PMID- 20648618 OWN - NLM STAT- MEDLINE DCOM- 20101122 LR - 20100721 IS - 1096-9071 (Electronic) IS - 0146-6615 (Linking) VI - 82 IP - 9 DP - 2010 Sep TI - Quantification of Norwalk virus inocula: Comparison of endpoint titration and real-time reverse transcription-PCR methods. PG - 1612-6 LID - 10.1002/jmv.21851 [doi] AB - Human noroviruses (NoV) are the leading cause of epidemic acute gastroenteritis. In order to fully characterize features such as persistence and infectious dose, precise quantification of virus concentration is necessary. The purpose of this study was to compare two methods [endpoint titration RT-PCR and quantitative RT-PCR (RT-qPCR)] with respect to quantification of Norwalk virus (NV) in inocula made from purified stock suspensions of human fecal specimens. A full-length NV RNA transcript was developed to facilitate quantification using RT-qPCR and provided log linear detection in the range of 49-4.9 x 10(4) genome equivalent copies (GEC) per reaction. Endpoint titration RT-PCR was used to estimate PCR detection units, and RT-qPCR was used to estimate genome copies in two NV inocula (8fIIa and 8fIIb) used in previous human challenge studies. Overall, RT-qPCR was 1.1-1.6 log(10) more sensitive (lower detection limit) than endpoint titration RT-PCR when the same RNA release method, PCR primers and thermocycle program were used. These findings have important implications for many experimental interpretations, not the least of which is estimating the median infectious dose in human challenge studies. FAU - Liu, Pengbo AU - Liu P AD - First Hospital of Xi'an Jiaotong University, Xi'an, Shaanxi, China. FAU - Hsiao, Hui-Mien AU - Hsiao HM FAU - Jaykus, Lee-Ann AU - Jaykus LA FAU - Moe, Christine AU - Moe C LA - eng PT - Comparative Study PT - Journal Article PL - United States TA - J Med Virol JT - Journal of medical virology JID - 7705876 RN - 0 (RNA, Viral) SB - IM MH - Feces/virology MH - Gastroenteritis/*virology MH - Humans MH - Limit of Detection MH - Norwalk virus/genetics/*isolation & purification MH - RNA, Viral/analysis MH - *Reverse Transcriptase Polymerase Chain Reaction MH - Sensitivity and Specificity EDAT- 2010/07/22 06:00 MHDA- 2010/12/14 06:00 CRDT- 2010/07/22 06:00 PHST- 2010/07/22 06:00 [entrez] PHST- 2010/07/22 06:00 [pubmed] PHST- 2010/12/14 06:00 [medline] AID - 10.1002/jmv.21851 [doi] PST - ppublish SO - J Med Virol. 2010 Sep;82(9):1612-6. doi: 10.1002/jmv.21851.