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<?covid-19-tdm?>
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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Cell. Infect. Microbiol.</journal-id>
<journal-title>Frontiers in Cellular and Infection Microbiology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Cell. Infect. Microbiol.</abbrev-journal-title>
<issn pub-type="epub">2235-2988</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fcimb.2023.1238543</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Cellular and Infection Microbiology</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>One-plasmid double-expression system for preparation of MS2 virus-like particles packaging SARS-CoV-2 RNA</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Qi</surname>
<given-names>Lili</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1491320"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Zhang</surname>
<given-names>Zheng</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Wang</surname>
<given-names>Mengting</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1629374"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Ke</surname>
<given-names>Zhijian</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Mao</surname>
<given-names>Haiguang</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1236347"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Deng</surname>
<given-names>Gang</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Wang</surname>
<given-names>Jinbo</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="author-notes" rid="fn001">
<sup>*</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1294689"/>
</contrib>
</contrib-group>    <aff id="aff1">
<sup>1</sup>
<institution>School of Biological and Chemical Engineering, NingboTech University</institution>, <addr-line>Ningbo, Zhejiang</addr-line>, <country>China</country>
</aff>    <aff id="aff2">
<sup>2</sup>
<institution>Blood Transfusion Research Institute, Ningbo Central Blood Station</institution>, <addr-line>Ningbo, Zhejiang</addr-line>, <country>China</country>
</aff>
<author-notes>
<fn fn-type="edited-by">
<p>Edited by: Curtis Brandt, University of Wisconsin-Madison, United States</p>
</fn>
<fn fn-type="edited-by">
<p>Reviewed by: Ellen Van Damme, Janssen Pharmaceutica NV, Belgium; Patricio Alejandro Vega-Mari&#xf1;o, Agency for the Regulation and Control of Biosafety and Quarantine for Galapagos (ABG), Ecuador</p>
</fn>
<fn fn-type="corresp" id="fn001">
<p>*Correspondence: Jinbo Wang, <email xlink:href="mailto:wjb@nbt.edu.cn">wjb@nbt.edu.cn</email>
</p>
</fn>
</author-notes>
<pub-date pub-type="epub">
<day>29</day>
<month>11</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="collection">
<year>2023</year>
</pub-date>
<volume>13</volume>
<elocation-id>1238543</elocation-id>
<history>
<date date-type="received">
<day>12</day>
<month>06</month>
<year>2023</year>
</date>
<date date-type="accepted">
<day>14</day>
<month>11</month>
<year>2023</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2023 Qi, Zhang, Wang, Ke, Mao, Deng and Wang</copyright-statement>
<copyright-year>2023</copyright-year>
<copyright-holder>Qi, Zhang, Wang, Ke, Mao, Deng and Wang</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p>
</license>
</permissions>
<abstract>
<p>COVID-19 is a disease caused by a virus named SARS-CoV-2. SARS-CoV-2 is a single-stranded positive-sense RNA virus. Reverse transcription quantitative PCR (RT&#x2013;qPCR) assays are the gold standard molecular test for detection of RNA viruses. The aim of this study was to construct an RNA-positive control based on MS2 phage-like particles (MS2 VLPs) to detect SARS-CoV-2 RNA. pCDFDuet-1 was used as a one-plasmid double-expression system to construct MS2 VLPs containing ssRNA of SARS-CoV-2. The sequence encoding one copy of maturase, His-tag and coat protein dimer was cloned and inserted into MCS1 of the plasmid; the fragment encoding protein N and ORF1ab from SARS-CoV-2 was cloned and inserted into MCS2. The prepared plasmid was transformed into Escherichia coli strain BL2 (DE3), and expression of the construct was induced by 1 mM isopropyl-L-thio-D-galactopyranoside (IPTG) at 30&#xb0;C for 12 hours. MS2 VLPs were purified and collected with Ni-NTA affinity chromatography columns. The size and shape of the MS2 VLPs were verified by transmission electron microscopy, and the stability of MS2 VLP packaged RNA was evaluated by treatment with RNase A. Effects of storage temperature and buffer on MS2 VLP stability were also investigated. The results showed that SARS-CoV-2 MS2 VLPs could be successfully produced by this one-plasmid double-expression system. MS2 VLPs showed high stability and may be used as a positive control in molecular diagnosis of COVID-19. </p>
</abstract>
<kwd-group>
<kwd>MS2 virus -like particles</kwd>
<kwd>SARS-CoV-2</kwd>
<kwd>RT&#x2013;qPCR</kwd>
<kwd>COVID-19</kwd>
<kwd>MS2 VLPs</kwd>
</kwd-group>
<counts>
<fig-count count="6"/>
<table-count count="1"/>
<equation-count count="3"/>
<ref-count count="36"/>
<page-count count="8"/>
<word-count count="3504"/>
</counts>
<custom-meta-wrap>
<custom-meta>
<meta-name>section-in-acceptance</meta-name>
<meta-value>Virus and Host</meta-value>
</custom-meta>
</custom-meta-wrap>
</article-meta>
</front>
<body>
<sec id="s1" sec-type="intro">
<label>1</label>
<title>Introduction</title>
<p>Although several vaccines have been developed and distributed in response to the spread of severe acute respiratory syndrome coronavirus (SARS-CoV)-2, coronavirus infections remain a severe threat to human health. The number of COVID-19 cases will again climb as immunity from vaccines and infections wanes. It has been reported that in China, an infection cycle will occur every six months (<xref ref-type="bibr" rid="B33">Ye, 2023</xref>), and repeated infections might lead to health problems such as long COVID. COVID-19 is not only a pulmonary disease but can also affect almost all other organ systems (<xref ref-type="bibr" rid="B14">Huang et&#xa0;al., 2020</xref>). Previous studies had found that aging decreased the effectiveness of the immune system against pathogens. Immunosenescence causes the weakening of the immune system in people with increasing age (<xref ref-type="bibr" rid="B36">Zinatizadeh et&#xa0;al., 2023</xref>). In immunocompromised patients, the immunogenicity of COVID-19 vaccines was decreased. There was a proportion of population showed delayed and blunted immune responses to COVID-19 vaccination (<xref ref-type="bibr" rid="B6">El Karoui and De Vriese, 2022</xref>). Vulnerable people, such as older adults, the immunocompromised and those not responding to vaccinations are still at risk of becoming very ill.</p>
<p>SARS-CoV-2 is a positive-sense single-stranded RNA (ssRNA) virus (<xref ref-type="bibr" rid="B13">Holshue et&#xa0;al., 2020</xref>; <xref ref-type="bibr" rid="B32">Wiersinga et&#xa0;al., 2020</xref>). For detection of SARS-CoV-2 and other coronaviruses that can cause serious diseases, ribonucleic acid sequence testing based on RT&#x2013;qPCR is an essential method (<xref ref-type="bibr" rid="B2">Corman et&#xa0;al., 2020</xref>; <xref ref-type="bibr" rid="B23">Pfefferle et&#xa0;al., 2020</xref>). However, false-positive or false-negative results are often reported with RT&#x2013;qPCR detection (<xref ref-type="bibr" rid="B1">Afzal, 2020</xref>; <xref ref-type="bibr" rid="B11">Hellou et&#xa0;al., 2021</xref>), and such false results may result from factors such as interfering substances in RT&#x2013;qPCR. To avoid false-negative results, an appropriate positive control should be used in every run of an RT&#x2013;qPCR assay (<xref ref-type="bibr" rid="B11">Hellou et&#xa0;al., 2021</xref>).</p>
