Abstract
Widespread testing for the presence of the novel coronavirus severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in individuals remains vital for controlling the COVID-19 pandemic prior to the advent of an effective treatment. Challenges in testing can be traced to an initial shortage of supplies, expertise, and/or instrumentation necessary to detect the virus by quantitative RT-PCR (RT-qPCR), the most robust, sensitive, and specific assay currently available. Here we show that academic biochemistry and molecular biology laboratories equipped with appropriate expertise and infrastructure can replicate commercially available SARS-CoV-2 RT-qPCR test kits and backfill pipeline shortages. The Georgia Tech COVID-19 Test Kit Support Group, composed of faculty, staff, and trainees across the biotechnology quad at Georgia Institute of Technology, synthesized multiplexed primers and probes and formulated a master mix composed of enzymes and proteins produced in-house. Our in-house kit compares favorably with a commercial product used for diagnostic testing. We also developed an environmental testing protocol to readily monitor surfaces for the presence of SARS-CoV-2. Our blueprint should be readily reproducible by research teams at other institutions, and our protocols may be modified and adapted to enable SARS-CoV-2 detection in more resource-limited settings.
Keywords: reverse transcriptase, ribonuclease inhibitor, DNA polymerase, virus, formulation, SARS-CoV-2, reverse transcription, polymerase chain reaction (PCR), infectious disease, protein purification, RNA, coronavirus, RT-qPCR
The global COVID-19 pandemic caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) substantially disrupted activities in the public and private sectors (1–3). Widespread and frequent testing, in conjunction with contact tracing and behavioral change, has been demonstrated by some countries to be effective in monitoring and managing the outbreak. These strategies will continue to be instrumental in containing the virus until a vaccine or other effective treatment is universally available (4). Whereas comprehensive testing programs have been successfully implemented in many countries, testing efforts in the United States were hampered by a lack of access and an uncoordinated approach to early testing.
The Georgia Tech COVID-19 Test Kit Support Group was conceived to leverage in-house Georgia Tech facilities, expertise, and personnel to assist the State of Georgia Clinical Laboratory Improvement Amendments (CLIA) laboratory with materials needed for clinical SARS-CoV-2 detection. Similar efforts are under way at several other universities (5, 6), with some going so far as to establish “pop-up” testing laboratories (7). To our knowledge, ours is the first effort to use all in-house materials and equipment, offering an open-access community resource for other settings with similar capabilities.
Much of the testing shortfall, especially early in the pandemic, can be traced to a shortage of reagents, plasticware, expertise, or instrumentation necessary to perform quantitative RT-PCR (RT-qPCR (8)). In RT-qPCR, RNA is converted to cDNA, which is then amplified via PCR until a detection threshold is reached. The TaqMan RT-qPCR method is widely considered the “gold standard” for SARS-CoV-2 testing due to its robustness, high sensitivity, linearity, and specificity (9). In a TaqMan RT-qPCR, the 5′–3′ exonuclease activity of a thermostable DNA polymerase cleaves a TaqMan oligonucleotide probe hybridized to the PCR amplicon. One terminus of the TaqMan probe is linked to a fluorophore, and the other terminus is linked to a quencher. Success in reverse transcription and PCR is detected as an increase in fluorescence upon probe cleavage during successive rounds of PCR, producing a sensitive and quantitative fluorescence signal that may be monitored in real time.
A complete TaqMan RT-qPCR test kit includes (i) solution(s) of matched DNA probe(s) and primers specific to the gene target(s) of interest and (ii) an enzyme master mix. These solutions are mixed with a sample suspected to contain the RNA (e.g. SARS-CoV-2 RNA), run through a thermal cycling protocol in an RT-qPCR instrument, and monitored for an increase in fluorescence indicative of the presence of the target RNA. Solutions of matched probe and primer can be designed to detect one (singleplex) or multiple (multiplex) targets in a single reaction. Detection of a target usually needs to be differentiable from other targets in a multiplex reaction. In this case, a distinct fluorophore, with nonoverlapping emission wavelength, is used for each target. Commercial enzyme master mixes are sometimes branded for use with multiplex or singleplex primers and probes.
The original CDC SARS-CoV-2 assay (10) was a singleplex assay that required four distinct reactions for each sample suspected to contain the SARS-CoV-2 RNA: one for each of two sets of primers/probes (N1 and N2) targeting different regions of the N gene that encodes the SARS-CoV-2 nucleocapsid protein, one for a third set of primers/probe (N3) that detects all clade 2 and 3 viruses of the Betacoronavirus subgenus Sarbecovirus, and one for the primers/probe targeting human RNase P (RP). The latter is a control reaction for monitoring performance of the sample collection and RNA extraction. The CDC N3 primer/probe set was later eliminated due to template contamination and because it is unnecessary for specific detection of SARS-CoV-2 (10, 11), leaving three distinct reactions per sample. All probes in the CDC singleplex assay bear the common FAM fluorophore. Many companies subsequently developed FDA-approved multiplex SARS-CoV-2 primer/probe sets with a variety of fluorophores, enabling detection of all targets in a single reaction. Compared with singleplex, use of multiplex primer/probe sets substantially reduces the amount of enzyme mix and plasticware needed to process one patient sample but requires RT-qPCR instrumentation capable of monitoring the specific combination of fluorophores used.
The TaqPath 1-Step RT-qPCR Master Mix (Thermo Fisher Scientific) was the first enzyme master mix to be recommended by the CDC and approved by the FDA for detection of SARS-CoV-2 (10). TaqPath is a proprietary formulation containing a thermostable MMLV reverse transcriptase, a fast and thermostable DNA polymerase, an RNase inhibitor, a heat-labile uracil N-glycosylase (UNG), dNTPs including dUTP, ROX™ passive reference dye, and a buffer containing stabilizers and other additives. The DNA polymerase in TaqPath is likely to be a mutant of Taq polymerase incorporating some type of hot-start technology (12) to help suppress nonspecific amplification and primer dimers. UNG can remove carry-over contamination by specifically degrading products of prior PCRs that incorporate dUTP.
Three other enzyme mixes, two made by Quantabio (qScript XLT One-Step RT-qPCR ToughMix (2×) and UltraPlex 1-Step ToughMix (4×)) and one made by Promega (GoTaq® Probe 1-Step RT-qPCR system) were added to the CDC list of master mix options shortly after TaqPath. The Quantabio mixes are provided as single components at 2× or 4× concentration, each containing a reverse transcriptase, antibody-based hot-start Taq DNA polymerase, RNase inhibitor protein, and the standard set of dNTPs. The Promega mix is provided as multiple components, including a 2× mix containing an antibody-based hot-start Taq and dNTPs (including dUTP) and a 50× mix containing reverse transcriptase and recombinant RNase inhibitor.
Here we describe our in-house RT-qPCR assay for detection of SARS-CoV-2 (Fig. 1). First, we discuss preparation of singleplex and multiplex primers and probes with CDC sequences that can be used with commercial enzyme master mixes. Second, we present the production of reverse transcriptase (RT), Taq DNA polymerase, and RNase inhibitor (RI) proteins, and the formulation of a working one-step enzyme Georgia Tech master mix (GT-Master Mix) for use with our primers and probes. We compare the performance of our full in-house kit with that of a commercial kit. Finally, we describe implementation of environmental testing for SARS-CoV-2 across campus.
Results
Primers and probes
We focused on producing the N1 and N2 primer and probe system published by CDC in March of 2020 (Table 1) because (i) these sequences had been extensively verified in the literature, (ii) our own bioinformatics analysis showed them to be highly specific to SARS-CoV-2 and localized to regions of the genome with low mutation rates (not shown), and (iii) they had received FDA Emergency Use Authorization (EUA). First, we synthesized and assayed the same singleplex primers and probes specified by the CDC. We then converted the CDC singleplex probes and primers to a multiplex system, in which N1 and N2 are detected via a common channel, and RNase P is detected in a separate channel. Specifically, the CDC FAM-RP-BHQ1 probe was converted to HEX-RP-BHQ1 to allow its simultaneous detection alongside FAM-N1-BHQ1 and FAM-N2-BHQ1, and the three probe/primer sets were combined in a single solution. The HEX fluorophore (maximum λem = 556 nm) is compatible with standard fluorophore channels of commercial RT-qPCR instruments and distinguishable from the FAM emission maximum at 518 nm. In addition, HEX has the second highest quantum yield (0.7) after FAM (0.9) and is commercially available. During development of our multiplex probe set, the OPTI SARS-CoV-2 RT-PCR multiplex test kit (13) which uses the same HEX-RP-BHQ1/FAM-N1-BHQ1/FAM-N2-BHQ1 probe configuration as our GT kit, gained EUA from the FDA (May 2020).
Table 1.
Gene target | Primer name | Sequence and probe/quencher label (boldface) |
---|---|---|
N (viral) | 2019-nCoV_N1-P | FAM-ACCCCGCATTACGTTTGGTGGACC-BHQ1 |
2019-nCoV_N1-F | GACCCCAAAATCAGCGAAAT | |
2019-nCoV_N1-R | TCTGGTTACTGCCAGTTGAATCTG | |
2019-nCoV_N2-P | FAM-ACAATTTGCCCCCAGCGCTTCAG-BHQ1 | |
2019-nCoV_N2-F | TTACAAACATTGGCCGCAAA | |
2019-nCoV_N2-R | GCGCGACATTCCGAAGAA | |
RP-P-FAM | FAM-TTCTGACCTGAAGGCTCTGCGCG-BHQ1 | |
RNase P (human) | RP-P-HEX1 | HEX-TTCTGACCTGAAGGCTCTGCGCG-BHQ1 |
RP-F | AGATTTGGACCTGCGAGCG | |
RP-R | GAGCGGCTGTCTCCACAAGT |
1Substitute RP-P-HEX for RP-P-FAM in the multiplex reaction.
