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Dear Sir/ Madam,

Dengue is a mosquito-borne viral disease caused by dengue virus serotype 1 to 4 (DENV 1 to 4). Dengue outbreaks are common in both east and west Malaysia. Between July 2016 and December 2017, 200 serum samples were found to be positive for dengue by rapid test (Panbio Dengue Duo Cassette and Panbio Dengue Early rapid test kits; Abbott, Australia) of samples collected from patients in Sandakan and Kudat of Sabah state during dengue outbreaks. Serotypes of the dengue viruses were determined by reverse transcriptase polymerase chain reaction (RT-PCR) followed by nested PCR. C-prM primers designed by Lanciotti et al.1 and later redesigned by Chien et al.2 were used for the purpose. All the four dengue serotypes were detected with PCR products with specific sizes in gel electrophoresis. However, in four samples, no serotype-specific band was amplified by the nested PCR, while they were dengue-positive in RT-PCR showing 511 base pair (bp) amplicon.

It was first presumed that these DENV might belong to a new DENV serotype, accordingly nucleotide sequences of the 511 bp amplicons of the four samples were determined. As a result, all the four samples (K35, K81, S23, and K75) (K and S stand for Kudat and Sandakan respectively) were found to belong to DENV4.

Then the sequences of these samples were aligned with that of DENV 4 reverse primer (rTS4) (Figure 1).

LETTER TO THE EDITOR

Detection of Four Mismatched Nucleotides between DENV4 Specific C-prM Primer (rTS4) and Current DENV 4 Sequences in Sabah

Tin Sabai Aung1*, Amalina Emran1, Tin Tin Thein1, Timothy Jr Gintarong1, Nobumichi Kobayashi2

Borneo Journal of Medical Sciences 13 (2) May, 2019: 61 – 63

1 Department of Pathobiology and Medical Diagnostics,

Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah.

Kota Kinabalu, Sabah, Malaysia

2 Department of Hygiene, Sapporo Medical University, School of Medicine, Sapporo, Japan

* Corresponding author’s email:

[email protected] Received: 13 February 2019 Accepted: 30 April 2019 How to Cite:

Aung, T., Emran, A., Thein, T., Gintarong, T.,

& Kobayashi, N. (2019). Detection of four mismatched nucleotides between DENV4 specific C-prM primer (rTS4) and current DENV 4 sequences in Sabah. Borneo Journal of Medical Sciences (BJMS), 13 (2), 61–63. Retrieved from https://jurcon.ums.edu.my/ojums/index.php/

bjms/article/view/1696

Borneo Journal of Medical Sciences BJMS

Keywords: dengue 4 C-prM primers

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62

Borneo Journal of Medical Sciences 13 (2) May, 2019: 61 6311 (3): 35 38

The DENV4 specific primer rTS4 was found to have four mismatched nucleotides to the current DENV4 sequences in Sabah leading

to the absence of DENV4 specific bands (260 bp) in nested PCR.

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Figure 1 Alignment of DENV4 sequences of samples (K35, K81, S23, and K75) and rTS4 primer

sequence. Primer mD1 sequence is shaded and reverse complement sequence of rTS4 primer is bolded. Asterisk indicates identical nucleotide.

Figure 1 Alignment of DENV4 sequences of samples (K35, K81, S23, and K75) and rTS4 primer sequence. Primer mD1 sequence is shaded and reverse complement sequence of rTS4 primer is bolded. Asterisk indicates identical nucleotide.

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63

Detection of Four Mismatched Nucleotides between DENV4 Specific C-prM Primer (rTS4) and Current DENV 4 Sequences in Sabah

REFERENCES

1. Lanciotti RS, Calisher CH, Gubler DJ et al. (1992). Rapid detection and typing of dengue viruses from clinical samples by using reverse transcriptase-polymerase chain reaction. J Clin Microbiol 30: 545 – 551.

2. Chien LJ, Liao TL, Shu PY et al. (2006).

Development of real-time reverse transcriptase PCR Assays to detect and serotype dengue viruses. J Clin Microbiol 44:

1295 – 1304.

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