<p>MS2 is a type of positive-sense ssRNA virus with an icosahedral capsid, which is built from one copy of maturase (also called the A protein) and 178 copies of coat protein (<xref ref-type="bibr" rid="B24">Prakash and Gosavi, 2021</xref>). Assembly of MS2 particles is triggered by interaction of coat proteins with a stem&#x2013;loop structure (called the &#x201c;pac&#x201d; site) in ssRNA (<xref ref-type="bibr" rid="B5">Dinh and M&#xfc;ller, 2021</xref>). The interaction can result in a sequence-specific self-assembly mechanism of maturase and coat protein. Virus-like particles (VLPs) are protein complexes that resemble a native virus capsid (<xref ref-type="bibr" rid="B27">Stockley et&#xa0;al., 2016</xref>; <xref ref-type="bibr" rid="B3">Dai et&#xa0;al., 2017</xref>; <xref ref-type="bibr" rid="B8">Garmann et&#xa0;al., 2019</xref>); they represent gene-free protein particles that are similar to natural virus particles. RNA can be encapsulated by VLPs, which are greatly resistant to degradation by RNase (<xref ref-type="bibr" rid="B5">Dinh and M&#xfc;ller, 2021</xref>). Different methods have been developed to produce MS2 VLPs carrying ssRNA molecules. In general, MS2 VLPs can be used as a positive control virus for detection of ssRNA viruses such as human Zika virus (<xref ref-type="bibr" rid="B16">Lin et&#xa0;al., 2017</xref>), norovirus (<xref ref-type="bibr" rid="B12">Hennechart-Collette et&#xa0;al., 2014</xref>), Ebola virus (<xref ref-type="bibr" rid="B26">Song et&#xa0;al., 2011</xref>), human enterovirus (EV) (<xref ref-type="bibr" rid="B31">Wang et&#xa0;al., 2016</xref>), hepatitis E virus (HEV) (<xref ref-type="bibr" rid="B30">Wang GJ. et&#xa0;al., 2015</xref>) and dengue virus (<xref ref-type="bibr" rid="B7">Fu et&#xa0;al., 2017</xref>). However, each of these systems has various drawbacks, e.g., lower assembly efficiency, complicated purification, and/or instability during storage. Accordingly, a one-plasmid double-expression packaging system has been developed to avoid such limitations. As a double-expression system, pACYCDuet-1 has been used to produce intact His-tagged MS2 VLPs. This system exhibit high efficiency with regard to expression and purification (<xref ref-type="bibr" rid="B19">Mikel et&#xa0;al., 2017</xref>). Overall, the stability of the positive control ssRNA is very important for accurate and reliable diagnostic testing for COVID-19. Furthermore, suitable storage conditions are essential for preserving the quality and longevity of MS2 VLPs. However, storage conditions such as temperature and buffer have not been explored. In this work, the pCDFDuet-1 plasmid was used to develop a double-expression system of His-tagged MS2 VLPs that carry an 1857-nt-long control sequence of SARS-CoV-2. The storage stability at -20&#xb0;C and 37&#xb0;C was examined, as were the protective effects of Tris-NaNO<sub>3</sub> solution as a storage buffer.</p>
</sec>
<sec id="s2" sec-type="materials|methods">
<label>2</label>
<title>Materials and methods</title>
<sec id="s2_1">
<label>2.1</label>
<title>Materials</title>
<p>
<italic>Escherichia coli</italic> BL21 (DE3) was obtained from TransGen Biotech Co., Ltd. Viral RNA extraction kits were purchased from Omega Bio-Tek Co., Ltd., and peptone, yeast powder and agar powder were purchased from Beijing Solarbio Biotechnology Co., Ltd. In addition, Isopropyl-&#x3b2;-D-thiogalactopyranoside (IPTG) and limidazole were supplied by Sigma&#x2013;Aldrich, and Ni-NTA agarose resin was obtained from Thermo Fisher. Real-time PCR kits were purchased from TOYOBO Life Science Co., Ltd.</p>
</sec>
<sec id="s2_2">
<label>2.2</label>
<title>Construction of the plasmid pCDFDuet-MS2-SARS-CoV-2</title>
<p>A 2003 bp DNA sequence encoding one copy of maturase and two copies of the coat protein with His-tag modification was synthesized by Genscript Biotech Co., Ltd. The pCDFDuet-1 plasmid was treated with NcoI and NotI at 37&#xb0;C for 2 hours in a 50 &#xb5;L reaction mixture containing 500 ng of plasmid DNA, 5 &#xb5;L of buffer solution, and 10 U each of endonucleases. The cleaved vector DNA was purified with a Gel Extraction Kit (Omega). Ligation of the fragment encoding maturase and coat protein with MCS1 of pCDFDuet-1 was performed with a One Step Cloning Kit (Vazyme) according to the manufacturer&#x2019;s instructions. Then, the recombinant plasmid (pCDFDuet-MS2) was transformed into <italic>E</italic>. <italic>coli</italic> BL21(DE3). The bacteria were grown overnight on LB agar plates containing streptomycin (10 &#xb5;g mL<sup>-1</sup>).</p>
<p>To meet a variety of different targeted amplicons of RT&#x2013;qPCR methods for detecting SARS-CoV-2, the coding sequence of protein N and ORF1ab from SARS-CoV-2 was used as the positive control sequence. The chimeric sequence is 1857 nt in length, with one C-variant pac site of MS2 at the 3&#x2019;-end. The sequence of the C-variant pac site of MS2 is ACATGAGGATCACCCATGT. The chimeric sequence was <italic>de novo</italic> synthesized by Genscript Biotech Co., Ltd. The pCDFDuet-MS2 plasmid was then digested by NdeI and AvrII, and the cleaved plasmid DNA was purified with a Gel Extraction Kit (Omega). Ligation of the positive control sequence to MCS2 of the cleaved pCDFDuet-MS2 vector was performed with a One Step Cloning Kit (Vazyme) according to the manufacturer&#x2019;s instructions. Positive clones were selected by DNA sequencing. After sequencing identification, the confirmed recombinant pCDFDuet-MS2-SARS-CoV-2 plasmid was extracted, purified and transformed into <italic>E</italic>. <italic>coli</italic> BL21(DE3) to screen for the recombinant strain at a concentration of 50 &#x3bc;g mL<sup>-1</sup> streptomycin on LB plates.</p>
</sec>
<sec id="s2_3">
<label>2.3</label>
<title>Induction of expression of pCDFDuet-MS2-SARS-CoV-2 in E. coli BL21(DE3)</title>
<p>The engineered <italic>E. coli</italic> BL21(DE3) cells harboring the pCDFDuet-MS2-SARS-CoV-2 plasmid were cultured in LB broth medium containing 10 &#x3bc;g mL<sup>&#x2212;1</sup> streptomycin at 37&#xb0;C for 4 hours. Cultures of the recombinant BL21(DE3) cells were diluted 1:100 in fresh 100 mL LB medium. When the optical density (OD) 600 reached 0.4&#x2013;0.6, isopropyl-<italic>&#x3b2;</italic>-d-thiogalactoside (IPTG) was added to a final concentration of 1 mM, and the culture was incubated at 30&#xb0;C for 12 hours. The cell suspension was centrifuged at 10000 rpm for 10 minutes at 4&#xb0;C, and then the pellet was washed three times with PBS.</p>
<p>The pellets were resuspended in PBS and then sonicated. To eliminate cell debris, the bacterial suspension was briefly centrifuged at 10000&#xd7;g for 15 minutes at room temperature. Twenty microliters of the supernatant was mixed with 5 &#x3bc;L of 5&#xd7;SDS sample buffer, and 15 &#x3bc;L of this mixture was separated by 12.5% SDS&#x2013;PAGE electrophoresis.</p>
</sec>
<sec id="s2_4">
<label>2.4</label>
<title>Preparation and purification of MS2 VLPs containing SARS-CoV-2 RNA fragments</title>
<p>The supernatant from the above step was mixed with equilibrium buffer (100 mM PBS, 20 mM imidazole, pH = 8.0) for purification of the His-tagged MS2 VLPs with a Ni-NTA column. In brief, the column was preequilibrated with 100 mL binding buffer (50 mM PBS, 10 mM imidazole, pH = 8.0) at a flow rate of 0.5~1.0 mL/min. The His-tagged MS2 VLPs were bound to the columns, washed with washing buffer (100 mM PBS, 20 mM imidazole, pH = 8.0) until OD280=0, and eluted from the column using elution buffer (50 mM PBS, 250 mM imidazole, pH = 8.0) at a flow rate of 0.5 mL/min.</p>
