Detection of SARS-CoV-2 Based on Nucleic Acid Amplification Tests (NAATs) and Its Integration into Nanomedicine and Microfluidic Devices as Point-of-Care Testing (POCT)

Int J Mol Sci. 2023 Jun 16;24(12):10233. doi: 10.3390/ijms241210233.

Abstract

The coronavirus SARS-CoV-2 has highlighted the criticality of an accurate and rapid diagnosis in order to contain the spread of the virus. Knowledge of the viral structure and its genome is essential for diagnosis development. The virus is still quickly evolving and the global scenario could easily change. Thus, a greater range of diagnostic options is essential to face this threat to public health. In response to the global demand, there has been a rapid advancement in the understanding of current diagnostic methods. In fact, innovative approaches have emerged, leveraging the benefits of nanomedicine and microfluidic technologies. Although this development has been incredibly fast, several key areas require further investigation and optimization, such as sample collection and preparation, assay optimization and sensitivity, cost effectiveness, scalability device miniaturization, and portability and integration with smartphones. Addressing these gaps in the knowledge and these technological challenges will contribute to the development of reliable, sensitive, and user-friendly NAAT-based POCTs for the diagnosis of SARS-CoV-2 and other infectious diseases, facilitating rapid and effective patient management. This review aims to provide an overview of current SARS-CoV-2 detection methods based on nucleic acid detection tests (NAATs). Additionally, it explores promising approaches that combine nanomedicine and microfluidic devices with high sensitivity and relatively fast 'time to answer' for integration into point-of-care testing (POCT).

Keywords: COVID-19; clinical management; device integration; diagnosis; nanomedicine applications.

Publication types

  • Review

MeSH terms

  • COVID-19 Testing
  • COVID-19* / diagnosis
  • Clinical Laboratory Techniques / methods
  • Humans
  • Lab-On-A-Chip Devices
  • Nanomedicine
  • Nucleic Acid Amplification Techniques / methods
  • Point-of-Care Systems
  • Point-of-Care Testing
  • SARS-CoV-2* / genetics
  • Sensitivity and Specificity

Grants and funding

This work was partially funded by ‘Formulación de bacteriófagos como liposomas y nanopartículas con aplicación potencial al tratamiento de infecciones de pacientes de fibrosis quística’, from Mutua Madrileña, and ‘Desarrollo de nuevos procedimientos diagnósticos del coronavirus SARS-CoV-2 mediante técnicas de amplificación isotérmica’, from the Instituto de investigación Valdecilla (IDIVAL) (reference INNVAL 20/22). Lorena García-Hevia wants to thank the Ministry of Innovation and Science of Spain for her Juan de la Cierva Incorporación grant (IJC2020-043746-I). Laura Miralles wants to also thank the Ministry of Innovation and Science of Spain for her Torres Quevedo grant (2018–2022) (PTQ2018-010019).