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2019 ncov cdc eua kit

Manufactured by Integrated DNA Technologies
Sourced in United States

The 2019-nCoV CDC EUA Kit is a real-time RT-PCR test intended for the qualitative detection of nucleic acid from SARS-CoV-2, the virus that causes COVID-19. The kit includes all necessary components for the detection of SARS-CoV-2 RNA in respiratory specimens from individuals suspected of COVID-19 by their healthcare provider.

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11 protocols using 2019 ncov cdc eua kit

1

Evaluation of SARS-CoV-2 Assays Performance

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A mix of 40 known-negative and 50 SARS-CoV-2 known-positive patient nasal swab samples were tested on the Franklin three9 using the Biomeme SARS-CoV-2 assay. Patient samples that were negative for COVID-19 also included ones where other respiratory viruses had been detected by conventional clinical assays. The samples were assessed using the relevant clinical gold-standard test where specimens were either extracted using the NucliSENS EasyMAG and subsequently run on the Rotor-gene Q, detecting the 5′UTR and envelope gene or were extracted and run on the BD Max 5′UTR assay, detecting only the 5′UTR gene11 (link). Additionally, negative patient samples were spiked with various clinical bacterial isolates to determine specificity. The clinical evaluation of the Precision Biomonitoring TripleLock SARS-CoV-2 Assay was conducted using 63 known-positive and 64 known-negative patient specimens. These samples were extracted using the NucliSENS EasyMAG kit and were confirmed positive or negative using a modified 2019-nCoV CDC EUA Kit (Integrated DNA Technologies, Coralville, USA) with the Luna Universal Probe One-Step RT kit (New England BioLabs, Whitby, Canada) and SARS-CoV-2 envelope gene assays11 (link). Extraction and RRT-PCR setup for the Biomeme and Precision Biomonitoring SARS-CoV-2 assays were carried out as described above for patient specimens.
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2

Quantitative PCR for SARS-CoV-2 Detection

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The qPCR mixture with primers and probe was prepared for analysis of the CDC N2 amplicon, using N2 primer and probe (2019-nCov CDC EUA kit, product number 10006770; Integrated DNA Technologies) and Luna universal probe qPCR master mix (product number M3004; New England Biosystems). To analyze 96 samples, including controls, 300 μl of water and 200 μl N2 of primer/probe mixture were added to a tube containing 1 ml of 2× Luna probe mixture. A 96-well qPCR plate was placed on a cold block on ice, and 15 μl of this mixture was added to each well. Using a multichannel pipette, 5 μl of each swab eluate was added into a corresponding well of the plate containing the qPCR mix. On each plate, negative-control swabs, wells containing only TE buffer, and positive controls known to contain the N2 DNA amplicon were also analyzed. The plate was sealed with optical film and placed in a LightCycler 96 qPCR machine (Roche), which was run for 45 cycles. Data were analyzed using Prism 8 software (GraphPad). Values for samples with undetectable DNA (no cycle threshold [CT] value) were set at a CT of 45 for purposes of visualization.
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3

Quantitative PCR for SARS-CoV-2 Detection

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The qPCR mixture with primers and probe was prepared for analysis of the CDC N2 amplicon, using N2 primer and probe (2019-nCov CDC EUA kit, product number 10006770; Integrated DNA Technologies) and Luna universal probe qPCR master mix (product number M3004; New England Biosystems). To analyze 96 samples, including controls, 300 μl of water and 200 μl N2 of primer/probe mixture were added to a tube containing 1 ml of 2× Luna probe mixture. A 96-well qPCR plate was placed on a cold block on ice, and 15 μl of this mixture was added to each well. Using a multichannel pipette, 5 μl of each swab eluate was added into a corresponding well of the plate containing the qPCR mix. On each plate, negative-control swabs, wells containing only TE buffer, and positive controls known to contain the N2 DNA amplicon were also analyzed. The plate was sealed with optical film and placed in a LightCycler 96 qPCR machine (Roche), which was run for 45 cycles. Data were analyzed using Prism 8 software (GraphPad). Values for samples with undetectable DNA (no cycle threshold [CT] value) were set at a CT of 45 for purposes of visualization.
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4

