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1.
Nanomaterials (Basel) ; 14(9)2024 May 03.
Article En | MEDLINE | ID: mdl-38727388

The reversibility of the covalent interaction between boronic acids and 1,2- or 1,3-diols has put the spotlight on this reaction for its potential in the development of sensors and for the fishing of bioactive glycoconjugates. In this work, we describe the investigation of this reaction for the reversible functionalization of the surface of CdSe/ZnS Quantum Rods (QRs). With this in mind, we have designed a turn-off Förster resonance energy transfer (FRET) system that ensures monitoring the extent of the reaction between the phenyl boronic residue at the meso position of a BODIPY probe and the solvent-exposed 1,2-diols on QRs' surface. The reversibility of the corresponding boronate ester under oxidant conditions has also been assessed, thus envisioning the potential sensing ability of this system.

2.
Nanoscale Horiz ; 2024 May 22.
Article En | MEDLINE | ID: mdl-38775782

A hybrid cellulose-based programmable nanoplatform for applications in precision radiation oncology is described. Here, sugar heads work as tumor targeting moieties and steer the precise delivery of radiosensitizers, i.e. gold nanoparticles (AuNPs) into triple negative breast cancer (TNBC) cells. This "Trojan horse" approach promotes a specific and massive accumulation of radiosensitizers in TNBC cells, thus avoiding the fast turnover of small-sized AuNPs and the need for high doses of AuNPs for treatment. Application of X-rays resulted in a significant increase of the therapeutic effect while delivering the same dose, showing the possibility to use roughly half dose of X-rays to obtain the same radiotoxicity effect. These data suggest that this hybrid nanoplatform acts as a promising tool for applications in enhancing cancer radiotherapy effects with lower doses of X-rays.

3.
Nanoscale Adv ; 5(24): 6870-6879, 2023 Dec 05.
Article En | MEDLINE | ID: mdl-38059037

Hydrogels are 3D cross-linked networks of polymeric chains designed to be used in the human body. Nowadays they find widespread applications in the biomedical field and are particularly attractive as drug delivery vectors. However, despite many good results, their release performance is sometimes very quick and uncontrolled, being forced by the high in vivo clearance of body fluids. In this direction, the development of novel responsive nanomaterials promises to overcome the drawbacks of common hydrogels, inducing responsive properties in three-dimensional polymeric devices. In this study, we synthesized and then loaded gold nanorods (Au NRs) within an agarose-carbomer (AC)-based hydrogel obtained from a microwave-assisted polycondensation reaction between carbomer 974P and agarose. The photothermal effect of the composite device was quantified in terms of maximum temperature and spatial-temporal temperature distribution, also during consecutive laser irradiations. This work shows that composite Au NRs loaded within AC hydrogels can serve as a stable photothermal treatment agent with enhanced photothermal efficiency and good thermal stability after consecutive laser irradiations. These results confirm that the composite system produced can exhibit an enhanced thermal effect under NIR laser irradiation, which is expected to lead to great therapeutic advantages for the localized treatment of different diseases.

4.
Sci Rep ; 13(1): 18913, 2023 Nov 02.
Article En | MEDLINE | ID: mdl-37919363

Our group recently proposed an innovative sustainable reductant-adsorbent material, tin(II)-hydroxyapatite (Sn/HAP, ca. 10 wt% Sn) for the interfacial Cr(VI) reductive adsorption process. In this study, Cr(VI) removal capacity was evaluated in multi-component solutions containing representative background ions (i.e., CaCl2, Ca(NO3)2, MgSO4, Na2SO4, Fe(NO3)3, AlCl3, Zn(NO3)2, or Mn(NO3)2). Sn/HAP was able to reduce Cr(VI) with complete Cr3+ adsorption on HAP surface, except in the presence of Fe3+ and Al3+ ions. Some metal ions co-existing in solution, such as Fe3+, Al3+, Zn2+, and Mn2+, were also adsorbed on HAP surface. Reuse experiments of the Sn/HAP sample, up to 7 runs, resulted in a total amount of reduced Cr(VI) of ca. 15-18 mg g-1. Fast kinetics of Cr(VI) reductive adsorption at 25 °C in a multi-metal component solution was observed. The pseudo-second order model was in excellent agreement with the experimental kinetic data, leading to a rate constant (k25°C) value of ca. 30 M-1 s-1. The collection of adsorption isotherms of Cr3+ and Fe3+, together with TEM-EDX analysis permitted the unveiling of competitive adsorption phenomena between metal ions. The obtained results demonstrate that Sn/HAP could be an efficient material for the removal of hexavalent chromium in aqueous solutions containing high concentrations of inorganic impurities.

