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Abstract

Background

Lateral flow antigen-detection rapid diagnostic tests (Ag-RDTs) for viral infections constitute a fast, cheap and reliable alternative to nucleic acid amplification tests (NAATs). Whereas leftover material from NAATs can be employed for genomic analysis of positive samples, there is a paucity of information on whether viral genetic characterisation can be achieved from archived Ag-RDTs.

Aim

To evaluate the possibility of retrieving leftover material of several viruses from a range of Ag-RDTs, for molecular genetic analysis.

Methods

Archived Ag-RDTs which had been stored for up to 3 months at room temperature were used to extract viral nucleic acids for subsequent RT-qPCR, Sanger sequencing and Nanopore whole genome sequencing. The effects of brands of Ag-RDT and of various ways to prepare Ag-RDT material were evaluated.

Results

SARS-CoV-2 nucleic acids were successfully extracted and sequenced from nine different brands of Ag-RDTs for SARS-CoV-2, and for five of these, after storage for 3 months at room temperature. The approach also worked for Ag-RDTs for influenza virus (n = 3 brands), as well as for rotavirus and adenovirus 40/41 (n = 1 brand). The buffer of the Ag-RDT had an important influence on viral RNA yield from the test strip and the efficiency of subsequent sequencing.

Conclusion

Our finding that the test strip in Ag-RDTs is suited to preserve viral genomic material, even for several months at room temperature, and therefore can serve as source material for genetic characterisation could help improve global coverage of genomic surveillance for SARS-CoV-2 as well as for other viruses.

© Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.
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/content/10.2807/1560-7917.ES.2023.28.9.2200618
2023-03-02
2024-12-22
/content/10.2807/1560-7917.ES.2023.28.9.2200618
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Sequencing directly from antigen-detection rapid diagnostic tests in Belgium, 2022: a gamechanger in genomic surveillance?
<p class="citation"> <span>Citation style for this article:</span> <span class="meta-value authors"> <a href="/search?value1=Annabel+Rector&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Rector Annabel</a>, <a href="/search?value1=Mandy+Bloemen&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Bloemen Mandy</a>, <a href="/search?value1=Gilberte+Schiettekatte&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Schiettekatte Gilberte</a>, <a href="/search?value1=Piet+Maes&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Maes Piet</a>, <a href="/search?value1=Marc+Van+Ranst&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Van Ranst Marc</a>, <a href="/search?value1=Elke+Wollants&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Wollants Elke</a></span>. Sequencing directly from antigen-detection rapid diagnostic tests in Belgium, 2022: a gamechanger in genomic surveillance?. <a href="/content/ecdc">Euro Surveill.</a> 2023;28(9):pii=2200618. <a href="https://doi.org/10.2807/1560-7917.ES.2023.28.9.2200618" title="doi link" target="_blank">https://doi.org/10.2807/1560-7917.ES.2023.28.9.2200618</a> <span class="ES_Article_citation"> <span class="generated">Received</span>: 28 Jul 2022;&nbsp;&nbsp; <span class="generated">Accepted</span>: 22 Nov 2022 </span> </p>
/content/10.2807/1560-7917.ES.2023.28.9.2200618
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