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The Suitability of RNA from Positive SARS-CoV-2 Rapid Antigen Tests for Whole Virus Genome Sequencing and Variant Identification to Maintain Genomic Surveillance.

作者信息

Cucina Annamaria, Contino Flavia, Brunacci Giuseppina, Orlando Valentina, La Rocca Mario, Indelicato Sergio, Di Gaudio Francesca

机构信息

Azienda Ospedaliera Ospedali Riuniti Villa Sofia-Cervello, Chromatography and Mass Spectrometry Section, Quality Control and Chemical Risk (CQRC), Via del Vespro, 133, 90127 Palermo, Italy.

Regional Health Department, Department of Strategic Planning, Piazza Ottavio Ziino, 24, 90145 Palermo, Italy.

出版信息

Diagnostics (Basel). 2023 Dec 7;13(24):3618. doi: 10.3390/diagnostics13243618.


DOI:10.3390/diagnostics13243618
PMID:38132202
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10742923/
Abstract

UNLABELLED: The COVID-19 pandemic has transformed laboratory management, with a surge in demand for diagnostic tests prompting the adoption of new diagnostic assays and the spread of variant surveillance tools. Rapid antigen tests (RATs) were initially used only for screening and later as suitable infection assessment tools. This study explores the feasibility of sequencing the SARS-CoV-2 genome from the residue of the nasopharyngeal swab extraction buffers of rapid antigen tests (RATs) to identify different COVID-19 lineages and sub-lineages. METHODS: Viral RNA was extracted from the residue of the nasopharyngeal swab extraction buffers of RATs and, after a confirmation of positivity through a reaction of RT-PCR, viral genome sequencing was performed. RESULTS: Overall, the quality of the sequences obtained from the RNA extracted from the residue of the nasopharyngeal swab extraction buffers of RATs was adequate and allowed us to identify the SARS-CoV-2 variants' circulation and distribution in a period when the use of molecular swabs had been drastically reduced. CONCLUSIONS: This study demonstrates the potential for genomic surveillance by sequencing SARS-CoV-2 from the residue of the nasopharyngeal swab extraction buffers of RATs, highlighting alternative possibilities for tracking variants.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ee6/10742923/1b151005fd92/diagnostics-13-03618-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ee6/10742923/7a2f378c600a/diagnostics-13-03618-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ee6/10742923/7f4b47603f48/diagnostics-13-03618-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ee6/10742923/d649c400b062/diagnostics-13-03618-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ee6/10742923/dfe9c53352cc/diagnostics-13-03618-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ee6/10742923/1b151005fd92/diagnostics-13-03618-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ee6/10742923/7a2f378c600a/diagnostics-13-03618-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ee6/10742923/7f4b47603f48/diagnostics-13-03618-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ee6/10742923/d649c400b062/diagnostics-13-03618-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ee6/10742923/dfe9c53352cc/diagnostics-13-03618-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ee6/10742923/1b151005fd92/diagnostics-13-03618-g005.jpg

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[1]
The Suitability of RNA from Positive SARS-CoV-2 Rapid Antigen Tests for Whole Virus Genome Sequencing and Variant Identification to Maintain Genomic Surveillance.

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引用本文的文献

[1]
SARS-CoV-2 genomic surveillance using rapid point of care COVID-19 antigen tests at public test sites in California.

Front Public Health. 2025-7-25

[2]
Does COVID-19 Infection Continue to Affect Self-Reported and Objective Sleep? A Longitudinal Study of Good Sleepers.

Nat Sci Sleep. 2025-6-19

本文引用的文献

[1]
Sensitivity of rapid antigen tests against SARS-CoV-2 Omicron and Delta variants.

J Clin Microbiol. 2023-10-24

[2]
Antigen test swabs are comparable to nasopharyngeal swabs for sequencing of SARS-CoV-2.

Sci Rep. 2023-7-12

[3]
Performance of 20 rapid antigen detection tests to detect SARS-CoV-2 B.1.617.2 (Delta) and B.1.1.529 (Omicron) variants using a clinical specimen panel from January 2022, Berlin, Germany.

Euro Surveill. 2023-4

[4]
SARS-CoV-2 molecular testing and whole genome sequencing following RNA recovery from used BinaxNOW COVID-19 antigen self tests.

J Clin Virol. 2023-5

[5]
Sequencing directly from antigen-detection rapid diagnostic tests in Belgium, 2022: a gamechanger in genomic surveillance?

Euro Surveill. 2023-3

[6]
Clinical performance of rapid antigen tests in comparison to RT-PCR for SARS-COV-2 diagnosis in Omicron variant: A systematic review and meta-analysis.

Rev Med Virol. 2023-3

[7]
Analytical sensitivity of COVID-19 rapid antigen tests: A case for a robust reference standard.

Talanta Open. 2023-8

[8]
Reduction of the risk of severe COVID-19 due to Omicron compared to Delta variant in Italy (November 2021 - February 2022).

Int J Infect Dis. 2023-4

[9]
Performance Evaluation of Five Rapid At-Home COVID-19 Antigen Tests against the Omicron Variant.

Microbiol Spectr. 2023-2-14

[10]
Diagnosis Methods for COVID-19: A Systematic Review.

Micromachines (Basel). 2022-8-19

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