1. Influence of Different Inactivation Methods on Severe Acute Respiratory Syndrome Coronavirus 2 RNA Copy Number
- Author
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Quanli Du, Yalan Zhang, Hao Li, Haichao Zheng, Zerun Xue, Zhu Lingxiang, Chaofeng Ma, Yujie Yang, Tongtong Yu, Kaixin Li, Pengbo Yu, Yangni Deng, Yanli Xi, Chianru Tan, Guo Yong, Rui Wu, Hao Lian, Baozhong Chen, Su Shisheng, Yang Luan, Yuewen Han, Hailong Chen, Lu Linping, Xiaoguang Wei, and Yuan Xing
- Subjects
0301 basic medicine ,Microbiology (medical) ,Adult ,Male ,Hot Temperature ,Adolescent ,viruses ,030106 microbiology ,Gene Dosage ,Gene dosage ,Polymerase Chain Reaction ,Virus ,law.invention ,Specimen Handling ,03 medical and health sciences ,Betacoronavirus ,Young Adult ,law ,Virology ,copy number ,Humans ,Digital polymerase chain reaction ,inactivation ,Gene ,Polymerase chain reaction ,Aged ,Aged, 80 and over ,Chemistry ,Special Issue ,digital PCR ,SARS-CoV-2 ,RNA ,COVID-19 ,Middle Aged ,Molecular biology ,Disinfection ,Open reading frame ,030104 developmental biology ,Trizol ,RNA, Viral ,Virus Inactivation ,Female ,Disinfectants - Abstract
The outbreak of coronavirus disease 2019 (COVID-19) has spread across the world and was characterized as a pandemic. To protect medical laboratory personnel from infection, most laboratories inactivate the virus causing COVID-19, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), in clinical samples before testing. However, the effect of inactivation on the detection results remains unknown. Here, we used a digital PCR assay to determine the absolute SARS-CoV-2 RNA copy number in 63 nasopharyngeal swab samples and assess the effect of inactivation methods on viral RNA copy number., The outbreak of coronavirus disease 2019 (COVID-19) has spread across the world and was characterized as a pandemic. To protect medical laboratory personnel from infection, most laboratories inactivate the virus causing COVID-19, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), in clinical samples before testing. However, the effect of inactivation on the detection results remains unknown. Here, we used a digital PCR assay to determine the absolute SARS-CoV-2 RNA copy number in 63 nasopharyngeal swab samples and assess the effect of inactivation methods on viral RNA copy number. Viral inactivation was performed by three different methods: (i) incubation with the TRIzol LS reagent for 10 min at room temperature, (ii) heating in a water bath at 56°C for 30 min, and (iii) high-temperature treatment, including autoclaving at 121°C for 20 min, boiling at 100°C for 20 min, and heating at 80°C for 20 min. Compared to the amount of RNA in the original sample, TRIzol treatment destroyed 47.54% of the nucleocapsid protein (N) gene and 39.85% of open reading frame (ORF) 1ab. For samples treated at 56°C for 30 min, the copy number of the N gene and ORF 1ab was reduced by 48.55% and 56.40%, respectively. The viral RNA copy number dropped by 50 to 66% after heating at 80°C for 20 min. Nearly no viral RNA was detected after autoclaving at 121°C or boiling at 100°C for 20 min. These results indicate that inactivation reduced the quantity of detectable viral RNA and may cause false-negative results, especially in weakly positive cases. Thus, use of the TRIzol reagent rather than heat inactivation is recommended for sample inactivation, as the TRIzol reagent had the least effect on the RNA copy number among the tested methods.
- Published
- 2020