Development of a rapid, sensitive detection method for SARS-CoV-2 and influenza virus based on recombinase polymerase amplification combined with CRISPR-Cas12a assay

J Med Virol. 2023 Nov;95(11):e29215. doi: 10.1002/jmv.29215.

Abstract

Respiratory tract infections are associated with the most common diseases transmitted among people and remain a huge threat to global public health. Rapid and sensitive diagnosis of causative agents is critical for timely treatment and disease control. Here, we developed a novel method based on recombinase polymerase amplification (RPA) combined with CRISPR-Cas12a to detect three viral pathogens, including SARS-CoV-2, influenza A, and influenza B, which cause similar symptom complexes of flu cold in the respiratory tract. The detection method can be completed within 1 h, which is faster than other standard detection methods, and the limit of detection is approximately 102 copies/μL. Additionally, this detection system is highly specific and there is no cross-reactivity with other common respiratory tract pathogens. Based on this assay, we further developed a more simplified RPA/CRISPR-Cas12a system combined with lateral flow assay on a manual microfluidic chip, which can simultaneously detect these three viruses. This low-cost detection system is rapid and sensitive, which could be applied in the field and resource-limited areas without bulky and expensive instruments, providing powerful tools for the point-of-care diagnostic.

Keywords: CRISPR-Cas12a; RPA; SARS-CoV-2; detection; influenza virus; microfluidic chip.

MeSH terms

  • COVID-19*
  • CRISPR-Cas Systems
  • Humans
  • Influenza, Human*
  • Nucleic Acid Amplification Techniques
  • Nucleotidyltransferases
  • Orthomyxoviridae*
  • Recombinases
  • SARS-CoV-2

Substances

  • Recombinases
  • Nucleotidyltransferases