SARS-CoV-2 RNA Detection by rRT-qPCR

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Viral RNA was extracted with the QIAsymphony DSP Virus/Pathogen Mini kit (Qiagen®; Hilden, Germany, 937036) according to the manufacturer's protocol on a QIAsymphony SP instrument. rRT-qPCR was performed using the TaqMan® Fast Virus 1-Step Master Mix (Applied Biosystems®; Foster City, CA, 4444436) and oligonucleotide primers with TaqMan® 5’ FAM / 3’ Black Hole Quencher® probes from the 2019-nCoV CDC EUA Kit (Integrated DNA Technologies®; Coralville, IA, 500 rxn, cat. nr. 10006606), amplifying the nucleocapsid gene. A positive control plasmid was used within each run, containing the full nucleocapsid gene (2019-nCoV_N_Positive Control, Integrated DNA Technologies®; Coralville, IA, cat. nr. 10006625). The rRT-PCR reaction was performed with a QuantStudio™ 7 Real-Time PCR cycler.
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5

SARS-CoV-2 Viral Load Quantification

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SARS-CoV-2 detection was performed with primer-probe sets for 2019-nCoV_N1 and N2 (Integrated DNA Technologies), according to the US CDC protocol by RT-qPCR, using total nucleic acids extracted with Trizol reagent from cell pellet or lung tissue to determine the genome viral load. All RT-qPCR assays were performed using the Viia 7 Real-time PCR System (Applied Biosystems). A standard curve was generated in order to obtain the exact number of copies in the tested sample. The standard curve was performed using an amplicon containing 944 bp cloned in a plasmid (PTZ57R/T CloneJetTM Cloning Kit, Thermo Fisher Scientific), starting in the nucleotide 14 of the gene N1. To quantify the number of copies, a serial dilution of the plasmid in the proportion of 1:10 was performed. Commercial primers and probes for the N1 gene and RNAse P (endogenous control) were used for quantification (2019-nCov CDC EUA Kit, Integrated DNA Technologies), following the CDC’s instructions.
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6

Quantifying Viral Fitness through Growth Assays

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The fitness of passaged viruses was characterized by viral growth assay. Vero E6 cells were seeded in 96-well plates at a density of 1.5 × 104 cells per well in complete medium. The following day, the virus was inoculated at a dose of 200 TCID50 per well in quadruplicate. At 6 h post infection, free virions in the culture were removed by changing of the medium twice. At 11, 24, 35 and 49 h post infection, 50 µl of culture supernatant from each well was collected and replenished with an equivalent volume of fresh medium. Viral RNA from each time point was purified using a PureLink Pro 96 Viral RNA/DNA Purification Kit (ThermoFisher), and viral copy number in each sample was then estimated by quantitative PCR with reverse transcription using TaqPath 1-Step RT–qPCR Master Mix (ThermoFisher) and a 2019-nCov CDC EUA Kit (Integrated DNA Technologies) with a 7500 Fast Dx Real-Time PCR Instrument (Applied Biosystems).
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7

RT-qPCR for SARS-CoV-2 detection

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RT-qPCR was performed following an NA extraction-free approach, in which 50 μl of virus sample was first treated with 6.25 μl of proteinase K followed by a heat inactivation step and was then directly used as input. The 2019-nCov CDC EUA Kit (10006770, Integrated DNA Technologies) for detection of N1, N2, and ribonuclease P genes and a Reliance 1 step multiplex enzyme supermix (12010176, Bio-Rad) were used to prepare PCR cocktail including 1 μl of N1 probe, 1 μl of N2 probe, 6.25 μl of enzyme mix, 1.75 μl of nuclease-free water, and 15 μl of proteinase K–treated virus sample. The RT-qPCR was conducted on a Real-Time PCR Detection System (CFX384, Bio-Rad) following the protocol: 52°C for 10 min, 95°C for 2 min, and 45 cycles of 95°C for 10 s and 55°C for 30 s. The Ct value for the samples without detection signal was recorded as 45 for quantitative comparison. To obtain the lysed virus sample, viruses were incubated at 65°C for 30 min for antigen analysis by the QUIT SARS-CoV-2 system and treated with proteinase K for 5 min for NA analysis by RT-qPCR.
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8

