Human rhinoviruses (RVs), comprising three species (A, B, and C) of the genus Enterovirus, are responsible for the majority of upper respiratory tract infections and are associated with severe lower respiratory tract illnesses such as pneumonia and asthma exacerbations. High genetic diversity and continuous identification of new types necessitate regular updating of the diagnostic assays for the accurate and comprehensive detection of circulating RVs. Methods for molecular typing based on phylogenetic comparisons of a variable fragment in the 5= untranslated region were improved to increase assay sensitivity and to eliminate nonspecific amplification of human sequences, which are observed occasionally in clinical samples. A modified set of primers based on new sequence information and improved buffers and enzymes for seminested PCR assays provided higher specificity and sensitivity for virus detection. In addition, new diagnostic primers were designed for unequivocal species and type assignments for RV-C isolates, based on phylogenetic analysis of partial VP4/VP2 coding sequences. The improved assay was evaluated by typing RVs in >3,800 clinical samples. RVs were successfully detected and typed in 99% of the samples that were RV positive in multiplex diagnostic assays.
Rhinoviruses (RVs) are members of the genus Enterovirus of the family Picornaviridae and are currently classified into three species (A, B, and C). More than 160 RV types have been identified to date, including 99 classic serotypes of RV-A and RV-B (1) and 6, 5, and 51 novel genotypes of RV-A, RV-B, and RV-C, respectively, classified genetically in the absence of serological cross-neutralization data (2-4). RVs are responsible for the majority of upper respiratory tract infections (common colds) and also can cause more severe illnesses of the lower respiratory tract, such as pneumonia and asthma exacerbations. The species affects the virulence, as RV-A and RV-C cause more severe illnesses in infants and are more likely to cause exacerbations of childhood asthma (5, 6).RV is a positive-sense single-stranded RNA virus with a genome of 7.1 to 7.2 kb, consisting of a single gene that codes for a long polyprotein of about 2,100 amino acids. The translated polyprotein is cleaved by viral proteases 2A and 3C to yield 11 mature proteins. The viral capsid is composed of 60 copies each of the VP4, VP2, VP3, and VP1 proteins. There are two untranslated regions (UTRs), i.e., the 5= UTR, which is typically 610 to 630 bases long and precedes the open reading frame, and the 3= UTR, which consists of 40 to 45 bases upstream of the poly(A) tract. The 5= and 3= UTRs contain a number of structural and sequence elements necessary for viral genome translation and replication. Sequence analyses of RVs reveal high genetic diversity, especially in the capsid-coding region, and evidence for recombination events mapped mainly in the 5= UTR and the protease 2A gene (7,8).Molecular methods for viral genome detection and sequencing directly in clinical samples are essential f...