A RT-qPCR system using a degenerate probe for specific identification and differentiation of SARS-CoV-2 Omicron (B.1.1.529) variants of concern

Randi Jessen, Line Nielsen, Nicolai Balle Larsen, Arieh Sierra Cohen, Vithiagaran Gunalan, Ellinor Marving, Alonzo Alfaro-Núñez, Charlotta Polacek, Anders Fomsgaard, Katja Spiess*, The Danish COVID-19 Genome Consortium (DCGC), Kasper S. Andersen (Member of study group), Martin H. Andersen (Member of study group), Amalie Berg (Member of study group), Susanne R. Bielidt (Member of study group), Sebastian M. Dall (Member of study group), Erika Dvarionaite (Member of study group), Susan H. Hansen (Member of study group), Vibeke R. Jørgensen (Member of study group), Rasmus H. Kirkegaard (Member of study group)Wagma Saei (Member of study group), Trine B. Nicolajsen (Member of study group), Stine K. Østergaard (Member of study group), Rasmus F. Brøndum (Member of study group), Martin Bøgsted (Member of study group), Katja Hose (Member of study group), Tomer Sagi (Member of study group), Miroslaw Pakanec (Member of study group), David Fuglsang-Damgaard (Member of study group), Mette Mølvadgaard (Member of study group), Henrik Krarup (Member of study group), Marc T.K. Nielsen (Member of study group)

*Corresponding author for this work

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Abstract

Fast surveillance strategies are needed to control the spread of new emerging SARS-CoV-2 variants and gain time for evaluation of their pathogenic potential. This was essential for the Omicron variant (B.1.1.529) that replaced the Delta variant (B.1.617.2) and is currently the dominant SARS-CoV-2 variant circulating worldwide. RT-qPCR strategies complement whole genome sequencing, especially in resource lean countries, but mutations in the targeting primer and probe sequences of new emerging variants can lead to a failure of the existing RT-qPCRs. Here, we introduced an RT-qPCR platform for detecting the Delta- and the Omicron variant simultaneously using a degenerate probe targeting the key ΔH69/V70 mutation in the spike protein. By inclusion of the L452R mutation into the RT-qPCR platform, we could detect not only the Delta and the Omicron variants, but also the Omicron sub-lineages BA.1, BA.2 and BA.4/BA.5. The RT-qPCR platform was validated in small- and large-scale. It can easily be incorporated for continued monitoring of Omicron sub-lineages, and offers a fast adaption strategy of existing RT-qPCRs to detect new emerging SARS-CoV-2 variants using degenerate probes.

Original languageEnglish
Article numbere0274889
JournalPLOS ONE
Volume17
Issue number10
Number of pages12
ISSN1932-6203
DOIs
Publication statusPublished - Oct 2022

Bibliographical note

Publisher Copyright:
© 2022 Jessen et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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