31 results on '"Michael A. Crone"'
Search Results
2. Rapid emergence of transmissible SARS-CoV-2 variants in mild community cases
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Michael A. Crone, Seran Hakki, Joe Fenn, Jie Zhou, Carolina Rosadas de Oliveira, Kieran J. Madon, Aleksandra Koycheva, Anjna Badhan, Jakob Jonnerby, Sean Nevin, Emily Conibear, Romain Derelle, Robert Varro, Constanta Luca, Shazaad Ahmad, Maria Zambon, Wendy S. Barclay, Jake Dunning, Paul S. Freemont, Graham P. Taylor, and Ajit Lalvani
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SARS-CoV-2 ,COVID-19 ,community ,variants ,immune escape ,immunodeficiency ,Microbiology ,QR1-502 - Published
- 2024
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3. gDesigner: computational design of synthetic gRNAs for Cas12a-based transcriptional repression in mammalian cells
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Michael A. Crone, James T. MacDonald, Paul S. Freemont, and Velia Siciliano
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Biology (General) ,QH301-705.5 - Abstract
Abstract Synthetic networks require complex intertwined genetic regulation often relying on transcriptional activation or repression of target genes. CRISPRi-based transcription factors facilitate the programmable modulation of endogenous or synthetic promoter activity and the process can be optimised by using software to select appropriate gRNAs and limit non-specific gene modulation. Here, we develop a computational software pipeline, gDesigner, that enables the automated selection of orthogonal gRNAs with minimized off-target effects and promoter crosstalk. We next engineered a Lachnospiraceae bacterium Cas12a (dLbCas12a)-based repression system that downregulates target gene expression by means of steric hindrance of the cognate promoter. Finally, we generated a library of orthogonal synthetic dCas12a-repressed promoters and experimentally demonstrated it in HEK293FT, U2OS and H1299 cells lines. Our system expands the toolkit of mammalian synthetic promoters with a new complementary and orthogonal CRISPRi-based system, ultimately enabling the design of synthetic promoter libraries for multiplex gene perturbation that facilitate the understanding of complex cellular phenotypes.
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- 2022
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4. A high-throughput pipeline for scalable kit-free RNA extraction
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Ping Han, Maybelle K. Go, Jeng Yeong Chow, Bo Xue, Yan Ping Lim, Michael A. Crone, Marko Storch, Paul S. Freemont, and Wen Shan Yew
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Medicine ,Science - Abstract
Abstract An overreliance on commercial, kit-based RNA extraction in the molecular diagnoses of infectious disease presents a challenge in the event of supply chain disruptions and can potentially hinder testing capacity in times of need. In this study, we adapted a well-established, robust TRIzol-based RNA extraction protocol into a high-throughput format through miniaturization and automation. The workflow was validated by RT-qPCR assay for SARS-CoV-2 detection to illustrate its scalability without interference to downstream diagnostic sensitivity and accuracy. This semi-automated, kit-free approach offers a versatile alternative to prevailing integrated solid-phase RNA extraction proprietary systems, with the added advantage of improved cost-effectiveness for high volume acquisition of quality RNA whether for use in clinical diagnoses or for diverse molecular applications.
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- 2021
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5. A role for Biofoundries in rapid development and validation of automated SARS-CoV-2 clinical diagnostics
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Michael A. Crone, Miles Priestman, Marta Ciechonska, Kirsten Jensen, David J. Sharp, Arthi Anand, Paul Randell, Marko Storch, and Paul S. Freemont
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Science - Abstract
The SARS-CoV-2 pandemic has created large demand on global testing capability. Here the authors use the London Biofoundry, an automated synthetic biology platform, and develop an open-source virus-like particle to implement high-throughput diagnostics.
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- 2020
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6. Author Correction: A role for Biofoundries in rapid development and validation of automated SARS-CoV-2 clinical diagnostics
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Michael A. Crone, Miles Priestman, Marta Ciechonska, Kirsten Jensen, David J. Sharp, Arthi Anand, Paul Randell, Marko Storch, and Paul S. Freemont
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Science - Abstract
An amendment to this paper has been published and can be accessed via a link at the top of the paper.
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- 2020
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7. A Multiplexed Cas13-Based Assay with Point-of-Care Attributes for Simultaneous COVID-19 Diagnosis and Variant Surveillance
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Maturada Patchsung, Aimorn Homchan, Kanokpol Aphicho, Surased Suraritdechachai, Thanyapat Wanitchanon, Archiraya Pattama, Khomkrit Sappakhaw, Piyachat Meesawat, Thanakrit Wongsatit, Artittaya Athipanyasilp, Krittapas Jantarug, Niracha Athipanyasilp, Juthamas Buahom, Supapat Visanpattanasin, Nootaree Niljianskul, Pimchai Chaiyen, Ruchanok Tinikul, Nuanjun Wichukchinda, Surakameth Mahasirimongkol, Rujipas Sirijatuphat, Nasikarn Angkasekwinai, Michael A. Crone, Paul S. Freemont, Julia Joung, Alim Ladha, Omar Abudayyeh, Jonathan Gootenberg, Feng Zhang, Claire Chewapreecha, Sittinan Chanarat, Navin Horthongkham, Danaya Pakotiprapha, and Chayasith Uttamapinant
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Genetics ,Biotechnology - Abstract
Point-of-care (POC) nucleic acid detection technologies are poised to aid gold-standard technologies in controlling the COVID-19 pandemic, yet shortcomings in the capability to perform critically needed complex detection—such as multiplexed detection for viral variant surveillance—may limit their widespread adoption. Herein, we developed a robust multiplexed clustered regularly interspaced short palindromic repeats (CRISPR)-based detection using LwaCas13a and PsmCas13b to simultaneously diagnose severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection and pinpoint the causative SARS-CoV-2 variant of concern (VOC)—including globally dominant VOCs Delta (B.1.617.2) and Omicron (B.1.1.529)—all the while maintaining high levels of accuracy upon the detection of multiple SARS-CoV-2 gene targets. The platform has several attributes suitable for POC use: premixed, freeze-dried reagents for easy use and storage; convenient direct-to-eye or smartphone-based readouts; and a one-pot variant of the multiplexed detection. To reduce reliance on proprietary reagents and enable sustainable use of such a technology in low- and middle-income countries, we locally produced and formulated our own recombinase polymerase amplification reaction and demonstrated its equivalent efficiency to commercial counterparts. Our tool—CRISPR-based detection for simultaneous COVID-19 diagnosis and variant surveillance that can be locally manufactured—may enable sustainable use of CRISPR diagnostics technologies for COVID-19 and other diseases in POC settings.
