Changchun Veterinary Research Institute, Chinese Academy of Agricultural Sciences, Changchun, China.
College of Veterinary Medicine, Hebei Agricultural University, Baoding, China.
J Virol. 2022 Sep 28;96(18):e0103422. doi: 10.1128/jvi.01034-22. Epub 2022 Aug 30.
The duration of SARS-CoV-2 genomic RNA shedding is much longer than that of infectious SARS-CoV-2 in most COVID-19 patients. It is very important to determine the relationship between test results and infectivity for efficient isolation, contact tracing, and post-isolation. We characterized the duration of viable SARS-CoV-2, viral genomic and subgenomic RNA (gRNA and sgRNA), and rapid antigen test positivity in nasal washes, oropharyngeal swabs, and feces of experimentally infected Syrian hamsters. The duration of viral genomic RNA shedding is longer than that of viral subgenomic RNA, and far longer than those of rapid antigen test (RAgT) and viral culture positivity. The rapid antigen test results were strongly correlated with the viral culture results. The trend of subgenomic RNA is similar to that of genomic RNA, and furthermore, the subgenomic RNA load is highly correlated with the genomic RNA load. Our findings highlight the high correlation between rapid antigen test and virus culture results. The rapid antigen test would be an important supplement to real-time reverse transcription-RCR (RT-PCR) in early COVID-19 screening and in shortening the isolation period of COVID-19 patients. Because the subgenomic RNA load can be predicted from the genomic RNA load, measuring sgRNA does not add more benefit to determining infectivity than a threshold determined for gRNA based on viral culture.
在大多数 COVID-19 患者中,SARS-CoV-2 基因组 RNA 的脱落持续时间比传染性 SARS-CoV-2 长得多。确定检测结果与传染性之间的关系对于有效的隔离、接触者追踪和隔离后监测非常重要。我们对感染了 SARS-CoV-2 的叙利亚仓鼠的鼻腔冲洗液、咽拭子和粪便中的活 SARS-CoV-2、病毒基因组和亚基因组 RNA(gRNA 和 sgRNA)以及快速抗原检测(RAgT)阳性的持续时间进行了特征描述。病毒基因组 RNA 的脱落持续时间长于病毒亚基因组 RNA,且远远长于快速抗原检测(RAgT)和病毒培养阳性。快速抗原检测结果与病毒培养结果密切相关。亚基因组 RNA 的趋势与基因组 RNA 相似,此外,亚基因组 RNA 的载量与基因组 RNA 的载量高度相关。我们的研究结果强调了快速抗原检测和病毒培养结果之间的高度相关性。快速抗原检测将是 COVID-19 早期筛查和缩短 COVID-19 患者隔离期时实时逆转录-聚合酶链反应(RT-PCR)的重要补充。由于亚基因组 RNA 载量可以从基因组 RNA 载量预测,因此基于病毒培养确定 gRNA 阈值比测量 sgRNA 更能确定传染性。
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