Gitman Melissa R, Shaban Maryia V, Paniz-Mondolfi Alberto E, Sordillo Emilia M
Department of Pathology, Molecular and Cell-Based Medicine, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA.
Emerging Pathogens and Zoonoses Network, Incubadora Venezolana de la Ciencia, Cabudare 3023, Venezuela.
Diagnostics (Basel). 2021 Jul 15;11(7):1270. doi: 10.3390/diagnostics11071270.
The emergence and rapid proliferation of Coronavirus Disease-2019, throughout the past year, has put an unprecedented strain on the global schema of health infrastructure and health economy. The time-sensitive agenda of identifying the virus in humans and delivering a vaccine to the public constituted an effort to flatten the statistical curve of viral spread as it grew exponentially. At the forefront of this effort was an exigency of developing rapid and accurate diagnostic strategies. These have emerged in various forms over the past year-each with strengths and weaknesses. To date, they fall into three categories: (1) those isolating and replicating viral RNA in patient samples from the respiratory tract (Nucleic Acid Amplification Tests; NAATs), (2) those detecting the presence of viral proteins (Rapid Antigen Tests; RATs) and serology-based exams identifying antibodies to the virus in whole blood and serum. The latter vary in their detection of immunoglobulins of known prevalence in early-stage and late-stage infection. With this review, we delineate the categories of testing measures developed to date, analyze the efficacy of collecting patient specimens from diverse regions of the respiratory tract, and present the up and coming technologies which have made pathogen identification easier and more accessible to the public.
在过去一年中,2019冠状病毒病的出现和迅速传播给全球卫生基础设施和卫生经济格局带来了前所未有的压力。在人类中识别该病毒并向公众提供疫苗这一具有时间敏感性的议程,是为了在病毒呈指数级增长时努力使病毒传播的统计曲线趋于平缓。这一努力的前沿是迫切需要开发快速、准确的诊断策略。在过去一年里,这些策略以各种形式出现,各有优缺点。迄今为止,它们可分为三类:(1)在呼吸道患者样本中分离和复制病毒RNA的方法(核酸扩增检测;NAATs),(2)检测病毒蛋白存在的方法(快速抗原检测;RATs),以及基于血清学的检测,即识别全血和血清中针对该病毒的抗体。后者在检测早期和晚期感染中已知流行率的免疫球蛋白方面存在差异。在这篇综述中,我们描述了迄今为止开发的检测方法类别,分析了从呼吸道不同区域采集患者样本的效果,并介绍了使病原体识别对公众来说更容易、更可及的新兴技术。