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- 2023
8. Simple Low-Cost Production of DNA MS2 Virus-Like Particles As Molecular Diagnostic Controls
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Michael A. Crone and Paul S. Freemont
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Suitable controls are integral for the validation and continued quality assurance of diagnostic workflows. Plasmids, DNA, or in vitro transcribed RNA are often used to validate novel diagnostic workflows, however, they are poorly representative of clinical samples. RNA phage virus-like particles (VLPs) packaged with exogenous RNA have been used in clinical diagnostics as workflow controls, serving as surrogates for infectious viral particles. Comparable controls for DNA viruses are more challenging to produce, with analogous DNA phages being infectious and packaging of DNA within RNA phages requiring complex purification procedures and expensive chemical linkers. We present a simple and inexpensive method to produce Emesvirus zinderi (MS2) VLPs, packaged with DNA, that makes use of affinity chromatography for purification and enzymatic production of exogenous DNA suitable for packaging. The produced VLPs were packaged with hepatitis B virus DNA and were then quantified using droplet digital PCR and calibrated against the WHO international standard using a commercial assay in an accredited clinical laboratory.
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- 2022
9. Onset and window of SARS-CoV-2 infectiousness and temporal correlation with symptom onset: a prospective, longitudinal, community cohort study
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Seran Hakki, Jie Zhou, Jakob Jonnerby, Anika Singanayagam, Jack L Barnett, Kieran J Madon, Aleksandra Koycheva, Christine Kelly, Hamish Houston, Sean Nevin, Joe Fenn, Rhia Kundu, Michael A Crone, Timesh D Pillay, Shazaad Ahmad, Nieves Derqui-Fernandez, Emily Conibear, Paul S Freemont, Graham P Taylor, Neil Ferguson, Maria Zambon, Wendy S Barclay, Jake Dunning, Ajit Lalvani, Anjna Badhan, Robert Varro, Constanta Luca, Valerie Quinn, Jessica Cutajar, Niamh Nichols, Jessica Russell, Holly Grey, Anjeli Ketkar, Giulia Miserocchi, Chitra Tejpal, Harriet Catchpole, Koji Nixon, Berenice Di Biase, Tamara Hopewell, Janakan Sam Narean, Jada Samuel, Kristel Timcang, Eimear McDermott, Samuel Bremang, Sarah Hammett, Samuel Evetts, Alexandra Kondratiuk, National Institute for Health Research (NIHR), Imperial College Healthcare NHS Trust- BRC Funding, Medical Research Council (MRC), and UK DRI Ltd
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Cohort Studies ,Pulmonary and Respiratory Medicine ,SARS-CoV-2 ,Humans ,COVID-19 ,RNA, Viral ,ATACCC study investigators ,Bayes Theorem ,1103 Clinical Sciences ,Prospective Studies ,1117 Public Health and Health Services ,1199 Other Medical and Health Sciences - Abstract
Background Knowledge of the window of SARS-CoV-2 infectiousness is crucial in developing policies to curb transmission. Mathematical modelling based on scarce empirical evidence and key assumptions has driven isolation and testing policy, but real-world data are needed. We aimed to characterise infectiousness across the full course of infection in a real-world community setting. Methods The Assessment of Transmission and Contagiousness of COVID-19 in Contacts (ATACCC) study was a UK prospective, longitudinal, community cohort of contacts of newly diagnosed, PCR-confirmed SARS-CoV-2 index cases. Household and non-household exposed contacts aged 5 years or older were eligible for recruitment if they could provide informed consent and agree to self-swabbing of the upper respiratory tract. The primary objective was to define the window of SARS-CoV-2 infectiousness and its temporal correlation with symptom onset. We quantified viral RNA load by RT-PCR and infectious viral shedding by enumerating cultivable virus daily across the course of infection. Participants completed a daily diary to track the emergence of symptoms. Outcomes were assessed with empirical data and a phenomenological Bayesian hierarchical model. Findings Between Sept 13, 2020, and March 31, 2021, we enrolled 393 contacts from 327 households (the SARS-CoV-2 pre-alpha and alpha variant waves); and between May 24, 2021, and Oct 28, 2021, we enrolled 345 contacts from 215 households (the delta variant wave). 173 of these 738 contacts were PCR positive for more than one timepoint, 57 of which were at the start of infection and comprised the final study population. The onset and end of infectious viral shedding were captured in 42 cases and the median duration of infectiousness was 5 (IQR 3–7) days. Although 24 (63%) of 38 cases had PCR-detectable virus before symptom onset, only seven (20%) of 35 shed infectious virus presymptomatically. Symptom onset was a median of 3 days before both peak viral RNA and peak infectious viral load (viral RNA IQR 3–5 days, n=38; plaque-forming units IQR 3–6 days, n=35). Notably, 22 (65%) of 34 cases and eight (24%) of 34 cases continued to shed infectious virus 5 days and 7 days post-symptom onset, respectively (survival probabilities 67% and 35%). Correlation of lateral flow device (LFD) results with infectious viral shedding was poor during the viral growth phase (sensitivity 67% [95% CI 59–75]), but high during the decline phase (92% [86–96]). Infectious virus kinetic modelling suggested that the initial rate of viral replication determines the course of infection and infectiousness. Interpretation Less than a quarter of COVID-19 cases shed infectious virus before symptom onset; under a crude 5-day self-isolation period from symptom onset, two-thirds of cases released into the community would still be infectious, but with reduced infectious viral shedding. Our findings support a role for LFDs to safely accelerate deisolation but not for early diagnosis, unless used daily. These high-resolution, community-based data provide evidence to inform infection control guidance. Funding National Institute for Health and Care Research.
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- 2022
10. The Coronavirus Standards Working Group’s roadmap for improved population testing
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Tim Mercer, Neil Almond, Michael A. Crone, Patrick S. G. Chain, Alina Deshpande, Deepa Eveleigh, Paul Freemont, Sebastien Fuchs, Russell Garlick, Jim Huggett, Martin Kammel, Po-E Li, Mojca Milavec, Elizabeth M. Marlowe, Denise M. O’Sullivan, Mark Page, Gary A. Pestano, Sara Suliman, Birgitte Simen, John J. Sninsky, Lynne Sopchak, Cristina M. Tato, Peter M. Vallone, Jo Vandesompele, Thomas J. White, Heinz Zeichhardt, and Marc Salit
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Biomedical Engineering ,Molecular Medicine ,Bioengineering ,Applied Microbiology and Biotechnology ,Biotechnology - Published
- 2022
11. Rapid emergence of transmissible SARS-CoV-2 variants in mild community cases
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Michael A Crone, Seran Hakki, Jie Zhou, Carolina Rosadas de Oliveira, Kieran J Madon, Aleksandra Koycheva, Anjna Badhan, Jakob Jonnerby, Joe Fenn, Rhia Kundu, Jack L Barnett, Sean Nevin, Emily Conibear, Nieves Derqui-Fernandez, Timesh D Pillay, Robert Varro, Constanta Luca, Valerie Quinn, Shazaad Ahmad, Maria Zambon, Wendy S Barclay, Jake Dunning, Paul S Freemont, Graham P Taylor, and Ajit Lalvani
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SARS-CoV-2 immune-escape variants have only been observed to arise in immunosuppressed COVID-19 cases, during prolonged viral shedding. Through daily longitudinal RT-qPCR, quantitative viral culture and sequencing, we observe for the first time the evolution of transmissible variants harbouring mutations consistent with immune-escape in mild community cases within 2 weeks of infection.
