Sensitive fluorescence detection of SARS-CoV-2 RNA in clinical samples via one-pot isothermal ligation and transcription

Nat Biomed Eng. 2020 Dec;4(12):1168-1179. doi: 10.1038/s41551-020-00617-5. Epub 2020 Sep 18.

Abstract

The control of viral outbreaks requires nucleic acid diagnostic tests that are sensitive, simple and fast. Here, we report a highly sensitive and specific one-pot assay for the fluorescence-based detection of RNA from pathogens. The assay, which can be performed within 30-50 min of incubation time and can reach a limit of detection of 0.1-attomolar RNA concentration, relies on a sustained isothermal reaction cascade producing an RNA aptamer that binds to a fluorogenic dye. The RNA aptamer is transcribed by the T7 RNA polymerase from the ligation product of a promoter DNA probe and a reporter DNA probe that hybridize with the target single-stranded RNA sequence via the SplintR ligase (a Chlorella virus DNA ligase). In 40 nasopharyngeal SARS-CoV-2 samples, the assay reached positive and negative predictive values of 95 and 100%, respectively. We also show that the assay can rapidly detect a range of viral and bacterial RNAs.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • COVID-19 / diagnosis*
  • COVID-19 / virology
  • Chlorella / metabolism
  • DNA / genetics
  • DNA Ligases / metabolism
  • DNA-Directed RNA Polymerases / metabolism
  • Diagnostic Tests, Routine / methods
  • Fluorescence
  • Humans
  • Molecular Diagnostic Techniques / methods*
  • Nucleic Acid Amplification Techniques
  • Pandemics / prevention & control
  • RNA, Viral / genetics*
  • SARS-CoV-2 / genetics*
  • Sensitivity and Specificity
  • Transcription, Genetic / genetics*
  • Viral Proteins / metabolism

Substances

  • RNA, Viral
  • Viral Proteins
  • DNA
  • bacteriophage T7 RNA polymerase
  • DNA-Directed RNA Polymerases
  • Chlorella virus DNA ligase
  • DNA Ligases