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Carossino M, Vissani MA, Barrandeguy ME, Balasuriya UBR, Parreño V. Equine Rotavirus A under the One Health Lens: Potential Impacts on Public Health. Viruses 2024; 16:130. [PMID: 38257830 PMCID: PMC10819593 DOI: 10.3390/v16010130] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2023] [Revised: 12/29/2023] [Accepted: 01/12/2024] [Indexed: 01/24/2024] Open
Abstract
Group A rotaviruses are a well-known cause of viral gastroenteritis in infants and children, as well as in many mammalian species and birds, affecting them at a young age. This group of viruses has a double-stranded, segmented RNA genome with high genetic diversity linked to point mutations, recombination, and, importantly, reassortment. While initial molecular investigations undertaken in the 1900s suggested host range restriction among group A rotaviruses based on the fact that different gene segments were distributed among different animal species, recent molecular surveillance and genome constellation genotyping studies conducted by the Rotavirus Classification Working Group (RCWG) have shown that animal rotaviruses serve as a source of diversification of human rotavirus A, highlighting their zoonotic potential. Rotaviruses occurring in various animal species have been linked with contributing genetic material to human rotaviruses, including horses, with the most recent identification of equine-like G3 rotavirus A infecting children. The goal of this article is to review relevant information related to rotavirus structure/genomic organization, epidemiology (with a focus on human and equine rotavirus A), evolution, inter-species transmission, and the potential zoonotic role of equine and other animal rotaviruses. Diagnostics, surveillance and the current status of human and livestock vaccines against RVA are also reviewed.
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Affiliation(s)
- Mariano Carossino
- Department of Pathobiological Sciences, School of Veterinary Medicine, Louisiana State University, Baton Rouge, LA 70803, USA;
- Louisiana Animal Disease Diagnostic Laboratory, School of Veterinary Medicine, Louisiana State University, Baton Rouge, LA 70803, USA
| | - Maria Aldana Vissani
- Escuela de Veterinaria, Facultad de Ciencias Agrarias y Veterinarias, Universidad del Salvador, Pilar, Buenos Aires B1630AHU, Argentina; (M.A.V.); (M.E.B.)
- Instituto de Virología, CICVyA, Instituto Nacional de Tecnología Agropecuaria (INTA), Buenos Aires B1686LQF, Argentina;
- Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Buenos Aires C1033AAJ, Argentina
| | - Maria E. Barrandeguy
- Escuela de Veterinaria, Facultad de Ciencias Agrarias y Veterinarias, Universidad del Salvador, Pilar, Buenos Aires B1630AHU, Argentina; (M.A.V.); (M.E.B.)
- Instituto de Virología, CICVyA, Instituto Nacional de Tecnología Agropecuaria (INTA), Buenos Aires B1686LQF, Argentina;
| | - Udeni B. R. Balasuriya
- Department of Pathobiological Sciences, School of Veterinary Medicine, Louisiana State University, Baton Rouge, LA 70803, USA;
- Louisiana Animal Disease Diagnostic Laboratory, School of Veterinary Medicine, Louisiana State University, Baton Rouge, LA 70803, USA
| | - Viviana Parreño
- Instituto de Virología, CICVyA, Instituto Nacional de Tecnología Agropecuaria (INTA), Buenos Aires B1686LQF, Argentina;
- Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Buenos Aires C1033AAJ, Argentina
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Carossino M, Balasuriya UBR, Thieulent CJ, Barrandeguy ME, Vissani MA, Parreño V. Quadruplex Real-Time TaqMan ® RT-qPCR Assay for Differentiation of Equine Group A and B Rotaviruses and Identification of Group A G3 and G14 Genotypes. Viruses 2023; 15:1626. [PMID: 37631969 PMCID: PMC10459720 DOI: 10.3390/v15081626] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2023] [Revised: 07/23/2023] [Accepted: 07/24/2023] [Indexed: 08/27/2023] Open
