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PMID: 21434937 Published · ppublish English Evaluation Study Journal Article Review

Advances in the diagnosis of respiratory tract infections: role of the Luminex xTAG respiratory viral panel.

Annals of the New York Academy of Sciences ·Vol. 1222 ·2011-03-00 ·Pages 6-13

Krunic N, Merante F, Yaghoubian S, Himsworth D, Janeczko R

Abstract

Clinical laboratories providing an etiological diagnosis of respiratory tract infections (RTI) have increasingly relied on nucleic acid amplification tests. Polymerase chain reaction-based methods are becoming more standardized, and several have undergone the scrutiny of regulatory agencies mandated to assess the risks and benefits of implementing pathogen-detection assays into diagnostic algorithms. Respiratory viruses lead to both upper and lower RTI and are implicated in exacerbations of chronic pulmonary conditions. Viruses from different taxonomic families present with overlapping clinical signs and symptoms, necessitating an accurate laboratory diagnosis. The clinical utility of diagnostic algorithms incorporating tests for respiratory viruses will depend on the breadth of pathogen coverage and the time to reliable and actionable results. This review covers strategies for detecting a panel of respiratory viruses employed over the last decade that have enabled an etiological diagnosis of RTI in a cost-effective manner.

MeSH Terms
Clinical Laboratory Techniques/trends DNA, Viral/analysis Humans Influenza A Virus, H1N1 Subtype/genetics,isolation & purification Influenza, Human/diagnosis,epidemiology Nucleic Acid Amplification Techniques/economics,instrumentation,methods,trends Respiratory System/virology Respiratory Tract Infections/diagnosis,virology Virology/economics,methods,trends
Chemicals
DNA, Viral
Authors & Affiliations
5 authors, click to expand affiliations / ORCID
Krunic Nancy
Luminex Molecular Diagnostics, Toronto, Ontario, Canada. nkrunic@luminexcorp.com
Merante Frank
Yaghoubian Sevana
Himsworth David
Janeczko Richard
References (41)
41 references, click to expand
  1. Evaluation of multiple test methods for the detection of the novel 2009 influenza A (H1N1) during the New York City outbreak.
    J Clin Virol. 2009 Jul;45(3):191-5 PMID: 19540158
  2. Respiratory viruses in acute bronchiolitis in Delhi.
    Indian Pediatr. 2010 Apr;47(4):342-3 PMID: 20431161
  3. Laboratory surge response to pandemic (H1N1) 2009 outbreak, New York City metropolitan area, USA.
    Emerg Infect Dis. 2010 Jan;16(1):8-13 PMID: 20031036
  4. Medical devices; immunology and microbiology devices; classification of respiratory viral panel multiplex nucleic acid assay. Final rule.
    Fed Regist. 2009 Oct 9;74(195):52136-8 PMID: 19877377
  5. Prevalence of viral infection detected by PCR and RT-PCR in patients with acute exacerbation of COPD: a systematic review.
    Respirology. 2010 Apr;15(3):536-42 PMID: 20415983
  6. Nucleic acid amplification tests for detection of respiratory viruses.
    J Clin Virol. 2007 Nov;40 Suppl 1:S15-23 PMID: 18162249
  7. Emerging respiratory viruses: challenges and vaccine strategies.
    Clin Microbiol Rev. 2006 Oct;19(4):614-36 PMID: 17041137
  8. Design of FRET-TaqMan probes for multiplex real-time PCR using an internal positive control.
    Biotechniques. 2009 Jun;46(7):519-24 PMID: 19594451
  9. Long-term shedding of influenza A virus in stool of immunocompromised child.
    Emerg Infect Dis. 2010 Jul;16(7):1165-7 PMID: 20587197
  10. Risk factors for human infection with avian influenza A H5N1, Vietnam, 2004.
    Emerg Infect Dis. 2006 Dec;12(12):1841-7 PMID: 17326934
  11. Clinical features and molecular epidemiology of coronavirus-HKU1-associated community-acquired pneumonia.
    Hong Kong Med J. 2009 Dec;15 Suppl 9:46-7 PMID: 20393227
  12. Rhinovirus-induced modulation of gene expression in bronchial epithelial cells from subjects with asthma.
    Mucosal Immunol. 2010 Jan;3(1):69-80 PMID: 19710636
  13. Gene expression of nucleic acid-sensing pattern recognition receptors in children hospitalized for respiratory syncytial virus-associated acute bronchiolitis.
    Clin Vaccine Immunol. 2009 Jun;16(6):816-23 PMID: 19386802
  14. Utilization of nucleic acid amplification assays for the detection of respiratory viruses.
    Clin Lab Med. 2009 Dec;29(4):661-71 PMID: 19892227
  15. The role of rhinovirus infections in the development of early childhood asthma.
    Curr Opin Allergy Clin Immunol. 2010 Apr;10(2):133-8 PMID: 19996738
  16. Currently used nucleic acid amplification tests for the detection of viruses and atypicals in acute respiratory infections.