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- 2023
12. Risk factors and vectors for SARS-CoV-2 household transmission: a prospective, longitudinal cohort study
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Nieves Derqui, Aleksandra Koycheva, Jie Zhou, Timesh D Pillay, Michael A Crone, Seran Hakki, Joe Fenn, Rhia Kundu, Robert Varro, Emily Conibear, Kieran J Madon, Jack L Barnett, Hamish Houston, Anika Singanayagam, Janakan S Narean, Mica R Tolosa-Wright, Lucy Mosscrop, Carolina Rosadas, Patricia Watber, Charlotte Anderson, Eleanor Parker, Paul S Freemont, Neil M Ferguson, Maria Zambon, Myra O McClure, Richard Tedder, Wendy S Barclay, Jake Dunning, Graham P Taylor, Ajit Lalvani, Jessica Cutajar, Valerie Quinn, Sarah Hammett, Eimèar McDermott, Constanta Luca, Kristel Timcang, Jada Samuel, Samuel Bremang, Samuel Evetts, Lulu Wang, Sean Nevin, Megan Davies, Chitra Tejpal, Mohammed Essoussi, Anjeli V Ketkar, Giulia Miserocchi, Harriet Catchpole, Anjna Badhan, Simon Dustan, Isaac J Day Weber, Federica Marchesin, Michael G Whitfield, John Poh, and Alexandra Kondratiuk
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Microbiology (medical) ,Infectious Diseases ,Virology ,Microbiology - Abstract
BACKGROUND: Despite circumstantial evidence for aerosol and fomite spread of SARS-CoV-2, empirical data linking either pathway with transmission are scarce. Here we aimed to assess whether the presence of SARS-CoV-2 on frequently-touched surfaces and residents' hands was a predictor of SARS-CoV-2 household transmission. METHODS: In this longitudinal cohort study, during the pre-alpha (September to December, 2020) and alpha (B.1.1.7; December, 2020, to April, 2021) SARS-CoV-2 variant waves, we prospectively recruited contacts from households exposed to newly diagnosed COVID-19 primary cases, in London, UK. To maximally capture transmission events, contacts were recruited regardless of symptom status and serially tested for SARS-CoV-2 infection by RT-PCR on upper respiratory tract (URT) samples and, in a subcohort, by serial serology. Contacts' hands, primary cases' hands, and frequently-touched surface-samples from communal areas were tested for SARS-CoV-2 RNA. SARS-CoV-2 URT isolates from 25 primary case-contact pairs underwent whole-genome sequencing (WGS). FINDINGS: From Aug 1, 2020, until March 31, 2021, 620 contacts of PCR-confirmed SARS-CoV-2-infected primary cases were recruited. 414 household contacts (from 279 households) with available serial URT PCR results were analysed in the full household contacts' cohort, and of those, 134 contacts with available longitudinal serology data and not vaccinated pre-enrolment were analysed in the serology subcohort. Household infection rate was 28·4% (95% CI 20·8-37·5) for pre-alpha-exposed contacts and 51·8% (42·5-61·0) for alpha-exposed contacts (p=0·0047). Primary cases' URT RNA viral load did not correlate with transmission, but was associated with detection of SARS-CoV-2 RNA on their hands (p=0·031). SARS-CoV-2 detected on primary cases' hands, in turn, predicted contacts' risk of infection (adjusted relative risk [aRR]=1·70 [95% CI 1·24-2·31]), as did SARS-CoV-2 RNA presence on household surfaces (aRR=1·66 [1·09-2·55]) and contacts' hands (aRR=2·06 [1·57-2·69]). In six contacts with an initial negative URT PCR result, hand-swab (n=3) and household surface-swab (n=3) PCR positivity preceded URT PCR positivity. WGS corroborated household transmission. INTERPRETATION: Presence of SARS-CoV-2 RNA on primary cases' and contacts' hands and on frequently-touched household surfaces associates with transmission, identifying these as potential vectors for spread in households. FUNDING: National Institute for Health Research Health Protection Research Unit in Respiratory Infections, Medical Research Council.
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- 2023
13. SARS-CoV-2 infection, clinical features and outcome of COVID-19 in United Kingdom nursing homes
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Neil S. Graham, Robert McLaren, Loren Cameron, Nicola Lang, David Wingfield, Cornelia Junghans, Shamez N Ladhani, Paul Elliott, Catherine Sendall, David J. Sharp, Paul S. Freemont, Helen Lai, Annie McKirdy, Rawlda Downes, Michael A. Crone, Marta Ciechonska, Paul Randell, Marko Storch, Miles Priestman, Frances Sanderson, Robert Howard, and UK DRI Ltd
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0301 basic medicine ,Microbiology (medical) ,medicine.medical_specialty ,Coronavirus disease 2019 (COVID-19) ,Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) ,030106 microbiology ,Psychological intervention ,Care home ,Microbiology ,Asymptomatic ,Article ,03 medical and health sciences ,0302 clinical medicine ,Risk Factors ,Pandemic ,Medicine ,Humans ,030212 general & internal medicine ,Pandemics ,business.industry ,Transmission (medicine) ,SARS-CoV-2 ,Nursing home ,Mortality rate ,Outbreak ,COVID-19 ,1103 Clinical Sciences ,Confidence interval ,United Kingdom ,Nursing Homes ,Coronavirus ,Diagnostic testing ,Infectious Diseases ,Emergency medicine ,medicine.symptom ,Nursing homes ,business - Abstract
ObjectivesTo understand SARS-Co-V-2 infection and transmission in UK nursing homes in order to develop preventive strategies for protecting the frail elderly residents.DesignAn outbreak investigation.Setting4 nursing homes affected by COVID-19 outbreaks in central London.Participants394 residents and 70 staff in nursing homes.InterventionsTwo point-prevalence surveys one week apart where residents underwent SARS-CoV-2 testing and had relevant symptoms documented. Asymptomatic staff from three of the four homes were also offered SARS-CoV-2 testing.Main outcome measuresAll-cause mortality, and mortality attributed to COVID-19 on death certificates. Prevalence of SARS-CoV-2 infection and symptoms in residents and staff.ResultsOverall, 26% (95% confidence interval 22 to 31) of residents died over the two-month period. All-cause mortality increased by 203% (95% CI 70 to 336). Systematic testing identified 40% (95% CI 35 to 46) of residents, of whom 43% (95% CI 34 to 52) were asymptomatic and 18% (95% CI 11 to 24) had atypical symptoms, as well as 4% (95% CI -1 to 9) of asymptomatic staff who tested positive for SARS-CoV-2.ConclusionsThe SARS-CoV-2 outbreak was associated with a very high mortality rate in residents of nursing homes. Systematic testing of all residents and a representative sample of staff identified high rates of SARS-CoV-2 positivity across the four nursing homes, highlighting a potential for regular screening to prevent future outbreaks.
