Next Article in Journal
Newborn Screening for Spinal Muscular Atrophy: A 2.5-Year Experience in Hyogo Prefecture, Japan
Previous Article in Journal
The Genome of the Yellow Mealworm, Tenebrio molitor: It’s Bigger Than You Think
 
 
Font Type:
Arial Georgia Verdana
Font Size:
Aa Aa Aa
Line Spacing:
Column Width:
Background:
Article

Development of Human Rhinovirus RNA Reference Material Using Digital PCR

1
Biometrology Group, Korea Research Institute of Standards and Science (KRISS), Daejeon 34113, Republic of Korea
2
School of Biomedical Engineering, Korea University, Seoul 02841, Republic of Korea
3
Department of Precision Measurement, University of Science & Technology (UST), Daejeon 34113, Republic of Korea
*
Author to whom correspondence should be addressed.
Genes 2023, 14(12), 2210; https://doi.org/10.3390/genes14122210
Submission received: 3 October 2023 / Revised: 8 December 2023 / Accepted: 11 December 2023 / Published: 14 December 2023
(This article belongs to the Section Viral Genomics)

Abstract

:
The human rhinovirus (RV) is a positive-stranded RNA virus that causes respiratory tract diseases affecting both the upper and lower halves of the respiratory system. RV enhances its replication by concentrating RNA synthesis within a modified host membrane in an intracellular compartment. RV infections often occur alongside infections caused by other respiratory viruses, and the RV virus may remain asymptomatic for extended periods. Alongside qualitative detection, it is essential to accurately quantify RV RNA from clinical samples to explore the relationships between RV viral load, infections caused by the virus, and the resulting symptoms observed in patients. A reference material (RM) is required for quality evaluation, the performance evaluation of molecular diagnostic products, and evaluation of antiviral agents in the laboratory. The preparation process for the RM involves creating an RV RNA mixture by combining RV viral RNA with RNA storage solution and matrix. The resulting RV RNA mixture is scaled up to a volume of 25 mL, then dispensed at 100 µL per vial and stored at −80 °C. The process of measuring the stability and homogeneity of RV RMs was conducted by employing reverse transcription droplet digital polymerase chain reaction (RT-ddPCR). Digital PCR is useful for the analysis of standards and can help to improve measurement compatibility: it represents the equivalence of a series of outcomes for reference materials and samples being analyzed when a few measurement procedures are employed, enabling objective comparisons between quantitative findings obtained through various experiments. The number of copies value represents a measured result of approximately 1.6 × 105 copies/μL. The RM has about an 11% bottle-to-bottle homogeneity and shows stable results for 1 week at temperatures of 4 °C and −20 °C and for 12 months at a temperature of −80 °C. The developed RM can enhance the dependability of RV molecular tests by providing a precise reference value for the absolute copy number of a viral target gene. Additionally, it can serve as a reference for diverse studies.

Graphical Abstract

1. Introduction

The human respiratory system contains several viral families, including Orthomyxoviridae, Pneumoviridae, Picornaviridae, Coronaviridae, and others [1,2,3]. Additionally, individuals with asthma are vulnerable to respiratory viruses, including rhinoviruses (RV), respiratory syncytial virus (RSV), influenza virus, parainfluenza virus, adenovirus, and coronavirus [4,5,6,7]. RV are the most frequent viruses among the major causes of asthma exacerbation, contributing to approximately 80% of asthma exacerbations in children and adults during viral infections [8,9,10,11,12].
RV belong to the positive-sense RNA viruses of the Picornaviridae family and are responsible for respiratory infections that occur worldwide throughout the year [13,14,15]. RV infections can lead to various respiratory illnesses, causing significant morbidity across all age groups. Common diseases include those caused by infections in the upper respiratory tract, such as tympanitis and sinusitis, while infections in the lower tract can exacerbate conditions like bronchitis, pneumonia, asthma, and cystic fibrosis in children [16,17,18]. Severe cases and fatalities due to RV are more prevalent in vulnerable populations like the elderly and immunocompromised infants [19,20,21]. RV infections are often detected alongside other respiratory viruses, and they may not manifest symptoms for an extended period [22]. Previous studies have shown that human rhinoviruses (RV) induce an interferon (IFN) response in differentiated respiratory epithelial cells that confers protection against subsequent Influenza A virus (IAV) infections [1,23]. RV have a high prevalence in the human and have been singled out for their ability to negatively interact at the host level with IAV, resulting in a potent IFN response, and for their sensitivity to the IFN response of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) [24,25,26]. The worldwide spread of SARS-CoV-2 has resulted in a pandemic, causing patients worldwide to suffer from coronavirus disease (COVID-19). The symptoms of COVID-19 range from mild to severe pneumonia. In particular, the clinical features of RV infections can resemble those of COVID-19 [27,28,29].
While there is an evident medical necessity, there is currently no clinically available drug directly addressing RV infection [30]. Developing a universal anti-RV drug or vaccine has proven challenging due to various factors, including the substantial and continually increasing number of RV strains exhibiting a relatively uniform geographic distribution and high levels of sequence variability between strains [15,31]. Given that RV have positive-sense single-stranded RNA as their genome [32,33], they could serve as an optimal target for DNA enzymes in an innovative antisense-based treatment approach [30,34]. DNA enzymes specifically bind to RNA target molecules and subsequently degrade them through enzymatic cleavage, presenting a promising avenue for addressing RV infections [35,36]. Furthermore, several studies have tested the ability of siRNA molecules to induce the inhibition of RV replication in cell culture experiments [37]. The results revealed that many siRNA molecules are effective in triggering RNA silencing, leading to the effective suppression of viral replication [38]. Therefore, it demonstrates that siRNA molecules derived from the RV genome robustly inhibit RV replication within cells [38].
Research exploring the influence of RV viral load on infection severity, symptoms, and outcomes necessitates clinical samples containing RV RNA that is precisely and comprehensively quantified, both qualitatively and quantitatively. Quantitative measurement of RV in patients who test positive for RV despite showing no symptoms is crucial [39,40]. Moreover, high-precision RV viral load assessments are essential for evaluating the effectiveness of potential antiviral drugs targeting RV [41]. According to findings involving viruses that cause other respiratory diseases, the viral load shares a correlation with disease severity; for this reason, it is vital to conduct RV viral-load measurements with patients who test positive for RV despite showing no symptoms [39,40,42,43]. Furthermore, the effectiveness of potential antiviral drugs that target RV requires RV viral-load assessments of high precision in their evaluation [41].
The importance of accurate qualitative and quantitative analysis of RV in the evaluation of antiviral drug efficacy cannot be understated. Although the determination of RV infection can be sufficiently performed through reverse transcription-quantitative polymerase chain reaction (RT-qPCR) to qualitatively detect RV, RV RNA needs to be precisely quantified in practical clinical samples when studying the correlations between RV virus transmission and patient symptoms and outcomes. Although viral copy quantification in a sample is possible through the combination of RT-qPCR, such a method may face challenges due to primer and probe sequences having bases that do not match with those of certain viral sequences, resulting in amplification issues and potentially inaccurate results [44,45,46,47].
qPCR has several limitations. It is highly sensitive, rendering it susceptible to contamination, and even a small amount of contaminating DNA or RNA can result in false-positive results [48,49]. Accurate quantification in qPCR often relies on the availability of suitable reference standards, and the choice and quality of these standards can impact the reliability of the results [50,51]. There are limits to the dynamic range and sensitivity of qPCR, making extremely low or high target concentrations challenging to accurately quantify [52]. Inhibitory substances in the sample, such as contaminants or substances from the sample matrix, can interfere with the PCR reaction, affecting the accuracy of the results [53,54,55]. In comparison to RT-qPCR, reverse transcription droplet digital PCR (RT-ddPCR) offers a higher quantification accuracy due to its reduced susceptibility to factors like standard curve variations, PCR efficiency, and primer–probe mismatches [56,57,58]. For these reasons, RT-qPCR is being replaced by or complemented with RT-ddPCR in an increasing number of studies and applications [59,60,61,62,63,64]. RT-ddPCR allows for the quantification of sequence-specific RNA using pre-selected gene copy number concentrations, eliminating the need for further calibration. Therefore, the utilization of RT-ddPCR may yield superior outcomes when quantifying RV RNA [65,66,67,68].
The application of quantitative methods for DNA/RNA analysis presents greater challenges than some researchers may anticipate. Failure to adhere to rigorous practices can result in inaccurate quantification, directly impacting the reproducibility of published data [69,70]. Enhancing data comparability and reproducibility necessitates a comprehensive description of experimental results for qPCR or ddPCR, as emphasized in the MIQE and digital MIQE guidelines [71,72]. A meticulous evaluation of these quantification protocols, encompassing a substantial number of samples and assays, is also imperative for assessing technical optimizations and limitations [73].
RMs are fundamental to viral diagnostics, particularly in methods including PCR, qPCR, and ddPCR. They provide a standardized benchmark for assay development and validation, ensuring consistency and reliability across diverse laboratories and experiments [74,75]. RMs permit instrument calibration and enable the establishment of a dependable quantitative scale [76]. Furthermore, these materials are used to maintain the quality of diagnostic assays by monitoring performance in each run and detecting any deviations from expected results, ensuring the reliability of the diagnostic process [77,78]. Moreover, correlating RMs with clinical outcomes enhances the comprehension of the clinical relevance of diagnostic assays [79,80]. In summary, RMs play a crucial role in guaranteeing the accuracy, dependability, and comparability of viral diagnostic assays. Consequently, they contribute to the standardization, quality control, and overall advancement of diagnostic approaches in virology.
RT-qPCR and RT-ddPCR are methods used for evaluating the qualitative and quantitative features of the RV RM. The RM holds a pivotal role in guaranteeing the accuracy of measurement materials [81,82]. With molecular diagnostics being prevalent globally to diagnose infectious diseases, it is necessary to comprehensively assess the RM, a stable and uniform substance with distinct traits. The RV RM ought to exhibit reliable and objective metrics, allowing for the efficient evaluation and comparison of varied diagnostic kits [68,83,84]. Appropriate quantification procedures were consistently applied to demonstrate accuracy. The conformity and resilience of the RV RM were verified in this investigation, in adherence with regulations defined in ISO Guide 17034 [85].