<p>Ten microliters of the solution containing MS2 VLPs was dropped onto carbon-coated copper grids and then negatively stained with 2% uranyl acetate. After drying, the MS2 VLPs were observed by transmission electron microscopy (TEM) at 150,000 &#xd7; magnification.</p>
</sec>
<sec id="s2_5">
<label>2.5</label>
<title>Determination of RNA copies in MS2 VLPs by RT&#x2013;qPCR</title>
<p>RNA packaged into MS2 VLPs was extracted using a viral RNA extraction kit (Qmega) according to the manufacturer&#x2019;s instructions and then reverse transcribed to cDNA. qPCR was performed using the following protocol: 1 cycle at 95&#xb0;C for 10 min, followed by 30 cycles of 95&#xb0;C for 30 seconds, 62&#xb0;C for 60 seconds, and 72&#xb0;C for 60 seconds. The primers and probes were synthesized by Genscript Biotech Corporation (Nanjing, China) and are listed in <xref ref-type="table" rid="T1">
<bold>Table&#xa0;1</bold>
</xref>.</p>
<table-wrap id="T1" position="float">
<label>Table&#xa0;1</label>
<caption>
<p>Primer and probe sequences.</p>
</caption>
<table frame="hsides">
<thead>
<tr>
<th valign="middle" align="left">Primer</th>
<th valign="middle" align="center">Primer sequence (5&#x2032;&#x2013;3&#x2032;)</th>
<th valign="middle" align="center">Size (bp)</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="middle" align="left">SARS-CoV-2-F</td>
<td valign="middle" align="left">TAAGAAGGAGATATACATATGCATATGATGTCTGATAATGGACCCC</td>
<td valign="middle" rowspan="2" align="center">2084</td>
</tr>
<tr>
<td valign="middle" align="left">SARS-CoV-2-R</td>
<td valign="middle" align="left">CAGCGGTGGCAGCAGCCTAGGCCTAGACATGGGTGATCCTCA</td>
</tr>
<tr>
<td valign="middle" align="left">Coat protein-F</td>
<td valign="middle" align="left">TAAGAAGGAGATATACATATGATGGTGCGTGCGTTCAGC</td>
<td valign="middle" rowspan="2" align="center">2068</td>
</tr>
<tr>
<td valign="middle" align="left">Coat protein -R</td>
<td valign="middle" align="left">CAGCGGTGGCAGCAGCCTAGGTGGCCGGCGTCTATTAATAAA</td>
</tr>
<tr>
<td valign="middle" align="left">Positive control RNA-F(qPCR)</td>
<td valign="middle" align="left">AATGAAAGATCTCAGTCCAAGATGG</td>
<td valign="middle" rowspan="2" align="center">287</td>
</tr>
<tr>
<td valign="middle" align="left">Positive control RNA-R(qPCR)</td>
<td valign="middle" align="left">ATTTCTTGAACTGTTGCGACTACG</td>
</tr>
<tr>
<td valign="middle" align="left">Probe(qPCR)</td>
<td valign="middle" align="left">CCAGAAGCTGGACTTCCCTATGGTGCTAAC</td>
<td valign="middle" align="left"/>
</tr>
</tbody>
</table>
</table-wrap>
<p>To determine the amount of contaminating DNA in the MS2 VLPs, qPCR was performed without reverse transcriptase (the enzyme was replaced with RNase-free H<sub>2</sub>O). qPCR was performed in duplicate for each sample.</p>
<p>The concentration of total nucleic acid containing RNA and DNA was calculated by the following formula:</p>
<disp-formula>
<mml:math display="block" id="M1">
<mml:mrow>
<mml:mtext>Concentration&#xa0;of&#xa0;total&#xa0;nucleic&#xa0;acid&#xa0;</mml:mtext>
<mml:mo stretchy="false">(</mml:mo>
<mml:mtext>copies</mml:mtext>
<mml:mo stretchy="false">/</mml:mo>
<mml:mtext>&#x3bc;L</mml:mtext>
<mml:mo stretchy="false">)</mml:mo>
<mml:mtext>&#xa0;</mml:mtext>
<mml:mo>=</mml:mo>
<mml:mtext>&#xa0;</mml:mtext>
<mml:msup>
<mml:mrow>
<mml:mn>10</mml:mn>
</mml:mrow>
<mml:mrow>
<mml:mo stretchy="false">(</mml:mo>
<mml:mo>&#x2212;</mml:mo>
<mml:mn>0.3011</mml:mn>
<mml:mo>&#xd7;</mml:mo>
<mml:mtext>Ct</mml:mtext>
<mml:mo>+</mml:mo>
<mml:mn>12.144</mml:mn>
<mml:mo stretchy="false">)</mml:mo>
</mml:mrow>
</mml:msup>
<mml:mo>&#xd7;</mml:mo>
<mml:mn>1000</mml:mn>
</mml:mrow>
</mml:math>
</disp-formula>
<p>RNA purity was calculated by the following formula:</p>
<disp-formula>
<mml:math display="block" id="M3">
<mml:mrow>
<mml:mtext>RNA&#xa0;purity&#xa0;</mml:mtext>
<mml:mrow>
<mml:mo>(</mml:mo>
<mml:mo>%</mml:mo>
<mml:mo>)</mml:mo>
</mml:mrow>
<mml:mo>=</mml:mo>
<mml:mn>100</mml:mn>
<mml:mo>&#xd7;</mml:mo>
<mml:mo stretchy="false">(</mml:mo>
<mml:mn>1</mml:mn>
<mml:mo>&#x2212;</mml:mo>
<mml:msup>
<mml:mn>2</mml:mn>
<mml:mrow>
<mml:mtext>Ct</mml:mtext>
<mml:mn>1</mml:mn>
<mml:mo>&#x2212;</mml:mo>
<mml:mtext>Ct</mml:mtext>
<mml:mn>2</mml:mn>
</mml:mrow>
</mml:msup>
<mml:mo stretchy="false">)</mml:mo>
<mml:mo>,</mml:mo>
<mml:mtext>Ct</mml:mtext>
<mml:mn>1</mml:mn>
<mml:mo>:</mml:mo>
<mml:mtext>&#xa0;Ct&#xa0;value&#xa0;in&#xa0;RT</mml:mtext>
<mml:mo>&#x2212;</mml:mo>
<mml:mtext>qPCR</mml:mtext>
<mml:mo>,</mml:mo>
<mml:mtext>&#xa0;Ct</mml:mtext>
<mml:mn>2</mml:mn>
<mml:mo>:</mml:mo>
<mml:mtext>Ct&#xa0;value&#xa0;in&#xa0;qPCR</mml:mtext>
</mml:mrow>
</mml:math>
</disp-formula>
<p>The concentration of RNA was calculated by the following formula:</p>
<disp-formula>
<mml:math display="block" id="M2">
<mml:mrow>
<mml:mtext>Concentration&#xa0;of&#xa0;RNA&#xa0;</mml:mtext>
<mml:mo stretchy="false">(</mml:mo>
<mml:mtext>copies</mml:mtext>
<mml:mo stretchy="false">/</mml:mo>
<mml:mtext>&#x3bc;L</mml:mtext>
<mml:mo stretchy="false">)</mml:mo>
<mml:mtext>&#xa0;</mml:mtext>
<mml:mo>=</mml:mo>
<mml:mtext>&#xa0;the&#xa0;copy&#xa0;number&#xa0;of&#xa0;total&#xa0;nucleic&#xa0;acid&#xa0;</mml:mtext>
<mml:mo>&#xd7;</mml:mo>
<mml:mtext>RNA&#xa0;purity</mml:mtext>
</mml:mrow>
</mml:math>
</disp-formula>
</sec>
<sec id="s2_6">
<label>2.6</label>
<title>Stability of RNA packaged in MS2 VLPs against ribonucleases</title>
<p>The purified MS2 VLPs were diluted 10,000-fold, and the stability of RNA against nucleases was determined by treatment with 10 U of RNase A at 37&#xb0;C for 1 h. After incubation with RNase, RT&#x2013;qPCR was performed to assess the number of RNA copies. In this assay, naked RNA extracted from MS2 VLPs was used as the control.</p>
</sec>
<sec id="s2_7">
<label>2.7</label>
<title>Effects of temperature on the stability of MS2 VLPs</title>
<p>MS2 VLPs (containing 7.85&#xd7;10<sup>10</sup> copies RNA/&#x3bc;L) were stored in PBS solution (pH 8.0) at 37&#xb0;C for 90 days or -20&#xb0;C for 60 weeks. Then, total RNA was extracted with a viral RNA extraction kit, and RT&#x2013;qPCR was performed to determine the number of copies of RNA at different time points.</p>
</sec>
<sec id="s2_8">
<label>2.8</label>
<title>Effects of NaNO3-Tris buffer on the stability of MS2 VLPs</title>
<p>MS2 VLPs were also stored in NaNO<sub>3</sub>-Tris (pH 8.0) buffer at 37&#xb0;C for 90 days or -20&#xb0;C for 60 weeks. RT&#x2013;qPCR and qPCR were performed to determine the concentration and purity of the positive control RNA, respectively.</p>
</sec>
</sec>
<sec id="s3" sec-type="results">
<label>3</label>
<title>Results</title>
<sec id="s3_1">
<label>3.1</label>
<title>Construction of the recombinant plasmid pCDFDuet-MS2-SARS-CoV-2</title>
<p>The plasmid pCDFDuet-1 was linearized by NotI digestion, and pCDFDuet-MS2-SARS-CoV-2 was treated with NdeI and AvrII endonucleases at 37&#xb0;C. The results of 1% agarose gel electrophoresis analysis are shown in <xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1</bold>
</xref>. The size of plasmid pCDFDuet-1 is 3781 bp; pCDFDuet-MS2-SARS-CoV-2 was cut by NdeI and AvrII into two fragments of 5664 bp and 1857 bp in size. The recombinant plasmid was confirmed by DNA sequencing.</p>
<fig id="f1" position="float">
<label>Figure&#xa0;1</label>
<caption>
<p>Recombinant plasmids were analyzed by 1% agarose gel electrophoresis. M: DNA marker; Lane 1: pCDFDuet-1 digested with NotI; Lane 2: pCDFDuet-MS2-SARS-CoV-2 digested with AvrII and NdeI.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-13-1238543-g001.tif"/>
