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Related Experiment Video

Updated: Sep 23, 2025

Efficient SARS-CoV-2 Quantitative Reverse Transcriptase PCR Saliva Diagnostic Strategy utilizing Open-Source Pipetting Robots
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Sequencing SARS-CoV-2 genomes from saliva.

Tara Alpert1, Chantal B F Vogels1, Mallery I Breban1

  • 1Department of Epidemiology of Microbial Diseases, Yale School of Public Health, 60 College St, New Haven, CT 06510, USA.

Virus Evolution
|May 11, 2022
PubMed
Summary

Saliva is a viable specimen for Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) genomic sequencing. RNA extraction from saliva yields SARS-CoV-2 genomes comparable to those from nasopharyngeal swabs.

Keywords:
SARS-CoV-2; salivagenomic epidemiologynext generation sequencingoxford nanopore MinIONsalivadirect

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Area of Science:

  • Virology
  • Genomics
  • Epidemiology

Background:

  • Genomic sequencing of SARS-CoV-2 is vital for tracking its evolution and spread.
  • Nasopharyngeal (NP) swabs are the traditional specimen source for SARS-CoV-2 whole-genome sequencing.
  • Saliva is a known reliable specimen for SARS-CoV-2 RNA detection but is underutilized for genomic studies.

Purpose of the Study:

  • To evaluate saliva as a specimen type for SARS-CoV-2 genomic sequencing.
  • To compare the quality of SARS-CoV-2 genomes generated from saliva versus NP swabs.
  • To determine the necessity of RNA extraction for saliva-based SARS-CoV-2 sequencing.

Main Methods:

  • Utilized the ARTIC Network amplicon-generation method.
  • Employed Oxford Nanopore MinION for sequencing.
  • Compared genomic data derived from saliva and NP swabs, with and without RNA extraction.

Main Results:

  • SARS-CoV-2 genomes generated from saliva were comparable in quality to those from NP swabs.
  • Complete SARS-CoV-2 genomes could be generated from saliva, but only after RNA extraction.
  • Saliva proved to be a stable and effective specimen for SARS-CoV-2 sequencing.

Conclusions:

  • Saliva is a suitable alternative specimen for SARS-CoV-2 genomic sequencing.
  • RNA extraction is a critical step for obtaining complete SARS-CoV-2 genomes from saliva.
  • This finding expands the options for specimen collection in SARS-CoV-2 genomic surveillance efforts.