Electronic versions

DOI

  • Xinsheng Nan
    Cardiff University
  • Patrick Hardinge
    Cardiff University
  • Sven Hoehn
    Cardiff University
  • Shrinivas Nivrutti Dighe
    Cardiff University
  • John Ukeri
    Cardiff University
  • Darius F Pease
    Cardiff University
  • Joshua Griffin
    Cardiff University
  • Jessica I Warrington
    Cardiff University
  • Zack Saud
    Cardiff University
  • Emma Hottinger
    Cardiff University
  • Gordon Webster
    Cardiff University
  • Davey Jones
  • Peter Kille
    Cardiff University
  • Andrew Weightman
    Cardiff University
  • Richard Stanton
    Cardiff University
  • Oliver K Castell
    Cardiff University
  • James A H Murray
    Cardiff University
  • Tomasz P Jurkowski
    Cardiff University

The COVID-19 pandemic demonstrated the need for rapid molecular diagnostics. Vaccination programs can provide protection and facilitate the opening of society, but newly emergent and existing viral variants capable of evading the immune system endanger their efficacy. Effective surveillance for Variants of Concern (VOC) is therefore important. Rapid and specific molecular diagnostics can provide speed and coverage advantages compared to genomic sequencing alone, benefitting the public health response and facilitating VOC containment. Here we expand the recently developed SARS-CoV-2 CRISPR-Cas detection technology (SHERLOCK) to provide rapid and sensitive discrimination of SARS-CoV-2 VOCs that can be used at point of care, implemented in the pipelines of small or large testing facilities, and even determine the proportion of VOCs in pooled population-level wastewater samples. This technology complements sequencing efforts to allow facile and rapid identification of individuals infected with VOCs to help break infection chains. We show the optimisation of our VarLOCK assays (Variant-specific SHERLOCK) for multiple specific mutations in the S gene of SARS-CoV-2 and validation with samples from the Cardiff University Testing Service. We also show the applicability of VarLOCK to national wastewater surveillance of SARS-CoV-2 variants and the rapid adaptability of the technique for new and emerging VOCs.

Keywords

  • Humans, SARS-CoV-2/genetics, COVID-19/diagnosis, Wastewater, Pandemics, Wastewater-Based Epidemiological Monitoring, Point-of-Care Testing
Original languageEnglish
Article number20832
JournalScientific Reports
Volume13
Issue number1
DOIs
Publication statusPublished - 27 Nov 2023
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