General characteristics of isothermal amplification assay for SARS-CoV-2 detection.
| Method | Required enzyme | Probes number | Temperature (°C) | Time (min) | Target | LOD (copies per μL) | Sensitivity | Advantagesa | Disadvantagesa | Ref. |
|---|---|---|---|---|---|---|---|---|---|---|
| NEAR | Nicking endonuclease, strand-displacing DNA | 2 | 60–65 | 5–15 | RdRp gene | 0.125 | 48–71.7% | Fast testing, universally in various environments | Low sensitivity | 149 |
| NASBA | RNase H, reverse transcriptase, T7 DNA-dependent RNA polymerase | 2 | 41 | 90–120 | S gene N gene | 0.5 | 98.15–100% | High sensitivity | Required RNase inhibitors | 150 |
| Non-enzymatic isothermal strand displacement and amplification | Restriction endonucleases, strand-substituting DNA polymerases | 3 | 42 | <30 | RdRp gene, N gene | 10 | 96.77% | No RNA reverse transcription step, fast testing | Non-specific reactions/false positives | 151 |
| Rolling circle amplification | DNA ligase, DNA polymerase | 8 | 30–37 | <120 | N gene S gene | 1 | — | High specificity | False negatives and false positives | 5 |
Advantages and disadvantages are compared to RT-qPCR methods.