Dear Prof. Holton,

An innovative idea; however all of the 30 kb genome may not be useful for
specific detection - SARS-CoV1 and SARS-CoV2 share 80% identity.

A similar fluorescent detection approach for SARS Cov2 -- using the
indiscriminate collateral activity of Cas12 nuclease -- has been reported
here: https://www.biorxiv.org/content/10.1101/2020.02.29.971127v1.full.pdf
Although not tested on samples from patients.

Regards,
Sahil Batra
PhD candidate, IIT Kanpur

On Wed, Apr 1, 2020 at 12:07 PM Jurgen Bosch <jxb...@case.edu> wrote:

> One problem I see is the sputum, there’s a reason why swabs are made to
> get sufficient viral material.
>
> Since stool samples test PCR positive that might be an easier approach to
> get sufficient viral material. As a side note, these are not infectious
> anymore, or at least one has not been able to infect tissue cultures from
> stool samples.
>
> It’s worth a thought, I’ll need to read those papers you referenced.
>
> I believe I read a suitable preprint for viral load, will search for it
> tomorrow.
>
> Jürgen
>
>
>
>
> __________________________________________
> Jürgen Bosch, Ph.D.
> Division of Pediatric Pulmonology and Allergy/Immunology
> Case Western Reserve University
> 2109 Adelbert Rd, BRB 835
> Cleveland, OH 44106
> Phone: 216.368.7565
> Fax: 216.368.4223
>
> CEO & Co-Founder at InterRayBio, LLC
>
> Johns Hopkins University
> Bloomberg School of Public Health
> Department of Biochemistry & Molecular Biology
>
> On Apr 1, 2020, at 00:50, James Holton <jmhol...@lbl.gov> wrote:
>
> In order to do global survelinace of this new virus I figure we're going
> to need billions of tests.  The biggest barriers I believe are
> logistical.  Shipping back and forth to a central labs isn't going to
> cut it, and neither are test kits that cost $800 each.
>
> I think I may have a plausible way forward to a low-cost and easily
> mass-produced test for the SARS-CoV-2 virus using mostly items people
> already have, such as smartphones. The most expensive reagent required
> will be labeled oligos, but those scale very well.
>
> The key observation is that smartphones can detect as few as 1e6
> particles/mL if they do long exposures (180s).  This was using
> bioluminescence. Reported here:
> https://www.nature.com/articles/srep40203.pdf
>
> The other side of that coin is the expected titer of the virus in
> sputum.  I don't know of any reports for SARS-CoV-2 itself, but for four
> other respiratory viruses, including one coronavirus, it ranges from 1e6
> to 1e8 particles/mL :
> https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4187748/
>
> This is encouraging!  The challenge will be to detect viral genomes in
> "the field" without sophisticated lab equipment like a PCR machine,
> lasers, 3D printers, etc.  The concentration will be 1e-15 M, a
> challenge, but then again we can detect single molecules using
> fluorescence. The questions are:
> 1) can we get the background low enough so that the dark current of the
> camera dominates
> 2) can we make the signal high enough to overcome the dark current.
>
> 1) will depend on the availability of mass-produced filter technology.
> However, the best filter may simply be time.  Provided the fluorophore
> lifetime is long enough and the camera synchronization tight enough one
> could simply measure the "afterglow" after the camera flash has turned
> off.  An interesting candidate is europium. Most fluorophores decay in
> nanoseconds, but lanthanides can be microseconds to milliseconds.  In
> fact, "glow-in-the-dark" toys usually use europium-doped ZnS or SrAl04.
> Those decay over minutes to hours.  What I'm not sure about is using
> them for FRET. I would appreciate input on experience with this.
>
> 2) I believe signal could be enhanced by using very luminous tags (such
> as quantum dots), and/or by using multiple tags per genome. This virus
> has the largest RNA genome known to date at 30 kbases. That means there
> is room for up to 2000 15-mer tags, each with its own label. The set-up
> cost for doing ~2000 oligo synthesis reactions will be high, but it can
> be done at scale.  You only need ~2 fmol of each oligo, 10 umol
> synthesis is about $1k, so I estimate about $1 per test using 1000
> different oligos. This price point will be important if we want to make
> billions of tests to be used all over the world.  In some countries $1
> is a lot.
>
> The detection strategy I am focusing on is FRET.  That is, oligos would
> be made in pairs, recognizing abutting sections of the viral genome.
> Like this:
> 5'  atttcgctgattttggggtc-ATTO465 ATTO550-cattatcagacattttagt  3'
> which would anneal to one of the current CDC test primer sites:
> 3' taaagcgactaaaaccccaggtaatagtctgtaaaatca 5'
> The result in this case would be maximum FRET efficiency only when both
> oligos are bound.  From what I can tell, the ATTO465 dye is one that is
> most sensitive to the blue peak in the iPhone "flash" LED spectrum, and
> ATTO550 should give maximum contrast between the green and red channels
> of the iPhone camera. That way you would discriminate presence/absence
> by color.  Red=virus, Green=clear. That is just an example. Other tags
> might work better.  Maybe quantum dots.
>
> Additional aparatus would be required, of course, and at least a few
> reagents to crack open the capsids (DTT and guanidine).  These could be
> shipped dry in foil packs.  The end user would simply tear it open and
> spit into it.  If the intersted party is performing the test on
> themselves, then there is no biohazard.  Heating to 70C (cup of coffee?)
> should kill the virus, and these reagents will make it even more dead.
> I'm not sure how much purification would be required.  The assay volume
> in the Nature paper above was 1 mL.  I expect signal would be improved
> by concentrating the RNA as close to the camera as possible.  It may
> even be possible to absorb the nucleic acid directly onto the cover
> glass of the smartphone camera.  RNA sticks to glass at pH < 7.5, and
> not much else does.  Quiagen EZ1 nucleic acid purificaiton columns are
> nothing but silica glass beads after all.
>
> There are still details to work out, but I am intruiged by the fact that
> this seems physically possible and the potential of being very cheap,
> rugged, portable and scaled up rapidly.  It would be nice to be able to
> leverage a device that is in already in the hand of half the people on
> the planet.
>
> Comments? Insights?
>
> -James Holton
> MAD Scientist
>
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