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Sensitive and Rapid Diagnosis of Respiratory Virus Coinfection Using a Microfluidic Chip‐Powered CRISPR/Cas12a System

The ongoing pandemic caused by severe acute respiratory syndrome coronavirus 2 is profoundly influencing the global healthcare system and people's daily lives. The high resource consumption of coronavirus disease 2019 (COVID‐19) is resulting in insufficient surveillance of coinfection or resurg...

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Published in:Small (Weinheim an der Bergstrasse, Germany) Germany), 2022-07, Vol.18 (26), p.e2200854-n/a
Main Authors: Liu, Jiajia, Wang, Huili, Zhang, Li, Lu, Ying, Wang, Xu, Shen, Minjie, Li, Nan, Feng, Li, Jing, Juhui, Cao, Bin, Zou, Xiaohui, Cheng, Jing, Xu, Youchun
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creator Liu, Jiajia
Wang, Huili
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Cao, Bin
Zou, Xiaohui
Cheng, Jing
Xu, Youchun
description The ongoing pandemic caused by severe acute respiratory syndrome coronavirus 2 is profoundly influencing the global healthcare system and people's daily lives. The high resource consumption of coronavirus disease 2019 (COVID‐19) is resulting in insufficient surveillance of coinfection or resurgence of other critical respiratory epidemics, which is of public concern. To facilitate evaluation of the current coinfection situation, a microfluidic system (MAPnavi) is developed for the rapid (
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The high resource consumption of coronavirus disease 2019 (COVID‐19) is resulting in insufficient surveillance of coinfection or resurgence of other critical respiratory epidemics, which is of public concern. To facilitate evaluation of the current coinfection situation, a microfluidic system (MAPnavi) is developed for the rapid (&lt;40 min) and sensitive diagnosis of multiple respiratory viruses from swab samples in a fully sealed and automated manner, in which a nested‐recombinase polymerase amplification and the CRISPR‐based amplification system is first proposed to ensure the sensitivity and specificity. This novel system has a remarkably low limit of detection (50–200 copies mL−1) and is successfully applied to detect 171 clinical samples (98.5% positive predictive agreement; 100% negative predictive agreement), and the results identify 45.6% coinfection among clinical samples from patients with COVID‐19. This approach has the potential to shift diagnostic and surveillance efforts from targeted testing for a high‐priority virus to comprehensive testing of multiple virus sets and to greatly benefit the implementation of decentralized testing. The cocirculation of coronavirus disease 2019 (COVID‐19) with other respiratory diseases, which is associated with a high risk of death, has attracted scant global attention. 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source Wiley-Blackwell Read & Publish Collection
subjects Amplification
Coronaviruses
COVID-19
CRISPR
Diagnosis
Microfluidics
multiplex diagnosis
Nanotechnology
point‐of‐care testing
respiratory disease
Respiratory diseases
Severe acute respiratory syndrome
Severe acute respiratory syndrome coronavirus 2
Surveillance
Viral diseases
Viruses
title Sensitive and Rapid Diagnosis of Respiratory Virus Coinfection Using a Microfluidic Chip‐Powered CRISPR/Cas12a System
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