This is only a theoretical distinction, isn’t it, given that it’s CoV2 that
is predominant right now?

V. Nagarajan

On Tue, Mar 31, 2020 at 11:56 PM Sahil Batra <artabli...@gmail.com> wrote:

> 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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