A novel diagnostic test to screen SARS-CoV-2 variants containing E484K and N501Y mutations

Yanan Zhao, Annie Lee, Kaelea Composto, Marcus H. Cunningham, Jose R. Mediavilla, Samantha Fennessey, André Corvelo, Kar Fai Chow, Michael Zody, Liang Chen, Barry N. Kreiswirth, David S. Perlin

Research output: Contribution to journalLetterpeer-review

Abstract

Spike protein mutations E484K and N501Y carried by SARS-CoV-2 variants have been associated with concerning changes of the virus, including resistance to neutralizing antibodies and increased transmissibility. While the concerning variants are fast spreading in various geographical areas, identification and monitoring of these variants are lagging far behind, due in large part to the slow speed and insufficient capacity of viral sequencing. In response to the unmet need for a fast and efficient screening tool, we developed a single-tube duplex molecular assay for rapid and simultaneous identification of E484K and N501Y mutations from nasopharyngeal swab (NS) samples within 2.5 h from sample preparation to report. Using this tool, we screened a total of 1135 clinical NS samples collected from COVID patients at 8 hospitals within the Hackensack Meridian Health network in New Jersey between late December 2020 and March 2021. Our data revealed dramatic increases in the frequencies of both E484K and N501Y over time, underscoring the need for continuous epidemiological monitoring.

Original languageEnglish
Pages (from-to)994-997
Number of pages4
JournalEmerging Microbes and Infections
Volume10
Issue number1
DOIs
StatePublished - 2021

ASJC Scopus subject areas

  • Parasitology
  • Epidemiology
  • Microbiology
  • Immunology
  • Drug Discovery
  • Virology
  • Infectious Diseases

Keywords

  • E484K
  • N501Y
  • SARS-CoV-2
  • molecular assay
  • screening
  • variants

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