한빛사논문
Chang Yeol Leea,b,1, Ismail Deganib,c,1, Jiyong Cheonga,d, Jae-Hyun Leea,d, Hyun-Jung Choie,*, Jinwoo Cheona,d,f,*, Hakho Leea,b,d,g,*
aInstitute for Basic Science (IBS), Center for Nanomedicine, Seoul, South Korea
bCenter for Systems Biology, Massachusetts General Hospital Research Institute, Boston, MA, USA
cDepartment of Electrical Engineering and Computer Science, Massachusetts Institute of Technology, Cambridge, MA, USA
dGraduate Program of Nano Biomedical Engineering (NanoBME), Advanced Science Institute, Yonsei University, Seoul, South Korea
eDepartment of Laboratory Medicine, Chonnam National University Medical School and Chonnam National University Hospital, Gwangju, South Korea
fDepartment of Chemistry, Yonsei University, Seoul, South Korea
gDepartment of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA
1These authors contributed equally.
*Corresponding author
Abstract
Prompt diagnosis, patient isolation, and contact tracing are key measures to contain the coronavirus disease 2019 (COVID-19). Molecular tests are the current gold standard for COVID-19 detection, but are carried out at central laboratories, delaying treatment and control decisions. Here we describe a portable assay system for rapid, onsite COVID-19 diagnosis. Termed CODA (CRISPR Optical Detection of Anisotropy), the method combined isothermal nucleic acid amplification, activation of CRISPR/Cas12a, and signal generation in a single assay, eliminating extra manual steps. Importantly, signal detection was based on the ratiometric measurement of fluorescent anisotropy, which allowed CODA to achieve a high signal-to-noise ratio. For point-of-care operation, we built a compact, standalone CODA device integrating optoelectronics, an embedded heater, and a microcontroller for data processing. The developed system completed SARS-CoV-2 RNA detection within 20 min of sample loading; the limit of detection reached 3 copy/μL. When applied to clinical samples (10 confirmed COVID-19 patients; 10 controls), the rapid CODA test accurately classified COVID-19 status, in concordance with gold-standard clinical diagnostics.
Keywords : Biosensor, COVID-19, CRISPR/Cas, Isothermal amplification, Fluorescence polarization, Point-of-care
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