Minute-scale detection of SARS-CoV-2 using a low-cost biosensor composed of pencil graphite electrodes.

Minute-scale detection of SARS-CoV-2 using a low-cost biosensor composed of pencil graphite electrodes.
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DOI:
10.1073/pnas.2106724118
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发表时间:
2021-07-27
影响因子:
11.1
通讯作者:
de la Fuente-Nunez C
de la Fuente-Nunez C
中科院分区:
综合性期刊1区
文献类型:
--
作者:
de Lima LF;Ferreira AL;Torres MDT;de Araujo WR;de la Fuente-Nunez C

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为了防止COVID-19的传播,迫切需要进行高频率的检测。在这里,我们介绍低成本电化学高级诊断(LEAD),一种诊断测试,检测SARS冠状病毒-2在6.5分钟内,成本为1.50美元每单位,并使用易于组装的材料,如人血管紧张素转换酶2,改性石墨导线,和塑料瓶。当使用临床唾液(100.0%灵敏度、100.0%特异性、100.0%准确度)和鼻咽/口咽(88.7%灵敏度、86.0%特异性、87.4%准确度)样本进行检测时,LEAD的灵敏度与金标准方法(病毒刺突蛋白的检测限= 229 fg·mL-1)相当,并显示出优异的性能特征。最后,未检测到与其他病毒的交叉反应性,并且当在4 °C下储存时,该测试显示出5天的有效保质期。COVID-19已导致全球超过347万人死亡,并继续主要影响中低收入国家。高频率检测已被提议作为预防疫情的潜在解决方案。然而,目前的测试还不够低成本、快速或可扩展,无法进行广泛的COVID-19测试。在这里,我们描述了LEAD(低成本电化学高级诊断),这是一种诊断测试,可在6.5分钟内检测到严重急性呼吸综合征冠状病毒2(SARS-CoV-2),每单位成本为1.50美元,使用易于获得的商业可用材料生产。LEAD对SARS-CoV-2刺突蛋白高度敏感(检测限= 229 fg·mL-1),并在临床唾液(100.0%灵敏度,100.0%特异性和100.0%准确性)和鼻咽/口咽(88.7%灵敏度,86.0%特异性和87.4%准确性)样本中显示出优异的性能。与其他冠状病毒或流感病毒株未检测到交叉反应。重要的是,LEAD还成功地诊断出了高度传染性的SARS-CoV-2 B.1.1.7 UK变体。该装置在所有测试条件下均具有高重现性,并在4 °C磷酸盐缓冲盐水中储存时保持其原始灵敏度5 d。我们的低成本和自助技术开辟了新的途径,以促进高频率的测试,并在资源有限的环境和低收入社区获得急需的诊断测试。
High-frequency testing is urgently needed to help prevent the spread of COVID-19. Here, we introduce Low-cost Electrochemical Advanced Diagnostic (LEAD), a diagnostic test that detects SARS-CoV-2 within 6.5 min, costs $1.50 per unit, and uses easily assembled materials such as human angiotensin-converting enzyme 2, modified graphite leads, and a plastic vial. LEAD presents sensitivity comparable to the gold-standard methods (limit of detection for the viral spike protein = 229 fg⋅mL-1) and displays an excellent performance profile when tested using clinical saliva (100.0% sensitivity, 100.0% specificity, 100.0% accuracy) and nasopharyngeal/oropharyngeal (88.7% sensitivity, 86.0% specificity, 87.4% accuracy) samples. Finally, no cross-reactivity with other viruses was detected and the test displayed a viable shelf-life of 5 d when stored at 4 °C. COVID-19 has led to over 3.47 million deaths worldwide and continues to devastate primarily middle- and low-income countries. High-frequency testing has been proposed as a potential solution to prevent outbreaks. However, current tests are not sufficiently low-cost, rapid, or scalable to enable broad COVID-19 testing. Here, we describe LEAD (Low-cost Electrochemical Advanced Diagnostic), a diagnostic test that detects severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) within 6.5 min and costs $1.50 per unit to produce using easily accessible and commercially available materials. LEAD is highly sensitive toward SARS-CoV-2 spike protein (limit of detection = 229 fg⋅mL−1) and displays an excellent performance profile using clinical saliva (100.0% sensitivity, 100.0% specificity, and 100.0% accuracy) and nasopharyngeal/oropharyngeal (88.7% sensitivity, 86.0% specificity, and 87.4% accuracy) samples. No cross-reactivity was detected with other coronavirus or influenza strains. Importantly, LEAD also successfully diagnosed the highly contagious SARS-CoV-2 B.1.1.7 UK variant. The device presents high reproducibility under all conditions tested and preserves its original sensitivity for 5 d when stored at 4 °C in phosphate-buffered saline. Our low-cost and do-it-yourself technology opens new avenues to facilitate high-frequency testing and access to much-needed diagnostic tests in resource-limited settings and low-income communities.
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