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Molecular diagnosis of a novel coronavirus (2019-nCoV) causing an outbreak of pneumonia?

Ronan Kelly

Retired 2020
[h=1]Molecular diagnosis of a novel coronavirus (2019-nCoV) causing an outbreak of pneumonia[/h] Daniel K W Chu, Yang Pan, Samuel M S Cheng, Kenrie P Y Hui, Pavithra Krishnan, Yingzhi Liu, Daisy Y M Ng, Carrie K C Wan, Peng Yang, Quanyi Wang ... Show more
Author Notes
Clinical Chemistry, hvaa029, https://doi.org/10.1093/clinchem/hvaa029
Published:

31 January 2020
Article history
[h=2]Abstract[/h] BACKGROUND

A novel coronavirus of zoonotic origin (2019-nCoV) has recently been identified in patients with acute respiratory disease. This virus is genetically similar to SARS coronavirus and bat SARS-like coronaviruses. The outbreak was initially detected in Wuhan, a major city of China, but has subsequently been detected in other provinces of China. Travel-associated cases have also been reported in a few other countries. Outbreaks in health care workers indicate human-to-human transmission. Molecular tests for rapid detection of this virus are urgently needed for early identification of infected patients.

METHODS

We developed two 1-step quantitative real-time reverse-transcription PCR assays to detect two different regions (ORF1b and N) of the viral genome. The primer and probe sets were designed to react with this novel coronavirus and its closely related viruses, such as SARS coronavirus. These assays were evaluated using a panel of positive and negative controls. In addition, respiratory specimens from two 2019-nCoV-infected patients were tested.

RESULTS

Using RNA extracted from cells infected by SARS coronavirus as a positive control, these assays were shown to have a dynamic range of at least seven orders of magnitude (2x10[SUP]−4[/SUP]-2000 TCID[SUB]50[/SUB]/reaction). Using DNA plasmids as positive standards, the detection limits of these assays were found to be below 10 copies per reaction. All negative control samples were negative in the assays. Samples from two 2019-nCoV-infected patients were positive in the tests.

CONCLUSIONS

The established assays can achieve a rapid detection of 2019n-CoV in human samples, thereby allowing early identification of patients. Issue Section:
Article
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This content is only available as a PDF. [h=2]Author notes[/h] Authors with equal contribution: Daniel KW Chu and Yang Pan
Joint senior authors with equal contribution: Quanyi Wang, Malik Peiris and Leo LM Poon
? American Association for Clinical Chemistry 2020. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com
This article is published and distributed under the terms of the Oxford University Press, Standard Journals Publication Model (https://academic.oup.com/journals/p...er_policies/chorus/standard_publication_model)

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