</fig>
</sec>
<sec id="s3_2">
<label>3.2</label>
<title>Determination of expression of MS2 coat protein and maturase</title>
<p>After induction by IPTG, the bacterial cells were centrifuged and the pellets collected. SDS&#x2013;PAGE (12.5%) was performed to analyze expression of MS2 coat protein and maturase. The results showed that both MS2 coat protein dimer (44 kD) and maturase (29 kD) were expressed by IPTG induction in BL21 cells (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2</bold>
</xref>). In contrast, MS2 coat protein production was not observed in control <italic>E. coli</italic> BL21 (DE3) cells without the pCDFDuet-MS2-SARS-CoV-2 plasmid. To confirm expression of the MS2 coat protein, western blotting was performed using an anti-His-tag antibody. The results are shown in <xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3</bold>
</xref>.</p>
<fig id="f2" position="float">
<label>Figure&#xa0;2</label>
<caption>
<p>Expression of the MS2 coat protein and maturase was determined by SDS&#x2013;PAGE. M: protein marker; 1-3: <italic>E. coli</italic> BL21(DE3) induced by 0.5, 0.8 or 1.0 mM IPTG; 4: Control (bacteria transformed with pCDFDuet-MS2-SARS-CoV-2 plasmid but uninduced).</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-13-1238543-g002.tif"/>
</fig>
<fig id="f3" position="float">
<label>Figure&#xa0;3</label>
<caption>
<p>Expression of the coat protein was confirmed by western blotting using an anti-His tag antibody. M: standard protein marker; Lane 1: <italic>E. coli</italic> BL21(DE3) with the recombinant plasmid induced by 1.0 mM IPTG; Lane 2: <italic>E. coli</italic> BL21(DE3) with the recombinant plasmid not induced by IPTG; Lane 3: <italic>E. coli</italic> BL21(DE3) without the recombinant plasmid.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-13-1238543-g003.tif"/>
</fig>
</sec>
<sec id="s3_3">
<label>3.3</label>
<title>Size and shape verification of MS2 VLPs</title>
<p>After purification with a Ni-NTA affinity chromatography column, the MS2 VLPs were observed by TEM. The results confirmed that the MS2 VLPs had assembled into intact capsids of approximately 30 nm in diameter. Moreover, the MS2 VLPs were not damaged by the purification process and did not form any aggregates (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4</bold>
</xref>).</p>
<fig id="f4" position="float">
<label>Figure&#xa0;4</label>
<caption>
<p>Characterization of MS2 VLPs by transmission electron microscopy (TEM). The scale bar equals 100 nm.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-13-1238543-g004.tif"/>
</fig>
</sec>
<sec id="s3_4">
<label>3.4</label>
<title>The purity of RNA in MS2 VLPs</title>
<p>RT&#x2013;qPCR was performed to detect the copy numbers of RNA in MS2 VLPs. The copy number of contaminating DNA in the MS2 VLPs was determined by qPCR. The results showed that the copy number of RNA in MS2 VLPs was 6.47&#xd7;10<sup>12</sup> copies/&#x3bc;L. The purity of the RNA in MS2 VLPs was 99.99%.</p>
</sec>
<sec id="s3_5">
<label>3.5</label>
<title>The stability of RNA in MS2 VLPs against ribonucleases</title>
<p>After treatment with RNase A for 1 h, RT&#x2013;qPCR was performed to verify the copy numbers of RNA encapsulated in MS2 VLPs and naked RNA extracted from MS2 VLPs. The results showed 2.65&#xd7;10<sup>8</sup> copies/&#x3bc;L packaged RNA, with 2.24&#xd7;10<sup>7</sup> copies/&#x3bc;L naked RNA (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5</bold>
</xref>). These results indicate that the nanoparticles were able to effectively protect the RNA against degradation by ribonuclease.</p>
<fig id="f5" position="float">
<label>Figure&#xa0;5</label>
<caption>
<p>RT&#x2013;qPCR amplification curves. Curve 1: MS2 VLPs in the absence of RNase. Curve 2: MS2 VLPs in the presence of RNase. Curve 3: naked RNA-extracted MS2 VLPs in the presence of RNase.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-13-1238543-g005.tif"/>
</fig>
</sec>
<sec id="s3_6">
<label>3.6</label>
<title>Stability of MS2 VLPs at different storage temperatures</title>
<p>RT&#x2013;qPCR results indicated a concentration of RNA of 7.31&#xd7;10<sup>10</sup> copies/&#x3bc;L when the VLPs were stored at 37&#xb0;C for 30 days (<xref ref-type="fig" rid="f6">
<bold>Figure&#xa0;6A</bold>
</xref>). When the MS2 VLPs were stored at -20&#xb0;C for 60 weeks, the concentration of RNA was 7.7&#xd7;10<sup>10</sup> copies/&#x3bc;L (<xref ref-type="fig" rid="f6">
<bold>Figure&#xa0;6B</bold>
</xref>). These results suggest that RNA packaged in the nanoparticles was stable at 37&#xb0;C and -20&#xb0;C. The MS2 VLPs can be used as positive control RNA, meeting the requirements for clinical testing.</p>
<fig id="f6" position="float">
<label>Figure&#xa0;6</label>
<caption>
<p>Stability of SARS-CoV-2 MS2 VLPs at 37&#xb0;C and -20&#xb0;C. <bold>(A)</bold> MS2 VLPs were stored at 37&#xb0;C for 90 days. <bold>(B)</bold> MS2 VLPs were stored at -20&#xb0;C for 60 weeks.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-13-1238543-g006.tif"/>
</fig>
<p>Previous studies have found that the amounts of electrolytes are key factors for assembly of MS2 VLPs (<xref ref-type="bibr" rid="B2">Corman et&#xa0;al., 2020</xref>; <xref ref-type="bibr" rid="B13">Holshue et&#xa0;al., 2020</xref>; <xref ref-type="bibr" rid="B14">Huang et&#xa0;al., 2020</xref>; <xref ref-type="bibr" rid="B32">Wiersinga et&#xa0;al., 2020</xref>). Thus, the effects of NaNO3-Tris (100 mM, pH 8.0) buffer on the stability of MS2 VLPs were investigated. The results showed that NaNO3-Tris buffer significantly increased the stability of SARS-CoV-2 MS2 VLPs when the particles were stored at 37&#xb0;C for 30 days or at -20&#xb0;C for 9 weeks.</p>
</sec>
</sec>
<sec id="s4" sec-type="discussion">
<label>4</label>
<title>Discussion</title>
<p>MS2-based nanoparticles carrying positive RNAs can be mass-produced and have excellent characteristics as control materials for molecular diagnosis. Previous studies have shown that MS2 VLPs can serve as positive controls for molecular diagnosis of RNA viruses, such as enterovirus 71 (EV71), HIV-1, avian influenza A (H7N9), ebolavirus (EBOV), measles virus (MeV), hepatitis E virus (HEV), and dengue virus (DENV). However, the length of the exogenous RNA packaged by MS2 VLPs is limited, resulting in two or more armored RNAs being expressed for an assay of one kind of virus (<xref ref-type="bibr" rid="B28">Sun et&#xa0;al., 2013</xref>; <xref ref-type="bibr" rid="B29">Wang G. et&#xa0;al., 2015</xref>; <xref ref-type="bibr" rid="B35">Zhang et&#xa0;al., 2015</xref>; <xref ref-type="bibr" rid="B34">Zhang et&#xa0;al., 2016</xref>). The one-plasmid double-expression system allows for a maximum length of encapsidated ssRNA of 4942 nt (<xref ref-type="bibr" rid="B24">Prakash and Gosavi, 2021</xref>).</p>
<p>RT&#x2013;qPCR is a rapid and accurate method for detecting SARS-CoV-2. Overall, detection should be conducted with ideal control materials, which should be stable, and the concentration of RNA should be over 10<sup>5</sup> copies/&#x3bc;L. In this study, we prepared MS2 VLPs containing SARS-CoV-2 RNA fragments using the double expression system pCDFDuet-1. The results showed that the positive control RNA sequence (1857 nt) was successfully encapsulated into MS2 VLPs, which were stable at 37 and -20&#xb0;C. These results are consistent with previous studies (<xref ref-type="bibr" rid="B18">Mikel et&#xa0;al., 2015</xref>; <xref ref-type="bibr" rid="B7">Fu et&#xa0;al., 2017</xref>).</p>
