BioSpeedia, Institut Pasteur, 75015, Paris, France.
Laboratory of Infectious Agents and Hygiene, University Hospital of Saint-Etienne, and GIMAP (Groupe Immunité des Muqueuses et Agents Pathogènes) EA-3064, Medicine Faculty of Saint-Etienne, Campus Santé-Innovations of Saint-Etienne, Member of University of Lyon, France.
J Clin Virol. 2020 Nov;132:104636. doi: 10.1016/j.jcv.2020.104636. Epub 2020 Sep 8.
Facing the emergence of a new RNA virus, clinical laboratories are often helpless in the case of a shortage of reagents recommended by Reference Centres.
To compare five open one step RT-qPCR reagents to the SuperScript™ III Platinum™ One-Step qRT-PCR kit (Invitrogen) considered as the reference one in France at the beginning of the pandemic for detection of the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) in respiratory specimens by using a laboratory-developed assay targeting the viral RNA dependant RNA polymerase (RdRp) gene.
A total of 51 NUCLISENS easyMAG extracts from respiratory specimens was tested on ABI 7500 thermocycler with TaqMan Fast Virus 1-Step Master Mix (Applied Biosystems), Luna® Universal Probe One-Step RT-qPCR Kit (New England Biolabs), GoTaq® Probe 1- Step RT-qPCR System (Promega), LightCycler® Multiplex RNA Virus Master (Roche) and One-step PrimeScript RT-PCR kit (Takara). The CT values obtained using the 5 challenged reagents were compared to those obtained using the reference assay.
The percentages of concordance were all above 95 %. When comparing the CT values of the 48 extracts exhibiting CT values < 35 obtained with the reference reagent, the results were similar between the reagents although the differences of CT values were quite dispersed.
All five reagents can be considered as alternative reagents to the reference for detecting SARS-CoV-2 RNA.
面对新 RNA 病毒的出现,临床实验室在参考中心推荐的试剂短缺时往往束手无策。
比较五种开放式一步 RT-qPCR 试剂与 SuperScript™ III Platinum™ One-Step qRT-PCR 试剂盒(Invitrogen),该试剂盒在法国大流行初期被认为是参考试剂,用于检测呼吸道标本中的严重急性呼吸综合征冠状病毒 2(SARS-CoV-2),采用针对病毒 RNA 依赖性 RNA 聚合酶(RdRp)基因的实验室开发检测方法。
使用 TaqMan Fast Virus 1-Step Master Mix(Applied Biosystems)、Luna® Universal Probe One-Step RT-qPCR Kit(New England Biolabs)、GoTaq® Probe 1-Step RT-qPCR System(Promega)、LightCycler® Multiplex RNA Virus Master(Roche)和 One-step PrimeScript RT-PCR 试剂盒(Takara),在 ABI 7500 热循环仪上对 51 个来自呼吸道标本的 NUCLISENS easyMAG 提取物进行检测。将使用 5 种受检试剂获得的 CT 值与参考检测方法获得的 CT 值进行比较。
所有试剂的符合率均在 95%以上。当比较参考试剂获得的 48 个 CT 值<35 的提取物的 CT 值时,尽管 CT 值的差异相当分散,但试剂之间的结果相似。
所有 5 种试剂都可以被认为是检测 SARS-CoV-2 RNA 的参考试剂的替代试剂。