5.
ACS Med Chem Lett ; 14(10): 1472-1477, 2023 Oct 12.
Article En | MEDLINE | ID: mdl-37849561

The conjugation of tetraphenylethylene (TPE) with podophyllotoxin, N-desacetylthiocolchicine, and cabazitaxel through a sebacic acid linker led to the formation of fluorescent nanoparticles. Dynamic light scattering (DLS) and photoluminescence spectroscopy were used for the identification and characterization of the fluorescent nanoparticles. The biological evaluation was determined in three human ovarian (KURAMOCHI, OVCAR3, OVSAHO) and three human breast (MCF7, SKBR 3, and MDA-MB231) cancer cell lines. In the case of cabazitaxel, the nanoparticles maintained the activity of the parent drug, at the low nanomolar range, while exhibiting high blue fluorescence. The internalization of the fluorescent NPs into cells was detected using immunofluorescence assay.

6.
J Extracell Vesicles ; 12(10): e12349, 2023 10.
Article En | MEDLINE | ID: mdl-37855042

The widely overlapping physicochemical properties of lipoproteins (LPs) and extracellular vesicles (EVs) represents one of the main obstacles for the isolation and characterization of these pervasive biogenic lipid nanoparticles. We herein present the application of an atomic force microscopy (AFM)-based quantitative morphometry assay to the rapid nanomechanical screening of mixed LPs and EVs samples. The method can determine the diameter and the mechanical stiffness of hundreds of individual nanometric objects within few hours. The obtained diameters are in quantitative accord with those measured via cryo-electron microscopy (cryo-EM); the assignment of specific nanomechanical readout to each object enables the simultaneous discrimination of co-isolated EVs and LPs even if they have overlapping size distributions. EVs and all classes of LPs are shown to be characterised by specific combinations of diameter and stiffness, thus making it possible to estimate their relative abundance in EV/LP mixed samples in terms of stoichiometric ratio, surface area and volume. As a side finding, we show how the mechanical behaviour of specific LP classes is correlated to distinctive structural features revealed by cryo-EM. The described approach is label-free, single-step and relatively quick to perform. Importantly, it can be used to analyse samples which prove very challenging to assess with several established techniques due to ensemble-averaging, low sensibility to small particles, or both, thus providing a very useful tool for quickly assessing the purity of EV/LP isolates including plasma- and serum-derived preparations.


Extracellular Vesicles , Cryoelectron Microscopy , Extracellular Vesicles/chemistry , Microscopy, Atomic Force/methods , Lipopolysaccharides , Lipoproteins/analysis
7.
J Colloid Interface Sci ; 645: 448-457, 2023 Sep.
Article En | MEDLINE | ID: mdl-37156153

HYPOTHESIS: Modification of polyallylamine hydrochloride (PAH) with heterobifunctional low molecular weight polyethylene glycol (PEG) (600 and 1395 Da), and subsequent attachment of mannose, glucose, or lactose sugars to PEG, can lead to formation of polyamine phosphate nanoparticles (PANs) with lectin binding affinity and narrow size distribution. EXPERIMENTS: Size, polydispersity, and internal structure of glycosylated PEGylated PANs were characterized by transmission electron microscopy (TEM), dynamic light scattering (DLS) and small angle X-ray scattering (SAXS). Fluorescence correlation spectroscopy (FCS) was used to study the association of labelled glycol-PEGylated PANs. The number of polymer chains forming the nanoparticles was determined from the changes in amplitude of the cross-correlation function of the polymers after formation of the nanoparticles. SAXS and fluorescence cross-correlation spectroscopy were used to investigate the interaction of PANs with lectins: concanavalin A with mannose modified PANs, and jacalin with lactose modified ones. FINDINGS: Glyco-PEGylated PANs are highly monodispersed, with diameters of a few tens of nanometers and low charge, and a structure corresponding to spheres with Gaussian chains. FCS shows that the PANs are single chain nanoparticles or formed by two polymer chains. Concanavalin A and jacalin show specific interactions for the glyco-PEGylated PANs with higher affinity than bovine serum albumin.


