key: cord-0851312-v2u39yv0 authors: Alhadrami, Hani A.; Hassan, Ahmed M.; Chinnappan, Raja; Al-Hadrami, Hind; Abdulaal, Wesam H.; Azhar, Esam I.; Zourob, Mohammed title: Peptide substrate screening for the diagnosis of SARS-CoV-2 using fluorescence resonance energy transfer (FRET) assay date: 2021-03-25 journal: Mikrochim Acta DOI: 10.1007/s00604-021-04766-5 sha: 83c95985763aae40170020447940cd451733eb53 doc_id: 851312 cord_uid: v2u39yv0 The novel corona (SARS-CoV-2) virus causes a global pandemic, which motivates researchers to develop reliable and effective methods for screening and detection of SARS-CoV-2. Though there are several methods available for the diagnosis of SARS-CoV-2 such as RT-PCR and ELSIA, nevertheless, these methods are time-consuming and may not apply at the point of care. In this study, we have developed a specific, sensitive, quantitative and fast detection method for SARS-CoV-2 by fluorescence resonance energy transfer (FRET) assay. The total extracellular protease proteolytic activity from the virus has been used as the biomarker. The specific peptide sequences from the library of 115 dipeptides were identified via changes in the fluorescence signal. The fluorogenic dipeptide substrates have the fluorophore and a quencher at the N- and the C- terminals, respectively. When the protease hydrolyzes the peptide bond between the two specific amino acids, it leads to a significant increase in the fluorescence signals. The specific fluorogenic peptide (H-d) produces a high fluorescence signal. A calibration plot was obtained from the changes in the fluorescence intensity against the different concentrations of the viral protease. The lowest limit of detection of this method was 9.7 ± 3 pfu/mL. The cross-reactivity of the SARS-CoV-2-specific peptide was tested against the MERS-CoV which does not affect the fluorescence signal. A significant change in the fluorescence signal with patient samples indicates that this FRET-based assay might be applied for the diagnosis of SARS-CoV-2 patients. [Figure: see text] The outbreak of coronavirus disease 2019 caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2/2019-nCoV) poses a serious threat to global public health and local economies [1] . It causes hundreds of thousands of serious illnesses and human life losses all over the world. Human respiratory tract infections caused by Hani A. Alhadrami and Raja Chinnappan contributed equally to this work. coronaviruses such as HCoV-229E and HCoVOC43 are known since the 1960s [2] , and later SARS-CoV-1, HCoV-NL63, HCoV-HKU1, and MERS-CoV have been discovered [3] . Severe respiratory illness in humans due to COVID-19 was first reported in December 2019 in China. Since then, 81,187,266 confirmed cases of infection and 1,772,853 deaths of 28 December 2020 [1, 4, 5] . People with chronic diseases such as diabetes, renal failure, chronic lung disease, and immunocompromised patients are at high risk to die due to COVID-19 [4] . The incubation period of COVID-19 varies between 2 and 14 days and is susceptible to all age groups [5] . The virus can be transmitted from human to human and might cause mild illnesses, severe pneumonia, severe respiratory syndrome, and multi-organs failure [6] . Other reported symptoms are fever, anorexia, nausea, vomiting, abdominal pain, diarrhea, and disseminated intercellular coagulation. The WHO and Center for Disease Control (CDC) recommended that COVID-19 cases must be confirmed by RT-PCR via targeting three genes: RdRP gene, E gene, and N gene [7] . Different methods have been developed for the diagnosis and detection of COVID-19 such as molecular-based assays, serological based tests, point of care devices, radiology-based tests, and viral cell culture-based methods [8] . The molecular diagnostic assays rely on the identification and amplification of the viral RNA by real-time reverse transcriptasepolymerase chain reaction (rRT-PCR) [9] obtained from the suspected individuals. The WHO and CDC have established a standard protocol with a set of primers that can bind to the specific region of RNA and facilitate the amplification process [10] . When SARS-CoV-2 infects human host cell, it produces a specific antibody against SARS-CoV-2. Enzyme-linked Immunosorbent Assay (ELISA) is used for the qualitative and quantitative detection of SARS-CoV-2 antibody. Chemiluminescent immunoassay (CLIA) is used for the quantitative measurement of SARS-CoV-2 antibodies such as IgG, IgM, and IgA [11] . Western blots have been employed to detect specific SARS-CoV-2 proteins, and Northern blot hybridization has been applied for targeting specific SARS-CoV-2 genes [12] . Nucleic acid amplification techniques such as PCR [7, 13] , nucleic acid sequence-based amplification (NASBA) [14] , next-generation sequencing (NGS) [15] , and Lawrence Livermore microbial detection array (LMDA) [16] were developed and optimized for the identification of SARS-CoV-2 genome from clinical samples. Although these methods are sensitive, the mutation rate in SARS-CoV-2 genome is high, which may lead to false results. Alternatively, detection of SARS-CoV-2 in short time with low cost has been the focus of this study by the screening of protease using the cleavage of a specific peptide bond from a substrate library. Recently, protease-based nanobiotechnology plays a potential role in the clinical application in the detection and identification of emerging viruses [17] [18] [19] . FRET peptides are the potential candidate to follow the enzymatic activity in crude biological fluids and culture media. FRET-based assay is rapid, extremely sensitive, and straightforward. The increased fluorescence signal is directly proportional to the quantity of the protease from SARS-CoV-2. In this study, we used the proteases as diagnostic markers for the detection of SARS-CoV-2. Several proteases are acting as host receptors for the coronavirus entry including aminopeptidase N and angiotensin-converting enzyme 2 (hACE2). We developed a simple, low cost, and reliable assay for the detection of the SARS-CoV-2 using the activity of the SARS-CoV-2 secreted proteases. We used short peptide containing the cleavage site of the SARS-CoV-2 protease and it was labeled with a fluorophore and a quencher at both ends. The peptide is cleaved in the presence of protease; therefore, the fluorophore and the quencher are separated from each other which leads to high fluorescence. The specific peptide sequence cleaves by the SARS-CoV-2 protease indicates the presence of SARS-CoV-2. Vero E6 cells (ATCC® number 1568) were purchased from the American Type Culture Collection (ATCC®). Dulbecco's Eagle medium (DMEM) and fetal bovine serum (FBS), streptomycin and penicillin, HEPES, agarose, paraformaldehyde, crystal violet, PBS, and DMSO were purchased from Sigma-Aldrich (Gillingham, UK). Dipeptide library was purchased from Pepmic Co Ltd. (Suzhou, China). Vero E6 cells (ATCC® number 1568) were maintained and grown in Dulbecco's Eagle medium (DMEM) contained 10% fetal bovine serum (FBS) as described before [20] . SARS-CoV-2/human/SAU/85791C/2020 (Gene accession number MT630432.1) was isolated from a human nasopharyngeal swab confirmed positive by RT-PCR. IRP number H-02-K-076-00520-298 was obtained from the Saudi Ministry of Health to use patient samples. All experiments involved live SARS-CoV-2 were performed following the international recommended safety measures and precautions in Biosafety Level 3 Facility at the Special Infectious Agent Unit, King Fahd Medical Research Center, King Abdulaziz University, Saudi Arabia. SARS-CoV-2 was propagated and titrated using Median Tissue Culture Infectious Dose (TCID50). In brief, SARS-CoV-2 was inoculated on 90-95% confluent Vero E6 cells in a T175 tissue culture flask and incubated at 37°C for 1 h in a humidified 5% CO 2 incubator with shaking every 15 min. Then, 25 mL of viral inoculation medium (DMEM supplemented with 10 mmol/L HEPES, 1% streptomycin and penicillin, and 2% FBS) was used to replace the inoculum. The cells were then incubated at 37°C in a humidified 5% CO 2 incubator for 72 h or until 90% of the cells illustrated CPE (cytopathic effect). The supernatant was then harvested and centrifuged at 500×g for 5 min at room temperature. Ultimately, SARS-CoV-2 was aliquoted and stored at − 80°C, and the plaque assay was used to determine the virus titer and TCID50. MERS-CoV was isolated from human nasopharyngeal swab confirmed positive by RT-PCR. The MERS-CoV-positive sample was inoculated on the 95% confluent Vero E6 cells, and finally, the virus was harvested as described above in the propagation of SARS-CoV-2. Plaque assay was conducted as described previously [21] . In brief, DMEM medium was used to grow 1 × 10 5 /mL Vero E6 cells. Every well of six-well tissue culture plates were seeded with 2 mL Vero E6 cells and incubated at 37°C overnight. Serial dilution for each sample (starting from 10 −1 ) was performed in the inoculated DMEM, and 200 μL of each dilution were transferred to the Vero E6 cell monolayers and incubated at 37°C for 1 h with shaking every 15 min. Overlay DMEM with 0.8% agarose was then added to replace the inoculum and incubated at 37°C for 3-4 days. Subsequently, the overlay was removed, and 4% paraformaldehyde was used for 15 min to fix the cells. Crystal violet was used to stain the cells, and plaques were counted to determine SARS-CoV-2 