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- 2020
14. Transmissibility of SARS-CoV-2 among fully vaccinated individuals - Authors' reply
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Ajit Lalvani, Seran Hakki, Anika Singanayagam, Jake Dunning, Jack L Barnett, Michael A Crone, Paul S Freemont, and Neil M Ferguson
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Infectious Diseases ,Diagnostic Tests, Routine ,SARS-CoV-2 ,Correspondence ,COVID-19 ,Humans - Published
- 2021
15. A roadmap to better COVID-19 testing from the Coronavirus Standards Working Group
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Patrick S. G. Chain, Deepa Eveleigh, Michael A. Crone, no mistake, Jo Vandesompele, Neil Almond, Mojca Milavec, Martin Kammel, Sebastien Fuchs, John J. Sninsky, Tim R. Mercer, Birgitte Simen, Russell Garlick, Peter M. Vallone, Gary Pestano, Cristina Tato, Heinz Zeichhardt, Mark Page, Lynne Sopchak, Thomas J. White, Po-E Li, Elizabeth Marlowe, Alina Deshpande, Marc L. Salit, Sara Suliman, Paul S. Freemont, Denise M. O'Sullivan, and Jim F. Huggett
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medicine.medical_specialty ,Coronavirus disease 2019 (COVID-19) ,business.industry ,Group (periodic table) ,Family medicine ,Medicine ,business ,medicine.disease_cause ,Coronavirus - Abstract
Testing has been central to our response to the COVID-19 pandemic. However, the accuracy of testing relies on standards, including reference materials, proficiency testing schemes, and information and reporting guidelines. The use of standards is a simple, inexpensive, and effective method to ensure reliable test results that inform clinical and public health decisions. Here we describe the central role of standards during the COVID-19 pandemic, where they have enabled population-scale screening, genomic surveillance and measures of immune protection measures. Given these benefits, the Coronavirus Standards Working Group (CSWG) was formed to coordinate standards in SARS-CoV-2 testing. This network of scientists has developed best-practices, reference materials, and conducted proficiency studies to harmonize laboratory performance. We propose that this coordinated development of standards should be prioritized as a key early step in the public health response to future pandemics that is necessary for reliable, large-scale testing for infectious disease.
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- 2021
16. Multiplexed immunosensors for point-of-care diagnostic applications
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Bruno Gil Rosa, Oluwatomi E. Akingbade, Xiaotong Guo, Laura Gonzalez-Macia, Michael A. Crone, Loren P. Cameron, Paul Freemont, Kwang-Leong Choy, Firat Güder, Eric Yeatman, David J. Sharp, Bing Li, and UK DRI Ltd
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Immunoassay ,1007 Nanotechnology ,Bioinformatics ,Point-of-Care Systems ,Progressive disease ,Biomedical Engineering ,Biophysics ,Point-of-care detection ,Reproducibility of Results ,Multiplexed immunosensors ,General Medicine ,Biosensing Techniques ,Electrochemical Techniques ,0903 Biomedical Engineering ,Point-of-Care Testing ,Protein biomarkers ,Electrochemistry ,0301 Analytical Chemistry ,Biotechnology - Abstract
Accurate, reliable, and cost-effective immunosensors are clinically important for the early diagnosis and monitoring of progressive diseases, and multiplexed sensing is a promising strategy for the next generation of diagnostics. This strategy allows for the simultaneous detection and quantification of multiple biomarkers with significantly enhanced reproducibility and reliability, whilst requiring smaller sample volumes, fewer materials, and shorter average analysis time for individual biomarkers than individual tests. In this opinionated review, we compare different techniques for the development of multiplexed immunosensors. We review the state-of-the-art approaches in the field of multiplexed immunosensors using electrical, electrochemical, and optical methods. The barriers that prevent translating this sensing strategy into clinics are outlined together with the potential solutions. We also share our vision on how multiplexed immunosensors will continue their evolution in the coming years.
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- 2021
17. Rapid design and implementation of an adaptive pooling workflow for SARS-CoV-2 testing in an NHS diagnostic laboratory: a proof-of-concept study
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Zoey Herm, Michael A. Crone, Loren Perelman, Arthi Anand, Paul Randell, Panagiotis Pantelidis, Paul S. Freemont, and Saghar Missaghian-Cully
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Computer science ,SARS-CoV-2 ,Pooling ,Staffing ,Medicine (miscellaneous) ,Articles ,diagnostics, laboratory automation, SARS-CoV-2, RT-qPCR ,General Biochemistry, Genetics and Molecular Biology ,Group testing ,Technical feasibility ,Workflow ,Resource (project management) ,Risk analysis (engineering) ,Proof of concept ,Laboratory automation ,diagnostics ,laboratory automation ,Research Article - Abstract
Background: Diagnostic laboratories are currently required to provide routine testing of asymptomatic staff and patients as a part of their clinical screening for SARS-CoV-2 infection. However, these cohorts display very different disease prevalence from symptomatic individuals and testing capacity for asymptomatic screening is often limited. Group testing is frequently proposed as a possible solution to address this; however, proposals neglect the technical and operational feasibility of implementation in a front-line diagnostic laboratory. Methods: Between October and December 2020, as a seven-week proof of concept, we took into account scientific, technical and operational feasibility to design and implement an adaptive pooling strategy in an NHS diagnostic laboratory in London (UK). We assessed the impact of pooling on analytical sensitivity and modelled the impact of prevalence on pooling strategy. We then considered the operational constraints to model the potential gains in capacity and the requirements for additional staff and infrastructure. Finally, we developed a LIMS-agnostic laboratory automation workflow and software solution and tested the technical feasibility of our adaptive pooling workflow. Results: First, we determined the analytical sensitivity of the implemented SARS-CoV-2 assay to be 250 copies/mL. We then determined that, in a setting with limited analyser capacity, the testing capacity could be increased by two-fold with pooling, however, in a setting with limited reagents, this could rise to a five-fold increase. These capacity increases could be realized with modest additional resource and staffing requirements whilst utilizing up to 76% fewer plastic consumables and 90% fewer reagents. Finally, we successfully implemented a plate-based pooling workflow and tested 920 patient samples using the reagents that would usually be required to process just 222 samples. Conclusions: Adaptive pooled testing is a scientifically, technically and operationally feasible solution to increase testing capacity in frontline NHS diagnostic laboratories.