Abstract
Equine rotavirus A (ERVA) is the leading cause of diarrhea in foals, with G3P[12] and G14P[12] genotypes being the most prevalent. Recently, equine G3-like RVA was recognized as an emerging infection in children, and a group B equine rotavirus (ERVB) was identified as an emergent cause of foal diarrhea in the US. Thus, there is a need to adapt molecular diagnostic tools for improved detection and surveillance to identify emerging strains, understand their molecular epidemiology, and inform future vaccine development. We developed a quadruplex TaqMan® RT-qPCR assay for differentiation of ERVA and ERVB and simultaneous G-typing of ERVA strains, evaluated its analytical and clinical performance, and compared it to (1) a previously established ERVA triplex RT-qPCR assay and (2) standard RT-PCR assay and Sanger sequencing of PCR products. This quadruplex RT-qPCR assay demonstrated high sensitivity (>90%)/specificity (100%) for every target and high overall agreement (>96%). Comparison between the triplex and quadruplex assays revealed only a slightly higher sensitivity for the ERVA NSP3 target using the triplex format (p-value 0.008) while no significant differences were detected for other targets. This quadruplex RT-qPCR assay will significantly enhance rapid surveillance of both ERVA and ERVB circulating and emerging strains with potential for interspecies transmission.
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Affiliation(s)
- Mariano Carossino
- Louisiana Animal Disease Diagnostic Laboratory, School of Veterinary Medicine, Louisiana State University, Baton Rouge, LA 70803, USA;
- Department of Pathobiological Sciences, School of Veterinary Medicine, Louisiana State University, Baton Rouge, LA 70803, USA
| | - Udeni B. R. Balasuriya
- Louisiana Animal Disease Diagnostic Laboratory, School of Veterinary Medicine, Louisiana State University, Baton Rouge, LA 70803, USA;
- Department of Pathobiological Sciences, School of Veterinary Medicine, Louisiana State University, Baton Rouge, LA 70803, USA
| | - Côme J. Thieulent
- Louisiana Animal Disease Diagnostic Laboratory, School of Veterinary Medicine, Louisiana State University, Baton Rouge, LA 70803, USA;
- Department of Pathobiological Sciences, School of Veterinary Medicine, Louisiana State University, Baton Rouge, LA 70803, USA
| | - Maria E. Barrandeguy
- Escuela de Veterinaria, Universidad del Salvador, Buenos Aires B1630, Argentina; (M.E.B.); (M.A.V.)
- Instituto de Virología, CICVyA, Instituto Nacional de Tecnología Agropecuaria (INTA), Buenos Aires B1686, Argentina;
| | - Maria Aldana Vissani
- Escuela de Veterinaria, Universidad del Salvador, Buenos Aires B1630, Argentina; (M.E.B.); (M.A.V.)
- Instituto de Virología, CICVyA, Instituto Nacional de Tecnología Agropecuaria (INTA), Buenos Aires B1686, Argentina;
- Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Buenos Aires C1425, Argentina
| | - Viviana Parreño
- Instituto de Virología, CICVyA, Instituto Nacional de Tecnología Agropecuaria (INTA), Buenos Aires B1686, Argentina;
- Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Buenos Aires C1425, Argentina
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Adam E. Equine rotaviruses - an update from Kentucky. Vet Rec 2023; 192:e3139. [PMID: 37265275 DOI: 10.1002/vetr.3139] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
Emma Adam of the Gluck Equine Research Center at the University of Kentucky in the USA provides an update on rotaviruses, particularly the group B equine rotavirus identified in 2021.