The GT Parker H. Petit Institute for Bioengineering and Bioscience's Molecular Evolution Core Facility dedicated its ASM-2000 high-throughput DNA/RNA synthesizer to primer and probe syntheses, which enabled tens of thousands of reactions worth of primers and probes to be produced in-house with a 6–8-h turnaround. Initially, HPLC was used to purify probes, but cross-contamination was detected from IDT positive control plasmid that was handled in the same laboratory (see details under “Environmental testing”). Learning from contamination issues faced by CDC (11), and to further avoid potential contamination across the multitasking academic laboratory, a cartridge method was subsequently used to polish the FAM probes in the core facility, and HPLC was only used in another lab to analyze the purity of an aliquot of the material (Fig. S1, A–D). Primer purity was confirmed by gel electrophoresis after 32P end labeling (Fig. S1E). For the HEX probe, we used unpurified, but carefully synthesized HEX probe, based on the literature precedent that it should achieve similar efficiency as the high-purity probe (14). HEX probe purity ranged from 35 to 60% over different synthetic batches (not shown). The HEX probe exhibited temperature-dependent enhancement of fluorescence intensity, as expected (Fig. S1F).
GT-made primers and probes generated robust and reproducible RT-qPCR signals with their respective targets. Prior to use with GT-Master Mix, primers and probes were individually validated by RT-qPCR to ensure acceptable performance in detecting N1, N2, and/or RP targets in commercial master mix (Fig. S2, A–C) and no contamination. Performance of FAM-labeled N1 and N2 is similar to that of commercial primers and probes purchased from IDT (not shown). The GT multiplex primers and probes mix was evaluated using several commercially available enzyme master mixes. The performance of multiplexed primers and probes did not differ among the enzyme master mixes tested (Fig. 2) and did not differ from that of the singleplex system (Fig. S2C). Thus, multiplexing did not impair enzyme function or deplete potentially limiting reagents, like dNTPs, from the master mix.
Consistent with the greater quantum yield of FAM relative to HEX, probes that contained FAM (λabs = 494/λem = 518 nm) generated a greater ΔRn signal than did probes that contained HEX (λabs = 535/λem = 556 nm) in RT-qPCR experiments (Fig. S2C). Rn is the normalized reporter fluorescent dye signal normalized to the passive reference dye, and ΔRn is the Rn value of the experimental sample minus the instrument baseline signal. In fact, the spectral characteristics and intensity of the FAM signal were such that a portion of the signal could be observed in the adjacent HEX channel of the instrument, albeit at a much lower intensity (“bleed-through”; Fig. 2). The observed bleed-through of the FAM signal into the HEX channel likely arises due to spectral overlap of both HEX and FAM with the broad blue LED excitation (470/40 nm) in the StepOnePlus and QuantStudio 6 Flex instruments. Because the maximum ΔRn of the true HEX signal generated by the RP probe was always greater than the ΔRn from the bleed-through, unambiguous detection of HEX-RP-BHQ1 signal, indicating the presence of RNase P RNA in the sample, was possible by setting the HEX channel threshold above the ΔRn plateau of the bleed-through intensity (Fig. 2). To address this complication in a clinical setting, a simple MATLAB script was written to interpret the multiplex results in the context of bleed-through and provide a color-coded readout in Microsoft Excel (https://github.com/rmannino3/COVID19DataAnalysis).
Protein and enzyme production
RT and RTX
We obtained plasmids for two RT enzymes, an MMLV RT containing six mutations (15) and RTX, an engineered xenopolymerase with proofreading activity (16, 17). Both enzymes were purified to near homogeneity (Fig. S3, A and B) at high yield (10 mg/liter for GT-MMLV and 4 mg/liter for GT-RTX) by Ni2+-affinity chromatography followed by a second polishing step. RT activity was tested with in-house primers and templates from other projects (Fig. S3A) and remained highly active in RT-qPCR for ∼2.5 months; longer-term storage may require further optimization of the storage conditions. Characterization by OMNISEC reveals that GT-RTX is a dimer (167 kDa, Fig. S3B), compared with the monomeric MMLV RT (18). In line with Bhadra et al. (16), GT-RTX showed strong performance in RT-qPCR in the presence of SUPERase·In, a DTT-independent commercial RNase A inhibitor mixture. However, when the DTT required for RNaseOUT was added, the ΔRn plateau for the reaction was low (Fig. S3B). Our priority was reliance on components that could be manufactured at GT, and because production of our DTT-dependent GT-rRI was successful (see “RNase inhibitor”), we did not further pursue use of GT-RTX in our master mix.
Taq polymerase
We considered five Taq constructs (Table 2) and two hot-start options. The best yields were obtained when T7-inducible Taq plasmids were transformed and grown in Escherichia coli ArcticExpress with Superior Broth or in E. coli BL21 (DE3) using autoinduction medium or 2xYT broth. Still, expression yields (∼0.5 mg/liter culture at best) were notably less than the other proteins produced as part of this project.
Table 2.
Plasmid description | Antibiotic resistance | Expression E. coli strain |
---|---|---|
pACYC | Chloramphenicol | HB101 |
pAKTaq | Ampicillin | BL21 (DE3) |
Nterm His Taq in pET28a | Kanamycin | BL21 (DE3), ArcticExpress |
Cterm His Taq in pET20b | Ampicillin | BL21 (DE3), ArcticExpress |
Sso7d-Taq in pET20b | Ampicillin | BL21 (DE3), ArcticExpress |
GT-Taq lacking affinity tags was used in our initial RT-qPCR formulations (see below). Of the purification strategies tested, a short heating step followed by anion-exchange column chromatography, similar to that described by Desai and Pfaffle (19), was the most robust, reproducible, and practical method. To save time and resources, we conducted buffer exchange by using centrifugal devices or a PD-10 column, rather than standard dialysis. The purity of this Taq was less than other preparations we tested (Fig. S4A) (e.g. that published by Engelke et al. (20) involving polyethylenimine precipitation and weak cation exchange (not shown)), but this did not negatively impact enzyme performance. GT-Taq was highly active after storage for over 2 months.
GT-His-Taq, with a WT sequence and an N-terminal hexahistidine tag and purified only by Ni2+-affinity chromatography (Fig. S4A), was used in the final RT-qPCR formulation (see below). The addition of the hexahistidine tag streamlined protocols by enabling a purification scheme similar to that of GT-MMLV (above) and GT-rRI (below). C-terminally His-tagged Taq polymerase expressed at too low a level to warrant further consideration (not shown). Despite concerns about the possibility of protein contaminants or residual genomic DNA after purification, GT-His-Taq did not appear to benefit from a final anion-exchange step (see “Experimental procedures” and Fig. S4A). If residual genomic DNA is present in our purified polymerase, it apparently does not interfere with probe detection of viral amplicons in RT-qPCR. GT-His-Taq purified in one step was active in PCR (Fig. S4A) and exhibited robust enzyme activity in RT-qPCR (see below) for at least 2 months, after which point the supply was depleted from use in experiments.
In addition to GT-His-Taq, we considered the ssod7-Taq chimera, a more efficient Taq polymerase compared with WT Taq (21). Ssod7-Taq (Fig. S4A) expressed in significantly higher yield (2 mg/liter) than any WT Taq polymerases we tested. Although sso7d-Taq performed as well as WT Taq in PCR and RT-qPCR (not shown), we were unable to identify conditions for storage of this enzyme. This version of Taq shows great promise but would only have full utility once storage issues are resolved.
Finally, our attempts to evaluate and develop hot-start technology (22) merit discussion. Hot-start is intended to minimize primer dimer formation and premature extension of PCR products during reaction assembly and reverse transcription (23) by inhibiting Taq polymerase at low temperatures. We evaluated a commercial hot-start antibody (Fig. S4B) alongside two alternative hot-start approaches: Taq mutant I705L (24) and aptamer-based OneTaq® Hot-Start DNA Polymerase (Fig. S4C). Consistent with literature reports, the commercial hot-start antibody and the I705L Taq variant inhibited Taq polymerase at room temperature. However, only the hot-start antibody and, to a lesser extent, aptamer-based OneTaq® Hot-Start DNA Polymerase, inhibited Taq at 37 or 50 °C. Hot-start technologies tested here by RT-qPCR did not noticeably improve threshold cycle (Ct) values or fluorescence signals (data not shown).
RNase inhibitor
Although we did not detect RNase contamination in the purified GT enzymes we tested (Fig. S5A), RNase activity is anticipated in human and environmental samples. Mammalian RNase A is inhibited by RI, a leucine-rich repeat protein (25) bearing numerous reduced Cys residues. Inhibition of disulfide bond formation by a reducing agent such as DTT is particularly challenging with RI, because it contains two pairs of adjacent Cys residues (25, 26). We focused on porcine RI, which is known to be an effective RNase inhibitor and is amenable to recombinant production (27). Our GT-rRI has an N-terminal His tag because that variant expressed better (1.5 mg/liter) than the C-terminal His tag. However, contrary to prior reports (28, 29), the presence of DTT in the media did not alter our yield (not shown). Purification was carried out in the presence of fresh DTT. GT-rRI eluted from the Ni2+-affinity column at a high level of purity (Fig. S5B) and did not require further column purification. Inhibition of RNase A by GT-rRI was comparable to commercial RNaseOUT (Fig. S5B). GT-rRI was stored in aliquots of ∼1 mg/ml in the presence of 8 mm DTT and was used in RT-qPCR (see below). No detectable change in inhibitor performance was observed over a 2-month period.
