Optimization of SARS-CoV-2 culture from clinical samples for clinical trial applications

RT-qPCR is commonly used for virological endpoints during clinical trials for antiviral therapy to determine the quantity and presence of virus in a sample. However, RT-qPCR identifies viral RNA and cannot determine if viable virus is present. Existing culture-based techniques for SARS-CoV-2 are insensitive and not sufficiently standardized to be employed as clinical study endpoints. The use of a culture system to monitor replicating viruses could mitigate the possibility of molecular techniques identifying viral RNA from inactive or lysed viral particles. The methodology optimized in this study for detecting infectious viruses may have application as a secondary virological endpoint in clinical trials of therapeutics for SARS-CoV-2 in addition to numerous research processes.

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Publication Details

Journal
mSphere
Published
2024-10-16
DOI
https://doi.org/10.1128/msphere.00304-24
Citations
1
Primary Topic
SARS-CoV-2 detection and testing
Type
article
Field-Weighted Citation Impact
0.39

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Optimization of SARS-CoV-2 culture from clinical samples for clinical trial applications

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Optimization of SARS-CoV-2 culture from clinical samples for clinical trial applications

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article en
1 citations

Abstract

RT-qPCR is commonly used for virological endpoints during clinical trials for antiviral therapy to determine the quantity and presence of virus in a sample. However, RT-qPCR identifies viral RNA and cannot determine if viable virus is present. Existing culture-based techniques for SARS-CoV-2 are insensitive and not sufficiently standardized to be employed as clinical study endpoints. The use of a culture system to monitor replicating viruses could mitigate the possibility of molecular techniques identifying viral RNA from inactive or lysed viral particles. The methodology optimized in this study for detecting infectious viruses may have application as a secondary virological endpoint in clinical trials of therapeutics for SARS-CoV-2 in addition to numerous research processes.

mSphereVol. 9(11)
University of Liverpool (GB), Liverpool School of Tropical Medicine (GB), Royal Liverpool and Broadgreen University Hospital NHS Trust (GB), University of Oxford (GB), Manchester University NHS Foundation Trust (GB), UK Health Security Agency (GB)
Wellcome Trust, National Institute for Health and Care Research, Department of Health and Social Care, Imperial College London, Medical Research Council
Good health and well-being
Openalex Percentile: Top 36%
SARS-CoV-2 detection and testing
0.39
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