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Sputum Processing Method for Lateral Flow Immunochromatographic Assays to Detect Coronaviruses.

Aram Kang1, Minjoo Yeom1, Hyekwon Kim2

  • 1College of Pharmacy, Korea University, Sejong 30019, Korea.

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Summary

This study presents a new method to improve coronavirus diagnosis in sputum using mucolytic agents. The optimized pretreatment enhances immunochromatographic assay (ICA) sensitivity for detecting viruses like MERS-CoV.

Keywords:
Chromatography, SensitivityCoronavirusDiagnosisSputum

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Area of Science:

  • Virology
  • Diagnostic Assays
  • Biochemistry

Background:

  • Coronaviruses cause zoonotic diseases, necessitating early diagnosis for control.
  • Immunochromatographic assay (ICA) is a rapid point-of-care diagnostic tool.
  • Sputum viscosity hinders ICA performance by impeding antigen migration.

Purpose of the Study:

  • To develop an effective sputum pretreatment method for enhanced coronavirus detection via ICA.
  • To identify optimal mucolytic agents that reduce sputum viscosity without compromising viral antigens.

Main Methods:

  • Combined known mucolytic agents to decrease sputum viscosity.
  • Tested pretreatment efficacy on sputum samples spiked with alpha and beta coronaviruses (PEDV and MERS-CoV).
  • Evaluated the performance of immunochromatographic assay (ICA) with pretreated samples.

Main Results:

  • A pretreatment method using tris(2-carboxyethyl)phosphine (TCEP) and Bovine Serum Albumin (BSA) effectively lowered sputum viscosity.
  • This TCEP and BSA pretreatment significantly improved ICA sensitivity for detecting PEDV and MERS-CoV in sputum.
  • The method demonstrated suitability for diagnosing lower respiratory tract pathogens.

Conclusions:

  • Optimized sputum pretreatment using TCEP and BSA enables sensitive ICA diagnosis of coronaviruses.
  • This approach overcomes viscosity limitations in sputum samples for point-of-care testing.
  • Provides a valuable tool for rapid diagnosis of lower respiratory tract coronavirus infections.