<p>Purification is a key procedure in MS2 VLP preparation. The traditional method to purify MS2 VLPs is ultracentrifugation, which is time-consuming and laborious. A His-tag added to the coat protein can be used for affinity purification of His-tagged MS2 VLPs (<xref ref-type="bibr" rid="B20">Mikel et&#xa0;al., 2016</xref>). Several previous studies have found that insertion of a His-tag interferes with assembly of MS2 VLPs (<xref ref-type="bibr" rid="B17">Luc et&#xa0;al., 2013</xref>; <xref ref-type="bibr" rid="B22">O&#x2019;Rourke et&#xa0;al., 2015</xref>). It has also been reported that fusion of two coat protein monomers (single-chain dimer) is more tolerant to peptide insertion than coat protein monomers (<xref ref-type="bibr" rid="B19">Mikel et&#xa0;al., 2017</xref>). The pACYCDuet-1 plasmid was used to express the single-chain version of the MS2 coat protein dimer, containing one wild-type coat protein fused with one mutagenized coat protein carrying the His-tag. The His-tagged coat protein dimer and maturase successfully assembled into intact MS2 VLPs (<xref ref-type="bibr" rid="B19">Mikel et&#xa0;al., 2017</xref>). In this study, the pCDFDuet-1 system was used to express the single-chain version of the MS2 coat protein dimer fused to a His-tag. The His-tagged MS2 VLPs were efficiently prepared and purified, and the ssRNA encapsulated in the nanoparticles was resistant to RNase digestion. These VLPs displayed high stability when stored at 37&#xb0;C or -20&#xb0;C.</p>
<p>PBS, HEPES, and Tris buffers, alone or mixed with electrolytes such as MgSO<sub>4</sub> or NaCl, have been chosen as protective buffers for MS2 VLP preparation and storage (<xref ref-type="bibr" rid="B21">Mylon et&#xa0;al., 2010</xref>; <xref ref-type="bibr" rid="B4">Dika et&#xa0;al., 2011</xref>; <xref ref-type="bibr" rid="B15">Jekhmane et&#xa0;al., 2017</xref>; <xref ref-type="bibr" rid="B25">Samuel et&#xa0;al., 2020</xref>). The pH value is an important factor that affects the formation and stability of VLPs (<xref ref-type="bibr" rid="B9">Gerba and Betancourt, 2017</xref>). It has been demonstrated that NaNO3-Tris (100 mM, pH 8.0) buffer might be helpful for formation of MS2 VLPs, substantially increasing the quality and stability of the VLPs generated (<xref ref-type="bibr" rid="B10">Hashemi et&#xa0;al., 2021</xref>). In the present study, we used NaNO<sub>3</sub>-Tris (100 mM, pH 8.0) buffer as the storage solution for SARS-CoV-2 MS2 VLPs, and the stability of the MS2 VLPs was obviously enhanced when stored in NaNO<sub>3</sub>-Tris solution.</p>
</sec>
<sec id="s5" sec-type="conclusions">
<label>5</label>
<title>Conclusion</title>
<p>SARS-CoV-2 MS2 VLPs prepared using the one-plasmid double-expression system were studied, and their stability in ribonuclease challenges or time&#x2013;temperature tolerance was evaluated. The results demonstrated that SARS-CoV-2 MS2 VLPs meet the requirements for application as a positive control material in molecular diagnosis of COVID-19. In the last two decades, coronaviruses (CoVs) have caused major emerging infectious diseases, which have greatly threatened public health. To date, 7 species of CoVs have been identified as infecting humans. In the future, it is likely that high-risk CoV species will appear, jump to humans and cause widespread infection. Hence, it is essential to establish methods for rapid detection and diagnosis. One or more consensus RNA sequences from &#x3b1;-CoV or &#x3b2;-CoV can be packaged into MS2 VLPs, which may be used as the positive control of RT&#x2013;qPCR assays for new high-risk CoV species.</p>
</sec>
<sec id="s6" sec-type="data-availability">
<title>Data availability statement</title>
<p>The original contributions presented in the study are included in the article/supplementary material. Further inquiries can be directed to the corresponding author.</p>
</sec>
<sec id="s7" sec-type="author-contributions">
<title>Author contributions</title>
<p>LQ drafted the manuscript. ZZ, MW and GD performed protein expression, purification and sample preparation. ZK and HM performed the data collection and analyzed the data. JW designed the study. All authors discussed the results and commented on the manuscript. All authors contributed to the article and approved the submitted version.</p>
</sec>
</body>
<back>
<sec id="s8" sec-type="funding-information">
<title>Funding</title>
<p>The author(s) declare financial support was received for the research, authorship, and/or publication of this article. This work was supported by the Natural Science Foundation of Ningbo City (202003N4305).</p>
</sec>
<sec id="s9" sec-type="COI-statement">
<title>Conflict of interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec id="s10" sec-type="disclaimer">
<title>Publisher&#x2019;s note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
<ref-list>
<title>References</title>
<ref id="B1">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Afzal</surname> <given-names>A.</given-names>
</name>
</person-group> (<year>2020</year>). <article-title>Molecular diagnostic technologies for COVID-19: Limitations and challenges</article-title>. <source>J. Adv. Res.</source> <volume>26</volume>, <fpage>149</fpage>&#x2013;<lpage>159</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.jare.2020.08.002</pub-id>
</citation>
</ref>
<ref id="B2">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Corman</surname> <given-names>V. M.</given-names>
</name>
<name>
<surname>Landt</surname> <given-names>O.</given-names>
</name>
<name>
<surname>Kaiser</surname> <given-names>M.</given-names>
</name>
<name>
<surname>Molenkamp</surname> <given-names>R.</given-names>
</name>
<name>
<surname>Meijer</surname> <given-names>A.</given-names>
</name>
<name>
<surname>Chu</surname> <given-names>D. K. W.</given-names>
</name>
<etal/>
</person-group>. (<year>2020</year>). <article-title>Detection of 2019 novel coronavirus (2019-nCoV) by real-time RT-PCR</article-title>. <source>Eurosurveillance</source> <volume>25</volume>, <fpage>23</fpage>&#x2013;<lpage>30</lpage>. doi: <pub-id pub-id-type="doi">10.2807/1560-7917.ES.2020.25.3.2000045</pub-id>
</citation>
</ref>
<ref id="B3">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Dai</surname> <given-names>X. H.</given-names>
</name>
<name>
<surname>Li</surname> <given-names>Z. H.</given-names>
</name>
<name>
<surname>Lai</surname> <given-names>M.</given-names>
</name>
<name>
<surname>Shu</surname> <given-names>S.</given-names>
</name>
<name>
<surname>Du</surname> <given-names>Y. S.</given-names>
</name>
<name>
<surname>Zhou</surname> <given-names>Z. H.</given-names>
</name>
<etal/>
</person-group>. (<year>2017</year>). <article-title>
<italic>In situ</italic> structures of the genome and genome-delivery apparatus in a single-stranded RNA virus</article-title>. <source>Nature</source> <volume>7635</volume>, <fpage>112</fpage>&#x2013;<lpage>116</lpage>. doi: <pub-id pub-id-type="doi">10.1038/nature20589</pub-id>
</citation>
</ref>
<ref id="B4">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Dika</surname> <given-names>C.</given-names>
</name>
<name>
<surname>Duval</surname> <given-names>J. F. L.</given-names>
</name>
<name>
<surname>Ly-Chatain</surname> <given-names>H. M.</given-names>
</name>
<name>
<surname>Merlin</surname> <given-names>C.</given-names>
</name>
<name>
<surname>Gantzer</surname> <given-names>C.</given-names>
</name>
</person-group> (<year>2011</year>). <article-title>Impact of internal RNA on aggregation and electrokinetics of viruses: Comparison between MS2 phage and corresponding virus-like particles</article-title>. <source>Appl. Environ. Microbiol.</source> <volume>77</volume>, <fpage>4939</fpage>&#x2013;<lpage>4948</lpage>. doi: <pub-id pub-id-type="doi">10.1128/AEM.00407-11</pub-id>
