COVID-19 Variant Detection with a High-Fidelity CRISPR-Cas12 Enzyme

Laboratory tests for the accurate and rapid identification of SARS-CoV-2 variants can potentially guide the treatment of COVID-19 patients and inform infection control and public health surveillance efforts. Here, we present the development and validation of a rapid COVID-19 variant DETECTR assay incorporating loop-mediated isothermal amplification (LAMP) followed by CRISPR-Cas12 based identification of single nucleotide polymorphism (SNP) mutations in the SARS-CoV-2 spike (S) gene. This assay targets the L452R, E484K/Q/A, and N501Y mutations, at least one of which is found in nearly all major variants. In a comparison of three different Cas12 enzymes, only the newly identified enzyme CasDx1 was able to accurately identify all targeted SNP mutations. An analysis pipeline for CRISPR-based SNP identification from 261 clinical samples yielded a SNP concordance of 97.3% and agreement of 98.9% (258 of 261) for SARS-CoV-2 lineage classification, using SARS-CoV-2 whole-genome sequencing and/or real-time RT-PCR as test comparators. We also showed that detection of the single E484A mutation was necessary and sufficient to accurately identify Omicron from other major circulating variants in patient samples. These findings demonstrate the utility of CRISPR-based DETECTR as a faster and simpler diagnostic method compared with sequencing for SARS-CoV-2 variant identification in clinical and public health laboratories.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:60

Enthalten in:

Journal of clinical microbiology - 60(2022), 7 vom: 20. Juli, Seite e0026122

Sprache:

Englisch

Beteiligte Personen:

Fasching, Clare L [VerfasserIn]
Servellita, Venice [VerfasserIn]
McKay, Bridget [VerfasserIn]
Nagesh, Vaishnavi [VerfasserIn]
Broughton, James P [VerfasserIn]
Sotomayor-Gonzalez, Alicia [VerfasserIn]
Wang, Baolin [VerfasserIn]
Brazer, Noah [VerfasserIn]
Reyes, Kevin [VerfasserIn]
Streithorst, Jessica [VerfasserIn]
Deraney, Rachel N [VerfasserIn]
Stanfield, Emma [VerfasserIn]
Hendriks, Carley G [VerfasserIn]
Fung, Becky [VerfasserIn]
Miller, Steve [VerfasserIn]
Ching, Jesus [VerfasserIn]
Chen, Janice S [VerfasserIn]
Chiu, Charles Y [VerfasserIn]

Links:

Volltext

Themen:

Assay validation
COVID-19
CRISPR-Cas12
DETECTR
Guide RNAs
Journal Article
LAMP
Research Support, Non-U.S. Gov't
SARS coronavirus 2
SARS-CoV-2
Variant
Viral mutations

Anmerkungen:

Date Completed 22.07.2022

Date Revised 07.09.2022

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1128/jcm.00261-22

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM342873733