Pathology

Biosensor

Disease

Coronavirus disease 2019 (COVID-19)

Infectious disease (medical specialty)

Loop-mediated isothermal amplification

Bioinformatics

Amplicon

Biology

Gene

Concordance

Molecular biology

Virology

Molecular diagnostics

Coronavirus

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)

Real-time polymerase chain reaction

Polymerase chain reaction

Biochemistry

Medicine

Nature Communications

Coronavirus disease 2019 (COVID-19) is a highly contagious disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Diagnosis of COVID-19 depends on quantitative reverse transcription PCR (qRT-PCR), which is time-consuming and requires expensive instrumentation. Here, we report an ultrasensitive electrochemical biosensor based on isothermal rolling circle amplification (RCA) for rapid detection of SARS-CoV-2. The assay involves the hybridization of the RCA amplicons with probes that were functionalized with redox active labels that are detectable by an electrochemical biosensor. The one-step sandwich hybridization assay could detect as low as 1 copy/μL of N and S genes, in less than 2 h. Sensor evaluation with 106 clinical samples, including 41 SARS-CoV-2 positive and 9 samples positive for other respiratory viruses, gave a 100% concordance result with qRT-PCR, with complete correlation between the biosensor current signals and quantitation cycle (Cq) values. In summary, this biosensor could be used as an on-site, real-time diagnostic test for COVID-19.

Rapid electrochemical detection of coronavirus SARS-CoV-2