titer as plaque-forming units (pfu/mL). TCID50 for SARS-CoV-2 was calculated as 3.16 × 10 5 . The peptide library consisted of 115 substrates with two amino acids of the same type or different types including D-amino acids. The library substrates were FRET-based fluorogenic peptides, each peptide had two amino acids of two L-amino acids, or C-terminal L-amino acid and N-terminal D-amino acid, or two D-amino acids. The upper-case letters represent L-amino acids, and the lower-case letter represents D-amino acids. The FITC (fluorescein isothiocyanate) and the dabcyl, [4-((4-(dimethylamino)phenyl)azo)benzoic acid] are the most efficient FRET pairs; therefore, they were introduced at both ends of all the substrates. 6-aminohexanoic acid, Ahx linker was introduced between the FITC fluorophore and the Nterminal amino acids. Lysine was introduced between the Cterminal amino acids and the dabcyl quencher molecule. The combination of different dipeptide substrates has been validated [22, 23] . Identification of SARS-CoV-2-specific substrate by FRET assay SARS-CoV-2-specific peptide was identified from the library of 115 FRET substrates by high-throughput screening. All the fluorogenic peptides with FITC and the dabcyl were added to the wells of 96 well fluorescence microtiter plate. The proteolytic activity of the COVID-19 protease on the individual substrates was monitored from the changes in the fluorescence of the FITC at its emission maxima. 0.5 μL of each peptide from 800 μM solution, and 50 μl PBS were mixed with 50 μl of SARS-CoV-2 total protease (the supernatant of the overnight culture media). Culture media was used as a negative control. The changes in the fluorescence intensity of FITC was monitored every 2 min for 2.5 h at 37°C. The samples were excited at 485 nm and the emission was recorded at 535 nm. The relative fluorescence unit (RFU) change in each sample with time was calculated by subtracting the sample fluorescence values from the negative control values. The protease activity on the substrate reflects the changes in the RFU per minute (RFU/min). The specific peptide with the highest RFU/m was the most specific to SARS-CoV-2. L-Histidine-D-aspartic acid FITC-Ahx-H-d-K(Dabcyl) was found to be the most active peptide in the presence of SARS-CoV-2 protease. FITC-Ahx-H-d-K(Dabcyl) dipeptide was used for further studies. The proteolytic activity of SARS-CoV-2 protease on the fluorescence of the FITC-Ahx-H-d-K(Dabcyl) fluorogenic peptides has been studied. A constant amount (4 μM) of the Hd peptide in PBS buffer was added to nine different wells of the microtiter plate. Live SARS-CoV-2 viral solution containing 10 8 pfu/mL to 10 1 pfu/mL was added to each well containing the specific peptide. The changes in the fluorescence were monitored at 535 nm with the excitation at 495 nm. The fluorescence of FITC in each well was recorded every 2 min for 3 h. The well with the only dipeptide without the live virus was considered as a negative control. The fluorescence values were obtained by subtracting negative control values from the sample values. The raw plot of fluorescence signal change against time for individual samples is presented in Fig. 1a . The percentage change was calculated by (F-F 0 /F 0 )×100. Figure 1b represents the exponential fluorescence signal growth of FITC-Ahx-H-d-K(Dabcyl) peptide in the presence of 10 8 pfu/mL at different time intervals. The limit of detection (LOD) of a developed assay determines the successful development of a sensor platform. The sensitivity of the SARS-COV-2 protease-specific substrate: FITC-Ahx-H-d-K(Dabcyl) was determined from the calibration plot, obtained from the fluorescence of the substrate with different concentrations of the SARS-CoV-2 live virus in the dynamic range of 10 1 -10 8 pfu/mL. Each sample with variable concentrations of the protease and their respective fluorescence intensities are represented as the linear plot in Fig. 4 . The specificity of the peptide substrate against the other closely associated virus such as MERS-CoV has been tested under the same conditions. No significant change in the fluorescence intensity is observed with MER-CoV protease (Fig. 5) . Changes in the fluorescence signal have been observed in the presence of SARS-CoV-2-positive patient sample, and the corresponding pfu/mL was calculated from the standard calibration plot. PowerChek™ 2019-nCoV Real-time PCR Kit (Cat No. R6900TD-100 Samples) was used to perform the RT-PCR test for nasopharyngeal swabs collected from SARS-CoV-2infected patients. The kit was purchased from Kogenebiotech Co., Ltd. Republic of Korea, and it was approved by the FDA. The kit was utilized according to the manufacturer's