    J Clin Virol. 2007 Dec;40(4):259-76 PMID: 17977063
  17. A prospective molecular surveillance study evaluating the clinical impact of community-acquired respiratory viruses in lung transplant recipients.
    Transplantation. 2010 Apr 27;89(8):1028-33 PMID: 20075787
  18. Respiratory viral infections in infants: causes, clinical symptoms, virology, and immunology.
    Clin Microbiol Rev. 2010 Jan;23(1):74-98 PMID: 20065326
  19. Epidemiology and clinical presentations of the four human coronaviruses 229E, HKU1, NL63, and OC43 detected over 3 years using a novel multiplex real-time PCR method.
    J Clin Microbiol. 2010 Aug;48(8):2940-7 PMID: 20554810
  20. Comparison of the Luminex xTAG respiratory viral panel with in-house nucleic acid amplification tests for diagnosis of respiratory virus infections.
    J Clin Microbiol. 2008 Sep;46(9):3056-62 PMID: 18632902
  21. Cost analysis of multiplex PCR testing for diagnosing respiratory virus infections.
    J Clin Microbiol. 2009 Sep;47(9):2812-7 PMID: 19571025
  22. Antigen-based assays for the identification of influenza virus and respiratory syncytial virus: why and how to use them in pediatric practice.
    Clin Lab Med. 2009 Dec;29(4):649-60 PMID: 19892226
  23. Multiplex molecular detection of respiratory pathogens in children with asthma exacerbation.
    Chest. 2010 Feb;137(2):348-54 PMID: 19749009
  24. Emerging molecular assays for detection and characterization of respiratory viruses.
    Clin Lab Med. 2009 Dec;29(4):673-93 PMID: 19892228
  25. Molecular diagnosis of respiratory viruses.
    Future Microbiol. 2010 Jun;5(6):901-16 PMID: 20521935
  26. Nosocomial influenza: new concepts and practice.
    Curr Opin Infect Dis. 2008 Aug;21(4):337-43 PMID: 18594283
  27. SARS-CoV: lessons for global health.
    Virus Res. 2008 Apr;133(1):1-3 PMID: 17467837
  28. Comparison of the Luminex Respiratory Virus Panel fast assay with in-house real-time PCR for respiratory viral infection diagnosis.
    J Clin Microbiol. 2010 Jun;48(6):2213-6 PMID: 20357215
  29. Analytical validation of the tag-it high-throughput microsphere-based universal array genotyping platform: application to the multiplex detection of a panel of thrombophilia-associated single-nucleotide polymorphisms.
    Clin Chem. 2004 Nov;50(11):2028-36 PMID: 15364887
  30. Recent advances in the development of nucleic acid diagnostics.
    Expert Rev Med Devices. 2010 Jul;7(4):529-39 PMID: 20583889
  31. Viral and bacterial interactions in pneumonia.
    Expert Rev Respir Med. 2010 Apr;4(2):221-8 PMID: 20406088
  32. Developments in tissue culture detection of respiratory viruses.
    Clin Lab Med. 2009 Dec;29(4):623-34 PMID: 19892224
  33. A combination vaccine for allergy and rhinovirus infections based on rhinovirus-derived surface protein VP1 and a nonallergenic peptide of the major timothy grass pollen allergen Phl p 1.
    J Immunol. 2009 May 15;182(10):6298-306 PMID: 19414783
  34. Respiratory syncytial virus, human bocavirus and rhinovirus bronchiolitis in infants.
    Arch Dis Child. 2010 Jan;95(1):35-41 PMID: 19822538
  35. Likelihood that an unsubtypeable influenza A virus result obtained with the Luminex xTAG respiratory virus panel is indicative of infection with novel A/H1N1 (swine-like) influenza virus.
    J Clin Microbiol. 2009 Jul;47(7):2347-8 PMID: 19494066
  36. Detection of respiratory viruses by molecular methods.
    Clin Microbiol Rev. 2008 Oct;21(4):716-47 PMID: 18854489
  37. Molecular diagnostics for detection of bacterial and viral pathogens in community-acquired pneumonia.
    Clin Infect Dis. 2008 Dec 1;47 Suppl 3:S123-6 PMID: 18986277
  38. Multiplexed Luminex xMAP assay for detection and identification of five adenovirus serotypes associated with epidemics of respiratory disease in adults.
    J Clin Microbiol. 2010 Jun;48(6):2217-22 PMID: 20410343
  39. Pneumonia in severely malnourished children in developing countries - mortality risk, aetiology and validity of WHO clinical signs: a systematic review.
    Trop Med Int Health. 2009 Oct;14(10):1173-89 PMID: 19772545
  40. Effectiveness of control measures during the SARS epidemic in Beijing: a comparison of the Rt curve and the epidemic curve.
    Epidemiol Infect. 2008 Apr;136(4):562-6 PMID: 17568476
  41. The origins of asthma and chronic obstructive pulmonary disease in early life.
    Proc Am Thorac Soc. 2009 May 1;6(3):272-7 PMID: 19387029
Article Info
Journal
Annals of the New York Academy of Sciences
Abbr.
Ann N Y Acad Sci
ISSN
1749-6632
Published
2011-03-00
Pages
6-13
Language
English
Region
United States
NLM ID
7506858
PMCID
PMC7168110
Subset
IM
Analysis Services
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