Development of a novel strategy to reduce diagnostic errors in real-time polymerase chain reaction using probe-based techniques

Abstract Real-time PCR assays are valuable tools for the rapid and accurate diagnosis of infectious diseases by identifying the nucleic acid sequences of pathogens. Here, we aimed to develop a recombinant plasmid-based standard for validating the sensitivity of different molecular diagnostic methods...

Full description

Saved in:
Bibliographic Details
Main Authors: Hyoung Jun Kim, Morten Schiøtt, Niels Jørgen Olesen, Euna Choi, Bok Kyung Ku, Kyoung Ki Lee, Hye Young Jeong, Ilseob Lee, Seong Mok Kim, Miyoung Cho, Young Chul Kim
Format: Article
Language:English
Published: Nature Portfolio 2024-11-01
Series:Scientific Reports
Subjects:
Online Access:https://doi.org/10.1038/s41598-024-78654-2
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850195878924517376
author Hyoung Jun Kim
Morten Schiøtt
Niels Jørgen Olesen
Euna Choi
Bok Kyung Ku
Kyoung Ki Lee
Hye Young Jeong
Ilseob Lee
Seong Mok Kim
Miyoung Cho
Young Chul Kim
author_facet Hyoung Jun Kim
Morten Schiøtt
Niels Jørgen Olesen
Euna Choi
Bok Kyung Ku
Kyoung Ki Lee
Hye Young Jeong
Ilseob Lee
Seong Mok Kim
Miyoung Cho
Young Chul Kim
author_sort Hyoung Jun Kim
collection DOAJ
description Abstract Real-time PCR assays are valuable tools for the rapid and accurate diagnosis of infectious diseases by identifying the nucleic acid sequences of pathogens. Here, we aimed to develop a recombinant plasmid-based standard for validating the sensitivity of different molecular diagnostic methods adopting the Jonstrup assay (J assay). Chimeric plasmid DNA (cpDNA) harboring various pathogen genes and the target site of the J assay was constructed. Our findings revealed that the J assay could detect a single copy of the target gene similar to digital droplet PCR. The detection sensitivity of each established real-time PCR method for various disease diagnoses was evaluated using the cpDNA. Although most methods showed high sensitivity, similar to that of the J assay, the VHS Garver and SARS-CoV-2 diagnostic methods exhibited detection sensitivities tenfold lower than that of the J assay. To ensure accuracy of results and avoid genetic contamination from positive controls, we introduced an additional probe attachment site emitting distinct fluorescent signals within the cpDNA. Target genes and exogenous sequences within the plasmid DNA were simultaneously detected in a single assay using this unique method. Our approach will help improve the sensitivity of diagnostic methods and develop novel diagnostic methods based on molecular techniques.
format Article
id doaj-art-d4fb0bcde0ca460cba29bf005e411419
institution OA Journals
issn 2045-2322
language English
publishDate 2024-11-01
publisher Nature Portfolio
record_format Article
series Scientific Reports
spelling doaj-art-d4fb0bcde0ca460cba29bf005e4114192025-08-20T02:13:39ZengNature PortfolioScientific Reports2045-23222024-11-0114111110.1038/s41598-024-78654-2Development of a novel strategy to reduce diagnostic errors in real-time polymerase chain reaction using probe-based techniquesHyoung Jun Kim0Morten Schiøtt1Niels Jørgen Olesen2Euna Choi3Bok Kyung Ku4Kyoung Ki Lee5Hye Young Jeong6Ilseob Lee7Seong Mok Kim8Miyoung Cho9Young Chul Kim10WOAH Reference Laboratory for VHS, National Institute of Fisheries ScienceEU Reference Laboratory for Crustacean Diseases, National Institute of Aquatic Resources, Technical University of DenmarkEU Reference Laboratory for Crustacean Diseases, National Institute of Aquatic Resources, Technical University of DenmarkWOAH Reference Laboratory for VHS, National Institute of Fisheries ScienceAnimal Disease Diagnostic Division, Animal and Plant Quarantine Agency 177Animal Disease Diagnostic Division, Animal and Plant Quarantine Agency 177Animal Disease Diagnostic Division, Animal and Plant Quarantine Agency 177Animal Disease Diagnostic Division, Animal and Plant Quarantine Agency 177WOAH Reference Laboratory for VHS, National Institute of Fisheries ScienceWOAH Reference Laboratory for VHS, National Institute of Fisheries ScienceWOAH Reference Laboratory for VHS, National Institute of Fisheries ScienceAbstract Real-time PCR assays are valuable tools for the