key: cord-331616-arnuoufn
authors: Blank, Walter A.; Henderson, Kenneth S.; White, Lisa A.
title: Virus PCR Assay Panels: An Alternative to the Mouse Antibody Production Test
date: 2004
journal: Lab Anim (NY)
DOI: 10.1038/laban0204-26
sha: 
doc_id: 331616
cord_uid: arnuoufn

Antibody production tests have traditionally been used to test biological materials for viral contamination. Now molecular biology techniques have emerged as an alternative. The authors compare MAP testing with PCR-based detection methods, focusing on differences in animal use, laboratory requirements, sample size, and limits of detection.

The transmission of viruses through biological materials is of great concern to many researchers and managers of lab animal facilities. There is ample documentation 1 for the confounding effects of such transmission on research of viral infections in experimental animals (often in the absence of clinical disease). Of even greater concern, outbreaks of infection among laboratory workers by zoonotic agents such as lymphotrophic choriomeningitis virus (LCMV) 2 and hantavirus 3 are traceable to contaminated biological materials transplanted into animals. The biosecurity tenets of many research organizations require screening for viral agents of all cell lines, tumors, sera, and other biologicals before implantation or inoculation into animal models. Federal guidelines 4,5 also dictate that monoclonal antibodies (mAbs) and other biotechnology products derived from tissues or cell lines of animal origin are demonstrated to be free of viral contamination before their use for therapeutic or diagnostic purposes.

Until recently, the mouse antibody production (MAP) test was the primary method of screening for viruses of murine origin 6 ( Table 1) , but the application of modern molecular biology methods to this purpose presents certain advantages. In this article, we compare MAP testing with the polymerase chain reaction (PCR) for the detection of viral agents. Although our discussion concentrates on MAP testing in particular, the concepts presented in this paper are also applicable to rat and hamster antibody production (RAP and HAP) tests.

Rowe et al. 7 first developed MAP testing as a simple and equally sensitive alternative to tissue culture for the detection of polyoma virus, and others have since applied it to simplify the detection of other agents [8] [9] [10] [11] [12] . Typical testing involves inoculating mice by multiple routes with a test article and holding them in isolation for a minimum of four weeks 6 . Researchers then collect serum 

sized DNA molecules may act as templates for further amplification. The result of the process is an exponential increase in the number of target sequences, potentially creating billions of copies (also referred to as 'amplicons') from a single DNA template. Subsequent detection of the PCR products involves performing gel electrophoresis on an aliquot of the reaction mixture. After staining for visualization, the DNA molecules appear as discrete bands separated on the basis of their length, allowing for identification of the PCR product if the target sequence was present in the original sample.

Because PCR amplifies only DNA molecules, one detects viruses with RNA samples from the animals and test them for virus-specific antibodies using the enzymelinked immunosorbent (ELISA), indirect fluorescent antibody (IFA), or hemagglutination inhibition (HAI) assays. Detection of virus-specific antibodies indicates the presence of that virus in the test article. The detection of lactate dehydrogenase-elevating virus (LDV), for which an effective antibody test does not exist, consists of screening serum for elevated levels of the enzyme lactate dehydrogenase.

The literature contains a number of surveys demonstrating the importance of MAP testing in the screening for viral agents ( Table 2) . LDV seems presently to be the most frequent contaminant, although reovirus, LCMV, minute virus of mice (MVM), and mouse hepatitis virus (MHV) are also detected regularly. The general trend during the last three decades seems to be toward fewer cases of contamination of the biological materials tested with the viral agents of interest. This decrease in prevalence coincides with a reduced rate of viral infections in animal colonies, a result of stricter biosecurity measures throughout the laboratory animal community-measures that include MAP testing of materials.

Molecular biology methods permit the assaying of test articles directly for the presence of specific nucleic acids from contaminating infectious agents, as opposed to indirectly testing for the elicitation of an immune response. PCR is one of the most powerful and flexible of these molecular techniques, and in recent years it has been applied toward the replacement of MAP testing [13] [14] [15] [16] [17] [18] [19] [20] .

