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2D Materials As Diagnostic Platform For Detection and Sensing of SARS-CoV-2 Virus A Bird-Eye View
2D Materials As Diagnostic Platform For Detection and Sensing of SARS-CoV-2 Virus A Bird-Eye View
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Materials Chemistry B
Materials for biology and medicine
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21 January 2018
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PAPER
Wei Wei, Guanghui Ma et al.
Macrophage responses to the physical burden of cell-sized
shall the Royal Society of Chemistry be held responsible for any errors
particles
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1Department of Physics, UAE University, Al-Ain, Abu Dhabi 15551, United Arab Emirates
2Department of Materials Science and Engineering, University of Albama at Birmingham, USA
3Department of Physics, Indian Institute of Technology Patna, India
Abstract:
Worldwide infection and fatality by SARS-CoV-19 virus and its variants responsible for COVID 19 have impeded
economic growth of developing nations beyond repair, General public in several nations have lost their livelihood, it
has left severely impacted international relations and most importantly health infrastructures across the world have
been tormented. This pandemic has already left footprints on human psychology, traits, and priorities and is
certainly going to lead towards new world order in time to come. As always, science and technology come to rescue
the human race. The prevention of infection by instant and repeated cleaning of surfaces which are most likely to be
touched in daily life and sanitization drives using medically prescribed sanitizers and UV exposure of textiles are the
first steps to break the chain. However, the real challenge is to develop and uplift medical infrastructure such as
diagnostic tools capable of prompt diagnosis, instant and economic medical treatment available to masses. Two
dimensional (2D) materials such as graphene are atomic sheets which have been in news from quite some time due
to unprecedented electronic mobilities, high thermal conductivity, appreciable thermal stability, excellent anchoring
capabilities, their optical transparency, mechanical flexibility and their unique capability to integrate to arbitrary
surfaces. These attributes of 2D materials make them lucrative for their use as active materials platform for authentic
and prompt (within minutes) disease diagnosis via electrical or optical diagnostic tools or via electrochemical
diagnosis. We present the opportunities provided by 2D materials as materials platform for COVID 19 diagnosis.
*Correspondence Prof. Prashant Kumar, Phone: (+91) 0612 302 8141, Mobile: (+91) 9102830953, E-
mail: prashantkumar@iitp.ac.in, magmemory@gmail.com., Prof. Vinoy Thomas, Ph. (205) 975-4098,
Email: vthomas@uab.edu
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DOI: 10.1039/D1TB00071C
However, little details were known about the virus origination and transmission rate.
Acknowledging the call from CHA, WHO team visited Wuhan and Hubei provinces and
reported an unknown strain of virus (a genetically modified form of Severe Acute
Respiratory Syndrome human coronavirus (SARS-CoV)) on January 7th 2020 and
named it as “2019-nCoV”[1]. Later, on further investigation, it was concluded that
exposure to 2019-nCoV leads to the acute respiratory syndrome. Moreover, the genetic
sequence of the virus matches nearly 70% of the genetic sequence SARS-CoV virus
and, therefore, the virus has been renamed as “SARS-CoV-2 or COVID-19”[2]. All this
investigation process and understanding took nearly a month to realize how deadly this
virus is for humans and within such a small time-span the number of an infected person
raised to millions. The end of January 2020, marks nearly hundred thousand active
cases reports recorded in worldwide, however, this was just the beginning of
widespread of COVID-19, 82 countries reported confirmation cases of COVID-19 strain
and thus WHO declared this outbreak of COVID-19 as a Public Health Emergency of
International Concern (PHEIC) on 30th January 2020 [3-4]. Further, this PHEIC has
been recognized globally as pandemic on 11th March 2020 [3].
COVID-19 was found to be a modified form of Severe Acute Respiratory Syndrome
human coronavirus (SARS-CoV) and thus been marked the entry into the family of
Coronaviridae and other similar Nidovirale viruses [5]. Figure 1 represents the family
and sub-categorized family members of the COVID-19 virus.
the origination of these viruses is from a bat, however, this was just mere a speculation
as only 79% similarity of the genome has matched with the genome of strain collected
from the bat which has SARS-CoV or MERS-CoV virus[7-8]. Moreover, homology
from a bat or some sea-foods. The question and understanding of origination, mutation,
and transmission of COVID-19 virus warrant urgent investigation.
