Comparing real-time RT-PCR to the conventional method for titration of live attenuated avian infectious bronchitis vaccine

Document Type : Original researches

Abstract

Infectious bronchitis (IB) is a highly contagious viral disease that affects poultry flocks all over the world. Inoculation of specific pathogen free (SPF) embryonated chicken eggs (ECE) is the current protocol for evaluating live infectious bronchitis virus vaccines (either variants or classical virus vaccines). Some variants of IBV vaccines do not cause obvious lesions in the inoculated embryos, which hinder the determination of the titer of those vaccines. The current study was designed to standardize quantitative real-time RT-PCR (RT- qPCR) protocol for quantification of IBV vaccines that will provide accuracy, speed, and ease of use. A total of ten IBV vaccines were used, including both variant and classical virus vaccines. After traditional titration with SPF ECE, a classical IBV vaccine (MA5) was used to develop the standard curve for the RT- qPCR, and the end point titer was expressed as EID50. The optimal harvest time for all IBV vaccinal strains was determined to be 42 hours post inoculation (PI). All the IBV vaccines were titrated in SPF ECEs and the titer of each vaccine was recorded as EID50. Then each of these IBV vaccines was reconstituted in a volume of sterile phosphate buffer saline (PBS) to have 1000 doses/ml, which was divided into two parts. The first was used for direct quantification by RT-qPCR and the second part was inoculated into three SPF ECE via chorioallantoic sac (CAS) of SPF ECE. Using one field dose for each egg. The allantoic fluid was harvested 42 hours post inoculation (hpi), then 200 µL from the pooled allantoic fluid were used for IBV quantification by RT-qPCR. The results indicate that using RT-qPCR for quantification of IBV in live IBV vaccines offers accuracy, speed and ease of use compared to the traditional titration methods.

Keywords


Comparing real-time RT-PCR to the conventional method for titration of live attenuated avian infectious bronchitis vaccine

Christine A. Mikhael1*, Ahlam Mourad1, Amina A. Radwan1, Ekram S. Diab1, Nassif, S.

1Agricultural Research Center (ARC); Central Laboratory for Evaluation of Veterinary Biologics CLEVB), El-Seka-Baida Street, Abbasia, Cairo, Egypt, P.O.Box131;

 

ABSTRACT

Infectious bronchitis (IB) is a highly contagious viral disease that affects poultry flocks all over the world. Inoculation of specific pathogen free (SPF) embryonated chicken eggs (ECE) is the current protocol for evaluating live infectious bronchitis virus vaccines (either variants or classical virus vaccines). Some variants of IBV vaccines do not cause obvious lesions in the inoculated embryos, which hinder the determination of the titer of those vaccines. The current study was designed to standardize quantitative real-time RT-PCR (RT- qPCR) protocol for quantification of IBV vaccines that will provide accuracy, speed, and ease of use. A total of ten IBV vaccines were used, including both variant and classical virus vaccines. After traditional titration with SPF ECE, a classical IBV vaccine (MA5) was used to develop the standard curve for the RT- qPCR, and the end point titer was expressed as EID50. The optimal harvest time for all IBV vaccinal strains was determined to be 42 hours post inoculation (PI). All the IBV vaccines were titrated in SPF ECEs and the titer of each vaccine was recorded as EID50. Then each of these IBV vaccines was reconstituted in a volume of sterile phosphate buffer saline (PBS) to have 1000 doses/ml, which was divided into two parts. The first was used for direct quantification by RT-qPCR and the second part was inoculated into three SPF ECE via chorioallantoic sac (CAS) of SPF ECE. Using one field dose for each egg. The allantoic fluid was harvested 42 hours post inoculation (hpi), then 200 µL from the pooled allantoic fluid were used for IBV quantification by RT-qPCR. The results indicate that using RT-qPCR for quantification of IBV in live IBV vaccines offers accuracy, speed and ease of use compared to the traditional titration methods.

