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  • Pikaard oversees IU COVID-19 mitigation testing lab in Myers Hall

Pikaard oversees IU COVID-19 mitigation testing lab in Myers Hall

Tuesday, December 1, 2020

Vials of saliva samples arrive in biohazard bags at the Myers Hall COVID-19 mitigation testing lab.
Vials of saliva samples arrive in biohazard bags at the Myers Hall COVID-19 mitigation testing lab. Photo courtesy of Craig Pikaard

Indiana University’s plan to operate its own COVID-19 mitigation testing labs became a reality on October 21, 2020, when the testing facility in Myers Hall on the Bloomington campus processed its first run of tests.

Distinguished Professor of Biology Craig Pikaard serves as the lab’s scientific director and oversees the testing operations run by a team headed by Laboratory Supervisor Dr. Sumitha Nallu and Laboratory Manager Dr. David Merritt. Professor of Biology Matthew Hahn serves as the overall director of the facility, handling compliance issues as a CLIA-certified clinical laboratory as well as personnel management.

IU operates two other testing labs at the IU School of Medicine on the IUPUI campus. Pikaard lab members, Dr. Akihito Fukudome and Dr. Pascal Martin spearheaded the effort to establish the testing protocols now in use in all three labs, with Pikaard lab member Dr. Ramya Enganti and Innes lab members, Dr. Brian Rutter and Hana Karimi also involved.

Six masked and gloved team members gather around the computer, evaluating the first test results at 8:15 p.m. on the evening of the facility's first day, October 21, 2020.
Team members evaluate the first test results at 8:15 p.m. on the evening of the facility's first day, October 21, 2020. Photo courtesy of Craig Pikaard

IU started COVID-19 mitigation testing (or surveillance testing) on all of its campuses in August—randomly testing students, faculty, and staff. About 15,000 tests per week were sent to Vault, a third-party lab, for analysis and results. With IU’s testing labs up and running, the university’s ultimate goal is to process and track 15,000 tests per day. In addition to cost savings, having its own testing facilities provides IU with quicker result times, typically 24 hours or less.

The director of IU mitigation testing, Dr. Aaron Carroll of the IU School of Medicine, credits the testing as a key piece of keeping COVID-19 cases low in the campus communities. “With these new labs,” said Carroll, “I’m excited to be able to further enhance our mitigation testing with more frequency and including a larger number of people in each week’s sample group.” Performing its own testing allows IU to spot any trends and take appropriate public health actions in a much more timely manner to avoid outbreaks.

Lab assistant D.J. Ottman (dressed in protective clothing, gloves, face mask, and face shield) prepares to process the first set of samples. The vials of saliva that arrive at the lab in clear biohazard bags sit in front of him on a table in the testing facility.
Lab assistant D.J. Ottman prepares to process the first set of samples. The vials of saliva arrive at the lab in biohazard bags. Photo courtesy of Craig Pikaard

In the Myers Hall testing facility, trained technicians process the saliva samples using a series of instruments. The whole process takes about four hours.

When the samples arrive, they are heated for 30 minutes to neutralize any virus that may be in the vials of saliva and partially disrupt the viral particles while inactivating proteins that could degrade the viral RNA.

The sample tubes are then placed in a Hamilton STARlet liquid handling robot, which is on loan to the facility from Eli Lilly until two new STARlet robots being built in Reno, Nevada, arrive—expected in early December.

The Hamilton robot transfers 376 saliva samples into four 96-well plates (8 additional wells of these plates are used for controls, half negative and half positive) and mixes the saliva samples with a solution containing detergent to liberate the RNA from SARS-CoV-2, the coronavirus which causes COVID-19.

The four 96-well plates are then moved to an Agilent Bravo robot, which transfers a tiny amount of liquid (5 microliters) from each well of the four 96-well plates into a single 384-well plate. The Bravo robot also mixes in an equal amount of testing reagents that allow the detection of viral RNA.

Pikaard noted that each 384-well plate, which can fit in the palm of a lab technician’s hand, contains about $3,800 worth of reagents, which breaks down to about $10 per sample. Although this sounds expensive, Vault charged IU $86 for each sample it processed.

The 384-well plate containing the test reagents is then moved to an instrument known as a thermal cycler, which carries out programmed temperature changes to enable several reactions to take place.

Craig Pikaard holds a 384-well plate in his gloved hand—demonstrating the small size of the clear plate with 384 depressions tightly arranged in 16 straight rows and 24 columns.
Pikaard holds a 384-well plate—which contains about $3,800 worth of reagents. Photo courtesy of Craig Pikaard

The first reaction copies any coronavirus RNA into DNA. The DNA corresponding to three different viral genes is then amplified through 40 cycles of DNA replication, doubling the amount of DNA with each cycle. The amplification process results in fluorescent products of different color for each gene target, if present. These fluorescent signals are measured after every cycle and displayed on the screen of the thermal cycler as it runs.

PCR amplification curves on the display screen of a thermal cycler show real-time results for
the 384 samples of a single plate. The yellow signals are for positive controls present in every
sample. Less frequent red, green, and blue amplification curves that rise to levels similar to the
yellow curves represent viral gene signals for COVID-infected individuals.
PCR amplification curves on the display screen of a thermal cycler show real-time results for the 384 samples of a single plate. The yellow signals are for positive controls present in every sample. Less frequent red, green, and blue amplification curves that rise to levels similar to the yellow curves represent viral gene signals for COVID-infected individuals. Photo courtesy of Craig Pikaard

Positive samples display amplification curves that are absent in negative samples and rise well above background signals.

Craig Pikaard.

It’s easy to tell whether a sample is positive or negative most of the time, but there are inconclusive results sometimes.

Craig Pikaard

“It’s easy to tell whether a sample is positive or negative most of the time,” Pikaard said. “But, there are inconclusive results sometimes.” There won’t be as much coronavirus in the system of someone who has either had COVID-19 and is getting over it or someone who has just been infected. Because of possible inconclusive results, the saliva samples are kept until a run is completed so that samples can be run again, if necessary to get a clear result. The samples are then sterilized and safely disposed of afterward.

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