Detection of SARS-CoV-2 RNA by direct RT-qPCR on nasopharyngeal specimens without extraction of viral RNA

<p dir="ltr">To circumvent the limited availability of RNA extraction reagents, we aimed to develop a protocol for direct RT-qPCR to detect SARS-CoV-2 in nasopharyngeal swabs without RNA extraction. Nasopharyngeal specimens positive for SARS-CoV-2 and other coronaviruses collected in...

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Main Author: Mohammad Rubayet Hasan (8602080) (author)
Other Authors: Faheem Mirza (9167127) (author), Hamad Al-Hail (9167130) (author), Sathyavathi Sundararaju (8602086) (author), Thabisile Xaba (9167133) (author), Muhammad Iqbal (114924) (author), Hashim Alhussain (9167136) (author), Hadi Mohamad Yassine (9167139) (author), Andres Perez-Lopez (5750300) (author), Patrick Tang (239534) (author)
Published: 2020
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author Mohammad Rubayet Hasan (8602080)
author2 Faheem Mirza (9167127)
Hamad Al-Hail (9167130)
Sathyavathi Sundararaju (8602086)
Thabisile Xaba (9167133)
Muhammad Iqbal (114924)
Hashim Alhussain (9167136)
Hadi Mohamad Yassine (9167139)
Andres Perez-Lopez (5750300)
Patrick Tang (239534)
author2_role author
author
author
author
author
author
author
author
author
author_facet Mohammad Rubayet Hasan (8602080)
Faheem Mirza (9167127)
Hamad Al-Hail (9167130)
Sathyavathi Sundararaju (8602086)
Thabisile Xaba (9167133)
Muhammad Iqbal (114924)
Hashim Alhussain (9167136)
Hadi Mohamad Yassine (9167139)
Andres Perez-Lopez (5750300)
Patrick Tang (239534)
author_role author
dc.creator.none.fl_str_mv Mohammad Rubayet Hasan (8602080)
Faheem Mirza (9167127)
Hamad Al-Hail (9167130)
Sathyavathi Sundararaju (8602086)
Thabisile Xaba (9167133)
Muhammad Iqbal (114924)
Hashim Alhussain (9167136)
Hadi Mohamad Yassine (9167139)
Andres Perez-Lopez (5750300)
Patrick Tang (239534)
dc.date.none.fl_str_mv 2020-07-24T03:00:00Z
dc.identifier.none.fl_str_mv 10.1371/journal.pone.0236564
dc.relation.none.fl_str_mv https://figshare.com/articles/journal_contribution/Detection_of_SARS-CoV-2_RNA_by_direct_RT-qPCR_on_nasopharyngeal_specimens_without_extraction_of_viral_RNA/27935283
dc.rights.none.fl_str_mv CC BY 4.0
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Biological sciences
Microbiology
Zoology
SARS CoV 2
RNA extraction
Virus testing
COVID 19
Polymerase chain reaction
Reverse transcriptase-polymerase chain reaction
Heat treatment
Nucleases
dc.title.none.fl_str_mv Detection of SARS-CoV-2 RNA by direct RT-qPCR on nasopharyngeal specimens without extraction of viral RNA
dc.type.none.fl_str_mv Text
Journal contribution
info:eu-repo/semantics/publishedVersion
text
contribution to journal
description <p dir="ltr">To circumvent the limited availability of RNA extraction reagents, we aimed to develop a protocol for direct RT-qPCR to detect SARS-CoV-2 in nasopharyngeal swabs without RNA extraction. Nasopharyngeal specimens positive for SARS-CoV-2 and other coronaviruses collected in universal viral transport (UVT) medium were pre-processed by several commercial and laboratory-developed methods and tested by RT-qPCR assays without RNA extraction using different RT-qPCR master mixes. The results were compared to that of standard approach that involves RNA extraction. Incubation of specimens at 65°C for 10 minutes along with the use of TaqPath<sup>™</sup> 1-Step RT-qPCR Master Mix provides higher analytical sensitivity for detection of SARS-CoV-2 RNA than many other conditions tested. The optimized direct RT-qPCR approach demonstrated a limit of detection of 6.6x10<sup>3</sup> copy/ml and high reproducibility (co-efficient of variation = 1.2%). In 132 nasopharyngeal specimens submitted for SARS-CoV-2 testing, the sensitivity, specificity and accuracy of our optimized approach were 95%, 99% and 98.5%, respectively, with reference to the standard approach. Also, the RT-qPCR C<sub>T</sub> values obtained by the two methods were positively correlated (Pearson correlation coefficient r = 0.6971, <i>p</i> = 0.0013). The rate of PCR inhibition by the direct approach was 8% compared to 9% by the standard approach. Our simple approach to detect SARS-CoV-2 RNA by direct RT-qPCR may help laboratories continue testing for the virus despite reagent shortages or expand their testing capacity in resource limited settings.</p><h2>Other Information</h2><p dir="ltr">Published in: PLOS ONE<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1371/journal.pone.0236564" target="_blank">https://dx.doi.org/10.1371/journal.pone.0236564</a></p>