Keywords: RT-qPCR, traditional titration, live attenuated avian infectious bronchitis vaccine

INTRODUCTION

Infectious bronchitis (IB) is a highly contagious viral disease that affects chickens of all ages' (Mo et al., 2019). It was first described in the United States in 1931 and has since spread throughout the world; it is caused by an avian coronavirus, infectious bronchitis virus (IBV) with a global economic impact (Sid et al., 2015 and Shehata et al., 2019). This virus has the ability to multiply in the epithelia of a variety of tissues throughout the body, most notably the respiratory system. It can also proliferate in the epithelia of the Harderian gland, kidney, gastrointestinal tract, and oviduct (Hester, 2018). It has several serotypes that cause a variety of clinical forms, primarily affecting the respiratory system (respiratory form), and the renal system (nephropathogenic form) and the reproductive system (King, 2011 and Cook, 2011). Secondary bacterial infections have been reported, and other respiratory pathogens may be linked to IBV that lead to high mortality rates (Hassan et al., 2017). IBV is a lipid-enveloped positive-sense single-stranded RNA virus of the genus Gammacoronavirus in the family Coronaviridae (Jackwood 2013 and Masters 2006). IBV has a high mutation rate, which causes changes in viral genotype, antigenic properties, tissue tropism, pathogenicity, and, eventually, disease course (Cook , 2012). The spike protein, which contains epitopes for serotype-specific antibodies and is the most important protein for virus identification, is the major determinant of IBV serotype specificity [8, 10]. Several IBV serotypes or antigenic variant strains have emerged as a result of point mutations in the IBV genome, and these variants are frequently responsible for IB outbreaks in vaccinated chicken flocks [11, 12]. As a result, pathogenic variants such as D274 and D1466, 793B, and Israel variants 1 and 2[13, 14] have emerged in recent decades. IBV was categorized into six main genotypes (from GI to GVI) and 32 sub-genotypic lineages [15]. Vaccines are crucial in the control and prevention of IBV in poultry, and vaccination against multiple IBV serotypes is routinely practiced in commercial poultry operations. This virus has been officially classified into more than 50 antigenic and genetic types [8, 16]. The degree of cross protection between IBV strains can range from very poor to moderate (Lim et al., 2012). The IB is a major problem in the global poultry industry, despite the existence of multiple vaccines due to the various serotypes. Despite the widespread use of live and inactivated vaccines [17], IB remains a significant financial problem for the global commercial egg industry[4]. In Egypt, multiple IBV genotypes (GI-1, GI-13, GI-16, and GI-23) have been identified, each with unique genetic and pathogenic characteristics. Vaccines of classical and/or variant IBV strains are used in Egypt to control the spread of the disease through various vaccination programs [18, 19]. Despite widespread vaccination, its epidemiology in poultry flocks with continuous evolution, spread, and evolution has been described, with multiple IBV variants and recombination evidence. Vaccination is still the most effective way to prevent IBV infection. Kint et al. [20]reported that the infectious particle quantity in a sample can only be detected by virus propagation in biological systems such as (embryonating chicken egg) ECE or cell culture techniques, and this is referred to as cytopathic effects (CPE) and can be seen by the eye or microscope. However, because some virus strains do not induce visible CPE, other assays are required to determine the presence or absence of a live virus and to quantify its titer. According to Wong and Medrano [21], quantitative real-time reverse transcriptase polymerase chain reaction assays that quickly identify specific IBV types were developed for accurate and rapid diagnosis of IBV in the field. It has proven to be effective in detecting viral agents of infectious diseases[22].

The effectiveness of TaqManTM-based quantitative real-time PCR methods for rapidly detecting IBV was investigated. The evaluation of amplification efficiency is sensitive, precise, and has a number of advantages, including the absence of contamination and the rarity of qualitative misinterpretations of experimental results [23-25]. Traditional titration of live IBV vaccines in SPF ECE had many disadvantages including the absence of obvious lesions in the inoculated embryos for some variant vaccines, in addition to the difference in reading and consequently titer calculation from one person to other considering the experience and other issues. So, the purpose of this study is to develop a protocol for the titration of live IBV vaccines for both classical and variant vaccines using Real-time RT-PCR and to compare it with the conventional method.

 

MATERIALS AND METHODS

Ethical approval

   All experiments were carried out in accordance with the Institutional Animal Care and Use Committee's ethical guidelines at the Central Laboratory for the Evaluation of Veterinary Biologics. The research manuscript was reviewed under research authority and found to be in good faith compliance with bioethical standards.

 

Vaccines and Viruses

In this study, ten different IBV vaccine batches representing five different IBV strains were used, as shown in the table (1).