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- 2021
18. Community transmission and viral load kinetics of the SARS-CoV-2 delta (B.1.617.2) variant in vaccinated and unvaccinated individuals in the UK: a prospective, longitudinal, cohort study
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Jake Dunning, Joanna Ellis, Samuel Evetts, Ajit Lalvani, Michael A. Crone, Timesh D Pillay, Sarah Hammett, Samuel Bremang, Michael G Whitfield, David C. Jackson, Chitra Tejpal, Charlotte Anderson, Anjna Badhan, Wendy S. Barclay, Angie Lackenby, Maria Zambon, Aleksandra Koycheva, Graham P. Taylor, J. S. Narean, Neil M. Ferguson, Nieves Derqui-Fernandez, Anika Singanayagam, Rhia Kundu, Constanta Luca, Joe Fenn, Simon Dustan, Valerie Quinn, Shazaad Ahmad, Jada Samuel, Kieran J Madon, Anjeli V Ketkar, Jessica Cutajar, Paul S. Freemont, Andre Charlett, Seran Hakki, Emily Conibear, Jack L Barnett, Hamish Houston, Eimear McDermott, Robert Varro, John Poh, Shahjahan Miah, National Institute for Health Research (NIHR), Medical Research Council (MRC), and Investigators, ATACCC Study
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Adult ,Male ,medicine.medical_specialty ,Vaccination Coverage ,Microbiology ,1117 Public Health and Health Services ,law.invention ,Cohort Studies ,1108 Medical Microbiology ,law ,Internal medicine ,Epidemiology ,medicine ,Credible interval ,Humans ,Longitudinal Studies ,Prospective Studies ,Transmission risks and rates ,Science & Technology ,SARS-CoV-2 ,Variant type ,business.industry ,Vaccination ,COVID-19 ,1103 Clinical Sciences ,Articles ,Middle Aged ,Viral Load ,United Kingdom ,Kinetics ,Infectious Diseases ,Transmission (mechanics) ,England ,Female ,business ,Life Sciences & Biomedicine ,Viral load ,Cohort study - Abstract
Background The SARS-CoV-2 delta (B.1.617.2) variant is highly transmissible and spreading globally, including in populations with high vaccination rates. We aimed to investigate transmission and viral load kinetics in vaccinated and unvaccinated individuals with mild delta variant infection in the community. Methods Between Sept 13, 2020, and Sept 15, 2021, 602 community contacts (identified via the UK contract-tracing system) of 471 UK COVID-19 index cases were recruited to the Assessment of Transmission and Contagiousness of COVID-19 in Contacts cohort study and contributed 8145 upper respiratory tract samples from daily sampling for up to 20 days. Household and non-household exposed contacts aged 5 years or older were eligible for recruitment if they could provide informed consent and agree to self-swabbing of the upper respiratory tract. We analysed transmission risk by vaccination status for 231 contacts exposed to 162 epidemiologically linked delta variant-infected index cases. We compared viral load trajectories from fully vaccinated individuals with delta infection (n=29) with unvaccinated individuals with delta (n=16), alpha (B.1.1.7; n=39), and pre-alpha (n=49) infections. Primary outcomes for the epidemiological analysis were to assess the secondary attack rate (SAR) in household contacts stratified by contact vaccination status and the index cases’ vaccination status. Primary outcomes for the viral load kinetics analysis were to detect differences in the peak viral load, viral growth rate, and viral decline rate between participants according to SARS-CoV-2 variant and vaccination status. Findings The SAR in household contacts exposed to the delta variant was 25% (95% CI 18–33) for fully vaccinated individuals compared with 38% (24–53) in unvaccinated individuals. The median time between second vaccine dose and study recruitment in fully vaccinated contacts was longer for infected individuals (median 101 days [IQR 74–120]) than for uninfected individuals (64 days [32–97], p=0·001). SAR among household contacts exposed to fully vaccinated index cases was similar to household contacts exposed to unvaccinated index cases (25% [95% CI 15–35] for vaccinated vs 23% [15–31] for unvaccinated). 12 (39%) of 31 infections in fully vaccinated household contacts arose from fully vaccinated epidemiologically linked index cases, further confirmed by genomic and virological analysis in three index case–contact pairs. Although peak viral load did not differ by vaccination status or variant type, it increased modestly with age (difference of 0·39 [95% credible interval –0·03 to 0·79] in peak log10 viral load per mL between those aged 10 years and 50 years). Fully vaccinated individuals with delta variant infection had a faster (posterior probability >0·84) mean rate of viral load decline (0·95 log10 copies per mL per day) than did unvaccinated individuals with pre-alpha (0·69), alpha (0·82), or delta (0·79) variant infections. Within individuals, faster viral load growth was correlated with higher peak viral load (correlation 0·42 [95% credible interval 0·13 to 0·65]) and slower decline (–0·44 [–0·67 to –0·18]). Interpretation Vaccination reduces the risk of delta variant infection and accelerates viral clearance. Nonetheless, fully vaccinated individuals with breakthrough infections have peak viral load similar to unvaccinated cases and can efficiently transmit infection in household settings, including to fully vaccinated contacts. Host–virus interactions early in infection may shape the entire viral trajectory. Funding National Institute for Health Research.
- Published
- 2021
19. Reliability of Spike Gene Target Failure for ascertaining SARS-CoV-2 lineage B.1.1.7 prevalence in a hospital setting
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José Afonso Guerra-Assunção, Michael A. Crone, Judith Breuer, Tabitha Mahungu, Juanita Pang, Paul Randell, Florencia A.T. Boshier, and Paul S. Freemont
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Whole genome sequencing ,Lineage (genetic) ,Hospital setting ,Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) ,Spike Protein ,Lower cost ,Spike (software development) ,Computational biology ,Biology ,Gene - Abstract
The appearance of the SARS-CoV-2 lineage B.1.1.7 in the UK in late 2020, associated with faster transmission, sparked the need to find effective ways to monitor its spread. The set of mutations that characterise this lineage include a deletion in position 69 and 70 of the spike protein, which is known to be associated with Spike Gene Target Failure (SGTF) in a commonly used three gene diagnostic qPCR assay. The lower cost and faster turnaround times compared to whole genome sequencing make the use of qPCR for monitoring of the variant spread an attractive proposition. However, there are several potential issues with this approach. Here we use 826 SARS-CoV-2 samples collected in a hospital setting as part of the Hospital Onset COVID Infection (HOCI) study where qPCR was used for viral detection, followed by whole genome sequencing (WGS), to identify the factors to consider when using SGTF to infer lineage B.1.1.7 prevalence in a hospital setting, with potential implications for locations where this variant has recently been introduced.
