Single-nucleotide primer correction significantly improves qPCR/RT-qPCR performance for adenovirus detection: a case study of the modified Jothikumar kit
DOI:
https://doi.org/10.69139/baw87c74Keywords:
AdV3 , adenovirus detection, myocarditis, SYBR Green, primer design, primer–template mismatch, qPCR , qPCR sensitivity, viral diagnosticsAbstract
Background: Primer–template mismatches are an important yet frequently underestimated cause of reduced sensitivity in qPCR assays. Even a single mismatch, particularly near the 3′ terminus, can impair polymerase extension, delay amplification, and increase the limit of detection. The widely used Jothikumar adenovirus qPCR assay is known to perform suboptimally for human adenovirus type 3 (AdV3) due to mismatches within the binding region of the forward primer.
Material and methods: In this study, we assessed how correcting a single-nucleotide mismatch affects qPCR performance for AdV3. Using SYBR Green–based qPCR and ten-fold serial dilutions of quantified viral DNA, we compared amplification efficiency, Cq values, linearity, and analytical sensitivity between the original primer and a modified version designed to restore full complementarity.
Results: The original primer showed poor amplification efficiency, a shallow standard-curve slope, and a substantially elevated detection threshold. In contrast, the corrected primer achieved near-optimal efficiency, excellent linearity, improved reproducibility, and at least a ten-fold lower limit of detection. Across matched dilution points, the modified primer amplified approximately twenty cycles earlier than the unmodified version, demonstrating a profound impact on assay sensitivity.
Conclusion: These results show that even minimal optimization of primer sequence can markedly improve diagnostic performance. Routine in silico evaluation and periodic reassessment of primer–template compatibility should therefore be standard practice, especially for genetically variable viral targets such as adenoviruses.
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References
Wu, J. H., Hong, P. Y., & Liu, W. T. (2009). Quantitative effects of position and type of single mismatch on single base primer extension. Journal of microbiological methods, 77(3), 267–275. https://doi.org/10.1016/j.mimet.2009.03.001
Stadhouders, R., Pas, S. D., Anber, J., Voermans, J., Mes, T. H., & Schutten, M. (2010). The effect of primer-template mismatches on the detection and quantification of nucleic acids using the 5' nuclease assay. The Journal of molecular diagnostics: JMD, 12(1), 109–117. https://doi.org/10.2353/jmoldx.2010.090035
Huang, K., Zhang, J., Li, J., Qiu, H., Wei, L., Yang, Y., & Wang, C. (2024). Exploring the Impact of Primer-Template Mismatches on PCR Performance of DNA Polymerases Varying in Proofreading Activity. Genes, 15(2), 215. https://doi.org/10.3390/genes15020215
Zimmermann, F., Urban, M., Krüger, C., Walter, M., Wölfel, R., & Zwirglmaier, K. (2022). In vitro evaluation of the effect of mutations in primer binding sites on detection of SARS-CoV-2 by RT-qPCR. Journal of virological methods, 299, 114352. https://doi.org/10.1016/j.jviromet.2021.114352
Jothikumar, N., Cromeans, T. L., Hill, V. R., Lu, X., Sobsey, M. D., & Erdman, D. D. (2005). Quantitative real-time PCR assays for detection of human adenoviruses and identification of serotypes 40 and 41. Applied and environmental microbiology, 71(6), 3131–3136. https://doi.org/10.1128/AEM.71.6.3131-3136.2005
Bustin, S. A., Benes, V., Garson, J. A., Hellemans, J., Huggett, J., Kubista, M., Mueller, R., Nolan, T., Pfaffl, M. W., Shipley, G. L., Vandesompele, J., & Wittwer, C. T. (2009). The MIQE guidelines: minimum information for publication of quantitative real-time PCR experiments. Clinical chemistry, 55(4), 611–622. https://doi.org/10.1373/clinchem.2008.112797
Huggett JF, et al. The digital MIQE guidelines update: dMIQE2020. Nat Protoc, 2020.
Tóth, T., Csaba, Á., Bokor, A., & Ács, N. (2023). Variable fragment length allele-specific polymerase chain reaction (VFLASP), a method for simple and reliable genotyping. Molecular and cellular probes, 69, 101910. https://doi.org/10.1016/j.mcp.2023.101910
Jeanette Schulz-Menger, Valentino Collini, Jan Gröschel, Yehuda Adler, Antonio Brucato, Vanessa Christian, Vanessa M Ferreira, Estelle Gandjbakhch, Bettina Heidecker, Mathieu Kerneis, Allan L Klein, Karin Klingel, George Lazaros, Roberto Lorusso, Elena G Nesukay, Kazem Rahimi, Arsen D Ristić, Marcin Rucinski, Leyla Elif Sade, Hannah Schaubroeck, Anne Grete Semb, Gianfranco Sinagra, Jens Jakob Thune, Massimo Imazio, the ESC Scientific Document Group , 2025 ESC Guidelines for the management of myocarditis and pericarditis: Developed by the task force for the management of myocarditis and pericarditis of the European Society of Cardiology (ESC)
Endorsed by the Association for European Paediatric and Congenital Cardiology (AEPC) and the European Association for Cardio-Thoracic Surgery (EACTS), European Heart Journal, Volume 46, Issue 40, 21 October 2025, Pages 3952–4041, https://doi.org/10.1093/eurheartj/ehaf192
Alida L. P. Caforio, Sabine Pankuweit, Eloisa Arbustini, Cristina Basso, Juan Gimeno-Blanes, Stephan B. Felix, Michael Fu, Tiina Heliö, Stephane Heymans, Roland Jahns, Karin Klingel, Ales Linhart, Bernhard Maisch, William McKenna, Jens Mogensen, Yigal M. Pinto, Arsen Ristic, Heinz-Peter Schultheiss, Hubert Seggewiss, Luigi Tavazzi, Gaetano Thiene, Ali Yilmaz, Philippe Charron, Perry M. Elliott, Current state of knowledge on aetiology, diagnosis, management, and therapy of myocarditis: a position statement of the European Society of Cardiology Working Group on Myocardial and Pericardial Diseases, European Heart Journal, Volume 34, Issue 33, 1 September 2013, Pages 2636–2648, https://doi.org/10.1093/eurheartj/eht210
Theresa A McDonagh, Marco Metra, Marianna Adamo, Roy S Gardner, Andreas Baumbach, Michael Böhm, Haran Burri, Javed Butler, Jelena Čelutkienė, Ovidiu Chioncel, John G F Cleland, Andrew J S Coats, Maria G Crespo-Leiro, Dimitrios Farmakis, Martine Gilard, Stephane Heymans, Arno W Hoes, Tiny Jaarsma, Ewa A Jankowska, Mitja Lainscak, Carolyn S P Lam, Alexander R Lyon, John J V McMurray, Alexandre Mebazaa, Richard Mindham, Claudio Muneretto, Massimo Francesco Piepoli, Susanna Price, Giuseppe M C Rosano, Frank Ruschitzka, Anne Kathrine Skibelund, ESC Scientific Document Group , 2021 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure: Developed by the Task Force for the diagnosis and treatment of acute and chronic heart failure of the European Society of Cardiology (ESC) With the special contribution of the Heart Failure Association (HFA) of the ESC, European Heart Journal, Volume 42, Issue 36, 21 September 2021, Pages 3599–3726, https://doi.org/10.1093/eurheartj/ehab368
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