</citation>
</ref>
<ref id="B5">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Dinh</surname> <given-names>T. L.</given-names>
</name>
<name>
<surname>M&#xfc;ller</surname> <given-names>K. M.</given-names>
</name>
</person-group> (<year>2021</year>). <article-title>
<italic>In vitro</italic> assembly of virus-like particles and their applications</article-title>. <source>Life (Basel)</source> <volume>4</volume>, <fpage>334</fpage>. doi: <pub-id pub-id-type="doi">10.3390/life11040334</pub-id>
</citation>
</ref>
<ref id="B6">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>El Karoui</surname> <given-names>K.</given-names>
</name>
<name>
<surname>De Vriese</surname> <given-names>A. S.</given-names>
</name>
</person-group> (<year>2022</year>). <article-title>COVID-19 in dialysis: clinical impact, immune response, prevention, and treatment</article-title>. <source>Kidney Int.</source> <volume>101</volume>, <fpage>883</fpage>&#x2013;<lpage>894</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.kint.2022.01.022</pub-id>
</citation>
</ref>
<ref id="B7">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Fu</surname> <given-names>Y.</given-names>
</name>
<name>
<surname>Wang</surname> <given-names>G. J.</given-names>
</name>
<name>
<surname>Wu</surname> <given-names>Q. S.</given-names>
</name>
<name>
<surname>Yang</surname> <given-names>X.</given-names>
</name>
<name>
<surname>Zhang</surname> <given-names>R.</given-names>
</name>
<name>
<surname>Zhang</surname> <given-names>K.</given-names>
</name>
<etal/>
</person-group>. (<year>2017</year>). <article-title>Preparation of MS2-based nanoparticles as control and standard materials for the molecular detection of dengue virus serotypes</article-title>. <source>Virus Res.</source> <volume>233</volume>, <fpage>42</fpage>&#x2013;<lpage>50</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.virusres.2017.02.011</pub-id>
</citation>
</ref>
<ref id="B8">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Garmann</surname> <given-names>R. F.</given-names>
</name>
<name>
<surname>Goldfain</surname> <given-names>A. M.</given-names>
</name>
<name>
<surname>Manoharan</surname> <given-names>V. N.</given-names>
</name>
</person-group> (<year>2019</year>). <article-title>Measurements of the self-assembly kinetics of individual viral capsids around their RNA genome</article-title>. <source>PNAS</source> <volume>45</volume>, <fpage>22485</fpage>&#x2013;<lpage>22490</lpage>. doi: <pub-id pub-id-type="doi">10.1073/pnas.1909223116</pub-id>
</citation>
</ref>
<ref id="B9">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Gerba</surname> <given-names>C. P.</given-names>
</name>
<name>
<surname>Betancourt</surname> <given-names>W. Q.</given-names>
</name>
</person-group> (<year>2017</year>). <article-title>Viral aggregation: impact on virus behavior in the environment</article-title>. <source>Environ. Sci. Technol.</source> <volume>51</volume>, <fpage>7318</fpage>&#x2013;<lpage>7325</lpage>. doi: <pub-id pub-id-type="doi">10.1021/acs.est.6b05835</pub-id>
</citation>
</ref>
<ref id="B10">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Hashemi</surname> <given-names>K.</given-names>
</name>
<name>
<surname>Seno</surname> <given-names>M. M. G.</given-names>
</name>
<name>
<surname>Ahmadian</surname> <given-names>M. R.</given-names>
</name>
<name>
<surname>Malaekeh-Nikouei</surname> <given-names>B.</given-names>
</name>
<name>
<surname>Bassami</surname> <given-names>M. R.</given-names>
</name>
<name>
<surname>Dehghani</surname> <given-names>H.</given-names>
</name>
<etal/>
</person-group>. (<year>2021</year>). <article-title>Optimizing the synthesis and purification of MS2 virus like particles</article-title>. <source>Sci. Rep.</source> <volume>11</volume>, <fpage>19851</fpage>. doi: <pub-id pub-id-type="doi">10.1038/s41598-021-98706-1</pub-id>
</citation>
</ref>
<ref id="B11">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Hellou</surname> <given-names>M. M.</given-names>
</name>
<name>
<surname>Gorska</surname> <given-names>A.</given-names>
</name>
<name>
<surname>Mazzaferri</surname> <given-names>F.</given-names>
</name>
<name>
<surname>Cremonini</surname> <given-names>E.</given-names>
</name>
<name>
<surname>Gentilotti</surname> <given-names>E.</given-names>
</name>
<name>
<surname>De Nardo</surname> <given-names>P.</given-names>
</name>
<etal/>
</person-group>. (<year>2021</year>). <article-title>Nucleic acid amplification tests on respiratory samples for the diagnosis of coronavirus infections: a systematic review and meta-analysis</article-title>. <source>Clin. Microbiol. Infect.</source> <volume>27</volume>, <fpage>341</fpage>&#x2013;<lpage>351</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.cmi.2020.11.002</pub-id>
</citation>
</ref>
<ref id="B12">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Hennechart-Collette</surname> <given-names>C.</given-names>
</name>
<name>
<surname>Martin-Latil</surname> <given-names>S.</given-names>
</name>
<name>
<surname>Guillier</surname> <given-names>L.</given-names>
</name>
<name>
<surname>Perelle</surname> <given-names>S.</given-names>
</name>
</person-group> (<year>2014</year>). <article-title>Multiplex real-time RT-qPCR for the detection of Norovirus in bottled and tap water using murine norovirus as a process control, J</article-title>. <source>Appl. Microbiol.</source> <volume>116</volume>, <fpage>179</fpage>&#x2013;<lpage>190</lpage>. doi: <pub-id pub-id-type="doi">10.1111/jam.12345</pub-id>
</citation>
</ref>
<ref id="B13">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Holshue</surname> <given-names>M. L.</given-names>
</name>
<name>
<surname>DeBolt</surname> <given-names>C.</given-names>
</name>
<name>
<surname>Lindquist</surname> <given-names>S.</given-names>
</name>
<name>
<surname>Lofy</surname> <given-names>K. H.</given-names>
</name>
<name>
<surname>Wiesman</surname> <given-names>J.</given-names>
</name>
<name>
<surname>Bruce</surname> <given-names>H.</given-names>
</name>
<etal/>
</person-group>. (<year>2020</year>). <article-title>First case of 2019 novel coronavirus in the United States</article-title>. <source>N. Engl. J. Med.</source> <volume>382</volume>, <fpage>929</fpage>&#x2013;<lpage>936</lpage>. doi: <pub-id pub-id-type="doi">10.1056/NEJMoa2001191</pub-id>
</citation>
</ref>
<ref id="B14">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Huang</surname> <given-names>C. L.</given-names>
</name>
<name>
<surname>Wang</surname> <given-names>Y. M.</given-names>
</name>
<name>
<surname>Li</surname> <given-names>X. W.</given-names>
</name>
<name>
<surname>Ren</surname> <given-names>L. L.</given-names>
</name>
<name>
<surname>Zhao</surname> <given-names>J. P.</given-names>
</name>
<name>
<surname>Hu</surname> <given-names>Y.</given-names>
</name>
<etal/>
</person-group>. (<year>2020</year>). <article-title>Clinical features of patients infected with 2019 novel coronavirus in Wuhan</article-title>. <source>China Lancet</source> <volume>395</volume>, <fpage>497</fpage>&#x2013;<lpage>506</lpage>. doi: <pub-id pub-id-type="doi">10.1016/S0140-6736(20)30183-5</pub-id>
</citation>
</ref>
<ref id="B15">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Jekhmane</surname> <given-names>S.</given-names>
</name>
<name>
<surname>de Haas</surname> <given-names>R.</given-names>
</name>
<name>
<surname>da Silva Filho</surname> <given-names>O. P.</given-names>
</name>
<name>
<surname>van Asbeck</surname> <given-names>A. H.</given-names>
</name>
<name>
<surname>Favretto</surname> <given-names>M. E.</given-names>
</name>
<name>