eu_rights_str_mv openAccess
id Manara2_0ab4c47af799d626ee366391bb124069
identifier_str_mv 10.1371/journal.pone.0236564
network_acronym_str Manara2
network_name_str Manara2
oai_identifier_str oai:figshare.com:article/27935283
publishDate 2020
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rights_invalid_str_mv CC BY 4.0
spelling Detection of SARS-CoV-2 RNA by direct RT-qPCR on nasopharyngeal specimens without extraction of viral RNAMohammad Rubayet Hasan (8602080)Faheem Mirza (9167127)Hamad Al-Hail (9167130)Sathyavathi Sundararaju (8602086)Thabisile Xaba (9167133)Muhammad Iqbal (114924)Hashim Alhussain (9167136)Hadi Mohamad Yassine (9167139)Andres Perez-Lopez (5750300)Patrick Tang (239534)Biological sciencesMicrobiologyZoologySARS CoV 2RNA extractionVirus testingCOVID 19Polymerase chain reactionReverse transcriptase-polymerase chain reactionHeat treatmentNucleases<p dir="ltr">To circumvent the limited availability of RNA extraction reagents, we aimed to develop a protocol for direct RT-qPCR to detect SARS-CoV-2 in nasopharyngeal swabs without RNA extraction. Nasopharyngeal specimens positive for SARS-CoV-2 and other coronaviruses collected in universal viral transport (UVT) medium were pre-processed by several commercial and laboratory-developed methods and tested by RT-qPCR assays without RNA extraction using different RT-qPCR master mixes. The results were compared to that of standard approach that involves RNA extraction. Incubation of specimens at 65°C for 10 minutes along with the use of TaqPath<sup>™</sup> 1-Step RT-qPCR Master Mix provides higher analytical sensitivity for detection of SARS-CoV-2 RNA than many other conditions tested. The optimized direct RT-qPCR approach demonstrated a limit of detection of 6.6x10<sup>3</sup> copy/ml and high reproducibility (co-efficient of variation = 1.2%). In 132 nasopharyngeal specimens submitted for SARS-CoV-2 testing, the sensitivity, specificity and accuracy of our optimized approach were 95%, 99% and 98.5%, respectively, with reference to the standard approach. Also, the RT-qPCR C<sub>T</sub> values obtained by the two methods were positively correlated (Pearson correlation coefficient r = 0.6971, <i>p</i> = 0.0013). The rate of PCR inhibition by the direct approach was 8% compared to 9% by the standard approach. Our simple approach to detect SARS-CoV-2 RNA by direct RT-qPCR may help laboratories continue testing for the virus despite reagent shortages or expand their testing capacity in resource limited settings.</p><h2>Other Information</h2><p dir="ltr">Published in: PLOS ONE<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1371/journal.pone.0236564" target="_blank">https://dx.doi.org/10.1371/journal.pone.0236564</a></p>2020-07-24T03:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1371/journal.pone.0236564https://figshare.com/articles/journal_contribution/Detection_of_SARS-CoV-2_RNA_by_direct_RT-qPCR_on_nasopharyngeal_specimens_without_extraction_of_viral_RNA/27935283CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/279352832020-07-24T03:00:00Z
spellingShingle Detection of SARS-CoV-2 RNA by direct RT-qPCR on nasopharyngeal specimens without extraction of viral RNA
Mohammad Rubayet Hasan (8602080)
Biological sciences
Microbiology
Zoology
SARS CoV 2
RNA extraction
Virus testing
COVID 19
Polymerase chain reaction
Reverse transcriptase-polymerase chain reaction
Heat treatment
Nucleases
status_str publishedVersion
title Detection of SARS-CoV-2 RNA by direct RT-qPCR on nasopharyngeal specimens without extraction of viral RNA
title_full Detection of SARS-CoV-2 RNA by direct RT-qPCR on nasopharyngeal specimens without extraction of viral RNA
title_fullStr Detection of SARS-CoV-2 RNA by direct RT-qPCR on nasopharyngeal specimens without extraction of viral RNA
title_full_unstemmed Detection of SARS-CoV-2 RNA by direct RT-qPCR on nasopharyngeal specimens without extraction of viral RNA
title_short Detection of SARS-CoV-2 RNA by direct RT-qPCR on nasopharyngeal specimens without extraction of viral RNA
title_sort Detection of SARS-CoV-2 RNA by direct RT-qPCR on nasopharyngeal specimens without extraction of viral RNA
topic Biological sciences
Microbiology
Zoology
SARS CoV 2
RNA extraction
Virus testing
COVID 19
Polymerase chain reaction
Reverse transcriptase-polymerase chain reaction
Heat treatment
Nucleases