Nanoparticles , Phosphates , Concanavalin A , Lactose , Mannose , Scattering, Small Angle , X-Rays , Polyethylene Glycols/chemistry , X-Ray Diffraction , Nanoparticles/chemistry , Polyamines , Lectins/chemistry , Polymers , Spectrum Analysis
8.
Pharmaceuticals (Basel) ; 16(5)2023 May 09.
Article En | MEDLINE | ID: mdl-37242505

A potent nontoxic antitumor drug, 2-hydroxyoleic acid (6, 2OHOA) used for membrane lipid therapy, was selected as a self-assembly inducer due to its ability to form nanoparticles (NPs) in water. For this purpose, it was conjugated with a series of anticancer drugs through a disulfide-containing linker to enhance cell penetration and to secure drug release inside the cell. The antiproliferative evaluation of the synthesized NP formulations against three human tumor cell lines (biphasic mesothelioma MSTO-211H, colorectal adenocarcinoma HT-29, and glioblastoma LN-229) showed that nanoassemblies 16-22a,bNPs exhibit antiproliferative activity at micromolar and submicromolar concentrations. Furthermore, the ability of the disulfide-containing linker to promote cellular effects was confirmed for most nanoformulations. Finally, 17bNP induced intracellular ROS increase in glioblastoma LN-229 cells similarly to free drug 8, and such elevated production was decreased by pretreatment with the antioxidant N-acetylcysteine. Also, nanoformulations 18bNP and 21bNP confirmed the mechanism of action of the free drugs.

9.
Angew Chem Int Ed Engl ; 62(1): e202210140, 2023 01 02.
Article En | MEDLINE | ID: mdl-36321387

Ultra-small gold nanoparticles (UAuNPs) are extremely interesting for applications in nanomedicine thanks to their good stability, biocompatibility, long circulation time and efficient clearance pathways. UAuNPs engineered with glycans (Glyco-UAuNPs) emerged as excellent platforms for many applications since the multiple copies of glycans can mimic the multivalent effect of glycoside clusters. Herein, we unravel a straightforward photo-induced synthesis of Glyco-UAuNPs based on a reliable and robust microfluidic approach. The synthesis occurs at room temperature avoiding the use of any further chemical reductant, templating agents or co-solvents. Exploiting 1 H NMR spectroscopy, we showed that the amount of thiol-ligand exposed on the UAuNPs is linearly correlated to the ligand concentration in the initial mixture. The results pave the way towards the development of a programmable synthetic approach, enabling an accurate design of the engineered UAuNPs or smart hybrid nano-systems.


Metal Nanoparticles , Nanoparticles , Gold/chemistry , Metal Nanoparticles/chemistry , Microfluidics , Ligands , Nanoparticles/chemistry , Polysaccharides/chemistry
10.
J Colloid Interface Sci ; 630(Pt B): 473-486, 2023 Jan 15.
Article En | MEDLINE | ID: mdl-36334484