2. Materials and Methods

2.1. Cell Cultures and Preparation of RNA

For human cell lines, MRC-5 cells (ATCC CCL-171) from the American Type Culture Collection (ATCC) and rhinovirus (NCCP40602) from the National Culture Collection for Pathogens (NCCP) were used. The culture media were MEM/EBSS with L-Glutamine (Cytiva HyCloneTM, Seoul, Korea) and Earle`s Balanced Salts (0.1 μm sterile filtered, Cytiva, Seoul, Korea) supplemented with heat-inactivated and filtered fetal bovine serum (FBS), 1% Non-Essential Amino Acids (100×, Gibco, Waltham, MA, USA), 1% Penicillin-streptomycin (10,000 U/mL, Gibco, Waltham, MA, USA), and 1% Sodium Pyruvate (100 mM, Gibco, Waltham, MA, USA). The MRC-5 cells were maintained in culture media with 10% FBS and cultured in a 5% CO2 incubator for 2 weeks under a temperature of 37 °C after thawing. The cells (Passage 14) were inoculated with rhinovirus in culture media with 2% FBS. The virus was cultured at 34 °C in a 5% CO2 incubator for 4 days in a Biosafety Level 2 (BSL-2) laboratory. The extraction of viral genomic RNA was performed using the QIAamp Viral RNA Mini kit (Qiagen, Hilden, Germany) by following the manufacturer’s guidelines. The extracted RNA was measured using QuantiFlour® RNA System and Quantus (Promega, Madison, WI, USA) to check the concentration. The estimated RNA was stored at −80 °C until use. The concentration of the RNA copy number was measured by one-step RT-ddPCR and one-step RT-qPCR methods using assays developed in-house (Table S1). The reporter and quencher for the probe are 5′-HEX (or FAM) and 3′-BHQ1, respectively. The DiaPlexQ™ (Solgent, Daejeon, Korea) commercial RV16 kits were used, and RT-ddPCR was conducted following the manufacturer’s instructions.

2.2. Reverse Transcription Droplet Digital PCR (RT-ddPCR)

This experiment was conducted with reference to the primer–probe concentrations used in a previous experiment [68,86]. The prior experiment utilized identical equipment, and since RV share similarities with SARS-CoV-2 in respiratory virus infection, we determined the primer–probe mix concentration by following the protocol of the previous experiment. The RT-ddPCR experiment used a supermix for the probes (Bio-Rad Laboratories, Hercules, CA, USA) with the QX200 system (Bio-Rad Laboratories, Hercules, CA, USA). The total volume of the reaction mixture was 20 µL (5 μL of supermix, 2 μL of reverse transcriptase, 1 μL of 300 mM dithiothreitol (DTT) from a One-Step RT-ddPCR Advanced Kit for Probes (Bio-Rad Laboratories, Hercules, CA, USA), along with 5 μL of template, 4 μL of nuclease-free water (Invitrogen, Waltham, MA, USA), and 1 μL of 10 μM forward primer, 1 μL of 10 μM reverse primer, and 1 μL of 5 μM probe labeled with FAM), and the manufacturer’s instructions were referenced for the preparation process. The RT-ddPCR process started with a 60 min reverse transcription step at 42 °C followed by a 10 min enzyme activation step at 95 °C. This was followed by 70 cycles with a 20% ramp rate of denaturation at 95 °C for 30 s and 150 s of annealing and extension at 60 °C, ending with a 10 min enzyme deactivation step at 98 °C.

2.3. RT-qPCR Analysis

The RT-qPCR analysis was performed using the StepOne and StepOnePlus Real-Time PCR systems from Thermo Fisher Scientific, USA, along with the One Step PrimeScript RT-PCR Kit (Perfect Real Time) supplied by Takara (Takara Bio Inc., Kusatsu, Japan). The total reaction volume for the RT-qPCR was 20 μL, and the reaction mixture was carefully prepared according to the manufacturer’s detailed instructions. The DiaPlexQ™ (Solgent, Daejeon, Korea) commercial RV16 kits were used, and RT-qPCR was conducted following the manufacturer’s instructions.

2.4. Homogeneity and Stability Tests

Ten RV RM-positive tubes were randomly selected for RT-ddPCR measurements using gene-specific assays to assess the between-bottle homogeneity. The homogeneity between the bottles was determined by calculating the difference between the method repeatability and the relative standard deviation (RSD) observed among the bottles for each gene target. The reproducibility of the method was calculated by determining the RSD of the repeated measurements on the same specimen in one trial. Furthermore, short-term shipping stability, long-term stability, and freeze–thaw durability were assessed with up to three positive tubes for each experiment with triplicate repetitions. For the short-term stability test, three randomly selected sets of RMs stored at −70 °C were placed under 4 °C and −20 °C. Copy numbers were measured in samples stored for 0, 4, and 7 days. In the long-term stability test, we randomly selected and thawed one or three samples stored at −70 °C and measured the number of copies after 1, 3, 6, and 12 months in storage. Comparative analysis was conducted between the produced results and the homogeneity results. Three sets of RMs stored at −80 °C were subjected to three cycles of thawing at 4 °C and freezing again at −80 °C in the freeze–thaw test. All these tests provided useful information regarding the stability and reliability of the RV RM.

2.5. Unvertainty and Statistical Analyses

Each of the sources of uncertainty considered was assessed on an individual basis by carrying out Type A and Type B assessments separately for each target gene. Standard deviations were computed from independent experiments. The relative standard deviation (RSD) of the manual thresholds was calculated as the RSD of three different thresholds of over ten independent measurements. Furthermore, the standard uncertainty from partition volume variability was computed under the assumption of a uniform rectangular distribution over the range of reported drop volumes [62,87,88]. Type A and B RSDs were combined by taking the positive square root of the summed squared RSDs to produce a combined relative standard uncertainty. Combined standard uncertainties for each target were combined to produce expanded uncertainties with a coverage factor of k = 2.2 (95% confidence level, degrees of liberty = 11). Experiments were analyzed by Welch’s t-test (two-tailed) using Microsoft Excel 2016 (Microsoft, Redmond, WA, USA) and were repeated at least in triplicate or otherwise as indicated in the corresponding figure. The mean ± standard deviation is indicated by error bars in the graphical data. When the p-value was less than 0.05, statistical significance was assumed.

3. Results

3.1. RV Reference Material Design and Preparation Processes

Figure 1 summarizes the overall scheme to produce the KRISS 111-10-536 RM (batch 1). First, rhinovirus is infected into host cells to initiate the culture. Next, viral genomic RNA is extracted using a kit following the provided guidelines, and the concentration of the extracted RNA is measured and analyzed. Following the concentration measurement, RT-ddPCR is employed to determine the virus genome copy number, after which the samples are diluted to achieve an approximate copy number of 105 copies/µL or higher. Using the prepared samples, the production of over 300 vials of RV RM is carried out. Each vial contains 100 µL of positive materials and is immediately stored at −80 °C.