Fatality and transmission rate
In order, to understand the transmission rate of COVID-19 (SARS-CoV- 2), we have
considered some viruses which belong to the Coronaviridae virus family and some
widely known viruses. At the time of writing this article, we found that the COVID-19
virus has a fatality rate of ~3%, while viruses such as Avian H7N9 (2013), Seasonal Flu,
Hantavirus, Spanish Flu (1918), Ebola Virus, H1N1 (1918), HIV, SARS-CoV, Small Pox,
Pertussis/whooping cough, Chicken Pox, Mumps, Measles Virus have a fatality rate of
40 %, 0%, 35%, 2%, 70%, 80%, 10%, 65%, 3%, 4%, 0%, 1% and 0.3% respectively[10-
18]. While it is clear from Fig.2 that COVID-19 has less fatality rate compared to other
widely known viruses from his and another family, it does not mean that it will die out
very soon and is harmless compared to others. Untreated humans can go to a ventilator
in 7 days, as this virus attack severely to lungs and if not went to ventilator can damage
the lungs and lead to death in 10 to 14 days.
Moreover, with a growing population, the density of people living in an area increases,
therefore it will be misleading to compare the transmission rate of other known virus
existing and COVID-19. As a result, the graph (Fig.2) is meant to develop a perception
to the reader, how viruses’ transmitted rate varies depending on the type of virus.
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biospecies/microorganism using very accurate diagnosis for monitoring the health of the
patient. Fluorescence-based polymerase chain reaction (PCR), sequencing and
immuno/affinity reaction biosensing are some of the ways to detect the COVID-19 virus
(see Fig 4.) [19-21].
Covid 19 detection
Nasopharyngeal swabs sample collection is the initial step for the RT-PCR test.
Contrary to the conventional PCR test, which needs an agarose gel and gives result
after a complete scan, RT-PCR test used to detect and quantify nucleic acid presence
during the succession of the reaction [22]. It can also detect the amount of DNA in the
sample. Detection of SARS-CoV-2 involves a) identification of the envelope gene (E
gene), the nucleocapsid protein gene (N gene) and the S gene [22-27]of the nucleic
acid, b) opting any two identified gene and getting their fluorescent. This improves the
sensitivity and specificity of the testing kit as it has been cross-verified two times in a
single run. Chan et al. [28] further analyzed, designed and modified the RT-PCR assay
by targeting the RdRp/Helicase. In comparison to RdRp-P2 assay, RdRp/Helicase
assay does not get reacted with other member or family of coronaviruses. Thus,
increases the sensitivity. Moreover, when the test sample is connected with PCR for the
analysis, the signals for the virus are just being amplified only in the regions containing
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the virus sites [29]. In addition to this, a PCR test can be performed only by a skilled
individual, thus, one can conclude that the use of PCR equipment for detecting COVID-
19 virus makes it a labour-intensive, sophisticated, time consuming and expensive
detection technique which nowadays is very useful for the identification of COVID-19 is
computed tomography imaging (CT-imaging). As COVID-19, attacks the lower
respiratory tract infection such as pneumonia or bronchitis, it is easy to detect its
presence through X-ray or Chest CT imaging.
store test result for the targeted analytes[35]. LF is also been used in clinics, hospitals,
and at home as it offers versatility to the manufacturers to tune its selectivity and
specificity for any situation, which involves rapid detection. It also involves detection of
to be most sensitive and accurate for detection of COVID (discussed in the later section
of the draft).
A brief comparison of different detection technique for COVID has been depicted in Fig.
6. It can be seen that RT-PCR and Immunoassays methods have a sensitivity of 95%,
and 20% to 80% respectively, but a minimum of 2 h for detection time is required in both
the cases. Interestingly, LAMP and Computed Tomography are the only two amongst
various test, which has a sensitivity greater than 97% and 95% respectively. In
comparison to RT-PCR and Immunoassays methods, LAMP and Computed
Tomography requires only 30 min and >1 min respectively for detection of the COVID.
Ahmadivand et al. [36] have proposed and detected (SARS)-CoV-2 virus protein at low
level using femtomolar (fM) by a very effective and efficient mode of detection using
plasmonic meta sensor technology. They fabricated a miniaturized plasmonic
In yet another seminal work reported by Kaushik et al. [37], Mujawar et al. [38] and
Paliwal et al. [39] detection of SARS-CoV-2 virus using biosensing integrated with AI
and IoT supported platform has been discussed to create a database for early-stage
diagnosis, cognizance of the spread and its effect, type of strain and related disease in
a sequential manner to overcome the problems associated with it. Moreover, the role of
AI and IoT supported SARS-CoV-2 detection selectively at the low level desired for
early-stage COVID-19 diagnostics point-of-care (POC) sensing by suitably opting
nanotechnology-based device and its design, packaging, integration and sense has
been discussed. POC was further used to generate crucial information in understanding
the efficacy of therapy, progression of the disease, etc. Furthermore, Mujawar et al.
