Adjusting RT-qPCR conditions to avoid unspecific amplification in SARS-CoV-2 diagnosis

Copyright © 2020 The Authors. Published by Elsevier Ltd.. All rights reserved..

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) emerged in December 2019 and quickly spread around the world, forcing global health authorities to develop protocols for its diagnosis. Here we report dimer formation in the N2 primers-probe set (CDC 2019-nCoV Real-Time RT-PCR) used in the diagnostic routine, and propose alternatives to reduce dimerization events. Late unspecific amplifications were visualized in 56.4% of negative samples and 57.1% of no-template control, but not in positive samples or positive control. In silico analysis and gel electrophoresis confirmed the dimer formation. The RT-qPCR parameters were optimized and the late unspecific amplifications decreased to 11.5% in negative samples and no-template control. The adjustment of PCR parameters was essential to reduce the risk of false-positives results and to avoid inclusive results requiring repeat testing, which increases the costs and generates delays in results or even unnecessary requests for new samples.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:102

Enthalten in:

International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases - 102(2021) vom: 15. Jan., Seite 437-439

Sprache:

Englisch

Beteiligte Personen:

Jaeger, Lauren Hubert [VerfasserIn]
Nascimento, Thiago César [VerfasserIn]
Rocha, Fabíola Dutra [VerfasserIn]
Vilela, Fernanda Maria Pinto [VerfasserIn]
Duque, Ana Paula do Nascimento [VerfasserIn]
Silva, Lívia Mara [VerfasserIn]
Riani, Lorena Rodrigues [VerfasserIn]
Moreira, João Paulo [VerfasserIn]
Chagas, Jéssica Mara de Assis [VerfasserIn]
Pereira, Thamiris Vilela [VerfasserIn]
Perches, Carmen Gomide Pinto [VerfasserIn]
Watanabe, Aripuana Sakurada Aranha [VerfasserIn]
Viccini, Lyderson Facio [VerfasserIn]
Silvério, Marcelo Silva [VerfasserIn]
Corrêa, José Otávio do Amaral [VerfasserIn]
Pereira-Junior, Olavo Dos Santos [VerfasserIn]
Pittella, Frederico [VerfasserIn]

Links:

Volltext

Themen:

COVID-19
Case Reports
Coronavirus
DNA Primers
Diagnostic techniques and procedures
RNA, Viral
RT-qPCR

Anmerkungen:

Date Completed 14.01.2021

Date Revised 14.04.2021

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.ijid.2020.10.079

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM316986518