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Affiliation(s)
- Emma Adam
- Gluck Equine Research Center, Department of Veterinary Science, University of Kentucky, Lexington, KY, 40546, USA
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Mozgovoj M, Miño S, Barbieri E, Tort F, Victoria-Montero M, Frydman C, Cap M, Baron P, Colina R, Matthijnssens J, Parreño V. GII.4 human norovirus and G8P[1] bovine-like rotavirus in oysters (Crassostrea gigas) from Argentina. Int J Food Microbiol 2022; 365:109553. [DOI: 10.1016/j.ijfoodmicro.2022.109553] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/02/2021] [Revised: 01/11/2022] [Accepted: 01/14/2022] [Indexed: 12/30/2022]
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Uprety T, Sreenivasan CC, Hause BM, Li G, Odemuyiwa SO, Locke S, Morgan J, Zeng L, Gilsenan WF, Slovis N, Metcalfe L, Carter CN, Timoney P, Horohov D, Wang D, Erol E, Adam E, Li F. Identification of a Ruminant Origin Group B Rotavirus Associated with Diarrhea Outbreaks in Foals. Viruses 2021; 13:1330. [PMID: 34372536 PMCID: PMC8310321 DOI: 10.3390/v13071330] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2021] [Revised: 07/02/2021] [Accepted: 07/06/2021] [Indexed: 12/16/2022] Open
Abstract
Equine rotavirus group A (ERVA) is one of the most common causes of foal diarrhea. Starting in February 2021, there was an increase in the frequency of severe watery to hemorrhagic diarrhea cases in neonatal foals in Central Kentucky. Diagnostic investigation of fecal samples failed to detect evidence of diarrhea-causing pathogens including ERVA. Based on Illumina-based metagenomic sequencing, we identified a novel equine rotavirus group B (ERVB) in fecal specimens from the affected foals in the absence of any other known enteric pathogens. Interestingly, the protein sequence of all 11 segments had greater than 96% identity with group B rotaviruses previously found in ruminants. Furthermore, phylogenetic analysis demonstrated clustering of the ERVB with group B rotaviruses of caprine and bovine strains from the USA. Subsequent analysis of 33 foal diarrheic samples by RT-qPCR identified 23 rotavirus B-positive cases (69.69%). These observations suggest that the ERVB originated from ruminants and was associated with outbreaks of neonatal foal diarrhea in the 2021 foaling season in Kentucky. Emergence of the ruminant-like group B rotavirus in foals clearly warrants further investigation due to the significant impact of the disease in neonatal foals and its economic impact on the equine industry.
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Affiliation(s)
- Tirth Uprety
- Maxwell H. Gluck Equine Research Center, University of Kentucky, Lexington, KY 40546, USA; (T.U.); (C.C.S.); (P.T.); (D.H.); (D.W.)
| | - Chithra C. Sreenivasan
- Maxwell H. Gluck Equine Research Center, University of Kentucky, Lexington, KY 40546, USA; (T.U.); (C.C.S.); (P.T.); (D.H.); (D.W.)
| | - Ben M. Hause
- Department of Veterinary and Biomedical Sciences, South Dakota State University, Brookings, SD 57007, USA;
| | - Ganwu Li
- Department of Veterinary Diagnostic and Production Animal Medicine, College of Veterinary Medicine, Iowa State University, Ames, IA 50011, USA;
| | - Solomon O. Odemuyiwa
- Veterinary Medical Diagnostic Laboratory, College of Veterinary Medicine, University of Missouri, Columbia, MO 65212, USA;
| | - Stephan Locke
- Veterinary Diagnostic Laboratory, University of Kentucky, Lexington, KY 40512, USA; (S.L.); (J.M.); (L.Z.); (C.N.C.)
| | - Jocelynn Morgan
- Veterinary Diagnostic Laboratory, University of Kentucky, Lexington, KY 40512, USA; (S.L.); (J.M.); (L.Z.); (C.N.C.)
| | - Li Zeng
- Veterinary Diagnostic Laboratory, University of Kentucky, Lexington, KY 40512, USA; (S.L.); (J.M.); (L.Z.); (C.N.C.)
| | | | - Nathan Slovis
- Hagyard Equine Medical Institute, Lexington, KY 40511, USA;
| | - Laurie Metcalfe
- Rood and Riddle Equine Hospital, Lexington, KY 40511, USA; (W.F.G.); (L.M.)