                             

   Table 1: Ten IBV vaccine batches, five IBV strains

Code

Vaccine name

Strain

A

IB primer

IB (H120+ D274)

B

Nobilis IB 4/91

4/91

C

IB birde

D274

D

Nobilis IB 4/91

4/91

E

IB birde

D274

F

Mevac IB H120

H120

G

Nobilis IB 4/91

4/91

H

MA5

Cloned H120 (MA5)

I

Nobilis IB 4/91

4/91

J

MA5

Cloned H120 (MA5)

Five variant IBV vaccine batches were coded as A, B, C, D, and E, and five classical IBV vaccine batches were coded as F, G, H, I, and J.

These vaccine batches were delivered to the Central Laboratory for the Evaluation of Veterinary Biologics (CLEVB) in Abbasia, Cairo, and were evaluated in 2020.

 

Embryonated chicken eggs

    The SPF Production Farm in Koum Osheim, El-Fayoum, Egypt, provided the pathogen-free (SPF) eggs. The eggs were incubated at 37 °C with a humidity level of 40–60%. According to CFR (2017) and OIE, they were used for IBV vaccine titration (2018).

Titration of IBV vaccines in SPF ECEs

    Ten-fold serial dilutions of the vaccine ranging from 10-1 to 10-7 were prepared in sterile PBS, pH 7.2, or TPS containing antibiotics. Inoculate dilutions 10-4 through 10-7 into 9-11-day-old SPF ECEs using CAS (5 eggs per dilution, 0.1 ml/egg). The eggs were incubated for 7 days at 37 oC with daily inspections. The embryonic deaths that occurred in inoculated ECEs during the first 24 hours were discarded, at the 7th day PI, the inoculated eggs were chilled, and the embryos were removed and examined for the presence of the specific IBV lesions, namely dwarfing, curling, and stunting of the embryo; a dwarfed embryo is defined as one that weighs less than 75% of the normal embryo weight at the corresponding age. IBV is thought to be present in dead embryos. According to Reed and Muench [26], CFR (2017), and OIE, the titer will be expressed as the number of EID50/ml (OIE, 2018).

Determination of optimal virus harvest time

 

            Titration three ECEs were infected with different commercial IBV vaccines and the chorioallantoic fluid of three inoculated ECEs was collected separately at different times (6,12,18,24,30,36,42,48,60,72, and 96 hours post inoculation) for each tested vaccine to determine the optimal time at which the maximum infectious titer of five live attenuated infectious bronchitis vaccines can be obtained.

The samples were then processed for viral quantification using the RT-qPCR assay with specific primers and probes. The Ct values were compared to the standard curve. The time at which the maximum IBV titer was achieved and  used to determine the virus's optimal harvest time[27-29].

 

Experimental design

 

    To compare the quantity of IBV EID50 determined using the conventional titration method and the real-time RT-PCR method, ten distinct IBV vaccines and lots were titrated separately using both EID50 and RT-qPCR. In all vaccines, the traditional EID50 was determined using tenfold serial dilutions from 10-4 to 10-7 and inoculation of five SPF ECE per dilution. After a 7-day period, the vaccine's end point titer was determined by the presence of death or dwarfism in chicken embryos; the virus titre is expressed as EID50/dose. For each vaccine, three SPF embryonated chicken eggs at 9 days old were inoculated with a reconstituted (0.1ml ) of each  vaccine, and the allantoic fluid was collected from the incubated eggs after only 42 hours of incubation and quantified using RT-qPCR.on the other hand, for quantification of IBV vaccinal strains directly from the vaccine vials  Each vaccine was reconstituted to contain 1000 doses per milliliter, and total RNA was extracted from each vaccine before proceeding to RT-qPCR.

Total RNA extraction

QIAamp® Viral RNA Mini Extraction Kit (Qiagen, Valencia, Calif., and USA) Cat. No. 52906 was used to extract total RNA from allantoic fluid samples.

IBV RT-qPCR assay

     The One Step SuperScript III Platinum kit was used for RT-PCR. Three minutes of initial denaturation at 95 °C, 40 cycles of denaturation at 95 °C for 30 seconds, and one minute of annealing and extension were carried out. The titer of each vaccine was calculated using the BioRad CFX 96 software and expressed as RNA copies/dose which will be expressed as EID50/ dose when applied on the standard curve.

