2. Large family of single-stranded RNA viruses
Betacoronavirus
Positive sense ssRNA
Spike (S) glycoproteins promote entry into
cells
Interact directly with angiotensin-converting
enzyme 2 (ACE2)
Unexpected furin cleavage site at the
S1/S2 boundary of SARS-CoV-2 S, which is
cleaved during biosynthesis
SARS-CoV-2
STRUCTURE
SARS-CoV-2 has four structural proteins:
the E and M proteins - which form the viral
envelope; the N protein - which binds to the
virus’s RNA genome and the S protein -
which binds to human receptors.
The nonstructural proteins get expressed
as two long polypeptides. This group of
proteins includes the main protease (Nsp5)
and RNA polymerase (Nsp12).
4. POLYMERASE CHAIN REACTION
AND MECHANISM
simple, widely used technique, highly sensitive, gives result in a
few hours.
for the amplification and detection of DNA and RNA sequences.
5. REVERSE TRANSCIPTASE PCR
AND REVERSE
TRANSCRIPTASE ENZYME
QUANTITATIVE PCR
(qPCR)/ (rtPCR)
Quantitative PCR detects,
quantifies the amount of nucleic
acid. Fluorescent labeling enables
the collection of data as PCR
progresses, i.e. in real time.
RT-qPCR
For SARS-CoV-2, the one-step
method is preferred due to its quick
set up, limited sample handling,
reduced bench time and less
chances of cross contamination.
6. MECHANISM FOR
DETECTION OF SARS-
CoV-2
CYCLE THRESHOLD
VAULE (Ct)
Ct refers to the number of cycles
needed to amplify viral RNA to reach
a detectable level, i.e. how may
cycles does it take for the viral RNA
to be detected.
A person having a very high viral
load will show a much less Ct value
as compared to someone with little
viral load.
7. DIGITAL DROPLET PCR
Although RT-PCR technique is considered the gold standard for
SARS-CoV-2 detection, it does come with a few shortcomings –
such as sample collection, viral lysis and RNA purification,
shortages in laboratory supplies and RNA extraction kits.
Digital droplet PCR facilitates quantification of target nucleic
acid sequences.
It enables accurate SARS-CoV-2 RNA quantification from crude
lysate without nucleic acid purification. It provides absolute
viral counts from crude lysate, preventing the need for a
standard curve.
8. DD-PCR MECHANISM FOR SARS-COV-2
DETECTION
(A) A mixture containing dNTPs, primers, and probes is prepared for the amplification reaction.
(B) Water-in-oil droplets are generated using a microfluidic flow-focusing system.
(C) The generated droplets and oil are collected in PCR tubes.
(D) PCR amplification occurs in each droplet.
(E) Droplets are checked by a photoelectric detection system composed of lasers and
photomultiplier tubes.
(F) Finally, the fraction of positive droplets is fitted to the Poisson distribution to determine the
absolute copy number of target molecules in the. original reaction mixture.
9. APPLICATIONS IN THE
PANDEMIC
High-sensitivity detection of SARS-CoV-2
Evaluation of the viral load in different clinical sample types
Evaluation of sample preparation methods
Dynamic monitoring of disease progression
Preparation of nucleic acid reference materials
Monitoring the virus concentration in the environment
Detection of SARS-CoV-2 mutations
Evaluation of anti-SARS-CoV-2 drugs
ADVANTAGES
Absolute amplification
Higher sensitivity
Better stability
Higher precision
10. REVERSE TRANSCRIPTION - LOOP
MEDIATED ISOTHERMAL
AMPLIFICATION
alternative to RT-qPCR.
nucleic acid amplification
occurs at one temperature.
allows quicker assay, easy
to use, more cost effective
than qRT-PCR assays.
maintains specificity and
sensitivity parameters.
11. LAMP MECHANISM
repetitive process
based on formation of loop structures
amplification of the loops via specific primers
12. MECHANISM FOR SARS-CoV-2
DETECTION
viral RNA converted to cDNA.
A set temperature (either 63°C or 65°C) is maintained.
4 sets of LAMP primers targeting different gene regions of SARS-CoV-2 are used.
A colorimetric detection differentiates the positive and negative samples. Positive samples are
determined by a color change from cresol red to an orange-yellow color within 30 min after
the start of the incubation at 65°C.
13. TRANSCRIPTION MEDIATED
AMPLIFICATION
single tube, isothermal amplification technology used to amplify specific regions of
either RNA or DNA more efficiently than RT-PCR.
uses a retroviral reverse transcriptase and T7 RNA polymerase.
Viral RNA target is hybridized to a specific
capture probe and additional oligonucleotide
containing a T7 promoter primer.
reverse transcription into cDNA occurs.
An additional primer generates a dsDNA,
which is transcribed into RNA amplicons by
T7 RNA polymerase.
Detection via single-stranded nucleic acid
torches.
MECHANISM OF TMA FOR SARS-CoV-
2 DETECTION
14. CLUSTERED REGULARLY INTERSPACED
SHORT PALINDROMIC REPEATS
(CRISPR)
takes advantage of the collateral cleavage
activity of Cas endonucleases
followed by isothermal amplification of the
target
results can be read using paper strips to
detect the presence of the SARS-CoV-2
virus without loss of sensitivity or specificity.
Two methods –
A . SHERLOCK method uses Cas13 that
can excise reporter RNA sequences in
response to activation by SARS-CoV-2-
specific guide RNA.
B . The DETECTR assay that relies on the
cleavage of reporter RNA by Cas12a to
specifically detect viral RNA sequences of
the E and N genes of the virus.
15. THE SHERLOCK METHOD
Viral RNA is extracted from the
clinical sample and amplified
using reverse transcription.
