COVID-19 diagnostics: Molecular biology to nanomaterials

Clin Chim Acta. 2023 Jan 1:538:139-156. doi: 10.1016/j.cca.2022.11.017. Epub 2022 Nov 18.

Abstract

The SARS-CoV-2 pandemic has claimed around 6.4 million lives worldwide. The disease symptoms range from mild flu-like infection to life-threatening complications. The widespread infection demands rapid, simple, and accurate diagnosis. Currently used methods include molecular biology-based approaches that consist of conventional amplification by RT-PCR, isothermal amplification-based techniques such as RT-LAMP, and gene editing tools like CRISPR-Cas. Other methods include immunological detection including ELISA, lateral flow immunoassay, chemiluminescence, etc. Radiological-based approaches are also being used. Despite good analytical performance of these current methods, there is an unmet need for less costly and simpler tests that may be performed at point of care. Accordingly, nanomaterial-based testing has been extensively pursued. In this review, we discuss the currently used diagnostic techniques for SARS-CoV-2, their usefulness, and limitations. In addition, nanoparticle-based approaches have been highlighted as another potential means of detection. The review provides a deep insight into the current diagnostic methods and future trends to combat this deadly menace.

Keywords: Diagnosis; Immunological detection; Molecular detection; Nanoparticles; Radiological approach; SARS-CoV-2.

Publication types

  • Review

MeSH terms

  • COVID-19 Testing
  • COVID-19* / diagnosis
  • Humans
  • Molecular Diagnostic Techniques / methods
  • Nanoparticles*
  • Nucleic Acid Amplification Techniques / methods
  • RNA, Viral / genetics
  • SARS-CoV-2 / genetics
  • Sensitivity and Specificity

Substances

  • RNA, Viral