Simplified Cas13-based assays for the fast identification of SARS-CoV-2 and its variants. Author Jon Arizti-Sanz, A'Doriann Bradley, Yibin Zhang, Chloe Boehm, Catherine Freije, Michelle Grunberg, Tinna-Solveig Kosoko-Thoroddsen, Nicole Welch, Priya Pillai, Sreekar Mantena, Gaeun Kim, Jessica Uwanibe, Oluwagboadurami John, Philomena Eromon, Gregory Kocher, Robin Gross, Justin Lee, Lisa Hensley, Bronwyn MacInnis, Jeremy Johnson, Michael Springer, Christian Happi, Pardis Sabeti, Cameron Myhrvold Publication Year 2022 Type Journal Article Abstract The widespread transmission and evolution of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) call for rapid nucleic acid diagnostics that are easy to use outside of centralized clinical laboratories. Here we report the development and performance benchmarking of Cas13-based nucleic acid assays leveraging lyophilised reagents and fast sample inactivation at ambient temperature. The assays, which we named SHINEv.2 (for 'streamlined highlighting of infections to navigate epidemics, version 2'), simplify the previously reported RNA-extraction-free SHINEv.1 technology by eliminating heating steps and the need for cold storage of the reagents. SHINEv.2 detected SARS-CoV-2 in nasopharyngeal samples with 90.5% sensitivity and 100% specificity (benchmarked against the reverse transcription quantitative polymerase chain reaction) in less than 90 min, using lateral-flow technology and incubation in a heat block at 37 °C. SHINEv.2 also allows for the visual discrimination of the Alpha, Beta, Gamma, Delta and Omicron SARS-CoV-2 variants, and can be run without performance losses by using body heat. Accurate, easy-to-use and equipment-free nucleic acid assays could facilitate wider testing for SARS-CoV-2 and other pathogens in point-of-care and at-home settings. Keywords Humans, Nucleic Acids, CRISPR-Associated Proteins, COVID-19, COVID-19 Testing, SARS-CoV-2 Journal Nat Biomed Eng Volume 6 Issue 8 Pages 932-943 Date Published 2022 Aug ISSN Number 2157-846X DOI 10.1038/s41551-022-00889-z Alternate Journal Nat Biomed Eng PMCID PMC9398993 PMID 35637389 PubMedPubMed CentralGoogle ScholarBibTeXEndNote X3 XML