| Literature DB >> 34748815 |
Fee Zimmermann1, Maria Urban1, Christian Krüger1, Mathias Walter1, Roman Wölfel1, Katrin Zwirglmaier2.
Abstract
A number of RT-qPCR assays for the detection of SARS-CoV-2 have been published and are listed by the WHO as recommended assays. Furthermore, numerous commercial assays with undisclosed primer and probe sequences are on the market. As the SARS-CoV-2 pandemic progresses, the virus accrues mutations, which in some cases - as seen with the B.1.1.7 variant - can outperform and push back other strains of SARS-CoV-2. If mutations occur in primer or probe binding sites, this can impact RT-qPCR results and impede SARS-CoV-2 diagnostics. Here we tested the effect of primer mismatches on RT-qPCR performance in vitro using synthetic mismatch in vitro transcripts. The effects of the mismatches ranged from a shift in ct values from -0.13 to +7.61. Crucially, we found that a mismatch in the forward primer has a more detrimental effect for PCR performance than a mismatch in the reverse primer. Furthermore, we compared the performance of the original Charité RdRP primer set, which has several ambiguities, with a primer version without ambiguities and found that without ambiguities the ct values are ca. 3 ct lower. Finally, we investigated the shift in ct values observed with the Seegene Allplex kit with the B.1.1.7 SARS-CoV-2 variant and found a three-nucleotide mismatch in the forward primer of the N target.Entities:
Keywords: Diagnostics; Primer mismatch; RT-PCR; SARS-CoV-2
Mesh:
Substances:
Year: 2021 PMID: 34748815 PMCID: PMC8570391 DOI: 10.1016/j.jviromet.2021.114352
Source DB: PubMed Journal: J Virol Methods ISSN: 0166-0934 Impact factor: 2.014
Effect of mismatches in template on PCR. * RdRP primer RdRP_SARSr-F2/RdRP_SARSr-R1.corrECDC (with ambiguities), § RdRP primers RdRP_SARSr-F2.new/RdRP_SARSr-R1.new (without ambiguities).
| Mismatch | max fequency % /date | Mutation | Mismatch type | distance from 3′ end | delta ct compared to wildtype | Annealing temp used to generate mismatch template | |
|---|---|---|---|---|---|---|---|
| data from ECDC PrimerScan | primer : mismatch IVT | normal PCR | to generate mismatch template | ||||
| RdRP MM F8 | 0.46 /06-2020 | G => T | G : A | 15 | −0.01*/+0.16 § | 58 | 58 |
| N_Sarbeco MM R8 | 1.37 /06-2020 | C => A | G : A | 13 | 3.48 | 58 | 56 |
| N_Sarbeco MM R13 | 2.40 /06-2020 | C => A | G : A | 8 | 1.05 | 58 | 56 |
| CDC N1 MM R15 | 0.17 /03-2020 | C => T | G : T | 10 | 6.79 | 55 | 55 |
| CDC N1 MM R21 | 0.50 /08-2020 | T => G | A : G | 4 | 2.31 | 55 | 55 |
| CDC N1 MM R22 | n.d. | G => T | C : T | 3 | 1.54 | 55 | 55 |
| CDC N3 MM F8 | 4.18 /02-2020 | T => C | T : G | 15 | 4.37 | 55 | 55 |
| CDC N3 MM R14 | 0.17 /02-2020 | G => T | C : T | 8 | 2.86 | 55 | 55 |
| CDC N3 MM F10 | 0.39 /06-2020 | G => T | C : T | 13 | 1.6 | 55 | 55 |
| Japan N MM F20 | 0.27 /07-2020 | C => T | C : T | 1 | 7.61 | 60 | 60 |
| Japan N-neu MM R17 | 0.50 /05-2020 | G => C | C : C | 4 | 3.44 | 60 | 51 |
| Japan N-neu MM R18 | 0.64 /01-2020 | T => G | A : G | 3 | 5.25 | 60 | 51 |
| IP2 MM R8 | n.d. | A => G | T : G | 11 | −0.13 | 58 | 56 |
| IP2 MM R17 | 0.45 /06-2020 | C => T | G : T | 2 | 2.3 | 58 | 58 |
Fig. 1PCR results using the published primers with the correct templates and mismatched templates. Dilution series were done in triplicate. Size of the symbols represents one (small), two (medium sized) or three (large) positive replicates.
Fig. 2PCR results using the Seegene Allplex assay with SARS-CoV-2 wild type and variant B.1.1.7. Dilution series were done in triplicate. Size of the symbols represents one (small), two (medium sized) or three (large) positive replicates.
Fig. 3Alignment of the 5’ end of the amplicon of the N-assay of the Seegene Allplex against WuhanHu1 and B1.1.7.