PMID- 35882427 OWN - NLM STAT- MEDLINE DCOM- 20220928 LR - 20220928 IS - 1365-2672 (Electronic) IS - 1364-5072 (Linking) VI - 133 IP - 4 DP - 2022 Oct TI - An improved, simple and field-deployable CRISPR-Cas12a assay for the detection of SARS-CoV-2. PG - 2668-2677 LID - 10.1111/jam.15737 [doi] AB - AIMS: The RT-PCR is the most popular confirmatory test for SARS-CoV-2. It is sensitive, but high instrumentation cost makes it difficult for use outside routine clinical setup. This has necessitated the development of alternative methods such as CRISPR-based DETECTR method which uses lateral flow technology. Although accurate and sensitive, this method is limited by complex steps and recurrent cost of high-quality lateral flow strips. The main goal of this study was to improve the Cas12a-based SARS-CoV-2 DETECTR method and develop a portable and field-deployable system to reduce the recurring consumable cost. METHODS AND RESULTS: Specific regions of N and E genes from SARS-CoV-2 virus and human RNase P (internal control) were reverse transcribed (RT) and amplified by loop-mediated isothermal amplification (LAMP). The amplified products were detected by a Cas12a-based trans-cleavage reaction that generated a fluorescent signal which could be easily visualized by naked eye. Detection of internal control, RNase P gene was improved and optimized by redesigning RT-LAMP primers. A number of steps were reduced by combining the reagents related to the detection of Cas12a trans-cleavage reaction into a single ready-to-use mix. A portable, cost-effective battery-operated instrument, CRISPR-CUBE was developed to run the assay and visualize the outcome. The method and instrument were validated using both contrived and patient samples. CONCLUSIONS: The simplified CRISPR-based SARS-CoV-2 detection and instrument developed in this study, along with improved design for internal control detection allows for easier, more definitive viral detection requiring only reagents, consumables and the battery operable CRISPR-CUBE. SIGNIFICANCE AND IMPACT OF STUDY: Significant improvement in Cas12 method, coupled with simple visualization of end point makes the method and instrument deployable at the point-of-care (POC) for SARS-CoV-2 detection, without any recurrent cost for the lateral flow strips which is used in other POC methods. CI - (c) 2022 Society for Applied Microbiology. FAU - Misra, Chitra S AU - Misra CS AD - Applied Genomics Section, Bio-Science Group, Bhabha Atomic Research Centre, Mumbai, Maharashtra, India. FAU - Rangu, Shyam S AU - Rangu SS AD - Applied Genomics Section, Bio-Science Group, Bhabha Atomic Research Centre, Mumbai, Maharashtra, India. FAU - Phulsundar, Ravindra D AU - Phulsundar RD AD - Electromagnetic Application and Instrumentation Division, Bhabha Atomic Research Centre, Mumbai, Maharashtra, India. FAU - Bindal, Gargi AU - Bindal G AD - Applied Genomics Section, Bio-Science Group, Bhabha Atomic Research Centre, Mumbai, Maharashtra, India. AD - Homi Bhabha National Institute, Mumbai, Maharashtra, India. FAU - Singh, Mandeep AU - Singh M AD - Applied Genomics Section, Bio-Science Group, Bhabha Atomic Research Centre, Mumbai, Maharashtra, India. FAU - Shashidhar, Ravindranath AU - Shashidhar R AD - Homi Bhabha National Institute, Mumbai, Maharashtra, India. AD - Food Technology Division, Bhabha Atomic Research Centre, Mumbai, Maharashtra, India. FAU - Saha, Tushar K AU - Saha TK AD - Electromagnetic Application and Instrumentation Division, Bhabha Atomic Research Centre, Mumbai, Maharashtra, India. FAU - Rao, Akkipeddi V S S N AU - Rao AVSSN AD - Applied Genomics Section, Bio-Science Group, Bhabha Atomic Research Centre, Mumbai, Maharashtra, India. FAU - Rath, Devashish AU - Rath D AUID- ORCID: 0000-0002-8204-8440 AD - Applied Genomics Section, Bio-Science Group, Bhabha Atomic Research Centre, Mumbai, Maharashtra, India. AD - Homi Bhabha National Institute, Mumbai, Maharashtra, India. LA - eng PT - Journal Article DEP - 20220803 PL - England TA - J Appl Microbiol JT - Journal of applied microbiology JID - 9706280 RN - EC 3.1.26.5 (Ribonuclease P) SB - IM MH - *COVID-19/diagnosis MH - CRISPR-Cas Systems MH - Humans MH - Nucleic Acid Amplification Techniques/methods MH - Ribonuclease P/genetics MH - *SARS-CoV-2/genetics EDAT- 2022/07/27 06:00 MHDA- 2022/09/28 06:00 CRDT- 2022/07/26 20:52 PHST- 2022/07/21 00:00 [revised] PHST- 2022/05/25 00:00 [received] PHST- 2022/07/22 00:00 [accepted] PHST- 2022/07/27 06:00 [pubmed] PHST- 2022/09/28 06:00 [medline] PHST- 2022/07/26 20:52 [entrez] AID - 10.1111/jam.15737 [doi] PST - ppublish SO - J Appl Microbiol. 2022 Oct;133(4):2668-2677. doi: 10.1111/jam.15737. Epub 2022 Aug 3.