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10.1093/infdis/jiaa641

http://scihub22266oqcxt.onion/10.1093/infdis/jiaa641
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33535237!7665660!33535237
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suck abstract from ncbi


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pmid33535237      J+Infect+Dis 2021 ; 223 (2): 206-213
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  • Rapid, Sensitive, and Specific Severe Acute Respiratory Syndrome Coronavirus 2 Detection: A Multicenter Comparison Between Standard Quantitative Reverse-Transcriptase Polymerase Chain Reaction and CRISPR-Based DETECTR #MMPMID33535237
  • Brandsma E; Verhagen HJMP; van de Laar TJW; Claas ECJ; Cornelissen M; van den Akker E
  • J Infect Dis 2021[Feb]; 223 (2): 206-213 PMID33535237show ga
  • BACKGROUND: Recent advances in CRISPR-based diagnostics suggest that DETECTR, a combination of reverse-transcriptase loop-mediated isothermal amplification (RT-LAMP) and subsequent Cas12 bystander nuclease activation by amplicon-targeting ribonucleoprotein complexes, could be a faster and cheaper alternative to quantitative reverse-transcription polymerase chain reaction (qRT-PCR) without sacrificing sensitivity and/or specificity. METHODS: In this study, we compare DETECTR with qRT-PCR to diagnose coronavirus disease 2019 on 378 patient samples. Patient sample dilution assays suggest a higher analytical sensitivity of DETECTR compared with qRT-PCR; however, this was not confirmed in this large patient cohort, where we report 95% reproducibility between the 2 tests. RESULTS: These data showed that both techniques are equally sensitive in detecting severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) providing additional value of DETECTR to the currently used qRT-PCR platforms. For DETECTR, different guide ribonucleic acids can be used simultaneously to obviate negative results due to mutations in N-gene. Lateral flow strips, suitable as a point-of-care test, showed a 100% correlation to the high-throughput DETECTR assay. More importantly, DETECTR was 100% specific for SARS-CoV-2 relative to other human coronaviruses. CONCLUSIONS: Because there is no need for specialized equipment, DETECTR could be rapidly implemented as a complementary technically independent approach to qRT-PCR thereby increasing the testing capacity of medical microbiological laboratories and relieving the existent PCR platforms for routine non-SARS-CoV-2 diagnostic testing.
  • |COVID-19 Testing/*methods[MESH]
  • |COVID-19/*diagnosis/*virology[MESH]
  • |Clinical Laboratory Techniques/methods[MESH]
  • |Clustered Regularly Interspaced Short Palindromic Repeats[MESH]
  • |Humans[MESH]
  • |Molecular Diagnostic Techniques[MESH]
  • |Nucleic Acid Amplification Techniques[MESH]
  • |Point-of-Care Testing[MESH]
  • |RNA, Viral/genetics[MESH]
  • |Real-Time Polymerase Chain Reaction/methods[MESH]
  • |Reference Standards[MESH]
  • |Reproducibility of Results[MESH]
  • |Reverse Transcriptase Polymerase Chain Reaction/*methods[MESH]


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