Apr 07, 2020

Public workspaceSARS-CoV-2 Enrichment Sequencing by Spiked Primer MSSPE method V.4

  • Jessica E. Manning1,
  • Jennifer Bohl2,
  • Sreyngim Lay1,
  • Sophana Chea1,
  • Vida Ahyong3,
  • Erik Karlsson4
  • 1National Institute for Allergy and Infectious Diseases;
  • 2National Institute of Allergy and Infectious Diseases;
  • 3CZ Biohub;
  • 4Institut Pasteur Cambodge
  • Chan Zuckerberg Biohub
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Protocol CitationJessica E. Manning, Jennifer Bohl, Sreyngim Lay, Sophana Chea, Vida Ahyong, Erik Karlsson 2020. SARS-CoV-2 Enrichment Sequencing by Spiked Primer MSSPE method. protocols.io https://dx.doi.org/10.17504/protocols.io.beshjeb6
License: This is an open access protocol distributed under the terms of the Creative Commons Attribution License,  which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited
Protocol status: Working
We use this protocol and it's working
Created: April 07, 2020
Last Modified: April 07, 2020
Protocol Integer ID: 35369
Abstract
This protocol was used to enrich for SARS-CoV2 sequencing reads from a confirmed COVID-19 swab sample and attain the full genome using an iSeq100. By using a spiked primer approach with 73 primers spanning the entire SARS-CoV2 genome, we were able to get an average of 15x genome coverage on an iSeq100 with 1.8 million paired end-reads. Here we overview all the steps, from sample extraction, library preparation with a spiked primer enrichment step, and sequencing on an iSeq100. The collaborative effort involved the Manning Lab, NIAID in Phnom Penh, Cambodia, Institut Pasteur Cambodge, Cambodia Ministry of Health, the Chan Zuckerberg Biohub, and the Chan Zuckerberg Initiative.