Evidence collected to date by our group has demonstrated that tin(II)-functionalized hydroxyapatites (Sn/HAP) are a newly discovered class of ecofriendly reductive adsorbents for Cr(VI) removal from wastewaters. In this work an upgraded series of Sn/HAP materials assured a maximum removal capacity of ≈ 20 mgCr/g, doubling the previously reported value for Sn/HAP materials, thanks to higher Sn-dispersion as proved by X-ray photoelectron spectroscopy and electron microscopy. Insights on kinetics and thermodynamics of the reductive adsorption process are provided and the influence of pH, dosage, and nature of Cr(VI) precursors on chromium removal performances have been investigated. Pseudo-second-order kinetics described the interfacial reductive adsorption process on Sn/HAP, characterized by low activation energy (21 kJ mol-1), when measured in the 278-318 K range. Tests performed in the 2-6 pH interval showed similar efficiency in terms of Cr(VI) removal. Conventional procedures of recycling and regeneration resulted ineffective in restoring the pristine performances of the samples due to surface presence of both Sn(IV) and Cr(III). To overcome these weaknesses, the used samples (Sn + Cr/HAP) were upcycled into catalysts in a circular economy perspective. Used samples were tested as catalysts in gas-phase catalytic processes for air pollution remediation: selective catalytic reduction of NOx (NH3-SCR), NH3 selective catalytic Oxidation (NH3-SCO), and selective catalytic oxidation of methane to CO2. Catalytic tests enlightened the interesting activity of the upcycled Sn + Cr/HAP samples in catalytic oxidation processes, being able to selectively oxidize methane to CO2 at relatively low temperature.


Tin , Water Pollutants, Chemical , Adsorption , Carbon Dioxide , Chromium/chemistry , Durapatite/chemistry , Hydrogen-Ion Concentration , Kinetics , Methane , Water Pollutants, Chemical/chemistry
11.
Pharmaceutics ; 14(4)2022 Apr 14.
Article En | MEDLINE | ID: mdl-35456696

The disaccharide trehalose is a well-established autophagy inducer, but its therapeutic application is severely hampered by its low potency and poor pharmacokinetic profile. Thus, we targeted the rational design and synthesis of trehalose-based small molecules and nano objects to overcome such issues. Among several rationally designed trehalose-centered putative autophagy inducers, we coupled trehalose via suitable spacers with known self-assembly inducer squalene to yield two nanolipid-trehalose conjugates. Squalene is known for its propensity, once linked to a bioactive compound, to assemble in aqueous media in controlled conditions, internalizing its payload and forming nanoassemblies with better pharmacokinetics. We assembled squalene conjugates to produce the corresponding nanoassemblies, characterized by a hydrodynamic diameter of 188 and 184 nm and a high stability in aqueous media as demonstrated by the measured Z-potential. Moreover, the nanoassemblies were characterized for their toxicity and capability to induce autophagy in vitro.

12.
FEBS J ; 289(14): 4251-4303, 2022 07.
Article En | MEDLINE | ID: mdl-33934527

Vaccination is one of the greatest achievements in biomedical research preventing death and morbidity in many infectious diseases through the induction of pathogen-specific humoral and cellular immune responses. Currently, no effective vaccines are available for pathogens with a highly variable antigenic load, such as the human immunodeficiency virus or to induce cellular T-cell immunity in the fight against cancer. The recent SARS-CoV-2 outbreak has reinforced the relevance of designing smart therapeutic vaccine modalities to ensure public health. Indeed, academic and private companies have ongoing joint efforts to develop novel vaccine prototypes for this virus. Many pathogens are covered by a dense glycan-coat, which form an attractive target for vaccine development. Moreover, many tumor types are characterized by altered glycosylation profiles that are known as "tumor-associated carbohydrate antigens". Unfortunately, glycans do not provoke a vigorous immune response and generally serve as T-cell-independent antigens, not eliciting protective immunoglobulin G responses nor inducing immunological memory. A close and continuous crosstalk between glycochemists and glycoimmunologists is essential for the successful development of efficient immune modulators. It is clear that this is a key point for the discovery of novel approaches, which could significantly improve our understanding of the immune system. In this review, we discuss the latest advancements in development of vaccines against glycan epitopes to gain selective immune responses and to provide an overview on the role of different immunogenic constructs in improving glycovaccine efficacy.