       Table 2: Universal primers and probes for IBV detection

Primer

Sequence (5′ - 3′ )

Forward

GCCATGTTGTCACTGTCTATTG

Reverse

GCTTTTGAGCCTAGCGTT

Probe

FAM - CACCACCAGAACCTGTCCCTC  -BHQ

 

Setting up the standard curve:

    Two vials of the IB MA5 virus vaccine of known titer were reconstituted in 1 ml of sterile PBS and thoroughly mixed together. One ml of the mixture was serially diluted in sterile PBS to form 10 fold serial dilutions ranging from 10-1 to 10-8.  After extracting RNA from each dilution, real-time RT-PCR was performed, and the curve was produced using the Biorad CFX 96 software.

Test validation

The RT-qPCR test was validated using known titers of classical IBV strains.

 

RESULTS

Determination of optimal virus harvest time

Inoculated eggs' allantoic fluid was collected and quantified using real-time RT-PCR. Table 3 shows that the optimal IB virus harvest time for achieving the maximum titer level for all vaccines is 42 hours PI. After that, the PI begins to drop sharply, and the best time for harvesting is 24 to 48 HPI.

                   

 

 

  Table 3: Determination of virus optimal harvest time

V.C.

T

EID50 /dose

Titter by RT-qPCR/dose

6 h

12 h

18 h

24 h

30 h

36h

42 h

48 h

60 h

72 h

96 h

A

4.0

0.966

3.467

4.198

4.229

4.293

4.311

4.763

4.326

4.249

3.589

3.250

B

4.0

1.235

3.621

4.579

4.658

4.676

4.698

4.732

4.716

4.544

3.798

3.344

C

4.5

1.075

3.552

4.451

4.630

4.646

4.907

5.065

5.062

5.009

3.990

3.546

F

4.5

1.164

3.548

4.538

4.772

4.837

4.880

4.978

4.900

4.898

3.807

3.349

G

4.5

1.370

3.347

4.449

4.453

4.477

4.512

4.598

4.512

3.883

3.123

3.046

V.C. = Vaccine Code.

A, B and C= IB vaccines variant strain

F and G = IB mass vaccines (Classical)

T= Traditional method (Log10/ dose)

h = hours post inoculation in ECE.

 

 

Figure (1): Determination of the virus's optimal harvest time

Figure 2: Control standard curve for IBV

Figure 3: Amplification curve for IBV vaccine samples using RT-qPCR

 

EID50 versus RT-qPCR comparison

            Table 3 shows that the titer of the nine vaccines measured by inoculation of chicken embryos and expressed as a number of EID50/dose is lower than the titer of the same vaccine measured by RT-qPCR either directly from the vaccine vial or after 42 hours post inoculation (HPI) of three SPF ECE. Because the latter vaccine (D) was not detected using traditional titration methods, the RT-qPCR is highly sensitive and time consuming.

 

 Table (4): Comparative titration reading of different IBV vaccines by different methods

Vaccine code

EID50 Titter

RT-qPCR

Before inoculation

42 HPI

A

4.0

4.043

4.763

B

4.0

4.036

            4.732               

C

4.5

4.520

5.065

D

ND

4.023

4.086

E

4.9

5.047

5.267

F

4.5

4.52

4.978

G

4.5

4.53

4.598

H

3.9

3.976

4.213

I

5.1

5.000

5.173

J

5.3

5.410

5.480

 

Variant IB vaccine batches were coded as A, B, C, D and E, and classical IB vaccine batches were coded as F, G, H, I and J.

 

DISCUSSION

Accurate evaluation is required to detect vaccine effectiveness in infectious disease control strategies. A real-time Taqman®-based RT-PCR assay was used and evaluated for the detection and quantification of IBV genomic RNA directly from vaccine samples in order to achieve a suitable rapid and specific vaccine titration assay instead of traditional EID50 from IBV vaccines, especially since some IB virus strain effects on embryonated chicken eggs cannot be detected in traditional vaccine evaluation methods. Dwarfism became more common as chicken embryos lived longer. The vaccine strain is highly pathogenic in chicken embryos, resulting in embryo death within 2-4 DPI, which is insufficient time for the embryos to show dwarfism[28, 30]. The dwarfing effect of embryos in highly adapted IBV disappeared at higher passages, as reported by Bijlenga et al. [31], and some virus strains did not induce visible CPE [20]. Our findings revealed that the different vaccine titers detected by RT-qPCR at 18 HPI were nearly identical to those detected by the traditional method, and that they continued to increase to 42 HPI before decreasing, but that they did not decrease as much as those detected by the traditional method until 60 HPI, after which they decreased. As a result, the best time to collect chorioallantoic fluid for RT-qPCR vaccine titration is 42 hours after ECE inoculation. This contradicts the findings of Chomiak et al. [29], who reported that the titer appeared in 16 hours, peaked at 40 hours post inoculation, and then declined, and Tsai et al.[28], who reported that the growth kinetics curves of IBVs peaked in one to two days after ECE inoculation and then sharply declined after four DPI. Oade et al. [17] also found that the titer level peaked at 24 hours, remained stable for 48 hours, and then declined, as well as collecting allantoic fluid and using it for IBV detection PCR.

