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Mem Inst Oswaldo Cruz . Open-source real-time quantitative RT-PCR-based on a RNA standard for the assessment of SARS-CoV-2 viral load

tetano

Editor, Senior Moderator
Mem Inst Oswaldo Cruz


. 2022 Jan 28;116:e210237.
doi: 10.1590/0074-02760210237. eCollection 2022.
Open-source real-time quantitative RT-PCR-based on a RNA standard for the assessment of SARS-CoV-2 viral load


Juliana Comerlato[SUP] 1 [/SUP], Carolina Baldisserotto Comerlato[SUP] 1 [/SUP], Fernando Hayashi Sant'Anna[SUP] 1 [/SUP], Marina Bessel[SUP] 1 [/SUP], Celina Monteiro Abreu[SUP] 2 [/SUP], Eliana Márcia Wendland[SUP] 1 3 [/SUP]



Affiliations

Abstract

Background: Detection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) target genes by molecular methods has been chosen as the main approach to identify individuals with Coronavirus disease 2019 (COVID-19) infection.
Objectives: In this study, we developed an open-source RNA standard-based real-time quantitative RT-PCR (RT-qPCR) assay for quantitative diagnostics of SARS-CoV-2 from nasopharynx, oropharynx, saliva and plasma samples.
Methods and findings: We evaluated three SARS-CoV-2 target genes and selected the RNA-dependent RNA polymerase (RdRp) gene, given its better performance. To improve the efficiency of the assay, a primer gradient containing 25 primers forward and reverse concentration combinations was performed. The forward and reverse primer pairs with 400 nM and 500 nM concentrations, respectively, showed the highest sensitivity. The LOD95% was ~60 copies per reaction. From the four biological matrices tested, none of them interfered with the viral load measurement. Comparison with the AllplexTM 2019-nCoV assay (Seegene) demonstrated that our test presents 90% sensitivity and 100% specificity.
Main conclusions: We developed an efficient molecular method able to measure absolute SARS-CoV-2 viral load with high replicability, sensitivity and specificity in different clinical samples.
 
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