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      Dye-Loaded Polymersome-Based Lateral Flow Assay: Rational Design of a COVID-19 Testing Platform by Repurposing SARS-CoV-2 Antibody Cocktail and Antigens Obtained from Positive Human Samples

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          Abstract

          The global pandemic of COVID-19 continues to be an important threat, especially with the fast transmission rate observed after the discovery of novel mutations. In this perspective, prompt diagnosis requires massive economical and human resources to mitigate the disease. The current study proposes a rational design of a colorimetric lateral flow immunoassay (LFA) based on the repurposing of human samples to produce COVID-19-specific antigens and antibodies in combination with a novel dye-loaded polymersome for naked-eye detection. A group of 121 human samples (61 serums and 60 nasal swabs) were obtained and analyzed by RT-PCR and ELISA. Pooled samples were used to purify antibodies using affinity chromatography, while antigens were purified via magnetic nanoparticles-based affinity. The purified proteins were confirmed for their specificity to COVID-19 via commercial LFA, ELISA, and electrochemical tests in addition to sodium dodecyl sulfate-polyacrylamide gel electrophoresis analysis. Polymersomes were prepared using methoxy polyethylene glycol- b-polycaprolactone (mPEG- b-PCL) diblock copolymers and loaded with a Coomassie Blue dye. The polymersomes were then functionalized with the purified antibodies and applied for the preparation of two types of LFA (antigen test and antibody test). Overall, the proposed diagnostic tests demonstrated 93 and 92.2% sensitivity for antigen and antibody tests, respectively. The repeatability (92–94%) and reproducibility (96–98%) of the tests highlight the potential of the proposed LFA. The LFA test was also analyzed for stability, and after 4 weeks, 91–97% correct diagnosis was observed. The current LFA platform is a valuable assay that has great economical and analytical potential for widespread applications.

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          Cleavage of Structural Proteins during the Assembly of the Head of Bacteriophage T4

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            Substantial undocumented infection facilitates the rapid dissemination of novel coronavirus (SARS-CoV2)

            Estimation of the prevalence and contagiousness of undocumented novel coronavirus (SARS-CoV2) infections is critical for understanding the overall prevalence and pandemic potential of this disease. Here we use observations of reported infection within China, in conjunction with mobility data, a networked dynamic metapopulation model and Bayesian inference, to infer critical epidemiological characteristics associated with SARS-CoV2, including the fraction of undocumented infections and their contagiousness. We estimate 86% of all infections were undocumented (95% CI: [82%–90%]) prior to 23 January 2020 travel restrictions. Per person, the transmission rate of undocumented infections was 55% of documented infections ([46%–62%]), yet, due to their greater numbers, undocumented infections were the infection source for 79% of documented cases. These findings explain the rapid geographic spread of SARS-CoV2 and indicate containment of this virus will be particularly challenging.
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              Development and clinical application of a rapid IgM‐IgG combined antibody test for SARS‐CoV‐2 infection diagnosis

              Abstract The outbreak of the novel coronavirus disease (COVID‐19) quickly spread all over China and to more than 20 other countries. Although the virus (severe acute respiratory syndrome coronavirus [SARS‐Cov‐2]) nucleic acid real‐time polymerase chain reaction (PCR) test has become the standard method for diagnosis of SARS‐CoV‐2 infection, these real‐time PCR test kits have many limitations. In addition, high false‐negative rates were reported. There is an urgent need for an accurate and rapid test method to quickly identify a large number of infected patients and asymptomatic carriers to prevent virus transmission and assure timely treatment of patients. We have developed a rapid and simple point‐of‐care lateral flow immunoassay that can detect immunoglobulin M (IgM) and IgG antibodies simultaneously against SARS‐CoV‐2 virus in human blood within 15 minutes which can detect patients at different infection stages. With this test kit, we carried out clinical studies to validate its clinical efficacy uses. The clinical detection sensitivity and specificity of this test were measured using blood samples collected from 397 PCR confirmed COVID‐19 patients and 128 negative patients at eight different clinical sites. The overall testing sensitivity was 88.66% and specificity was 90.63%. In addition, we evaluated clinical diagnosis results obtained from different types of venous and fingerstick blood samples. The results indicated great detection consistency among samples from fingerstick blood, serum and plasma of venous blood. The IgM‐IgG combined assay has better utility and sensitivity compared with a single IgM or IgG test. It can be used for the rapid screening of SARS‐CoV‐2 carriers, symptomatic or asymptomatic, in hospitals, clinics, and test laboratories.
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                Author and article information

                Journal
                ACS Sens
                ACS Sens
                se
                ascefj
                ACS Sensors
                American Chemical Society
                2379-3694
                16 July 2021
                : acssensors.1c00854
                Affiliations
                []Department of Biochemistry, Faculty of Science, Ege University , Bornova, 35100 Izmir, Turkey
                []Department of Medical Microbiology, Faculty of Medicine, Ege University , Bornova, 35100 Izmir, Turkey
                [§ ]Department of Infectious Diseases and Clinical Microbiology, Faculty of Medicine, Ege University , Bornova, 35100 Izmir, Turkey
                []Department of Pulmonary Medicine, Faculty of Medicine, Ege University , Bornova, 35100 Izmir, Turkey
                []EGESAM-Ege University Translational Pulmonary Research Center , Bornova, 35100 Izmir, Turkey
                [# ]Department of Thoracic Surgery, Faculty of Medicine, Ege University , Bornova, 35100 Izmir, Turkey
                []Central Research Test and Analysis Laboratory Application and Research Center, Ege University , Bornova, 35100 Izmir, Turkey
                Author notes
                Author information
                https://orcid.org/0000-0003-3934-6415
                https://orcid.org/0000-0002-8648-0505
                https://orcid.org/0000-0002-3129-8298
                Article
                10.1021/acssensors.1c00854
                8315240
                34270230
                6c175d95-d8c7-4727-ab34-0fd13b6e9695
                © 2021 American Chemical Society

                This article is made available via the PMC Open Access Subset for unrestricted RESEARCH re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.

                History
                : 25 April 2021
                : 07 July 2021
                Funding
                Funded by: Ege Ã?niversitesi, doi 10.13039/501100003010;
                Award ID: TOA-2020-21862
                Funded by: Kalkinma BakanliÄ?i, doi 10.13039/501100014798;
                Award ID: 2016K121190
                Funded by: Kalkinma BakanliÄ?i, doi 10.13039/501100014798;
                Award ID: 2010K120810/ 2020K12150700
                Categories
                Article
                Custom metadata
                se1c00854
                se1c00854

                covid-19,in vitro diagnostics,point-of-care (poc) platform,lateral flow assay,dye-loaded polymersome,sample repurposing

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