Formulation
Our goal was to develop an RT-qPCR master mix that, combined with our own primers and probes, would match the performance of commercial alternatives and would tolerate long-term storage. Commercial one-step mixes contain proprietary additives for storage and improved performance. In early experiments, we evaluated RT-qPCR formulations using agarose gel–based analysis. However, the size of the N1 amplicon is nearly identical to that of the primer dimer (Fig. S3A), complicating interpretation by that method. We found RT-qPCR to be a more direct route to feedback on formulation. For RT-qPCR described here, we used Georgia Tech cycling conditions listed in Table 3.
Table 3.
Step | CDC (55) | Georgia Tech |
---|---|---|
(1) UNG incubation | 25 °C, 2 min | |
(2) Reverse transcription | 50 °C, 15 min | 50 °C, 15 min |
(3) RT inactivation and/or DNA polymerase activation | 95 °C, 2 min | 95 °C, 5 min |
(4) Denaturation | 95 °C, 3 s | 95 °C, 15 s |
(5) Annealing and extension (fluorescence collection) | 55 °C, 30 s | 55 °C, 30 s |
Number of cycles of steps 4 and 5 | 45 | 45 |
RT and Taq share substrate dNTPs and cofactor Mg2+ cations but perform optimally under distinct reaction conditions. Further, RT can inhibit Taq (30). Therefore, any given formulation must be a compromise. Commercial RT buffers are at lower pH and higher salt (predominantly KCl) and Mg2+ than Taq buffers. Commercial Taq buffers also often contain low levels of detergent (Tween 20, Nonidet P-40, Triton X-100). Although we experimentally varied pH and ionic strength during our optimization trials, our starting RT-qPCR buffer composition (50 mm Tris, pH 8.3, 75 mm KCl, 3 mm MgCl2, 5 mm DTT, based on the buffer used with SuperScript III RT) yielded a fluorescence signal similar to TaqPath and could not be improved upon (Table 4 and Fig. 3). RT-qPCR fluorescence was sensitive to the concentration of Taq in the reaction but not of the RT (Fig. S6). Of the various GT-Taq enzymes tested, both GT-Taq (no tags) and GT-His-Taq performed well as long as the concentration was at least ∼0.1 mg/ml in the final storage buffer. The addition of modest concentrations of salts such as (NH4)2SO4 (not shown), CHAPSO (Fig. 3A), or other detergents (31) (not shown) to master mix containing GT-Taq enzymes resulted in the reduction of RT-qPCR fluorescence signal. Interestingly, initial optimization with Platinum II Hot-start Taq (Fig. S7 and Table S1), which we tested in some early formulations, did not translate to the same optimal conditions for GT-Taq. Thus, in addition to the presence of the hot-start antibody, there may be other differences between the WT Taq we produced and Platinum II Taq. Finally, the addition of ROXTM reference dye improved instrument baseline values across all experiments (not shown).
Table 4.
Component | Stock | Volume (μl) | Final concentration |
---|---|---|---|
Template | Quantitative Synthetic SARS-CoV-2 RNA: ORF, E, N (ATCC® VR-3276SD™) | 0.5–5 | 5–50,000 copies |
Full-length viral RNA + HEK293T total RNA | 5 | 5–50,000 copies viral RNA + 0.02-200 ng of HEK293T total RNA | |
Primer/probe: | GT singleplex or multiplex primer/probe mix | 1.5 | 500 nm primers, 125 nm probes |
GT-Master Mix1 | 5× buffer: 250 mm Tris, pH 8.3, 375 mm KCl, 15 mm MgCl2, 47.5% trehalose |
4.0 | 1× buffer: 50 mm Tris, pH 8.3, 75 mm KCl, 3 mm MgCl2, 9.5% trehalose |
10 mm dNTP | 0.8 | 400 µm | |
100 mm DTT | 1.0 | 5 mm | |
GT-rRI2 | 1.0 | 50 µg/ml | |
GT-His-Taq2 | 1.0 | 7.5 µg/ml | |
GT-MMLV2 | 0.5 | 3.3 µg/ml | |
20 mg/ml BSA | 1.0 | 1 mg/ml | |
25 µM ROX | 0.4 | 500 nm | |
Water | Molecular biology grade water | ||
Total volume | 20 |
1This can be prepared as a 2× master mix and stored at −20 °C.
2See “Experimental procedures.” Concentration or volume should be adjusted for activity.
Having identified buffer and enzyme conditions that yield fluorescence curves similar to TaqPath (for the GT-Master Mix, GT-MM; Fig. 3A), we next examined the effects of stabilizers that serve dual purposes for enzyme activity (32, 33) and stability (34, 35). The addition of known stabilizers BSA and trehalose to our master mix did not affect RT-qPCR performance (Fig. 3, A and B), so both were retained in the final formulation (trehalose, 9.5%; BSA, 1 mg/ml; Table 4). Other additives such as betaine (0.5 or 1 m), a secondary structure reducer, or oligo(dT) and a random DNA hexamer, which enhance reverse transcription, did not improve Ct values or fluorescence signals (data not shown). Three freeze/thaw cycles and storage for 6 days at −20 °C did not affect performance of our master mix (Fig. 3C) in the presence of stabilizers. Finally, the qPCR efficiency over a 5-log range (5–50,000 copies of RNA) in our GT-Master Mix for the multiplex primer set was 91.6% (r2 = 0.991), similar to the efficiency observed when the singleplex primers and probes were tested; 87.8% (r2 = 0.997) for the GT-N1 primer and probe, 77.1% (r2 = 0.995) for the GT-N2 probe, and 86.4% (r2 = 0.999) for the GT-RP probe (Fig. 3D). For comparison, efficiency of the GT-N1 primer and probe in TaqPath was 100.3% (r2 = 0.999) (Fig. 3D). The GT multiplex assay is linear over the same 5-log range as TaqPath, suggesting a similar limit of detection (Fig. 3D). In sum, our GT RT-qPCR assay, composed of proteins and enzymes produced in-house, with either singleplex or multiplexed primers and probes, exhibits a high level of qPCR efficiency and storage stability.
Environmental testing
We developed a straightforward protocol (Fig. 4A) to monitor for the presence of viral DNA or RNA, primarily in our laboratory spaces. Our method includes the collection, preservation, and quantification of viral DNA or RNA by RT-qPCR. The procedure does not require an RNA extraction step (36–38). As the environmental testing aspect of the overall project was established in parallel with in-house RT-qPCR assay kit development, commercial master mix, primers, and probes were used in environmental survey RT-qPCR. A high level of efficiency and sensitivity were established for both DNA and RNA samples (Fig. 4B).
Swab material and sample collection methods were evaluated during protocol development, as these are known to be important for downstream detection (39, 40). Although liquid recovery was slightly better when knitted polyester swabs were used, lightly moistened cotton swabs were cheap, available, effective, and reliable (Fig. S8A). We identified 0.5% Triton X-100 with 0.05 mm EDTA as a suitable medium for wetting the swab prior to sample collection, lysing the virus, and protecting viral RNA from degradation; it did not interfere with downstream RT-qPCR (Fig. S8B). The preservation of RNA is likely due to EDTA chelation of metal ions, which inhibits metal-mediated cleavage of RNA (41, 42). Heating the sample prior to opening the container ensured complete lysis of viral particles (Fig. S8C) and likely contributed to the high level of RNA recovery from the swab.
In addition to monitoring the presence of RNA on surfaces throughout our campus buildings and laboratories, environmental testing was used to address the issue of cross-contamination of our probes and primers with the DNA template used as a positive control in the qPCR assay (see “Primers and probes”). Environmental testing detected the SARS-CoV-2 positive control plasmid DNA on surfaces and equipment in the laboratory in which the plasmid was handled, as well as in remote laboratories, indicating that it had been transferred, likely by personnel movements (Fig. S8D). The extreme sensitivity of RT-qPCR—the presence of even a single plasmid copy may give rise to an amplification signal—demands a level of stringency that is unfamiliar to most academic biochemists. To combat the contamination, we treated surfaces and pipettes with 10% bleach, which was shown by subsequent rounds of environmental testing to be an effective means of eliminating plasmid DNA. After new primers and probes were synthesized, all RT-qPCR components, including enzymes and buffers, were tested exhaustively to ensure the absence of contaminating viral template. The DNA plasmid was isolated to one laboratory, separate from other assay components. Long-term, the best practice is likely off-site maintenance of positive control plasmids.
Discussion
At the start of the COVID-19 pandemic, supply chain instability delayed testing for SARS-CoV-2 infection, particularly in the United States (43). Even though the supply chain is more stable now, uncertainty exists about sustained access to testing (44). At our large, residential state university in a major metropolitan area with a rapidly rising case rate, we anticipated a need for increased testing and monitoring through the fall semester and beyond.
