Review Article

Update on the Development of Toehold Switch-Based Approach for Molecular Diagnostic Tests of COVID-19

Table 1

Characteristics of currently developed toehold switch-based diagnostics for COVID-19.

Methods (references)Amplification stepViral RNA sourcesDetection timeObservation resultsLimit of detectionEstimated price per reaction
PHAsed NASBA-translation optical method (PHANTOM) [40]Yes, isothermal NASBA (nucleic acid sequence-based amplification)Nasopharyngeal swab samples60-100 minutesNaked eye, camera, and microplate reader100 copies of viral RNA per sampleN/A
[41]Yes, isothermal NASBA (nucleic acid sequence-based amplification)Nasopharyngeal swab samples60-120 minutesNaked eye, camera, and microplate reader1800 copies of viral RNA per sample<1.00 USD
[42]Yes, reverse transcription loop-mediated amplification (RT-LAMP)Saliva70 minutesNaked eye, camera, and microplate reader120 copies of viral RNA per sampleN/A
[43]NoSalivaUp to 7-12 minutesNaked eye in the darkroom, camera10 nM RNA per sample<0.50 USD