This approach was developed based on the work from Deng et al, Nature Microbiology, January 13, 2020. https://www.nature.com/articles/s41564-019-0637-9
Materials
MATERIALS
ReagentNEBNext Ultra II RNA Library Prep Kit for Illumina - 96 rxnsNew England BiolabsCatalog #E7770L
ReagentNEBNext Adaptor for IlluminaNew England Biolabs
ReagentQubit dsDNA HS Assay kit Thermo Fisher ScientificCatalog #Q32854
ReagentQIAamp Viral RNA Mini KitQiagenCatalog #52904
ReagentNEBNext USER EnzymeNew England BiolabsCatalog #E7458
ReagentCapillary electrophoresis instrument (e.g. Agilent Tapestation 4200)
ReagentHigh Sensitivity D5000 ScreenTapeAgilent TechnologiesCatalog #5067-5592
ReagentQubit RNA HS Assay KitThermo Fisher ScientificCatalog #Q32852
ReagentTruSeq i7/i5 Indexing Primers - Custom (or NEBNext® Multiplex Oligos for Illumina)New England BiolabsCatalog #E7500L
ReagentERCC RNA Spike-In MixThermo FisherCatalog #4456740
ReagentQIAseq FastSelect rRNA Removal KitQiagenCatalog #333180
ReagentDNase I SetZymo ResearchCatalog #E1010
STEP MATERIALS
ReagentQIAamp® Viral RNA Mini QiagenCatalog #52906
ReagentDNase I SetZymo ResearchCatalog #E1010
ReagentQubit RNA HS Assay KitThermo Fisher ScientificCatalog #Q32852
ReagentHigh Sensitivity D5000 ScreenTapeAgilent TechnologiesCatalog #5067-5592
ReagentNEBNext Ultra II RNA Library Prep Kit for Illumina - 96 rxnsNew England BiolabsCatalog #E7770L
ReagentERCC RNA Spike-In MixThermo FisherCatalog #4456740
ReagentQIAseq FastSelect rRNA Removal KitQiagenCatalog #333180
Protocol materials
ReagentNEBNext Adaptor for IlluminaNew England Biolabs
ReagentDNase I SetZymo ResearchCatalog #E1010
ReagentQIAseq FastSelect rRNA Removal KitQiagenCatalog #333180
ReagentDNase I SetZymo ResearchCatalog #E1010
ReagentHigh Sensitivity D5000 ScreenTapeAgilent TechnologiesCatalog #5067-5592
ReagentCapillary electrophoresis instrument (e.g. Agilent Tapestation 4200)
ReagentHigh Sensitivity D5000 ScreenTapeAgilent TechnologiesCatalog #5067-5592
ReagentQubit RNA HS Assay KitThermo Fisher ScientificCatalog #Q32852
ReagentTruSeq i7/i5 Indexing Primers - Custom (or NEBNext® Multiplex Oligos for Illumina)New England BiolabsCatalog #E7500L
ReagentNEBNext Ultra II RNA Library Prep Kit for Illumina - 96 rxnsNew England BiolabsCatalog #E7770L
ReagentQIAamp® Viral RNA Mini QiagenCatalog #52906
ReagentNEBNext Ultra II RNA Library Prep Kit for Illumina - 96 rxnsNew England BiolabsCatalog #E7770L
ReagentERCC RNA Spike-In MixThermo FisherCatalog #4456740
ReagentNEBNext USER EnzymeNew England BiolabsCatalog #E7458
ReagentQIAseq FastSelect rRNA Removal KitQiagenCatalog #333180
ReagentQubit RNA HS Assay KitThermo Fisher ScientificCatalog #Q32852
ReagentQubit dsDNA HS Assay kit Thermo Fisher ScientificCatalog #Q32854
ReagentQIAamp Viral RNA Mini KitQiagenCatalog #52904
ReagentERCC RNA Spike-In MixThermo FisherCatalog #4456740
ReagentQIAamp® Viral RNA Mini QiagenCatalog #52906
ReagentDNase I SetZymo ResearchCatalog #E1010
ReagentQubit RNA HS Assay KitThermo Fisher ScientificCatalog #Q32852
ReagentERCC RNA Spike-In MixThermo FisherCatalog #4456740
ReagentQIAseq FastSelect rRNA Removal KitQiagenCatalog #333180
ReagentNEBNext Ultra II RNA Library Prep Kit for Illumina - 96 rxnsNew England BiolabsCatalog #E7770L
ReagentHigh Sensitivity D5000 ScreenTapeAgilent TechnologiesCatalog #5067-5592
Sample Collection
Sample Collection
Nasopharyngeal and oropharyngeal swabs (combined into one tube) were collected from a symptomatic patient meeting case definition for possible infection with SARS-CoV-2.
RNA extraction
RNA extraction
Extraction of viral nucleic acids from clinical sample was performed with a QIAamp Viral RNA Mini Kit (Qiagen #52906) as described by manufacturer
ReagentQIAamp® Viral RNA Mini QiagenCatalog #52906
Extracted RNA samples were DNAse-treated using the Zymo DNAse I kit.

ReagentDNase I SetZymo ResearchCatalog #E1010



The nucleic acid was tested via real-time polymerase chain reaction for COVID-19 using both the Drosden and HKU protocols published by the World Health Organization and confirmed positive for COVID-19 on January 27th, 2020.


Ct values for PUI = 24.
RNA Quantification
RNA Quantification
RNA was quantified using the Qubit High Sensitivity RNA kit as described by the manufacturer.

ReagentQubit RNA HS Assay KitThermo Fisher ScientificCatalog #Q32852

Qubit input RNA concentration for PUI = 6.9 ng/uL

Library Preparation
Library Preparation
Library Preparation was performed with the NEBNext Ultra II non-directional RNA kit.

