Coronavirus Mutations Could Muddle COVID-19 PCR Tests

Researchers find that SARS-CoV-2 variants can evade primer-probe sets and recommend that diagnostic assays include multiple targets for reliability.

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Changes to the SARS-CoV-2 genome—including some of those found in currently circulating variants—can negatively affect the detection of the virus by reverse transcription (RT) PCR, according to a study published on April 26 in the Journal of Clinical Microbiology. The researchers propose that mutations in the loci recognized by DNA primers may reduce the amplification of viral sequences and, as a result, potentially hinder the detection of the virus in samples from COVID-19–positive individuals.

This finding isn’t cause for full-blown panic, the authors say. “We thought maybe this could be more common than not. But it turns out, it’s actually fairly rare,” says coauthor David Wang, a virologist at Washington University. Wang and his colleagues recommend that diagnostic tests include more than one target to ensure proper SARS-CoV-2 detection. While a number of products already include multiple genetic targets, some COVID-19 RT-PCR assays authorized for emergency ...

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    Jack J. Lee

    Jack is a science writer based in the San Francisco Bay Area. He has a bachelor’s degree in biology from Caltech and a PhD in molecular biology from Princeton University. He also completed a master’s in science communication at the University of California, Santa Cruz. In July 2021, he began a communications fellowship at the National Cancer Institute’s Division of Cancer Prevention. You can find more of his work at www.jackjleescience.com.

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