<surname>Garcia</surname> <given-names>A. H.</given-names>
</name>
<etal/>
</person-group>. (<year>2017</year>). <article-title>Virus-Like particles of mRNA with artificial minimal coat proteins: Particle formation, stability, and transfection efficiency</article-title>. <source>Nucleic. Acids Ther.</source> <volume>27</volume>, <fpage>159</fpage>&#x2013;<lpage>167</lpage>. doi: <pub-id pub-id-type="doi">10.1089/nat.2016.0660</pub-id>
</citation>
</ref>
<ref id="B16">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Lin</surname> <given-names>G. G.</given-names>
</name>
<name>
<surname>Zhang</surname> <given-names>K.</given-names>
</name>
<name>
<surname>Zhang</surname> <given-names>D.</given-names>
</name>
<name>
<surname>Han</surname> <given-names>Y. X.</given-names>
</name>
<name>
<surname>Xie</surname> <given-names>J. H.</given-names>
</name>
<name>
<surname>Li</surname> <given-names>J. M.</given-names>
</name>
</person-group> (<year>2017</year>). <article-title>Fast preparation of a long chimeric armored RNA as controls for external quality assessment for molecular detection of Zika virus</article-title>. <source>Clin. Chim. Acta</source> <volume>466</volume>, <fpage>138</fpage>&#x2013;<lpage>144</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.cca.2017.01.023</pub-id>
</citation>
</ref>
<ref id="B17">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Luc</surname> <given-names>P.</given-names>
</name>
<name>
<surname>Marjorie</surname> <given-names>C.</given-names>
</name>
<name>
<surname>Bili</surname> <given-names>S.</given-names>
</name>
<name>
<surname>Marguerite</surname> <given-names>E. K.</given-names>
</name>
<name>
<surname>Fr&#xe9;d&#xe9;ric</surname> <given-names>D.</given-names>
</name>
<name>
<surname>Sylvie</surname> <given-names>N. L.</given-names>
</name>
<etal/>
</person-group>. (<year>2013</year>). <article-title>Co-expression of RNA-protein complexes in Escherichia coli and applications to RNA biology</article-title>. <source>Nucleic Acids Res.</source> <volume>41</volume>, <elocation-id>e150</elocation-id>. doi: <pub-id pub-id-type="doi">10.1093/nar/gkt576</pub-id>
</citation>
</ref>
<ref id="B18">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Mikel</surname> <given-names>P.</given-names>
</name>
<name>
<surname>Vasickova</surname> <given-names>P.</given-names>
</name>
<name>
<surname>Kralik</surname> <given-names>P.</given-names>
</name>
</person-group> (<year>2015</year>). <article-title>Methods for preparation of MS2 phage-like particles and their utilization as process control viruses in RT-PCR and qRT-PCR detection of RNA viruses from food matrices and clinical specimens, Food Environ</article-title>. <source>Virol</source> <volume>7</volume>, <fpage>96</fpage>&#x2013;<lpage>111</lpage>. doi: <pub-id pub-id-type="doi">10.1007/s12560-015-9188-2</pub-id>
</citation>
</ref>
<ref id="B19">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Mikel</surname> <given-names>P.</given-names>
</name>
<name>
<surname>Vasickova</surname> <given-names>P.</given-names>
</name>
<name>
<surname>Kralik</surname> <given-names>P.</given-names>
</name>
</person-group> (<year>2017</year>). <article-title>One-plasmid double-expression His-tag system for rapid production and easy purification of MS2 phage-like particles</article-title>. <source>Sci. Rep.</source> <volume>7</volume>, <fpage>7501</fpage>. doi: <pub-id pub-id-type="doi">10.1038/s41598-017-17951-5</pub-id>
</citation>
</ref>
<ref id="B20">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Mikel</surname> <given-names>P.</given-names>
</name>
<name>
<surname>Vasickova</surname> <given-names>P.</given-names>
</name>
<name>
<surname>Tesarik</surname> <given-names>R.</given-names>
</name>
<name>
<surname>Malenovska</surname> <given-names>H.</given-names>
</name>
<name>
<surname>Kulich</surname> <given-names>P.</given-names>
</name>
<name>
<surname>Vesely</surname> <given-names>T.</given-names>
</name>
<etal/>
</person-group>. (<year>2016</year>). <article-title>Preparation of MS2 phage-like particles and their use as potential process control viruses for detection and quantification of enteric RNA viruses in different matrices, front</article-title>. <source>Microbiol</source> <volume>7</volume>, <fpage>1911</fpage>. doi: <pub-id pub-id-type="doi">10.3389/fmicb.2016.01911</pub-id>
</citation>
</ref>
<ref id="B21">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Mylon</surname> <given-names>S. E.</given-names>
</name>
<name>
<surname>Rinciog</surname> <given-names>C. I.</given-names>
</name>
<name>
<surname>Schmidt</surname> <given-names>N.</given-names>
</name>
<name>
<surname>Gutierrez</surname> <given-names>L.</given-names>
</name>
<name>
<surname>Wong</surname> <given-names>G. C. L.</given-names>
</name>
<name>
<surname>Nguyen</surname> <given-names>T. H.</given-names>
</name>
</person-group> (<year>2010</year>). <article-title>Influence of salts and natural organic matter on the stability of bacteriophage MS2</article-title>. <source>Langmuir</source> <volume>26</volume>, <fpage>1035</fpage>&#x2013;<lpage>1042</lpage>. doi: <pub-id pub-id-type="doi">10.1021/la902290t</pub-id>
</citation>
</ref>
<ref id="B22">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>O&#x2019;Rourke</surname> <given-names>J. P.</given-names>
</name>
<name>
<surname>Peabody</surname> <given-names>D. S.</given-names>
</name>
<name>
<surname>Chackerian</surname> <given-names>B.</given-names>
</name>
</person-group> (<year>2015</year>). <article-title>Affinity selection of epitope-based vaccines using a bacteriophage virus-like particle platform</article-title>. <source>Curr. Opin. Virol.</source> <volume>11</volume>, <fpage>76</fpage>&#x2013;<lpage>82</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.coviro.2015.03.005</pub-id>
</citation>
</ref>
<ref id="B23">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Pfefferle</surname> <given-names>S.</given-names>
</name>
<name>
<surname>Reucher</surname> <given-names>S.</given-names>
</name>
<name>
<surname>Norz</surname> <given-names>D.</given-names>
</name>
<name>
<surname>Lutgehetmann</surname> <given-names>M.</given-names>
</name>
</person-group> (<year>2020</year>). <article-title>Evaluation of a quantitative RT-PCR assay for the detection of the emerging coronavirus SARS-CoV-2 using a high throughput system</article-title>. <source>Eurosurveillance</source> <volume>25</volume>, <fpage>18</fpage>&#x2013;<lpage>22</lpage>. doi: <pub-id pub-id-type="doi">10.2807/1560-7917.ES.2020.25.9.2000152</pub-id>
</citation>
</ref>
<ref id="B24">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Prakash</surname> <given-names>D. L.</given-names>
</name>
<name>
<surname>Gosavi</surname> <given-names>S.</given-names>
</name>
</person-group> (<year>2021</year>). <article-title>Understanding the folding mediated assembly of the bacteriophage MS2 coat protein dimers</article-title>. <source>J Phys Chem B</source> <volume>31</volume>, <fpage>8722</fpage>&#x2013;<lpage>8873</lpage>. doi: <pub-id pub-id-type="doi">10.1021/acs.jpcb.1c03928</pub-id>
</citation>
</ref>
<ref id="B25">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Samuel</surname> <given-names>W.</given-names>
</name>
<name>
<surname>Timothy</surname> <given-names>R. J.</given-names>
</name>
<name>
<surname>Katharina</surname> <given-names>M. W.</given-names>
</name>
<name>
<surname>Thomas</surname> <given-names>G.</given-names>
</name>
<name>
<surname>Stefan</surname> <given-names>S.</given-names>
</name>