3.2. RV RMs Serial Dilution

Due to the involvement of a matrix in the RM production process, obtaining an accurate OD value for RM RNA is challenging. For this reason, qPCR was employed to identify a suitable Ct value (Figure 2A), approximately ranging from 28 to 32, indicative of good ddPCR results. Subsequently, ddPCR was carried out using the dilution concentration determined from the qPCR results (Figure 2B and Figure S2). After identifying a dilution concentration exceeding the initially estimated copies/μL of 1 × 105, the experiment was conducted. The dilution factor used in this experiment was 10−2.
In this study, we conducted a comparative experiment between the reference material (RM) and the RV16 template, a commercial kit template, using the assay (Figure S1). The results revealed detection not only with the RM but also with the commercial kit template employing the assay used in this study. Therefore, it highlights the applicability of the assay not only for the RM but also for templates from commercial kits.

3.3. RV RMs Homogeneity Test

A total of 300 RV RM samples were selected randomly, and 10 samples were used for a homogeneity assessment as per ISO 17034, which mandates that at least 10 units in a reference material batch must be evaluated (Figure 3). This experiment assessed the homogeneity of the RM through RT-ddPCR. As a result, the average value was 1.6 × 105/µL. The calculation results show a relative standard deviation (RSD) of 10% and a relative standard uncertainty of 3.2% (Table 1). The observed variation in the homogeneity test could be due to several factors, including the inherent instability of RNA’s structure, potential errors during the experimental process, and discrepancies that may arise while aliquoting RNA into vials. However, the study’s results revealed that the copy numbers fell within an acceptable error range, indicating that the KRISS RM batch shows homogeneity. Therefore, the homogeneity test provided valuable insights into the RM preparation, reducing the risk of significant errors in specific samples, despite these factors.

3.4. Short- and Long-Term Stability of RV RMs

The reference materials were subjected to both short-term and long-term stability studies to determine the stability characteristics over typical transport periods. The standard materials were stored at −20 °C and 4 °C for 0, 4, and 7 days, and the copy numbers of viral RNAs were measured. When stored at these temperatures, both showed no significant impact on the copy number values for up to 4 days. However, after 7 days of storage, there was a slight decrease in the copy number values, although they remained within the range of uncertainty, indicating relatively stable storage conditions (Figure 4A and Figure S3A).
To evaluate long-term stability, the copy number of viral RNAs in the substance was measured after being stored under specific conditions at −80 °C for 1, 3, 6, and 12 months. The results from storage at −80 °C for 1 month, 3 months, and 6 months showed no significant changes in the copy number values. However, the 12-month results indicated a tendency of decreased copy number values, but the extent of the decrease remained within the range of uncertainty, confirming that the substance remained relatively stable up to 12 months (Figure 4B).
Therefore, for more stable storage and reliable results, it is recommended to store the reference materials at −80 °C and use them within 7 days after storage at 4 °C. Additionally, using the materials within 12 months will likely yield more stable and reliable results.

3.5. RV RM Freeze–Thaw Repeated Test

In addition, stability assessments were performed during freeze–thaw cycles to account for the instability of viral particles and RNA during these processes. The experiment included a total of three cycles in which the samples were thawed at 4 °C and then frozen at −80 °C. The results showed that there were minimal changes in copy numbers up to the third cycle (Figure 5 and Figure S3B). However, these changes were within the range of copy number errors, indicating that they had a negligible effect. Therefore, the results suggest that the reference materials can be used reliably even during repeated freeze–thaw cycles.

4. Discussion

The rhinovirus reference material (RM) is derived from viral RNA and has an approximate copy number concentration of 1.6 × 105 copies/µL, which exceeds the threshold of ~105 copies/µL. These RM values are used as specific reference points in various molecular testing applications, including RT-qPCR, next-generation sequencing [89], and CRISPR nuclease-based detection [90,91]. The broad applicability of the KRISS 111-10-536 RM enhances the reliability of molecular testing, and a robust standard for the comparison of different methods based on RT-qPCR is presented in the form of reference values in copy number units, enabling comparisons based on Cq values.
The primary source of measurement uncertainty for the developed reference material arises from the pre-analytical processes, particularly RNA extraction and RNA handling. The combined uncertainty values were consolidated and are presented in Table 1. These values were derived from RNA extracted from a subset of the RM employing a dedicated commercial viral RNA extraction kit. It was demonstrated that the efficiency of RNA extraction significantly relies on both the chosen method and the skills of the operator [92,93].
The validated RV RMs have demonstrated high homogeneity and stability between vials, providing reliable and consistent results. These developed RMs serve as accurate reference values for the absolute copy number of the viral target gene, thereby enhancing the reliability of RV molecular assays. In addition, they can be used as reference standards in various research studies. Unlike qualitative standards such as positive controls, the KRISS 111-10-536 RV RM provides reference values in terms of copy number concentration of the target RNA. In summary, the KRISS 111-10-536 RV RM plays a critical role in establishing measurement standards for RV molecular testing, contributing to improved accuracy and reliability in the field.
Human rhinoviruses are currently classified into three species within the Enterovirus genus of the Picornaviridae family: RV-A, RV-B, and RV-C [94,95,96,97,98]. However, the RV RM used in this study is defined under the broader category of rhinoviruses. While it can detect symptoms associated with all RV strains, it may not specifically distinguish individual species within the group. Furthermore, there is no existing research on the association between RV and other respiratory diseases in this study. Therefore, the relationship and interactions between RV and other respiratory diseases should be studied further using the newly developed KRISS 111-10-536 RV RM.
Physical examinations and a review of a patient’s medical history are generally necessary steps when diagnosing rhinovirus infections [15,99,100]. However, in patients with severe symptoms and complications, the diagnosis process may require a differentiated diagnosis, as similar symptoms and complications can be caused by other common viruses, such as coronaviruses, parainfluenza viruses, and adenoviruses [101,102,103]. Rhinovirus infections can be diagnosed through antigen detection and nucleic acid detection methods. RT-qPCR and RT-ddPCR have been shown to be methods [68,86] that are significantly more sensitive in terms of detecting these viruses than cell cultures. Antigen tests enable point-of-care testing (POCT), which comes with the advantage of being able to produce results within minutes without having to rely on specialized laboratory equipment or highly trained personnel [104,105]. Despite the relatively low sensitivity of antigen tests when compared to virus isolation methods and nucleic acid detection methods, such tests offer advantages in terms of convenience, accessibility, and cost-effectiveness [106,107]. The developed KRISS 111-10-536 RV RM in this study can be utilized as a material for the development of an easy PCR-based diagnostic test kit (Figure S1), indicating the potential for a rapid response during future outbreaks of respiratory-related pandemics.

5. Conclusions

Human rhinovirus (RV) reference material (RM) plays a crucial role as a specific reference for various applications involving molecular testing, such as RT-ddPCR and next-generation sequencing, providing reliable and accurate results. Validated RV RMs exhibit high homogeneity and stability, serving as valuable reference standards for absolute viral gene copy numbers, thereby enhancing the reliability of RV molecular tests and research studies. Further investigation is needed to explore the relationship between RV and other respiratory diseases using the newly developed KRISS 111-10-536 RV RM. Additionally, this RM can facilitate the development of user-friendly PCR-based diagnostic test kits.

Supplementary Materials

The following supporting information can be downloaded at: https://www.mdpi.com/article/10.3390/genes14122210/s1, Figure S1: Comparison of human RV RM vs. commercial kit templates. Experimental comparison between human RV RM and commercial control samples using the RV assay for (A) qPCR and (B) ddPCR; Figure S2: 1D-Amplitude plots of a ddPCR using human RV RM; Figure S3. RT-qPCR data for the RM. We conducted qPCR experiments for the previously performed (A) Short term stability and (B) freeze and thawing. The results indicate a similarity to our previous ddPCR data; Table S1: dPCR oligonucleotide design and target information; Table S2: dPCR protocol; Table S3: dPCR assay validation and data analysis [108,109,110,111,112,113,114].

Author Contributions

All of the authors listed made substantial contributions to the manuscript and qualify for authorship, and no authors have been omitted. Conceptualization, S.K. and H.M.Y.; methodology, D.U.J. and D.P.; validation, D.U.J. and H.M.Y.; formal analysis, D.U.J., I.-H.K., S.K., and H.M.Y.; investigation, S.K. and H.M.Y.; resources, S.K. and H.M.Y.; writing—original draft preparation, D.U.J. and H.M.Y.; writing—review and editing, D.U.J., I.-H.K., S.K. and H.M.Y.; supervision, H.M.Y.; project administration, H.M.Y.; funding acquisition, H.M.Y. All authors have read and agreed to the published version of the manuscript.

