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Talanta . A one-step, one-pot CRISPR nucleic acid detection platform (CRISPR-top): Application for the diagnosis of COVID-19

tetano

Editor, Senior Moderator
Talanta


. 2021 Oct 1;233:122591.
doi: 10.1016/j.talanta.2021.122591. Epub 2021 Jun 12.
A one-step, one-pot CRISPR nucleic acid detection platform (CRISPR-top): Application for the diagnosis of COVID-19


Shijun Li[SUP] 1 [/SUP], Junfei Huang[SUP] 1 [/SUP], Lijuan Ren[SUP] 1 [/SUP], Weijia Jiang[SUP] 1 [/SUP], Ming Wang[SUP] 1 [/SUP], Li Zhuang[SUP] 1 [/SUP], Qinni Zheng[SUP] 1 [/SUP], Rui Yang[SUP] 1 [/SUP], Yi Zeng[SUP] 1 [/SUP], Laurence Don Wai Luu[SUP] 2 [/SUP], Yi Wang[SUP] 3 [/SUP], Jun Tai[SUP] 4 [/SUP]



Affiliations

Abstract

The existing CRISPR-mediated diagnostic tests require a two-step procedure (DNA or RNA amplification followed by CRISPR-mediated sequence-specific detection) for nucleic acid detection, which increases complexity and the risk of sample cross-contamination. Here, we report a new CRISPR-mediated test, called CRISPR-top (CRISPR-mediated testing in one-pot), which integrates simultaneous target pre-amplification with CRISPR/cas12b-mediated detection into a one-pot reaction mixture, performed at a constant temperature. The novel CRISPR-top assay was applied to detect severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the causative agent for COVID-19 (coronavirus disease 2019). COVID-19 CRISPR-top targets the ORF1ab (opening reading frame 1a/b) and NP (nucleoprotein) genes of SARS-CoV-2, and operates at 59 °C for 40 min with minimal instrument. The COVID-19 CRISPR-top assay can return results within 60-min and is easily interpreted by visual fluorescence or lateral flow readouts. The analytical limit of detection (LoD) for COVID-19 CRISPR-top is 10 copies (for each detection target) per reaction with no cross-reactivity observed from non-SARS-CoV-2 templates. Among clinically collected non-COVID-19 samples, the assay's specificity was 100% (80/80 oropharynx swab samples). Among 52 COVID-19 positive clinical samples collected, the COVID-19 CRISPR-top assay yielded 38 (73.1%) positive results using fluorescence readout and 35 (67.3%) positive results with lateral-flow readout. These diagnostic results were similar to those obtained using RT-PCR (34 positive (65.4%)). These data indicate that COVID-19 CRISPR-top is a simple, rapid, accurate and highly sensitive method for SARS-CoV-2 detection which can be used in the clinic, field laboratories and primary care facilities in resource-challenged settings.

Keywords: COVID-19; CRISPR; CRISPR-Top; Cas12b; Nucleic acid detection; SARS-CoV-2.
 
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