Instrument-free, CRISPR-based diagnostics of SARS-CoV-2 using self-contained microfluidic system.

Instrument-free, CRISPR-based diagnostics of SARS-CoV-2 using self-contained microfluidic system.
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DOI:
10.1016/j.bios.2021.113865
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发表时间:
2022-03-01
影响因子:
12.6
通讯作者:
Liu C
Liu C
中科院分区:
工程技术1区
文献类型:
--
作者:
Li Z;Ding X;Yin K;Avery L;Ballesteros E;Liu C

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快速灵敏地检测严重急性呼吸综合征冠状病毒2型(SARS-CoV-2)对于2019冠状病毒病(COVID-19)的早期诊断和及时治疗至关重要。然而,目前的检测方法通常依赖于昂贵且笨重的仪器。在这里,我们开发了一种简单,灵敏,无仪器,基于CRISPR的SARS-CoV-2诊断方法,使用自包含的微流体系统。微流控芯片在一个封闭的微流控平台中集成了等温扩增、CRISPR切割和侧向流检测,实现了无污染的可视化检测。为了简化设备的操作和运输,我们将CRISPR试剂冻干在反应室中,并将液体溶液预先储存在泡罩中。我们采用了一种低成本的便携式暖手器来孵育微流控芯片,而不需要电力。这个独立的微流控系统可以检测到100个SARS-CoV-2 RNA拷贝。此外,我们通过检测24份COVID-19临床鼻咽拭子样本对我们的方法进行了临床验证,实现了出色的灵敏度(94.1%),特异性(100%)和准确性(95.8%)。这种简单、灵敏、价格实惠的微流体系统代表了COVID-19和其他传染病的即时诊断的一种有前途的工具。
Rapid and sensitive detection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is critical for early diagnostics and timely medical treatment of coronavirus disease 2019 (COVID-19). However, current detection methods typically rely on expensive and bulky instrumentation. Here, we developed a simple, sensitive, instrument-free, CRISPR-based diagnostics of SARS-CoV-2 using a self-contained microfluidic system. The microfluidic chip integrates isothermal amplification, CRISPR cleavage, and lateral flow detection in a single, closed microfluidic platform, enabling contamination-free, visual detection. To simplify the operation and transportation of the device, we lyophilized the CRISPR reagents in the reaction chamber and pre-stored the liquid solutions in blisters. We employed a low-cost, portable hand warmer to incubate the microfluidic chip without the need for electricity. The self-contained microfluidic system can detect down to 100 copies of SARS-CoV-2 RNA. Further, we clinically validated our method by detecting 24 COVID-19 clinical nasopharyngeal swab samples, achieving excellent sensitivity (94.1%), specificity (100%), and accuracy (95.8%). This simple, sensitive, and affordable microfluidic system represents a promising tool for point-of-care diagnostics of COVID-19 and other infectious diseases.
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