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10.1073/pnas.2014739117

http://scihub22266oqcxt.onion/10.1073/pnas.2014739117
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32868442!7502724!32868442
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suck abstract from ncbi


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pmid32868442      Proc+Natl+Acad+Sci+U+S+A 2020 ; 117 (37): 22727-22735
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  • Rapid isothermal amplification and portable detection system for SARS-CoV-2 #MMPMID32868442
  • Ganguli A; Mostafa A; Berger J; Aydin MY; Sun F; Ramirez SAS; Valera E; Cunningham BT; King WP; Bashir R
  • Proc Natl Acad Sci U S A 2020[Sep]; 117 (37): 22727-22735 PMID32868442show ga
  • The COVID-19 pandemic provides an urgent example where a gap exists between availability of state-of-the-art diagnostics and current needs. As assay protocols and primer sequences become widely known, many laboratories perform diagnostic tests using methods such as RT-PCR or reverse transcription loop mediated isothermal amplification (RT-LAMP). Here, we report an RT-LAMP isothermal assay for the detection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) virus and demonstrate the assay on clinical samples using a simple and accessible point-of-care (POC) instrument. We characterized the assay by dipping swabs into synthetic nasal fluid spiked with the virus, moving the swab to viral transport medium (VTM), and sampling a volume of the VTM to perform the RT-LAMP assay without an RNA extraction kit. The assay has a limit of detection (LOD) of 50 RNA copies per muL in the VTM solution within 30 min. We further demonstrate our assay by detecting SARS-CoV-2 viruses from 20 clinical samples. Finally, we demonstrate a portable and real-time POC device to detect SARS-CoV-2 from VTM samples using an additively manufactured three-dimensional cartridge and a smartphone-based reader. The POC system was tested using 10 clinical samples, and was able to detect SARS-CoV-2 from these clinical samples by distinguishing positive samples from negative samples after 30 min. The POC tests are in complete agreement with RT-PCR controls. This work demonstrates an alternative pathway for SARS-CoV-2 diagnostics that does not require conventional laboratory infrastructure, in settings where diagnosis is required at the point of sample collection.
  • |Betacoronavirus/genetics/pathogenicity[MESH]
  • |COVID-19[MESH]
  • |Coronavirus Infections/*diagnosis[MESH]
  • |Humans[MESH]
  • |Limit of Detection[MESH]
  • |Molecular Diagnostic Techniques/instrumentation/*methods/standards[MESH]
  • |Nasal Mucosa/virology[MESH]
  • |Pandemics[MESH]
  • |Pneumonia, Viral/*diagnosis[MESH]
  • |Point-of-Care Testing/*standards[MESH]
  • |Reproducibility of Results[MESH]
  • |Reverse Transcriptase Polymerase Chain Reaction/instrumentation/*methods/standards[MESH]
  • |SARS-CoV-2[MESH]


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