Molecular diagnosis for the detection of human metapneumovirus from viral isolates in pediatric patients with acute respiratory infection

Authors

  • Guadalupe Cerezo Lira Laboratorio de Biología de Microorganismos. Departamento de Microbiología y Parasitología, Facultad de Medicina, UNAM.
  • Karla Zárate Conde Laboratorio de Biología de Microorganismos. Departamento de Microbiología y Parasitología, Facultad de Medicina, UNAM.
  • Sergio Alpuche-Lazcano Laboratorio de Biología de Microorganismos. Departamento de Microbiología y Parasitología, Facultad de Medicina, UNAM.
  • Carlos Cabello Laboratorio de Biología de Microorganismos. Departamento de Microbiología y Parasitología, Facultad de Medicina, UNAM.
  • Patricia Tato Laboratorio de Biología de Microorganismos. Departamento de Microbiología y Parasitología, Facultad de Medicina, UNAM.
  • Rocío Tirado Laboratorio de Biología de Microorganismos. Departamento de Microbiología y Parasitología, Facultad de Medicina, UNAM.

Keywords:

Human metapneumovirus, acute respiratory infection, viral isolate, fusogenic, viral variants

Abstract

In Mexico the molecular epidemiology and viral etiology of acute respiratory infections are

very limited; there are no data about the frequency and circulation patterns of different

seasonal human Metapneumovirus. Therefore, we design a molecular technique to detect

and identify human Metapneumovirus. A total of 118 clinical samples from pediatric pa-

tients with low respiratory tract infections were isolated and classified by their fusogenic

activity as fusogenic and non fusogenic isolates. Moreover, fusogenic and non fusogenic

isolates were human Metapneumovirus confirmed by direct immunofluorescence. The

human metapneumovirus positive isolates (42/118) were confirmed by RT-PCR using

oligonucleotides designed in our laboratory to amplify the viral genes N (Nucleocapsid)

and/or L (RNA polimerase). We demonstrated by RT-PCR that human Metapneumovirus infection was detected in 100% of the viral isolates previously confirmed as positive by direct immunofluorescence assay (42/118). Alternatively, from the negative isolates by direct immunofluorescence (17), we were able to identify seven isolates as human respiratory syncytial virus using our designed RT-PCR.

References

Papenburg J, Boivin G. The distinguishing features of human metapneumovirus and respiratory syncytial virus. Rev Med Virol. 2010; 20 (4): 245-260.

Abara S. Metapneumovirus humano: un nuevo agente en IRA alta y baja. Neumol Pediatr. 2006; 1 (1): 11-13. 3. Esper F, Boucher D, Weibel C, Martinello RA, Kahn JS. Human metapneumovirus infection in the United States: clinical manifestations associated with a newly emerging respiratory infection in children. Pediatrics. 2003; 111

(6 Pt 1): 1407-1410.

Maggi F, Pifferi M, Vatteroni M, Fornai C, Tempestini E,

Anzilotti S et al. Human metapneumovirus associated with respiratory tract infections in a 3-year study of nasal swabs from infants in Italy. J Clin Microbiol. 2003; 41 (7): 2987-2991.

Viazov S, Ratjen F, Scheidhauer R, Fiedler M, Roggendorf M. High prevalence of human metapneumovirus infection in young children and genetic heterogeneity of the viral

isolates. J Clin Microbiol. 2003; 41 (7): 3043-3045.

Noyola DE, Alpuche-Solís AG, Herrera-Díaz A, Soria- Guerra RE, Sánchez-Alvarado J, López-Revilla R. Human metapneumovirus infections in Mexico: epide- miological and clinical characteristics. J Med Microbiol. 2005; 54 (Pt 10): 969-974.

Ebihara T, Endo R, Kikuta H, Ishiguro N, Ishiko H, Hara M et al. Human metapneumovirus infection in Japanese children. J Clin Microbiol. 2004; 42 (1): 126-132.

Van den Hoogen BG, de Jong JC, Groen J, Kuiken T, de Groot R, Fouchier RA et al. A newly discovered human pneumovirus isolated from young children with respiratory tract disease. Nat Med. 2001; 7 (6): 719-724.

Huang CG, Tsao KC, Lin TY, Huang YC, Lee LA, Chen TH et al. Estimates of individuals exposed to human metapneumovirus in a community-based Taiwanese population in 1999. Arch Virol. 2010; 155 (3): 343-350.

Panda S, Mohakud NK, Pena L, Kumar S. Human metapneumovirus: review of an important respiratory pathogen. Int J Infect Dis. 2014; 25: 45-52.

Samransamruajkit R, Thanasugarn W, Prapphal N, Theamboonlers A, Poovorawan Y. Human metapneumo- virus in infants and young children in Thailand with lower respiratory tract infections; molecular characteristics and clinical presentations. J Infect. 2006; 52 (4): 254-263.

Piyaratna R, Tollefson SJ, Williams JV. Genomic analy- sis of four human metapneumovirus prototypes. Virus Res. 2011; 160 (1-2): 200-205.

Stangegaard M, Hufva IH, Dufva M. Reverse transcrip- tion using random pentadecamer primers increases yield and quality of resulting cDNA. Bio Techniques. 2006; 40 (5): 649-657.

Kish L. Survey sampling. New York: John Wiley & Sons; 1965.

