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. 2023 May 3;14(23):6149–6206. doi: 10.1039/d2sc06665c

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
a

Advantages and disadvantages are compared to RT-qPCR methods.