An Isothermal Amplification Method for SARS-CoV-2 Variant Differentiation via Targeted Genomic RNA Detection
Abstract
1. Introduction
2. Materials and Methods
2.1. Reagents and Materials
2.2. Primer and Probe Design
2.3. Synthetic RNA Standards
2.4. RT-RPA
2.5. T7 Transcription
2.6. DSN Reaction and Fluorescence Detection
2.7. Multiplex Detection Workflow
2.8. Data Analysis
3. Results
3.1. Validation of Duplex-Specific Nuclease Enzyme Activity and Specificity Conditions
3.2. Multiplexed Probe Specificity and Cross-Reactivity Analysis
3.3. DSN Specificity of Variable Region Detection of RT-RPA/T7 RNA Versus RT-RPA DNA
3.4. DSN Detection of Target Regions from Wuhan-Hu-1 and B1.1.7 RNA
- Conserved Region Detection for SARS-CoV-2 Confirmation
- Variant Region Detection for Strain Differentiation
4. Discussion
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
- Cascella, M.; Rajnik, M.; Aleem, A.; Dulebohn, S.C.; Di Napoli, R. Features, evaluation, and treatment of coronavirus (COVID-19). In StatPearls; StatPearls Publishing: Treasure Island, FL, USA, 2022. [Google Scholar]
- Giri, A.K.; Rana, D.R. Charting the challenges behind the testing of COVID-19 in developing countries: Nepal as a case study. Biosaf. Health 2020, 2, 53–56. [Google Scholar] [CrossRef]
- Faramarzi, A.; Norouzi, S.; Dehdarirad, H.; Aghlmand, S.; Yusefzadeh, H.; Javan-Noughabi, J. The global economic burden of COVID-19 disease: A comprehensive systematic review and meta-analysis. Syst. Rev. 2024, 13, 68. [Google Scholar] [CrossRef]
- Qasmieh, S.A.; Robertson, M.M.; Teasdale, C.A.; Kulkarni, S.G.; Jones, H.E.; Larsen, D.A.; Dennehy, J.J.; McNairy, M.; Borrell, L.N.; Nash, D. The prevalence of SARS-CoV-2 infection and other public health outcomes during the BA.2/BA.2.12.1 surge, New York City, April–May 2022. Commun. Med. 2023, 3, 92. [Google Scholar] [CrossRef] [PubMed]
- Song, Q.; Sun, X.; Dai, Z.; Gao, Y.; Gong, X.; Zhou, B.; Wu, J.; Wen, W. Point-of-care testing detection methods for COVID-19. Lab Chip 2021, 21, 1634–1660. [Google Scholar] [CrossRef] [PubMed]
- Chakraborty, S. Democratizing nucleic acid-based molecular diagnostic tests for infectious diseases at resource-limited settings–from point of care to extreme point of care. Sens. Diagn. 2024, 3, 536–561. [Google Scholar] [CrossRef]
- Thwala, L.N.; Ndlovu, S.C.; Mpofu, K.T.; Lugongolo, M.Y.; Mthunzi-Kufa, P. Nanotechnology-based diagnostics for diseases prevalent in developing countries: Current advances in point-of-care tests. Nanomaterials 2023, 13, 1247. [Google Scholar] [CrossRef]
- Lee, J.; Song, J.U.; Shim, S.R. Comparing the diagnostic accuracy of rapid antigen detection tests to real time polymerase chain reaction in the diagnosis of SARS-CoV-2 infection: A systematic review and meta-analysis. J. Clin. Virol. 2021, 144, 104985. [Google Scholar] [CrossRef]
