Cassedy A, Parle-McDermott A, O'Kennedy R
School of Biotechnology, Dublin City University, Dublin, Ireland.
Hamad Bin Khalifa University, Doha, Qatar.
Front Mol Biosci. 2021 Apr 20;8:637559. doi: 10.3389/fmolb.2021.637559. eCollection 2021.
Viruses are ubiquitous in the environment. While many impart no deleterious effects on their hosts, several are major pathogens. This risk of pathogenicity, alongside the fact that many viruses can rapidly mutate highlights the need for suitable, rapid diagnostic measures. This review provides a critical analysis of widely used methods and examines their advantages and limitations. Currently, nucleic-acid detection and immunoassay methods are among the most popular means for quickly identifying viral infection directly from source. Nucleic acid-based detection generally offers high sensitivity, but can be time-consuming, costly, and require trained staff. The use of isothermal-based amplification systems for detection could aid in the reduction of results turnaround and equipment-associated costs, making them appealing for point-of-use applications, or when high volume/fast turnaround testing is required. Alternatively, immunoassays offer robustness and reduced costs. Furthermore, some immunoassay formats, such as those using lateral-flow technology, can generate results very rapidly. However, immunoassays typically cannot achieve comparable sensitivity to nucleic acid-based detection methods. Alongside these methods, the application of next-generation sequencing can provide highly specific results. In addition, the ability to sequence large numbers of viral genomes would provide researchers with enhanced information and assist in tracing infections.
病毒在环境中无处不在。虽然许多病毒对其宿主没有有害影响,但有几种是主要病原体。这种致病性风险,再加上许多病毒能够快速变异,凸显了采取合适、快速诊断措施的必要性。本综述对广泛使用的方法进行了批判性分析,并探讨了它们的优缺点。目前,核酸检测和免疫测定方法是最常用于直接从源头快速识别病毒感染的手段。基于核酸的检测通常具有高灵敏度,但可能耗时、成本高且需要经过培训的人员。使用基于等温扩增系统进行检测有助于减少结果周转时间和与设备相关的成本,使其在即时检测应用中具有吸引力,或者在需要高批量/快速周转检测时具有吸引力。相比之下,免疫测定具有稳健性且成本较低。此外,一些免疫测定形式,如使用侧向流动技术的形式,可以非常快速地产生结果。然而,免疫测定通常无法达到与基于核酸的检测方法相当的灵敏度。除了这些方法,下一代测序的应用可以提供高度特异性的结果。此外,对大量病毒基因组进行测序的能力将为研究人员提供更多信息,并有助于追踪感染情况。