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10.1371/journal.pone.0244882

http://scihub22266oqcxt.onion/10.1371/journal.pone.0244882
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33382861!7775089!33382861
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suck abstract from ncbi


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pmid33382861      PLoS+One 2020 ; 15 (12): e0244882
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  • Optimizing direct RT-LAMP to detect transmissible SARS-CoV-2 from primary nasopharyngeal swab samples #MMPMID33382861
  • Dudley DM; Newman CM; Weiler AM; Ramuta MD; Shortreed CG; Heffron AS; Accola MA; Rehrauer WM; Friedrich TC; O'Connor DH
  • PLoS One 2020[]; 15 (12): e0244882 PMID33382861show ga
  • SARS-CoV-2 testing is crucial to controlling the spread of this virus, yet shortages of nucleic acid extraction supplies and other key reagents have hindered the response to COVID-19 in the US. Several groups have described loop-mediated isothermal amplification (LAMP) assays for SARS-CoV-2, including testing directly from nasopharyngeal swabs and eliminating the need for reagents in short supply. Frequent surveillance of individuals attending work or school is currently unavailable to most people but will likely be necessary to reduce the ~50% of transmission that occurs when individuals are nonsymptomatic. Here we describe a fluorescence-based RT-LAMP test using direct nasopharyngeal swab samples and show consistent detection in clinically confirmed primary samples with a limit of detection (LOD) of ~625 copies/mul, approximately 100-fold lower sensitivity than qRT-PCR. While less sensitive than extraction-based molecular methods, RT-LAMP without RNA extraction is fast and inexpensive. Here we also demonstrate that adding a lysis buffer directly into the RT-LAMP reaction improves the sensitivity of some samples by approximately 10-fold. Furthermore, purified RNA in this assay achieves a similar LOD to qRT-PCR. These results indicate that high-throughput RT-LAMP testing could augment qRT-PCR in SARS-CoV-2 surveillance programs, especially while the availability of qRT-PCR testing and RNA extraction reagents is constrained.
  • |*COVID-19 Nucleic Acid Testing[MESH]
  • |*COVID-19/diagnosis/genetics[MESH]
  • |*Molecular Diagnostic Techniques[MESH]
  • |*Nucleic Acid Amplification Techniques[MESH]
  • |DNA Primers/chemistry/genetics[MESH]
  • |Humans[MESH]
  • |Limit of Detection[MESH]
  • |Nasopharynx/virology[MESH]
  • |RNA, Viral/*genetics[MESH]


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