| | - Craig N. Carter
- Veterinary Diagnostic Laboratory, University of Kentucky, Lexington, KY 40512, USA; (S.L.); (J.M.); (L.Z.); (C.N.C.)
| | - Peter Timoney
- Maxwell H. Gluck Equine Research Center, University of Kentucky, Lexington, KY 40546, USA; (T.U.); (C.C.S.); (P.T.); (D.H.); (D.W.)
| | - David Horohov
- Maxwell H. Gluck Equine Research Center, University of Kentucky, Lexington, KY 40546, USA; (T.U.); (C.C.S.); (P.T.); (D.H.); (D.W.)
| | - Dan Wang
- Maxwell H. Gluck Equine Research Center, University of Kentucky, Lexington, KY 40546, USA; (T.U.); (C.C.S.); (P.T.); (D.H.); (D.W.)
| | - Erdal Erol
- Veterinary Diagnostic Laboratory, University of Kentucky, Lexington, KY 40512, USA; (S.L.); (J.M.); (L.Z.); (C.N.C.)
| | - Emma Adam
- Maxwell H. Gluck Equine Research Center, University of Kentucky, Lexington, KY 40546, USA; (T.U.); (C.C.S.); (P.T.); (D.H.); (D.W.)
| | - Feng Li
- Maxwell H. Gluck Equine Research Center, University of Kentucky, Lexington, KY 40546, USA; (T.U.); (C.C.S.); (P.T.); (D.H.); (D.W.)
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Abstract
This review briefly describes the virus classification, clinical signs, epidemiology,
diagnosis, disinfection, and vaccines related equine group A rotavirus (RVA) infection.
Equine RVA is one of the most important pathogens causing diarrhoea in foals. The main
transmission route is faecal–oral, and the clinical signs are diarrhoea, fever, lethargy,
and anorexia (decreased suckling). Some human RVA rapid antigen detection kits based on
the principles of the immunochromatographic assay are useful for the diagnosis of equine
RVA infection. The kits are used in daily clinical practice because of their rapidity and
ease of handling. Equine RVA is a non-enveloped virus and is more resistant to
disinfectants than enveloped viruses such as equine influenza virus and equine
herpesvirus. Although amphoteric soaps and quaternary ammonium compounds are commonly used
in veterinary hygiene, they are generally ineffective against equine RVA. Alcohol
products, aldehydes, and chlorine- and iodine-based compounds are effective against equine
RVA. Inactivated vaccines have been used for equine RVA infection in some countries.
Pregnant mares are intramuscularly inoculated with a vaccine, and thus their colostrum has
abundant antibodies against RVA at the time of birth. According to G and P classification
defined in accordance with the VP7 and VP4 genes, respectively, the predominant equine
RVAs circulating in horse populations globally are G3P[12] and G14P[12] equine RVAs, but
the vaccines contain only the G3P[12] equine RVA strain. Ideally, a G14P[12] equine RVA
should be added as a vaccine strain to obtain a better vaccine effect.
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Affiliation(s)
- Manabu Nemoto
- Equine Research Institute, Japan Racing Association, Tochigi 329-0412, Japan
| | - Tomio Matsumura
- Equine Research Institute, Japan Racing Association, Tochigi 329-0412, Japan
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Nemoto M, Niwa H, Kida H, Higuchi T, Orita Y, Sato S, Bannai H, Tsujimura K, Ohta M. Isolation and characterization of a rare group A rotavirus G13P[18] strain from a diarrhoeic foal in Japan. J Gen Virol 2020; 101:800-805. [PMID: 32490792 DOI: 10.1099/jgv.0.001437] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Abstract
A rare genotype G13P[18] group A rotavirus (RVA/Horse-tc/JPN/MK9/2019/G13P[18]) was isolated from a diarrhoeic foal for the first time in 28 years. The genotype constellation of the virus was assigned to G13-P[18]-I6-R9-C9-M6-A6-N9-T12-E14-H11 and was the same as that of the first isolated strain, RVA/Horse-tc/GBR/L338/1991/G13P[18]. Phylogenetic analysis suggests that the virus is related to RVA/Horse-tc/GBR/L338/1991/G13P[18] and is distant from typical equine rotaviruses of the G3P[12] and G14P[12] genotypes.
