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Molecular detection of SARS-CoV-2 in formalin-fixed, paraffin-embedded specimens
Jun Liu, April M. Babka, Brian J. Kearney, Sheli R. Radoshitzky, Jens H. Kuhn, Xiankun Zeng
Jun Liu, April M. Babka, Brian J. Kearney, Sheli R. Radoshitzky, Jens H. Kuhn, Xiankun Zeng
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Resource and Technical Advance COVID-19 Virology

Molecular detection of SARS-CoV-2 in formalin-fixed, paraffin-embedded specimens

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Abstract

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the cause of human coronavirus disease 2019 (COVID-19), emerged in Wuhan, China, in December 2019. The virus rapidly spread globally, resulting in a public health crisis including almost 5 million cases and 323,256 deaths as of May 21, 2020. Here, we describe the identification and evaluation of commercially available reagents and assays for the molecular detection of SARS-CoV-2 in infected FFPE cell pellets. We identified a suitable rabbit polyclonal anti–SARS-CoV spike protein antibody and a mouse monoclonal anti–SARS-CoV nucleocapsid protein (NP) antibody for cross-detection of the respective SARS-CoV-2 proteins by IHC and immunofluorescence assay (IFA). Next, we established RNAscope in situ hybridization (ISH) to detect SARS-CoV-2 RNA. Furthermore, we established a multiplex FISH (mFISH) to detect positive-sense SARS-CoV-2 RNA and negative-sense SARS-CoV-2 RNA (a replicative intermediate indicating viral replication). Finally, we developed a dual staining assay using IHC and ISH to detect SARS-CoV-2 antigen and RNA in the same FFPE section. It is hoped that these reagents and assays will accelerate COVID-19 pathogenesis studies in humans and in COVID-19 animal models.

Authors

Jun Liu, April M. Babka, Brian J. Kearney, Sheli R. Radoshitzky, Jens H. Kuhn, Xiankun Zeng

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Figure 2

Detection of SARS-CoV-2 RNA by ISH in FFPE cell pellets.

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Detection of SARS-CoV-2 RNA by ISH in FFPE cell pellets.
(A and B) SARS-...
(A and B) SARS-CoV-2 positive-sense RNA can be detected by ISH using positive-sense RNA probe 1 in infected FFPE cell pellets (B), but not in uninfected control FFPE cell pellets (A). (C and D) SARS-CoV-2 positive-sense RNA can be detected by ISH using positive-sense RNA probe 2 in infected FFPE cell pellets (D), but not in uninfected control FFPE cell pellets (C). (E and F) SARS-CoV-2 negative-sense RNA can be detected by ISH using negative-sense RNA probe 1 in infected FFPE cell pellets (E), but not in uninfected control FFPE cell pellets (F). Nuclei are stained blue (hematoxylin). Scale bars: 50 μm.

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