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Rapid detection of novel coronavirus/Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) by reverse transcription-loop-mediated isothermal amplification.

Abstract
Novel Corona virus/Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2 or 2019-nCoV), and the subsequent disease caused by the virus (coronavirus disease 2019 or COVID-19), is an emerging global health concern that requires a rapid diagnostic test. Quantitative reverse transcription PCR (qRT-PCR) is currently the standard for SARS-CoV-2 detection; however, Reverse Transcription Loop-Mediated Isothermal Amplification (RT-LAMP) may allow for faster and cheaper field based testing at point-of-risk. The objective of this study was to develop a rapid screening diagnostic test that could be completed in 30-45 minutes. Simulated patient samples were generated by spiking serum, urine, saliva, oropharyngeal swabs, and nasopharyngeal swabs with a portion of the SARS-CoV-2 nucleic sequence. RNA isolated from nasopharyngeal swabs collected from actual COVID-19 patients was also tested. The samples were tested using RT-LAMP as well as by conventional qRT-PCR. Specificity of the RT-LAMP was evaluated by also testing against other related coronaviruses. RT-LAMP specifically detected SARS-CoV-2 in both simulated patient samples and clinical specimens. This test was performed in 30-45 minutes. This approach could be used for monitoring of exposed individuals or potentially aid with screening efforts in the field and potential ports of entry.
AuthorsLaura E Lamb, Sarah N Bartolone, Elijah Ward, Michael B Chancellor
JournalPloS one (PLoS One) Vol. 15 Issue 6 Pg. e0234682 ( 2020) ISSN: 1932-6203 [Electronic] United States
PMID32530929 (Publication Type: Evaluation Study, Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • DNA Primers
Topics
  • Betacoronavirus (genetics, isolation & purification)
  • COVID-19
  • Coronavirus Infections (diagnosis, virology)
  • DNA Primers
  • Humans
  • Molecular Diagnostic Techniques (economics, instrumentation, methods)
  • Nucleic Acid Amplification Techniques (economics, instrumentation, methods)
  • Pandemics
  • Pneumonia, Viral (diagnosis, virology)
  • Point-of-Care Testing
  • Real-Time Polymerase Chain Reaction (economics, instrumentation, methods)
  • SARS-CoV-2
  • Sensitivity and Specificity
  • Time Factors

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