Abstract

With the emergence of global pandemics such as the Black Death (Plague), 1918 influenza, smallpox, tuberculosis, HIV/AIDS, and currently the COVID-19 outbreak caused by the SARS-CoV-2 virus, there is an urgent, pressing medical need to devise methods of rapid testing and diagnostics to screen a large population of the planet. The important considerations for any such diagnostic test include: 1) high sensitivity (to maximize true positive rate of detection); 2) high specificity (to minimize false positives); 3) low cost of testing (to enable widespread adoption, even in resource-constrained settings); 4) rapid turnaround time from sample collection to test result; and 5) test assay without the need for specialized equipment. While existing testing methods for COVID-19 such as RT-PCR (real-time reverse transcriptase polymerase chain reaction) offer high sensitivity and specificity, they are quite expensive – in terms of the reagents and equipment required, the laboratory expertise needed to run and interpret the test data, and the turnaround time. In this review, we summarize the recent advances made using carbon nanotubes for sensors; as a nanotechnology-based approach for diagnostic testing of viral pathogens; to improve the performance of the detection assays with respect to sensitivity, specificity and cost. Carbon nanomaterials are an attractive platform for designing biosensors due to their scalability, tunable functionality, photostability, and unique opto-electronic properties. Two possible approaches for pathogen detection using carbon nanomaterials are discussed here: 1) optical sensing, and 2) electrochemical sensing. We explore the chemical modifications performed to add functionality to the carbon nanotubes, and the physical, optical and/or electronic considerations used for testing devices or sensors fabricated using these carbon nanomaterials. Given this progress, it is reason to be cautiously optimistic that nanosensors based on carbon nanotubes, graphene technology and plasmonic resonance effects can play an important role towards the development of accurate, cost-effective, widespread testing capacity for the world’s population, to help detect, monitor and mitigate the spread of disease outbreaks.

Highlights

  • From its emergence in December 2019, the world has been battling a fierce outbreak of the coronavirus disease 2019 (COVID-19), caused by a viral infection of the human severe acute respiratory syndrome (SARS-CoV-2) virus

  • The logical extension of the use of carbon-based nanomaterials for the purpose of designing rapid, low-cost, point-of-care diagnostic solutions for COVID-19 detection has been explored in the past year, and we review the recent advances in Section 2 and Section 3 below, with a special focus on optical and electrochemical sensors

  • These nanosensors were shown to have impressive binding capability to the SARS-CoV-2 spike protein, with a lower limit of detection of 12.6 nM of spike protein. While this nanosensor is less sensitive than what is required for the detection of realistic viral loads in clinical samples of COVID-19, there are ways in which the performance of the nanosensor could be improved further to reduce the bio-fouling problem which affects the sensor’s fluorescence response. This type of optical diagnostic nanosensor could lead the way for rapid, point-of-care testing for SARS-CoV-2 and other pathogens, which could be helpful in management of pandemics such as COVID-19 and other emerging diseases

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Summary

INTRODUCTION

From its emergence in December 2019, the world has been battling a fierce outbreak of the coronavirus disease 2019 (COVID-19), caused by a viral infection of the human severe acute respiratory syndrome (SARS-CoV-2) virus. Four of the named variants of concern which are especially prevalent in mid 2021, which have emerged over the past year are B.1.1.7 (Alpha variant, first detected in the UK), B.1.351 (Beta variant, first detected in South Africa in Dec. 2020), P.1 (Gamma variant, first identified in travelers from Brazil), and B.1.617.2 (Delta variant, originally identified in India in Dec. 2020) Of these variants, the Alpha and Delta variants have been labeled as “SARS-CoV-2 Variants of Concern” by the U.S Centers for Disease Control and Prevention (CDC) because of the evolved virus’ increased transmission capability, and reduced neutralization by antibodies in the serum post COVID vaccination by currently available vaccines.

Carbon nanotubes Carbon nanotubes
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OUTLOOK AND FUTURE RESEARCH DIRECTIONS
Findings
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