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Affiliation(s)
- Manabu Nemoto
- Equine Research Institute, Japan Racing Association, Shimotsuke, Tochigi, Japan
| | - Hidekazu Niwa
- Equine Research Institute, Japan Racing Association, Shimotsuke, Tochigi, Japan
| | - Hiroshi Kida
- Hokkaido South Agricultural Mutual Aid Association, Hidaka-cho, Hokkaido, Japan
| | - Tohru Higuchi
- Hokkaido South Agricultural Mutual Aid Association, Shinhidaka-cho, Hokkaido, Japan
| | - Yasuhiro Orita
- Hokkaido South Agricultural Mutual Aid Association, Niikappu-cho, Hokkaido, Japan
| | - Shinsuke Sato
- Hokkaido South Agricultural Mutual Aid Association, Niikappu-cho, Hokkaido, Japan
| | - Hiroshi Bannai
- Equine Research Institute, Japan Racing Association, Shimotsuke, Tochigi, Japan
| | - Koji Tsujimura
- Equine Research Institute, Japan Racing Association, Shimotsuke, Tochigi, Japan
| | - Minoru Ohta
- Equine Research Institute, Japan Racing Association, Shimotsuke, Tochigi, Japan
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Nemoto M, Niwa H, Murakami S, Miki R, Higuchi T, Bannai H, Tsujimura K, Kokado H. Molecular analyses of G3A/G3B and G14 equine group A rotaviruses detected between 2012 and 2018 in Japan. J Gen Virol 2019; 100:913-931. [PMID: 31090536 DOI: 10.1099/jgv.0.001265] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Abstract
Equine group A rotaviruses (RVAs) cause diarrhoea in foals. We investigated the G genotypes of 360 RVA-positive samples obtained from diarrhoeic foals between 2012 and 2018 in the Hidaka district of Hokkaido, Japan, through sequence analysis of VP7. All samples were classified into genotypes G3A, G3B and G14. G3B RVAs were detected until 2016, and G3A RVAs were detected from 2016 to 2018. G14 RVAs were detected from 2012 to 2018. Although G3B RVAs had been circulating in Japan for a long time, G3A RVAs suddenly emerged in 2016, and have replaced G3B RVAs since 2017. Molecular analyses of VP7 and VP4 showed that these Japanese G3A RVAs are closely related to North American G3A RVAs detected in 2017. Additionally, whole-genome analyses suggested that genetic reassortments occurred between G3A and G14 RVAs in NSP1, NSP2, NSP4 and NSP5.