In 3 months, we formulated a functional SARS-CoV-2 assay that compares favorably with commercially available RT-qPCR kits. Our assay comprises a master mix as well as primers and probes identical to validated CDC sequences. Initially, the CDC was the sole source of primers and probes to CLIA laboratories, but upon discovery of contamination issues (11), those from commercial laboratories were approved for use. Allowing external suppliers, including academic laboratories, to supply primers and probes to CLIA laboratories has bolstered supply availability.
In GT-Master Mix, the efficiencies of our GT primer and probe sequences met (multiplex) or closely approached (singleplex) our efficiency target of 90–110% with high linearity (r2 > 0.990), indicating minimal primer dimers or nonspecific amplification (45). The efficiency and linearity of our multiplex kit over a 5-log concentration range is competitive with other kits that have received EUA for SARS-CoV-2 testing. A full “bridging study” of the multiplex kit with a lower limit of detection and clinically relevant samples is planned.
GT-Master Mix is composed of affinity-purified GT-rRI, GT-His-Taq, and GT-MMLV at defined concentrations, a compatible buffer containing cationic cofactors, plus BSA and trehalose for stability and long-term storage. Even though RTX (16, 17), a single enzyme with both RT and DNA polymerase activities that we considered for inclusion in GT-Master Mix, was incompatible with the DTT required to stabilize GT-rRI, the ability of RTX to amplify the target indicates that it may prove useful in other contexts. Notably, our formulation does not include a hot-start Taq; we found that performance of commercial hot-start Taq depended on the buffer used, and under the final buffer conditions selected for the GT-Master Mix, our non-hot-start GT-His-Taq outperformed hot-start Taq in RT-qPCR.
Our protocol to test surfaces for SARS-CoV-2 RNA will be useful for monitoring viral deposition in the environment. Whereas the presence of viral RNA on surfaces does not necessarily indicate live virus or suggest a source of viral transmission, monitoring high-touch surfaces on a residential college campus will be beneficial to evaluate the effectiveness of preventative decontamination protocols. We found that a minimum swab medium consisting of water and EDTA is sufficient for viral recovery from surfaces and prevention of RNA degradation. Whereas the inclusion of detergents disrupts the viral envelope, heat was most important to ensure viral lysis. To further improve the detection limit of our environmental protocol, additional reduction of volume may be required. The addition of proteinase K or RNase inhibitors to the swab medium may enable sample transport at room temperature.
One advantage of our environmental sampling method is that we minimized the volume of liquid used in all steps of the process, which maintains high sample concentration and negates the need for a separate RNA extraction step. Dry or nominally wet swabs (39, 46, 47) used here are an attractive replacement for VTM, a viral culturing medium used routinely during clinical SARS-CoV-2 sample collection and transport. VTM increases exposure risks during collection, transport, and handling of live virus and introduces large quantities (3 ml) of biological material. Such solutions are prone to spillage during transport,11 dilute the swab sample by at least 100-fold, and must be removed through an extraction protocol before RT-qPCR can be conducted. Our wet swabs are also simpler than nonbiological commercial substitutes, such as DNA/RNA Shield (Zymo Research) or TRIzol (Thermo Fisher Scientific).
The goal of the Georgia Tech COVID-19 Test Kit Support Group was to create contingency SARS-CoV-2 diagnostic test components in the face of supply line insecurity. We translated published information about RT-qPCR and sophisticated commercial kits into a series of fundamental protocols, executable with consumables and equipment routinely used in academic biochemistry laboratories. Although most assay reagents were produced in-house, key specialty chemicals still needed to be purchased (e.g. phosphoramidites and fluorophores used in primer and probe synthesis; dNTPs, ROXTM, molecular biology grade DTT, BSA, and trehalose used in the GT-Master Mix). Our blueprint should be readily reproducible by research teams at other academic institutions, and our protocols may be modified and adapted to enable SARS-CoV-2 detection in more resource-limited settings. With a detailed protocol for an RT-qPCR assay in hand, we can maintain a pipeline for kit production and file for an EUA to backfill master mix and primers should new shortages arise. We can also monitor the presence of SARS-CoV-2 on high-touch surfaces throughout our campus community. In the long term, our protocols should be adaptable to the detection of other novel or seasonal infectious viral agents.
Experimental procedures
Primers and probes
Synthesis
Primer and probe oligonucleotides (Table 1) were synthesized using an ASM-2000 high-throughput DNA/RNA synthesizer (Biosset). Primer oligonucleotides were synthesized at 50–100-nmol scale with the 1000-Å universal control pore glass (CPG) support (Glen Research). Dual-labeled fluorophore/quencher probes were synthesized at 50–100-nmol scale with 4′- (2-nitro-4-toluyldiazo)-2′-methoxy-5′-methyl-azobenzene-4″-(N-ethyl-2-O-(4,4′-dimethoxytrityl))-N-ethyl-2-O-glycolate-CPG (3′-BHQ1-CPG, Glen Research). The incubation time for coupling the fluorophore to the 5′ terminus was extended from manufacturer recommendations to ensure high efficiency; the HEX was coupled for 4.5 min, and the FAM was coupled for 18 min. The coupling efficiency of the synthesis was monitored by orange color trityl fractions from the deprotection steps. The 4,4′-dimethoxytrityl group on the 5′-FAM phosphoramidite was not cleaved off for downstream cartridge purification, whereas the HEX (no 4,4′-dimethoxytrityl protection) probe synthesis was completed the same as primers. The synthesized oligonucleotide primers were cleaved from the CPG support by 4× treatment with 200 μl of 30% ammonium hydroxide for 20 min (800-μl final volume). The cleaved oligonucleotide primers in ammonium hydroxide were deprotected at 45 °С for ∼15 h and then vacuum-dried under low heat (40–45 °C) for ∼4 h. The pellets were rehydrated with 1× IDTE buffer, pH 7.5 (IDT) to a stock concentration of 6.7 μm. The same cleavage protocol was used for the probes. The cleaved FAM probe product was column-purified using a Glen-Pak™ DNA purification cartridge. The eluted FAM probe was vacuum-dried and resuspended in 1× IDTE buffer, pH 7.5 (IDT), to a stock concentration of 1.7 μm. Concentrations were determined using a DeNovix DS-11 FX Spectrophotometer (1 OD260 = 33 ng/μl for ssDNA) and then converted to molar concentration using the respective molecular weight. The deprotected HEX probe was dried the same as the primers and used without further purification (stock concentration = 1.7 μm).
Quality control
The purity of probes (3 μm) was evaluated by analytical HPLC performed at 20 °C on an Agilent 1260 Infinity Series HPLC with a Kinetex XB-C18 column (Phenomenex, 2.6 μm, 150 × 2.1 mm). Buffer A was composed of 0.1 m ammonium acetate in water (pH 6.7), and Buffer B was composed of 0.1 m ammonium acetate in 50% acetonitrile. Analytical HPLC was run with a flow rate of 0.30 ml/min by running 30% Buffer B for 5 min and then a gradient of 30–60% Buffer B for 25 min and then finally 30% Buffer B for another 5 min.
For end labeling, 10 pmol of each primer was 5′-end-labeled with 100 pmol of [32P]ATP (PerkinElmer Life Sciences) at 37 °C for 30 min using T4 polynucleotide kinase (New England Biolabs, #M0201). The enzyme was inactivated by incubation at 65 °C for 20 min. Labeled oligonucleotides were run on a denaturing 20% polyacrylamide gel at 14 W for 60 min. The gel was exposed to a phosphor screen and scanned on a Typhoon FLA 9500 (GE Healthcare).
Performance of in-house primers and probes was validated by RT-qPCR using a mixture of TaqPath 1-Step Master Mix (5 μl/reaction), Georgia Tech singleplex primers/probe or multiplex primers/probes (1.5 μl/reaction), and nuclease-free water (8.5 μl/reaction). A panel of reactions was performed in which various templates were used: synthetic SARS-CoV-2 RNA (ATCC, #VR-3276SD), HEK293T cell RNA (containing RNase P RNA) generated in-house by TRIzol (Invitrogen, #15596026) extraction of HEK293T cells grown to 60% confluence, a mixture of SARS-CoV-2 RNA and HEK293T cell RNA, nuclease-free water (negative, no-template control), or SARS-CoV-2 plasmid (2019-nCoV_N_Positive Control; IDT, #10006625; 10,000–50,000 copies/reaction). To determine compatibility between the Georgia Tech multiplex primers/probes mix and commercial master mixes, TaqPath 1-Step Master Mix, TaqPath 1-Step Multiplex Master Mix, and TaqMan Fast Virus 1-Step Master Mix (all from Thermo Fisher Scientific) were prepared according to the manufacturer's instructions, and templates were either nuclease-free water (negative, no-template control), a mixture of SARS-CoV-2 RNA and HEK293T cell RNA, or SARS-CoV-2 plasmid (positive control). RT-qPCR cycling conditions were used as listed for CDC but omitting the UNG step (Table 3). To test for contamination, nuclease-free water (7 μl/reaction), IDT N1 primers/probe mix (1.5 μl/reaction), and IDT N2 primers/probe mix (1.5 μl/reaction), were added to TaqPath (5 μl/reaction) using the newly synthesized Georgia Tech primer or probe as the template (5 μl/reaction); the Georgia Tech primers were tested at a final concentration of 500 nm, and Georgia Tech probes were tested at a final concentration of 125 nm. IDT SARS-CoV-2 plasmid served as the positive control. After cycling in either a StepOnePlus (Applied Biosystems) or QuantStudio 6 Flex (Thermo Fisher Scientific) qPCR instrument, results were evaluated to ensure that amplification occurred only in the expected samples/channels. The lack of amplification using IDT primers and probes, paired with amplification in the SARS-CoV-2 plasmid positive control, confirmed that newly synthesized probes and primers were free of contamination.