COVID-19 , Neoplasms , Vaccines , COVID-19/prevention & control , Glycoconjugates/therapeutic use , Humans , Neoplasms/prevention & control , Polysaccharides/therapeutic use , SARS-CoV-2
13.
Molecules ; 28(1)2022 Dec 23.
Article En | MEDLINE | ID: mdl-36615306

Cannabidiol (CBD) is a biologically active compound present in the plants of the Cannabis family, used as anticonvulsant, anti-inflammatory, anti-anxiety, and more recently, anticancer drug. In this work, its use as a new self-assembly inducer in the formation of nanoparticles is validated. The target conjugates are characterized by the presence of different anticancer drugs (namely N-desacetyl thiocolchicine, podophyllotoxin, and paclitaxel) connected to CBD through a linker able to improve drug release. These nanoparticles are formed via solvent displacement method, resulting in monodisperse and stable structures having hydrodynamic diameters ranging from 160 to 400 nm. Their biological activity is evaluated on three human tumor cell lines (MSTO-211H, HT-29, and HepG2), obtaining GI50 values in the low micromolar range. Further biological assays were carried out on MSTO-211H cells for the most effective NP 8B, confirming the involvement of paclitaxel in cytotoxicity and cell death mechanism.


Antineoplastic Agents , Cannabidiol , Nanoparticles , Humans , Cannabidiol/pharmacology , Antineoplastic Agents/pharmacology , Paclitaxel/pharmacology , Paclitaxel/chemistry , Cell Line, Tumor
14.
PLoS One ; 16(11): e0258738, 2021.
Article En | MEDLINE | ID: mdl-34735480

BACKGROUND: Epidemics of COVID-19 in student populations at universities were a key concern for the 2020-2021 school year. The University of California (UC) System developed a set of recommendations to reduce campus infection rates. SARS-CoV-2 test results are summarized for the ten UC campuses during the Fall 2020 term. METHODS: UC mitigation efforts included protocols for the arrival of students living on-campus students, non-pharmaceutical interventions, daily symptom monitoring, symptomatic testing, asymptomatic surveillance testing, isolation and quarantine protocols, student ambassador programs for health education, campus health and safety pledges, and lowered density of on-campus student housing. We used data from UC campuses, the UC Health-California Department of Public Health Data Modeling Consortium, and the U.S. Census to estimate the proportion of each campus' student populations that tested positive for SARS-CoV-2 and compared it to the fraction individuals aged 20-29 years who tested positive in their respective counties. RESULTS: SARS-CoV-2 cases in campus populations were generally low in September and October 2020, but increased in November and especially December, and were highest in early to mid-January 2021, mirroring case trajectories in their respective counties. Many students were infected during the Thanksgiving and winter holiday recesses and were detected as cases upon returning to campus. The proportion of students who tested positive for SARS-CoV-2 during Fall 2020 ranged from 1.2% to 5.2% for students living on campus and was similar to students living off campus. For most UC campuses the proportion of students testing positive was lower than that for the 20-29-year-old population in which campuses were located. CONCLUSIONS: The layered mitigation approach used on UC campuses, informed by public health science and augmented perhaps by a more compliant population, likely minimized campus transmission and outbreaks and limited transmission to surrounding communities. University policies that include these mitigation efforts in Fall 2020 along with SARS-CoV-2 vaccination, may alleviate some local concerns about college students returning to communities and facilitate resumption of normal campus operations and in-person instruction.


COVID-19/epidemiology , COVID-19/prevention & control , SARS-CoV-2 , Universities , Adult , COVID-19 Testing , COVID-19 Vaccines , California/epidemiology , Communicable Disease Control , Disease Outbreaks , Educational Status , Epidemics , Female , Geography , Humans , Male , Mass Screening , Quarantine , Students , Young Adult
15.
J Hazard Mater ; 420: 126656, 2021 10 15.
Article En | MEDLINE | ID: mdl-34329080

In this paper, we report on the rational design, synthesis, characterization, and application of eco-friendly hydroxyapatite/carbon (HAP/C) composites as effective sorbents for the simultaneous remediation of organic-inorganic pollution in wastewaters. Carbon content in composites ranged from ca. 4 to ca. 20 wt%. Structural and morphological features of the composites were studied by N2 adsorption/desorption analyses, electron microscopy (TEM and HAADF-STEM/EDX) and X-ray powder diffraction (XRPD). These features were correlated with the composition and the exposure of surface functional groups. Surface acid-base groups were assessed by liquid-solid acid/base titrations and results depended on the composition ratio of the two components. Batch adsorption tests, performed with various initial concentrations of pollutant species and dosages, proved that composites merged the sorption properties of the two moieties, being able to simultaneously adsorb organic (methylene blue) and inorganic (Cu(II) and Ni(II)) pollutants. On the optimal carbonaceous scaffold content (ca. 8 wt% carbon), kinetic tests revealed that this composite could almost completely remove high concentrations of co-present pollutants, namely, Cu(II), Ni(II), (300 ppm) and methylene blue (250 ppm) in ca. 1 h, with sorbent dosage of 10 g L-1. In addition, leaching tests proved the permanent retention of the hazardous species on the composites.