have described the use of low-level targeted disease biomarker (pM level), detection
which eventually is useful to correlate and study the progression of the disease and its
therapy. Kaushik et al. have [40] reported an effective way to neutralize SARS-CoV-19
virus through manipulative magnetic nanomedicine (MMN) therapy technique which
offers control over drug delivery and option to choose desired therapeutic medicine. In
another seminal work by Vicky et al. [41] the authors have summarized, analyzed more
than one thousand articles related to SARS-CoV-19 and justified why the Alzheimer and
dementia-related illness person are more prone to risk. They reviewed nearly 28
vaccines, their treatment protocol, clinical trials, along with the diagnostic tools and
therapeutics for SARS-CoV-19, for an effective and efficient way of handling the
disease.
Suitability of 2D Materials in COVID 19 sensing
Two-dimensional (2D) materials such as graphene, borophene, transition metals
dichalcogenides (TMDCs), MXenes, Plumbene, Hematene etc. have unprecedented
physical and chemical properties. They have a high surface area, weak inter-layer
bonding and strong covalent in-plane bonding open up a plethora of application in the
sensitive, selective and specific platform which can rapidly detect and paves the path for
early detection of analyte or molecules or microbes at parts per million/billion level [42].
Amongst the family of 2D materials, graphene, borophene and phosphorene have
shown potential to address global societal challenges including healthcare-related
problems. The role of 2D material (owing to their large surface-to-volume ratio,
anchoring capability, thermal stability) is crucial in the detection of the analyte as they
provide aggrandize electrical, optical, mechanical and chemical property for devices
performance. Owing to their excellent optical and electronic properties, they have been
considered as futuristic materials for imaging in photo-acoustic, photo-thermal and X-ray
computed tomography. Moreover, due to their superior optoelectronic properties, they
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Figure 7. (a) Target receptors for biosensing, (b) Schematic display for
biosensors[30]Copyright 2018, Springer Nature.
presence of targets and thus gets recorded in an electrical signal. The FETs are divided
into two based on the detection techniques, i.e n-type (it uses electrons as carrier
charge) and p-type (it uses holes as carrier charge). For a typical, n-type FET, if the
target molecules have a positive charge and get attached to the channel then it leads to
increase in channel conductivity, while if the target molecules have negative charge
then it will lead to decrease in channel
Figure 8.The schematic diagram for the 2D material based channel FET biosensor
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-conductivity and vice-versa for p-type FET[71-72]. It can be inferred that all the
anchoring, detection, and signal transmission part has been controlled by the channel
path.
Materials for channels are, therefore, the most crucial components which need to be
evenly considered and designed. 2D materials, such as graphene, borophene, alpha
lead oxide etc. not only provides high conductivity, mobility and enhanced mechanical
strength but also helps in anchoring with the target molecules due to high surface to
volume ratio and rapid, accurate, and early diagnosis of the molecules. FET based on
2D material platform have outnumbered all the conventional materials (as roughness in
the morphology of the channel is bound to give errors and unrealizable outputs from the
device due to scattering effect) used in FET. The most advantageous role of 2D
materials in FETS are that they provide a rapid, economical, and ease of use because
the real-time analysis is being monitored accompanied by low-cost meters which can
eventually be calibrated or anchored for different end-user applications.
Although FET based biosensors have many advantages over other sensors, charge
screening is the most common problem faced by FET devices for biological media
detection. As charge screening is mainly associated with electrolytes and the Debye
length (λD) and both factors are inversely related, one of the possible solutions is to
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avoid it, can be by diluting the sample into less concentration [87-89]. However, this
may lead to surface functionalization of the targeted molecules or analyte. The next
possible approach is to make targeted analyte within the size of the Debye length, but,
Figure 9.The schematic diagram for the 2D material based SERS platform.
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Graphene was the first amongst all 2D materials family which was used for SERS
stage, SERS signal due to test molecules are very weak. To enhance the signal,
therefore, one needs to enhance the laser intensity of the incident beam and at that
intensity, unfortunately, test molecules get degraded. Interestingly, the high thermal
conductivity of graphene comes to the rescue and helps remove interfacial heat
generated upon laser exposure and thus acts as a laser shield for underlying plasmonic
nanostructures on the one hand and prevents bond breaking and carbonization of test
molecules on the surface on the other hand [99,100]. Atomic-scale integration of
plasmonic nanostructure and graphene has been proposed and implemented earlier for
effortless removal of heat during SERS measurement [101-102]. 2D materials hetero
layers have designer materials behaviour such as mobility enhancement of graphene
when placed on boron nitride (BN). Inter-layer coupling amongst atomic sheets can be
exploited to manipulate out-of-plane tunnelling behaviour [103] in these heterolayer
stacks and thus they can be implemented to attain functional fast biochips. The
inception of 2D materials has completely revolutionized this field of research by
providing a simple, scalable, low-cost platform. The absence of a dangling bond in (out-
of-plane) 2D material makes them the most suitable platform to explore the chemical
enhancement mechanism (see Fig. 9). However, 2D materials are yet to be used for the
detection of viruses or microbes.