Multiplex assay interpretation
A MATLAB script (https://github.com/rmannino3/COVID19DataAnalysis) was written to interpret the results of RT-qPCR assays conducted with GT multiplexed (FAM/HEX) primers and probes based on 96-well data exported from QuantStudio 6 and StepOne Plus qPCR instruments. The user sets the cycle threshold (Ct), as well as the location of both the positive and negative controls via an interactive prompt. A folder of Excel files containing RT-qPCR data (exported directly from the instrument) are processed to yield a visual readout. The output is a color-coded 96-well grid, with green corresponding to a negative (−) result (no amplification in the FAM channel below the Ct and amplification in the HEX channel below the Ct), red corresponding to a positive (+) result (amplification in the FAM channel below the Ct and amplification in the HEX channel below the Ct), and yellow corresponding to an “inconclusive” result (no amplification in the HEX channel below the Ct). Finally, the script determines whether the HEX intensity threshold is set properly. In practice, the HEX intensity threshold should be set above the maximum intensity value of the HEX signal in the nCoV positive control wells, where no human RNA is present. The function provides a warning to the user in the MATLAB command window if this condition is not met.
Expression and purification of GT-MMLV
The MMLV RT plasmid for the production of GT-MMLV was a kind gift from Dr. Amy Lee (Brandeis University). This MMLV RT lacks the RNase H activity of native RT, contains mutations that increase thermostability (15), and has been demonstrated to be effective in RT-qPCR (48). Sequencing (Eton Biosciences) confirmed the E69K, E302R, W313F, L435G, N454K, and D524N mutations (see supporting data files). The plasmid was used to transform E. coli BL21 (DE3) or E. coli ArcticExpress (Agilent) by heat shock.
For growth with E. coli BL21 (DE3), a single colony was used to inoculate 25 ml of 2xYT Medium Broth (VWR) supplemented with 50 μg/ml kanamycin. The overnight culture was grown at 37 °C for 13–14 h, shaking at 180 rpm. Ten milliliters of the overnight culture were used to inoculate two separate 2.8-liter baffled flasks, each containing 1 liter of 2xYT medium supplemented with 50 μg/ml kanamycin. Cultures were grown at 30 °C, with shaking at 180 rpm, until the OD600 reached 0.4, at which point the temperature was decreased to 16 °C. After an additional 1 h, protein production was induced with 0.5 mm isopropyl-β-d-1-thiogalactopyranoside (IPTG). Cultures were harvested 18 h postinduction by centrifugation (5,000 × g, 20 min, 4 °C).
For purification of GT-MMLV from E. coli BL21 (DE3), the cell pellet was resuspended in 60 ml of lysis buffer (Table S2A) supplemented with protease inhibitor (Pierce, EDTA-free). Cells were lysed on ice for 25 min with a QSonica CL-18 sonicator operating at 40% power (15 s on, 45 s off). Lysate was centrifuged (40,000 × g, 40 min, 4 °C). The supernatant was loaded onto an AKTA Prime FPLC system equipped with a 5-ml HisTrap column (GE Healthcare) equilibrated with Buffer A (Table S3A), at a flow rate of 1 ml/min. The column was washed with 60 ml of Buffer A at 2 ml/min. GT-MMLV was eluted using a linear gradient to 100% Buffer B (Table S3A) over 40 ml. The target protein began eluting around 250 mm imidazole (∼80% Buffer B; Table S3A). The purity of each fraction was evaluated by denaturing SDS-PAGE, and the purest fractions were pooled. Approximately half of the pooled material was dialyzed overnight (∼16–18 h) at 4 °C using a 10,000 MWCO dialysis tubing against 2 liters of 20 mm Tris-HCl (pH 7.5), 100 mm NaCl, 1 mm tris(2-carboxyethyl)phosphine hydrochloride, 0.01% NP-40, 10% glycerol (v/v). The protein was stored at −20 °C after exchange with storage buffer (Table S4A) using a PD-10 size-exclusion chromatography column (GE Healthcare).
The remaining pooled samples of GT-MMLV from E. coli BL21 (DE3) were subjected to further purification by anion exchange as follows. Pooled fractions were dialyzed for 16 h at 4 °C using 10,000 MWCO dialysis tubing against 2 liters of dialysis buffer (20 mm Tris-HCl (pH 8.9), 50 mm KCl, 1 mm DTT, 10% glycerol (v/v)). The dialyzed protein was loaded at 1 ml/min into a 5-ml Hi-Trap Q column using the AKTA Prime FPLC system pre-equilibrated with Buffer A (Table S5A). The column was washed at 2 ml/min with 10 ml of Buffer A. GT-MMLV was eluted at ∼700 mm NaCl using a linear gradient to 100% Buffer B (Table S5A) over 40 ml. After SDS-PAGE analysis of elution fractions, the single purest fraction was buffer-exchanged into storage buffer as above (Table S4A) using a 5-ml PD-10 desalting column and stored in ∼500-μl aliquots at −20 °C. Protein concentration (2.6 mg/ml, ∼9 mg total) was calculated using the Bradford method but is likely overestimated due to the detergent in the storage buffer. Activity of both Ni-NTA–purified and ion-exchange chromatography–purified GT-MMLV were verified with RT-PCR using in-house protocols (49). Briefly, in a two-step RT-PCR, total RNA isolated from seaweed Asparagopsis taxiformis was used as template to amplify a 150-bp region of the gene encoding actin and visualized by agarose gel electrophoresis.
For expression of GT-MMLV in E. coli ArcticExpress (Agilent), a single colony was used to inoculate 5 ml of lysogeny broth supplemented with 25 μg/ml kanamycin (Sigma–Aldrich) and 10 μg/ml gentamicin (VWR) in a 50-ml Falcon tube and incubated at 37 °C overnight, shaking at 200 rpm. The next morning, 4 ml of the overnight culture was used to inoculate 200 ml of autoinduction medium modified from Studier et al. (50). Autoinduction medium (1 liter) was prepared by combining a 960-ml solution composed of 100 ml of 10× PBS, pH 7.4, 20 g of tryptone, 5 g of yeast extract, 5 g of NaCl with 40 ml of a glucose mix (2 g of lactose, 0.5 g of glucose, 5 ml of glycerol, ∼34 ml of water). The 200-ml culture was incubated at 25 °C, 150 rpm for 24 h. Cells were harvested by centrifugation (3500 × g, 20 min, 4 °C). A total of 5.3 g of cell mass was achieved (20 g/liter). GT-MMLV in E. coli ArcticExpress was also expressed by adding 20 ml of inoculum to 2-liter baffled flasks, each containing 1 liter of Superior Broth (US Biological) supplemented with 50 μg/ml kanamycin and 20 μg/ml gentamicin. These cultures were grown at 37 °C at 250 rpm until the OD600 reached 0.3–0.5, upon which the temperature of the incubator was dropped to 18 °C. After ∼1.5 h, IPTG was added to each flask at a final concentration of 1 mm, and agitation was reduced to 200 rpm. Cultures were allowed to grow overnight for ∼16–18 h postinduction before harvesting by centrifugation (5,000 × g, 10 min, 4 °C). Cell pellets were flash-cooled in liquid nitrogen and stored at −80 °C.
For purification of GT-MMLV from E. coli ArcticExpress grown in autoinduction medium, 2 g of cell mass was resuspended in 10 ml of lysis buffer (Table S2A) and sonicated on ice at 50% output = 10 W (Fisher Scientific Sonic Dismembrator) for 5 min. The slurry was centrifuged (16,000 × g, 30 min, 4 °C), the supernatant was transferred to 1-ml Ni-NTA beads (MClabs) in a gravity column that had been equilibrated with Buffer A (Table S3A), and the slurry was incubated on ice for 30 min. After incubation, the column was allowed to drain using gravity, the Ni-NTA beads were washed with 10 column volumes (CV) of Buffer A (Table S3A), and the RT was eluted with 2.5 ml of Buffer B (Table S3A). The GT-MMLV solution was immediately exchanged into 20 mm Tris, pH 9.0, 1 mm DTT using a PD-10 column, and the resulting 3.5-ml elution was purified using a 5-ml gravity Sepharose Q column (GE Healthcare) equilibrated with Buffer A (Table S5A). After draining the flow-through, the column was washed with 10 ml of 20 mm Tris, pH 9.0, 1 mm DTT. The bound GT-MMLV eluted from the Q column with 10 ml of 20 mm Tris, pH 9.0, 1 mm DTT, 300 mm KCl. A total of 2 mg of GT-MMLV was recovered based on the Bradford method. The salt concentration was reduced to 100 mm KCl using Macrosep concentrators, and the final volume was adjusted to 0.065 mg/ml protein using storage buffer (Table S4A), dispensed into 50-μl aliquots, and stored at −20 °C. A total of 30 ml of RT solution was achieved from the initial 2-g cell mass (∼30,000 RT reactions for RT-qPCR).
