A Recent Update on Advanced Molecular Diagnostic Techniques for COVID-19 Pandemic: An Overview

Front Immunol. 2021 Dec 14:12:732756. doi: 10.3389/fimmu.2021.732756. eCollection 2021.

Abstract

Coronavirus disease 2019 (COVID-19), which started out as an outbreak of pneumonia, has now turned into a pandemic due to its rapid transmission. Besides developing a vaccine, rapid, accurate, and cost-effective diagnosis is essential for monitoring and combating the spread of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and its related variants on time with precision and accuracy. Currently, the gold standard for detection of SARS-CoV-2 is Reverse Transcription Polymerase Chain Reaction (RT-PCR), but it lacks accuracy, is time-consuming and cumbersome, and fails to detect multi-variant forms of the virus. Herein, we have summarized conventional diagnostic methods such as Chest-CT (Computed Tomography), RT-PCR, Loop Mediated Isothermal Amplification (LAMP), Reverse Transcription-LAMP (RT-LAMP), as well new modern diagnostics such as CRISPR-Cas-based assays, Surface Enhanced Raman Spectroscopy (SERS), Lateral Flow Assays (LFA), Graphene-Field Effect Transistor (GraFET), electrochemical sensors, immunosensors, antisense oligonucleotides (ASOs)-based assays, and microarrays for SARS-CoV-2 detection. This review will also provide an insight into an ongoing research and the possibility of developing more economical tools to tackle the COVID-19 pandemic.

Keywords: CRISPR-Cas; LAMP; RT-PCR; SARS-CoV-2; biosensors; diagnostics; point of care.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • COVID-19 / diagnosis*
  • COVID-19 / epidemiology
  • COVID-19 / virology
  • COVID-19 Testing / methods*
  • Clinical Laboratory Techniques / methods*
  • Humans
  • Immunoassay / methods
  • Molecular Diagnostic Techniques / methods*
  • Nucleic Acid Amplification Techniques / methods
  • Oligonucleotide Probes / genetics
  • Pandemics
  • RNA, Viral / genetics
  • Reproducibility of Results
  • Reverse Transcriptase Polymerase Chain Reaction / methods
  • SARS-CoV-2 / genetics*
  • SARS-CoV-2 / physiology
  • Sensitivity and Specificity

Substances

  • Oligonucleotide Probes
  • RNA, Viral

Supplementary concepts

  • LAMP assay