Challenges and Alternative Approaches
Control over the transmission of the contagious infection or the pandemic requires in-
depth basic knowledge, skill and anti-viral research to overcome the outbreak. Material
science broadens and opens up a plethora of opportunity to support antiviral research,
treatment and investigation. In the present pandemic, the SARS-CoV-2 virus needs to
be investigated from the structure, size, lifetime, transmission rate and its response to
various antiviral drugs. These challenges need to be properly addressed to avoid any
more upcoming pandemic in the future. The alternating approach to overcome any of
the present pandemics is to use technology such as advance research machine and AI.
To begin, with centrifuge machine powered with batteries would be an ideal solution to
separate viral-strain from saliva or blood. The structure of the virus can be analyzed via
environmental scanning electron microscopy or any confocal microscopy with high
magnification. Time-Resolved Photoluminescence, Ultraviolet, Raman and Fourier
Transform Infrared spectroscopy are few techniques which can be used to study the
binding of the protein/shell of the virus as well the for the interaction between the drugs
and virus. Alternatively, 3D printers can be used to produce a large number of masks,
gloves, personal protective kit etc. without engaging labours. Electro-spinning is yet
another technique which can help design and fabricate nanofibres. Artificial Intelligence
will be a boon for the scientist in their research if data from the infected person can be
monitored and tracked. These databases can be of utmost importance while designing
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and manufacturing anti-viral drugs or vaccines. Scalability of the drugs can be meet
using the robotics or microfluidic technology and effectiveness can further be monitored
by using AI. In short, multi-disciplinary research should be encouraged and
atomically smooth, dangling bond free and charge passivated BN layer. With the recent
surge in 2D materials Moire’ super lattices as a tunable metamaterials, varieties of
heterolayers composed of 2D materials are proposed as active surfaces for authentic
COVID 19 detection via two probe, 4 probe, FET measurements as well as SERS
based molecular sensing in liquid phase containing blood, tears, sweat or saliva. (see
Fig. 13). Nanomaterials in general and atomic sheets in particular are thus proposed to
have tremendous potential in prompt detection and prevention of COVID 19. Research
in this direction has just commenced worldwide and as a materials platform, 2D
materials are destined to bestow best performances in times to come. Even though
recent literature on usage of nanotechnology motivates research along these directions
and due implementation, the present review on employing two dimensional materials
along with its doped and hybrid versions would inspire on-demand prompt diagnosis
and treatments [105-114].
Conclusion
Systematic investigation of SARS-CoV-2 virus indicates similarity in the pathogenicity
and genome sequence to SARS-CoV-1. Speculation of the transmission of the disease
by animals such as bats or pigs seems un-authentic. No scientific evidence has been
found to date. SARS-CoV-2 has two kinds of S protein namely S1 and S2. The severity
of the disease and its effect relies on the age, gender and kind of personal medical
history. Asymptomatic patients may or may not be the only reason behind spreading the
virus. The symptoms include dry cough, loss of taste and smell, body pain, fatigues,
breathlessness, and failures of organs leading to death. PCR test is the most effective
way found to date to detect the virus. Use of medicine such as Remdesivir, Favipiravir,
and HCQ is under investigation. Biosensing using 2D materials can be used for rapid
detection, analysis and research on the SARS-CoV-2 virus. Materials like graphene,
MXene, borophene and their hybrids are the futuristic material for developing a testing
kit to detect any alien virus.
Author Contributions: All authors involved in literature data collection,
conceptualization of review, writing, editing and proof reading of this manuscript.
Conflict of interest: Authors declare no conflict of interests.
Acknowledgments: We acknowledge Indian Institute of Technology Patna for
providing research facilities. VT acknowledges the financial support by P42-ES027723-
01A1 from National Institute of Environmental Health Sciences (NIEHS) Superfund
program grant. The contents of this paper are solely the responsibility of the authors and
do not necessarily represent the official views of US National Institutes of Health (NIH).
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