Agreed! False-positives would be less likely in this pandemic situation,
although I am not sure about the predominance of - and similarity with -
other common cold-causing coronaviruses.

Regards,
Sahil Batra

On Thu, Apr 2, 2020 at 9:03 AM Nagarajan V <tato...@gmail.com> wrote:

> 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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