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Abstract
SARS-CoV-2 replication requires the synthesis of a set of structural proteins expressed through discontinuous transcription of ten subgenomic mRNAs (sgmRNAs). Here, we have fine-tuned droplet digital PCR (ddPCR) assays to accurately detect and quantify SARS-CoV-2 genomic ORF1ab and sgmRNAs for the nucleocapsid (N) and spike (S) proteins. We analyzed 166 RNA samples from anonymized SARS-CoV-2 positive subjects and we observed a recurrent and characteristic pattern of sgmRNAs expression in relation to the total viral RNA content. Additionally, expression profiles of sgmRNAs, as determined by meta-transcriptomics sequencing of a subset of 110 RNA samples, were highly correlated with those obtained by ddPCR. By providing a comprehensive and dynamic snapshot of the levels of SARS-CoV-2 sgmRNAs in infected individuals, our results may contribute a better understanding of the dynamics of transcription and expression of the genome of SARS-CoV-2 and facilitate the development of more accurate molecular diagnostic tools for the stratification of COVID-19 patients.
Oranger et al use digital droplet PCR to develop an assay that provides a dynamic snapshot of the levels of SARS-CoV-2 sub-genomic messanger RNA in infected individuals. This has the potential to improve diagnostic accuracy for COVID-19
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1 University of Bari Aldo Moro, Department of Biosciences, Biotechnology and Biopharmaceutics, Bari, Italy (GRID:grid.7644.1) (ISNI:0000 0001 0120 3326)
2 National Research Council, Institute of Biomembranes, Bioenergetics and Molecular Biotechnologies, Bari, Italy (GRID:grid.5326.2) (ISNI:0000 0001 1940 4177); University of Milan, Department of Biosciences, Milan, Italy (GRID:grid.4708.b) (ISNI:0000 0004 1757 2822)
3 National Research Council, Institute of Biomembranes, Bioenergetics and Molecular Biotechnologies, Bari, Italy (GRID:grid.5326.2) (ISNI:0000 0001 1940 4177)
4 Istituto Zooprofilattico Sperimentale della Puglia e Basilicata, Putignano (Bari), Italy (GRID:grid.508082.7) (ISNI:0000 0004 1755 4106)
5 Servizio Centralizzato Aziendale di Citopatologia e Screening- PO “Di Venere” - ASL, Bari, Italy (GRID:grid.508082.7)
6 University of Bari Aldo Moro, Department of Biosciences, Biotechnology and Biopharmaceutics, Bari, Italy (GRID:grid.7644.1) (ISNI:0000 0001 0120 3326); National Research Council, Institute of Biomembranes, Bioenergetics and Molecular Biotechnologies, Bari, Italy (GRID:grid.5326.2) (ISNI:0000 0001 1940 4177); Consorzio Interuniversitario Biotecnologie, Trieste, Italy (GRID:grid.441025.6) (ISNI:0000 0004 1759 487X)