Microbiology · Diagnostic Virology and Molecular Methods (PCR, NAAT, Antigen/Antibody Kinetics, Sequencing)

A molecular laboratory is validating two nucleic acid assays: one for herpes simplex virus from CSF and one for influenza A from nasopharyngeal swab. Which statement about the required enzymatic steps is correct?

  • A Only the influenza assay requires reverse transcription, since its RNA genome must first be copied into complementary DNA
  • B Neither assay requires reverse transcription because both are amplified by thermostable DNA polymerase alone
  • C Both assays require a reverse transcription step because both genomes are RNA
  • D Only the HSV assay requires reverse transcription, since latency transcripts must be converted before amplification
Correct answer: A. Only the influenza assay requires reverse transcription, since its RNA genome must first be copied into complementary DNA

Explanation

Influenza C has a segmented single-stranded RNA genome, so Taq polymerase cannot copy it directly and a reverse transcription step generating cDNA must precede PCR. HSV is a double-stranded DNA virus, so conventional thermostable DNA polymerase amplifies it without reverse transcription. Recognising whether the target is RNA or DNA determines whether RT is needed, a standard validation point in molecular labs.

Reference: Koneman's Color Atlas and Textbook of Diagnostic Microbiology, 7th ed.

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