Forensic evaluation of two nucleic acid extraction systems and validation of a RT-qPCR protocol for identification of SARS-CoV-2 in post-mortem nasopharyngeal swabs

•The INTCF has validated the molecular detection of SARS-CoV-2 for its forensic use.•Automated virus RNA extraction has greater relative efficiency than the manual one.•Molecular detection of SARS-CoV-2 with the kit tested is accurate and sensitive. The COVID-19 outbreak has represented a challenge...

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Veröffentlicht in:Forensic science international 2021-06, Vol.323, p.110775-110775, Article 110775
Hauptverfasser: Barrio, Pedro A., Fernández-Rodríguez, Amparo, Martín, Pablo, Fernández, Coro, Fernández, Lourdes, Alonso, Antonio
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container_title Forensic science international
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creator Barrio, Pedro A.
Fernández-Rodríguez, Amparo
Martín, Pablo
Fernández, Coro
Fernández, Lourdes
Alonso, Antonio
description •The INTCF has validated the molecular detection of SARS-CoV-2 for its forensic use.•Automated virus RNA extraction has greater relative efficiency than the manual one.•Molecular detection of SARS-CoV-2 with the kit tested is accurate and sensitive. The COVID-19 outbreak has represented a challenge for the international scientific community and particularly for forensic sciences. The lack of Coronavirus post-mortem testing led the National Institute of Toxicology and Forensic Sciences (INTCF) from Spain to verify the performance and utility of a quantitative reverse transcription PCR (RT-qPCR) clinical diagnosis protocol for SARS-CoV-2 detection (TaqPath™ COVID-19 CE-IVD RT-PCR Kit), to shed light on the cause of death (COD) in potentially COVID-19 cases in judicial autopsies. Two different RNA extraction methods were also tested (EZ1® DSP Virus Kit on the EZ1® Advanced XL robot versus MagMAX™ Viral/Pathogen Nucleic Acid Isolation Kit) regarding extraction efficiency, precision and contamination. RT-qPCR was evaluated for precision, specificity, limit of detection and concordance. Both the automated and the manual RNA extraction procedures showed good efficiency, but the automated virus extraction by bio-robot produced more reproducible results than the manual extraction. The SARS-CoV-2 RT-qPCR assay showed high sensitivity with a detection limit up to 10 copies/reaction and high specificity, as no cross-reactivity was detected between any of the 12 different RNA viruses tested, including three types of coronaviruses (SARS-CoV, NL63 and 229E). Reproducibility and repeatability of the studied method as well as concordance with other SARS-CoV-2 molecular detection protocols were also demonstrated.
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The COVID-19 outbreak has represented a challenge for the international scientific community and particularly for forensic sciences. The lack of Coronavirus post-mortem testing led the National Institute of Toxicology and Forensic Sciences (INTCF) from Spain to verify the performance and utility of a quantitative reverse transcription PCR (RT-qPCR) clinical diagnosis protocol for SARS-CoV-2 detection (TaqPath™ COVID-19 CE-IVD RT-PCR Kit), to shed light on the cause of death (COD) in potentially COVID-19 cases in judicial autopsies. Two different RNA extraction methods were also tested (EZ1® DSP Virus Kit on the EZ1® Advanced XL robot versus MagMAX™ Viral/Pathogen Nucleic Acid Isolation Kit) regarding extraction efficiency, precision and contamination. RT-qPCR was evaluated for precision, specificity, limit of detection and concordance. 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subjects Acids
Autopsies
Autopsy
Contamination
Coronavirus Infectious Disease-19 (COVID-19)
Coronaviruses
COVID-19
Cross-reactivity
Extraction procedures
Forensic genetics
Forensic microbiology
Forensic science
Forensic sciences
Influenza
Nucleic acids
Polymerase chain reaction
Quantitative reverse transcription PCR (RT-qPCR)
Reproducibility
Research Paper
Reverse transcription
Ribonucleic acid
RNA
RNA viruses
Robots
Severe acute respiratory syndrome
Severe acute respiratory syndrome coronavirus 2
Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2)
Toxicology
Validation
Viral diseases
Viruses
title Forensic evaluation of two nucleic acid extraction systems and validation of a RT-qPCR protocol for identification of SARS-CoV-2 in post-mortem nasopharyngeal swabs
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