To shorten assay time using fast-cycling, we evaluated the use of the following test kits and master mixes for qPCR:—the QuantiFast Probe (Qiagen); Kapa Probe Fast (Merck) ;or qPCRBIO Probe Mix Lo-Rox (PCR Biosystems); the EXPRESS One-Step SuperScript (ThermoFisher Scientific); and the qPCRBIO 1-Step Go Lo-Rox kit (PCR Biosystems), based on recommendations from PCR instrument manufacturers and colleagues.
To further increase assay sensitivity and reduce variability at low target concentrations, various concentrations of tRNA were added to the master-mix and optimized. A published “step-up” cycling protocol was employed to improve sensitivity and cross-subtype specificity38 . “Step-up” cycling rescues PCR reactions where there are minor mismatches between the assay oligonucleotides and the target template species and serves to increase the sensitivity and precision for detection of HIV subtypes with minor sequence polymorphisms at low target concentrations.