The basic principle behind PCR is the in vitro amplification of a particular DNA sequence (e.g., a viral gene) in a sample to easily detectable levels, using a thermostable DNA polymerase enzyme (usually Taq polymerase), oligonucleotide primers specific for the target of interest, and a computer-controlled thermocycler that precisely manipulates the reaction temperatures 21 (Fig. 1A) . With each cycle of the PCR, newly synthe- RT-PCR can involve either a two-step reaction (generation of cDNA, then transfer of an aliquot to the PCR mixture) or a single step, in which the enzymes required for both reactions are present in the same tube.

Researchers have adapted numerous variations on the PCR method for the detection of infectious agents, all of which can be performed on DNA templates as well as on RNA templates after an RT step. A recent development that is particularly useful for diagnostic applications is the fluorogenic 5′-nuclease assay 23 , also known as TaqMan PCR, which makes use of an additional dye-labeled oligonucleotide probe that specifically hybridizes to the PCR product ( Fig. 1B) . As the amplification pro-gresses, the probe binds to the PCR product template and undergoes digestion by the polymerase enzyme, releasing a detectable fluorescent signal that may be read on a fluorometer after completion of the reaction or that can be monitored 'real-time' during the course of the reaction by a specialized thermocycler, permitting quantification of starting templates. Product detection by fluorescence permits a very high level of sensitivity, greatly simplifies post-PCR analysis, and lends itself to a 96-well plate format, allowing the use of semiautomated and automated procedures as throughput needs require.

Any appropriately equipped laboratory can support the performance of PCR for the detection of murine viruses (see 'Laboratory Requirements' below), using assays published in the literature or developed on the premises, although several commercial providers of these services exist FIGURE 2. Among the advantages of the use of PCR rather than MAP testing is the substantial reduction in time needed to complete the test.

( Table 3 ). Costs will vary not only with providers but also depending on the number of agents of interest for testing. Generally, different panels of assays are available depending on customer needs. For instance, Charles River Laboratories (CRL) offers an "Essential" panel of 12 viruses and a "Comprehensive" panel of 18 viruses, although assays for individual viruses are also available. Virus PCR assay panels may also include testing for mycoplasmas, which are common bacterial contaminants of tumor and cell lines 24, 25 .

The steps involved in the MAP and PCR testing procedures appear in Figure 2 .

(Unless otherwise specified, comparisons between the procedures originate from protocols used at CRL.) MAP test sample preparation consists of homogenization, inactivation by osmotic lysis/freeze-thaw, and dilution as necessary before inoculation into the animals. Between 5 and 21 days after inoculation, technicians euthanize for serum collection the animals designated for LDV testing, and they collect serum for viral antibody testing from all other animals no sooner than 28 days after inoculation. For PCR, technicians extract the total nucleic acid (TNA; i.e., DNA and RNA) by chemical lysis of the test articles, followed by binding and washing on miniature columns containing silica resin, and elution from the columns. They can then use the aliquots of the purified TNA directly for PCR to detect DNA viruses, or they can subject them to RT before PCR for RNA viruses.

The animal facilities and trained personnel required for MAP testing are generally already present in organizations doing other types of animal experimentation. Because of the potential for infection, it is advisable to conduct MAP testing in facilities that are separate from areas used to house other animal studies. MAP testing requires immunocompetent mice free of antibodies against viral pathogens, and one must take additional precautions, such as using sterilized microisolation units and 

performing all animal manipulation in a biosafety cabinet, to avoid infection by viruses other than those potentially in the test articles and to prevent infection of other animals in the facility. Detection of antibodies (or enzyme levels, in the case of LDV) specific to the agents in question requires access to a serological testing laboratory. PCR testing requires personnel trained in molecular biology techniques and specialized equipment, which includes still-air work hoods for sample processing, thermal cyclers, and gel electrophoresis equipment and/or fluorometric detection systems. To prevent false-positive results due to contamination with PCR templates, reagent preparation, sample processing, and PCR amplification/product detection should all take place in separate laboratories. Ideally, personnel should have laboratory-specific gowning and equipment, and workflow should proceed from 'clean' to 'dirty' areas to prevent the contamination of reagents and samples with amplicons generated in the amplification area.