Environmental Pollutants , Water Pollutants, Chemical , Adsorption , Carbon , Durapatite , Wastewater
17.
FEBS J ; 288(16): 4746-4772, 2021 08.
Article En | MEDLINE | ID: mdl-33752265

Glycan structures are common posttranslational modifications of proteins, which serve multiple important structural roles (for instance in protein folding), but also are crucial participants in cell-cell communications and in the regulation of immune responses. Through the interaction with glycan-binding receptors, glycans are able to affect the activation status of antigen-presenting cells, leading either to induction of pro-inflammatory responses or to suppression of immunity and instigation of immune tolerance. This unique feature of glycans has attracted the interest and spurred collaborations of glyco-chemists and glyco-immunologists to develop glycan-based tools as potential therapeutic approaches in the fight against diseases such as cancer and autoimmune conditions. In this review, we highlight emerging advances in this field, and in particular, we discuss on how glycan-modified conjugates or glycoengineered cells can be employed as targeting devices to direct tumor antigens to lectin receptors on antigen-presenting cells, like dendritic cells. In addition, we address how glycan-based nanoparticles can act as delivery platforms to enhance immune responses. Finally, we discuss some of the latest developments in glycan-based therapies, including chimeric antigen receptor (CAR)-T cells to achieve targeting of tumor-associated glycan-specific epitopes, as well as the use of glycan moieties to suppress ongoing immune responses, especially in the context of autoimmunity.


Autoimmunity/immunology , Polysaccharides/immunology , Receptors, Chimeric Antigen/immunology , T-Lymphocytes/immunology , Animals , Cell Communication/immunology , Humans , Nanoparticles/chemistry , Polysaccharides/chemistry , Protein Processing, Post-Translational
18.
Bioorg Med Chem Lett ; 40: 127929, 2021 05 15.
Article En | MEDLINE | ID: mdl-33705903

A small set of trehalose-centered putative autophagy inducers was rationally designed and synthesized, with the aim to identify more potent and bioavailable autophagy inducers than free trehalose, and to acquire information about their molecular mechanism of action. Several robust, high yield routes to key trehalose intermediates and small molecule prodrugs (2-5), putative probes (6-10) and inorganic nanovectors (12a - thiol-PEG-triazole-trehalose constructs 11) were successfully executed, and compounds were tested for their autophagy-inducing properties. While small molecules 2-11 showed no pro-autophagic behavior at sub-millimolar concentrations, trehalose-bearing PEG-AuNPs 12a caused measurable autophagy induction at an estimated 40 µM trehalose concentration without any significant toxicity at the same concentration.


Autophagy/drug effects , Neuroprotective Agents/pharmacology , Trehalose/analogs & derivatives , Trehalose/pharmacology , Drug Design , Gold/chemistry , Gold/toxicity , HeLa Cells , Humans , Metal Nanoparticles/chemistry , Metal Nanoparticles/toxicity , Neuroprotective Agents/chemical synthesis , Neuroprotective Agents/toxicity , Polyethylene Glycols/chemistry , Polyethylene Glycols/toxicity , Trehalose/toxicity
19.
Glycoconj J ; 38(4): 475-490, 2021 08.
Article En | MEDLINE | ID: mdl-33728545