ReagentNEBNext Ultra II RNA Library Prep Kit for Illumina - 96 rxnsNew England BiolabsCatalog #E7770L

Fragmentation & SARS-CoV-2 primer spike in

We incorrectly believed the random primers were at a concentration of 10 μM.
According to NEB, random primers in the NEBNext Ultra II non-directional library preparation protocol are at a concentration of 1.9mM. We had a successful enrichment by adding a 1:1 volume of 100 μM SARS-CoV-2 primers, an approximate 20:1 ratio of random primers to CoV primers. We have not yet tried other ratios.

1 reaction
Reagentvol stock (uL)
RNA (sample) (10ng – 100ng total)3.5
25pg ERCC Spike-in (50pg/uL stock) *0.5
(pink) First SS Reaction Buffer 5x4
(pink) Random Primers/Spiked primer mix1
QIAseq FastSelect (1:100) rRNA**1
Total volume10
uL/rxn
* (optional) ERCCs are internal synthetic RNA controls comprised of 92 synthetic RNAs that do not match to any known microbe in the NCBI NR/NT databases.

ReagentERCC RNA Spike-In MixThermo FisherCatalog #4456740


** (optional) FastSelect is designed for removing human rRNA, omit this reagent if not using human derived samples and only incubate at 94°C and then directly to 4°C (omit ramping down steps).

ReagentQIAseq FastSelect rRNA Removal KitQiagenCatalog #333180


Thermocycler (heated lid set to 105°C):

  • 8 min at 94°C (Adjust this fragmentation time depending on the quality of extracted RNA)
  • 2 min 75°C
  • 2 min 70°C
  • 2 min 65°C
  • 2 min 60°C
  • 2 min 55°C
  • 5 min 37°C
  • 5 min 25°C

