DRAFT protocol for B.1.1.7 screening by PCR. It includes primers/probes for:
- 69/70del
- 144del
- CDC_N1 (+control)

If N1 positive, 69/70del + 144del drop out, likely B.1.1.7

We have not tested this yet, but making it available for others to try.

docs.google.com/document/d/1zo…
Designed by @JosephFauver, @VogelsChantal, and myself in response to some great feedback and DMs from this thread:
Please let us know if you try it, and if you wouldn't mind, share your results. We just ordered the primers and will test next week, but we don't have any B.1.1.7 viruses to test. Will make protocol adjustments as we go, and will post a final version on protocols.io
And we'll share our results as we go on virological.org.
All of this would be a lot easier if @thermofisher just shared their sequences...
*Protocol update*: we included two sets of 69/70del and 144del probes. 1 that detects the variant (deleted) seqs & 1 that detects the non-variant (reference) seqs. We will test both direct detection and drop out approaches to see which is more sensitive.

Use only one set of probes at a time.

For direct detection:
N1 pos, 69/70del pos, 144del pos = probable B.1.1.7

For drop out detection:
N1 pos, 69/70del neg, 144del neg = probable B.1.1.7

docs.google.com/document/d/1zo…
If anyone has B.1.1.7 and/or B.1.346 RNA to send us for validation - that would be greatly appreciated! Please DM or email me.

• • •

Missing some Tweet in this thread? You can try to force a refresh
 

Keep Current with Nathan Grubaugh

Nathan Grubaugh Profile picture

Stay in touch and get notified when new unrolls are available from this author!

Read all threads

This Thread may be Removed Anytime!

PDF

Twitter may remove this content at anytime! Save it as PDF for later use!

Try unrolling a thread yourself!

how to unroll video
  1. Follow @ThreadReaderApp to mention us!

  2. From a Twitter thread mention us with a keyword "unroll"
@threadreaderapp unroll

Practice here first or read more on our help page!

More from @NathanGrubaugh

18 Aug 20
1/n An overdue thread on #SalivaDirect...

No doubt many of you heard of it, either on this platform, or on the news. It generated a lot of buzz in the media, and not all of it is true. Lets walk through these, and how to get it set up in your lab.

covidtrackerct.com/about-salivadi…
2/n We apologize for the delay in getting information out on this. The FDA issued our EUA on a Saturday, and a media onslaught came before we could get ahead of it. This received much more attention than we ever imagined! We are working through our hundreds of emails...
3/n: Our mission is to remove capitalism from surveillance. We want to make available cheaper tests, and we believe that companies shouldn't overly profit from this. That is why we offer our protocol for free, and we are working with labs to implement cost and time saving steps.
Read 20 tweets
14 Jul 20
Now that our SalivaDirect FDA EUA application for #SARS_CoV_2 diagnostics has been submitted, here is a sneak-peak at our validation results. medRxiv pre-print is forthcoming, but twitter is faster 😉

Overview: saliva w/o special tubes > no RNA extraction > dualplex PCR

1/n
2/n
About SalivaDirect ➡️ covidtrackerct.com/about-salivadi…

Papers & Protocols ➡️ covidtrackerct.com/saliva-related…

SalivaDirect Results ➡️ covidtrackerct.com/salivadirect-r…

NBA validation study "Swish" ➡️ covidtrackerct.com/swish/
3/n
We validated SalivaDirect with multiple reagents & platforms to:
-make it available to more labs
-avoid specific supply chain bottlenecks
-keep costs down.

We'll provide specific information on how to conduct bridging studies to validate additional reagents/equipement
Read 10 tweets
24 Jun 20
In collaboration with @jordan_peccia + @DougBrackney, we are posting regular SARS-CoV-2 surveillance updates on our website. We were a little concerned by a spike late last week, but new data show that was an anomaly. 1/n

covidtrackerct.com/wastewater-cur…
2/n As opposed to testing wastewater, @jordan_peccia's team collects sewage sludge, which is concentrated. This allows us to detect SARS-CoV-2 above the PCR detection limits and track daily trends.

For more info 👇
covidtrackerct.com/why-wastewater/
3/n Importantly, we found that surveillance from sewage sludge is an early indicator for SARS-CoV-2 transmission, so we watch these trends closely. This is highlighted in our preprint led by @jordan_peccia + @SaadOmer3

medrxiv.org/content/10.110…
Read 5 tweets
22 Jun 20
Excited to announce our new study to develop and validate an inexpensive and sensitive saliva-based method for #SARS_CoV_2 testing in partnership with the @NBA.

Will be led by @awyllie13, @hmkyale, & myself from the @YaleSPH side.

usatoday.com/story/sports/n…
We'll be using our new #SalivaDirect protocol developed by @VogelsChantal + @DougBrackney. We'll have sensitivity data and a study design overview available on our website soon.

protocols.io/view/salivadir…
Our study has 2 aims:

On the lab side, we are preparing #SalivaDirect for FDA EUA, and are validating with many different vendor reagents to drive down costs and not add supply chain bottlenecks. We are not seeking to commercialize any aspect. Our goal is to get this to $1/test
Read 9 tweets
8 May 20
I was misquoted in the NYT for having said that "infections spreading from New York account for 60 to 65 percent of the cases across the country."

I DID NOT SAY THAT

It's now causing these spinoff stories with this in the headlines.

businessinsider.com/travel-from-ne…
The interview was initially about my teams work finding that our sequenced #SARSCoV2 genomes from Connecticut fit into mostly 2 clades - one related to genomes from WA and one related to NY. To better visualize this data, I took them to Nextstrain.
From there I showed the reporters that most of the sequenced viruses from the US were related to those sequenced from NY, suggesting that a lot of domestic spread has happened from there. Which is true, and probably not surprising given the travel in and out of NY.
Read 8 tweets
7 Mar 20
The #covid19 epidemic is obviously terrible, and I feel for all of the families that are effected. The honest truth is that it could be my family too.

Emergencies also can bring out the best in people, and I want to make sure that they get recognition. A short personal thread.
last weekend, I was informed that our hospital's diagnostic lab could not test patients for the coronavirus because they did not have the proper RNA controls to validate their assay. So we took to the twitters to find RNA.

The heroes turned out to be our friends at the @UTMB_WRCEVA. After a quick emergency use agreement, they sent us RNA to design assay standards and test PCR protocols.

Read 11 tweets

Did Thread Reader help you today?

Support us! We are indie developers!


This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3/month or $30/year) and get exclusive features!

Become Premium

Too expensive? Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal Become our Patreon

Thank you for your support!

Follow Us on Twitter!