method for spike gene of SARS-CoV-2 virus and primer thereof |
CN111676218B (en) * | 2020-03-12 | 2023-08-04 | 安徽省疾病预防控制中心(省健康教育所) | Full-length amplification sequencing method for SARS-CoV-2 virus spike gene and primer thereof |
WO2022159874A1 (en) * | 2021-01-25 | 2022-07-28 | Life Technologies Corporation | Compositions, kits and methods for detection of viral variant sequences |
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EP1658382A1 (en) | 2006-05-24 |
US20070042351A1 (en) | 2007-02-22 |
MXPA06002077A (en) | 2007-03-12 |
US20060003340A1 (en) | 2006-01-05 |
AU2004269335A1 (en) | 2005-03-10 |
IL173843A0 (en) | 2006-07-05 |
KR20070008504A (en) | 2007-01-17 |
CA2536335A1 (en) | 2005-03-10 |
BRPI0413825A (en) | 2006-10-24 |
US7709188B2 (en) | 2010-05-04 |
JP2007503213A (en) | 2007-02-22 |
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