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Articles

Dual-target one-step nested PCR for sensitive detection of SARS-CoV-2 nucleic acids

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Abstract

The Corona Virus Disease reported in 2019 (COVID-19) poses a significant threat to human and public health. Its early and accurate detection can reduce the spread and recurrence of Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). Real-time reverse transcription fluorescent quantitative polymerase chain reaction (RT-qPCR) is the “gold standard” for detecting the nucleic acid of SARS-CoV-2. This study developed and tested a dual-target (ORF1ab and N gene) one-step nested RT-qPCR (DTO-N-PCR) to detect SARS-CoV-2. Ten-fold serial dilutions of mixed synthetic DNA from SARS-CoV-2 ORF1ab and N gene were used as templates to test the sensitivity of DTO-N-PCR. Its specificity was subsequently tested using throat swab specimens from 10 COVID-19 patients and 35 healthy participants. DTO-N-PCR was more sensitive and specific than conventional RT-qPCR. It has unique features, including a dual-target (ORF1ab and N gene), rapid one-step operation of reverse transcription and PCR, four pairs of inner and outer primers, and specific probes. These features aid in its rapid, accurate, and efficient detection of SARS-CoV-2 RNA.

Disclosure statement

The authors declare that they have no competing interests.

Author contributions

QL participated in the design of the experiments, optimization of experimental conditions, conduction of the experiments, and writing of the manuscript. YX, DL, HN, and MZ participated in the recruitment of participants and the collection of clinical specimens, optimization of experimental conditions, and conduction of the experiments. TW and JL participated in the experimental design and data analysis. QX participated in designing the present study, revising the manuscript, and confirmed the authenticity of all the raw data. All authors read and approved the final manuscript.

Additional information

Funding

This study was supported by Short-term research professor funding, West China Hospital, Sichuan University [grant no. 139170062], China Postdoctoral Science Foundation [grant no. 2019M653413], Post-Doctor Research Project, West China Hospital, Sichuan University [grant no. 2018HXBH082].

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