Funding

This research was supported by the “Establishment of measurement standards for Chemistry and Radiation”, grant number KRISS-2023-GP2023-0006 funded by the Korea Research Institute of Standards and Science. In addition, this work was supported by the Ministry of Trade, Industry and Energy (MOTIE), and Korea Evaluation Institute of Industrial Technology (KEIT, 20016394).

Institutional Review Board Statement

Not applicable.

Informed Consent Statement

Not applicable.

Data Availability Statement

The data presented in this study are available in the article.

Acknowledgments

We thank Chang Woo Park and Young-Kyung Bae for assistance with experiments and funding. ORCID ID (Hee Min Yoo: 0000-0002-5951-2137).

Conflicts of Interest

The authors declare no conflict of interest.

References

  1. Dee, K.; Goldfarb, D.M.; Haney, J.; Amat, J.A.R.; Herder, V.; Stewart, M.; Szemiel, A.M.; Baguelin, M.; Murcia, P.R. Human Rhinovirus Infection Blocks Severe Acute Respiratory Syndrome Coronavirus 2 Replication Within the Respiratory Epithelium: Implications for COVID-19 Epidemiology. J. Infect. Dis. 2021, 224, 31–38. [Google Scholar] [CrossRef]
  2. Kutter, J.S.; Spronken, M.I.; Fraaij, P.L.; Fouchier, R.A.; Herfst, S. Transmission routes of respiratory viruses among humans. Curr. Opin. Virol. 2018, 28, 142–151. [Google Scholar] [CrossRef]
  3. Nickbakhsh, S.; Thorburn, F.; VON Wissmann, B.; McMENAMIN, J.; Gunson, R.N.; Murcia, P.R. Extensive multiplex PCR diagnostics reveal new insights into the epidemiology of viral respiratory infections. Epidemiol. Infect. 2016, 144, 2064–2076. [Google Scholar] [CrossRef]
  4. Kim, S.R. Viral Infection and Airway Epithelial Immunity in Asthma. Int. J. Mol. Sci. 2022, 23, 9914. [Google Scholar] [CrossRef]
  5. Novak, N.; Cabanillas, B. Viruses and asthma: The role of common respiratory viruses in asthma and its potential meaning for SARS-CoV-2. Immunology 2020, 161, 83–93. [Google Scholar] [CrossRef]
  6. Faizi, N.; Kazmi, S. Universal health coverage—There is more to it than meets the eye. J. Fam. Med. Prim. Care 2017, 6, 169–170. [Google Scholar] [CrossRef]
  7. Busse, W.W.; Lemanske, R.F.; Gern, J.E. Role of viral respiratory infections in asthma and asthma exacerbations. Lancet 2010, 376, 826–834. [Google Scholar] [CrossRef]
  8. Numata, M.; Sajuthi, S.; Bochkov, Y.A.; Loeffler, J.; Everman, J.; Vladar, E.K.; Cooney, R.A.; Reinhardt, R.L.; Liu, A.H.; Seibold, M.A.; et al. Anionic Pulmonary Surfactant Lipid Treatment Inhibits Rhinovirus A Infection of the Human Airway Epithelium. Viruses 2023, 15, 747. [Google Scholar] [CrossRef]
  9. Wark, P.A.B. Asthma and the Dysregulated Immune Response to Rhinovirus. Am. J. Respir. Crit. Care Med. 2020, 202, 157–159. [Google Scholar] [CrossRef]
  10. Touabi, L.; Aflatouni, F.; McLean, G.R. Mechanisms of rhinovirus neutralisation by antibodies. Viruses 2021, 13, 360. [Google Scholar] [CrossRef]
  11. Friedlander, S.L.; Busse, W.W. The role of rhinovirus in asthma exacerbations. J. Allergy Clin. Immunol. 2005, 116, 267–273. [Google Scholar] [CrossRef]
  12. Basnet, S.; Palmenberg, A.C.; Gern, J.E. Rhinoviruses and Their Receptors. Chest 2019, 155, 1018–1025. [Google Scholar] [CrossRef]
  13. Lee, W.-M.; Kiesner, C.; Pappas, T.; Lee, I.; Grindle, K.; Jartti, T.; Jakiela, B.; Lemanske, R.F., Jr.; Shult, P.A.; Gern, J.E. A diverse group of previously unrecognized human rhinoviruses are common causes of respiratory illnesses in infants. PLoS ONE 2007, 2, e966. [Google Scholar] [CrossRef] [PubMed]
  14. Tran, D.N.; Trinh, Q.D.; Pham, N.T.K.; Pham, T.M.H.; Ha, M.T.; Nguyen, T.Q.N.; Okitsu, S.; Shimizu, H.; Hayakawa, S.; Mizuguchi, M.; et al. Human rhinovirus infections in hospitalized children: Clinical, epidemiological and virological features. Epidemiol. Infect. 2015, 144, 346–354. [Google Scholar] [CrossRef] [PubMed]
  15. Jacobs, S.E.; Lamson, D.M.; St George, K.; Walsh, T.J. Human rhinoviruses. Clin. Microbiol. Rev. 2013, 26, 135–162. [Google Scholar] [CrossRef]
  16. Garbino, J.; Soccal, P.M.; Aubert, J.-D.; Rochat, T.; Meylan, P.; Thomas, Y.; Tapparel, C.; Bridevaux, P.-O.; Kaiser, L. Respiratory viruses in bronchoalveolar lavage: A hospital-based cohort study in adults. Thorax 2009, 64, 399–404. [Google Scholar] [CrossRef] [PubMed]
  17. Garbino, J.; Gerbase, M.W.; Wunderli, W.; Deffernez, C.; Thomas, Y.; Rochat, T.; Ninet, B.; Schrenzel, J.; Yerly, S.; Perrin, L.; et al. Lower respiratory viral illnesses: Improved diagnosis by molecular methods and clinical impact. Am. J. Respir. Crit. Care Med. 2004, 170, 1197–1203. [Google Scholar] [CrossRef]
  18. Renwick, N.; Schweiger, B.; Kapoor, V.; Liu, Z.; Villari, J.; Bullmann, R.; Miething, R.; Briese, T.; Lipkin, W.I. A recently identified rhinovirus genotype is associated with severe respiratory-tract infection in children in Germany. J. Infect. Dis. 2007, 196, 1754–1760. [Google Scholar] [CrossRef] [PubMed]
  19. Kotaniemi-Syrjänen, A.; Vainionpää, R.; Reijonen, T.M.; Waris, M.; Korhonen, K.; Korppi, M. Rhinovirus-induced wheezing in infancy—The first sign of childhood asthma? J. Allergy Clin. Immunol. 2003, 111, 66–71. [Google Scholar] [CrossRef]
  20. Honkinen, M.; Lahti, E.; Österback, R.; Ruuskanen, O.; Waris, M. Viruses and bacteria in sputum samples of children with community-acquired pneumonia. Clin. Microbiol. Infect. 2012, 18, 300–307. [Google Scholar] [CrossRef]
  21. Peltola, V.; Jartti, T.; Putto-Laurila, A.; Mertsola, J.; Vainionpää, R.; Waris, M.; Hyypiä, T.; Ruuskanen, O. Rhinovirus infections in children: A retrospective and prospective hospital-based study. J. Med. Virol. 2009, 81, 1831–1838. [Google Scholar] [CrossRef]
  22. Stefanska, I.; Romanowska, M.; Donevski, S.; Gawryluk, D.; Brydak, L.B. Co-infections with influenza and other respiratory viruses. Adv. Exp. Med. Biol. 2013, 756, 291–301. [Google Scholar] [CrossRef]
  23. Wu, A.; Mihaylova, V.T.; Landry, M.L.; Foxman, E.F. Interference between rhinovirus and influenza A virus: A clinical data analysis and experimental infection study. Lancet Microbe 2020, 1, e254–e262. [Google Scholar] [CrossRef] [PubMed]
  24. Royston, L.; Tapparel, C. Rhinoviruses and Respiratory Enteroviruses: Not as Simple as ABC. Viruses 2016, 8, 16. [Google Scholar] [CrossRef]
  25. Lei, X.; Dong, X.; Ma, R.; Wang, W.; Xiao, X.; Tian, Z.; Wang, C.; Wang, Y.; Li, L.; Ren, L.; et al. Activation and evasion of type I interferon responses by SARS-CoV-2. Nat. Commun. 2020, 11, 3810. [Google Scholar] [CrossRef] [PubMed]
  26. Nickbakhsh, S.; Mair, C.; Matthews, L.; Reeve, R.; Johnson, P.C.D.; Thorburn, F.; von Wissmann, B.; Reynolds, A.; McMenamin, J.; Gunson, R.N.; et al. Virus-virus interactions impact the population dynamics of influenza and the common cold. Proc. Natl. Acad. Sci. USA 2019, 116, 27142–27150. [Google Scholar] [CrossRef] [PubMed]