A primary advantage of using PCR panels is the reduction in the time between submission of the sample and reporting of results. MAP testing protocols require a minimum of 28 days after inoculation to allow the animals to mount a detectable immune response; specimen preparation and serological testing will contribute additional time to the total required for this method. By comparison, PCR allows the processing of test articles and analysis of results in a period as short as one to two days, although the number of samples being analyzed and resources available may increase turnaround time. Generally, PCR results become available in less than one week.

Standard MAP testing protocols call for a minimum of 3.5 ml of test material, enough to inoculate five mice with 0.5 ml intraperitoneally, 0.05 ml intranasally, and 0.05 ml orally, and to inoculate another five mice similarly with a 10-fold dilution of the test material. One can dilute smaller amounts of 

One of the most serious concerns with the use of PCR in a diagnostic capacity is that its high sensitivity makes it susceptible to false-positive results because of contaminating templates. Three potential sources of this contamination are other samples, experimental materials such as positive controls, and PCR products generated by previous reactions against the same target sequence 26 . However, adequate precautions and controls can minimize contamination and detect it as such before erroneous results are reported.

The most effective method of contamination prevention is separation of tasks (reagent preparation; sample preparation; PCR amplification, and analysis) into different labs and maintenance of strict workflow procedures from 'clean' to 'dirty' areas. There must be no transfer between areas of room-designated equipment (pipettors, sample racks, etc.) and gowning. Personnel should only manipulate positive control templates in the amplification lab, and if possible, should prepare them in facilities separate from routine sample extraction. A quality control and tracking program for sample extraction and PCR reagents should also be in place. Assigning lot numbers when reagents are prepared and identification of aliquots in use can be very helpful in tracing the source of contamination in the event that it does occur, and personnel should use single-use aliquots whenever possible. To monitor contamination of reagents, personnel should always perform negative control reactions.

Strongly positive test articles present a potential source of contamination during sample preparation. During the processing steps, it is important to handle samples individually with no more than one tube open whenever possible. Still-air hood PCR workstations can help avoid transfer of aerosols between samples. A practice that we recommend is the submission of duplicate samples (e.g., two aliquots of the same test article) for PCR panel testing. Only one of the aliquots undergoes initial testing; in the event of a positive result, the untouched 'retain' sample undergoes extraction and retesting by the positive assay (including controls) to confirm the positive result.

Carryover contamination of PCR products from previous reactions is of particular concern, especially when analyzing PCR products on a gel; one can prevent it by a combination of including the enzyme uracil N-glycosylase (UNG) and substituting the nucleotide deoxyuracil (dU) for thymine in PCR master mixes 26 . The alternate nucleotide becomes incorporated into all PCR products during the course of the reaction. In subsequent reactions, a brief incubation before PCR allows UNG to degrade any DNA molecules containing dU-that is, any products potentially carried over from earlier reactions-making them unavailable for amplification. 'Legitimate' templates containing thymine are unaffected, and the UNG is inactivated before PCR begins.

Serological assays may also give falsepositive results for numerous reasons, including incompletely purified antigens and cross-reactive antibodies 27 . Particular difficulties in the interpretation of MAP test results may arise if antibodies generated against the actual biological material being tested react with the cell culture control materials used in the preparation of ELISA antigens.

