RT-PCR/MALDI-TOF Diagnostic Target Performance Reflects Circulating SARS-CoV-2 Variant Diversity in New York City.

RT-PCR/MALDI-TOF Diagnostic Target Performance Reflects Circulating SARS-CoV-2 Variant Diversity in New York City.
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DOI:
10.1016/j.jmoldx.2022.04.003
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发表时间:
2022-07
影响因子:
4.1
通讯作者:
Mt Sinai PSP Study Grp
Mt Sinai PSP Study Grp
中科院分区:
医学3区
文献类型:
--
作者:
Hernandez, Matthew M.;Banu, Radhika;Gonzalez-Reiche, Ana S.;Gray, Brandon;Shrestha, Paras;Cao, Liyong;Chen, Feng;Shi, Huanzhi;Hanna, Ayman;Ramirez, Juan David;van de Guchte, Adriana;Sebra, Robert;Gitman, Melissa R.;Nowak, Michael D.;Cordon-Cardo, Carlos;Schutzbank, Ted E.;Simon, Viviana;van Bakel, Harm;Sordillo, Emilia Mia;Paniz-Mondol, Alberto E.;Mt Sinai PSP Study Grp

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As severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) continues to circulate, multiple variants of concern have emerged. New variants pose challenges for diagnostic platforms because sequence diversity can alter primer/probe-binding sites (PBSs), causing false-negative results. The MassARRAY SARS-CoV-2 Panel (Agena Bioscience) uses RT-PCR and mass spectrometry to detect five multiplex targets across N and ORF1ab genes. Herein, we use a data set of 256 SARS-CoV-2–positive specimens collected between April 11, 2021, and August 28, 2021, to evaluate target performance with paired sequencing data. During this time frame, two targets in the N gene (N2 and N3) were subject to the greatest sequence diversity. In specimens with N3 dropout, 69% harbored the Alpha-specific A28095U polymorphism that introduces a 3′-mismatch to the N3 forward PBS and increases risk of target dropout relative to specimens with 28095A (relative risk, 20.02; 95% CI, 11.36 to 35.72; P < 0.0001). Furthermore, among specimens with N2 dropout, 90% harbored the Delta-specific G28916U polymorphism that creates a 3′-mismatch to the N2 probe PBS and increases target dropout risk (relative risk, 11.92; 95% CI, 8.17 to 14.06; P < 0.0001). These findings highlight the robust capability of MassARRAY SARS-CoV-2 Panel target results to reveal circulating virus diversity, and they underscore the power of multitarget design to capture variants of concern.
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