Sidhu MS, Menonna JP, Cook SD, Dowling PC, Udem SA. Canine distemper virus L gene: sequence and comparison with related viruses. Virology. 1993; 193 (1): 50-65.

Dutch RE, Hagglund RN, Nagel MA, Paterson RG, Lamb RA. Paramyxovirus fusion (F) protein: a conformational change on cleavage activation. Virology. 2001; 281 (1): 138-150.

Michalsk W, Crameri G, Wang Lin-Fa, Shiell BJ, Eaton B. The cleavage activation and sites of glycosylation in the fusion protein of Hendra virus. Virus Res 2000; 69: 83–93.

Gardner AE, Dutch RE. A conserved region in the F(2) subunit of paramyxovirus fusion proteins is involved in fusion regulation. J Virol. 2007; 81 (15): 8303-8314.

Schowalter RM, Chang A, Robach JG, Buchholz UJ, Dutch RE. Low-pH triggering of human metapneumo- virus fusion: essential residues and importance in entry. J Virol. 2009; 83 (3): 1511-1522.

Lindquist SW, Darnule A, Istas A, Demmler GJ. Para- influenza virus type 4 infections in pediatric patients. Pediatr Infect Dis J. 1997; 16 (1): 34-38.

Chaipan C, Kobasa D, Bertram S, Glowacka I, Steffen

I, Tsegaye TS et al. Proteolytic activation of the 1918

influenza virus hemagglutinin. J Virol. 2009; 83 (7):

-3211.

Schickli JH, Kaur J, Ulbrandt N, Spaete RR, Tang RS.

An S101P substitution in the putative cleavage motif of the human metapneumovirus fusion protein is a major

determinant for trypsin-independent growth in vero cells and does not alter tissue tropism in hamsters. J Virol. 2005; 79 (16): 10678-10689.

Biacchesi S, Pham QN, Skiadopoulos MH, Murphy BR, Collins PL, Buchholz UJ. Modification of the trypsin- dependent cleavage activation site of the human me- tapneumovirus fusion protein to be trypsin independent does not increase replication or spread in rodents or nonhuman primates. J Virol. 2006; 80 (12): 5798-5806.

Lawlor HA, Schickli JH, Tang RS. A single amino acid in the F2 subunit of respiratory syncytial virus fusion protein alters growth and fusogenicity. J Gen Virol. 2013; 94 (Pt 12): 2627-2635.

Rodríguez-Auad JP, Nava-Frías M, Casasola-Flores J, Johnson KM, Nava-Ruiz A, Pérez-Robles V et al. The epidemiology and clinical characteristics of respiratory syn- cytial virus infection in children at a public pediatric referral hospital in Mexico. Int J Infect Dis. 2012; 16 (7): e508-e513.

Bezerra PG, Britto MC, Correia JB, Duarte Mdo C, Fonceca AM, Rose K et al. Viral and atypical bacterial detection in acute respiratory infection in children under five years. PLoS One. 2011; 6 (4): e18928.

Martínez P, Cordero J, Valverde C, Unanue N, Dalmazzo R, Piemonte P et al. Co-infección viral respiratoria en niños hospitalizados por infección respiratoria aguda y su impacto en la gravedad clínica. Rev Chil Infect. 2012; 29 (2): 169-174.

Reina J, Ferrés F, Mena A, Figuerola J, Alcoceba E. Características clínicas y epidemiológicas de las infec- ciones respiratorias causadas por el metapneumovirus humano en pacientes pediátricos. Enferm Infecc Micro- biol Clin. 2008; 26 (2): 72-76.

Wolf DG, Greenberg D, Kalkstein D, Shemer-Avni Y, Givon-Lavi N, Saleh N et al. Comparison of human me- tapneumovirus, respiratory syncytial virus and influenza A virus lower respiratory tract infections in hospitalized young children. Pediatr Infect Dis J. 2006; 25 (4): 320-324.

Drews AL, Atmar RL, Glezen WP, Baxter BD, Piedra PA, Greenberg SB. Dual respiratory virus infections. Clin Infect Dis. 1997; 25 (6): 1421-1429.

Schildgen V, van den Hoogen B, Fouchier R, Tripp RA, Alvarez R, Manoha C et al. Human metapneumovirus: lessons learned over the first decade. Clin Microbiol Rev. 2011; 24 (4): 734-754.

Semple MG, Cowell A, Dove W, Greensill J, McNamara PS, Halfhide C et al. Dual infection of infants by human metapneumovirus and human respiratory syncytial virus is strongly associated with severe bronchiolitis. J Infect Dis. 2005; 191 (3): 382-386.

Cathomen T, Mrkic B, Spehner D, Drillien R, Naef R,

Pavlovic J et al. A matrix-less measles virus is infec- tious and elicits extensive cell fusion: consequences for propagation in the brain. EMBO J. 1998; 17 (14): 3899-3908.

Published

2024-08-19

How to Cite

1.
Cerezo Lira G, Zárate Conde K, Alpuche-Lazcano S, Cabello C, Tato P, Tirado R. Molecular diagnosis for the detection of human metapneumovirus from viral isolates in pediatric patients with acute respiratory infection. InDiscap [Internet]. 2024 Aug. 19 [cited 2024 Nov. 14];5(2):88-95. Available from: https://dsm.inr.gob.mx/indiscap/index.php/INDISCAP/article/view/350

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Section

Original articles

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