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Resilient SARS-CoV-2 diagnostics workflows including viral heat inactivation

  • King's College London Diagnostics Team at Guy's Campus
  • School of Immunology & Microbial Sciences
  • School of Immunology and Microbial Sciences. Asthma UK Centre in Allergic Mechanisms of Asthma. Guy's Campus
  • All these authors contributed equally to the completion of this work.
  • Randall Centre for Cell and Molecular Biophysics, School of Basic and Medical Biosciences, Room 3.26A, New Hunt's House, Guy's Campus, London, SE1 1UL, UK. [email protected].
  • King's College London
  • Peter Gorer Department of Immunobiology. Guy's Campus
  • Otto von Guericke University Magdeburg
  • School of Immunology and Microbial Sciences, New Hunts House, Guy's Campus, King's College London, London, UK.
  • Centre for Inflammation Biology and Cancer Immunology (CIBCI). Centre for Rheumatic Diseases (CRD - EULAR Centre of Excellence). Guy's Campus
  • Viapath pathology laboratories at St Thomas' Hospital
  • King's College London & Guy's and St Thomas' PET Centre, St Thomas' Hospital, London, SE1 7EH, U.K.

Research output: Working paper/PreprintPreprint

Abstract

There is a worldwide need for reagents to perform SARS-CoV-2 detection. Some laboratories have implemented kit-free protocols, but many others do not have the capacity to develop these and/or perform manual processing. We provide multiple workflows for SARS-CoV-2 nucleic acid detection in clinical samples by comparing several commercially available RNA extraction methods: QIAamp Viral RNA Mini Kit (QIAgen), RNAdvance Blood/Viral (Beckman) and Mag-Bind Viral DNA/RNA 96 Kit (Omega Bio-tek). We also compared One-step RT-qPCR reagents: TaqMan Fast Virus 1-Step Master Mix (FastVirus, ThermoFisher Scientific), qPCRBIO Probe 1-Step Go Lo-ROX (PCR Biosystems) and Luna ® Universal Probe One-Step RT-qPCR Kit (Luna, NEB). We used primer-probes that detect viral N (EUA CDC) and RdRP (PHE guidelines). All RNA extraction methods provided similar results. FastVirus and Luna proved most sensitive. N detection was more reliable than that of RdRP, particularly in samples with low viral titres. Importantly, we demonstrate that treatment of nasopharyngeal swabs with 70 degrees for 10 or 30 min, or 90 degrees for 10 or 30 min (both original variant and B 1.1.7) inactivates SARS-CoV-2 employing plaque assays, and that it has minimal impact on the sensitivity of the qPCR in clinical samples. These findings make SARS-CoV-2 testing portable to settings that do not have CL-3 facilities. In summary, we provide several testing pipelines that can be easily implemented in other laboratories and have made all our protocols and SOPs freely available at https://osf.io/uebvj/ .

Original languageEnglish
DOIs
Publication statusPublished - 10 Apr 2021

Publication series

NameMedRxiv
PublisherCold Spring Harbor Laboratory Press

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

  1. SDG 3 - Good Health and Well-being
    SDG 3 Good Health and Well-being

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