  27. Al-Dulaimi, A.; Alsayed, A.R.; Maqbali, M.A.; Zihlif, M. Investigating the human rhinovirus co-infection in patients with asthma exacerbations and COVID-19. Pharm. Pract. 2022, 20, 2665. [Google Scholar] [CrossRef]
  28. Mackenzie, J.S.; Smith, D.W. COVID-19: A novel zoonotic disease caused by a coronavirus from China: What we know and what we don’t. Microbiol. Aust. 2020, 41, 45–50. [Google Scholar] [CrossRef] [PubMed]
  29. Pujadas, E.; Ibeh, N.; Hernandez, M.M.; Waluszko, A.; Sidorenko, T.; Flores, V.; Shiffrin, B.; Chiu, N.; Young-Francois, A.; Nowak, M.D.; et al. Comparison of SARS-CoV-2 detection from nasopharyngeal swab samples by the Roche cobas 6800 SARS-CoV-2 test and a laboratory-developed real-time RT-PCR test. J. Med. Virol. 2020, 92, 1695–1698. [Google Scholar] [CrossRef]
  30. Potaczek, D.P.; Unger, S.D.; Zhang, N.; Taka, S.; Michel, S.; Akdağ, N.; Lan, F.; Helfer, M.; Hudemann, C.; Eickmann, M.; et al. Development and characterization of DNAzyme candidates demonstrating significant efficiency against human rhinoviruses. J. Allergy Clin. Immunol. 2019, 143, 1403–1415. [Google Scholar] [CrossRef]
  31. McIntyre, C.L.; Knowles, N.J.; Simmonds, P. Proposals for the classification of human rhinovirus species A, B and C into genotypically assigned types. J. Gen. Virol. 2013, 94, 1791–1806. [Google Scholar] [CrossRef]
  32. Palmenberg, A.C.; Rathe, J.A.; Liggett, S.B. Analysis of the complete genome sequences of human rhinovirus. J. Allergy Clin. Immunol. 2010, 125, 1190–1199. [Google Scholar] [CrossRef] [PubMed]
  33. Palmenberg, A.C.; Spiro, D.; Kuzmickas, R.; Wang, S.; Djikeng, A.; Rathe, J.A.; Fraser-liggett, C.M.; Liggett, S.B. Sequencing and Analyses of All Reveal Structure and Evolution. Science 2009, 324, 55–60. [Google Scholar] [CrossRef] [PubMed]
  34. Schubert, S.; Gül, D.C.; Grunert, H.P.; Zeichhardt, H.; Erdmann, V.A.; Kurreck, J. RNA cleaving “10-23” DNAzymes with enhanced stability and activity. Nucleic Acids Res. 2003, 31, 5982–5992. [Google Scholar] [CrossRef] [PubMed]
  35. Homburg, U.; Renz, H.; Timmer, W.; Hohlfeld, J.M.; Seitz, F.; Lüer, K.; Mayer, A.; Wacker, A.; Schmidt, O.; Kuhlmann, J.; et al. Safety and tolerability of a novel inhaled GATA3 mRNA targeting DNAzyme in patients with TH2-driven asthma. J. Allergy Clin. Immunol. 2015, 136, 797–800. [Google Scholar] [CrossRef]
  36. Potaczek, D.P.; Garn, H.; Unger, S.D.; Renz, H. Antisense molecules: A new class of drugs. J. Allergy Clin. Immunol. 2016, 137, 1334–1346. [Google Scholar] [CrossRef] [PubMed]
  37. Tuschl, T.; Elbashir, S.M.; Harborth, J.; Lendeckel, W.; Yalcin, A.; Weber, K. Duplexes of 21-nucleotide RNAs mediate RNA interference in cultured mammalian cells. Nature 2001, 411, 494–498. [Google Scholar]
  38. Phipps, K.M.; Martinez, A.; Lu, J.; Heinz, B.A.; Zhao, G. Small interfering RNA molecules as potential anti-human rhinovirus agents: In vitro potency, specificity, and mechanism. Antivir. Res. 2004, 61, 49–55. [Google Scholar] [CrossRef]
  39. Burns, J.L.; Emerson, J.; Kuypers, J.; Campbell, A.P.; Gibson, R.L.; McNamara, S.; Worrell, K.; Englund, J.A. Respiratory viruses in children with cystic fibrosis: Viral detection and clinical findings. Influenza Other Respir. Viruses 2012, 6, 218–223. [Google Scholar] [CrossRef]
  40. Seemungal, T.A.; Harper-Owen, R.; Bhowmik, A.; Jeffries, D.J.; Wedzicha, J.A. Detection of rhinovirus in induced sputum at exacerbation of chronic obstructive pulmonary disease. Eur. Respir. J. 2000, 16, 677–683. [Google Scholar] [CrossRef]
  41. Sedlak, R.H.; Nguyen, T.; Palileo, I.; Jerome, K.R.; Kuypers, J. Superiority of Digital Reverse Transcription-PCR (RT-PCR) over Real-Time RT-PCR for Quantitation of Highly Divergent Human Rhinoviruses. J. Clin. Microbiol. 2017, 55, 442–449. [Google Scholar] [CrossRef] [PubMed]
  42. Hayden, F.G. Rhinovirus and the lower respiratory tract. Rev. Med. Virol. 2004, 14, 17–31. [Google Scholar] [CrossRef] [PubMed]
  43. Papadopoulos, N.G.; Psarras, S. Rhinoviruses in the pathogenesis of asthma. Curr. Allergy Asthma Rep. 2003, 3, 137–145. [Google Scholar] [CrossRef] [PubMed]
  44. Do, D.H.; Laus, S.; Leber, A.; Marcon, M.J.; Jordan, J.A.; Martin, J.M.; Wadowsky, R.M. A one-step, real-time PCR assay for rapid detection of rhinovirus. J. Mol. Diagn. 2010, 12, 102–108. [Google Scholar] [CrossRef]
  45. Tapparel, C.; Cordey, S.; Van Belle, S.; Turin, L.; Lee, W.-M.; Regamey, N.; Meylan, P.; Mühlemann, K.; Gobbini, F.; Kaiser, L. New molecular detection tools adapted to emerging rhinoviruses and enteroviruses. J. Clin. Microbiol. 2009, 47, 1742–1749. [Google Scholar] [CrossRef] [PubMed]
  46. Schibler, M.; Yerly, S.; Vieille, G.; Docquier, M.; Turin, L.; Kaiser, L.; Tapparel, C. Critical analysis of rhinovirus RNA load quantification by real-time reverse transcription-PCR. J. Clin. Microbiol. 2012, 50, 2868–2872. [Google Scholar] [CrossRef] [PubMed]
  47. Scheltinga, S.A.; Templeton, K.E.; Beersma, M.F.C.; Claas, E.C.J. Diagnosis of human metapneumovirus and rhinovirus in patients with respiratory tract infections by an internally controlled multiplex real-time RNA PCR. J. Clin. Virol. 2005, 33, 306–311. [Google Scholar] [CrossRef]
  48. Stults, J.R.; Snoeyenbos-West, O.; Methe, B.; Lovley, D.R.; Chandler, D.P. Application of the 5′ Fluorogenic Exonuclease Assay (TaqMan) for Quantitative Ribosomal DNA and rRNA Analysis in Sediments. Appl. Environ. Microbiol. 2001, 67, 2781–2789. [Google Scholar] [CrossRef]
  49. Smith, C.J.; Osborn, A.M. Advantages and limitations of quantitative PCR (Q-PCR)-based approaches in microbial ecology. FEMS Microbiol. Ecol. 2009, 67, 6–20. [Google Scholar] [CrossRef]
  50. Mehta, N. RT-qPCR Made Simple: A Comprehensive Guide on the Methods, Advantages, Disadvantages, and Everything in Between. Undergrad. Res. Nat. Clin. Sci. Technol. J. 2022, 6, 1–6. [Google Scholar] [CrossRef]
  51. Bustin, S.A.; Nolan, T. Pitfalls of quantitative real- time reverse-transcription polymerase chain reaction. J. Biomol. Tech. JBT 2004, 15, 155–166. [Google Scholar]
  52. Paul, N.; Shum, J.; Le, T. Hot Start PCR; Springer: Berlin/Heidelberg, Germany, 2010; Volume 630, ISBN 9781607616283. [Google Scholar]
  53. Ling, C.L.; McHugh, T.D. Rapid Detection of Atypical Respiratory Bacterial Pathogens by Real-Time PCR; Springer: Berlin/Heidelberg, Germany, 2013; Volume 943, ISBN 9781603273527. [Google Scholar]
  54. Kalle, E.; Kubista, M.; Rensing, C. Multi-template polymerase chain reaction. Biomol. Detect. Quantif. 2014, 2, 11–29. [Google Scholar] [CrossRef]