- Rezaei, M.; Razavi Bazaz, S.; Zhand, S.; Sayyadi, N.; Jin, D.; Stewart, M.P.; Ebrahimi Warkiani, M. Point of Care Diagnostics in the Age of COVID-19. Diagnostics 2020, 11, 9. [Google Scholar] [CrossRef]
- Becherer, L.; Borst, N.; Bakheit, M.; Frischmann, S.; Zengerle, R.; von Stetten, F. Loop-mediated isothermal amplification (LAMP)–review and classification of methods for sequence-specific detection. Anal. Methods 2020, 12, 717–746. [Google Scholar] [CrossRef]
- Ghosh, P.; Chowdhury, R.; Hossain, M.E.; Hossain, F.; Miah, M.; Rashid, U.; Baker, J.; Rahman, M.Z.; Rahman, M.; Ma, X.; et al. Evaluation of recombinase-based isothermal amplification assays for point-of-need detection of SARS-CoV-2 in resource-limited settings. Int. J. Infect. Dis. 2022, 114, 105–111. [Google Scholar] [CrossRef]
- Chaibun, T.; Puenpa, J.; Ngamdee, T.; Boonapatcharoen, N.; Athamanolap, P.; O’Mullane, A.P.; Vongpunsawad, S.; Poovorawan, Y.; Lee, S.Y.; Lertanantawong, B. Rapid electrochemical detection of coronavirus SARS-CoV-2. Nat. Commun. 2021, 12, 802. [Google Scholar] [CrossRef] [PubMed]
- Khan, P.; Aufdembrink, L.M.; Engelhart, A.E. Isothermal SARS-CoV-2 diagnostics: Tools for enabling distributed pandemic testing as a means of supporting safe reopenings. ACS Synth. Biol. 2020, 9, 2861–2880. [Google Scholar] [CrossRef]
- Kumar, M.; Gulati, S.; Ansari, A.H.; Phutela, R.; Acharya, S.; Kathpalia, P.; Kanakan, A.; Maurya, R.; Vasudevan, J.S.; Murali, A.; et al. RAY: CRISPR diagnostic for rapid and accurate detection of SARS-CoV2 variants on a paper strip. medRxiv 2021. [Google Scholar] [CrossRef]
- Sun, Y.; Yu, L.; Liu, C.; Ye, S.; Chen, W.; Li, D.; Huang, W. One-tube SARS-CoV-2 detection platform based on RT-RPA and CRISPR/Cas12a. J. Transl. Med. 2021, 19, 74. [Google Scholar] [CrossRef]
- Gerasimova, Y.V.; Kolpashchikov, D.M. Enzyme-assisted target recycling (EATR) for nucleic acid detection. Chem. Soc. Rev. 2014, 43, 6405–6438. [Google Scholar] [CrossRef] [PubMed]
- Shagin, D.A.; Rebrikov, D.V.; Kozhemyako, V.B.; Altshuler, I.M.; Shcheglov, A.S.; Zhulidov, P.A.; Bogdanova, E.A.; Staroverov, D.B.; Rasskazov, V.A.; Lukyanov, S. A novel method for SNP detection using a new duplex-specific nuclease from crab hepatopancreas. Genome Res. 2002, 12, 1935–1942. [Google Scholar] [CrossRef]
- Qiu, X.; Zhang, H.; Yu, H.; Jiang, T.; Luo, Y. Duplex-specific nuclease-mediated bioanalysis. Trends Biotechnol. 2015, 33, 180–188. [Google Scholar] [CrossRef]
- Tan, L.; Xu, L.; Liu, J.W.; Tang, L.J.; Tang, H.; Yu, R. Duplex-specific nuclease-mediated target recycling amplification for fluorescence detection of microRNA. Anal. Methods 2019, 11, 200–204. [Google Scholar] [CrossRef]
- Liu, M.; Li, H.; Jia, Y.; Mak, P.I.; Martins, R.P. SARS-CoV-2 RNA detection with duplex-specific nuclease signal amplification. Micromachines 2021, 12, 197. [Google Scholar] [CrossRef]
