A rapid and cost‐effective multiplex ARMS‐PCR method for the simultaneous genotyping of the circulating SARS‐CoV‐2 phylogenetic clades

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Abstract

Tracing the globally circulating severe acute respiratory syndrome coronavirus 2 (SARS‐CoV‐2) phylogenetic clades by high‐throughput sequencing is costly, time‐consuming, and labor‐intensive. We here propose a rapid, simple, and cost‐effective amplification refractory mutation system (ARMS)‐based multiplex reverse‐transcription polymerase chain reaction (PCR) assay to identify six distinct phylogenetic clades: S, L, V, G, GH, and GR. Our multiplex PCR is designed in a mutually exclusive way to identify V–S and G–GH–GR clade variants separately. The pentaplex assay included all five variants and the quadruplex comprised of the triplex variants alongside either V or S clade mutations that created two separate subsets. The procedure was optimized with 0.2–0.6 µM primer concentration, 56–60°C annealing temperature, and 3–5 ng/µl complementary DNA to validate on 24 COVID‐19‐positive samples. Targeted Sanger sequencing further confirmed the presence of the clade‐featured mutations with another set of primers. This multiplex ARMS‐PCR assay is a fast, low‐cost alternative and convenient to discriminate the circulating phylogenetic clades of SARS‐CoV‐2.

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  1. SciScore for 10.1101/2020.10.08.20209692: (What is this?)

    Please note, not all rigor criteria are appropriate for all manuscripts.

    Table 1: Rigor

    Institutional Review Board Statementnot detected.
    RandomizationA total of 24 randomly selected SARS CoV-2 positive samples were tested for the analysis (supplementary Table s1).
    Blindingnot detected.
    Power Analysisnot detected.
    Sex as a biological variablenot detected.

    Table 2: Resources

    Experimental Models: Organisms/Strains
    SentencesResources
    NS3_26144_F-NS3_26144_wR (wild type)/NS3_26144_F-NS3_26144_mR (mutant) and NS8_28144_F-NS8_28144_wR (wild type)/ NS8_28144_F-NS8_28144_mR (mutant), respectively while mixing for wild types and the mutants in separate PCR tubes.
    NS3_26144_F-NS3_26144_wR
    suggested: None
    S_23403_wF-S_23403_R (wild type primers)/ S_23403_mF-S_23403_R (mutant primers), NS3_25563_w1F-NS3_25563_1R (wild type primers)/ NS3_25563_m1F-NS3_25563_1R (mutant), and N_28882_F-N_28882_wR (wild type)/ N_28882_F-N_28882_mR specific to 23403 A>G (p.D614G), 25563 G>T (p.Q57H) and 28882 G>A (p.R203K) SNP variants respectively.
    S_23403_wF-S_23403_R
    suggested: None
    Software and Algorithms
    SentencesResources
    The primer specificity against SARS-CoV-2 and other organisms was checked by the Primer-BLAST.
    Primer-BLAST
    suggested: (Primer-BLAST, RRID:SCR_003095)
    We performed the in silico PCR with the primers in the UCSC genome browser (https://genome.ucsc.edu/).
    UCSC genome browser
    suggested: (UCSC Genome Browser, RRID:SCR_005780)

    Results from OddPub: We did not detect open data. We also did not detect open code. Researchers are encouraged to share open data when possible (see Nature blog).


    Results from LimitationRecognizer: We detected the following sentences addressing limitations in the study:
    Thus, our method can overcome a serious limitation to effectively identify viral clades with a prospective broader application. The requirement of technical skill would also be low for this assay wherein the training of personnel is a minimal requirement and interpretation of results is generic (Syrmis et al., 2004; L. Wang et al., 2011). Besides, the presence of the template as well as their quantity and quality are determined at the same time. The false-negative result for the absence of a template can also be determined in a facile manner (Edwards & Gibbs, 1994). In general, mutating the primer at its 3’prime end makes it refractory to the ‘wild type template’ whereas the absence of mutation in the primer is retractable to the ‘mutant template’ amending a reliable technique over sequencing (Chulakasian et al., 2010). On the other hand, next generation sequencing technology such as whole genome sequencing (WGS) or metagenomics approach can generate millions of high-throughput data that enabled researchers to unroll new dimensions in the field of genome sequencing applications (El-Metwally, Hamza, Zakaria, & Helmy, 2013). The lack of technical personnel to analyze NGS data is also a reason to prefer alternative approach other than NGS technology in low-income countries. Therefore, the ARMS technology with the conventional multiplex PCR methods in identifying the clades would be more applicable in low and minimum resource settings.

    Results from TrialIdentifier: No clinical trial numbers were referenced.


    Results from Barzooka: We did not find any issues relating to the usage of bar graphs.


    Results from JetFighter: We did not find any issues relating to colormaps.


    Results from rtransparent:
    • Thank you for including a conflict of interest statement. Authors are encouraged to include this statement when submitting to a journal.
    • Thank you for including a funding statement. Authors are encouraged to include this statement when submitting to a journal.
    • No protocol registration statement was detected.

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