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Table 1.

Composition of stool specimen collection used for parallel testing by poliovirus serotype and genotype determined prior by virus isolation, ITD and sequencing.

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Fig 1.

Schematic of poliovirus cellular attachment and the principle of soluble recombinant PVR-His enrichment.

(A) Poliovirus attaches to cell bound PVR during natural infection. (B) Binding of soluble recombinant PVR-histidine and poliovirus. (C) Capture of PVR-histidine with nickel-agarose solution and pelleting of the PVR-His/poliovirus nickel agarose complex through centrifugation, removal of supernatant, and downstream application.

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Table 2.

Development of the PVR-His protein capture assay using different concentrations of nickel agarose and PVR-His protein.

Fold change of mean RNA copy numbers with PVR-His capture (enrichment step) were compared to extracted RNA without PVR-His. P-values were calculated by t-test. Quantitative RT-PCR was performed using 1 μL template RNA.

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Table 3.

Development of the PVR-His protein capture assay using different concentrations of PVR-His protein and PEG buffer.

Fold change of mean RNA copy numbers with PVR-His capture (enrichment step) in PEG buffer were compared to extracted RNA without PVR-His addition. P-values were calculated by t-test. Quantitative RT-PCR was performed using 10 μL template RNA.

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Table 4.

Comparison of virus isolation and the PVR-His protein capture method on limiting dilutions of PV1-positive stools.

The lowest titer of poliovirus by culture and the lowest titer of poliovirus detectable by the PVR-His capture assay is listed.

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Table 5.

Two-by-two table comparison of poliovirus detection in the culture-independent detection method (PVR-His capture) followed by RNA extraction and standard virus isolation.

Results from a total of 182 stool specimens are shown that were selected on the results from previous testing for poliovirus in virus isolation, ITD PCR, and VP1 sequencing (Table 1).

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Fig 2.

Parallel testing assay-by-assay results for PV-positive stools.

Poliovirus RNA was extracted after PVR-His enrichment and screened in ITD real-time RT-PCR for all samples. CT values are shown by ITD assay and when positive in PVR-His enrichment/RNA extraction but negative in virus isolation.

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