Evaluation of RT-qPCR and Loop-Mediated Isothermal Amplification (LAMP) Assays for the Detection of SARS-CoV-2 in Argentina

被引:6
作者
Dolores Feltner, Maria [1 ]
Bonaventura, Romina [2 ]
Basiletti, Jorge [1 ]
Avaro, Martin [3 ]
Benedetti, Estefania [3 ]
Campos, Ana [3 ]
Elena Dattero, Maria [3 ]
Russo, Mara [3 ]
Vladmirsky, Sara [4 ]
Molina, Viviana [5 ]
Irazu, Lucia [6 ]
Rodriguez, Marcelo A. [6 ]
Pontoriero, Andrea [3 ]
Cisterna, Daniel M. [2 ]
Baumeister, Elsa G. [3 ]
机构
[1] Inst Nacl Enfermedades Infecciosas ANLIS Dr Carlo, Dept Virol, Serv Virus Oncogen, 1282AFF, Buenos Aires, DF, Argentina
[2] Inst Nacl Enfermedades Infecciosas ANLIS Dr Carlo, Dept Virol, Serv Neurovirosis, 1282AFF, Buenos Aires, DF, Argentina
[3] Inst Nacl Enfermedades Infecciosas ANLIS Dr Carlo, Dept Virol, Serv Virosis Resp, 1282AFF, Buenos Aires, DF, Argentina
[4] Inst Nacl Enfermedades Infecciosas ANLIS Dr Carlo, Dept Virol, Serv Hepatitis Virales, 1282AFF, Buenos Aires, DF, Argentina
[5] Inst Nacl Enfermedades Infecciosas ANLIS Dr Carlo, 1282AFF, Buenos Aires, DF, Argentina
[6] Inst Nacl Enfermedades Infecciosas ANLIS Dr Carlo, Unidad Evaluac Metodos Diagnost & Estadist Aplica, 1282AFF, Buenos Aires, DF, Argentina
关键词
SARS-CoV-2; RT-qPCR; RT-LAMP;
D O I
10.3390/genes12050659
中图分类号
Q3 [遗传学];
学科分类号
071007 ; 090102 ;
摘要
Our aim was to evaluate the analytical and clinical performance of the SARS-CoV-2 molecular detection kits used in Argentina. Nine real-time reverse-transcription polymerase chain reaction (RT-qPCR) and three reverse-transcription loop-mediated isothermal amplification (RT-LAMP) assays were evaluated using the World Health Organization (WHO) recommended test as reference method. A secondary standard calibrated for the E, N and RdRp genes against the Pan American Health Organization-World Health Organization-International Standard was used to calculate the limit of detection (LoD). A panel of artificial clinical samples, 32 positive and 30 negative for SARS-CoV-2, were analyzed to estimate the kappa concordance (kappa) and the diagnostic performance. Differences among the LoD values for the target genes amplified by each kit were >1 log copies/reaction. The kappa for the RT-qPCR kits was greater than 0.9, whereas that for the RT-LAMP assays ranged from 0.75 to 0.93. The clinical performance of RT-qPCR kits showed 100% specificity and high sensitivity, although with variations according to the gene analyzed. The E and N genes provided greater clinical sensitivity, whereas the RdRp gene increased the clinical specificity. The RT-LAMP assays revealed a variable diagnostic performance. The information provided can be useful to choose the most appropriate diagnostic test and may contribute to the establishment of a consensus in the diagnosis of SARS-CoV-2 in Argentina and the region.
引用
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页数:14
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