Title Pan-viral screening of respiratory tract infections in adults with and without asthma reveals unexpected human coronavirus and human rhinovirus diversity.
Author Kistler, Amy; Avila, Pedro C; Rouskin, Silvi; Wang, David; Ward, Theresa; Yagi, Shigeo; Schnurr, David; Ganem, Don; DeRisi, Joseph L; Boushey, Homer A
Journal J Infect Dis Publication Year/Month 2007-Sep
PMID 17703411 PMCID PMC7109683
Affiliation 1.Howard Hughes Medical Institute, Department of Medicine, University of California, San Francisco, CA 94158, USA. amy@derisilab.ucsf.edu.

BACKGROUND: Between 50% and 80% of asthma exacerbations are associated with viral respiratory tract infections (RTIs), yet the influence of viral pathogen diversity on asthma outcomes is poorly understood because of the limited scope and throughput of conventional viral detection methods. METHODS: We investigated the capability of the Virochip, a DNA microarray-based viral detection platform, to characterize viral diversity in RTIs in adults with and without asthma. RESULTS: The Virochip detected viruses in a higher proportion of samples (65%) than did culture isolation (17%) while exhibiting high concordance (98%) with and comparable sensitivity (97%) and specificity (98%) to pathogen-specific polymerase chain reaction. A similar spectrum of viruses was identified in the RTIs of each patient subgroup; however, unexpected diversity among human coronaviruses (HCoVs) and human rhinoviruses (HRVs) was revealed. All but one of the HCoVs corresponded to the newly recognized HCoV-NL63 and HCoV-HKU1 viruses, and >20 different serotypes of HRVs were detected, including a set of 5 divergent isolates that formed a distinct genetic subgroup. CONCLUSIONS: The Virochip can detect both known and novel variants of viral pathogens present in RTIs. Given the diversity detected here, larger-scale studies will be necessary to determine whether particular substrains of viruses confer an elevated risk of asthma exacerbation.

StrainID RV Species Serotype Length(nt) Country Year Strain Name
CNC00134 C 1 6944 None 2001 NAT001
CNC06049 C 1 6944 USA 2001 NAT001
CNS06048 C 2 7015 USA 2003 NAT045
UNS00747 Unclassified None 438 USA 2002 NAT009
UNS00748 Unclassified None 513 USA 2002 NAT018
UNS00749 Unclassified None 516 USA 2003 NAT051
UNS00750 Unclassified None 560 USA 2002 NAT028
UNS00751 Unclassified None 560 USA 2002 NAT021
UNS00752 Unclassified None 560 USA 2003 NAT038
UNS00753 Unclassified None 512 USA 2003 NAT040
UNS00754 Unclassified None 560 USA 2003 NAT046
UNS00755 Unclassified None 560 USA 2003 NAT053
UNS00756 Unclassified None 319 USA 2003 NAT047
UNS00757 Unclassified None 562 USA 2003 NAT049
UNS00758 Unclassified None 559 USA 2002 NAT025
UNS00759 Unclassified None 551 USA 2002 NAT026
UNS00760 Unclassified None 451 USA 2002 NAT008
UNS00761 Unclassified None 502 USA 2002 NAT023
UNS00762 Unclassified None 460 USA 2001 NAT001
UNS00763 Unclassified None 468 USA 2003 NAT045
UNS00764 Unclassified None 439 USA 2003 NAT063
UNS00765 Unclassified None 455 USA 2003 NAT065
UNS00766 Unclassified None 480 USA 2003 NAT069
UNS00767 Unclassified None 436 USA 2004 NAT080
UNS00768 Unclassified None 458 USA 2004 NAT087
UNS00769 Unclassified None 440 USA 2004 NAT088
UNS00770 Unclassified None 464 USA 2003 NAT059
UNS00771 Unclassified None 469 USA 2003 NAT060
UNS00772 Unclassified None 446 USA 2003 NAT066
UNS00773 Unclassified None 475 USA 2003 NAT070
UNS00774 Unclassified None 473 USA 2004 NAT083
UNS00775 Unclassified None 456 USA 2004 NAT084
UNS00776 Unclassified None 362 USA 2003 NAT057
UNS00777 Unclassified None 414 USA 2003 NAT061
UNS00778 Unclassified None 382 USA 2003 NAT062
UNS00779 Unclassified None 417 USA 2004 NAT089
UNS00780 Unclassified None 446 USA 2004 NAT024
UNS00781 Unclassified None 561 USA 2003 NAT037
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