Here’s another link I found that should make this project feasible:

https://physicsworld.com/a/smartphone-based-device-detects-norovirus/ 
<https://physicsworld.com/a/smartphone-based-device-detects-norovirus/>

Jürgen 

> On Apr 2, 2020, at 3:52 PM, Patrick Shaw Stewart <patr...@douglas.co.uk> 
> wrote:
> 
> Jurgen, that was interesting.  (Strange how your hair came and went during 
> the talk, leaving you bald sometimes - but of course that didn't matter !  ;)
> 
> Did you know that coronavirus was first isolated at 33C and that this 
> temperature may be required for isolation?  
> https://www.bmj.com/content/3/5568/767 
> <https://www.bmj.com/content/3/5568/767>  
> https://www.sciencedirect.com/science/article/pii/S019665531730901X 
> <https://www.sciencedirect.com/science/article/pii/S019665531730901X>
> 
> We don't know why the virus stays in the throat in many people, but at other 
> times it goes to the lungs.  ACE2 is predicted to be highly expressed in the 
> mouth and nose as well as the lungs. 
> https://www.researchsquare.com/article/rs-16992/v1 
> <https://www.researchsquare.com/article/rs-16992/v1>
> 
> A recent Nature paper noted that "sequence-distinct virus populations were 
> consistently detected in throat and lung samples from the same patient, 
> proving independent replication" 
> https://www.nature.com/articles/s41586-020-2196-x 
> <https://www.nature.com/articles/s41586-020-2196-x> 
> 
> It would be very interesting to know whether the lung samples were less 
> temperature-sensitive than the throat ones, and whether this could explain 
> the observed divergent tropism - (which you also noted). 
> https://oldwivesandvirologists.blog/predicting-the-seasonality-of-covid/ 
> <https://oldwivesandvirologists.blog/predicting-the-seasonality-of-covid/>
> 
> Thx and stay warm (see my blog)
> 
> Patrick
> 
> 
> 
> On Thu, Apr 2, 2020 at 4:57 PM Jurgen Bosch <jxb...@case.edu 
> <mailto:jxb...@case.edu>> wrote:
> I’m sharing a laymen’s talk I recently gave on some aspects of Corona. I’m 
> not claiming to be an expert, but there is useful information in the 
> presentation. I skipped the intro and zoomed directly to the start of my 
> presentation.
> 
> https://www.youtube.com/watch?v=B00tJnbktVo&feature=youtu.be&t=204 
> <https://www.youtube.com/watch?v=B00tJnbktVo&feature=youtu.be&t=204>
> 
> I can make the slides available if anybody wants them.
> 
> Jürgen 
> 
>> On Apr 2, 2020, at 11:27 AM, James Holton <jmhol...@lbl.gov 
>> <mailto:jmhol...@lbl.gov>> wrote:
>> 
>> Personally, if I were infected with SARS-CoV-1 instead of SARS-CoV-2 I'd 
>> still like to know that. 
>> 
>> It is most certainly true that the primer design must be done right: 
>> checking for self-annealing, low genomic variability, cross-reactivity to 
>> potential contaminants etc.  Fortunately, we have tools for this that can be 
>> used at home.
>> 
>> I agree the CRISPR-based tests are very exciting, as are many of the other 
>> new tests being rolled out.  Assay times of 15 minutes, 5 minutes, and now 2 
>> minutes have been claimed.  The problem I see is they all rely on 
>> specialized equipment, skilled technicians and expensive reagents.  Ramping 
>> up production to the billion-test scale may not be feasible.  Even if it 
>> were, all the PPE needed to extract those samples safely would be 
>> prohibitive, as would be the sample-tracking logistics.  
>> 
>> For reasons such as this, I am curious to see if an at-home do-it-yourself 
>> test is possible.  It may serve no purpose other than to satisfy indiviual 
>> curiosity, but I think it would go a long way to defusing the fear that 
>> comes from not knowing.  This would not just be for sputum, but possibly 
>> doorknobs, packages, and, yes, mobile phones.
>> 
>> And for those wondering about those nasal swabs:  I've done a little 
>> research on them and I think the reason for going full "Total Recall" and 
>> sticking it way up inside your head is not because the virus is more 
>> concentrated there (we don't even know what the concentration is), but 
>> rather because potential contaminants are minimized.  Think about it: PCR is 
>> a very sensitive technique, and you want to make sure the sample came from 
>> the intended patient, not the other patient who walked through the door just 
>> before you did after sneezing in their hand and touching the doorknob.  If 
>> you touched that same doorknob and then <ahem> "scratched" your nose, then a 
>> swab of your nostrils might pick up a virus or two.  That would be a false 
>> positive.  