instructions, and it targets the RdRp gene for 2019-nCoV in nasopharyngeal swab and sputum. In brief, ExiPrep™ 96 Lite was used with ExiPrep™ 96 Viral DNA/RNA Kit (BioNEER Corp) to extract SARS-CoV-2 RNA. PowerChek™ provides a one-step real-time RT-PCR premix with specific primers and probes. PCR mixture was prepared by adding 11 μL of RT-PCR Premix, 4 μL of each primer/probe mix, and 5 μL of RNA sample to reach a total reaction volume of 20 μL. The realtime RT-PCR reaction was conducted by programing the LightCycler® 480 Instrument II using the following temperature profile: 50°C for 30 min (1 cycle), 95°C for 10 min (1 cycle), 95°C for 15 s (40 cycles), and 60°C for 1 min (40 cycles). The fluorescence curves were analyzed on FAM fluorescence detection channel for the RdRp gene-2019-nCoV and JOE (VIC or HEX) for the internal control. The result was considered positive if the corresponding fluorescence accumulation curve crosses the threshold line. Negative, positive, and internal controls were used, and their results must be passed for the run to be accepted. Enzymes can hydrolyze the peptide bond between the naturally occurring amino acids. The composition of the amino acid pair determines the specificity of the substrate for the enzyme of interest. The favorable unique conformation of amino acids and their chemical structure with their side chains between the peptide links are the most important parameters for the hydrolysis of the peptide bond by the enzymes. Under pathological conditions, the proteolytic activity of the enzymes plays a major role in many pathological processes. Therefore, the identification of these enzymes is important for understanding the mechanism and retarding the pathological enzymatic process. Determination of the hydrolysis of the specific peptide bond would lead to the development of therapeutic inhibition of the process by throughput screening. The proteolytic activity of the proteases in pathogens draws attention to develop sensitive and specific methods to detect pathogens. The fluorogenic (FRET) peptides have a fluorescent donor group attached to one of the amino acids that transfer the excited energy to the quencher acceptor group attached to another amino acid in the substrate by FRET processes [24, 25] (Scheme 1). In general, the donor and the acceptor are in very close proximity in the fluorogenic peptides and show low fluorescence due to the internal quenching (Scheme 1, A). Screening for SARS-CoV-2-specific peptide SARS-CoV-2 protease proteolytic activity was tested against 115 different fluorogenic peptides to identify the specific substrate from the fluorescence signal. We used dipeptide of Lamino acids, D-amino acids, and the combination of both. Lamino acids present in the major natural proteins. Some bacterial species produce D-isomers in milli-molar range in the cell wall [26] . Therefore, it is assumed that the protease produced from bacteria may have the combination of both L and D-amino acids [27] , and it might digest D-amino acid substrates [22] . Listeria monocytogenes protease specifically cleaves the D-amino acid peptides faster than the L-amino acids of the same peptide [28] . SARS-CoV-2 main protease (M pro ) specific substrate and 3L protease ( 3L pro ) substrate have been identified using FRET assay by high-throughput screening assay [18, 19] . More number of amino acids in the peptide substrate would lead to the complication in the identification of the specific peptide bond in the substrate. Hence, we used dipeptide with a single peptide bond between the amino acids which is the only peptide bond that undergoes hydrolysis and induces the fluorescence signal [23] . SARS-CoV and SARS-CoV-2 main protease-specific substrates have been screened by a high-throughput screening method using both natural and unnatural amino acids [19, 29, 30] . In this screening process, the SARS-CoV-2 total protease was incubated with the individual FRET substrate for 2 h at 37°C. Change in the fluorescence intensity of each peptide was compared to find the efficient hydrolysis of the peptide bond by SARS-CoV-2 protease on the specific peptide substrate. The fluorescence signal response generated by substrate hydrolysis is illustrated in Fig. 1a . We selected ten substrates that showed considerable fluorescence signal change in the presence of SARS-CoV-2 protease (D-d, E-d, H-d, K-d, R-d, F-F, P-P, F-R, and d-d). The relative fluorescence intensity of the substrates is summarized in Table 1 . The highest fluorescence change was observed from FITC-Ahx-H-d-K(Dabcyl dipeptide), and thus, we considered this the relative scale of 100%. FITC-Ahx-F-R-K(Dabcyl) confirmed 82% increase in the fluorescence