To test GT-MMLV activity, a two-step end point RT-PCR was performed with N1 primers, SuperScript IV RT (Thermo Fisher Scientific, #18090010) or GT-MMLV, and GoTaq (Promega. #M3001). The template was 100,000 copies of Quantitative Synthetic SARS-CoV-2 RNA: ORF, E, N (ATCC® VR-3276SD™). The RT-PCR thermal cycling conditions were 55 °C for 10 min, 95 °C for 10 min, followed by 30 cycles of 95 °C for 30 s, 55 °C for 30 s, and 68 °C for 30 s, with a final extension step at 68 °C for 10 min. RT-PCR products were separated on a 2% agarose gel for 40 min at 160 V and visualized.
Expression and purification of the xenopolymerase GT-RTX
The RTX plasmids (with (exo+) and without (exo−) exonuclease activity) (16, 17) were a kind gift from Dr. Andrew Ellington (University of Texas, Austin, TX). The RTX (exo+) plasmid (see supporting data files) was used to transform E. coli BL21 (DE3) cells, and a single colony was used to inoculate a 5-ml culture in lysogeny broth supplemented with 100 μg/ml ampicillin and was grown for 18 h at 37 °C with shaking at 200 rpm. One ml of the culture was transferred to 50 ml of autoinduction medium (see GT-MMLV above) supplemented with 100 μg/ml ampicillin and grown at 25 °C, shaking at 150 rpm for 24 h. Cells were harvested by centrifugation (4,000 × g, 30 min, 4 °C). The cell pellet (1 g) was resuspended in 5 ml of lysis buffer (Table S2B) and sonicated at 50% output (Sonic Dismembrator, Fisher Scientific) for 4 min on ice. The lysate was cleared by centrifugation (4,000 × g, 30 min, 4 °C). The supernatant was incubated in a thermomixer shaker (400 rpm, 10 min, 85 °C) (Eppendorf) and centrifuged (16,000 × g, 20 min, 4 °C). The supernatant was applied to a 1-ml Ni-NTA (MCLabs) gravity column equilibrated with Buffer A1 (Table S3B) and incubated on ice with intermittent inversion over the course of 30 min. After incubation the slurry was allowed to settle, and the flow-through was discarded. The column was washed with 10 volumes of Buffer A1 (Table S3B) and 10 volumes of Buffer A2 (Table S3B). Bound protein was eluted with 2.5 ml of Buffer B (Table S3B).
For anion exchange using a PD-10 column, GT-RTX was exchanged into Buffer A (Table S5B), and the resulting 3.5-ml protein solution was applied onto a 5-ml Q-Sepharose (GE Healthcare) gravity column equilibrated with Buffer A (Table S5B). The column was washed with five volumes of Buffer A (Table S5B), and the GT-RTX was eluted with Buffer B (Table S5B). GT-RTX was concentrated using a Macrosep concentrator (10,000 MWCO), diluted into Buffer A (Table S5B), concentrated again, and diluted into 50% glycerol for final storage (Table S4B). GT-RTX (exo+) was tested for polymerase activity by PCR as described for Taq below. To analyze the oligomeric state, GT-RTX was characterized by size-exclusion chromatography equipped with OMNISEC REVEAL (Malvern), consisting of an analytical size-exclusion column (Sepax Technologies, SRT SEC-300, 5 μm, 300 Å, 7.8 × 300 mm), a right (90°) and low (7°) angle SLS detector, a UV-visible detector, a refractive index detector, and a viscometer.
Expression and purification of Taq polymerases
Five Taq constructs were evaluated (Table 2 and supporting data files). Plasmids for WT Taq polymerase lacking affinity tags were purchased from Addgene. To generate N-terminal hexahistidine-tagged Taq polymerase (GT-His-Taq), the pAKTaq plasmid (Addgene) and pET28a vector (Novagen) were cut with EcoRI and SalI restriction enzymes and then ligated (Lucigen Rapid Ligation Kit) and transformed into E. coli strains for storage (DH5α) or expression (BL21 (DE3)). Plasmids for the fusion protein sso7d-Taq (21) and a Taq polymerase were cloned into the pET20b vector containing a C-terminal hexahistidine tag (Biobasic). The I705L mutation was introduced into GT-His-Taq by a modified inverse PCR protocol, loosely based on a published method (51). Briefly, primers were designed to create an inverse PCR product with one primer harboring the mutation and the other primer blunt-ending the mutation primer in the 3′ direction. A linear plasmid was created in exponential fashion, which was then ligated according to the KLD Enzyme Mix protocol (New England Biolabs), where phosphokinase, ligase, and DpnI were mixed together to circularize the plasmid and digest the parent plasmid to only create colonies of mutational origin after transformation of the circularized plasmid. Plasmid fidelity was confirmed for each by DNA sequencing (Genscript or the Georgia Institute of Technology Molecular Biology Core Facility).
Taq polymerase lacking affinity tags was expressed and purified. After transformation of pACYC and pAKTaq into E. coli HB101 and E. coli BL21 (DE3), respectively, cells were grown by a modified protocol from the literature (19) or in Superior Broth with overnight cold induction as is often done for other challenging projects (52). For the former method, a single colony or stab from a glycerol or DMSO stock was used to inoculate 2 ml of 2xYT medium supplemented with the appropriate antibiotic (60 μg/ml ampicillin or 50 μg/ml kanamycin) in a 15-ml Falcon tube. After overnight (∼16–18-h) growth at 37 °C, shaking at 300 rpm, the cultures were pelleted (12,000 × g, 10 min, 4 °C) and resuspended in 1 ml of fresh medium with antibiotic. This culture was added to 2-liter baffled flasks containing 250 ml of 2xYT broth supplemented with the appropriate antibiotic for overnight (∼16–18-h) growth at 37 °C, shaking at 300 rpm. The following morning, 10 ml of the culture was pelleted (14,000 × g, 10 min, 4 °C) for each 500 ml of 2xYT to be cultured. Each pellet was resuspended in 1 ml of 2xYT broth (with antibiotic) that had been removed from the 500-ml culture and then added back to the bulk medium. Cells were monitored for growth by OD600 and induced with 1 mm IPTG upon reaching an OD600 of 0.3–0.4. Cells were grown overnight (∼16–18 h) postinduction at 37 °C, shaking at 325 rpm, and pelleted by centrifugation (14,000 × g, 10 min, 4 °C) and either used directly in purification or preserved by flash-cooling in liquid nitrogen and stored at −80 °C for future purification.
Taq polymerase lacking affinity tags was purified by heating followed by anion-exchange column chromatography. Buffer A (30 ml, Table S5C) supplemented with 4 mg/ml lysozyme was added to ∼10 g of thawed cell pellet, resuspended by inverting tubes, and incubated for 15 min at room temperature to allow for lysis. This solution was combined with 30 ml of 2× storage buffer (40 mm Tris-HCl, pH 8.0, 100 mm KCl, 0.2 mm EDTA, 1% NP-40, 1% Tween 20, and 2 mm freshly prepared DTT; 1× buffer in Table S4C) and incubated for 15 min at room temperature. The 60-ml solution was then divided into two Falcon tubes and sonicated on ice at 65% power for ∼5 min (2 s on, 2 s off) until the cells were lysed and the pellet was liquified. The two tubes were incubated in a 75 °C water bath for 60 min with periodic gentle inversion. The lysate was centrifuged (13,000 × g, 30 min, 4 °C), and the supernatant was filtered with a 0.44-μm syringe filter. The supernatant was loaded onto a 5-ml Hi-Trap Q FF column pre-equilibrated with Buffer A (Table S5C) and then washed with 10–20 CV of Buffer A on an Akta Pure system until the A280 returned to baseline. Taq was eluted with a 20-CV gradient to 100% Buffer B (Table S5C). As soon as the Taq peak eluted, samples were run on SDS-PAGE to evaluate purity. Fractions containing pure Taq were pooled and concentrated using an Amicon Ultra concentrator (30,000 MWCO). After the first concentration step, the A280 was measured, and the concentration was estimated by the extinction coefficient (110,380 cm−1 m−1), with a final concentration of 0.4 mg/ml. This sample was diluted into ∼12 ml of 2× storage buffer, concentrated again to <0.5 ml, and diluted 1:1 with sterile glycerol (Table S4C). After gentle mixing, the solutions were dispensed into 20 50-μl aliquots and stored at −20 °C. Note that this method concentrates the detergent, and therefore for subsequent purifications, the buffer exchange protocol was amended (see below).
His-tagged Taq constructs were expressed in E. coli BL21 (DE3) and E. coli ArcticExpress (Agilent) strains. Expression in BL21 (DE3) followed the protocol for GT-RTX, except 200 ml of autoinduction medium (see GT-MMLV) supplemented with kanamycin (25 μg/ml) was used. Expression in E. coli ArcticExpress followed the same protocol as for GT-MMLV above. Comparable yields were achieved for all His-tagged Taq constructs (see “Results”).
