LACK OF N2-GENE AMPLIFICATION ON THE CEPHEID XPERT XPRESS SARS-COV-2 ASSAY AND POTENTIAL NOVEL CAUSATIVE MUTATIONS: A CASE SERIES FROM AUCKLAND, NEW ZEALAND

Lack of N2-gene amplification on the Cepheid Xpert Xpress SARS-CoV-2 assay and potential novel causative mutations: A case series from Auckland, New Zealand

Lack of N2-gene amplification on the Cepheid Xpert Xpress SARS-CoV-2 assay and potential novel causative mutations: A case series from Auckland, New Zealand

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We describe three cases ngetikin with viral strains that demonstrate impaired N2-gene detection on the Cepheid Xpert Xpress SARS-CoV-2 assay, with two previously undescribed single nucleotide polymorphisms (SNPs): C29197T and G29227T.We propose that these SNPs are likely responsible since they are in close proximity to the previously described C29200T/C29200A SNPs, already shown to abolish N2-gene detection by the Xpert assay.Whether these SNPs abolish N2-gene detection by the here Xpert assay individually or only in combination requires more work to elucidate.

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