  55. Uchiyama, A.; Naritomi, Y.; Hashimoto, Y.; Hanada, T.; Watanabe, K.; Kitta, K.; Suzuki, G.; Komatsuno, T.; Nakamura, T. Understanding quantitative polymerase chain reaction bioanalysis issues before validation planning: Japan Bioanalysis Forum discussion group. Bioanalysis 2022, 14, 1391–1405. [Google Scholar] [CrossRef] [PubMed]
  56. Persson, S.; Alm, E.; Karlsson, M.; Enkirch, T.; Norder, H.; Eriksson, R.; Simonsson, M.; Ellström, P. A new assay for quantitative detection of hepatitis A virus. J. Virol. Methods 2021, 288, 114010. [Google Scholar] [CrossRef] [PubMed]
  57. Persson, S.; Karlsson, M.; Borsch-Reniers, H.; Ellström, P.; Eriksson, R.; Simonsson, M. Missing the Match Might Not Cost You the Game: Primer-Template Mismatches Studied in Different Hepatitis A Virus Variants. Food Environ. Virol. 2019, 11, 297–308. [Google Scholar] [CrossRef] [PubMed]
  58. Coudray-Meunier, C.; Fraisse, A.; Martin-Latil, S.; Guillier, L.; Delannoy, S.; Fach, P.; Perelle, S. A comparative study of digital RT-PCR and RT-qPCR for quantification of Hepatitis A virus and Norovirus in lettuce and water samples. Int. J. Food Microbiol. 2015, 201, 17–26. [Google Scholar] [CrossRef] [PubMed]
  59. Persson, S.; Eriksson, R.; Lowther, J.; Ellström, P.; Simonsson, M. Comparison between RT droplet digital PCR and RT real-time PCR for quantification of noroviruses in oysters. Int. J. Food Microbiol. 2018, 284, 73–83. [Google Scholar] [CrossRef] [PubMed]
  60. Hayden, R.T.; Gu, Z.; Ingersoll, J.; Abdul-Ali, D.; Shi, L.; Pounds, S.; Caliendo, A.M. Comparison of droplet digital PCR to real-time PCR for quantitative detection of cytomegalovirus. J. Clin. Microbiol. 2013, 51, 540–546. [Google Scholar] [CrossRef] [PubMed]
  61. Hindson, C.M.; Chevillet, J.R.; Briggs, H.A.; Gallichotte, E.N.; Ruf, I.K.; Hindson, B.J.; Vessella, R.L.; Tewari, M. Absolute quantification by droplet digital PCR versus analog real-time PCR. Nat. Methods 2013, 10, 1003–1005. [Google Scholar] [CrossRef]
  62. Dong, L.; Meng, Y.; Sui, Z.; Wang, J.; Wu, L.; Fu, B. Comparison of four digital PCR platforms for accurate quantification of DNA copy number of a certified plasmid DNA reference material. Sci. Rep. 2015, 5, 13174. [Google Scholar] [CrossRef]
  63. Huggett, J.F.; Cowen, S.; Foy, C.A. Considerations for Digital PCR as an Accurate Molecular Diagnostic Tool. Clin. Chem. 2015, 61, 79–88. [Google Scholar] [CrossRef] [PubMed]
  64. Vynck, M.; Trypsteen, W.; Thas, O.; Vandekerckhove, L.; De Spiegelaere, W. The Future of Digital Polymerase Chain Reaction in Virology. Mol. Diagn. Ther. 2016, 20, 437–447. [Google Scholar] [CrossRef]
  65. Hall Sedlak, R.; Jerome, K.R. The potential advantages of digital PCR for clinical virology diagnostics. Expert Rev. Mol. Diagn. 2014, 14, 501–507. [Google Scholar] [CrossRef]
  66. Hindson, B.J.; Ness, K.D.; Masquelier, D.A.; Belgrader, P.; Heredia, N.J.; Makarewicz, A.J.; Bright, I.J.; Lucero, M.Y.; Hiddessen, A.L.; Legler, T.C.; et al. High-throughput droplet digital PCR system for absolute quantitation of DNA copy number. Anal. Chem. 2011, 83, 8604–8610. [Google Scholar] [CrossRef] [PubMed]
  67. Sanders, R.; Mason, D.J.; Foy, C.A.; Huggett, J.F. Evaluation of digital PCR for absolute RNA quantification. PLoS ONE 2013, 8, e75296. [Google Scholar] [CrossRef] [PubMed]
  68. Lee, S.S.; Kim, S.; Yoo, H.M.; Lee, D.H.; Bae, Y.K. Development of SARS-CoV-2 packaged RNA reference material for nucleic acid testing. Anal. Bioanal. Chem. 2022, 414, 1773–1785. [Google Scholar] [CrossRef]
  69. Taylor, S.C.; Nadeau, K.; Abbasi, M.; Lachance, C.; Nguyen, M.; Fenrich, J. The Ultimate qPCR Experiment: Producing Publication Quality, Reproducible Data the First Time. Trends Biotechnol. 2019, 37, 761–774. [Google Scholar] [CrossRef]
  70. Bustin, S.A.; Huggett, J.F. Reproducibility of biomedical research—The importance of editorial vigilance. Biomol. Detect. Quantif. 2017, 11, 1–3. [Google Scholar] [CrossRef]
  71. Huggett, J.F.; Foy, C.A.; Benes, V.; Emslie, K.; Garson, J.A.; Haynes, R.; Hellemans, J.; Kubista, M.; Mueller, R.D.; Nolan, T.; et al. The digital MIQE guidelines: Minimum information for publication of quantitative digital PCR experiments. Clin. Chem. 2013, 59, 892–902. [Google Scholar] [CrossRef]
  72. Bustin, S.A.; Benes, V.; Garson, J.A.; Hellemans, J.; Huggett, J.; Kubista, M.; Mueller, R.; Nolan, T.; Pfaffl, M.W.; Shipley, G.L.; et al. The MIQE guidelines: Minimum information for publication of quantitative real-time PCR experiments. Clin. Chem. 2009, 55, 611–622. [Google Scholar] [CrossRef]
  73. Lindner, L.; Cayrou, P.; Jacquot, S.; Birling, M.C.; Herault, Y.; Pavlovic, G. Reliable and robust droplet digital PCR (ddPCR) and RT-ddPCR protocols for mouse studies. Methods 2021, 191, 95–106. [Google Scholar] [CrossRef]
  74. Dybkaer, R. Metrology in laboratory medicine—Reference measurement systems. Accredit. Qual. Assur. 2001, 6, 16–19. [Google Scholar] [CrossRef]
  75. Thienpont, L.M.; Van Uytfanghe, K.; De Leenheer, A.P. Reference measurement systems in clinical chemistry. Clin. Chim. Acta 2002, 323, 73–87. [Google Scholar] [CrossRef] [PubMed]
  76. Miller, W.G.; Myers, G.L.; Ashwood, E.R.; Killeen, A.A.; Wang, E.; Thienpont, L.M.; Siekmann, L. Creatinine measurement: State of the art in accuracy and interlaboratory harmonization. Arch. Pathol. Lab. Med. 2005, 129, 297–304. [Google Scholar] [CrossRef] [PubMed]
  77. Gullett, J.C.; Nolte, F.S. Quantitative nucleic acid amplification methods for viral infections. Clin. Chem. 2015, 61, 72–78. [Google Scholar] [CrossRef] [PubMed]
  78. Zhang, K.; Lin, G.; Li, J. Quantitative nucleic acid amplification by digital PCR for clinical viral diagnostics. Clin. Chem. Lab. Med. 2016, 54, 1427–1433. [Google Scholar] [CrossRef] [PubMed]
  79. Vesper, H.W.; Miller, W.G.; Myers, G.L. Reference materials and commutability. Clin. Biochem. Rev. 2007, 28, 139–147. [Google Scholar]
  80. Vim, I.S.O. International vocabulary of basic and general terms in metrology (VIM). Int. Organ. 2004, 2004, 9–14. [Google Scholar]
  81. Rutkowska, M.; Namieśnik, J.; Konieczka, P. Production of certified reference materials—Homogeneity and stability study based on the determination of total mercury and methylmercury. Microchem. J. 2020, 153, 104338. [Google Scholar] [CrossRef]
  82. Niu, C.; Dong, L.; Zhang, J.; Wang, D.; Gao, Y. Reference material development for detection of human respiratory syncytial virus using digital PCR. Anal. Bioanal. Chem. 2023, 415, 3131–3135. [Google Scholar] [CrossRef]
  83. Schiel, J.E.; Turner, A. The NISTmAb Reference Material 8671 lifecycle management and quality plan. Anal. Bioanal. Chem. 2018, 410, 2067–2078. [Google Scholar] [CrossRef]
