The application of a novel 5-in-1 multiplex reverse transcriptase–polymerase chain reaction assay for rapid detection of SARS-CoV-2 and differentiation between variants of concern

ABSTRACT: Objectives: We have established a novel 5-in-1 VOC assay to rapidly detect SARS-CoV-2 and immediately distinguish whether positive samples represent variants of concern (VOCs). Methods: This assay could distinguish among five VOCs: Alpha, Beta, Gamma, Delta, and Omicron, in a single react...

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Main Authors: Hsing-Yi Chung, Ming Jian, Jr, Chih-Kai Chang, Chi-Sheng Chen, Shih-Yi Li, Jung-Chung Lin, Kuo-Ming Yeh, Ya-Sung Yang, Chien-Wen Chen, Shan-Shan Hsieh, Sheng-Hui Tang, Cherng-Lih Perng, Kuo-Sheng Hung, Feng-Yee Chang, Hung-Sheng Shang
Format: Article
Language:English
Published: Elsevier 2023-02-01
Series:International Journal of Infectious Diseases
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1201971222006191
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author Hsing-Yi Chung
Ming Jian, Jr
Chih-Kai Chang
Chi-Sheng Chen
Shih-Yi Li
Jung-Chung Lin
Kuo-Ming Yeh
Ya-Sung Yang
Chien-Wen Chen
Shan-Shan Hsieh
Sheng-Hui Tang
Cherng-Lih Perng
Kuo-Sheng Hung
Feng-Yee Chang
Hung-Sheng Shang
author_facet Hsing-Yi Chung
Ming Jian, Jr
Chih-Kai Chang
Chi-Sheng Chen
Shih-Yi Li
Jung-Chung Lin
Kuo-Ming Yeh
Ya-Sung Yang
Chien-Wen Chen
Shan-Shan Hsieh
Sheng-Hui Tang
Cherng-Lih Perng
Kuo-Sheng Hung
Feng-Yee Chang
Hung-Sheng Shang
author_sort Hsing-Yi Chung
collection DOAJ
description ABSTRACT: Objectives: We have established a novel 5-in-1 VOC assay to rapidly detect SARS-CoV-2 and immediately distinguish whether positive samples represent variants of concern (VOCs). Methods: This assay could distinguish among five VOCs: Alpha, Beta, Gamma, Delta, and Omicron, in a single reaction tube. The five variants exhibit different single nucleotide polymorphisms (SNPs) in their viral genome, which can be used to distinguish them. We selected target SNPs in the spike gene, including N501Y, P681R, K417N, and deletion H69/V70 for the assay. Results: The limit of detection of each gene locus was 80 copies per polymerase chain reaction. We observed a high consistency among the results when comparing the performance of our 5-in-1 VOC assay, whole gene sequencing, and the Roche VirSNiP SARS-CoV-2 test in retrospectively analyzing 150 clinical SARS-CoV-2 variant positive samples. The 5-in-1 VOC assay offers an alternative and rapid high-throughput test for most diagnostic laboratories in a flexible sample-to-result platform. Conclusion: The assay can also be applied in a commercial platform with the completion of the SARS-CoV-2 confirmation test and identification of its variant within 2.5 hours.