- Han, G.; Deng, W.; Lyu, Q.; Ma, Q.; Qiao, L. Multiplexed discrimination of SARS-CoV-2 variants via duplex-specific nuclease combined MALDI-TOF MS. Anal. Bioanal. Chem. 2024, 416, 1833–1842. [Google Scholar] [CrossRef]
- Zhao, C.; Tang, Y.; Xu, M.; Wang, Y.; Luo, B.; Wang, P.; Gao, S. A highly sensitive on-site duplex genotyping method dRPG for simultaneous detection of SARS-CoV-2 key mutations with single nucleotide resolution. Sens. Actuators B Chem. 2024, 418, 136238. [Google Scholar] [CrossRef]
- Ghosh, M.; Isago, K.; Dasgupta, U.; Shimizu, H.; Suzuki, T.; Vidic, J.; Chowdhury, A.D.; Park, E.Y. Duplex-specific nuclease assisted magnetic nanoprobe for cyclic amplified RNA detection. Sens. Actuators B Chem. 2024, 399, 134833. [Google Scholar] [CrossRef]
- Zhou, K.; Dai, J. A duplex-specific nuclease based electrochemical biosensor for the assay of SARS-CoV-2 RdRp RNA. Anal. Biochem. 2023, 661, 114983. [Google Scholar] [CrossRef]
- Patchsung, M.; Jantarug, K.; Pattama, A.; Aphicho, K.; Suraritdechachai, S.; Meesawat, P.; Sappakhaw, K.; Leelahakorn, N.; Ruenkam, T.; Wongsatit, T.; et al. Clinical validation of a Cas13-based assay for the detection of SARS-CoV-2 RNA. Nat. Biomed. Eng. 2020, 4, 1140–1149. [Google Scholar] [CrossRef]
- Tahamtan, A.; Ardebili, A. Real-time RT-PCR in COVID-19 detection: Issues affecting the results. Expert Rev. Mol. Diagn. 2020, 20, 453–454. [Google Scholar] [CrossRef] [PubMed]
- Yin, B.C.; Liu, Y.Q.; Ye, B.C. One-step, multiplexed fluorescence detection of microRNAs based on duplex-specific nuclease signal amplification. J. Am. Chem. Soc. 2012, 134, 5064–5067. [Google Scholar] [CrossRef] [PubMed]
- Anisimova, V.E.; Rebrikov, D.V.; Shagin, D.A.; Kozhemyako, V.B.; Menzorova, N.I.; Staroverov, D.B.; Ziganshin, R.; Vagner, L.L.; Rasskazov, V.A.; Lukyanov, S.A.; et al. Isolation, characterization and molecular cloning of duplex-specific nuclease from the hepatopancreas of the Kamchatka crab. BMC Biochem. 2008, 9, 14. [Google Scholar] [CrossRef] [PubMed]
- Arnaout, R.; Lee, R.A.; Lee, G.R.; Callahan, C.; Yen, C.F.; Smith, K.P.; Arora, R.; Kirby, J.E. SARS-CoV2 testing: The limit of detection matters. bioRxiv 2020. [Google Scholar] [CrossRef]
- Brown, K.A.; Gubbay, J.; Hopkins, J.; Patel, S.; Buchan, S.A.; Daneman, N.; Goneau, L.W. S-gene target failure as a marker of variant B. 1.1. 7 among SARS-CoV-2 isolates in the greater Toronto area, December 2020 to March 2021. JAMA 2021, 325, 2115–2116. [Google Scholar] [CrossRef]
- European Centre for Disease Prevention and Control; World Health Organization—Regional Office for Europe. Methods for the Detection and Identification of SARS-CoV-2 Variants; World Health Organization Regional—Office for Europe: Copenhagen, Denmark, 2021; Available online: https://iris.who.int/handle/10665/340067 (accessed on 6 June 2026).