  84. Schiel, J.E.; Turner, A.; Mouchahoir, T.; Yandrofski, K.; Telikepalli, S.; King, J.; DeRose, P.; Ripple, D.; Phinney, K. The NISTmAb Reference Material 8671 value assignment, homogeneity, and stability. Anal. Bioanal. Chem. 2018, 410, 2127–2139. [Google Scholar] [CrossRef]
  85. Trapmann, S.; Botha, A.; Linsinger, T.P.J.; Mac Curtain, S.; Emons, H. The new International Standard ISO 17034: General requirements for the competence of reference material producers. Accredit. Qual. Assur. 2017, 22, 381–387. [Google Scholar] [CrossRef]
  86. Park, C.; Lee, J.; Hassan, Z.U.; Ku, K.B.; Kim, S.J.; Kim, H.G.; Park, E.C.; Park, G.S.; Park, D.; Baek, S.H.; et al. Comparison of Digital PCR and Quantitative PCR with Various SARS-CoV-2 Primer-Probe Sets. J. Microbiol. Biotechnol. 2021, 31, 358–367. [Google Scholar] [CrossRef]
  87. Emslie, K.R.; McLaughlin, J.L.H.; Griffiths, K.; Forbes-Smith, M.; Pinheiro, L.B.; Burke, D.G. Droplet volume variability and impact on digital pcr copy number concentration measurements. Anal. Chem. 2019, 91, 4124–4131. [Google Scholar] [CrossRef] [PubMed]
  88. Corbisier, P.; Pinheiro, L.; Mazoua, S.; Kortekaas, A.M.; Chung, P.Y.J.; Gerganova, T.; Roebben, G.; Emons, H.; Emslie, K. DNA copy number concentration measured by digital and droplet digital quantitative PCR using certified reference materials. Anal. Bioanal. Chem. 2015, 407, 1831–1840. [Google Scholar] [CrossRef] [PubMed]
  89. Hardwick, S.A.; Deveson, I.W.; Mercer, T.R. Reference standards for next-generation sequencing. Nat. Rev. Genet. 2017, 18, 473–484. [Google Scholar] [CrossRef] [PubMed]
  90. Li, Z.; Zhao, W.; Ma, S.; Li, Z.; Yao, Y.; Fei, T. A chemical-enhanced system for CRISPR-Based nucleic acid detection. Biosens. Bioelectron. 2021, 192, 113493. [Google Scholar] [CrossRef]
  91. Mei, H.; Zha, Z.; Wang, W.; Xie, Y.; Huang, Y.; Li, W.; Wei, D.; Zhang, X.; Qu, J.; Liu, J. Surfaceome CRISPR screen identifies OLFML3 as a rhinovirus-inducible IFN antagonist. Genome Biol. 2021, 22, 297. [Google Scholar] [CrossRef]
  92. Sathiamoorthy, S.; Malott, R.J.; Gisonni-Lex, L.; Ng, S.H.S. Selection and evaluation of an efficient method for the recovery of viral nucleic acid extraction from complex biologicals. Npj Vaccines 2018, 3, 31. [Google Scholar] [CrossRef]
  93. Ambrosi, C.; Prezioso, C.; Checconi, P.; Scribano, D.; Sarshar, M.; Capannari, M.; Tomino, C.; Fini, M.; Garaci, E.; Palamara, A.T.; et al. SARS-CoV-2: Comparative analysis of different RNA extraction methods. J. Virol. Methods 2021, 287, 114008. [Google Scholar] [CrossRef]
  94. Iwane, M.K.; Prill, M.M.; Lu, X.; Miller, E.K.; Edwards, K.M.; Hall, C.B.; Griffin, M.R.; Staat, M.A.; Anderson, L.J.; Williams, J.V.; et al. Human Rhinovirus Species Associated With Hospitalizations for Acute Respiratory Illness in Young US Children. J. Infect. Dis. 2011, 204, 1702–1710. [Google Scholar] [CrossRef]
  95. Tapparel, C.; Cordey, S.; Junier, T.; Farinelli, L.; Van Belle, S.; Soccal, P.M.; Aubert, J.-D.; Zdobnov, E.; Kaiser, L. Rhinovirus genome variation during chronic upper and lower respiratory tract infections. PLoS ONE 2011, 6, e21163. [Google Scholar] [CrossRef] [PubMed]
  96. Kiang, D.; Yagi, S.; Kantardjieff, K.A.; Kim, E.J.; Louie, J.K.; Schnurr, D.P. Molecular characterization of a variant rhinovirus from an outbreak associated with uncommonly high mortality. J. Clin. Virol. 2007, 38, 227–237. [Google Scholar] [CrossRef]
  97. Jin, Y.; Yuan, X.H.; Xie, Z.P.; Gao, H.C.; Song, J.R.; Zhang, R.F.; Xu, Z.Q.; Zheng, L.S.; De Hou, Y.; Duan, Z.J. Prevalence and clinical characterization of a newly identified human rhinovirus C species in children with acute respiratory tract infection. J. Clin. Microbiol. 2009, 47, 2895–2900. [Google Scholar] [CrossRef]
  98. Lau, S.K.P.; Yip, C.C.Y.; Tsoi, H.W.; Lee, R.A.; So, L.Y.; Lau, Y.L.; Chan, K.H.; Woo, P.C.Y.; Yuen, K.Y. Clinical features and complete genome characterization of a distinct human rhinovirus (HRV) genetic cluster, probably representing a previously undetected HRV species, HRV-C, associated with acute respiratory illness in children. J. Clin. Microbiol. 2007, 45, 3655–3664. [Google Scholar] [CrossRef] [PubMed]
  99. Winther, B. Rhinoviruses. In International Encyclopedia of Public Health; Academic Press: Cambridge, MA, USA, 2008; pp. 577–581. [Google Scholar]
  100. Peltola, V.; Waris, M.; Österback, R.; Susi, P.; Hyypiä, T.; Ruuskanen, O. Clinical effects of rhinovirus infections. J. Clin. Virol. 2008, 43, 411–414. [Google Scholar] [CrossRef] [PubMed]
  101. Abbasi, S.; Shafiei-Jandaghi, N.Z.; Shadab, A.; Hassani, S.A.; Foroushani, A.R.; Hosseinkhan, N.; Aghamir, F.; Mokhtari-Azad, T.; Yavarian, J. Phylogenetic characterization of rhinovirus and adenovirus in hospitalized children aged ≤ 18 years with severe acute respiratory infection in Iran. Iran. J. Microbiol. 2023, 15, 155–162. [Google Scholar] [CrossRef] [PubMed]
  102. Spencer, J.A.; Shutt, D.P.; Moser, S.K.; Clegg, H.; Wearing, H.J.; Mukundan, H.; Manore, C.A. Epidemiological parameter review and comparative dynamics of influenza, respiratory syncytial virus, rhinovirus, human coronavirus, and adenovirus. medRxiv 2020. [Google Scholar] [CrossRef]
  103. Vitetta, L.; Du, S. The common cold. J. Altern. Complement. Med. 2008, 7, 56–57. [Google Scholar] [CrossRef]
  104. Florkowski, C.; Don-Wauchope, A.; Gimenez, N.; Rodriguez-Capote, K.; Wils, J.; Zemlin, A. Point-of-care testing (POCT) and evidence-based laboratory medicine (EBLM)—Does it leverage any advantage in clinical decision making? Crit. Rev. Clin. Lab. Sci. 2017, 54, 471–494. [Google Scholar] [CrossRef]
  105. Luppa, P.B.; Müller, C.; Schlichtiger, A.; Schlebusch, H. Point-of-care testing (POCT): Current techniques and future perspectives. TrAC Trends Anal. Chem. 2011, 30, 887–898. [Google Scholar] [CrossRef]
  106. Miller, W.G.; Myers, G.; Cobbaert, C.M.; Young, I.S.; Theodorsson, E.; Wielgosz, R.I.; Westwood, S.; Maniguet, S.; Gillery, P. Overcoming challenges regarding reference materials and regulations that influence global standardization of medical laboratory testing results. Clin. Chem. Lab. Med. 2023, 61, 48–54. [Google Scholar] [CrossRef] [PubMed]
  107. Van den Bruel, A.; Cleemput, I.; Aertgeerts, B.; Ramaekers, D.; Buntinx, F. The evaluation of diagnostic tests: Evidence on technical and diagnostic accuracy, impact on patient outcome and cost-effectiveness is needed. J. Clin. Epidemiol. 2007, 60, 1116–1122. [Google Scholar] [CrossRef] [PubMed]
  108. Dupouey, J.; Ninove, L.; Ferrier, V.; Py, O.; Gazin, C.; Thirion-Perrier, L.; De Lamballerie, X. Molecular Detection of Human Rhinoviruses in Respiratory Samples: A Comparison of Taqman Probe-, SYBR Green I- and BOXTO-Based Real-Time PCR Assays. Virol. J. 2014, 11, 1–7. [Google Scholar] [CrossRef] [PubMed]