    Although there are only two methods, RT-qPCR was used in two different ways. The titer of nine vaccines measured by inoculation of chicken embryos and expressed as numbers of EID50/dose is lower than the titer of the same vaccine measured by RT-qPCR either directly from the vaccine vial or after 42 hours post inoculation (HPI) of three SPF ECE. The variant IB vaccine (D) was not detected using traditional titration methods, necessitating the use of RT-qPCR, which has high sensitivity but is time-consuming. The traditional method of serial dilution of the vaccine followed by egg inoculation and reading after seven days has the advantage of detecting only live virus titres, which is required in the evaluation of live attenuated virus vaccines, but its disadvantages are seen with some IBV vaccinal strains (some variant IBV vaccines) that do not have a very clear effect on embryos, making egg titration visually difficult to read. This result was consistent with the findings of Bijlenga et al. [31], who reported that the dwarfing effect of the adapted IBV disappeared completely at higher passages. However, for some IBV vaccines for which we could not read the titer visually, we used conventional RT-PCR to detect the IBV in the allantoic fluid of each inoculated egg and then used the Read and Muench[32] calculation to determine the titer (unpublished data). The advantages of RT-qPCR method include high specificity, sensitivity, and being less time consuming, and this result is consistent with that reported in OIE (2018), which stated that the most common method for IBV detection and identification is real-time RT-PCR in less than a few hours. However, the disadvantages emerge primarily from the quantification of both dead and live viruses, so the titration method using RT-qPCR for testing the allantoic fluids is highly suitable; the results are inconsistent with those of Geerlys et al. [33], but the titers measured by this method are significantly higher than those measured by other methods. We believe that the percentages of difference between the two main titers ranged from 5 to 20%, and these percentages will have a significant negative effect on the accuracy of the evaluation of IBV vaccines. For example, if an IBV vaccine has a titer of 3 log10EID50/dose (by traditional method), it should be rejected. However, when using RT-qPCR after 42 hours, the titer will exceed 3.5 log10 virus copies/dose, which is greater than the IBV vaccine's permissible titer (3.5 log10EID50/dose).

CONCLUSION

      The following conclusions are made from the examinations described in this study:

