Aditya Jyot Foundation For Twinkling Little Eyes, Plot No. 153, Road No. 9, Major Parmeshwaran Road, Opposite S.I.W.S College, Wadala (West), Mumbai 400 031, Maharashtra, India.
PSG Institute of Advanced Studies, Post Box No 1609, Avinashi Road, Peelamedu, Coimbatore 641 004, Tamilnadu, India.
Med Hypotheses. 2021 Jan;146:110356. doi: 10.1016/j.mehy.2020.110356. Epub 2020 Nov 17.
Corona Virus Disease 19 (COVID-19) pandemic has created an alarming situation across the globe. Varieties of diagnostic protocols are being developed for the diagnosis of COVID-19. Many of these diagnostic protocols however, have limitations such as for example unacceptable no of false-positive and false-negative cases, particularly during the early stages of infection. At present, the real-time (quantitative) reverse transcriptase-polymerase chain reaction (RT-PCR) is considered the gold standard for COVID-19 diagnosis. However, RT-PCR based tests are complex, expensive, time consuming and involve pre-processing of samples. A swift, sensitive, inexpensive protocol for mass screening is urgently needed to contain this pandemic. There is urgent need to harness new powerful technologies for accurate detection not only of Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) but also combating the emergence of pandemics of new viruses as well. To overcome the current challenges, the authors propose a diagnostic protocol based on Surface-enhanced Raman Spectroscopy (SERS) coupled with microfluidic devices containing integrated microchannels functionalized either with vertically aligned Au/Ag coated carbon nanotubes or with disposable electrospun micro/nano-filter membranes. These devices have the potential to successfully trap viruses from diverse biological fluids/secretions including saliva, nasopharyngeal, tear etc. These can thus enrich the viral titre and enable accurate identification of the viruses from their respective Raman signatures. If the device is successfully developed and proven to detect target viruses, it would facilitate rapid screening of symptomatic as well as asymptomatic individuals of COVID-19. This would be a valuable diagnostic tool not only for mass screening of current COVID-19 pandemic but also in viral pandemic outbreaks of future.
新型冠状病毒病(COVID-19)大流行在全球范围内造成了令人震惊的局面。目前正在开发各种诊断方案来诊断 COVID-19。然而,许多这些诊断方案都存在局限性,例如不可接受的假阳性和假阴性病例数量,尤其是在感染的早期阶段。目前,实时(定量)逆转录-聚合酶链反应(RT-PCR)被认为是 COVID-19 诊断的金标准。然而,基于 RT-PCR 的测试复杂、昂贵、耗时且涉及样本的预处理。目前迫切需要一种快速、敏感、廉价的大规模筛选方案来控制这一大流行。迫切需要利用新的强大技术来准确检测不仅是严重急性呼吸系统综合征冠状病毒 2(SARS-CoV-2),而且还要应对新病毒大流行的出现。为了克服当前的挑战,作者提出了一种基于表面增强拉曼光谱(SERS)的诊断方案,该方案结合了含有集成微通道的微流控装置,这些微通道要么功能化有垂直排列的 Au/Ag 涂覆的碳纳米管,要么功能化有一次性使用的电纺微/纳米滤膜。这些装置有可能成功地从包括唾液、鼻咽、眼泪等在内的各种生物流体/分泌物中捕获病毒。这可以丰富病毒滴度,并能够从各自的拉曼特征中准确识别病毒。如果该设备成功开发并被证明可以检测目标病毒,那么它将有助于对 COVID-19 的有症状和无症状个体进行快速筛查。这将是一种有价值的诊断工具,不仅可用于当前 COVID-19 大流行的大规模筛查,也可用于未来的病毒大流行爆发。