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Sensitive Detection of Norovirus Using Phage Nanoparticle Reporters in Lateral-Flow Assay
Authors:Anna E. V. Hagstr?m  Gavin Garvey  Andrew S. Paterson  Sagar Dhamane  Meena Adhikari  Mary K. Estes  Ulrich Strych  Katerina Kourentzi  Robert L. Atmar  Richard C. Willson
Abstract:Noroviruses are recognized worldwide as the principal cause of acute, non-bacterial gastroenteritis, resulting in 19-21 million cases of disease every year in the United States. Noroviruses have a very low infectious dose, a short incubation period, high resistance to traditional disinfection techniques and multiple modes of transmission, making early, point-of-care detection essential for controlling the spread of the disease. The traditional diagnostic tools, electron microscopy, RT-PCR and ELISA require sophisticated and expensive instrumentation, and are considered too laborious and slow to be useful during severe outbreaks. In this paper we describe the development of a new, rapid and sensitive lateral-flow assay using labeled phage particles for the detection of the prototypical norovirus GI.1 (Norwalk), with a limit of detection of 107 virus-like particles per mL, one hundred-fold lower than a conventional gold nanoparticle lateral-flow assay using the same antibody pair.
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