The 73 primers tile across the entire SARS-CoV2 genome at a spacing of ~400bp.
The PDF below shows the approximate location of the primer binding sites.
Download enrichmentprimers.pdfenrichmentprimers.pdf
NameSequence
Primer_CoV1GTGACTTCCATGCCAATG
Primer_CoV2CTGATTTTGGGGTCCATTATC
Primer_CoV3GAAATGGTGAATTGCCCTC
Primer_CoV4GATAGCAATTCCACCGGTG
Primer_CoV5CAGTATAACCACCAATCTG
Primer_CoV6CATTAATGCCAGAGATGTC
Primer_CoV7GTATTTGTAATGCAGCAC
Primer_CoV8CTTCTGTGCAGTTAACATC
Primer_CoV9GATTCTGTTGGTTGGAC
Primer_CoV10GAATGTAAAACTGAGGATCTG
Primer_CoV11CAGCTGTACCTGGTGCAAC
Primer_CoV12CACTACCTTCTGTAATAAG
Primer_CoV13CATACAAACTGCCACCATC
Primer_CoV14GTCCTTTGTACATAAGTG
Primer_CoV15GAGCTGATTTGTCTTTATGTG
Primer_CoV16CAGCATCACCATAGTCAC
Primer_CoV17CGAACCGTTCAATCATAAG
Primer_CoV18CACCATAGAATTTGCTTGTTC
Primer_CoV19CTAGCTCTCTGAAGTGGTATC
Primer_CoV20GTTTCTTCATGTTGGTAG
Primer_CoV21CTAGCCCATTTCAAATCCTG
Primer_CoV22GTTGTCCAGCATTTCTTCAC
Primer_CoV23GACAAACTAGTATCAACCATATC
Primer_CoV24CTGTCCTGGTTGAATGCGAAC
Primer_CoV25CAGAGTACAGTGAATGAC
Primer_CoV26GTAGATGCTATGTCACGAG
Primer_CoV27GAACCTTTAGTGTTATTAG
Primer_CoV28GTTCAAATAGCCTTCTCTG
Primer_CoV29CTTAAAAGAGGGTGTGTAG
Primer_CoV30CTCACCTACTGTCTTATTAC
Primer_CoV31CATTTAGATCGTTAAGTGTG
Primer_CoV32GTGCGAACAGTATCTACAC
Primer_CoV33CACAACACAGGCGAACTC
Primer_CoV34CACCTTCCTTAAACTTCTC
Primer_CoV35CTTCTGAATTGTGACATGCTG
Primer_CoV36GTCTCACCACTACGACCG
Primer_CoV37GTTCACGGCAGCAGTATACACC
Primer_CoV38TCCACAAAAGCACTTGTGGAAGC
Primer_CoV39TGTGGGAAGTGTTTCTCCCTC
Primer_CoV40GTCTGAACAACTGGTGTAAGTTCC
Primer_CoV41ATTTCAGTAGTGCCACCAGCC
Primer_CoV42CATGTCCACAACTTGCGTGTG
Primer_CoV43AGCACCGTCTATGCAATACAAAG
Primer_CoV44ACAGCAGCTAAACCATGAGTAGC
Primer_CoV45ACAACCGTCTACAACATGCAC
Primer_CoV46GTCACGGGGTGTCATGTTTTC
Primer_CoV47CGTGTGTCAGGGCGTAAACTTTC
Primer_CoV48GAGCCTTTGCGAGATGACAAC
Primer_CoV49AACGGCAATTCCAGTTTGAGC
Primer_CoV50GCGGTTGAGTAAACAAAAGAGGC
Primer_CoV51GGGAACACAACCATCTCTTGC
Primer_CoV52ACGATGCACCACCAAAGGATTC
Primer_CoV53AATACCAGCATTTCGCATGGCA
Primer_CoV54TAGCAGCATTACCATCCTGAGC
Primer_CoV55TGCATTAACATTGGCCGTGAC
Primer_CoV56ACAACCTGGAGCATTGCAAAC
Primer_CoV57TCACATAGTGCATCAACAGCGG
Primer_CoV58TAAAGTTGCCACATTCCTACGTGG
Primer_CoV59TAACAAAGCACTCGTGGACAGC
Primer_CoV60CCTGTTGTCCATCAAAGTGTCCC
Primer_CoV61GATGAACCTGTTTGCGCATCTG
Primer_CoV62CTATTTGTTCGCGTGGTTTGCC
Primer_CoV63ACCCTGTTTTCCTTCAAGGTCC
Primer_CoV64TGCTACCGGCCTGATAGATTTC
Primer_CoV65TGCTGCATTCAGTTGAATCACC
Primer_CoV66CAGAAGCTCTGATTTCTGCAGC
Primer_CoV67TTGCAGTAGCGCGAACAAAATC
Primer_CoV68ACGCACACAATCGAAGCGCAG
Primer_CoV69TGCCAATCCTGTAGCGACTGTATGC
Primer_CoV70AGGACACGGGTCATCAACTAC
Primer_CoV71TGCCAGCCATTCTAGCAGGAG
Primer_CoV72TGTGGTGGCTCTTTCAAGTCC
Primer_CoV73TTTTGTCATTCTCCTAAGAAGC
Enrichment primer sequences for SARS-CoV-2 genome

Mix
First Strand Synthesis
Mix the following by pipetting up and down.

1 rxn
Reagentvol stock (uL)
Fragmented & primed RNA10
Nuclease-free water8
(pink) NEBNext First Strand Synthesis Enzyme Mix2
Total volume20 uL/rxn

Thermocycler (heated lid set to 105°C):
  • 10 mins at 25°C
  • 15 mins at 42°C
  • 15 mins at 70°C
  • Hold at 4°C


Second Strand Synthesis

1 rxn
Reagentvol stock (uL)
First strand synthesized DNA20
(orange) 2nd SS Reaction buffer (10X)8
(orange) 2nd SS enzyme mix4
Nuclease-free water48
Total volume80 uL/rxn

