Point‐of‐Care Platform for Rapid Multiplexed Detection of SARS‐CoV‐2 Variants and Respiratory Pathogens
Source abstract
Abstract
Abstract The rise of highly transmissible SARS‐CoV‐2 variants brings new challenges and concerns with vaccine efficacy, diagnostic sensitivity, and public health responses to end the pandemic. Widespread detection of variants is critical to inform policy decisions to mitigate further spread, and postpandemic multiplexed screening of respiratory viruses will be necessary to properly manage patients presenting with similar respiratory symptoms. In this work, a portable, magnetofluidic cartridge platform for automated polymerase chain reaction testing in <30 min is developed. Cartridges are designed for multiplexed detection of SARS‐CoV‐2 with either identification of variant mutations or screening for Influenza A and B. Moreover, the platform can perform identification of B.1.1.7 and B.1.351 variants and the multiplexed SARS‐CoV‐2/Influenza assay using archived clinical nasopharyngeal swab eluates and saliva samples. This work illustrates a path toward affordable and immediate testing with potential to aid surveillance of viral variants and inform patient treatment.
Source: crossref · Quality: baseline
Research context
OpenAlex topics: SARS-CoV-2 detection and testing · Respiratory viral infections research · Biosensors and Analytical Detection
SciVX discovery tags are terminology-based. OpenAlex topics are source-provided classifications.
Affiliations
Department of Biomedical Engineering Johns Hopkins University Baltimore MD 21218 USA
Department of Mechanical Engineering Johns Hopkins University Baltimore MD 21218 USA
Division of Medical Microbiology Department of Pathology Johns Hopkins University School of Medicine Baltimore MD 21205 USA
Institute for NanoBiotechnology Johns Hopkins University Baltimore MD 21218 USA
Funding
National Institutes of Health
References (45)
Show source-provided references
1. 10.1056/NEJMc200931610.1056/NEJMc2009316 ↗
2. 10.1016/S1473-3099(20)30457-610.1016/S1473-3099(20)30457-6 ↗
3. 10.1098/rsos.20091510.1098/rsos.200915 ↗
4. 10.15585/mmwr.mm7003e210.15585/mmwr.mm7003e2 ↗
5. E.Volz S.Mishra M.Chand J. C.Barrett R.Johnson S.Hopkins A.Gandy A.Rambaut N. M.Ferguson MedRxiv 2020.12.30.20249034 2021.
6. 10.1001/jama.2020.2712410.1001/jama.2020.27124 ↗
7. 10.1016/j.cell.2021.01.04410.1016/j.cell.2021.01.044 ↗
8. 10.1038/s41577-020-00493-910.1038/s41577-020-00493-9 ↗
9. 10.1001/jama.2018.2166910.1001/jama.2018.21669 ↗
10. C. B. F.Vogels M.Breban T.Alpert M. E.Petrone A. E.Watkins E. B.Hodcroft C. E.Mason G.Khullar J.Metti J. T.Dudley M. J.MacKay M.Nash J.Wang C.Liu P.Hui S.Murphy C.Neal E.Laszlo M. L.Landry A.Muyombwe R.Downing J.Razeq R. A.Neher J. R.Fauver N. D.Grubaugh MedRxiv 2021.01.28.21250486 2021.
11. 10.1093/ajcp/aqaa05210.1093/ajcp/aqaa052 ↗
12. WHO Laboratory Testing for 2019 Novel Coronavirus (2019‐nCoV) in Suspected Human Cases Interim Guidance https://www.who.int/publications/i/item/10665-331501(accessed: June2020).
13. 10.1001/jamainternmed.2020.733010.1001/jamainternmed.2020.7330 ↗
14. 10.1016/S1473-3099(20)30517-X10.1016/S1473-3099(20)30517-X ↗
15. Foundation for Innovative New Diagnostics (FIND) FIND evaluation update: SARS‐CoV‐2 Assays https://www.finddx.org/covid-19/sarscov2-eval/(accessed: April2021).
16. 10.1126/scitranslmed.abc193110.1126/scitranslmed.abc1931 ↗
17. 10.1038/nm163410.1038/nm1634 ↗
18. 10.1007/s10439-014-1060-210.1007/s10439-014-1060-2 ↗
19. 10.1039/C7LC00025A10.1039/C7LC00025A ↗
20. 10.1063/1.222751710.1063/1.2227517 ↗
21. 10.1038/s41598-017-04781-810.1038/s41598-017-04781-8 ↗
22. 10.1038/s41598-018-28124-310.1038/s41598-018-28124-3 ↗
23. 10.1126/scitranslmed.abf635610.1126/scitranslmed.abf6356 ↗
24. 10.1016/j.jviromet.2020.11392510.1016/j.jviromet.2020.113925 ↗
25. 10.1007/s10096-020-04025-010.1007/s10096-020-04025-0 ↗
26. 10.1128/AEM.71.7.3866-3871.200510.1128/AEM.71.7.3866-3871.2005 ↗
27. 10.3201/eid2608.20124610.3201/eid2608.201246 ↗
28. 10.1128/JCM.39.1.196-200.200110.1128/JCM.39.1.196-200.2001 ↗
29. 10.1186/1743-422X-8-28510.1186/1743-422X-8-285 ↗
30. World Health Organization WHO Information for the Molecular Detection of Influenza Viruses https://www.who.int/influenza/gisrs_laboratory/Protocols_influenza_virus_detection_Jan_2020.pdf(accessed: June2020).
31. 10.1172/jci.insight.14435010.1172/jci.insight.144350 ↗
32. Centers for Disease Control and Prevention (CDC) CDC 2019‐Novel Coronavirus (2019‐nCoV) Real‐Time RT‐PCR Diagnostic Panel Revision: 06 (2020) https://www.fda.gov/media/134922/download(accessed: June2020).
33. 10.1016/S0140-6736(20)32170-X10.1016/S0140-6736(20)32170-X ↗
34. 10.1038/s41551-020-00617-510.1038/s41551-020-00617-5 ↗
35. 10.1126/scitranslmed.abc707510.1126/scitranslmed.abc7075 ↗
36. 10.1073/pnas.201473911710.1073/pnas.2014739117 ↗
37. 10.1093/clinchem/hvaa11610.1093/clinchem/hvaa116 ↗
38. 10.1038/s41587-020-0513-410.1038/s41587-020-0513-4 ↗
39. 10.1126/science.aaq017910.1126/science.aaq0179 ↗
40. 10.1002/ange.20160606010.1002/ange.201606060 ↗
41. 10.1373/clinchem.2015.24582910.1373/clinchem.2015.245829 ↗
42. R.Pradhan L.Weber H.Recht Kaiser Health News2020 https://khn.org/news/lack-of-antigen-test-reporting-leaves-country-blind-to-the-pandemic/(accessed: August2021).
43. Clinical and Laboratory Standards Institute. Protocols for Determination of Limits of Detection and Limits of Quantitation Approved Guideline Wayne PA USA: CLSI; CLSI document EP17.2004.
44. US Food & Drug Administration https://www.fda.gov/medical-devices/coronavirus-disease-2019-covid-19-emergency-use-authorizations-medical-devices/in-vitro-diagnostics-euas (accessed: August2021).
45. FDA Yale School of Public Health Department of Epidemiology of Microbial Diseases SalivaDirect assay EUA Summary – Updated April 9 2021 https://www.fda.gov/media/141192/download (accessed: April2021).