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Rapid, sensitive, and specific, low-resource molecular detection of Hendra virus
Journal article   Open access   Peer reviewed

Rapid, sensitive, and specific, low-resource molecular detection of Hendra virus

N.M. Pollak, G.A. Marsh, M. Olsson, D. McMillan and J. Macdonald
One Health, Vol.16, pp.1-7
2023
PMCID: PMC10288022
PMID: 37363221
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1-s2.0-S2352771423000241-main1.62 MBDownloadView
Published Version Open Access CC BY V4.0
url
https://doi.org/10.1016/j.onehlt.2023.100504View
Published Version

Abstract

Hendra virus Isothermal amplification N gene Nucleic acid amplification test Nucleic acid extraction Nucleic acid lateral flow Rapid test Recombinase polymerase amplification Point of care
Efficient and accurate diagnosis of Hendra virus (HeV), a biosafety level 4 (BSL 4) pathogen and zoonotic disease, is of primary importance for surveillance and outbreak control in the Australian equine industry. Sporadic HeV spillover events pose a serious public health concern and are predicted to expand geographically, aligning with the moving distribution of the main reservoir hosts, the flying foxes. Here we describe the development of a low resource rapid Hendra test. The test used a fast and simple sample processing protocol followed by reverse transcription isothermal recombinase polymerase amplification (RT RPA) combined with lateral flow detection (LFD) technology. Results were obtained in 30 min and required only a heating block, ice, and pipettes for liquid handling. The one step sample processing protocol inactivated HeV in 2 min, providing a simple protocol that could enable safe testing outside of a laboratory. Analytical sensitivity testing demonstrated a detection limit of 1000 copies/μL of synthetic HeV RNA, and analytical specificity testing indicated assays did not detect other pathogens. Gamma irradiated HeV spiked in viral transport medium was detected with high sensitivity, down to 10,000 TCID50/mL, the equivalent of 18 RNA copies per reaction. Collectively, our data suggests that our rapid Hendra test offers a potential first line screening on site alternative to gold standard RT PCR detection, which requires samples to be shipped to central containment laboratories, thermocyclers and labour intensive viral RNA purification, with testing time of approximately four hours. Our rapid Hendra test provided performance and speed without compromising sensitivity and specificity, and could become a promising more accessible tool for testing under resource limited conditions for the veterinary community and thoroughbred industry.

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