  1. Titration of IBV vaccine using conventional RT-PCR of allantoic fluid from each egg and calculation by Reed and Muench is the best and most accurate method for all IBV vaccine strains (unpublished data).
  2. Titration of IBV vaccines using real-time RT-PCR directly from the vaccine vial remains inaccurate.
  3. Titration of IBV vaccines using RT-qPCR on allantoic fluid of three inoculated eggs 42 hours after inoculation is promising. More research is needed to determine the exact correction factor of the increased titer using repeatability and reproducibility with more IBV vaccine batches including both variant and classical vaccines to calculate the accurate IBV titer.
  4. RT-qPCR technology has many advantages, such as reduced time, sensitivity, and cost, as well as reduced human errors.
Abdel-Moneim AS, Afifi MA, El-Kady MF . Emergence of a novel genotype of avian infectious bronchitis virus in Egypt. Archives of virology. 2012;157(12):2453-7. Epub 2012/08/21. doi: 10.1007/s00705-012-1445-1. PubMed PMID: 22903394.
Abe A, Inoue K, Tanaka T, Kato J, Kajiyama N, Kawaguchi R, et al. Quantitation of hepatitis B virus genomic DNA by real-time detection PCR. Journal of clinical microbiology. 1999;37(9):2899-903. Epub 1999/08/17. doi: 10.1128/jcm.37.9.2899-2903.1999. PubMed PMID: 10449472; PubMed Central PMCID: PMCPMC85408.
Abozeid HH, Naguib MM. Infectious Bronchitis Virus in Egypt: Genetic Diversity and Vaccination Strategies. Veterinary sciences. 2020;7(4). Epub 2020/12/23. doi: 10.3390/vetsci7040204. PubMed PMID: 33348570; PubMed Central PMCID: PMCPMC7766096.
Ali A, Kilany WH, Zain El-Abideen MA, Sayed ME, Elkady M. Safety and efficacy of attenuated classic and variant 2 infectious bronchitis virus candidate vaccines. Poult Sci. 2018;97(12):4238-44. Epub 2018/08/08. doi: 10.3382/ps/pey312. PubMed PMID: 30085298; PubMed Central PMCID: PMCPMC7107197.
Bijlenga GCJKAGJdWJJ. Development and use of the H strain of avian infectious bronchitis virus from the Netherlands as a vaccine: a review. AVIAN PATHOLOGY. 2004;33:550-7.
Callison SA, Hilt DA, Boynton TO, Sample BF, Robison R, Swayne DE, et al. Development and evaluation of a real-time Taqman RT-PCR assay for the detection of infectious bronchitis virus from infected chickens. Journal of virological methods. 2006;138(1-2):60-5. Epub 2006/08/29. doi: 10.1016/j.jviromet.2006.07.018. PubMed PMID: 16934878; PubMed Central PMCID: PMCPMC7112890.
Callison SA, Jackwood MW, Hilt DA. Molecular characterization of infectious bronchitis virus isolates foreign to the United States and comparison with United States isolates. Avian diseases. 2001;45(2):492-9. Epub 2001/06/22. PubMed PMID: 11417834.
Chomiak TWLREJEL. The Propagation and Cytopathogenic Effect of an Egg-Adapted Strain of Infectious Bronchitis Virus in Tissue Culture. aviandiseases Avian Diseases. 1958;2(4):456-65.
Cook JKAJMJRC. The long view: 40 years of infectious bronchitis research. Avian Pathology Avian Pathology. 2012;41(3):239-50.
 Dhama K, J.M K, Rahul S, M M. Avian infectious bronchitis virus: A Review. Indian J Comp Microbiol, Immunol Infect Dis. 2005;25:1-14.
Feng KXYWJCWCFBYXQ. Development and efficacy of a novel live-attenuated QX-like nephropathogenic infectious bronchitis virus vaccine in China. JVAC Vaccine. 2015;33(9):1113-20.
Geerligs HJ, Meinders CA, Snel J, Duyves W. The use of RT-PCR for determination of separate end-points for the strains IB H120 and IB D274 in titration of the combination vaccine Poulvac IB® primer. Journal of virological methods. 2013;193(2):508-11. Epub 2013/07/06. doi: 10.1016/j.jviromet.2013.06.029. PubMed PMID: 23827949; PubMed Central PMCID: PMCPMC7119798.
Gough RE, Cox WJ, Winkler CE, Sharp MW, Spackman D. Isolation and identification of infectious bronchitis virus from pheasants. The Veterinary record. 1996;138(9):208-9. Epub 1996/03/02. doi: 10.1136/vr.138.9.208. PubMed PMID: 8686155.
Hassan KE, Ali A, Shany SAS, El-Kady MF. Experimental co-infection of infectious bronchitis and low pathogenic avian influenza H9N2 viruses in commercial broiler chickens. Res Vet Sci. 2017;115:356-62. Epub 2017/06/30. doi: 10.1016/j.rvsc.2017.06.024. PubMed PMID: 28692924.