- Published
- 2021
20. Optimized protocol for a quantitative SARS-CoV-2 duplex RT-qPCR assay with internal human sample sufficiency control
- Author
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Michael A. Crone, Aileen G. Rowan, Marko Storch, Anjna Badhan, Rebecca Penn, Pinglawathee Madona, Carolina Herrera, Paul Randell, Graham P. Taylor, Myra O. McClure, Patricia Watber, Philippa C. May, Paul S. Freemont, and Jeremy A. Garson
- Subjects
0301 basic medicine ,RNase P ,viruses ,030106 microbiology ,Gene Dosage ,Biology ,SARS-CoV-2, severe acute respiratory syndrome coronavirus 2 ,Gene dosage ,Article ,Ribonuclease P ,Specimen Handling ,03 medical and health sciences ,1108 Medical Microbiology ,Limit of Detection ,Virology ,Humans ,Gene ,Genes, Essential ,SARS-CoV-2 ,RT-qPCR ,RNA ,COVID-19 ,Reference Standards ,Viral Load ,Standard curve ,030104 developmental biology ,Duplex (building) ,COVID-19 Nucleic Acid Testing ,VTM, virus transport medium ,Cq, quantification cycle ,RNA, Viral ,RNA extraction ,Viral burden ,Viral load ,0605 Microbiology - Abstract
There is growing evidence that measurement of SARS-CoV-2 viral copy number can inform clinical and public health management of SARS-CoV-2 carriers and COVID-19 patients. Here we show that quantification of SARS-CoV-2 is feasible in a clinical setting, using a duplex RT-qPCR assay which targets both the E gene (Charite assay) and a human RNA transcript, RNase P (CDC assay) as an internal sample sufficiency control. Samples in which RNase P is not amplified indicate that sample degradation has occurred, PCR inhibitors are present, RNA extraction has failed or swabbing technique was insufficient. This important internal control reveals that 2.4 % of nasopharyngeal swabs (15/618 samples) are inadequate for SARS-CoV-2 testing which, if not identified, could result in false negative results. We show that our assay is linear across at least 7 logs and is highly reproducible, enabling the conversion of Cq values to viral copy numbers using a standard curve. Furthermore, the SARS-CoV-2 copy number was independent of the RNase P copy number indicating that the per-swab viral copy number is not dependent on sampling- further allowing comparisons between samples. The ability to quantify SARS-CoV-2 viral copy number will provide an important opportunity for viral burden-guided public health and clinical decision making.
- Published
- 2021
21. Community Transmission and Viral Load Kinetics of SARS-CoV-2 Delta (B.1.617.2)Variant in Vaccinated and Unvaccinated Individuals
- Author
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Jake Dunning, Samuel Bremang, R. Varro, Vetkar A, Dustan S, Derqui-Fernandez N, Graham P. Taylor, J. Fenn, R. Kundu, Quinn, Hammett S, Ajit Lalvani, Joanna Ellis, J. S. Narean, Koycheva A, David C. Jackson, Timesh D Pillay, Miah S, Anjna Badhan, Emily Conibear, Andre Charlett, Hakki S, Wendy S. Barclay, Madon Kj, Hamish Houston, Samuel J, Anderson C, Paul S. Freemont, C. Tejpal, Angie Lackenby, Maria Zambon, Cutajar J, Jake Barnett, Michael A. Crone, Whitfield Mg, McDermott E, Luca C, Neil M. Ferguson, Shazaad Ahmad, and Aran Singanayagam
- Subjects
Delta ,History ,Polymers and Plastics ,business.industry ,Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) ,Breakthrough infection ,Virology ,Industrial and Manufacturing Engineering ,law.invention ,Vaccination ,Transmission (mechanics) ,law ,Medicine ,Transmission risks and rates ,Business and International Management ,business ,Viral load ,Cohort study - Abstract
Background: The SARS-CoV-2 Delta variant is highly transmissible and spreading globally but a detailed understanding of community transmission risks in highly vaccinated populations is lacking. Methods: Between September 2020 and August 2021, we recruited 510 community contacts of 422 UK COVID-19 cases to a cohort study. A total of 7194 upper respiratory tract (URT) samples were tested from sequential daily sampling of participants for up to 20 days. We analysed transmission risk by vaccination status for 139 contacts exposed to the Delta variant. We compared viral load (VL) trajectories from fully-vaccinated cases of Delta infection (n=19) with unvaccinated Delta (n=10), Alpha (n=39) and pre-Alpha (n=49) infections. Findings: The household secondary attack rate for fully-vaccinated contacts exposed to Delta was 19.7% (95%CI:11.6-31.3%), compared with 35.7% (95%CI:16.4-61.2%) in the unvaccinated. One third of infections in Delta-exposed contacts arose from fully-vaccinated index cases and one half of infected contacts were also fully-vaccinated. Seven transmission events between fully vaccinated index-contact pairs occurred. Genomic analysis confirmed transmission pathways between fully-vaccinated individuals within three households. Peak VL was similar in vaccinated and unvaccinated individuals with Delta variant infection but vaccinated Delta cases saw significantly faster VL decline than unvaccinated Alpha or Delta cases. Within infected individuals, faster VL growth was correlated with higher peak VL and slower decline. Interpretation: Although vaccination reduces the risk of Delta infection and causes some changes to viral kinetics, fully-vaccinated individuals with breakthrough infections have peak URT VL similar to unvaccinated cases and can efficiently transmit infection in household settings, including to fully vaccinated contacts. Funding: National Institute for Health Research (Award:NIHR200927) Declaration of Interest: The authors declare no relevant conflicts. Ethical Approval: The study was approved by the Health Research Authority (Research Ethics Committee reference: 20/NW/0231).
- Published
- 2021
22. Design and Implementation of An Adaptive Pooling Workflow for SARS-CoV-2 Testing in an NHS Diagnostic Laboratory
- Author
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Panagiotis Pantelidis, Paul Randell, Zoey Herm, Paul S. Freemont, Saghar Missaghian-Cully, Michael A. Crone, and Loren Perelman
- Subjects
Technical feasibility ,Resource (project management) ,Workflow ,Computer science ,Proof of concept ,Pooling ,Laboratory automation ,Staffing ,Operations management ,Group testing - Abstract
Background: Diagnostic laboratories are currently required to provide routine testing of asymptomatic staff and patients as a part of their clinical screening for SARS-CoV-2 infection. However, these cohorts display very different disease prevalence from symptomatic individuals and testing capacity for asymptomatic screening is often limited. Group testing is frequently proposed as a possible solution to address this; however, proposals neglect the technical and operational feasibility of implementation in a front-line diagnostic laboratory. Methods: Between October and December 2020, as a 7-week proof of concept, we took into account scientific, technical and operational feasibility to design and implement an adaptive pooling strategy in an NHS diagnostic laboratory in London (UK). We assessed the impact of pooling on analytical sensitivity and modelled the impact of prevalence on pooling strategy. We then considered the operational constraints to model the potential gains in capacity and the requirements for additional staff and infrastructure. Finally, we developed a LIMS-agnostic laboratory automation workflow and software solution and tested the technical feasibility of our adaptive pooling workflow. Findings: First, we determined the analytical sensitivity of the implemented SARS-CoV-2 assay to be 250 copies/mL. We then determined that, in a setting with limited analyser capacity, the testing capacity could be increased by two- fold with pooling, however, in a setting with limited reagents, this could rise to a five-fold increase. These capacity increases could be realized with modest additional resource and staffing requirements whilst utilizing up to 76% fewer plastic consumables and 90% fewer reagents. Finally, we successfully implemented a plate-based pooling workflow and tested 920 patient samples using the reagents that would usually be required to process just 222 samples. Interpretation: Adaptive pooled testing is a scientifically, technically and operationally feasible solution to increase testing capacity in frontline NHS diagnostic laboratories. Funding: NHS England Declaration of Interests: ZH and LAP are employed by Riffyn, Inc. MAC and PSF are consultants for Analytik Jena. All other authors declare no competing interests.