Although noninfectious virus particles can elicit an immune response, high anti-body titers are most likely to develop after active viral infections 6 , requiring the presence of adequate numbers of infectious viral particles for MAP testing to be successful. Many viruses can become noninfectious with changes in temperature or pH, possibly resulting in inactivation during storage, transportation, or preparation of the test article. By contrast, PCR testing can detect infectious and noninfectious virus particles alike, provided that the sample has not been mishandled to such an extent that the nucleic acid has degraded. PCR assays may be subject to inhibition by substances present in the test article that are not completely removed during the nucleic acid extraction procedure, leading to false-negative results. It is possible to detect inhibition by performing a separate 'spike' control assay in which limited copy numbers of another template are added along with the extracted sample to the PCR mixture. An independent assay evaluation of this assay with a positive result indicates the absence of PCR inhibitors.

Degradation of nucleic acids or inefficient recovery during extraction from test articles can also give false-negative results. One can control for this by adding another exogenous template in the early stages of sample preparation, then testing the final TNA extract for that template. This nucleic acid recovery control may also act as a spike control for PCR inhibitors, although separation of the two controls can simplify troubleshooting of a failed assay.

A summary of the published detection sensitivities of a number of PCR assays, along with some of our own sensitivity data, appears in Table 4 . In a direct comparison of the PCR assays listed with MAP testing, 13 PCR assays were more sensitive than MAP testing and 5 were equally sensitive. The choice of animals used can influence the sensitivity of MAP testing itself, because some viruses elicit different levels of antibody response in particular mouse strains 28, 29 . The limit of detection among PCR assays can vary greatly with the PCR technology, primer design, amplicon size, RESOURCE reagents using documented standard operating procedures. Appropriate documentation of all data and regular review by a Quality Assurance/Regulatory Affairs department are also necessary components of the process.

A distinct advantage of PCR panel testing is the replacement of animal-based testing with a series of in vitro assays, consistent with the 3 Rs of humane experimental technique (reduction, replacement, and refinement) 33 . CRL's standard MAP testing procedure involves the inoculation of 10 mice with the test article and diluted test article, and another 4 mice with a negative control article. PCR use thus avoids the use of up to 14 animals per test article, along with any associated distress.

Screening of biological materials for infectious agents before use for in vivo experimentation is an important precaution for research integrity. Although the traditional method of accomplishing this has been serologically by the MAP test, the use of modern molecular biology techniques such as PCR permits such testing to be done much more rapidly with greater sensitivity and high reliability, provided that adequate controls are implemented. cycle parameters, PCR reagents, and nucleic acid extraction procedures. Furthermore, comparisons between different PCR assays for the same agent can be difficult to make when based on indirect virus titer methods such as infectivity assays. The sensitivity of these titering methods is highly dependent on a number of variables, including virus strain, host animal or cell line susceptibility, the ratio of infective to noninfective virus particles in the particular virus stock being tested, and culturing techniques.

For both MAP and PCR, assays that are very sensitive for known virus strains may not be capable of detecting divergent or newly emerging strains. Such was recently the case with a serological assay for MVM: the MVM ELISA did not detect the closely related mouse parvovirus (MPV) because of differences in their respective virus capsid proteins 30 . Similarly, PCR primers and probes must be targeted to genetic sequences that are highly conserved among all strains of the agent being tested. Agents with divergent sequences between strains or subspecies may require multiple (or degenerate) PCR primers or probes 31 within a reaction mixture, or may require additional assays. For instance, the absence of highly conserved sequences between hantaviruses led us to design separate assays for the Hantaan and Seoul strains.

The widespread use of antibody production tests during the past decades has led to their broad acceptance as the method of choice to detect rodent viruses in biological materials to be used for studies following Good Laboratory Practices (GLP), as well as in products for human use such as biotechnology products derived from cell lines or mAbs. As such, FDA guidelines specifically mention antibody production tests 4, 5 . One can also use other tests of at least equivalent sensitivity and reliability-including PCR tests-provided that adequate validation of each method is performed with respect to such aspects as sensitivity, selectivity (specificity), reproducibility, and stability 32 . Such validation experiments must take place on validated equipment with quality-controlled

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