- Vogels, C.B.; Breban, M.I.; Ott, I.M.; Alpert, T.; Petrone, M.E.; Watkins, A.E.; Kalinich, C.C.; Earnest, R.; Rothman, J.E.; de Jesus, J.G.; et al. Multiplex qPCR discriminates variants of concern to enhance global surveillance of SARS-CoV-2. PLoS Biol. 2021, 19, e3001236. [Google Scholar] [CrossRef]
- McMillen, T.; Jani, K.; Robilotti, E.V.; Kamboj, M.; Babady, N.E. The spike gene target failure (SGTF) genomic signature is highly accurate for the identification of Alpha and Omicron SARS-CoV-2 variants. Sci. Rep. 2022, 12, 18968. [Google Scholar] [CrossRef] [PubMed]
- Fam, T.K.; Klymchenko, A.S.; Collot, M. Recent advances in fluorescent probes for lipid droplets. Materials 2018, 11, 1768. [Google Scholar] [CrossRef]
- Livak, K.J.; Flood, S.J.; Marmaro, J.; Giusti, W.; Deetz, K. Oligonucleotides with fluorescent dyes at opposite ends provide a quenched probe system useful for detecting PCR product and nucleic acid hybridization. Genome Res. 1995, 4, 357–362. [Google Scholar] [CrossRef]
- Zimmers, Z.A.; Adams, N.M.; Gabella, W.E.; Haselton, F.R. Fluorophore-quencher interactions effect on hybridization characteristics of complementary oligonucleotides. Anal. Methods 2019, 11, 2862–2867. [Google Scholar] [CrossRef]
- Wei, H.; Peng, Y.; Bai, Z.; Rong, Z.; Wang, S. Duplex-specific nuclease signal amplification-based fluorescent lateral flow assay for the point-of-care detection of microRNAs. Analyst 2021, 146, 558–564. [Google Scholar] [CrossRef]
- Shandilya, R.; Ranjan, S.; Khare, S.; Bhargava, A.; Goryacheva, I.Y.; Mishra, P.K. Point-of-care diagnostics approaches for detection of lung cancer-associated circulating miRNAs. Drug Discov. Today 2021, 26, 1501–1509. [Google Scholar] [CrossRef]
- Wang, N.; Zhang, J.; Xiao, B.; Sun, X.; Xie, R.; Chen, A. Recent advances in the rapid detection of microRNA with lateral flow assays. Biosens. Bioelectron. 2022, 211, 114345. [Google Scholar] [CrossRef] [PubMed]
- Ying, N.; Ju, C.; Sun, X.; Li, L.; Chang, H.; Song, G.; Li, Z.; Wan, J.; Dai, E. Lateral flow nucleic acid biosensor for sensitive detection of microRNAs based on the dual amplification strategy of duplex-specific nuclease and hybridization chain reaction. PLoS ONE 2017, 12, e0185091. [Google Scholar] [CrossRef] [PubMed]






| SARS-CoV-2 Strain | RNA Region | Sequence Type | Sequence |
|---|---|---|---|
| Wuhan-Hu-1 GenBank® Accession Code: MN908947.3 | Open Reading Frame Conserved Region | DNA Detection Probe | FAM 5′ CCAACCTCTTCTGTAATTTTTAAAC 3′ QSY |
| DNA (match) | 5′ GTTTAAAAATTACAGAAGAGGTTGG 3′ | ||
| DNA (mismatch) | 5′ ACTAGTTTGTCTGGTTTTAAGCTAA 3′ | ||
| RNA (match) | 5′ GUUUAAAAAUUACAGAAGAGGUUGG 3′ | ||
| RNA (mismatch) | 5′ ACUAGUUUGUCUGGUUUUAAGCUAA 3′ |
| SARS-CoV-2 Strain | RNA Region | Synthetic RNA Fragment | DNA Detection Probe |
|---|---|---|---|