>> 
>> I expect there are many aspects of current test that don't have to be the 
>> way they are, but nonetheless are "required" because they were inherited 
>> from previous tests.  I expect we all have learned the hard way that in 
>> biological science when you are handed a protocol you follow that protocol 
>> to the letter.  How many times have you had to teach a student that?  It is 
>> not a bad policy, but eventually there comes a time for "assay development". 
>>  This is when you start asking "why do we do it that way, again?" 
>> 
>>  For example, swabs with calcium alginate are not allowed becuase they can 
>> "kill the virus".  If all we want is genomic RNA, then why do we care?  
>> Possibly because the traditional method of identifying most pathogens is to 
>> culture them.  The CDC protocol also recommends against cotton swabs with 
>> wood handles.  Why?  Perhaps because they contain DNA, and for PCR you 
>> always worry about contamination.  Is there any chance the probes will 
>> anneal to something in the cotton or pine genomes?  I doubt it, but I also 
>> doubt that anyone has checked.
>> 
>> Thank you for the suggestions so far!  Very interesting and helpful!
>> 
>> -James Holton
>> MAD Scientist
>> 
>> 
>> On 3/31/2020 11:46 PM, Sahil Batra wrote:
>>> Dear Prof. Holton,
>>> 
>>> An innovative idea; however all of the 30 kb genome may not be useful for 
>>> specific detection - SARS-CoV1 and SARS-CoV2 share 80% identity.
>>> 
>>> A similar fluorescent detection approach for SARS Cov2 -- using the 
>>> indiscriminate collateral activity of Cas12 nuclease -- has been reported 
>>> here: https://www.biorxiv.org/content/10.1101/2020.02.29.971127v1.full.pdf 
>>> <https://www.biorxiv.org/content/10.1101/2020.02.29.971127v1.full.pdf>
>>> Although not tested on samples from patients.
>>> 
>>> Regards,
>>> Sahil Batra
>>> PhD candidate, IIT Kanpur
>>> 
>>> On Wed, Apr 1, 2020 at 12:07 PM Jurgen Bosch <jxb...@case.edu 
>>> <mailto:jxb...@case.edu>> wrote:
>>> One problem I see is the sputum, there’s a reason why swabs are made to get 
>>> sufficient viral material. 
>>> 
>>> Since stool samples test PCR positive that might be an easier approach to 
>>> get sufficient viral material. As a side note, these are not infectious 
>>> anymore, or at least one has not been able to infect tissue cultures from 
>>> stool samples.
>>> 
>>> It’s worth a thought, I’ll need to read those papers you referenced. 
>>> 
>>> I believe I read a suitable preprint for viral load, will search for it 
>>> tomorrow.
>>> 
>>> Jürgen 
>>> 
>>> 
>>> 
>>> 
>>> __________________________________________
>>> Jürgen Bosch, Ph.D.
>>> Division of Pediatric Pulmonology and Allergy/Immunology
>>> Case Western Reserve University
>>> 2109 Adelbert Rd <>, BRB 835
>>> Cleveland, OH 44106 <>
>>> Phone: 216.368.7565 <tel:216.368.7565>
>>> Fax: 216.368.4223 <tel:216.368.4223>
>>> CEO & Co-Founder at InterRayBio, LLC
>>> 
>>> Johns Hopkins University
>>> Bloomberg School of Public Health
>>> Department of Biochemistry & Molecular Biology
>>> 
>>>> On Apr 1, 2020, at 00:50, James Holton <jmhol...@lbl.gov 
>>>> <mailto:jmhol...@lbl.gov>> wrote:
>>>> 
>>>> In order to do global survelinace of this new virus I figure we're going 
>>>> to need billions of tests.  The biggest barriers I believe are 
>>>> logistical.  Shipping back and forth to a central labs isn't going to 
>>>> cut it, and neither are test kits that cost $800 each.
>>>> 
>>>> I think I may have a plausible way forward to a low-cost and easily 
>>>> mass-produced test for the SARS-CoV-2 virus using mostly items people 
>>>> already have, such as smartphones. The most expensive reagent required 
>>>> will be labeled oligos, but those scale very well.
