Novel automated sample-to-result SARS-CoV-2 laboratory-developed RT-PCR assay for high-throughput testing using LabTurbo AIO 48 system

Clin Chim Acta. 2021 Mar:514:54-58. doi: 10.1016/j.cca.2020.12.003. Epub 2020 Dec 13.

Abstract

Background and aims: Immediate detection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is critical for preventing the spread of coronavirus disease 2019 (COVID-19). The LabTurbo AIO 48 system is an automated platform that allows nucleic acid extraction and sample analysis on the same instrument, producing faster results without affecting their accuracy. We aimed to independently evaluate the LabTurbo AIO 48 (all-in-one system) for SARS-CoV-2 detection.

Materials and methods: Comparative limit of detection (LOD) was assessed on both the LabTurbo AIO 48 and current standard detection system based on real-time reverse transcriptase polymerase chain reaction (RT-PCR), using SARS-CoV-2 RNA control. Additional 125 primary clinical samples were assessed using both the protocols in parallel.

Results: The turnaround time from sample to results for 48 samples analyzed on LabTurbo AIO 48 was approximately 2.5 h, whereas that analyzed using the in-house RT-PCR protocol was 4.8 h. LabTurbo AIO 48 also demonstrated higher sensitivity than our reference RT-PCR assay, with a LOD of 9.4 copies/reaction. The overall percentage agreement between both the methods for 125 samples was 100%.

Conclusion: LabTurbo AIO 48 is a robust detection option for SARS-CoV-2, allowing faster results and, consequently, aiding in better control and prevention of COVID-19.

Keywords: COVID-19; Diagnosis; LabTurbo AIO 48; Nucleic acid test; RT-PCR; SARS-CoV-2.

MeSH terms

  • COVID-19 / diagnosis
  • COVID-19 Testing / methods*
  • High-Throughput Screening Assays / methods*
  • Humans
  • Limit of Detection
  • RNA, Viral / chemistry
  • Real-Time Polymerase Chain Reaction / methods*
  • Reference Standards
  • Sensitivity and Specificity
  • Viral Load

Substances

  • RNA, Viral