Rezaei Meysam, Razavi Bazaz Sajad, Zhand Sareh, Sayyadi Nima, Jin Dayong, Stewart Martin P, Ebrahimi Warkiani Majid
School of Biomedical Engineering, University of Technology Sydney, Sydney, NSW 2007, Australia.
Institute for Biomedical Materials & Devices (IBMD), Faculty of Science, University of Technology Sydney, Sydney, NSW 2007, Australia.
Diagnostics (Basel). 2020 Dec 23;11(1):9. doi: 10.3390/diagnostics11010009.
The recent outbreak of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and its associated serious respiratory disease, coronavirus disease 2019 (COVID-19), poses a major threat to global public health. Owing to the lack of vaccine and effective treatments, many countries have been overwhelmed with an exponential spread of the virus and surge in the number of confirmed COVID-19 cases. Current standard diagnostic methods are inadequate for widespread testing as they suffer from prolonged turn-around times (>12 h) and mostly rely on high-biosafety-level laboratories and well-trained technicians. Point-of-care (POC) tests have the potential to vastly improve healthcare in several ways, ranging from enabling earlier detection and easier monitoring of disease to reaching remote populations. In recent years, the field of POC diagnostics has improved markedly with the advent of micro- and nanotechnologies. Due to the COVID-19 pandemic, POC technologies have been rapidly innovated to address key limitations faced in existing standard diagnostic methods. This review summarizes and compares the latest available POC immunoassay, nucleic acid-based and clustered regularly interspaced short palindromic repeats- (CRISPR)-mediated tests for SARS-CoV-2 detection that we anticipate aiding healthcare facilities to control virus infection and prevent subsequent spread.
近期严重急性呼吸综合征冠状病毒2(SARS-CoV-2)的爆发及其相关的严重呼吸道疾病——2019冠状病毒病(COVID-19),对全球公共卫生构成了重大威胁。由于缺乏疫苗和有效治疗方法,许多国家被病毒的指数级传播以及COVID-19确诊病例数的激增压得喘不过气来。当前的标准诊断方法因周转时间长(>12小时)且大多依赖高生物安全水平实验室和训练有素的技术人员,不足以进行广泛检测。即时检测(POC)有潜力在多个方面极大地改善医疗保健,从实现疾病的早期检测和更轻松的监测到覆盖偏远人群。近年来,随着微纳技术的出现,即时诊断领域有了显著改善。由于COVID-19大流行,即时检测技术得到了迅速创新,以解决现有标准诊断方法面临的关键限制。本综述总结并比较了用于检测SARS-CoV-2的最新即时免疫测定、基于核酸和簇状规律间隔短回文重复序列(CRISPR)介导的检测方法,我们预计这些方法将有助于医疗机构控制病毒感染并防止后续传播。