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Volume 32, Number 1—January 2026

Research

Enhanced Isolation and Detection of COVID-19 in Hospitalized Patients Undergoing Antiviral Therapy

Ranawaka A.P.M. PereraComments to Author , Andrew Marques, Jevon Graham-Wooten, Li Hui Tan, Noam Cohen, Kyle Rodino, Ronald G. Collman, Frederic D. Bushman, and Susan R. Weiss
Author affiliation: Department of Veterans Affairs, Philadelphia, Pennsylvania, USA (R.A.P.M. Perera); University of Pennsylvania, Philadelphia (R.A.P.M. Perera, A. Marques, J. Graham-Wooten, L.H. Tan, N. Cohen, K. Rodino, R.G. Collman, F.D. Bushman, S.R. Weiss)

Main Article

Figure 1

Comparative analysis of SARS-CoV-2 infectious virus isolation using Vero E6–derived cell lines from study on the enhanced isolation and detection of COVID-19 in hospitalized patients undergoing antiviral therapy. A) Thirty nasal swab specimens confirmed by real time PCR to contain the SARS-CoV-2 BA.5 variant, representing a range of Ct values from 12.1–27.9, were inoculated in triplicate onto Vero E6, Vero E6 T2, and Vero E6 A2T2 cell lines. B) Number of BA.5-positive nasal swab specimens collected in either PBS or VTM and inoculated in triplicate onto the 3 cell lines. C) BA.5-positive nasal swab specimens collected in VTM and stratified by Ct values; samples with values <20 or >20 were inoculated in triplicate into the 3 cell lines, and the number of successful virus isolations was plotted with corresponding means +SD. Error bars indicate SDs. Ct, cycle threshold; PBS, phosphate-buffered saline; Vero E6 T2, Vero E6 cells expressing transmembrane protease serine 2; Vero E6 A2T2, Vero E6 cells expressing both transmembrane protease serine 2 and angiotensin-converting enzyme 2; VTM, viral transport medium.

Figure 1. Comparative analysis of SARS-CoV-2 infectious virus isolation using Vero E6–derived cell lines from study on the enhanced isolation and detection of COVID-19 in hospitalized patients undergoing antiviral therapy. A) Thirty nasal swab specimens confirmed by real time PCR to contain the SARS-CoV-2 BA.5 variant, representing a range of Ct values from 12.1–27.9, were inoculated in triplicate onto Vero E6, Vero E6 T2, and Vero E6 A2T2 cell lines. B) Number of BA.5-positive nasal swab specimens collected in either PBS or VTM and inoculated in triplicate onto the 3 cell lines. C) BA.5-positive nasal swab specimens collected in VTM and stratified by Ct values; samples with values <20 or >20 were inoculated in triplicate into the 3 cell lines, and the number of successful virus isolations was plotted with corresponding means +SD. Error bars indicate SDs. Ct, cycle threshold; PBS, phosphate-buffered saline; Vero E6 T2, Vero E6 cells expressing transmembrane protease serine 2; Vero E6 A2T2, Vero E6 cells expressing both transmembrane protease serine 2 and angiotensin-converting enzyme 2; VTM, viral transport medium.

Main Article

Page created: December 30, 2025
Page updated: January 29, 2026
Page reviewed: January 29, 2026
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