- Published
- 2021
23. Author Correction: A role for Biofoundries in rapid development and validation of automated SARS-CoV-2 clinical diagnostics
- Author
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Kirsten Jensen, Marta Ciechonska, Arthi Anand, Marko Storch, Michael A. Crone, Miles Priestman, David J. Sharp, Paul Randell, and Paul S. Freemont
- Subjects
2019-20 coronavirus outbreak ,Multidisciplinary ,Coronavirus disease 2019 (COVID-19) ,Computer science ,Science ,Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) ,General Physics and Astronomy ,lcsh:Q ,General Chemistry ,lcsh:Science ,Virology ,General Biochemistry, Genetics and Molecular Biology - Abstract
An amendment to this paper has been published and can be accessed via a link at the top of the paper.
- Published
- 2020
24. A new role for Biofoundries in rapid prototyping, development, and validation of automated clinical diagnostic tests for SARS-CoV-2
- Author
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Michael A. Crone, Marko Storch, Miles Priestman, Marta Ciechonska, Paul Randell, Paul S. Freemont, David J. Sharp, and Kirsten Jensen
- Subjects
Rapid prototyping ,0303 health sciences ,030306 microbiology ,business.industry ,Computer science ,Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) ,Diagnostic test ,Tracing ,3. Good health ,03 medical and health sciences ,Workflow ,Peak demand ,Rapid rise ,In patient ,Software engineering ,business ,030304 developmental biology - Abstract
The SARS-CoV-2 pandemic has shown how the rapid rise in demand for patient and community sample testing, required for tracing and containing a highly infectious disease, has quickly overwhelmed testing capability globally. With most diagnostic infrastructure dependent on specialised instruments, their exclusive reagent supplies quickly become bottlenecks in times of peak demand, creating an urgent need for novel approaches to boost testing capacity. We address this challenge by refocusing the full synthetic biology stack available at the London Biofoundry onto the development of alternative patient sample testing pipelines. We present a reagent-agnostic automated SARS-CoV-2 testing platform that can be quickly deployed and scaled, and that accepts a diverse range of reagents. Using an in-house-generated, open-source, MS2-virus-like-particle-SARS-CoV-2 standard, we validate RNA extraction and RT-qPCR workflows as well as two novel detection assays based on CRISPR-Cas and Loop-mediated isothermal Amplification (LAMP) approaches. In collaboration with an NHS diagnostic testing lab, we report the performance of the overall workflow and benchmark SARS-CoV-2 detection in patient samples via RT-qPCR, CRISPR-Cas, and LAMP against clinical test sets. The validated RNA extraction and RT-qPCR platform has been installed in NHS diagnostic labs with a testing capacity of 1000 samples per day and now contributes to increased patient sample processing in the UK while we continue to refine and develop novel high-throughput diagnostic methods. Finally, our workflows and protocols can be quickly implemented and adapted by members of the Global Biofoundry Alliance and the wider scientific and medical diagnostics community.
- Published
- 2020
- Full Text
- View/download PDF
25. A role for Biofoundries in rapid development and validation of automated SARS-CoV-2 clinical diagnostics
- Author
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Paul Randell, Marta Ciechonska, David J. Sharp, Paul S. Freemont, Michael A. Crone, Arthi Anand, Marko Storch, Miles Priestman, Kirsten Jensen, Engineering & Physical Science Research Council (E, Engineering & Physical Science Research Council (EPSRC), Biotechnology and Biological Sciences Research Council (BBSRC), NPL Management Limited, and UK DRI Ltd
- Subjects
0301 basic medicine ,2019-20 coronavirus outbreak ,Coronavirus disease 2019 (COVID-19) ,Computer science ,Science ,viruses ,Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) ,Pneumonia, Viral ,General Physics and Astronomy ,02 engineering and technology ,Real-Time Polymerase Chain Reaction ,Sensitivity and Specificity ,Article ,General Biochemistry, Genetics and Molecular Biology ,03 medical and health sciences ,Betacoronavirus ,COVID-19 Testing ,Humans ,In patient ,lcsh:Science ,Author Correction ,Pandemics ,Synthetic biology ,Multidisciplinary ,business.industry ,Clinical Laboratory Techniques ,SARS-CoV-2 ,Assay systems ,High-throughput screening ,Diagnostic test ,COVID-19 ,General Chemistry ,021001 nanoscience & nanotechnology ,030104 developmental biology ,Workflow ,Molecular Diagnostic Techniques ,Rapid rise ,Embedded system ,RNA, Viral ,Infectious diseases ,lcsh:Q ,Biological Assay ,CRISPR-Cas Systems ,0210 nano-technology ,business ,Coronavirus Infections ,Nucleic Acid Amplification Techniques - Abstract
The SARS-CoV-2 pandemic has shown how a rapid rise in demand for patient and community sample testing can quickly overwhelm testing capability globally. With most diagnostic infrastructure dependent on specialized instruments, their exclusive reagent supplies quickly become bottlenecks, creating an urgent need for approaches to boost testing capacity. We address this challenge by refocusing the London Biofoundry onto the development of alternative testing pipelines. Here, we present a reagent-agnostic automated SARS-CoV-2 testing platform that can be quickly deployed and scaled. Using an in-house-generated, open-source, MS2-virus-like particle (VLP) SARS-CoV-2 standard, we validate RNA extraction and RT-qPCR workflows as well as two detection assays based on CRISPR-Cas13a and RT-loop-mediated isothermal amplification (RT-LAMP). In collaboration with an NHS diagnostic testing lab, we report the performance of the overall workflow and detection of SARS-CoV-2 in patient samples using RT-qPCR, CRISPR-Cas13a, and RT-LAMP. The validated RNA extraction and RT-qPCR platform has been installed in NHS diagnostic labs, increasing testing capacity by 1000 samples per day., The SARS-CoV-2 pandemic has created large demand on global testing capability. Here the authors use the London Biofoundry, an automated synthetic biology platform, and develop an open-source virus-like particle to implement high-throughput diagnostics.