  109. Huang, T.; Wang, W.; Bessaud, M.; Ren, P.; Sheng, J.; Yan, H.; Zhang, J.; Lin, X.; Wang, Y.; Delpeyroux, F.; et al. Evidence of Recombination and Genetic Diversity in Human Rhinoviruses in Children with Acute Respiratory Infection. PLoS ONE 2009, 4. [Google Scholar] [CrossRef] [PubMed]
  110. Simmonds, P.; McIntyre, C.; Savolainen-Kopra, C.; Tapparel, C.; Mackay, I.M.; Hovi, T. Proposals for the Classification of Human Rhinovirus Species C into Genotypically Assigned Types. J. Gen. Virol. 2010, 91, 2409–2419. [Google Scholar] [CrossRef] [PubMed]
  111. Esneau, C.; Bartlett, N.; Bochkov, Y.A. Rhinovirus Structure, Replication, and Classification; Elsevier Inc.: Amsterdam, The Netherlands, 2019; ISBN 9780128164174. [Google Scholar]
  112. Whale, A.S.; Devonshire, A.S.; Karlin-Neumann, G.; Regan, J.; Javier, L.; Cowen, S.; Fernandez-Gonzalez, A.; Jones, G.M.; Redshaw, N.; Beck, J.; et al. International Interlaboratory Digital PCR Study Demonstrating High Reproducibility for the Measurement of a Rare Sequence Variant. Anal. Chem. 2017, 89, 1724–1733. [Google Scholar] [CrossRef]
  113. Košir, A.B.; Divieto, C.; Pavšič, J.; Pavarelli, S.; Dobnik, D.; Dreo, T.; Bellotti, R.; Sassi, M.P.; Žel, J. Droplet Volume Variability as a Critical Factor for Accuracy of Absolute Quantification Using Droplet Digital PCR. Anal. Bioanal. Chem. 2017, 409, 6689–6697. [Google Scholar] [CrossRef]
  114. Pinheiro, L.B.; Coleman, V.A.; Hindson, C.M.; Herrmann, J.; Hindson, B.J.; Bhat, S.; Emslie, K.R. Evaluation of a Droplet Digital Polymerase Chain Reaction Format for DNA Copy Number Quantification. Anal. Chem. 2012, 84, 1003–1011. [Google Scholar] [CrossRef]
Figure 1. A schematic overview of the procedures RM production.
Figure 1. A schematic overview of the procedures RM production.
Genes 14 02210 g001
Figure 2. Human RV RM serial dilution. Detection of human RV based on assays by qPCR and ddPCR. (A) Ct value (qPCR) and (B) copy number (ddPCR) of rhinovirus using the assay. All experiments were conducted three times and the data presented represent the average values obtained.
Figure 2. Human RV RM serial dilution. Detection of human RV based on assays by qPCR and ddPCR. (A) Ct value (qPCR) and (B) copy number (ddPCR) of rhinovirus using the assay. All experiments were conducted three times and the data presented represent the average values obtained.
Genes 14 02210 g002
Figure 3. RMs homogeneity test. A homogeneity experiment was performed by randomly selecting 10 of the produced RMs. Error bars represent the standard deviation at each data point, calculated based on the mean of the replicated measurements (n = 3). Homogeneity values for the gene among bottles are presented as percentages. As a result, the average value is 1.6 × 105 copies/mL, and the calculation results of the relative standard deviation (RSD) of about 11% and the standard uncertainty of 3.2% are shown. Therefore, it was confirmed that the produced RM was made homogeneously.
Figure 3. RMs homogeneity test. A homogeneity experiment was performed by randomly selecting 10 of the produced RMs. Error bars represent the standard deviation at each data point, calculated based on the mean of the replicated measurements (n = 3). Homogeneity values for the gene among bottles are presented as percentages. As a result, the average value is 1.6 × 105 copies/mL, and the calculation results of the relative standard deviation (RSD) of about 11% and the standard uncertainty of 3.2% are shown. Therefore, it was confirmed that the produced RM was made homogeneously.
Genes 14 02210 g003
Figure 4. Short-term and long-term stability of RV RMs. (A) The short-term stability of the RM was confirmed after 4 days and 7 days at 4 °C and −20 °C. As a result, the results showed an almost negligible difference at both 4 °C and −20 °C. (B) Long-term stability after 1, 3, 6, and 12 months was confirmed. RM was stored at −80 °C.
Figure 4. Short-term and long-term stability of RV RMs. (A) The short-term stability of the RM was confirmed after 4 days and 7 days at 4 °C and −20 °C. As a result, the results showed an almost negligible difference at both 4 °C and −20 °C. (B) Long-term stability after 1, 3, 6, and 12 months was confirmed. RM was stored at −80 °C.
Genes 14 02210 g004
Figure 5. RV RM freeze–thawing repeated test. An experiment was conducted to confirm the change in the number of copies when the freezing and thawing of the RM were repeated. The experiment was repeated in the order of thawing at 4 °C and freezing at −80 °C. As a result, it shows the result that the change in the number of copies appears insignificant until the third repetition. Therefore, it shows results that can be used stably even in repeated freeze and thawing.
Figure 5. RV RM freeze–thawing repeated test. An experiment was conducted to confirm the change in the number of copies when the freezing and thawing of the RM were repeated. The experiment was repeated in the order of thawing at 4 °C and freezing at −80 °C. As a result, it shows the result that the change in the number of copies appears insignificant until the third repetition. Therefore, it shows results that can be used stably even in repeated freeze and thawing.
Genes 14 02210 g005
Table 1. Reference values of the KRISS 111-10-536 RV RM batch 1.
Table 1. Reference values of the KRISS 111-10-536 RV RM batch 1.
HomogeneityValue
Average1.6 × 105 copies/μL
Standard deviation1.7 × 104 copies/μL
Relative standard deviation10.76%
Relative standard uncertainty3.2%
Expanded uncertainty4.5 × 104 copies/μL
k (95% level of confidence)2.1
Disclaimer/Publisher’s Note: The statements, opinions and data contained in all publications are solely those of the individual author(s) and contributor(s) and not of MDPI and/or the editor(s). MDPI and/or the editor(s) disclaim responsibility for any injury to people or property resulting from any ideas, methods, instructions or products referred to in the content.

Share and Cite

MDPI and ACS Style

Ju, D.U.; Park, D.; Kim, I.-H.; Kim, S.; Yoo, H.M. Development of Human Rhinovirus RNA Reference Material Using Digital PCR. Genes 2023, 14, 2210. https://doi.org/10.3390/genes14122210

AMA Style

Ju DU, Park D, Kim I-H, Kim S, Yoo HM. Development of Human Rhinovirus RNA Reference Material Using Digital PCR. Genes. 2023; 14(12):2210. https://doi.org/10.3390/genes14122210

Chicago/Turabian Style

Ju, Dong U, Dongju Park, Il-Hwan Kim, Seil Kim, and Hee Min Yoo. 2023. "Development of Human Rhinovirus RNA Reference Material Using Digital PCR" Genes 14, no. 12: 2210. https://doi.org/10.3390/genes14122210

Note that from the first issue of 2016, this journal uses article numbers instead of page numbers. See further details here.

Article Metrics

Back to TopTop