Thermocycler (heated lid off):
  • 1 hour at 16°C
  • Hold at 4°C

SPRI cleanup
*allow beads to sit in RT for 30 mins prior
  • Use SPRI Beads1.8x ratio of beads-to-total volume of sample. Prep 80% EtOH.
  • Add 144uL of room temperature beads to 2nd Strand Synthesis Rxn. Mix well by pipetting gently.
  • Pulse spin the tubes, but be sure not to spin down beads. Incubate for 5 mins at room temperature.
  • Place samples on magnetic rack, and incubate for 5 mins on the rack.
  • Remove supernatant.
  • Add 200uL of 80% EtOH to samples while on the magnetic rack. Incubate at room temperature for 30s then remove the supernatant.
  • Repeat EtOH wash step for a total of 2 timess
  • Air dry the beads for 5 mins while on the magnetic rack.
  • Remove tube from magnetic rack. Elute DNA from beads into 53uL of 0.1x TE Buffer, 10mM Tris-HCl, or Nuclease free water.
  • Vortex to mix. Spin tubes and incubate for 2 mins at room temperature off the magnetic rack.
  • Place on magnetic rack until solution is clear ~ 5 mins.
  • Remove 50uL of the supernatant and transfer to a clean nuclease free PCR tube.
**Checkpoint: Samples can be stored frozen at -20 °C and library prep resumed the next day.

End Repair
Mix all the following by pipetting up and down


1 rxn
Reagentvol stock (uL)
Purified ds-cDNA50
(green) Ultra II End Prep reaction buffer (8.6x)7
(green) Ultra II End Prep enzyme mix3
Total volume60 uL/rxn

Thermocycler (heated lid set to 105°C):
  • 30 mins at 20°C
  • 30 mins at 65°C
  • Hold at 4°C

Adapter Ligation

  • dilute adaptor to dilution prior to making master mix. Adaptor concentration depends on the amount of input; 1:100 dilution for samples <5ng, 1:25 for input of >5ng
  • Add adaptor separately after ligation master mix and ligation enhancer to avoid adaptor dimers.

1 rxn
Reagentvol stock (uL)
End Prep reaction mixture60
(red) NEBNext Ultra II ligation master mix30
(red) NEBNext ligation enhancer1
1:100 Adaptor (Cat No. E7337AA)2.5
Total volume93.5 uL/rxn

Thermocycler (heated lid off):
  • 15 mins at 20°C with heated lid off
  • Proceed immediately to Bead Purification.

SPRI Cleanup

*allow beads to sit in RT for 30 mins prior
  • Use SPRI bead 0.9x ratio of beads-to-total volume of sample. Prep 80% EtOH.
  • Add 87uL of room temperature beads (0.9x) to Adaptor Ligation reaction. Mix well.
  • Pulse spin the tubes, but be sure not to spin down beads. Incubate for 5 mins at room temperature.
  • Place samples on magnetic rack, and incubate for 5 mins on the rack.
  • Remove supernatant.
  • Add 200uL of 80% EtOH to samples while on the magnetic rack. Incubate at room temperature for 30s then remove the supernatant.
  • Repeat EtOH wash step for a total of 2 times.
  • Air dry the beads for 5 mins while on the magnetic rack.
  • Remove tube from magnetic rack. Elute DNA from beads into 17uL of 0.1x TE Buffer, 10mM Tris-HCl, or Nuclease free water.
  • Vortex to mix. Spin tubes and incubate for 2 mins at room temperature off the magnetic rack.
  • Place on magnetic rack until solution is clear ~ 5 mins.
  • Remove 15uL of the supernatant and transfer to a clean nuclease free PCR tube.
**Checkpoint: Samples can be stored frozen at -20 °C and library prep resumed the next day.