For a two-step column purification protocol tested, 5 g of a GT-His-Taq cell pellet were resuspended with 25 ml of lysis buffer (Table S2C), supplemented with protease inhibitor mixture (cOmplete Tablets EDTA-free, Roche Applied Science), and then lysed by sonication for a total of 5 min (20 s on, 20 s off) on ice. Cell debris was removed with ultracentrifugation (27,000 × g, 25 min, 4 °C). The supernatant was heated at 75 °C with intermittent inverting for 10 min and purified with a 1-ml HisTrap HP column. Briefly, the column was equilibrated with Buffer A (Table S3C), and the sample was loaded and then washed with Buffer A until baseline absorbance was reestablished. GT-His-Taq was eluted using a linear gradient to 100% Buffer B (Table S3C) over 10 CV. Elution fractions were pooled and concentrated to ∼0.5 ml using an Amicon Ultra concentrator (30,000 MWCO) and then applied to a 5-ml HiTrap Q FF anion-exchange column equilibrated with Buffer A (Table S5D). After loading the sample, the column was washed with Buffer A until baseline absorbance was reestablished, and then a gradient to 100% Buffer B (Table S5D) over 10 CV was applied. After SDS-PAGE analysis of the elution peak, the cleanest fractions were pooled and concentrated to 0.5 ml, as before. This concentrated sample was diluted to 15 ml in 40 mm Tris-HCl, pH 8.0, 100 mm KCl, 0.2 mm EDTA and concentrated again to ∼0.5 ml. At this point, the concentration was measured by A280 as described above. To the concentrated sample was added a 1:10 dilution (v/v) of 10% NP-40, 10% Tween 20, 20 mm DTT. Finally, 50% glycerol was added to complete the storage buffer (Table S4D), and the sample was mixed gently and stored at −20 °C in 19 50-μl aliquots.
For the GT-His-Taq that was ultimately used in the master mix (and for which the expression and purification protocol yielded the most protein), the heating step above was omitted, and the enzyme was purified solely by passage over a HisTrap column. Cells (5 g) were resuspended in lysis buffer and lysed by sonication as above. HisTrap purification proceeded as described above, and elution fractions were pooled and concentrated to 0.5 ml. The buffer was exchanged into 100 mm Tris, pH 8.0, in an Amicon Ultra concentrator (30,000 MWCO) by diluting to ∼12 ml and reconcentrating to 0.5 ml. After the concentration was determined to be ∼0.3 mg/ml by absorbance (280 nm; see above), the sample was diluted 1:1 (v/v) in sterile glycerol (Table S4D) and dispensed into 12 50-μl aliquots for storage at −20 °C. This quantity of enzyme translated to ∼600 RT-qPCRs.
The I705L Taq polymerase variant and sso7d-Taq fusion protein were purified by the protocol established for GT-RTX purification (see above). After Q-Sepharose purification, the elution fraction was exchanged into 40 mm Tris, pH 8.0, 100 mm KCl, 0.2 mm EDTA using a PD-10 column and concentrated in a Macrosep concentrator before dilution to a final buffer composition identical to that for the stringent protocol above (Table S4D) and stored at −20 °C.
Polymerase activities for all Taq enzymes were tested using in-house primers and template generating a 1.2-kb fragment. PCR conditions were 98 °C for 10 min followed by 45 cycles of 98 °C for 10 s and 55 °C for 60 s. The PCR product was purified and on a 1.2% agarose gel and visualized using the fluorescent Midori dye (VWR).
Hot-start Taq polymerase
To test for hot-start activity, 10 pmol of an 18-mer oligonucleotide (5′-GGTAATGTCAGGGTAGCG-3′) was labeled with [32P]ATP and allowed to anneal to a 40-base oligonucleotide complementary strand (5′-CGACCACTCTGCTGATACTCAACGCTACCCTGACATTACC-3′). A non-hot-start commercial DNA polymerase (OneTaq, optimized blend of Taq and Deep Vent DNA polymerase; New England Biolabs, #M0480) was compared with the I705L Taq variant, as well as an aptamer-based hot-start commercial DNA polymerase (Hot-Start OneTaq; New England Biolabs, #M0481). For testing a commercial hot-start antibody, 1 unit of non-hot-start OneTaq (New England Biolabs, #M0480) or standard Taq (New England Biolabs, #M0273) was first mixed with 1 μl of Platinum Taq mAb (Thermo Fisher Scientific, #10965-028) on ice and incubated for 30 min. Samples were heated at 55 °C for 30 s and slowly cooled (0.2 °C/s) to 20 °C. The tubes were then placed on ice until the addition to a [32P]ATP-labeled mixture with sufficient dNTPs and 1× ThermoPol buffer (New England Biolabs, #B9004) to ensure complete strand polymerization. The mixture was incubated for 15 min at 25, 37, and 50 °C, or at 95 °C for 2 min and at 75 °C for 15 min, before the reaction was quenched using 95% formamide. A 20% polyacrylamide denaturing gel run at 14 W for 75 min was exposed to a phosphor screen and scanned on a Typhoon FLA 9500 (GE Healthcare).
Expression and purification of porcine RNase inhibitor (GT-rRI)
Plasmids for rRI containing an N- or C-terminal hexahistidine tag were purchased from Twist Biosciences. For large-scale growth, 120 ml of E. coli ArcticExpress that had been transformed with the N-terminally tagged GT-rRI plasmid was divided into six 2-liter baffled flasks, each containing 1 liter of Superior Broth supplemented with 50 μg/ml kanamycin (Sigma–Aldrich) and 20 μg/ml gentamicin (VWR). Cultures were grown at 37 °C, shaking at 250 rpm until an OD600 = 0.3–0.5 was reached, at which time the temperature of the incubator was dropped to 18 °C. After ∼1.5 h, IPTG was added to each flask at a final concentration of 1 mm, and shaking was reduced to 200 rpm. Cultures were allowed to grow ∼16–18 h overnight postinduction, and then cells were harvested by centrifugation (5,000 × g, 10 min, 4 °C). Pellets were flash-cooled in liquid nitrogen and stored at −80 °C.
GT-rRI was purified by first thawing and resuspending ∼2.5 g of cells in 12.5 ml of lysis buffer (Table S2D) supplemented with protease inhibitor mixture (cOmplete Tablets EDTA-free, Roche Applied Science). Resuspended cells were sonicated on ice at 50% power for 20 s on/off and inverted after each cycle for ∼5 min until the viscosity decreased. Cell debris was pelleted by centrifugation (27,000 × g, 20 min, 4 °C). The clarified lysate was loaded onto a 1-ml HisTrap column that had been equilibrated with Buffer A (Table S3D), and the lysate was washed with Buffer A until baseline was reached again. GT-rRI eluted during a gradient to 100% Buffer B (Table S3D) over 10 CVs. After analysis of elution fractions by SDS-PAGE, the purest fractions were pooled and concentrated to ∼0.5 ml in Amicon Ultra concentrators (30,000 MWCO), diluted to ∼12 ml into 2× storage buffer (80 mm HEPES, pH 7.5, 200 mm KCl, 16 mm DTT per Ref. 53; 1× listed in Table S4E), and concentrated again to ∼0.5 ml. The protein was diluted 1:1 with sterile glycerol (Table S4E), gently mixed, distributed into 38 20-μl aliquots, and stored at −20 °C. The final concentration was evaluated using a Bradford assay against a BSA standard curve. Each aliquot contained ∼1 mg/ml GT-rRI.
Inhibition of RNase A by GT-rRI was assessed by adapting a published method (54), namely monitoring a reduction in RNase A (Thermo Fisher Scientific, #EN0531)-catalyzed hydrolysis of 1 mm cytidine 2′:3′-cyclic monophosphate (cCMP) (Sigma, #C9630) in 100 mm Tris acetate, pH 6.5, 1 mm EDTA, 5 mm DTT at room temperature. Aliquots (18 μl) of a mix containing buffer, DTT, and cCMP were added to Greiner 384-well UV-Star plate (GBO, #788876) wells. RNaseOUT (Thermo Fisher Scientific, #10777019), GT-rRI, or water as a positive control for cCMP hydrolysis was added and allowed to equilibrate in a Synergy™ H4 Hybrid Multi-Mode Microplate Reader for 2 min at 20–25 °C before RNase A, 20–100 ng diluted in molecular biology–grade water, or water as negative control for cCMP hydrolysis was added. Hydrolysis was monitored as the change in absorbance at 286 nm over 30 min.
Residual RNase activity in purified enzymes
Contaminating RNase activity in purified GT-MMLV and GT-Taq was assayed by monitoring degradation of an RNA gel ladder. The reaction solution included the test enzyme at its storage concentration (1 μl), 0.5 μl of Century-Plus RNA Marker (Thermo Fisher Scientific, #AM7145), 2 μl of 10× ThermoPol Buffer (New England Biolabs, #B9004), and nuclease-free water to a final volume of 20 μl. As a positive control, 1 μl of 1 pg/ml RNase A (Thermo Fisher Scientific, #EN0531) stock solution was added to OneTaq®. The solutions were incubated at 37 °C for 30 min, at which point the reaction was quenched by the addition of an equal volume of 2× loading buffer and dye (95% formamide, 0.025% bromphenol blue, 0.025% xylene cyanol, 5 mm EDTA, pH 8.0). The quenched samples were evaluated for ladder degradation by gel electrophoresis using 16 × 16-cm 10% polyacrylamide gels with 8 m urea. Gels were run in 1× TBE (Tris/boric acid/EDTA, pH 8.0) at 14 W and 300–400 V for at least 30 min prior to loading samples and running for an additional 1.5 h. Gels were stained with ethidium bromide and scanned on the Typhoon Trio+ laser scanner (GE Healthcare) using a channel with 532-nm excitation and a 610-nm emission filter. Smearing of the ladder indicated RNase contamination. The presence of intact bands confirmed the absence of RNase in in-house produced enzymes.