| Wuhan-Hu-1 GenBank® Accession Code: MN908947.3 | Open Reading Frame Conserved Region | 5′ GUAGGAGACAUUAUACUUAAACCAGCAAAUAAUAGUUUAAAAAUUACAGAAGAGGUUGGCCACACAGAUCUAAUGGCUGCUUAUGUAGACAAUU 3′ | FAM 5′ CCAACCTCTTCTGTAATTTTTAAAC 3′ QSY |
| Open Reading Frame Variable Region | 5′ GUGAUGCGUAUUAUGACAUGGUUGGAUAUGGUUGAUACUAGUUUGUCUGGUUUUAAGCUAAAAGACUGUGUUAUGUAUGCAUCAGCUGUAGUGUUACUAAU 3′ | ABY 5′ TTAGCTTAAAACCAGACAAACTAGT 3′ QSY | |
| S Gene Variable Region | 5′ GACUUGUUCUUACCUUUCUUUUCCAAUGUUACUUGGUUCCAUGCUAUACAUGUCUCUGGGACCAAUGGUACUAAGAGGUUUGAUAACCCUGUCCUACCAUUUAAUGAUGGUGUUUAUUUUG 3′ | Cy5 5′ TCCCAGAGACATGTATAGCATGGAA 3′ BHQ |
| SARS-CoV-2 Strain | RNA Region | Forward Primer | Reverse Primer | DNA Detection Probe |
|---|---|---|---|---|
| Wuhan-Hu-1 GenBank® Accession Code: MN908947.3 | Open Reading Frame Conserved Region | TAATACGACTCACTATAGGGTAGGAGACATTATACTTAAACCAGCAAATAAT | AATTGTCTACATAAGCAGCCATTAGATCTGT | FAM 5′ CCAACCTCTTCTGTAATTTTTAAAC 3′ QSY |
| Open Reading Frame Variable Region | TAATACGACTCACTATAGGGTGATGCGTATTATGACATGGTTGGATATG | ATTAGTAACACTACAGCTGATGCATACATAACA | ABY 5′ TTAGCTTAAAACCAGACAAACTAGT 3′ QSY | |
| S Gene Variable Region | TAATACGACTCACTATAGGGACTTGTTCTTACCTTTCTTTTCCAATGTTACT | CAAAATAAACACCATCATTAAATGGTAGGACA | Cy5 5′ TCCCAGAGACATGTATAGCATGGAA 3′ BHQ | |
| B.1.1.7 GenBank® Accession Code: EPI_ISL_710528 | Open Reading Frame Conserved Region | TAATACGACTCACTATAGGGTAGGAGACATTATACTTAAACCAGCAAATAAT | AATTGTCTACATAAGCAGCCATTAGATCTGT | FAM 5′ CCAACCTCTTCTGTAATTTTTAAAC 3′ QSY |
| Open Reading Frame Variable Region | TAATACGACTCACTATAGGGTGATGCGTATTATGACATGGTTGGATATG | ATTAGTAACACTACAGCTGATGCATACATAACA | ABY 5′ AGTCTTTTAGCTTCAAACTAGTATC 3′ QSY | |
| S Gene Variable Region | TAATACGACTCACTATAGGGACTTGTTCTTACCTTTCTTTTCCAATGTTACT | CAAAATAAACACCATCATTAAATGGTAGGACA | Cy5 5′ ATTGGTCCCAGAGATAGCATGGAAC 3′ BHQ |
| SARS-CoV-2 Strain | RNA Region | RT-RPA DNA Fragment |
|---|---|---|
| Wuhan-Hu-1 GenBank® Accession Code: MN908947.3 | Open Reading Frame Conserved Region | 5′ TAATACGACTCACTATAGGGTAGGAGACATTATACTTAAACCAGCAAATAATAGTTTAAAAATTACAGAAGAGGTTGGCCACACAGATCTAATGGCTGCTTATGTAGACAATT 3′ |
| Open Reading Frame Variable Region | 5′ TAATACGACTCACTATAGGGTGATGCGTATTATGACATGGTTGGATATGGTTGATACTAGTTTGTCTGGTTTTAAGCTAAAAGACTGTGTTATGTATGCATCAGCTGTAGTGTTACTAAT 3′ | |
| S Gene Variable Region | 5′ TAATACGACTCACTATAGGGACTTGTTCTTACCTTTCTTTTCCAATGTTACTTGGTTCCATGCTATACATGTCTCTGGGACCAATGGTACTAAGAGGTTTGATAACCCTGTCCTACCATTTAATGATGGTGTTTATTTTG 3′ | |
| B.1.1.7 GenBank® Accession Code: EPI_ISL_710528 | Open Reading Frame Conserved Region | 5′ TAATACGACTCACTATAGGGTAGGAGACATTATACTTAAACCAGCAAATAATAGTTTAAAAATTACAGAAGAGGTTGGCCACACAGATCTAATGGCTGCTTATGTAGACAATT 3′ |
| Open Reading Frame Variable Region | 5′ TAATACGACTCACTATAGGGTGATGCGTATTATGACATGGTTGGATATGGTTGATACTAGTTTGAAGCTAAAAGACTGTGTTATGTATGCATCAGCTGTAGTGTTACTAAT 3′ | |
