COVID-19 detection methods: from the clinic to the laboratory

Authors

  • Kexin Wei

DOI:

https://doi.org/10.61173/r0p7ke79

Keywords:

SARS-CoV-2, Methodology, Detection, RT-PCR

Abstract

Despite the post-epidemic period of COVID-19, systematic summary studies of SARS-CoV-2 are still important to cope with future outbreaks of new coronaviruses. In this paper, we reviewed many different methods for detecting SARS-CoV-2 virus, including nucleic acid, antibody, and antigen detection. The RT-PCR is one kind of the gold standard for SARS-CoV-2 diagnosis and has high specificity and sensitivity. The T-PCR technique also has some limitations due to its own basic principles, such as the possibility of false negatives or false positives. The article also discusses the importance of combining antigen and antibody detection with RT-PCR to complement RT-PCR in diagnosis. In addition, the article describes emerging detection technologies and the latest progress in SARS-CoV-2 detection. Overall, we provide a piece of comprehensive and valuable information for understanding SARS-CoV-2 detection methods, which is important for guiding public health practice and responding to possible new virus outbreaks.

References

[1] . Wu, F., et al., A new coronavirus associated with human respiratory disease in China. Nature, 2020. 579(7798): p. 265- 269.

[2] . Zhou, P., et al., A pneumonia outbreak associated with a new coronavirus of probable bat origin. Nature, 2020. 579(7798): p. 270-273.

[3] . Zhu, N., et al., A Novel Coronavirus from Patients with Pneumonia in China, 2019. N Engl J Med, 2020. 382(8): p. 727- 733.

[4] . Organization, W.H., WHO announced the end of the emergency phase of COVID-19 in May 2023. 2023.

[5] . James, A.S. and J.I. Alawneh, COVID-19 Infection Diagnosis: Potential Impact of Isothermal Amplification Technology to Reduce Community Transmission of SARS- CoV-2. Diagnostics (Basel), 2020. 10(6).

[6] . Hu, B., et al., Characteristics of SARS-CoV-2 and COVID-19. Nat Rev Microbiol, 2021. 19(3): p. 141-154.

[7] . Diamond, M.S. and T.D. Kanneganti, Innate immunity: the first line of defense against SARS-CoV-2. Nat Immunol, 2022. 23(2): p. 165-176.

[8] . Yuce, M., E. Filiztekin and K.G. Ozkaya, COVID-19 diagnosis -A review of current methods. Biosens Bioelectron, 2021. 172: p. 112752.

[9] . Malone, B., et al., Structures and functions of coronavirus replication-transcription complexes and their relevance for SARS-CoV-2 drug design. Nat Rev Mol Cell Biol, 2022. 23(1): p. 21-39.

[10] . Jackson, C.B., et al., Mechanisms of SARS-CoV-2 entry into cells. Nat Rev Mol Cell Biol, 2022. 23(1): p. 3-20.

[11] . Sacks, D., et al., Multisociety Consensus Quality Improvement Revised Consensus Statement for Endovascular Therapy of Acute Ischemic Stroke. Int J Stroke, 2018. 13(6): p. 612-632.

[12] . Safiabadi, T.S., et al., Tools and Techniques for Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2)/ COVID-19 Detection. Clin Microbiol Rev, 2021. 34(3).

[13] . Carabelli, A.M., et al., SARS-CoV-2 variant biology: immune escape, transmission and fitness. Nat Rev Microbiol, 2023. 21(3): p. 162-177.

[14] . Steiner, S., et al., SARS-CoV-2 biology and host interactions. Nat Rev Microbiol, 2024. 22(4): p. 206-225.

[15] . Poland, G.A., I.G. Ovsyannikova and R.B. Kennedy, SARS-CoV-2 immunity: review and applications to phase 3 vaccine candidates. Lancet, 2020. 396(10262): p. 1595-1606.

[16] . Roltgen, K. and S.D. Boyd, Antibody and B Cell Responses to SARS-CoV-2 Infection and Vaccination: The End of the Beginning. Annu Rev Pathol, 2024. 19: p. 69-97.

[17] . LeBlanc, J.J., et al., Real-time PCR-based SARS-CoV-2 detection in Canadian laboratories. J Clin Virol, 2020. 128: p. 104433.

[18] . Peeling, R.W., et al., Diagnostics for COVID-19: moving from pandemic response to control. Lancet, 2022. 399(10326): p. 757-768.

[19] . Meiners, L., et al., SARS-CoV-2 rapid antigen test sensitivity and viral load in newly symptomatic hospital employees in Berlin, Germany, December, 2020 to February, Dean&Francis Kexin Wei 2022: an observational study. Lancet Microbe, 2024. 5(6): p. e538-e546.

[20] . Carter, L.J., et al., Assay Techniques and Test Development for COVID-19 Diagnosis. ACS Cent Sci, 2020. 6(5): p. 591-605.

[21] . Udugama, B., et al., Diagnosing COVID-19: The Disease and Tools for Detection. ACS Nano, 2020. 14(4): p. 3822-3835.

[22] . Yu, C.Y., et al., Nucleic Acid-Based Diagnostic Tests for the Detection SARS-CoV-2: An Update. Diagnostics (Basel), 2021. 11(1).

[23] . Norz, D., et al., Pushing beyond specifications: Evaluation of linearity and clinical performance of the cobas 6800/8800 SARS-CoV-2 RT-PCR assay for reliable quantification in blood and other materials outside recommendations. J Clin Virol, 2020. 132: p. 104650.

[24] . Puhach, O., B. Meyer and I. Eckerle, SARS-CoV-2 viral load and shedding kinetics. Nat Rev Microbiol, 2023. 21(3): p. 147-161.

[25] . Peeling, R.W., et al., Serology testing in the COVID-19 pandemic response. Lancet Infect Dis, 2020. 20(9): p. e245-e249.

[26] . Zhao, J., et al., Antibody Responses to SARS-CoV-2 in Patients With Novel Coronavirus Disease 2019. Clin Infect Dis, 2020. 71(16): p. 2027-2034.

[27] . Ghaedamini, H., et al., A novel ACE2-Based electrochemical biosensor for sensitive detection of SARS- CoV-2. Anal Biochem, 2024. 689: p. 115504.

[28] . Wang, R., et al., opvCRISPR: One-pot visual RT- LAMP-CRISPR platform for SARS-cov-2 detection. Biosens Bioelectron, 2021. 172: p. 112766.

[29] . Kim, H., et al., A CRISPR/Cas12 trans-cleavage reporter enabling label-free colorimetric detection of SARS-CoV-2 and its variants. Biosens Bioelectron, 2024. 251: p. 116102.

[30] . Rak, A., et al., A novel immunofluorescent test system for SARS-CoV-2 detection in infected cells. PLoS One, 2024. 19(5): p. e0304534.

[31] . Xiao, Z., et al., Rapid and accurate detection of SARS- CoV-2 using the RHAM technology. Sci Rep, 2023. 13(1): p. 22798.

[32] . Welch, N.L., et al., Multiplexed CRISPR-based microfluidic platform for clinical testing of respiratory viruses and identification of SARS-CoV-2 variants. Nat Med, 2022. 28(5): p. 1083-1094.

Downloads

Published

2024-12-31