Detection of COVID-19: A review of the current literature and future perspectives

Biosens Bioelectron. 2020 Oct 15:166:112455. doi: 10.1016/j.bios.2020.112455. Epub 2020 Jul 21.

Abstract

The rapid spread of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has led to the coronavirus disease 2019 (COVID-19) worldwide pandemic. This unprecedented situation has garnered worldwide attention. An effective strategy for controlling the COVID-19 pandemic is to develop highly accurate methods for the rapid identification and isolation of SARS-CoV-2 infected patients. Many companies and institutes are therefore striving to develop effective methods for the rapid detection of SARS-CoV-2 ribonucleic acid (RNA), antibodies, antigens, and the virus. In this review, we summarize the structure of the SARS-CoV-2 virus, its genome and gene expression characteristics, and the current progression of SARS-CoV-2 RNA, antibodies, antigens, and virus detection. Further, we discuss the reasons for the observed false-negative and false-positive RNA and antibody detection results in practical clinical applications. Finally, we provide a review of the biosensors which hold promising potential for point-of-care detection of COVID-19 patients. This review thereby provides general guidelines for both scientists in the biosensing research community and for those in the biosensor industry to develop a highly sensitive and accurate point-of-care COVID-19 detection system, which would be of enormous benefit for controlling the current COVID-19 pandemic.

Keywords: COVID-19; Point-of-care testing; SARS-CoV-2.

Publication types

  • Review

MeSH terms

  • Antibodies, Viral / isolation & purification
  • Antigens, Viral / isolation & purification
  • Betacoronavirus / genetics
  • Betacoronavirus / immunology
  • Betacoronavirus / isolation & purification*
  • Biosensing Techniques / instrumentation
  • Biosensing Techniques / methods*
  • Biosensing Techniques / trends
  • COVID-19
  • COVID-19 Testing
  • Clinical Laboratory Techniques / instrumentation
  • Clinical Laboratory Techniques / methods*
  • Clinical Laboratory Techniques / trends
  • Coronavirus Infections / diagnosis*
  • Coronavirus Infections / epidemiology
  • Coronavirus Infections / virology*
  • Equipment Design
  • Genome, Viral
  • Humans
  • Molecular Diagnostic Techniques
  • Nucleic Acid Amplification Techniques
  • Pandemics*
  • Pneumonia, Viral / diagnosis*
  • Pneumonia, Viral / epidemiology
  • Pneumonia, Viral / virology*
  • Point-of-Care Testing
  • RNA, Viral / genetics
  • RNA, Viral / isolation & purification
  • Reverse Transcriptase Polymerase Chain Reaction
  • SARS-CoV-2
  • Virion / isolation & purification

Substances

  • Antibodies, Viral
  • Antigens, Viral
  • RNA, Viral

Supplementary concepts

  • LAMP assay