Formulation and RT-qPCR
One-step RT-qPCR solutions for GT-Master Mix evaluation were prepared in MicroAmp Optical 96-well reaction plates (Applied Biosystems, #4346907) and sealed with MicroAmp Optical Adhesive Film (Applied Biosystems, Thermo Fisher Scientific, #4311971). Reactions were run on an Applied Biosystems StepOne Plus Real-Time PCR instrument. Except for experiments that tested master mix stability over time, reaction mixtures were prepared by mixing stock reagents immediately prior to conducting the RT-qPCR. The template was Quantitative Synthetic SARS-CoV-2 RNA: ORF, E, N (ATCC #VR-3276S). ROXTM reference dye (Thermo Fisher Scientific, #2223012) was included in all reactions for fluorescence normalization. The water used in formulations buffers and reactions was HyClone™ HyPure, molecular biology grade (GE Healthcare, #SH30538). Tris-HCl buffers tested ranged from 20 to 50 mm and from pH 8.0 to 8.8. Monovalent salts (KCl, NaCl, and NH4(SO4)2) ranged from 10 to 200 mm. Divalent salts (MgCl2, MgSO4) ranged from 1.5 to 5 mm. Standard dNTPs were included at 0.4–0.5 mm (each). Detergents (0.1% CHAPSO, 0.1% Triton X-100) and other additives (0–1 m betaine, 0–10% trehalose, 0–1 mg/ml BSA (Sigma, #A7030)) were tested. Prior to the availability of GT-RT, GT-His-Taq, and GT-rRI, commercial materials, namely SuperScript III RT (Thermo Fisher Scientific, #18080093), Platinum II Taq Hot-Start DNA Polymerase (Thermo Fisher Scientific, #14966001) or Taq DNA polymerase (New England Biolabs, #M0273), and RNaseOUT (Thermo Fisher Scientific, #10777019) or SUPERase·In (Thermo Fisher Scientific, #AM2694), were used. IDT N1 primer/probe mix (IDT, #10006606), GT multiplex primers/probes, and GT singleplex primers/probes were evaluated. RT-qPCR thermal cycling conditions were modified from those of the CDC protocol (55) (Table 3). Unless otherwise noted, the amplification threshold was set to 0.1, and the baseline cycle range was manually set as 3–15 for each run. Once optimal buffer components for GT-produced proteins were identified (Table 4), a 2× master mix containing all reaction components except for template and primer/probe mix was prepared, tested by RT-qPCR, stored at −20 °C, and then retested by RT-qPCR after sequential freeze-thaw cycles to assess stability and performance over time. PCR efficiency was assessed with Quantitative Synthetic SARS-CoV-2 RNA (ATCC, #VR-3276S) or a mixture of full-length SARS-CoV-2 RNA (gift from Dr. Robert Jeffrey Hogan, University of Georgia) and total RNA extracted with TRIzol (Invitrogen, #15596026) from HEK293T cells grown to 60% confluence.
Environmental testing
Environmental surveying was conducted using cotton swabs (Q-tips) as shown in Fig. 4A. Q-tips were determined experimentally to efficiently collect RNA and viral components from surfaces and not cause RNA degradation. For sample collection, one end of the swab was cut off and discarded (step 1). The other end of the swab was moistened with 100 μl of “swab medium” (0.5% Triton X-100, 0.05 mm EDTA; step 2). The wet swab was placed in a 15-ml Falcon tube and transported to the site to be surveyed. Surface swabbing was conducted in a 6 inch2 area as shown in step 3. Afterward, the swab was returned to the Falcon tube, which was tightly closed (step 4) and transported on ice to the laboratory. Samples were either processed immediately or stored at −20 °C. For processing, the 15-ml Falcon tube containing the swab was incubated at 95 °C on a heat block for 5 min to inactivate any live virus that was present (step 5). An additional 200–300 μl of swab solution was added to the tube (step 6). The tube was vortexed for 10 s (step 7) and centrifuged (1000 × g, 2 min, 4 °C; step 8) prior to analysis by RT-qPCR.
Each 20-μl RT-qPCR survey reaction was assembled using TaqPath 1-Step RT-qPCR Master Mix (Thermo Fisher Scientific, #A15300) and the 2019-nCoV CDC EUA Kit (primers and probes; IDT, #10006606) and analyzed on a StepOne Plus Real-Time PCR instrument (Applied Biosystems) as described above. Samples from swabs were assayed by adding 5 μl of the postsurvey swab medium directly to the 15-μl RT-qPCR mix. Absolute quantification to determine contaminant copy number in each environmental sample was achieved by comparison with standard curves generated from viral RNA (Quantitative Synthetic SARS-CoV-2 RNA; ATCC, #VR-3276SD) or plasmid DNA (2019-nCoV_N_Positive Control; IDT, #10006625) (Fig. 4B). The amplification threshold was set to 0.1, and the baseline cycle range was manually set as 3–15 for each run. To differentiate between DNA and RNA in samples, the master mix was preheated to 95 °C for 5 min (to inactivate the reverse transcriptase) prior to environmental sample addition and cycling.
Data availability
Raw data are available upon request. Plasmids are available from us or the original source.
Supplementary Material
Acknowledgments
We are grateful for helpful conversations with Andrew Ellington, Amy Lee, Sanchita Bhadra, Greg Gibson, Andre Maranhao, Phil Santangelo, M. G. Finn, Zoe Pratte, Dustin Huard, Moran Frenkel-Pinter, Shweta Biliya, Naima Djeddar, Catherine Moore, Robert Lanciotti, Susan Winters, and researchers on covidtestingscaleup.slack.com. We acknowledge the core facilities at the Parker H. Petit Institute for Bioengineering and Bioscience at the Georgia Institute of Technology for the use of their shared equipment, services, and expertise.
This article contains supporting information.
Author contributions—S. J. M., S. F.-A., J. C. B., M. T. H. M., C. I., G. P. N., K. R. M., M. H., C. B. I., P. I. P., and J. B. G. data curation; S. J. M., J. C. B., B. Bommarius, and J. B. G. formal analysis; S. J. M., S. F.-A., J. C. B., M. T. H. M., G. T., B. Bommarius, C. I., L. Z., G. P. N., K. R. M., H. R. T., B. Barlow, R. K. D., N. A. N., E. G. S., C. T. O., S. C. K., B. R.-M., S. M.-F., R. G.-M., A. V. B., A. S. P., M. H., C. B. I., P. I. P., V. A., and N. V. H. investigation; S. J. M., B. Bommarius, C. I., L. Z., G. P. N., R. K. D., E. G. S., C. T. O., A. V. B., V. A., N. V. H., L. D. W., and R. L. L. methodology; S. J. M., J. C. B., M. T. H. M., G. T., B. Bommarius, C. I., L. Z., G. P. N., K. R. M., H. R. T., S. C. K., J. B. G., L. D. W., and R. L. L. writing-original draft; S. J. M., S. F.-A., J. C. B., J. B. G., L. D. W., and R. L. L. writing-review and editing; S. F.-A., J. C. B., M. T. H. M., G. T., B. Bommarius, C. I., G. P. N., K. R. M., H. R. T., R. K. D., N. A. N., C. T. O., S. C. K., R. G.-M., and J. B. G. visualization; P. P., J. B. G., L. D. W., and R. L. L. project administration; A. V. B., W. A. L., A. J. G., J. K., V. A., N. V. H., J. B. G., L. D. W., and R. L. L. supervision; R. G. M. software; L. D. W. and R. L. L. conceptualization; L. D. W. funding acquisition; L. D. W. validation.
Funding and additional information—This work was supported by the State of Georgia COVID-19 Testing Task Force Method Development and Supply Chain Stabilization Studies Proposal (COVID-19 Tech Support Group) and Georgia Institute of Technology. This work was also supported in part by NASA Grants 80NSSC18K1139 and 80NSSC19K0477. R. G. M. and W. A. M. were supported by National Institutes of Health Grant U54EB027690. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.
Conflict of interest—The authors declare that they have no conflicts of interest with the contents of this article.
L. D. Williams, personal communication.
- SARS-CoV-2
- severe acute respiratory syndrome coronavirus 2
- FAM
- fluorescein phosphoramidite
- BHQ1
- Black Hole Quencher-1
- HEX
- 5′-hexachlorofluorescein phosphoramidite
- CHAPSO
- 3-[(3-cholamidopropyl)dimethylammonio]-2-hydroxy-1-propanesulfonic acid
- CLIA
- Clinical Laboratory Improvement Amendments
- RT-qPCR
- quantitative RT-PCR
- CDC
- Centers for Disease Control
- FDA
- Food and Drug Administration
- MMLV
- Moloney murine leukemia virus
- UNG
- uracil N-glycosylase
- RT
- reverse transcriptase
- RI
- RNase inhibitor
- rRI
- recombinant RNase inhibitor
- EUA
- Emergency Use Authorization
- GT
- Georgia Tech
- CPG
- control pore glass
- OD
- optical density
- IPTG
- isopropyl-β-d-1-thiogalactopyranoside
- MWCO
- molecular weight cut-off
- NTA
- nitrilotriacetic acid
- CV
- column volume(s)
- NP-40
- Nonidet P-40
- W
- watts
- cCMP
- 2′:3′-cyclic monophosphate.
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Associated Data
This section collects any data citations, data availability statements, or supplementary materials included in this article.
Supplementary Materials
Data Availability Statement
Raw data are available upon request. Plasmids are available from us or the original source.