基于 DNA 辅助纳米孔传感的 SARS-CoV-2 特异性 IgG 和 IgM 抗体的多重定量检测。

Multiplex quantitative detection of SARS-CoV-2 specific IgG and IgM antibodies based on DNA-assisted nanopore sensing.

机构信息

Biomedical Engineering Program, College of Engineering and Computing, University of South Carolina, Columbia, SC 29208, USA.

Department of Chemical Engineering, College of Engineering and Computing, University of South Carolina, Columbia, SC 29208, USA.

出版信息

Biosens Bioelectron. 2021 Jun 1;181:113134. doi: 10.1016/j.bios.2021.113134. Epub 2021 Mar 3.

Abstract

The coronavirus disease (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has spread into a global pandemic. Early and accurate diagnosis and quarantine remain the most effective mitigation strategy. Although reverse transcriptase polymerase chain reaction (RT-qPCR) is the gold standard for COVID-19 diagnosis, recent studies suggest that nucleic acids were undetectable in a significant number of cases with clinical features of COVID-19. Serologic assays that detect human antibodies to SARS-CoV-2 serve as a complementary method to diagnose these cases, as well as to identify asymptomatic cases and qualified convalescent serum donors. However, commercially available enzyme-linked immunosorbent assays (ELISA) are laborious and non-quantitative, while point-of-care assays suffer from low detection accuracy. To provide a serologic assay with high performance and portability for potential point-of-care applications, we developed DNA-assisted nanopore sensing for quantification of SARS-CoV-2 related antibodies in human serum. Different DNA structures were used as detection reporters for multiplex quantification of immunoglobulin M (IgM) and immunoglobulin G (IgG) antibodies against the nucleocapsid protein of SARS-CoV-2 in serum specimens from patients with conformed or suspected infection. Comparing to a clinically used point-of-care assay and an ELISA assay, our technology can reliably quantify SARS-CoV-2 antibodies with higher accuracy, large dynamic range, and potential for assay automation.

摘要

由严重急性呼吸综合征冠状病毒 2 (SARS-CoV-2) 引起的冠状病毒病 (COVID-19) 已蔓延成全球性大流行。早期和准确的诊断和隔离仍然是最有效的缓解策略。虽然逆转录聚合酶链反应 (RT-qPCR) 是 COVID-19 诊断的金标准,但最近的研究表明,在具有 COVID-19 临床特征的大量病例中,核酸无法检测到。检测人类针对 SARS-CoV-2 的抗体的血清学检测方法可作为诊断这些病例的补充方法,以及识别无症状病例和合格的恢复期血清供体。然而,市售的酶联免疫吸附测定 (ELISA) 既繁琐又非定量,而即时检测测定则存在检测精度低的问题。为了提供一种具有高性能和便携性的血清学检测方法,用于潜在的即时检测应用,我们开发了 DNA 辅助的纳米孔传感技术,用于定量人血清中与 SARS-CoV-2 相关的抗体。不同的 DNA 结构被用作检测报告器,用于对血清样本中针对 SARS-CoV-2 核衣壳蛋白的免疫球蛋白 M (IgM) 和免疫球蛋白 G (IgG) 抗体进行多重定量,这些血清样本来自确诊或疑似感染的患者。与一种临床使用的即时检测测定和 ELISA 测定相比,我们的技术可以可靠地定量 SARS-CoV-2 抗体,具有更高的准确性、更大的动态范围和潜在的测定自动化能力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e61e/7927651/b29eacda53a6/gr1_lrg.jpg

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