USER/Q5 Indexing PCR

Mix the following components by pipetting up and down.
*Technical Note from NEB: The TruSeq adaptor and primer strategy from Illumina uses a barcoded adaptor and universal primer. If someone used the universal NEBNext adaptor and Illumina TruSeq universal primer, the result would be a lack of amplification. It is of course possible to use non- NEB adaptors and primers. We support it and we do have an FAQ about this: https://www.neb.com/faqs/2019/03/08/can-i-use-this-nebnext-kit-with-adaptors-and-primers-from-other-vendors-than-neb 

** In this new version, we have reduced the purified, adaptor-ligated cDNA to 12uL rather than 15uL to assure that the reaction is not underbuffered. Alternatively, the previous SPRI reaction can concentrate the cDNA further prior to setting up the PCR reaction.
1 rxn
Reagentvol stock (ul)
Purified, adaptor-ligated cDNA12**
(white) USER Enzyme (Cat no. M5505L, 250uL)3
(blue) NEBNext Ultra II Q5 master mix25
5uM i7 barcoded primer (NEB index primer/TruSeq/or similar)*5uL
5uM i5 barcoded primer (NEB Universal primer/TruSeq/or similar)*5uL
Total volume50uL
Cycling conditions:
Thermocycler (heated lid at 105°C):Cycles
37 °C for 15 mins1
98 °C for 30s1
98 °C for 10s6-15**
65 °C for 75s
65 °C for 5 mins1
Hold at 4 °C

** PCR cycles are dependent on the input RNA. For libraries with <5ng input, perform 15-19 cycles of PCR. For 5-20ng input, perform 10-14 cycles of PCR. For >20ng input, perform 6-8 cycles of PCR.

SPRI Cleanup

*allow beads to sit in RT for 30 mins prior
  • Use SPRI Beads at 0.8x ratio of beads-to-total volume of sample. Prep 80% EtOH.
  • Add 43uL of room temperature Ampure Beads (0.8x) to barcoded DNA. Mix well.
  • Pulse spin the tubes, but be sure not to spin down beads. Incubate for 5 mins at room temperature.
  • Place samples on magnetic rack, and incubate for 5 mins on the rack.
  • Remove supernatant.
  • Add 200uL of 80% EtOH to samples while on the magnetic rack. Incubate at room temperature for 30s then remove the supernatant.
  • Repeat EtOH wash step for a total of 2 times.
  • Air dry the beads for 5 mins while on the magnetic rack.
  • Remove tube from magnetic rack. Elute DNA from beads into 23uLof 0.1x TE Buffer, 10mMTris-HCL, or Nuclease free water.
  • Vortex to mix. Spin tubes and incubate for 2 mins at room temperature off the magnetic rack.
  • Place on magnetic rack until solution is clear ~ 5 mins.
  • Remove 20uL of the supernatant and transfer to a clean nuclease free PCR tube.
** Checkpoint: Libraries are complete, samples can be stored frozen at -20 °C until ready for quantification and pooling.

Library Quality Control
Library Quality Control
Libraries were quantified by the Qubit High Sensitivity DNA kit and the Agilent High Sensitivity D500 DNA Tapestation assay. If adapter dimers are found, library should be size selected using a SPRI ratio of 0.8x.
ReagentHigh Sensitivity D5000 ScreenTapeAgilent TechnologiesCatalog #5067-5592

Expected result
Tapestation HS D5000 assay shows an average size library of 384bp at a concentration of 62.5 nM.




Quantified library is then diluted down to the loading concentration for the iSeq, 100pM. This value will vary depending on the type of sequencer.
iSeq Loading
iSeq Loading
The Illumina iSeq was loaded with 20uL of a 100pM library with a 5% PhiX spike in.

Analyses
Analyses
Metagenomic sequencing results were uploaded onto IDseq.net directly from the Illumina Basespace Sequence Hub. The open-source cloud-based pipeline analyzed 1.8 million reads. The majority of reads mapped to the nasal and oral microbiome. Analyses of the viral components resulted in 3,077 single end reads aligning to the SARS-CoV2 taxon.
Expected result



Resulting reads from the Betacoronovirus genus were downloaded from IDseq and mapped to the NCBI genome accession number: MN908947.1. The geneious alignment displayed even coverage across the genome with an average coverage of 14.9x. One SNP was noted at position 25,654 in ORF3a resulting in a valine to leucine substitution when compared to NCBI accession MN908947.1.

Expected result