Massively scaled-up testing for SARS-CoV-2 RNA via next-generation sequencing of pooled and barcoded nasal and saliva samples.
Massively scaled-up testing for SARS-CoV-2 RNA via next-generation sequencing of pooled and barcoded nasal and saliva samples.
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DOI:
10.1038/s41551-021-00754-5
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发表时间:
2021-07
影响因子:
28.1
通讯作者:
中科院分区:
文献类型:
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Frequent and widespread testing of the asymptomatic population is essential to mitigate the uncontrolled transmission of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Despite increases in testing capacity, quantitative polymerase chain reaction tests cannot be easily deployed at the scale required for population-wide screening efforts. Here, we report a high-throughput test for SARS-CoV-2 that uses next-generation sequencing of pooled samples tagged with sample-specific molecular barcodes. This test does not require RNA extraction and can simultaneously analyze thousands of nasal or saliva samples in a single run. The test incorporates an in vitro RNA standard which improves quantitation accuracy and requires minimal sample-to-sample normalization, thus facilitating the calling of true negatives. Our laboratory performed over 80,000 tests in under two months, confirming the inexpensive provision of results at scale, with high sensitivity and specificity, and with turn-around times of less than 24 hours. The test can be rapidly adapted to target the spread of other pathogens. A clinical pipeline for high-throughput screening of clinical samples, pooled in a single next-generation sequencing run, via sample-specific molecular barcoding.
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