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spelling doaj.art-ceb5baa8564341c6a04ee1b0536507152023-01-26T04:44:31ZengElsevierInternational Journal of Infectious Diseases1201-97122023-02-011275662The application of a novel 5-in-1 multiplex reverse transcriptase–polymerase chain reaction assay for rapid detection of SARS-CoV-2 and differentiation between variants of concernHsing-Yi Chung0Ming Jian, Jr1Chih-Kai Chang2Chi-Sheng Chen3Shih-Yi Li4Jung-Chung Lin5Kuo-Ming Yeh6Ya-Sung Yang7Chien-Wen Chen8Shan-Shan Hsieh9Sheng-Hui Tang10Cherng-Lih Perng11Kuo-Sheng Hung12Feng-Yee Chang13Hung-Sheng Shang14Division of Clinical Pathology, Department of Pathology, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan; Graduate Institute of Medical Science, National Defense Medical Center, Taipei, TaiwanDivision of Clinical Pathology, Department of Pathology, Tri-Service General Hospital, National Defense Medical Center, Taipei, TaiwanDivision of Clinical Pathology, Department of Pathology, Tri-Service General Hospital, National Defense Medical Center, Taipei, TaiwanDivision of Clinical Pathology, Department of Pathology, Tri-Service General Hospital, National Defense Medical Center, Taipei, TaiwanDivision of Clinical Pathology, Department of Pathology, Tri-Service General Hospital, National Defense Medical Center, Taipei, TaiwanDivision of Infectious Diseases and Tropical Medicine, Department of Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei, TaiwanDivision of Infectious Diseases and Tropical Medicine, Department of Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei, TaiwanDivision of Infectious Diseases and Tropical Medicine, Department of Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei, TaiwanDivision of Pulmonary and Critical Care Medicine, Department of Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei, TaiwanDivision of Clinical Pathology, Department of Pathology, Tri-Service General Hospital, National Defense Medical Center, Taipei, TaiwanDivision of Clinical Pathology, Department of Pathology, Tri-Service General Hospital, National Defense Medical Center, Taipei, TaiwanDivision of Clinical Pathology, Department of Pathology, Tri-Service General Hospital, National Defense Medical Center, Taipei, TaiwanCenter for Precision Medicine and Genomics, Tri-Service General Hospital, National Defense Medical Center, Taipei, TaiwanDivision of Infectious Diseases and Tropical Medicine, Department of Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei, TaiwanDivision of Clinical Pathology, Department of Pathology, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan; Corresponding author.ABSTRACT: Objectives: We have established a novel 5-in-1 VOC assay to rapidly detect SARS-CoV-2 and immediately distinguish whether positive samples represent variants of concern (VOCs). Methods: This assay could distinguish among five VOCs: Alpha, Beta, Gamma, Delta, and Omicron, in a single reaction tube. The five variants exhibit different single nucleotide polymorphisms (SNPs) in their viral genome, which can be used to distinguish them. We selected target SNPs in the spike gene, including N501Y, P681R, K417N, and deletion H69/V70 for the assay. Results: The limit of detection of each gene locus was 80 copies per polymerase chain reaction. We observed a high consistency among the results when comparing the performance of our 5-in-1 VOC assay, whole gene sequencing, and the Roche VirSNiP SARS-CoV-2 test in retrospectively analyzing 150 clinical SARS-CoV-2 variant positive samples. The 5-in-1 VOC assay offers an alternative and rapid high-throughput test for most diagnostic laboratories in a flexible sample-to-result platform. Conclusion: The assay can also be applied in a commercial platform with the completion of the SARS-CoV-2 confirmation test and identification of its variant within 2.5 hours.http://www.sciencedirect.com/science/article/pii/S1201971222006191SARS-CoV-2 variantVariant of concernsCOVID-19High-throughputOmicron
spellingShingle Hsing-Yi Chung
Ming Jian, Jr
Chih-Kai Chang
Chi-Sheng Chen
Shih-Yi Li
Jung-Chung Lin
Kuo-Ming Yeh
Ya-Sung Yang
Chien-Wen Chen
Shan-Shan Hsieh
Sheng-Hui Tang
Cherng-Lih Perng
Kuo-Sheng Hung
Feng-Yee Chang
Hung-Sheng Shang
The application of a novel 5-in-1 multiplex reverse transcriptase–polymerase chain reaction assay for rapid detection of SARS-CoV-2 and differentiation between variants of concern
International Journal of Infectious Diseases
SARS-CoV-2 variant
Variant of concerns
COVID-19
High-throughput
Omicron
title The application of a novel 5-in-1 multiplex reverse transcriptase–polymerase chain reaction assay for rapid detection of SARS-CoV-2 and differentiation between variants of concern
title_full The application of a novel 5-in-1 multiplex reverse transcriptase–polymerase chain reaction assay for rapid detection of SARS-CoV-2 and differentiation between variants of concern
title_fullStr The application of a novel 5-in-1 multiplex reverse transcriptase–polymerase chain reaction assay for rapid detection of SARS-CoV-2 and differentiation between variants of concern
title_full_unstemmed The application of a novel 5-in-1 multiplex reverse transcriptase–polymerase chain reaction assay for rapid detection of SARS-CoV-2 and differentiation between variants of concern
title_short The application of a novel 5-in-1 multiplex reverse transcriptase–polymerase chain reaction assay for rapid detection of SARS-CoV-2 and differentiation between variants of concern
title_sort application of a novel 5 in 1 multiplex reverse transcriptase polymerase chain reaction assay for rapid detection of sars cov 2 and differentiation between variants of concern
topic SARS-CoV-2 variant
Variant of concerns
COVID-19
High-throughput
Omicron
url http://www.sciencedirect.com/science/article/pii/S1201971222006191
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