Author: Arizti-Sanz, Jon; Freije, Catherine A.; Stanton, Alexandra C.; Boehm, Chloe K.; Petros, Brittany A.; Siddiqui, Sameed; Shaw, Bennett M.; Adams, Gordon; Kosoko-Thoroddsen, Tinna-Solveig F.; Kemball, Molly E.; Gross, Robin; Wronka, Loni; Caviness, Katie; Hensley, Lisa E.; Bergman, Nicholas H.; MacInnis, Bronwyn L.; Lemieux, Jacob E.; Sabeti, Pardis C.; Myhrvold, Cameron
Title: Integrated sample inactivation, amplification, and Cas13-based detection of SARS-CoV-2 Cord-id: 928r9t4p Document date: 2020_5_28
ID: 928r9t4p
Snippet: The COVID-19 pandemic has highlighted that new diagnostic technologies are essential for controlling disease transmission. Here, we develop SHINE (SHERLOCK and HUDSON Integration to Navigate Epidemics), a sensitive and specific integrated diagnostic tool that can detect SARS-CoV-2 RNA from unextracted samples. We combine the steps of SHERLOCK into a single-step reaction and optimize HUDSON to accelerate viral inactivation in nasopharyngeal swabs and saliva. SHINE’s results can be visualized wi
Document: The COVID-19 pandemic has highlighted that new diagnostic technologies are essential for controlling disease transmission. Here, we develop SHINE (SHERLOCK and HUDSON Integration to Navigate Epidemics), a sensitive and specific integrated diagnostic tool that can detect SARS-CoV-2 RNA from unextracted samples. We combine the steps of SHERLOCK into a single-step reaction and optimize HUDSON to accelerate viral inactivation in nasopharyngeal swabs and saliva. SHINE’s results can be visualized with an in-tube fluorescent readout — reducing contamination risk as amplification reaction tubes remain sealed — and interpreted by a companion smartphone application. We validate SHINE on 50 nasopharyngeal patient samples, demonstrating 90% sensitivity and 100% specificity compared to RT-PCR with a sample-to-answer time of 50 minutes. SHINE has the potential to be used outside of hospitals and clinical laboratories, greatly enhancing diagnostic capabilities.
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