Hester PY. Egg innovations and strategies for improvements. London: Academic press.; 2018.
 Hitchner SBWPG. Growth-Curve Studies of Chick Embryo-Propagated Infectious Bronchitis Virus. Poultry Science Poultry Science. 1955;34(3):590-4.
Jackwood MW. Review of infectious bronchitis virus around the world. Avian diseases. 2012;56(4):634-41. Epub 2013/02/13. doi: 10.1637/10227-043012-Review.1. PubMed PMID: 23397833.
Jackwood MW, Hilt DA, Lee CW, Kwon HM, Callison SA, Moore KM, et al. Data from 11 years of molecular typing infectious bronchitis virus field isolates. Avian diseases. 2005;49(4):614-8. Epub 2006/01/13. doi: 10.1637/7389-052905r.1. PubMed PMID: 16405010.
 Kint J, Maier HJ, Jagt E. Quantification of infectious bronchitis coronavirus by titration in vitro and in ovo. Methods in molecular biology (Clifton, NJ). 2015;1282:89-98. Epub 2015/02/28. doi: 10.1007/978-1-4939-2438-7_9. PubMed PMID: 25720474; PubMed Central PMCID: PMCPMC7121424.
King AMQLEAMJCEB. Virus Taxonomy. 2011.
  Liu S, Han Z, Chen J, Liu X, Shao Y, Kong X, et al. S1 gene sequence heterogeneity of a pathogenic infectious bronchitis virus strain and its embryo-passaged, attenuated derivatives. Avian pathology : journal of the WVPA. 2007;36(3):231-4. Epub 2007/05/15. doi: 10.1080/03079450701338730. PubMed PMID: 17497337.
Masters PS. The molecular biology of coronaviruses. Advances in virus research. 2006;66:193-292. Epub 2006/08/01. doi: 10.1016/s0065-3527(06)66005-3. PubMed PMID: 16877062; PubMed Central PMCID: PMCPMC7112330.
Mackay IM, Arden KE, Nitsche A. Real-time PCR in virology. Nucleic Acids Research. 2002;30(6):1292-305. doi: 10.1093/nar/30.6.1292 %J Nucleic Acids Research.
  Mo J, Angelichio M, Gow L, Leathers V, Jackwood MW. Validation of specific quantitative real-time RT-PCR assay panel for Infectious Bronchitis using synthetic DNA standards and clinical specimens. Journal of virological methods. 2020;276:113773. Epub 2019/11/13. doi: 10.1016/j.jviromet.2019.113773. PubMed PMID: 31712094; PubMed Central PMCID: PMCPMC7113781.
Moriya Y, Nakamura T, Okamura N, Sakaeda T, Horinouchi M, Tamura T, et al. Comparison of synthetic DNA templates with authentic cDNA templates in terms of quantification by real-time quantitative reverse transcription polymerase chain reaction. Biological & pharmaceutical bulletin. 2006;29(3):535-8. Epub 2006/03/02. doi: 10.1248/bpb.29.535. PubMed PMID: 16508161.
 Oade MS, Keep S, Freimanis GL, Orton RJ, Britton P, Hammond JA, et al. Attenuation of Infectious Bronchitis Virus in Eggs Results in Different Patterns of Genomic Variation across Multiple Replicates. Journal of virology. 2019;93(14). Epub 2019/05/03. doi: 10.1128/jvi.00492-19. PubMed PMID: 31043525; PubMed Central PMCID: PMCPMC6600199.
Reed LJ, Muench HJAJoE. A SIMPLE METHOD OF ESTIMATING FIFTY PER CENT ENDPOINTS. 1938;27:493-7.
 Shehata AA, Sedeik ME, Elbestawy AR, Zain El-Abideen MA, Ibrahim HH, Kilany WH, et al. Co-infections, genetic, and antigenic relatedness of avian influenza H5N8 and H5N1 viruses in domestic and wild birds in Egypt. Poult Sci. 2019;98(6):2371-9. Epub 2019/01/23. doi: 10.3382/ps/pez011. PubMed PMID: 30668795; PubMed Central PMCID: PMCPMC7107238.
 
Sid H, Benachour K, Rautenschlein S. Co-infection with Multiple Respiratory Pathogens Contributes to Increased Mortality Rates in Algerian Poultry Flocks. Avian diseases. 2015;59(3):440-6. Epub 2015/10/20. doi: 10.1637/11063-031615-Case.1. PubMed PMID: 26478165.
Tsai C.-T CHYWCH. The infectious bronchitis vaccine strain virus is more pathogenic in chicken embryos than the wild virus strain 2575/98. Vet Arh Veterinarski Arhiv. 2016;86(5):699-709.
Wong ML, Medrano JF. Real-time PCR for mRNA quantitation. BioTechniques. 2005;39(1):75-85. Epub 2005/08/03. doi: 10.2144/05391rv01. PubMed PMID: 16060372.
Valastro V, Holmes EC, Britton P, Fusaro A, Jackwood MW, Cattoli G, et al. S1 gene-based phylogeny of infectious bronchitis virus: An attempt to harmonize virus classification. Infection, genetics and evolution : journal of molecular epidemiology and evolutionary genetics in infectious diseases. 2016;39:349-64. Epub 2016/02/18. doi: 10.1016/j.meegid.2016.02.015. PubMed PMID: 26883378; PubMed Central PMCID: PMCPMC7172980.