title: Real-time nested multiplex PCR for the detection of herpes simplex virus types 1 and 2 and varicella zoster virus.
abstract: One hundred forty-nine specimens were tested in a LightCycler nested multiplex polymerase chain reaction (LCnmPCR) for Herpes simplex virus (HSV)1, HSV2, and VZV. Eighty-one were from genitourinary medicine (GUM) patients and the other 68 specimens were from other patients with skin lesions. The results were compared to a conventional multiplex nested PCR (nmPCR) using agarose gel electrophoresis. Twenty-five specimens were positive in both assays for HSV1 and 29 were positive for VZV. For HSV2 there were 27 positive in the LCnmPCR and 26 positive in the nmPCR assay. The melting temperatures (Tms) of each target were different with a mean of 84.75 degrees C for HSV1, 88.57 degrees C for HSV2, and 83.62 degrees C for VZV. The melting curves of positive specimens directly overlaid the melting curves of the positive controls in the assay. The LCnmPCR assay is a convenient alternative to conventional PCR using agarose gel electrophoresis. It improves specimen turnaround time by eliminating the need for gel electrophoresis, transillumination, and gel photography. It also shows increased sensitivity for HSV2 over our standard assay. This LCnmPCR reduces further the possibility of amplicon contamination with nested PCR protocols.
authors.affiliation: Regional Virus Laboratory, Royal Victoria Hospital, Belfast, Northern Ireland, United Kingdom. hugh.oneill@bll.n-i.nhs.uk
authors.forename: Hugh J
authors.initials: HJ
authors.lastname: O'Neill
authors.forename: Dorothy E
authors.initials: DE
authors.lastname: Wyatt
authors.forename: Peter V
authors.initials: PV
authors.lastname: Coyle
authors.forename: Conall
authors.initials: C
authors.lastname: McCaughey
authors.forename: Frederick
authors.initials: F
authors.lastname: Mitchell
mesh_terms: D001483:Base Sequence; D002644:Chickenpox / Q000175:diagnosis; D004279:DNA, Viral / Q000235:genetics; D006558:Herpes Genitalis / Q000175:diagnosis; D006561:Herpes Simplex / Q000175:diagnosis; D006562:Herpes Zoster / Q000175:diagnosis; D018259:Herpesvirus 1, Human / Q000235:genetics* / Q000302:isolation & purification*; D018258:Herpesvirus 2, Human / Q000235:genetics* / Q000302:isolation & purification*; D014645:Herpesvirus 3, Human / Q000235:genetics* / Q000302:isolation & purification*; D006801:Humans; D016133:Polymerase Chain Reaction / Q000379:methods* / Q000706:statistics & numerical data; D012680:Sensitivity and Specificity; D014773:Virology / Q000379:methods / Q000706:statistics & numerical data
chemical_list: D004279:DNA, Viral