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Author Spotlight: Advancing Pathogen Diagnostics with Standardized LAMP
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Resilient SARS-CoV-2 diagnostics workflows including viral heat inactivation.

Maria Jose Lista1,2,3, Pedro M Matos1,2,3, Thomas J A Maguire1,4,3

  • 1King's College London Diagnostics Team at Guy's Campus (London, UK).

Medrxiv : the Preprint Server for Health Sciences
|April 14, 2021
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Summary

This study offers accessible SARS-CoV-2 detection workflows using commercial kits and heat inactivation of samples. Protocols are available to enable widespread testing, even without specialized facilities.

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Area of Science:

  • Molecular Biology
  • Virology
  • Clinical Diagnostics

Background:

  • Global demand for SARS-CoV-2 detection reagents necessitates accessible testing solutions.
  • Many laboratories lack the capacity for kit-free or manual SARS-CoV-2 RNA extraction and detection.
  • Developing standardized, implementable workflows is crucial for expanding testing capabilities.

Approach:

  • Compared commercial RNA extraction kits (QIAamp, RNAdvance, Mag-Bind) and one-step RT-qPCR reagents (FastVirus, Luna, qPCRBIO).
  • Evaluated primer-probe sets for SARS-CoV-2 N and RdRP genes, assessing sensitivity with varying viral loads.
  • Validated heat inactivation of nasopharyngeal swabs (70-90°C) for SARS-CoV-2 inactivation using plaque assays and qPCR sensitivity.

Key Points:

  • All tested RNA extraction methods yielded comparable results.
  • FastVirus and Luna reagents demonstrated the highest sensitivity in RT-qPCR.
  • Detection of the viral N gene was more reliable than RdRP, especially for low viral titers.
  • Heat treatment effectively inactivated SARS-CoV-2 (original and B.1.1.7 variants) with minimal impact on qPCR sensitivity.
  • SARS-CoV-2 testing can be performed in settings lacking high-containment (CL-3) facilities.

Conclusions:

  • Multiple SARS-CoV-2 testing pipelines using commercially available reagents were established and validated.
  • Heat inactivation of clinical samples offers a safe and effective method for sample preparation.
  • The study provides freely available protocols and SOPs to facilitate widespread implementation of SARS-CoV-2 detection.