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@ARTICLE{Lou:274431,
author = {D. Lou and M. Meurer and S. Ovchinnikova and R. Burk and A.
Denzler and K. Herbst and I. A. Papaioannou and Y. Duan and
M. L. Jacobs and V. Witte and D. Ürge and D. Kirrmaier$^*$
and M. Krogemann and K. Gubicza$^*$ and K. Boerner and C.
Bundschuh and N. M. Weidner and U. Merle and B. Knorr and A.
Welker and C. M. Denkinger and P. Schnitzler and H.-G.
Kräusslich and V. L. Dao Thi and M. De Allegri and H. T.
Nguyen and A. Deckert and S. Anders and M. Knop$^*$},
title = {{S}calable {RT}-{LAMP}-based {SARS}-{C}o{V}-2 testing for
infection surveillance with applications in pandemic
preparedness.},
journal = {EMBO reports},
volume = {24},
number = {5},
issn = {1469-221X},
address = {Hoboken, NJ [u.a.]},
publisher = {Wiley},
reportid = {DKFZ-2023-00595},
pages = {e57162},
year = {2023},
note = {#LA:A260# / 2023 May 4;24(5):e57162},
abstract = {Throughout the SARS-CoV-2 pandemic, limited diagnostic
capacities prevented sentinel testing, demonstrating the
need for novel testing infrastructures. Here, we describe
the setup of a cost-effective platform that can be employed
in a high-throughput manner, which allows surveillance
testing as an acute pandemic control and preparedness tool,
exemplified by SARS-CoV-2 diagnostics in an academic
environment. The strategy involves self-sampling based on
gargling saline, pseudonymized sample handling, automated
RNA extraction, and viral RNA detection using a
semiquantitative multiplexed colorimetric reverse
transcription loop-mediated isothermal amplification
(RT-LAMP) assay with an analytical sensitivity comparable
with RT-qPCR. We provide standard operating procedures and
an integrated software solution for all workflows, including
sample logistics, analysis by colorimetry or sequencing, and
communication of results. We evaluated factors affecting the
viral load and the stability of gargling samples as well as
the diagnostic sensitivity of the RT-LAMP assay. In
parallel, we estimated the economic costs of setting up and
running the test station. We performed > 35,000 tests, with
an average turnover time of < 6 h from sample arrival to
result announcement. Altogether, our work provides a
blueprint for fast, sensitive, scalable, cost- and
labor-efficient RT-LAMP diagnostics, which is independent of
potentially limiting clinical diagnostics supply chains.},
keywords = {COVID-19 tests (Other) / RT-LAMP (Other) / corona tests
(Other) / pandemic preparedness (Other) / surveillance
testing (Other)},
cin = {A260},
ddc = {570},
cid = {I:(DE-He78)A260-20160331},
pnm = {311 - Zellbiologie und Tumorbiologie (POF4-311)},
pid = {G:(DE-HGF)POF4-311},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:36951170},
doi = {10.15252/embr.202357162},
url = {https://inrepo02.dkfz.de/record/274431},
}