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Virus infections have enormous economic and societal impacts around the world, as became increasingly apparent from the recent COVID-19 pandemic. Timely and accurate diagnosis is paramount in treating viral infections while preventing the spread of viruses to healthy people. While many virus detection methods have been developed, such as PCR tests1,2 and inmunoassays3, most of the currently used methods are not capable of determining whether the detected virus is actually infectious or not. This is because the presence of components of the virus alone, such as viral nucleic acid or proteins, does not indicate that the intact, infectious virus is present, and levels of these biomarkers have shown poor correlation with infectivity4,5,6. For example, viral RNA, commonly used for the current PCR-based COVID-19 tests, has very low levels in the early stages of infection when the patient is contagious, while the RNA level is often still very high when patients have recovered from the infection and are no longer contagious7,8. The viral protein or antigen biomarkers follow a similar trend, but typically appear even later than the viral RNA and thus are even less predictive of infectability6,9. To address this limitation, some methods that can inform on the infectivity status of the virus have been developed, but are based on cell culture microbiology techniques that require a long time (days or weeks) to obtain results4,10. Thus, developing new sensors that can inform on the infectability of clinical or environmental samples can avoid delays in treatment and further spread of the virus. However, very few methods can obtain sensing molecules that can recognize an intact infectious virion and differentiate it from the same virus that has been rendered non-infectious.
In this context, aptamers are particularly well-suited as a unique biomolecular tool11,12,13,14. Aptamers are short, single-stranded DNA or RNA molecules with a specific nucleotide sequence that allows them to form a specific 3D conformation to recognize a target with high affinity and selectivity15,16. They are obtained by a combinatorial selection process called systematic evolution of ligands by exponential enrichment (SELEX), also known as in vitro selection, that is carried out in test tubes with a large random DNA sampling library of 1014-1015 sequences17,18,19. In each round of this iterative process, the DNA pool is first subjected to a selection pressure through incubation with the target under the desired conditions. Any sequences that are not bound to the target are then removed, leaving behind only those few sequences that are able to bind under the given conditions. Finally, the sequences that have been selected in the previous step are amplified by PCR, enriching the population of the pool with the desired functional sequences for the next round of selection, and the process is repeated. When the activity of the selection pool reaches a plateau (typically after 8-15 rounds), the library is analyzed by DNA sequencing to identify the winning sequences exhibiting the highest affinity.
SELEX has unique advantages that can be exploited to gain increased selectivity against other similar targets20,21, such as for infectivity status of the virus22. First, a wide variety of different types of targets can be used for the selection, from small molecules and proteins to whole pathogens and cells16. Thus, to obtain an aptamer that binds to an infectious virus, an intact virus can be used as the target, instead of a viral surface protein19. Whole virus SELEX allows for the selection of aptamers that bind specifically to the native state of the virus, without the need for disruption of the virus. Second, SELEX can be tailor-made to remove competing targets21,23, such as other similar viruses or non-infectious inactivated viruses, using counter selection steps in each round of selection22. During the counter selection steps, the DNA pool is exposed to targets for which binding is not desired, and any sequences that bind are discarded.
In this work, we provide a protocol that can be generally applied for selecting aptamers that bind to an infectious virus but not to the same virus that has been rendered non-infectious by a particular disinfection method or to another related viruses. This method allows recognition agents to be obtained based on functional differences of the virus surface, which do not need to be known in advance, and so offers an additional advantage for the detection of newly emerged pathogens or for understudied diseases.