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Emergence of circulating influenza A H3N2 viruses with genetic drift in the matrix gene: be alert of false-negative test results.


ABSTRACT: In March 2022, we observed samples with a negative fluorescent signal (60.5%, n = 43) for the influenza A matrix gene and a stronger positive signal for subtype A(H3N2). Forty-three samples were positive in InfA (H3N2) (mean Cq 30.9, range 23.9-35.1), and 26 of the 43 samples were negative in InfA matrix (mean Cq 28.0, range 23.2-30.6). Our multiplex test is a laboratory-developed four-target, four-color influenza A reverse-transcription PCR assay targeting the matrix gene, subtypes A(H3N2) and A(H1N1)pdm09. Several samples were negative when retested on commercial influenza Point-of-Care assays. As the matrix gene is a stand-alone target in most commercial diagnostic assays, we caution against false-negative subtype A test results.

SUBMITTER: Jorgensen RL 

PROVIDER: S-EPMC9544743 | biostudies-literature | 2022 Oct

REPOSITORIES: biostudies-literature

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Emergence of circulating influenza A H3N2 viruses with genetic drift in the matrix gene: be alert of false-negative test results.

Jørgensen Rikke Lind RL   Lerche Christian Johann CJ   Pedersen Martin Schou MS   Kirkby Nikolai Soren NS   Botnen Amanda Bolt AB   Trebbien Ramona R   Nilsson-Møller Stephen S   Pinholt Mette M   Nielsen Alex Christian Yde ACY   Westh Henrik H   Lisby Jan Gorm JG   Schneider Uffe Vest UV  

APMIS : acta pathologica, microbiologica, et immunologica Scandinavica 20220810 10


In March 2022, we observed samples with a negative fluorescent signal (60.5%, n = 43) for the influenza A matrix gene and a stronger positive signal for subtype A(H3N2). Forty-three samples were positive in InfA (H3N2) (mean Cq 30.9, range 23.9-35.1), and 26 of the 43 samples were negative in InfA matrix (mean Cq 28.0, range 23.2-30.6). Our multiplex test is a laboratory-developed four-target, four-color influenza A reverse-transcription PCR assay targeting the matrix gene, subtypes A(H3N2) and  ...[more]

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