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The most recent human influenza pandemic in 2009 was caused by a virus with genes originating from <jats:styled-content style=\"fixed-case\">IAV<\/jats:styled-content> isolated from swine. Swine influenza viruses (<jats:styled-content style=\"fixed-case\">SIV<\/jats:styled-content>) are widespread in European domestic pig populations and evolve dynamically. Knowledge regarding occurrence, spread and evolution of potentially zoonotic <jats:styled-content style=\"fixed-case\">SIV<\/jats:styled-content> in Europe is poorly understood.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objectives<\/jats:title><jats:p>Efficient <jats:styled-content style=\"fixed-case\">SIV<\/jats:styled-content> surveillance programmes depend on sensitive and specific diagnostic methods which allow for cost\u2010effective large\u2010scale analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>New <jats:styled-content style=\"fixed-case\">SIV<\/jats:styled-content> haemagglutinin (<jats:styled-content style=\"fixed-case\">HA<\/jats:styled-content>) and neuraminidase (<jats:styled-content style=\"fixed-case\">NA<\/jats:styled-content>) subtype\u2010 and lineage\u2010specific multiplex real\u2010time <jats:styled-content style=\"fixed-case\">RT<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">PCR<\/jats:styled-content>s (<jats:styled-content style=\"fixed-case\">RT<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">qPCR<\/jats:styled-content>) have been developed and validated with reference virus isolates and clinical samples.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A diagnostic algorithm is proposed for the combined detection in clinical samples and subtyping of <jats:styled-content style=\"fixed-case\">SIV<\/jats:styled-content> strains currently circulating in Europe that is based on a generic, M\u2010gene\u2010specific influenza A virus <jats:styled-content style=\"fixed-case\">RT<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">qPCR<\/jats:styled-content>. In a second step, positive samples are examined by tetraplex <jats:styled-content style=\"fixed-case\">HA<\/jats:styled-content>\u2010 and triplex <jats:styled-content style=\"fixed-case\">NA<\/jats:styled-content>\u2010specific <jats:styled-content style=\"fixed-case\">RT<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">qPCR<\/jats:styled-content>s to differentiate the porcine subtypes H1, H3, N1 and N2. Within the <jats:styled-content style=\"fixed-case\">HA<\/jats:styled-content> subtype H1, lineages \u201cav\u201d (European avian\u2010derived), \u201chu\u201d (European human\u2010derived) and \u201cpdm\u201d (human pandemic A\/H1N1, 2009) are distinguished by <jats:styled-content style=\"fixed-case\">RT<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">qPCR<\/jats:styled-content>s, and within the <jats:styled-content style=\"fixed-case\">NA<\/jats:styled-content> subtype N1, lineage \u201cpdm\u201d is differentiated. An <jats:styled-content style=\"fixed-case\">RT<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">PCR<\/jats:styled-content> amplicon Sanger sequencing method of small fragments of the <jats:styled-content style=\"fixed-case\">HA<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">NA<\/jats:styled-content> genes is also proposed to safeguard against failure of multiplex <jats:styled-content style=\"fixed-case\">RT<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">qPCR<\/jats:styled-content> subtyping.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>These new multiplex <jats:styled-content style=\"fixed-case\">RT<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">qPCR<\/jats:styled-content> assays provide adequate tools for sustained <jats:styled-content style=\"fixed-case\">SIV<\/jats:styled-content> monitoring programmes in Europe.<\/jats:p><\/jats:sec>","DOI":"10.1111\/irv.12407","type":"journal-article","created":{"date-parts":[[2016,7,11]],"date-time":"2016-07-11T08:20:45Z","timestamp":1468225245000},"page":"504-517","source":"Crossref","is-referenced-by-count":49,"title":["Rapid detection and subtyping of European swine influenza viruses in porcine clinical samples by haemagglutinin\u2010 and neuraminidase\u2010specific tetra\u2010 and triplex real\u2010time <scp>RT<\/scp>\u2010<scp>PCR<\/scp>s"],"prefix":"10.1111","volume":"10","author":[{"given":"Dinah","family":"Henritzi","sequence":"first","affiliation":[{"name":"Institute of Diagnostic Virology Friedrich\u2010Loeffler\u2010Institute (FLI)  Greifswald\u2010Insel Riems Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Na","family":"Zhao","sequence":"additional","affiliation":[{"name":"Institute of Diagnostic Virology Friedrich\u2010Loeffler\u2010Institute (FLI)  Greifswald\u2010Insel Riems Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elke","family":"Starick","sequence":"additional","affiliation":[{"name":"Institute of Diagnostic Virology Friedrich\u2010Loeffler\u2010Institute (FLI)  Greifswald\u2010Insel Riems Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gaelle","family":"Simon","sequence":"additional","affiliation":[{"name":"Anses Ploufragan\u2010Plouzan\u00e9 Laboratory Swine Virology Immunology Unit  Ploufragan France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jesper S.","family":"Krog","sequence":"additional","affiliation":[{"name":"National Veterinary Institute; Technical University of Denmark (DTU)  Frederiksberg C Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lars Erik","family":"Larsen","sequence":"additional","affiliation":[{"name":"National Veterinary Institute; Technical University of Denmark (DTU)  Frederiksberg C 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