A Comparative Study of Real-Time RT-PCR-Based SARS-CoV-2 Detection Methods and Its Application to Human-Derived and Surface Swabbed Material.

A Comparative Study of Real-Time RT-PCR-Based SARS-CoV-2 Detection Methods and Its Application to Human-Derived and Surface Swabbed Material.
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DOI:
10.1016/j.jmoldx.2021.04.009
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发表时间:
2021-07
期刊:
The Journal of molecular diagnostics : JMD
影响因子:
--
通讯作者:
Levesque MP
Levesque MP
中科院分区:
其他
文献类型:
--
作者:
Tastanova A;Stoffel CI;Dzung A;Cheng PF;Bellini E;Johansen P;Duda A;Nobbe S;Lienhard R;Bosshard PP;Levesque MP

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实时RT-PCR仍然是检测各种病毒性疾病的金标准。在2019年冠状病毒大流行中,开发了多种基于RT-PCR的测试来筛查病毒感染。作为对日益增长的检测需求的应急响应,我们建立了一个严重急性呼吸综合征冠状病毒2(SARS-CoV-2)PCR诊断平台,并比较了不同的商业和内部RT-PCR方案。用92份SARS-CoV-2阳性和92份SARS-CoV-2阴性样本评价了4种商业RT-PCR方案、1种定制RT-PCR方案和1种内部RT-PCR方案。并对这些方案的经济性和实用性进行了比较。此外,还建立了一种高灵敏度的数字液滴PCR(ddPCR)方法,并对RT-PCR和ddPCR方法在SARS-CoV-2环境样品中的应用进行了研究。结果表明,两种RT-PCR方法的检测限均较低(1 ~ 2个病毒拷贝/μL),灵敏度和特异性分别为93.6%~ 97.8%和98.7%~ 100%,并证明了两种商业化方法的可行性。测试的商业和定制的RT-PCR检测试剂盒显示出非常好的和可比的灵敏度和特异性,试剂盒可以进一步优化用于来自人类和表面拭子样本的SARS-CoV-2病毒样本。
Real-time RT-PCR remains a gold standard in the detection of various viral diseases. In the coronavirus 2019 pandemic, multiple RT-PCR–based tests were developed to screen for viral infection. As an emergency response to increasing testing demand, we established a severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) PCR diagnostics platform for which we compared different commercial and in-house RT-PCR protocols. Four commercial, one customized, and one in-house RT-PCR protocols were evaluated with 92 SARS-CoV-2–positive and 92 SARS-CoV-2–negative samples. Furthermore, economical and practical characteristics of these protocols were compared. In addition, a highly sensitive digital droplet PCR (ddPCR) method was developed, and application of RT-PCR and ddPCR methods on SARS-CoV-2 environmental samples was examined. Very low limits of detection (1 or 2 viral copies/μL), high sensitivities (93.6% to 97.8%), and high specificities (98.7% to 100%) for the tested RT-PCR protocols were found. Furthermore, the feasibility of downscaling two of the commercial protocols, which could optimize testing capacity, was demonstrated. Tested commercial and customized RT-PCR detection kits show very good and comparable sensitivity and specificity, and the kits could be further optimized for use on SARS-CoV-2 viral samples derived from human and surface swabbed samples.
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