| S Gene Variable Region | 5′ TAATACGACTCACTATAGGGACTTGTTCTTACCTTTCTTTTCCAATGTTACTTGGTTCCATGCTATCTCTGGGACCAATGGTACTAAGAGGTTTGATAACCCTGTCCTACCATTTAATGATGGTGTTTATTTTG 3′ |
| SARS-CoV-2 Strain | RNA Region | RT-RPA/T7 Transcription RNA Fragment |
|---|---|---|
| Wuhan-Hu-1 GenBank® Accession Code: MN908947.3 | Open Reading Frame Conserved Region | 5′ GUAGGAGACAUUAUACUUAAACCAGCAAAUAAUAGUUUAAAAAUUACAGAAGAGGUUGGCCACACAGAUCUAAUGGCUGCUUAUGUAGACAAUU 3′ |
| Open Reading Frame Variable Region | 5′ GUGAUGCGUAUUAUGACAUGGUUGGAUAUGGUUGAUACUAGUUUGUCUGGUUUUAAGCUAAAAGACUGUGUUAUGUAUGCAUCAGCUGUAGUGUUACUAAU 3′ | |
| S Gene Variable Region | 5′ GACUUGUUCUUACCUUUCUUUUCCAAUGUUACUUGGUUCCAUGCUAUACAUGUCUCUGGGACCAAUGGUACUAAGAGGUUUGAUAACCCUGUCCUACCAUUUAAUGAUGGUGUUUAUUUUG 3′ | |
| B.1.1.7 GenBank® Accession Code: EPI_ISL_710528 | Open Reading Frame Conserved Region | 5′ GUAGGAGACAUUAUACUUAAACCAGCAAAUAAUAGUUUAAAAAUUACAGAAGAGGUUGGCCACACAGAUCUAAUGGCUGCUUAUGUAGACAAUU 3′ |
| Open Reading Frame Variable Region | 5′ GUGAUGCGUAUUAUGACAUGGUUGGAUAUGGUUGAUACUAGUUUGAAGCUAAAAGACUGUGUUAUGUAUGCAUCAGCUGUAGUGUUACUAAU 3′ | |
| S Gene Variable Region | 5′ GACUUGUUCUUACCUUUCUUUUCCAAUGUUACUUGGUUCCAUGCUAUCUCUGGGACCAAUGGUACUAAGAGGUUUGAUAACCCUGUCCUACCAUUUAAUGAUGGUGUUUAUUUUG 3′ |
Disclaimer/Publisher’s Note: The statements, opinions and data contained in all publications are solely those of the individual author(s) and contributor(s) and not of MDPI and/or the editor(s). MDPI and/or the editor(s) disclaim responsibility for any injury to people or property resulting from any ideas, methods, instructions or products referred to in the content. |
© 2026 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license.
Share and Cite
Shin, A.; Madou, M.J.; Kulinsky, L.; Hui, E.E.; Nakajima, R.; Felgner, P. An Isothermal Amplification Method for SARS-CoV-2 Variant Differentiation via Targeted Genomic RNA Detection. Chemosensors 2026, 14, 135. https://doi.org/10.3390/chemosensors14060135
Shin A, Madou MJ, Kulinsky L, Hui EE, Nakajima R, Felgner P. An Isothermal Amplification Method for SARS-CoV-2 Variant Differentiation via Targeted Genomic RNA Detection. Chemosensors. 2026; 14(6):135. https://doi.org/10.3390/chemosensors14060135
Chicago/Turabian StyleShin, Alfonso, Marc J. Madou, Lawrence Kulinsky, Elliot E. Hui, Rie Nakajima, and Philip Felgner. 2026. "An Isothermal Amplification Method for SARS-CoV-2 Variant Differentiation via Targeted Genomic RNA Detection" Chemosensors 14, no. 6: 135. https://doi.org/10.3390/chemosensors14060135
APA StyleShin, A., Madou, M. J., Kulinsky, L., Hui, E. E., Nakajima, R., & Felgner, P. (2026). An Isothermal Amplification Method for SARS-CoV-2 Variant Differentiation via Targeted Genomic RNA Detection. Chemosensors, 14(6), 135. https://doi.org/10.3390/chemosensors14060135