intensity compared to H-d peptide (Fig. 1b) . Interestingly, most of the active peptide has a combination of L-and D-amino acids. More specifically, the Lamino acids at the N-terminal and D-amino acids in the Cterminals with the exception of F-R and d-d. substrates available for the protease to interact with. The changes in the protease amount after the reaction was insignificant due to the high protease concentration in this reaction. Therefore, the rate of the reaction was only dependent on the concentration of the substrate. The sensitive detection of SARS-CoV-2 was performed by the hydrolysis of the specific peptide bond between H-and d-amino acids in FITC-Ahx-H-d-K(Dabcyl) substrate by the total protease. When the substrate was incubated with live SARS-CoV-2 viral particles, the protease produced as a metabolic by-product hence, specifically digest the H-d bond rapidly and the FITC donor and the dabcyl acceptor were separated from each other. Therefore, when FITC was excited at 485 nm, the emitted photons were not absorbed by the dabcyl acceptor, because the donor and the acceptor were not in close vicinity and there was no fluorescence quenching. All the emitted photons were monitored as fluorescence emission. The quantitative detection of SARS-CoV-2 was achieved by incubating a constant amount of FRET fluorogenic peptide with different concentrations of SARS-CoV-2 viral protease ranging from 10 to 10 8 pfu/mL at 37°C for 3 h. Then, the fluorescence of FITC in all the samples is monitored, and the relative change in the fluorescence is represented in Fig. 3 . The black and red bars represent the change in the fluorescence intensity after 180 min and 30 min, respectively. A significant amount of the reaction was completed within 30 min. For example, in the presence of 10 8 pfu/mL of SARS-CoV-2, more than 50% of the reaction was completed within 30 min. Figure 4 illustrates the plot of the endpoint of fluorescence values after 3 h against the respective concentrations of the viral particle. Further, it shows the calibration curve which was obtained by plotting the fluorescence signal change against the logarithm of SARS-CoV-2 particle (protease) concentration (pfu/mL). The minimum SARS-CoV-2 sensing ability of FITC-Ahx-H-d-K(Dabcyl), (limit of detection or LOD), was calculated according to the following formula: 3SD/m, where (SD) is the standard deviation of the fluorescence signal in the absence of SARS-CoV-2 particles and (m) is the slope of the straight line obtained from the linear fitting. The calculated LOD of FITC-Ahx-H-d-K(Dabcyl) substrate was found to be 9 ± 3 pfu/mL. Our FRET-based results were compared with the RT-PCR method, which is the gold standard for SARS-CoV-2 diagnosis. RT-PCR method for the detection of SARS-CoV-2 and quantified the limit of detection in the range of 2 to 12 copies per reaction [7] . Van Kasteren et al. compared the commercially available RT-PCR kits with their in-house developed method for the detection of SARS-CoV-2. The detection limit of the evaluated kits was in the range of 3 to 10 copies/mL; however, their in-house PCR method has the LOD of 0.91 copies/mL [30] . A field-effect transistor (FET)-based biosensor has been developed for the sensitive detection of SARS-CoV-2 in clinical sample. The sensing platform was fabricated by coating graphene sheets of the FET with anti-SARS-CoV-2 spike protein antibody. The sensor was tested for antigen protein, cultured virus, and specimen from the SARS-CoV-2-positive patients. The sensor was able to detect as low as 16 pfu/mL [31] . Two high-affinity aptamers against the receptor-binding domain (RBD) of SARS-CoV-2 spike glycoprotein have been selected with the affinity of 5.8 nM and 19.9 nM, respectively. The aptamer-based recognized receptor is an ideal tool for the development of sensitive and selective aptasensor for the detection of SARS-CoV-2 [32] . Various methods used for the detection of SARS-CoV-2 are compared with our developed assay and summarized in Table 3 . The previously reported RT-PCR method is more sensitive than other methods due to amplification processes. However, the other methods are comparable or less sensitive than the reported values by our FRET assay. Although our developed assay is highly sensitive, it has some limitations. The turbid sample leads to fluorescence scattering; therefore, samples should be clear. The presence of any molecule in the sample absorbs in the region of the FITC emission which reduces the fluorescence intensity due to the fluorescence quenching. The fluorogenic substrates have to be protected from the light as it may undergo photobleaching when exposing to light. The We successfully developed