- Published
- 2020
26. Cell-Free Protein Synthesis as a Prototyping Platform for Mammalian Synthetic Biology
- Author
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Caoimhe Canavan, Velia Siciliano, Bruno Goetzmann, David W. McClymont, Michael A. Crone, James M. MacDonald, Paul S. Freemont, M. Kopniczky, Lorna Suckling, and Kirsten Jensen
- Subjects
0106 biological sciences ,Transcription, Genetic ,0601 Biochemistry and Cell Biology ,01 natural sciences ,chemistry.chemical_compound ,Synthetic biology ,Tissue culture ,RNA-POLYMERASE ,DESIGN ,0903 Biomedical Engineering ,RNA polymerase ,CRISPR-Associated Protein 9 ,BINDING ,Protein biosynthesis ,CRISPR ,cell-free ,Gene Regulatory Networks ,Promoter Regions, Genetic ,Cell Engineering ,high-throughput ,0303 health sciences ,medicine.diagnostic_test ,Chemistry ,prototyping ,General Medicine ,Synthetic Biology ,Genetic Engineering ,Life Sciences & Biomedicine ,Plasmids ,Biochemistry & Molecular Biology ,Biomedical Engineering ,Computational biology ,Internal Ribosome Entry Sites ,Biochemistry, Genetics and Molecular Biology (miscellaneous) ,Biochemical Research Methods ,VALIDATION ,Flow cytometry ,03 medical and health sciences ,010608 biotechnology ,medicine ,Escherichia coli ,Humans ,OPTIMIZATION ,PUF ,automation ,030304 developmental biology ,Cell-free protein synthesis ,Science & Technology ,Binding Sites ,0304 Medicinal and Biomolecular Chemistry ,Cell-Free System ,RECOGNITION ,Reproducibility of Results ,Internal ribosome entry site ,Protein Biosynthesis ,CYTOPLASMIC EXPRESSION ,CRISPR-Cas Systems ,HeLa Cells - Abstract
The field of mammalian synthetic biology is expanding quickly, and technologies for engineering large synthetic gene circuits are increasingly accessible. However, for mammalian cell engineering, traditional tissue culture methods are slow and cumbersome, and are not suited for high-throughput characterization measurements. Here we have utilized mammalian cell-free protein synthesis (CFPS) assays using HeLa cell extracts and liquid handling automation as an alternative to tissue culture and flow cytometry-based measurements. Our CFPS assays take a few hours, and we have established optimized protocols for small-volume reactions using automated acoustic liquid handling technology. As a proof-of-concept, we characterized diverse types of genetic regulation in CFPS, including T7 constitutive promoter variants, internal ribosomal entry sites (IRES) constitutive translation-initiation sequence variants, CRISPR/dCas9-mediated transcription repression, and L7Ae-mediated translation repression. Our data shows simple regulatory elements for use in mammalian cells can be quickly prototyped in a CFPS model system.
- Published
- 2020
27. Strategic models for the development of obligation based inter‐firm relationships
- Author
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Michael J. Crone and Paul D. Cousins
- Subjects
business.industry ,Strategy and Management ,Corporate governance ,media_common.quotation_subject ,Automotive industry ,General Decision Sciences ,Competition (economics) ,Order (exchange) ,Management of Technology and Innovation ,Economics ,Production (economics) ,Quality (business) ,Obligation ,Marketing ,business ,Game theory ,Industrial organization ,media_common - Abstract
This paper seeks to examine the link between the academic debates on obligation contracting and its successful implementation as a mode of governance. The literature reports that firms are increasingly entering into long‐term, high dependency exchanges as a result of: increased demand for quality goods, demand for variability of goods, demand for constant innovation, severe price competition and increasing technology costs. These changes are forcing firms to enter into complex relationships with other firms in order to remain competitive. Examples of such relationships are: relational contracting, network organisations, strategic alliances and horizontal co‐operation. The increase in number and complexity of these exchanges in an environment characterised by uncertainty has led to the increased interest in the use of obligation contracting. Furthermore, this interest has been reinforced by the changing nature of products being exchanged. More knowledge‐based products and information‐based modes of production necessitate the sharing of strategically sensitive data. Hence the rise of importance of obligation contracting is not only due to the increased number of complex exchanges in uncertain environments, but also the very nature of the goods being exchanged.
- Published
- 2003
28. COMPARISON OF SILDENAFIL CITRATE (VIAGRA [TM]) VERSUS TRIMIX INTRACAVERNOSAL INJECTION (ICI) AS TREATMENT FOR ERECTILE DYSFUNCTION (ED)
- Author
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Edward C. Schatte, Rafael Marin, Edward D. Kim, Michael R. Crone, Robert E. Brannigan, Larry I. Lipshultz, Francisco J. Orejuela, and Aaron Spitz
- Subjects
medicine.medical_specialty ,chemistry.chemical_compound ,Erectile dysfunction ,chemistry ,business.industry ,Sildenafil ,Urology ,Medicine ,business ,medicine.disease ,Trimix - Published
- 1999
29. INTRON 8 SPLICE SITE VARIANTS DO NOT AFFECT SEMEN ANALYSIS PARAMETERS NOR SPERM FUNCTION DURING IVF-ICSI FOR MEN WITH BILATERAL CONGENITAL ABSENCE OF THE VAS DEFERENS
- Author
-
Francisco J. Orejuela, Michael R. Crone, Aaron Spitz, Dolores J. Lamb, Edward D. Kim, Larry I. Lipshultz, Kelly S. Mallon, Mark L. Fallick, Rafael Marin, and Robert E. Brannigan
- Subjects
medicine.diagnostic_test ,business.industry ,Urology ,Intron ,Semen analysis ,Ivf icsi ,Affect (psychology) ,medicine.disease ,Sperm ,Congenital absence of the vas deferens ,Andrology ,RNA splicing ,medicine ,business - Published
- 1999
30. PREDICTORS OF THE PRESENCE OF REACTIVE OXYGEN SPECIES (ROS) IN THE SEMEN
- Author
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Rafael Marin, Francisco J. Orejuela, Michael R. Crone, Edward D. Kim, Dolores J. Lamb, Benjamin H. Lowentritt, Larry I. Lipshultz, Aaron Spitz, and Robert E. Brannigan
- Subjects
chemistry.chemical_classification ,Andrology ,Reactive oxygen species ,chemistry ,business.industry ,Urology ,Medicine ,Semen ,business - Published
- 1999
31. Automatic Feature Extraction System No. 2
- Author
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James L Cambier, Michael A Gennert, Michael S Crone, Robert Fries, and John C Leitz
- Subjects
Engineering drawing ,Photogrammetry ,business.industry ,Computer science ,Computer Applications ,Agency (sociology) ,Pattern recognition (psychology) ,Feature extraction ,Data file ,Image processing ,Computer vision ,Artificial intelligence ,business - Abstract
This report documents the development of the Automatic Feature Extraction System delivered to the Defense Mapping Agency. This effort has provided an advanced development model of a semi-automatic interactive system capable of generating data files to support mapping, charting and geodesy products from digital source inputs and a flexible test bed to permit experimentation for addressing the long range image processing requirements of the Defense Mapping Agency. (Author)
- Published
- 1983
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