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      Comparison of Rapid Antigen Tests for COVID-19

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          Abstract

          Reverse transcription-quantitative PCR (RT-qPCR)-based tests are widely used to diagnose coronavirus disease 2019 (COVID-19). As a result that these tests cannot be done in local clinics where RT-qPCR testing capability is lacking, rapid antigen tests (RATs) for COVID-19 based on lateral flow immunoassays are used for rapid diagnosis. However, their sensitivity compared with each other and with RT-qPCR and infectious virus isolation has not been examined. Here, we compared the sensitivity among four RATs by using severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) isolates and several types of COVID-19 patient specimens and compared their sensitivity with that of RT-qPCR and infectious virus isolation. Although the RATs read the samples containing large amounts of virus as positive, even the most sensitive RAT read the samples containing small amounts of virus as negative. Moreover, all RATs tested failed to detect viral antigens in several specimens from which the virus was isolated. The current RATs will likely miss some COVID-19 patients who are shedding infectious SARS-CoV-2.

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          A Novel Coronavirus from Patients with Pneumonia in China, 2019

          Summary In December 2019, a cluster of patients with pneumonia of unknown cause was linked to a seafood wholesale market in Wuhan, China. A previously unknown betacoronavirus was discovered through the use of unbiased sequencing in samples from patients with pneumonia. Human airway epithelial cells were used to isolate a novel coronavirus, named 2019-nCoV, which formed a clade within the subgenus sarbecovirus, Orthocoronavirinae subfamily. Different from both MERS-CoV and SARS-CoV, 2019-nCoV is the seventh member of the family of coronaviruses that infect humans. Enhanced surveillance and further investigation are ongoing. (Funded by the National Key Research and Development Program of China and the National Major Project for Control and Prevention of Infectious Disease in China.)
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            Interpreting Diagnostic Tests for SARS-CoV-2

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              Enhanced isolation of SARS-CoV-2 by TMPRSS2-expressing cells

              A novel betacoronavirus, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), which caused a large respiratory outbreak in Wuhan, China in December 2019, is currently spreading across many countries globally. Here, we show that a TMPRSS2-expressing VeroE6 cell line is highly susceptible to SARS-CoV-2 infection, making it useful for isolating and propagating SARS-CoV-2. Our results reveal that, in common with SARS- and Middle East respiratory syndrome-CoV, SARS-CoV-2 infection is enhanced by TMPRSS2.
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                Author and article information

                Contributors
                Role: Academic Editor
                Journal
                Viruses
                Viruses
                viruses
                Viruses
                MDPI
                1999-4915
                10 December 2020
                December 2020
                : 12
                : 12
                : 1420
                Affiliations
                [1 ]Division of Virology, Department of Microbiology and Immunology, Institute of Medical Science, The University of Tokyo, Tokyo 108-8639, Japan; ytsakai@ 123456g.ecc.u-tokyo.ac.jp (Y.S.-T.); kk187321@ 123456stu-cbms.k.u-tokyo.ac.jp (Y.F.); yasuhara@ 123456ims.u-tokyo.ac.jp (A.Y.); m-ujie@ 123456ims.u-tokyo.ac.jp (M.U.); syamada@ 123456g.ecc.u-tokyo.ac.jp (S.Y.); ito-mu@ 123456ims.u-tokyo.ac.jp (M.I.); kenken@ 123456ims.u-tokyo.ac.jp (K.I.-H.); mimai@ 123456ims.u-tokyo.ac.jp (M.I.)
                [2 ]Division of Infectious Diseases, Advanced Clinical Research Center, Institute of Medical Science, The University of Tokyo, Tokyo 108-8639, Japan; michiko@ 123456ims.u-tokyo.ac.jp (M.K.); saito-id@ 123456ims.u-tokyo.ac.jp (M.S.); kikeuchi004@ 123456gmail.com (K.I.); yotsudid@ 123456ims.u-tokyo.ac.jp (H.Y.)
                [3 ]Department of Infectious Diseases and Applied Immunology, IMSUT Hospital of Institute of Medical Science, The University of Tokyo, Tokyo 108-8639, Japan; e-adachi@ 123456ims.u-tokyo.ac.jp (E.A.); nagai.hir@ 123456gmail.com (H.N.)
                [4 ]Emergency Medical Center, Fujisawa City Hospital, Kanagawa 251-8550, Japan; samukun036@ 123456gmail.com
                [5 ]Pulmonary Division, Department of Internal Medicine, Saiseikai Utsunomiya Hospital, Tochigi 321-0974, Japan; nichiro4747@ 123456gmail.com (I.N.); rie.amechan@ 123456gmail.com (R.B.)
                [6 ]Division of Pulmonary Medicine, Department of Internal Medicine, Tachikawa Hospital, Tokyo 190-8531, Japan; h.koh@ 123456tachikawa-hosp.gr.jp (H.K.); ftakahiro0529@ 123456yahoo.co.jp (T.F.); fito102351@ 123456gmail.com (F.I.)
                [7 ]Department of Refractory Viral Infections, National Center for Global Health and Medicine Research Institute, Tokyo 162-8655, Japan; kmaeda@ 123456ri.ncgm.go.jp (K.M.); shattori@ 123456ri.ncgm.go.jp (S.-i.H.); hmitsuya@ 123456hosp.ncgm.go.jp (H.M.)
                [8 ]Department of Emergency Medicine and Critical Care Medicine, Saiseikai Utsunomiya Hospital, Tochigi 321-0974, Japan; alongthelongestway2003@ 123456yahoo.co.jp (T.O.); fujitak.727@ 123456gmail.com (K.F.)
                [9 ]Disease Control and Prevention Center, National Center for Global Health and Medicine Hospital, Tokyo 162-8655, Japan; kyamamoto@ 123456hosp.ncgm.go.jp (K.Y.); tnakamoto@ 123456hosp.ncgm.go.jp (T.N.); nohmagari@ 123456hosp.ncgm.go.jp (N.O.)
                [10 ]Department of Pathobiological Sciences, School of Veterinary Medicine, University of Wisconsin-Madison, Madison, WI 53706, USA
                [11 ]International Research Center for Infectious Diseases, Department of Special Pathogens, Institute of Medical Science, The University of Tokyo, Tokyo 108-8639, Japan
                Author notes
                Author information
                https://orcid.org/0000-0001-7768-5157
                https://orcid.org/0000-0002-7261-4648
                https://orcid.org/0000-0002-3122-9735
                https://orcid.org/0000-0002-1623-873X
                https://orcid.org/0000-0002-8255-1978
                https://orcid.org/0000-0002-1868-6405
                Article
                viruses-12-01420
                10.3390/v12121420
                7764512
                33322035
                28cd0d3a-b99d-4eba-9b45-33157992588b
                © 2020 by the authors.

                Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license ( http://creativecommons.org/licenses/by/4.0/).

                History
                : 12 November 2020
                : 08 December 2020
                Categories
                Article

                Microbiology & Virology
                rapid antigen test,diagnosis,covid-19,sars-cov-2
                Microbiology & Virology
                rapid antigen test, diagnosis, covid-19, sars-cov-2

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