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Improved Molecular Diagnosis of COVID-19 by the Novel, Highly Sensitive and Specific COVID-19-RdRp/Hel Real-Time Reverse Transcription-PCR Assay Validated <i>In Vitro</i> and with Clinical Specimens

Jasper Fuk‐Woo Chan, Cyril Chik‐Yan Yip, Kelvin Kai‐Wang To, Tommy Hing‐Cheung Tang, Sally C. Y. Wong, Kit‐Hang Leung, Agnes Yim-Fong Fung, Anthony Chin‐Ki Ng, Zijiao Zou, Hoi‐Wah Tsoi, Garnet Kwan-Yue Choi, Anthony Raymond Tam, Vincent Chi‐Chung Cheng, Kwok‐Hung Chan, Owen Tak‐Yin Tsang, Kwok‐Yung Yuen

2020Journal of Clinical Microbiology936 citationsDOIOpen Access PDF

Abstract

On 31 December 2019, the World Health Organization was informed of a cluster of cases of pneumonia of unknown etiology in Wuhan, China. Subsequent investigations identified a novel coronavirus, now named severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), from the affected patients. Highly sensitive and specific laboratory diagnostics are important for controlling the rapidly evolving SARS-CoV-2-associated coronavirus disease 2019 (COVID-19) epidemic. In this study, we developed and compared the performance of three novel real-time reverse transcription-PCR (RT-PCR) assays targeting the RNA-dependent RNA polymerase (RdRp)/helicase (Hel), spike (S), and nucleocapsid (N) genes of SARS-CoV-2 with that of the reported RdRp-P2 assay, which is used in &gt;30 European laboratories.

Topics & Concepts

VirologyBiologyCoronavirusReverse transcription polymerase chain reactionCoronavirus disease 2019 (COVID-19)HelicaseSevere acute respiratory syndrome coronavirus 2 (SARS-CoV-2)RNA polymeraseReverse transcriptasePneumoniaRNAGeneGeneticsDiseaseMedicineMessenger RNAInfectious disease (medical specialty)PathologyInternal medicineSARS-CoV-2 and COVID-19 ResearchSARS-CoV-2 detection and testingViral gastroenteritis research and epidemiology