在唾液样本中检测SARS-CoV-2的无RNA提取PCR检测方法的多功能性
Orchid M Allicock1, Devyn Yolda-Carr1, Rebecca Earnest1
1Department of Epidemiology of Microbial Diseases, Yale School of Public Health, New Haven, CT, 06510, USA.
Progress in biophysics and molecular biology
|June 27, 2023
概括
用于检测SARS-CoV-2的SalivaDirect协议得到了灵活的热预处理选项的增强. 这些修改保持了测定灵敏度,增加了临床诊断实验室的可访问性.
科学领域:
- 分子生物学分子生物学
- 病毒学 病毒学
- 临床诊断 临床诊断 临床诊断
背景情况:
- 最初的SalivaDirect协议提供了一种简化,无需RNA提取的方法,用于使用RT-qPCR检测SARS-CoV-2.
- 临床实验室需要可适应的工作流程,以符合处理传染性样品的现有安全协议.
- 确定了对SARS-CoV-2唾液测试的PCR前样本准备的灵活性需求.
研究的目的:
- 为了探索和验证SalivaDirect工作流程的修改.
- 将额外的PCR前化步骤与不同的热处理和蛋白酶K的使用相结合.
- 评估这些修改对SARS-CoV-2检测灵敏度和准确性的影响.
主要方法:
- 修改了SalivaDirect协议,添加了PCR前化步骤 (30分钟的95°C,5分钟的95°C或15分钟的65°C).
- 评估了添加蛋白酶K.和没有添加蛋白酶K.的工作流程.
- 使用RT-qPCR在COVID-19个体的非识别的唾液样本上确定检测和测试灵敏度的极限.
主要成果:
- 与原来的SalivaDirect协议相比,修改后的工作流程在检测极限上没有显著差异.
- 病毒检测和测试灵敏度在测试工作流程中仍然可比.
- 排除蛋白酶K并没有对SARS-CoV-2试验的灵敏度产生负面影响.
结论:
- 添加灵活的热预处理选项可以提高SalivaDirect协议的适应性.
- 这些修改为诊断实验室提供了工作流的灵活性,以满足特定的安全要求.
- 增强的SalivaDirect协议仍然是一个具有成本效益和敏感的方法来检测唾液中的SARS-CoV-2.
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