Development of RNA-Based Assay for Rapid Detection of SARS-CoV-2 in Clinical Samples

Intervirology. 2022;65(4):181-187. doi: 10.1159/000522337. Epub 2022 Feb 22.

Abstract

Introduction: The ongoing spread of pandemic coronavirus disease-19 (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is of growing concern. Rapid diagnosis and management of SARS-CoV-2 are crucial for controlling the outbreak in the community. Here, we report the development of a first rapid-colorimetric assay capable of detecting SARS-CoV-2 in the human nasopharyngeal RNA sample in less than 30 min.

Method: We utilized a nanomaterial-based optical sensing platform to detect RNA-dependent RNA polymerase gene of SARS-CoV-2, where the formation of oligo probe-target hybrid led to salt-induced aggregation and change in gold-colloid color from pink to blue visibility range. Accordingly, we found a change in colloid color from pink to blue in assay containing nasopharyngeal RNA sample from the subject with clinically diagnosed COVID-19. The colloid retained pink color when the test includes samples from COVID-19 negative subjects or human papillomavirus-infected women.

Results: The results were validated using nasopharyngeal RNA samples from positive COVID-19 subjects (n = 136). Using real-time polymerase chain reaction as gold standard, the assay was found to have 85.29% sensitivity and 94.12% specificity. The optimized method has detection limit as little as 0.5 ng of SARS-CoV-2 RNA.

Conclusion: We found that the developed assay rapidly detects SARS-CoV-2 RNA in clinical samples in a cost-effective manner and would be useful in pandemic management by facilitating mass screening.

Keywords: Colorimetric test; Coronavirus disease; Coronavirus disease-19; Diagnosis; Ribonucleic acid.

MeSH terms

  • COVID-19* / diagnosis
  • Female
  • Humans
  • Pandemics
  • RNA, Viral / analysis
  • RNA, Viral / genetics
  • RNA-Dependent RNA Polymerase
  • SARS-CoV-2* / genetics
  • Sensitivity and Specificity

Substances

  • RNA, Viral
  • RNA-Dependent RNA Polymerase

Grants and funding

The study was supported by intramural Grants (A-24-PGI/IMP/81/2020) and overhead funds extramural grants supported to ST from DBT, ICMR, and MHRD. However, the funders do not have any role in designing, execution, and results of the study.