Field-deployable viral diagnostics using CRISPR-Cas13. Author Cameron Myhrvold, Catherine Freije, Jonathan Gootenberg, Omar Abudayyeh, Hayden Metsky, Ann Durbin, Max Kellner, Amanda Tan, Lauren Paul, Leda Parham, Kimberly Garcia, Kayla Barnes, Bridget Chak, Adriano Mondini, Mauricio Nogueira, Sharon Isern, Scott Michael, Ivette Lorenzana, Nathan Yozwiak, Bronwyn MacInnis, Irene Bosch, Lee Gehrke, Feng Zhang, Pardis Sabeti Publication Year 2018 Type Journal Article Abstract Mitigating global infectious disease requires diagnostic tools that are sensitive, specific, and rapidly field deployable. In this study, we demonstrate that the Cas13-based SHERLOCK (specific high-sensitivity enzymatic reporter unlocking) platform can detect Zika virus (ZIKV) and dengue virus (DENV) in patient samples at concentrations as low as 1 copy per microliter. We developed HUDSON (heating unextracted diagnostic samples to obliterate nucleases), a protocol that pairs with SHERLOCK for viral detection directly from bodily fluids, enabling instrument-free DENV detection directly from patient samples in <2 hours. We further demonstrate that SHERLOCK can distinguish the four DENV serotypes, as well as region-specific strains of ZIKV from the 2015-2016 pandemic. Finally, we report the rapid (<1 week) design and testing of instrument-free assays to detect clinically relevant viral single-nucleotide polymorphisms. Keywords RNA, Viral, Bacterial Proteins, Humans, Adaptation, Physiological, Polymorphism, Single Nucleotide, Endonucleases, CRISPR-Associated Proteins, Dengue, Dengue Virus, Enzyme Assays, Microcephaly, Zika Virus, Zika Virus Infection Journal Science Volume 360 Issue 6387 Pages 444-448 Date Published 2018 Apr 27 ISSN Number 1095-9203 DOI 10.1126/science.aas8836 Alternate Journal Science PMCID PMC6197056 PMID 29700266 PubMedPubMed CentralGoogle ScholarBibTeXEndNote X3 XML