The T7 promoter sequence is
added.
The Cas13a binds and
becomes active.
cleaves both the target RNA
and the reporter.
The signal can be detected
using fluorescence or lateral
flow-based readout methods.
16. COVIDARRAY MECHANISM
first DNA microarray-based assay to detect viral genes in the swabs
assay to detect SARS-CoV-2 markers N1 and N2 in the nasopharyngeal swabs.
based on solid-phase hybridization of fluorescently-labeled amplicons.
has high sensitivity.
allows the reduction of amount of false-negative results and the total analysis time
to about 2 hours.
17. https://cen.acs.org/biological-chemistry/infectious-
disease/know-novel-coronaviruss-29-
proteins/98/web/2020/04
https://www.sciencedirect.com/science/article/pii/S
1201971220301235
Walls, A. C., Park, Y.-J., Tortorici, M. A., Wall, A.,
McGuire, A. T., & Veesler, D. (2020). Structure,
Function, and Antigenicity of the SARS-CoV-2
Spike Glycoprotein.
Cell. doi:10.1016/j.cell.2020.02.058
https://pubs.acs.org/doi/10.1021/acscentsci.0c005
01
https://www.fda.gov/media/139279/download
https://www.aacc.org/cln/cln-
stat/2020/december/3/sars-cov-2-cycle-threshold-
a-metric-that-matters-or-not
https://www.medpagetoday.com/infectiousdisease/
covid19/90508
https://www.nature.com/articles/s41598-020-
80715-1
https://onlinelibrary.wiley.com/doi/10.1002/VIW.202
00082
REFERENCES
Editor's Notes
RT-PCR converts an mRNA into the complementary DNA (cDNA) via the enzyme reverse transcriptase.
Initially, the method forms a RNA/DNA hybrid. To eliminate the RNA from the hybrid, the reverse transcriptase has an additional RNase H function, which degrades the RNA portion of the hybrid.
The single stranded DNA molecule is then completed by the DNA-dependent DNA polymerase activity of the reverse transcriptase into cDNA.
Following this cDNA formation, the traditional process of a PCR amplifies the cDNA.
In the detection of SARS-CoV-2 viral load, the two are combined together.
TaqMan probe is a common probe used in this kind of PCR. During the process of annealing, along with SARS-CoV-2 specific sequence primers, this probe is also added.
The probe consists of a fluorophore at its 5’ end and a quencher at its 3’ end, that blocks the fluorescence activity of the fluorophore.
During extension, DNA polymerase encounters the probe and through 5’ nuclease activity frees it off the fluorophore and the quencher.
The fluorophore is then free to emit light signal that is detected by a detector in real time.
Sample collection of nasopharyngeal swab from patient
Isolating pure RNA from the sample
Detecting if SARS-CoV-2 RNA virus present in sample
Reverse transcription
Addition of RT-PCR Buffer, RT-PCR Enzyme Mix, Reaction Mix, Positive Control , Blank Control.
Analyzing the Cycle threshold (Ct) value. - For example – If X and Y have the Ct values of 14 and 30, respectively, it suggests that for X it took just 14 cycles to detect the viral load (heavy viral load); while for Y, the same took 35 cycles (less viral load).
RT-PCR Buffer - Tris Hydroxy Methyl Aminomethan, Potassium chloride, Magnesium chloride, Nucleotides mix
RT-PCR Enzyme Mix - Reverse transcriptase, RNase Inhibitor, Taq DNA polymerase
Reaction Mix - Primers and probes of SARS-CoV-2 and RNase P
Positive Control - Virus-like particles of SARS-CoV-2 and RNase P
Blank Control - RNase-free Water
Primers targeting the Nsp3 gene in combination with those targeting N and S genes generated significantly satisfactory results and registered the shortest threshold time for cDNA production.
In positive samples, the pH of the LAMP reaction mixture tends to decrease because of higher DNA polymerase activity.
Viral RNA target is hybridized to a specific capture probe and an additional oligonucleotide containing a T7 promoter primer, which are captured onto magnetic micro particles by application of a magnetic field.
The detection process involves the use of single-stranded nucleic acid torches that hybridize specifically to the RNA amplicon in real time. Each torch is conjugated to a fluorophore and a quencher. When the torch hybridizes to the RNA amplicon, the fluorophore is able to emit a signal upon excitation.
Specific High sensitivity Enzymatic Reporter unLOCKing
The products of the PCR reactions were heated at 95 ◦C for 5 min to denature the DNA double-strand. The solution was quickly centrifuged and chilled on ice for 1 min then it was spread onto the microarray. A cover slip (large enough to cover the entire spotted surface) was carefully placed on the microarray to avoid any bubble capture. The slides were incubated in a sealed humid hybridization chamber at room temperature for 15 min. The hybridized silicon chips were then removed from the hybridization chamber and soaked briefly in 4× SSC buffer to remove the cover slips. Finally, the chips were washed at room temperature with 0.2× SSC for 1 min and 0.1× SSC for 1 min and then dried with a nitrogen flow. The hybridized silicon chips were scanned with InnoScan 710 (Innopsys, Carbonne, France). A green laser (λex 532 nm) for the Cy3 dye was applied.
Cy3 fluorescence images of eighteen different silicon chips. Each robotically spotted array is hybridized with an individual single-strand Cy3-labelled polymerase chain reaction (PCR) products corresponding to (from top to bottom) N1, N2, RPP30 amplicons of five nasopharyngeal samples (S1–S5) and with the No Template Control (NTC). Laser Power: Low; PMT: 5%
the fluorescence signal appears only at the location where the immobilized capture probe is complementary to the labeled PCR with no cross-hybridization and a good reproducibility from spot to spot.