Enhancing diagnostic sensitivity: Investigating molecular mechanisms of Antigen Rapid Diagnostic Test (AgRDTs) variability across SARS-CoV-2 variants

The emergence of COVID-19, caused by SARS-CoV-2, led to the widespread use of antigen rapid diagnostic tests (AgRDTs) due to their speed, affordability and ease of use. However, the diagnostic sensitivity of AgRDTs has been inconsistent across emerging SARS-CoV-2 variants, with some variants exhibit...

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Main Authors: Frank Twum Aboagye, Mawutor Kwame Ahiabu, Maame Ekua Acquah, Queenstar Quarshie, Naa Kumah, Hannah Akahoho, Nfayem Imoro, Abena Enninful, Bill Egyam, Yvonne Ashong
Format: Article
Language:English
Published: Pensoft Publishers 2025-07-01
Series:Research Ideas and Outcomes
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Online Access:https://riojournal.com/article/152094/download/pdf/
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author Frank Twum Aboagye
Mawutor Kwame Ahiabu
Maame Ekua Acquah
Queenstar Quarshie
Naa Kumah
Hannah Akahoho
Nfayem Imoro
Abena Enninful
Bill Egyam
Yvonne Ashong
author_facet Frank Twum Aboagye
Mawutor Kwame Ahiabu
Maame Ekua Acquah
Queenstar Quarshie
Naa Kumah
Hannah Akahoho
Nfayem Imoro
Abena Enninful
Bill Egyam
Yvonne Ashong
author_sort Frank Twum Aboagye
collection DOAJ
description The emergence of COVID-19, caused by SARS-CoV-2, led to the widespread use of antigen rapid diagnostic tests (AgRDTs) due to their speed, affordability and ease of use. However, the diagnostic sensitivity of AgRDTs has been inconsistent across emerging SARS-CoV-2 variants, with some variants exhibiting reduced detection rates. Thus, AgRDTs have been unreliable in detecting the different variants of SARS-CoV-2. This study explores the molecular mechanisms responsible for this variability, focusing on structural changes in the viral spike (S) and nucleocapsid (N) proteins and how these changes affect antigen-antibody interactions. Using structural biology techniques, such as X-ray crystallography and cryo-electron microscopy, molecular virology approaches like whole genome sequencing, immunoassays including ELISA and surface plasmon resonance (SPR) and computational modelling tools for molecular dynamics simulations, this research will uncover specific mutations that impact diagnostic sensitivity. The results of this study will provide information for the development of next-generation AgRDTs with enhanced sensitivity across diverse viral variants, thereby supporting global efforts in pandemic surveillance and control.
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publishDate 2025-07-01
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spelling doaj-art-cb4a0b4e692f4a64b64ce75c0ad6f6d62025-07-18T07:31:47ZengPensoft PublishersResearch Ideas and Outcomes2367-71632025-07-011111810.3897/rio.11.e152094152094Enhancing diagnostic sensitivity: Investigating molecular mechanisms of Antigen Rapid Diagnostic Test (AgRDTs) variability across SARS-CoV-2 variantsFrank Twum Aboagye0Mawutor Kwame Ahiabu1Maame Ekua Acquah2Queenstar Quarshie3Naa Kumah4Hannah Akahoho5Nfayem Imoro6Abena Enninful7Bill Egyam8Yvonne Ashong9Biomedical and Public Health Research Unit, CSIR-Water Research InstituteThe Graduate School, Augusta UniversityWest African Centre for Cell Biology of Infectious Pathogens, College of Basic and Applied Sciences, University of GhanaBiomedical and Public Health Research Unit, CSIR-Water Research InstituteBiomedical and Public Health Research Unit, CSIR-Water Research InstituteDepartment of Genetics and Biochemistry, Clemson UniversityBiomedical and Public Health Research Unit, CSIR-Water Research InstituteBiomedical and Public Health Research Unit, CSIR-Water Research InstituteRoche Product Ghana LimitedDepartment of Parasitology, Noguchi Memorial Institute of Medical ResearchThe emergence of COVID-19, caused by SARS-CoV-2, led to the widespread use of antigen rapid diagnostic tests (AgRDTs) due to their speed, affordability and ease of use. However, the diagnostic sensitivity of AgRDTs has been inconsistent across emerging SARS-CoV-2 variants, with some variants exhibiting reduced detection rates. Thus, AgRDTs have been unreliable in detecting the different variants of SARS-CoV-2. This study explores the molecular mechanisms responsible for this variability, focusing on structural changes in the viral spike (S) and nucleocapsid (N) proteins and how these changes affect antigen-antibody interactions. Using structural biology techniques, such as X-ray crystallography and cryo-electron microscopy, molecular virology approaches like whole genome sequencing, immunoassays including ELISA and surface plasmon resonance (SPR) and computational modelling tools for molecular dynamics simulations, this research will uncover specific mutations that impact diagnostic sensitivity. The results of this study will provide information for the development of next-generation AgRDTs with enhanced sensitivity across diverse viral variants, thereby supporting global efforts in pandemic surveillance and control.https://riojournal.com/article/152094/download/pdf/Antigen Rapid Diagnostic Tests (AgRDTs)SARS-CoV-
spellingShingle Frank Twum Aboagye
Mawutor Kwame Ahiabu
Maame Ekua Acquah
Queenstar Quarshie
Naa Kumah
Hannah Akahoho
Nfayem Imoro
Abena Enninful
Bill Egyam
Yvonne Ashong
Enhancing diagnostic sensitivity: Investigating molecular mechanisms of Antigen Rapid Diagnostic Test (AgRDTs) variability across SARS-CoV-2 variants
Research Ideas and Outcomes
Antigen Rapid Diagnostic Tests (AgRDTs)
SARS-CoV-
title Enhancing diagnostic sensitivity: Investigating molecular mechanisms of Antigen Rapid Diagnostic Test (AgRDTs) variability across SARS-CoV-2 variants
title_full Enhancing diagnostic sensitivity: Investigating molecular mechanisms of Antigen Rapid Diagnostic Test (AgRDTs) variability across SARS-CoV-2 variants
title_fullStr Enhancing diagnostic sensitivity: Investigating molecular mechanisms of Antigen Rapid Diagnostic Test (AgRDTs) variability across SARS-CoV-2 variants
title_full_unstemmed Enhancing diagnostic sensitivity: Investigating molecular mechanisms of Antigen Rapid Diagnostic Test (AgRDTs) variability across SARS-CoV-2 variants
title_short Enhancing diagnostic sensitivity: Investigating molecular mechanisms of Antigen Rapid Diagnostic Test (AgRDTs) variability across SARS-CoV-2 variants
title_sort enhancing diagnostic sensitivity investigating molecular mechanisms of antigen rapid diagnostic test agrdts variability across sars cov 2 variants
topic Antigen Rapid Diagnostic Tests (AgRDTs)
SARS-CoV-
url https://riojournal.com/article/152094/download/pdf/
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