>>>> 
>>>> The key observation is that smartphones can detect as few as 1e6 
>>>> particles/mL if they do long exposures (180s).  This was using 
>>>> bioluminescence. Reported here:
>>>> https://www.nature.com/articles/srep40203.pdf 
>>>> <https://www.nature.com/articles/srep40203.pdf>
>>>> 
>>>> The other side of that coin is the expected titer of the virus in 
>>>> sputum.  I don't know of any reports for SARS-CoV-2 itself, but for four 
>>>> other respiratory viruses, including one coronavirus, it ranges from 1e6 
>>>> to 1e8 particles/mL :
>>>> https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4187748/ 
>>>> <https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4187748/>
>>>> 
>>>> This is encouraging!  The challenge will be to detect viral genomes in 
>>>> "the field" without sophisticated lab equipment like a PCR machine, 
>>>> lasers, 3D printers, etc.  The concentration will be 1e-15 M, a 
>>>> challenge, but then again we can detect single molecules using 
>>>> fluorescence. The questions are:
>>>> 1) can we get the background low enough so that the dark current of the 
>>>> camera dominates
>>>> 2) can we make the signal high enough to overcome the dark current.
>>>> 
>>>> 1) will depend on the availability of mass-produced filter technology.  
>>>> However, the best filter may simply be time.  Provided the fluorophore 
>>>> lifetime is long enough and the camera synchronization tight enough one 
>>>> could simply measure the "afterglow" after the camera flash has turned 
>>>> off.  An interesting candidate is europium. Most fluorophores decay in 
>>>> nanoseconds, but lanthanides can be microseconds to milliseconds.  In 
>>>> fact, "glow-in-the-dark" toys usually use europium-doped ZnS or SrAl04. 
>>>> Those decay over minutes to hours.  What I'm not sure about is using 
>>>> them for FRET. I would appreciate input on experience with this.
>>>> 
>>>> 2) I believe signal could be enhanced by using very luminous tags (such 
>>>> as quantum dots), and/or by using multiple tags per genome. This virus 
>>>> has the largest RNA genome known to date at 30 kbases. That means there 
>>>> is room for up to 2000 15-mer tags, each with its own label. The set-up 
>>>> cost for doing ~2000 oligo synthesis reactions will be high, but it can 
>>>> be done at scale.  You only need ~2 fmol of each oligo, 10 umol 
>>>> synthesis is about $1k, so I estimate about $1 per test using 1000 
>>>> different oligos. This price point will be important if we want to make 
>>>> billions of tests to be used all over the world.  In some countries $1 
>>>> is a lot.
>>>> 
>>>> The detection strategy I am focusing on is FRET.  That is, oligos would 
>>>> be made in pairs, recognizing abutting sections of the viral genome.  
>>>> Like this:
>>>> 5'  atttcgctgattttggggtc-ATTO465 ATTO550-cattatcagacattttagt  3'
>>>> which would anneal to one of the current CDC test primer sites:
>>>> 3' taaagcgactaaaaccccaggtaatagtctgtaaaatca 5'
>>>> The result in this case would be maximum FRET efficiency only when both 
>>>> oligos are bound.  From what I can tell, the ATTO465 dye is one that is 
>>>> most sensitive to the blue peak in the iPhone "flash" LED spectrum, and 
>>>> ATTO550 should give maximum contrast between the green and red channels 
>>>> of the iPhone camera. That way you would discriminate presence/absence 
>>>> by color.  Red=virus, Green=clear. That is just an example. Other tags 
>>>> might work better.  Maybe quantum dots.
>>>> 
>>>> Additional aparatus would be required, of course, and at least a few 
>>>> reagents to crack open the capsids (DTT and guanidine).  These could be 
>>>> shipped dry in foil packs.  The end user would simply tear it open and 
>>>> spit into it.  If the intersted party is performing the test on 
>>>> themselves, then there is no biohazard.  Heating to 70C (cup of coffee?) 
>>>> should kill the virus, and these reagents will make it even more dead.  
>>>> I'm not sure how much purification would be required.  The assay volume 
>>>> in the Nature paper above was 1 mL.  I expect signal would be improved 
>>>> by concentrating the RNA as close to the camera as possible.  It may 
>>>> even be possible to absorb the nucleic acid directly onto the cover 
>>>> glass of the smartphone camera.  RNA sticks to glass at pH < 7.5, and 
>>>> not much else does.  Quiagen EZ1 nucleic acid purificaiton columns are 
>>>> nothing but silica glass beads after all.
>>>> 
>>>> There are still details to work out, but I am intruiged by the fact that 
>>>> this seems physically possible and the potential of being very cheap, 
>>>> rugged, portable and scaled up rapidly.  It would be nice to be able to 
>>>> leverage a device that is in already in the hand of half the people on 
>>>> the planet.
>>>> 
>>>> Comments? Insights?
>>>> 
>>>> -James Holton
>>>> MAD Scientist
>>>> 
>>>> ########################################################################
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