a high-throughput peptide screening for the sensitive detection of SARS-CoV-2 as a diagnostic marker. FRET assay has been carried out using fluorogenic dipeptides (L, D, or both amino acids in the dipeptide) with a fluorophore and a quencher at both ends. SARS-CoV-2 protease-specific dipeptide substrates were identified from the quantity of fluorescence signal change. FITC-Ahx-Hd-(Dabcyl) fluorogenic dipeptide is considered as the most specific peptide substrate as it showed the highest fluorescence signal in the presence of SARS-CoV-2 protease. The cross-reactivity of the substrate with other closely associated viral proteases such as MERS-CoV has been confirmed from insignificant fluorescence signal change. Clinical patient samples have been used for the validation of the FRET assay, and the values were highly comparable to the standard RT-PCR methods. Therefore, our FRET assay is straightforward, low cost, and highly sensitive for the analysis of clinical patient samples. The epidemiology and pathogenesis of coronavirus disease (COVID-19) outbreak A new virus isolated from the human respiratory tract A sensitive and specific antigen detection assay for Middle East respiratory syndrome coronavirus Factors associated with COVID-19-related death using OpenSAFELY Does incubation period of COVID-19 vary with age? A study of epidemiologically linked cases in Singapore COVID-19 and multiorgan response Detection of 2019 novel coronavirus (2019-nCoV) by real-time RT-PCR Epidemiology, causes, clinical manifestation and diagnosis, prevention and control of coronavirus disease (COVID-19) during the early outbreak period: a scoping review Improved molecular diagnosis of COVID-19 by the novel, highly sensitive and specific COVID-19-RdRp/Hel real-time reverse transcription-PCR assay validated in vitro and with clinical specimens World Health Organization (2020) Coronavirus disease (COVID-19) technical guidance: laboratory testing for 2019-nCoV in humans A peptide-based magnetic chemiluminescence enzyme immunoassay for serological diagnosis of corona virus dis Profiling early humoral response to diagnose novel coronavirus disease (COVID-19) Assays for laboratory confirmation of novel human coronavirus (hCoV-EMC) infections Diagnosing COVID-19: the disease and tools for detection A method to identify respiratory virus infections in clinical samples using next-generation sequencing Real-time NASBA detection of SARS-associated coronavirus and comparison with real-time reverse transcription-PCR How can nanotechnology help to combat COVID-19? Opportunities and urgent need Identification of SARS-CoV-2 3CL protease inhibitors by a quantitative high-throughput screening Substrate specificity profiling of SARS-CoV-2 Mpro protease provides basis for anti-COVID-19 drug design Immunogenicity of candidate MERS-CoV DNA vaccines based on the spike protein Growth and quantification of MERS-CoV infection Evaluation of a D-aminoacid-containing fluorescence resonance energy transfer peptide library for profiling prokaryotic proteases Peptide-based fluorescence resonance energy transfer protease substrates for the detection and diagnosis of Bacillus species Fluorescence monitoring of riboswitch transcription regulation using a dual molecular beacon assay A tryptophan-rich hexapeptide inhibits nucleic acid destabilization chaperoned by the HIV-1 nucleocapsid protein D-amino acids govern stationary phase cell wall remodeling in bacteria New insights into the mechanisms and biological roles of D-amino acids in complex ecosystems Rapid colorimetric sensing platform for the detection of Listeria monocytogenes foodborne pathogen Peptidyl acyloxymethyl ketones as activity-based probes for the main protease of SARS-CoV-2 Comparison of commercial RT-PCR diagnostic kits for COVID-19 Rapid detection of COVID-19 causative virus (SARS-CoV-2) in human nasopharyngeal swab specimens using fieldeffect transistor-based biosensor Discovery of aptamers targeting the receptor-binding domain of the SARS-CoV-2 spike glycoprotein Bashir R (2020) Rapid isothermal amplification and portable detection system for SARS-CoV-2 Combinations of PCR and isothermal amplification techniques are suitable for fast and sensitive detection of SARS-CoV-2 viral RNA Electric field-driven microfluidics for rapid CRISPR-based diagnostics and its application to detection of SARS-CoV-2 Development of a low-cost cotton-tipped electrochemical immunosensor for the detection of SARS-CoV-2 Development of a SERS-based lateral flow immunoassay for rapid and ultra-sensitive detection of anti-SARS-CoV-2 IgM/IgG in clinical samples Publisher's note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations No. 17108263.