Lownik Joseph C, Farrar Jared S, Way Grayson W, McKay Angela, Roychoudhury Pavitra, Greninger Alexander L, Martin Rebecca K
Department of Pathology and Laboratory Medicine, Cedars-Sinai Medical Center, Los Angeles, CA 90048, USA.
Center for Clinical and Translation Research, Virginia Commonwealth University, Richmond, VA 23298, USA.
Diagnostics (Basel). 2021 Sep 28;11(10):1788. doi: 10.3390/diagnostics11101788.
SARS-CoV-2, the virus responsible for COVID-19, emerged in late 2019 and has since spread throughout the world, infecting over 200 million people. The fast spread of SARS-CoV-2 showcased the need for rapid and sensitive testing methodologies to help track the disease. Over the past 18 months, numerous SARS-CoV-2 variants have emerged. Many of these variants are suggested to be more transmissible as well as less responsive to neutralization by vaccine-induced antibodies. Viral whole-genome sequencing is the current standard for tracking these variants. However, whole-genome sequencing is costly and the technology and expertise are limited to larger reference laboratories. Here, we present the feasibility of a fast, inexpensive methodology using snapback primer-based high-resolution melting to test for >20 high-consequence SARS-CoV-2 spike mutations. This assay can distinguish between multiple variant lineages and be completed in roughly 2 h for less than $10 per sample.
导致新冠肺炎的严重急性呼吸综合征冠状病毒2(SARS-CoV-2)于2019年末出现,此后在全球范围内传播,感染人数超过2亿。SARS-CoV-2的快速传播表明需要快速且灵敏的检测方法来帮助追踪该疾病。在过去18个月里,出现了许多SARS-CoV-2变体。其中许多变体被认为更具传播性,并且对疫苗诱导的抗体中和反应较弱。病毒全基因组测序是追踪这些变体的当前标准。然而,全基因组测序成本高昂,而且该技术和专业知识仅限于较大的参考实验室。在此,我们展示了一种基于回文引物的高分辨率熔解的快速、廉价方法用于检测20多种高后果SARS-CoV-2刺突突变的可行性。该检测方法可以区分多个变异谱系,每个样本大约2小时即可完成,成本不到10美元。