The increased phenomenon of antimicrobial resistance and the slow pace of development of new antibiotics are at the base of a global health concern regarding microbial infections. Antibiotic resistance kills an estimated 700,000 people each year worldwide, and this number is expected to increase dramatically if efforts are not made to develop new drugs or alternative containment strategies. Increased vaccination coverage, improved sanitation or sustained implementation of infection control measures are among the possible areas of action. Indeed, vaccination is one of the most effective tools of preventing infections. Starting from 1970s polysaccharide-based vaccines against Meningococcus, Pneumococcus and Haemophilus influenzae type b have been licensed, and provided effective protection for population. However, the development of safe and effective vaccines for infectious diseases with broad coverage remains a major challenge in global public health. In this scenario, nanosystems are receiving attention as alternative delivery systems to improve vaccine efficacy and immunogenicity. In this report, we provide an overview of current applications of glyconanomaterials as alternative platforms in the development of new vaccine candidates. In particular, we will focus on nanoparticle platforms, used to induce the activation of the immune system through the multivalent-displacement of saccharide antigens.


Bacteria/drug effects , Glycoconjugates/chemistry , Glycoconjugates/pharmacology , Nanoparticles/chemistry , Animals , Drug Resistance, Bacterial
20.
JAMA Netw Open ; 4(2): e2037129, 2021 02 01.
Article En | MEDLINE | ID: mdl-33570576

Importance: The reopening of colleges and universities in the US during the coronavirus disease 2019 (COVID-19) pandemic is a significant public health challenge. The development of accessible and practical approaches for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) detection in the college population is paramount for deploying recurrent surveillance testing as an essential strategy for virus detection, containment, and mitigation. Objective: To determine the prevalence of SARS-CoV-2 in asymptomatic participants in a university community by using CREST (Cas13-based, rugged, equitable, scalable testing), a CRISPR-based test developed for accessible and large-scale viral screening. Design, Setting, and Participants: For this cohort study, a total of 1808 asymptomatic participants were screened for SARS-CoV-2 using a CRISPR-based assay and a point-of-reference reverse transcriptase-quantitative polymerase chain reaction (RT-qPCR) test. Viral prevalence in self-collected oropharyngeal swab samples collected from May 28 to June 11, 2020, and from June 23 to July 2, 2020, was evaluated. Exposures: Testing for SARS-CoV-2. Main Outcomes and Measures: SARS-CoV-2 status, viral load, and demographic information of the study participants were collected. Results: Among the 1808 participants (mean [SD] age, 27.3 [11.0] years; 955 [52.8%] female), 732 underwent testing from May to early June (mean [SD] age, 28.4 [11.7] years; 392 [53.6%] female). All test results in this cohort were negative. In contrast, 1076 participants underwent testing from late June to early July (mean [SD] age, 26.6 [10.5] years; 563 [52.3%] female), with 9 positive results by RT-qPCR. Eight of these positive samples were detected by the CRISPR-based assay and confirmed by Clinical Laboratory Improvement Amendments-certified diagnostic testing. The mean (SD) age of the positive cases was 21.7 (3.3) years; all 8 individuals self-identified as students. These metrics showed that a CRISPR-based assay was effective at capturing positive SARS-CoV-2 cases in this student population. Notably, the viral loads detected in these asymptomatic cases resemble those seen in clinical samples, highlighting the potential of covert viral transmission. The shift in viral prevalence coincided with the relaxation of stay-at-home measures. Conclusions and Relevance: These findings reveal a shift in SARS-CoV-2 prevalence in a young and asymptomatic population and uncover the leading edge of a local outbreak that coincided with rising case counts in the surrounding county and the state of California. The concordance between CRISPR-based and RT-qPCR testing suggests that CRISPR-based assays are reliable and offer alternative options for surveillance testing and detection of SARS-CoV-2 outbreaks, as is required to resume operations in higher-education institutions in the US and abroad.


COVID-19/diagnosis , Clinical Laboratory Techniques/methods , Clustered Regularly Interspaced Short Palindromic Repeats , Mass Screening/methods , Reverse Transcriptase Polymerase Chain Reaction , SARS-CoV-2/genetics , Universities , Adolescent , Adult , COVID-19/virology , Cohort Studies , Disease Outbreaks , Female , Humans , Male , Pandemics , RNA-Directed DNA Polymerase , Students , Viral Load , Young Adult
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