SARS-CoV-2 RNA Extraction and qPCR Detection

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RNA extraction was performed using the Viral RNA/Pathogen Nucleic Acid Isolation kit (Thermo Fisher), optimized for a KingFisher instrument (Thermo Fisher), following manufacturer’s instructions. PCR amplification was based on the 2019-Novel Coronavirus Real-Time RT-PCR Diagnostic Panel guidelines and protocol developed by the American Center for Disease Control and Prevention (24 ). Briefly, a 20 μL PCR reaction was set up containing 5 μL of RNA, 1.5 μL of N2 or RNAseP primers and probe (2019-nCov CDC EUA Kit, Integrated DNA Technologies) and 10 μL of GoTaq 1-Step RT-qPCR (Promega). Thermal cycling was performed at 50°C for 15 min for reverse transcription, followed by 95°C for 2 min and then 45 cycles of 95°C for 10 sec, 56°C for 15 sec and 72°C for 30 sec in the Applied Biosystems 7500 or QuantStudio5 Real-Time PCR instruments (Thermo Fisher). For absolute quantification, a standard curve was built using 1/5 serial dilutions of a SARS-CoV-2 plasmid (2019-nCoV_N_Positive Control, 200 copies/μL, Integrated DNA Technologies) and run in parallel in all PCR determinations. The VL of each sample was determined in triplicate, and mean VL (in copies/mL) was extrapolated from the standard curve and corrected by the corresponding dilution factor. RNAseP gene amplification was performed in duplicate for each sample as an amplification control.
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9

SARS-CoV-2 Detection in Saliva and Swabs

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Samples were liquefied using semi-alkaline protease (Sputazyme; Kyokuto Pharmaceutical Industrial, Tokyo, Japan) before centrifuging at 20,000×g for two minutes. RNA was extracted from 140 μL of the supernatant of saliva samples or universal transport media for nasal swabs using the QIAamp Viral RNA Mini Kit (Qiagen, Hilden, Germany) with RNA extraction controls, 5 μL of LightMix Modular EAV RNA Extraction Control (EAV; Roche, Basel, Switzerland) or 10 μL of MS2 phage (Thermo Fisher Scientific, Waltham, MA, USA), and eluted in a final volume of 60 μL. Real-time reverse transcriptase PCR was performed using N1, N2, and RNaseP (RP) internal control assays developed by the Centers for Disease Control and Prevention (2019-nCoV CDC EUA kit, obtained from Integrated DNA Technologies, Coralville, IA, USA) using a LightCycler 480 System II (Roche).
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10

Rapid SARS-CoV-2 Detection via RT-qPCR

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RT-qPCR was performed following a nucleic acid extraction-free approach, in which 50 μL of virus sample was first treated with 6.25 μL proteinase K followed by a heat inactivation step and was then directly used as input. A 2019-nCov CDC EUA Kit (10006770, Integrated DNA Technologies) and a Reliance 1 step multiplex enzyme supermix (12010176, Bio-Rad) were used to prepare PCR cocktail including 1 μL N1 probe, 1 μL N2 probe, 6.25 μL enzyme mix, 1.75 μL nuclease-free water, and 15 μL proteinase K-treated virus sample. The RT-qPCR was conducted on a Real-Time PCR Detection System (CFX384, Bio-Rad) following the protocol: 52 °C for 10 min, 95 °C for 2 min, and 45 cycles of 95 °C for 10 s and 55 °C for 30 s. The Ct value for the samples without detection signal was recorded as 45 for quantitative comparison. To obtain the lysed virus sample, viruses were incubated at 65 °C for 30 min for antigen analysis by QUIT SARS-CoV-2 system and treated with proteinase K for 5 min for nucleic acid analysis by RT-qPCR.
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