presence of viral genomic DNA in tissue sections from selected cases from the
California cohort. The assay was performed on 5-μm thick
sections of formalin-fixed, paraffin-embedded tissues on Superfrost Plus slides
(Fisher Scientific). We designed a set of 20 ZZ-paired probes spanning the VP
ORF of SKAV (probe set V-SK23-VP1, Advanced Cell Diagnostics, Inc.),
corresponding to nucleotide positions 2066–4186 of a reference genome
(accession number KX981923). To evaluate likely pathways of viral shedding,
selected tissues included sections of the gastrointestinal tract, urinary tract
and integument. Tissue sections were pre-treated with protease for 2 h at
40°C prior to hybridization, assayed using the RNAscope 2.5 Red Assay Kit
(Advanced Cell Diagnostics, Inc.), counterstained with haematoxylin and mounted
with EcoMount (Biocare Medical). Serial sections were also tested using an
unrelated, GC-content-matched probe as a negative control.