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Variola virus

signature (eroded specificity):

assay cross-reacts with

Cowpox virus

Exclusivity panel

Species

Strain Name

Assay 1

ct for 5 ng DNA

Assay 2

ct for 5 ng DNA

Vaccinia

Copenhagen

Negative

Negative

Vaccinia

WR

Negative

Negative

Vaccinia

ACAM2000

Negative

Negative

Vaccinia

BRZ SERRO

Negative

Negative

Cowpox

CPXV-NOR1995-MAN

Negative

Negative

Cowpox

CPXV GER1980-EP4

19

Negative

Cowpox

CPXV GER1991-3

18

Negative

Cowpox

CPXV_GER1998_2

17

Negative

Cowpox

CPXV FIN 2000

Negative

Ectromelia

ECTV Moscow

Negative

Negative

Monkeypox

MPXV RCG 2003 358

Negative

Negative

Monkeypox

MPXV USA 2003 044

Negative

Negative

Raccoonpox

RACVV71-I-84

Negative

Negative

Skunkpox

SKPV 1991

Negative

Negative

Volepox

VPXV 2004-CA-007

Negative

Negative

Camelpox

CMLV-78-I-2379

17

Negative

Taterapox (gerbilpox)

TATV-71-I-016

16

Negative

Parapoxvirus Orf

Vaccine for sheep

Negative

Negative

What we have learned about

Variola virus

diagnostic assay development/validation

Bioinformatic analysis should lead design of validation

panels

Inclusivity panel include all

Variola virus

strains with differences in

assay target region

Exclusivity panel (near neighbor

Orthopoxvirus

) contain viruses

with assay target regions most similar to

Variola virus

Exceedingly difficult to construct uniform panels for all assays due

to high similarity between

Orthopoxviruse

s

Simultaneous identification of multiple

Variola virus

signatures will increase confidence in initial identification/

verification of the pathogen with real-time PCR