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10.1371/journal.pone.0247792

http://scihub22266oqcxt.onion/10.1371/journal.pone.0247792
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33635936!7909620!33635936
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suck abstract from ncbi


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pmid33635936      PLoS+One 2021 ; 16 (2): e0247792
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  • Extraction-free protocol combining proteinase K and heat inactivation for detection of SARS-CoV-2 by RT-qPCR #MMPMID33635936
  • Genoud V; Stortz M; Waisman A; Berardino BG; Verneri P; Dansey V; Salvatori M; Remes Lenicov F; Levi V
  • PLoS One 2021[]; 16 (2): e0247792 PMID33635936show ga
  • Real-time reverse transcription PCR (RT-qPCR) is the gold-standard technique for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) detection in nasopharyngeal swabs specimens. The analysis by RT-qPCR usually requires a previous extraction step to obtain the purified viral RNA. Unfortunately, RNA extraction constitutes a bottleneck for early detection in many countries since it is expensive, time-consuming and depends on the availability of commercial kits. Here, we describe an extraction-free protocol for SARS-CoV-2 detection by RT-qPCR from nasopharyngeal swab clinical samples in saline solution. The method includes a treatment with proteinase K followed by heat inactivation (PK+HID method). We demonstrate that PK+HID improves the RT-qPCR performance in comparison to the heat-inactivation procedure. Moreover, we show that this extraction-free protocol can be combined with a variety of multiplexing RT-qPCR kits. The method combined with a multiplexing detection kit targeting N and ORF1ab viral genes showed a sensitivity of 0.99 and a specificity of 0.99 from the analysis of 106 positive and 106 negative clinical samples. In conclusion, PK+HID is a robust, fast and inexpensive procedure for extraction-free RT-qPCR determinations of SARS-CoV-2. The National Administration of Drugs, Foods and Medical Devices of Argentina has recently authorized the use of this method.
  • |Animals[MESH]
  • |COVID-19 Nucleic Acid Testing/*methods[MESH]
  • |COVID-19/*diagnosis[MESH]
  • |Chlorocebus aethiops[MESH]
  • |Endopeptidase K/*chemistry[MESH]
  • |Hot Temperature[MESH]
  • |Humans[MESH]
  • |Molecular Diagnostic Techniques/methods[MESH]
  • |Nucleic Acid Amplification Techniques/methods[MESH]
  • |SARS-CoV-2/genetics/*isolation & purification[MESH]
  • |Sensitivity and Specificity[MESH]
  • |Specimen Handling/methods[MESH]


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