rapid and accurate diagnosis of infectious diseases by identifying the nucleic acid sequences of pathogens. Here, we aimed to develop a recombinant plasmid-based standard for validating the sensitivity of different molecular diagnostic methods adopting the Jonstrup assay (J assay). Chimeric plasmid DNA (cpDNA) harboring various pathogen genes and the target site of the J assay was constructed. Our findings revealed that the J assay could detect a single copy of the target gene similar to digital droplet PCR. The detection sensitivity of each established real-time PCR method for various disease diagnoses was evaluated using the cpDNA. Although most methods showed high sensitivity, similar to that of the J assay, the VHS Garver and SARS-CoV-2 diagnostic methods exhibited detection sensitivities tenfold lower than that of the J assay. To ensure accuracy of results and avoid genetic contamination from positive controls, we introduced an additional probe attachment site emitting distinct fluorescent signals within the cpDNA. Target genes and exogenous sequences within the plasmid DNA were simultaneously detected in a single assay using this unique method. Our approach will help improve the sensitivity of diagnostic methods and develop novel diagnostic methods based on molecular techniques.https://doi.org/10.1038/s41598-024-78654-2Viral hemorrhagic septicemiaStandardizationReal-time PCRFalse-positiveFalse-negativePositive control
spellingShingle Hyoung Jun Kim
Morten Schiøtt
Niels Jørgen Olesen
Euna Choi
Bok Kyung Ku
Kyoung Ki Lee
Hye Young Jeong
Ilseob Lee
Seong Mok Kim
Miyoung Cho
Young Chul Kim
Development of a novel strategy to reduce diagnostic errors in real-time polymerase chain reaction using probe-based techniques
Scientific Reports
Viral hemorrhagic septicemia
Standardization
Real-time PCR
False-positive
False-negative
Positive control
title Development of a novel strategy to reduce diagnostic errors in real-time polymerase chain reaction using probe-based techniques
title_full Development of a novel strategy to reduce diagnostic errors in real-time polymerase chain reaction using probe-based techniques
title_fullStr Development of a novel strategy to reduce diagnostic errors in real-time polymerase chain reaction using probe-based techniques
title_full_unstemmed Development of a novel strategy to reduce diagnostic errors in real-time polymerase chain reaction using probe-based techniques
title_short Development of a novel strategy to reduce diagnostic errors in real-time polymerase chain reaction using probe-based techniques
title_sort development of a novel strategy to reduce diagnostic errors in real time polymerase chain reaction using probe based techniques
topic Viral hemorrhagic septicemia
Standardization
Real-time PCR
False-positive
False-negative
Positive control
url https://doi.org/10.1038/s41598-024-78654-2
work_keys_str_mv AT hyoungjunkim developmentofanovelstrategytoreducediagnosticerrorsinrealtimepolymerasechainreactionusingprobebasedtechniques
AT mortenschiøtt developmentofanovelstrategytoreducediagnosticerrorsinrealtimepolymerasechainreactionusingprobebasedtechniques
AT nielsjørgenolesen developmentofanovelstrategytoreducediagnosticerrorsinrealtimepolymerasechainreactionusingprobebasedtechniques
AT eunachoi developmentofanovelstrategytoreducediagnosticerrorsinrealtimepolymerasechainreactionusingprobebasedtechniques
AT bokkyungku developmentofanovelstrategytoreducediagnosticerrorsinrealtimepolymerasechainreactionusingprobebasedtechniques
AT kyoungkilee developmentofanovelstrategytoreducediagnosticerrorsinrealtimepolymerasechainreactionusingprobebasedtechniques
AT hyeyoungjeong developmentofanovelstrategytoreducediagnosticerrorsinrealtimepolymerasechainreactionusingprobebasedtechniques
AT ilseoblee developmentofanovelstrategytoreducediagnosticerrorsinrealtimepolymerasechainreactionusingprobebasedtechniques
AT seongmokkim developmentofanovelstrategytoreducediagnosticerrorsinrealtimepolymerasechainreactionusingprobebasedtechniques
AT miyoungcho developmentofanovelstrategytoreducediagnosticerrorsinrealtimepolymerasechainreactionusingprobebasedtechniques
AT youngchulkim developmentofanovelstrategytoreducediagnosticerrorsinrealtimepolymerasechainreactionusingprobebasedtechniques