Wastewater Sequencing-An Innovative Method for Variant Monitoring of SARS-CoV-2 in Populations

Int J Environ Res Public Health. 2022 Aug 8;19(15):9749. doi: 10.3390/ijerph19159749.

Abstract

The SARS-CoV-2 outbreak has already affected more than 555 million people, and 6.3 million people have died. Due to its high infectivity, it is crucial to track SARS-CoV-2 outbreaks early to prevent the spread of infection. Wastewater monitoring appears to be a powerful and effective tool for managing epidemiological situations. Due to emerging mutations of SARS-CoV-2, there is a need to monitor mutations in order to control the pandemic. Since the sequencing of randomly chosen individuals is time-consuming and expensive, sequencing of wastewater plays an important role in revealing the dynamics of infection in a population. The sampling method used is a crucial factor and significantly impacts the results. Wastewater can be collected as a grab sample or as a 24 h composite sample. Another essential factor is the sample volume, as is the method of transport used. This review discusses different pretreatment procedures and RNA extraction, which may be performed using various methods, such as column-based extraction, TRIzol, or magnetic extraction. Each of the methods has its advantages and disadvantages, which are described accordingly. RT-qPCR is a procedure that confirms the presence of SARS-CoV-2 genes before sequencing. This review provides an overview of currently used methods for preparing wastewater samples, from sampling to sequencing.

Keywords: COVID-19; RNA extraction; RT-qPCR; mutations; sampling.

Publication types

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

MeSH terms

  • COVID-19* / epidemiology
  • Humans
  • Pandemics / prevention & control
  • RNA, Viral / analysis
  • Real-Time Polymerase Chain Reaction
  • SARS-CoV-2* / genetics
  • Wastewater / analysis

Substances

  • RNA, Viral
  • Waste Water

Grants and funding

This reserach was funded by the Slovak Research and Development Agency, grant numbers APVV-19-0250, APVV-21-0076, and 1/0343/19 VEGA. This research was fundned by the Operational Program Integrated Infrastructure for the project: “Strategic research in the field of SMART monitoring, treatment and preventive protection against coronavirus (SARS-CoV-2)”, grant number 313011ASS8, co-financed by the European Regional Development Fund. The reserasch was funded by Norway through the Norway Grants project: “Innovative carbon-based sorbents as an effective method of wastewater treatment”, grant number 3213200008.