New PCR test can identify all SARS-CoV-2 variants in a positive patient
sample
Date:
March 17, 2022
Source:
Elsevier
Summary:
As SARS-C0V-2 variants emerged, researchers developed a PCR test
that uses molecular beacons not only to diagnose COVID-19 infection,
but also to identify the specific variant causing that infection.
FULL STORY ========================================================================== After the start of the SARS-C0V-2 pandemic, investigators from
ResearchPath LLC and their collaborators at Rutgers University quickly dedicated resources to develop accurate and reliable COVID-19 testing. As variants emerged, they developed a PCR test that uses molecular beacons
not only to diagnose COVID-19 infection, but also to identify the specific variant causing that infection.
Their research appears in The Journal of Molecular Diagnostics, published
by Elsevier. Their methodology is openly available so that it can be
replicated by any facility that can run a PCR test.
==========================================================================
"It is extraordinary to see that SARS-CoV-2 was not a monolithic
infection with a predictable set of clinical features, but rather an ever-evolving disease for which the different strains produce unique
clinical features that affect testing, symptoms, and even which organ
systems can be attacked," explained lead investigator Sanjay Tyagi, PhD,
Public Health Research Institute, New Jersey Medical School, Rutgers University, Newark, NJ, USA.
Identifying specific strains reveals important information such
as the length of incubation period, length of contagious period, transmissibility, pathogenicity, and even changes in the predominant
symptoms.
Information on strain types is generally reported by the international community or a few states with large populations that perform genetic sequencing. The deep sequencing needed to identify SARS-CoV-2 strains
is accurate and can identify each mutation present in a sample, but
it is costly, slow and requires specialized equipment. Yet knowledge
of the strain type provides important information for public health professionals, policymakers, and individuals.
"Knowing that a highly contagious and dangerous strain is emerging in a
local community could inform policymakers to initiate safety measures to
limit spread," said co-investigator Ashley Hill, MD, ResourcePath LLC, Sterling, VA, USA. "It can also serve as an early warning system for
healthcare systems that need to plan for surges in ER visits and ICU
care. Knowing which strain has infected a person can also help determine
which treatments would be most beneficial." Using real-time PCR probes designed by Rutgers University and already used around the world for
many purposes, Rutgers designed the Rutgers-RP RT-PCR assay to detect
mutations in SARS-CoV-2 that have been shown to increase immune escape,
avoid neutralization, and increase transmissibility. They pioneered the
use of molecular beacons to identify specific genetic mutations. Molecular beacons are hairpin-shaped molecules that can be designed to selectively
bind to a specific mutant sequence, avoiding wild-type sequences that
often differ by a single nucleotide.
Nine mutations were selected for testing, and the beacon for each has differently colored dyes. Every original variant of concern -- alpha,
beta, gamma, delta, and omicron -- has a unique combination of these
mutations. and when the beacon binds to its target molecule, its distinct
color can be detected by the assay.
Each beacon was tested individually to confirm its specificity to the
assigned mutation. Then, the beacons were combined into a multiplex assay
and tested by RT-PCR on 26 SARS-CoV2-positive patient samples that had previously been tested and identified with deep sequencing. Two samples
were identified as the alpha variant, two as the epsilon variant, and
eight as the delta variant. The multiplex assay was in full agreement with results from deep sequencing, with a sensitivity and specificity of 100%.
Researchers report that the test is also very adaptable. When omicron
emerged, the investigators were able to design a beacon in less than a
month to identify a mutation that is unique to omicron and is important
for immune evasion. The investigators identified the omicron variant
in 17 of 33 additional patient samples that had been previously tested,
and the results were 100% in agreement.
"The tools we developed to track and identify new variants will be
useful for this pandemic and for any unforeseen viruses or pathogens
that may arise going forward," said lead author Ryan J. Dikdan, BS,
Public Health Research Institute, New Jersey Medical School, Rutgers University, Newark, NJ, USA.
"The SARS-CoV-2 virus is not done with us yet. We desperately need
a worldwide monitoring system for the inevitable emerging strains
that could be even more contagious or deadly," the investigators
said. "The Rutgers-RP RT-PCR variant assay could be widely deployed
in laboratories around the world right now to monitor all the known
variants of concern. The assay will be updated with new primer/probe
sets for each new important variant that emerges."
========================================================================== Story Source: Materials provided by Elsevier. Note: Content may be edited
for style and length.
========================================================================== Journal Reference:
1. Ryan J. Dikdan, Salvatore A.E. Marras, Amanda P. Field, Alicia
Brownlee,
Alexander Cironi, D. Ashley Hill, Sanjay Tyagi. Multiplex PCR
Assays for Identifying all Major Severe Acute Respiratory Syndrome
Coronavirus 2 Variants. The Journal of Molecular Diagnostics,
2022; DOI: 10.1016/ j.jmoldx.2022.01.004 ==========================================================================
Link to news story:
https://www.sciencedaily.com/releases/2022/03/220317111845.htm
--- up 2 weeks, 3 days, 10 hours, 51 minutes
* Origin: -=> Castle Rock BBS <=- Now Husky HPT Powered! (1:317/3)