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Affiliation(s)
- Manabu Nemoto
- 1 Equine Research Institute, Japan Racing Association, Shimotsuke, Tochigi, Japan
| | - Hidekazu Niwa
- 1 Equine Research Institute, Japan Racing Association, Shimotsuke, Tochigi, Japan
| | | | - Ryoka Miki
- 2 Thermo Fisher Scientific, Tokyo, Japan
| | - Tohru Higuchi
- 3 Mitsuishi Animal Medical Center, Hokkaido South Agricultural Mutual Aid Association, Shinhidaka-cho, Hokkaido, Japan
| | - Hiroshi Bannai
- 1 Equine Research Institute, Japan Racing Association, Shimotsuke, Tochigi, Japan
| | - Koji Tsujimura
- 1 Equine Research Institute, Japan Racing Association, Shimotsuke, Tochigi, Japan
| | - Hiroshi Kokado
- 1 Equine Research Institute, Japan Racing Association, Shimotsuke, Tochigi, Japan
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Carossino M, Barrandeguy ME, Erol E, Li Y, Balasuriya UBR. Development and evaluation of a one-step multiplex real-time TaqMan ® RT-qPCR assay for the detection and genotyping of equine G3 and G14 rotaviruses in fecal samples. Virol J 2019; 16:49. [PMID: 31023319 PMCID: PMC6482509 DOI: 10.1186/s12985-019-1149-1] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/27/2018] [Accepted: 03/20/2019] [Indexed: 11/23/2022] Open
Abstract
Background Equine rotavirus A (ERVA) is the leading cause of diarrhea in neonatal foals and has a negative impact on equine breeding enterprises worldwide. Among ERVA strains infecting foals, the genotypes G3P[12] and G14P[12] are the most prevalent, while infections by strains with other genomic arrangements are infrequent. The identification of circulating strains of ERVA is critical for diagnostic and surveillance purposes, as well as to understand their molecular epidemiology. Current genotyping methods available for ERVA and rotaviruses affecting other animal species rely on Sanger sequencing and are significantly time-consuming, costly and labor intensive. Here, we developed the first one-step multiplex TaqMan® real-time reverse transcription polymerase chain reaction (RT-qPCR) assay targeting the NSP3 and VP7 genes of ERVA G3 and G14 genotypes for the rapid detection and G-typing directly from fecal specimens. Methods A one-step multiplex TaqMan® RT-qPCR assay targeting the NSP3 and VP7 genes of ERVA G3 and G14 genotypes was designed. The analytical sensitivity was assessed using serial dilutions of in vitro transcribed RNA containing the target sequences while the analytical specificity was determined using RNA and DNA derived from a panel of group A rotaviruses along with other equine viruses and bacteria. The clinical performance of this multiplex assay was evaluated using a panel of 177 fecal samples and compared to a VP7-specific standard RT-PCR assay and Sanger sequencing. Limits of detection (LOD), sensitivity, specificity, and agreement were determined. Results The multiplex G3 and G14 VP7 assays demonstrated high specificity and efficiency, with perfect linearity. A 100-fold difference in their analytical sensitivity was observed when compared to the singleplex assays; however, this difference did not have an impact on the clinical performance. Clinical performance of the multiplex RT-qPCR assay demonstrated that this assay had a high sensitivity/specificity for every target (100% for NSP3, > 90% for G3 VP7 and > 99% for G14 VP7, respectively) and high overall agreement (> 98%) compared to conventional RT-PCR and sequencing. Conclusions This new multiplex RT-qPCR assay constitutes a useful, very reliable tool that could significantly aid in the rapid detection and G-typing of ERVA strains circulating in the field.
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Affiliation(s)
- Mariano Carossino
- Louisiana Animal Disease Diagnostic Laboratory and Department of Pathobiological Sciences, School of Veterinary Medicine, Louisiana State University, Baton Rouge, LA, USA.,Escuela de Veterinaria, Universidad del Salvador, Champagnat 1599, Ruta Panamericana km54.5 (B1630AHU), Pilar, Buenos Aires, Argentina
| | - Maria E Barrandeguy
- Escuela de Veterinaria, Universidad del Salvador, Champagnat 1599, Ruta Panamericana km54.5 (B1630AHU), Pilar, Buenos Aires, Argentina.,Instituto de Virología, CICVyA, INTA. Las Cabañas y Los Reseros s/n, (1712) Castelar, Buenos Aires, Argentina
| | - Erdal Erol
- Department of Veterinary Science, University of Kentucky Veterinary Diagnostic Laboratory, University of Kentucky, Lexington, KY, USA
| | - Yanqiu Li
- Maxwell H. Gluck Equine Research Center, Department of Veterinary Science, University of Kentucky, Lexington, KY, USA
| | - Udeni B R Balasuriya
- Louisiana Animal Disease Diagnostic Laboratory and Department of Pathobiological Sciences, School of Veterinary Medicine, Louisiana State University, Baton Rouge, LA, USA.
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