</person-group> (<year>2020</year>). <article-title>Colloidal transformations in MS2 virus particles: driven by pH, influenced by natural organic matter</article-title>. <source>ACS Nano</source> <volume>14</volume>, <fpage>1879</fpage>&#x2013;<lpage>1887</lpage>. doi: <pub-id pub-id-type="doi">10.1021/acsnano.9b08112</pub-id>
</citation>
</ref>
<ref id="B26">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Song</surname> <given-names>L. Q.</given-names>
</name>
<name>
<surname>Sun</surname> <given-names>S. P.</given-names>
</name>
<name>
<surname>Li</surname> <given-names>B.</given-names>
</name>
<name>
<surname>Pan</surname> <given-names>Y.</given-names>
</name>
<name>
<surname>Li</surname> <given-names>W. L.</given-names>
</name>
<name>
<surname>Zhang</surname> <given-names>K.</given-names>
</name>
<etal/>
</person-group>. (<year>2011</year>). <article-title>External quality assessment for enterovirus 71 and coxsackievirus A16 detection by reverse transcription-PCR using armored RNA as a virus surrogate</article-title>. <source>J. Clin. Microbiol.</source> <volume>49</volume>, <fpage>3591</fpage>&#x2013;<lpage>3595</lpage>. doi: <pub-id pub-id-type="doi">10.1128/JCM.00686-11</pub-id>
</citation>
</ref>
<ref id="B27">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Stockley</surname> <given-names>P. G.</given-names>
</name>
<name>
<surname>White</surname> <given-names>S. J.</given-names>
</name>
<name>
<surname>Dykeman</surname> <given-names>E.</given-names>
</name>
<name>
<surname>Manfield</surname> <given-names>I.</given-names>
</name>
<name>
<surname>Rolfsson</surname> <given-names>O.</given-names>
</name>
<name>
<surname>Patel</surname> <given-names>N.</given-names>
</name>
<etal/>
</person-group>. (<year>2016</year>). <article-title>Bacteriophage MS2 genomic RNA encodes an assembly instruction manual for its capsid</article-title>. <source>Bacteriophage</source> <volume>1</volume>, <elocation-id>e1157666</elocation-id>. doi: <pub-id pub-id-type="doi">10.1080/21597081.2016.1157666</pub-id>
</citation>
</ref>
<ref id="B28">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Sun</surname> <given-names>Y.</given-names>
</name>
<name>
<surname>Jia</surname> <given-names>T.</given-names>
</name>
<name>
<surname>Sun</surname> <given-names>Y.</given-names>
</name>
<name>
<surname>Han</surname> <given-names>Y.</given-names>
</name>
<name>
<surname>Wang</surname> <given-names>L.</given-names>
</name>
<name>
<surname>Zhang</surname> <given-names>R.</given-names>
</name>
<etal/>
</person-group>. (<year>2013</year>). <article-title>External quality assessment for avian influenza A (H7N9) virus detection using armored RNA</article-title>. <source>J. Clin. Microbiol.</source> <volume>51</volume>, <fpage>4055</fpage>&#x2013;<lpage>4059</lpage>. doi: <pub-id pub-id-type="doi">10.1128/JCM.02018-13</pub-id>
</citation>
</ref>
<ref id="B29">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Wang</surname> <given-names>G.</given-names>
</name>
<name>
<surname>Sun</surname> <given-names>Y.</given-names>
</name>
<name>
<surname>Zhang</surname> <given-names>K.</given-names>
</name>
<name>
<surname>Jia</surname> <given-names>T.</given-names>
</name>
<name>
<surname>Hao</surname> <given-names>M.</given-names>
</name>
<name>
<surname>Zhang</surname> <given-names>D.</given-names>
</name>
<etal/>
</person-group>. (<year>2015</year>). <article-title>External quality assessment of molecular detection of Ebola virus in China</article-title>. <source>PloS One</source> <volume>10</volume>, <elocation-id>e0132659</elocation-id>. doi: <pub-id pub-id-type="doi">10.1371/journal.pone.0132659</pub-id>
</citation>
</ref>
<ref id="B30">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Wang</surname> <given-names>G. J.</given-names>
</name>
<name>
<surname>Zhang</surname> <given-names>R.</given-names>
</name>
<name>
<surname>Han</surname> <given-names>Y. X.</given-names>
</name>
<name>
<surname>Chang</surname> <given-names>L.</given-names>
</name>
<name>
<surname>Zhang</surname> <given-names>D.</given-names>
</name>
<name>
<surname>Zhang</surname> <given-names>L.</given-names>
</name>
<etal/>
</person-group>. (<year>2015</year>). <article-title>The evaluation of 7 commercial real-time PCR kits for Zaire ebolavirus using virus-like particle&#x2013;encapsulated EBOV RNA</article-title>. <source>Diagn. Micr Infect. Dis.</source> <volume>83</volume>, <fpage>355</fpage>&#x2013;<lpage>358</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.diagmicrobio.2015.07.025</pub-id>
</citation>
</ref>
<ref id="B31">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Wang</surname> <given-names>S. L.</given-names>
</name>
<name>
<surname>Li</surname> <given-names>Y.</given-names>
</name>
<name>
<surname>Zhou</surname> <given-names>D. D.</given-names>
</name>
<name>
<surname>Gao</surname> <given-names>T. Z.</given-names>
</name>
<name>
<surname>Zha</surname> <given-names>S. Y.</given-names>
</name>
<name>
<surname>Yue</surname> <given-names>E. H. X. Q.</given-names>
</name>
</person-group> (<year>2016</year>). <article-title>Preparation and evaluation of MS2 bacteriophage-like particles packaging hepatitis E virus RNA</article-title>. <source>FEMS Microbiol. Lett.</source> <volume>363</volume>, <fpage>fnw221</fpage>. doi: <pub-id pub-id-type="doi">10.1093/femsle/fnw221</pub-id>
</citation>
</ref>
<ref id="B32">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Wiersinga</surname> <given-names>W. J.</given-names>
</name>
<name>
<surname>Rhodes</surname> <given-names>A.</given-names>
</name>
<name>
<surname>Cheng</surname> <given-names>A. C.</given-names>
</name>
<name>
<surname>Peacock</surname> <given-names>S. J.</given-names>
</name>
<name>
<surname>Prescott</surname> <given-names>H. C.</given-names>
</name>
</person-group> (<year>2020</year>). <article-title>Pathophysiology, transmission, diagnosis, and treatment of coronavirus disease 2019 (COVID-19): a review, Jama</article-title>. <source>Jama-J Am Med Assoc</source> <volume>324</volume>, <fpage>782</fpage>&#x2013;<lpage>793</lpage>. doi: <pub-id pub-id-type="doi">10.1001/jama.2020.12839</pub-id>
</citation>
</ref>
<ref id="B33">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Ye</surname> <given-names>Y.</given-names>
</name>
</person-group> (<year>2023</year>). <article-title>China&#x2019;s rolling COVID waves could hit every six months-infecting millions</article-title>. <source>Nature</source> <volume>618</volume>, <fpage>442</fpage>&#x2013;<lpage>443</lpage>. doi: <pub-id pub-id-type="doi">10.1038/d41586-023-01872-7</pub-id>
</citation>
</ref>
<ref id="B34">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Zhang</surname> <given-names>L.</given-names>
</name>
<name>
<surname>Hao</surname> <given-names>M.</given-names>
</name>
<name>
<surname>Zhang</surname> <given-names>K.</given-names>
</name>
<name>
<surname>Zhang</surname> <given-names>R.</given-names>
</name>
<name>
<surname>Lin</surname> <given-names>G.</given-names>
</name>
<name>
<surname>Jia</surname> <given-names>T.</given-names>
</name>
<etal/>
</person-group>. (<year>2016</year>). <article-title>External quality assessment for the molecular detection of MERS-CoV in China</article-title>. <source>J. Clin. Virol.</source> <volume>75</volume>, <fpage>5</fpage>&#x2013;<lpage>9</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.jcv.2015.12.001</pub-id>
</citation>
</ref>
<ref id="B35">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Zhang</surname> <given-names>D.</given-names>
</name>
<name>
<surname>Sun</surname> <given-names>Y.</given-names>
</name>
<name>
<surname>Jia</surname> <given-names>T.</given-names>
</name>
<name>
<surname>Zhang</surname> <given-names>L.</given-names>
</name>
<name>
<surname>Wang</surname> <given-names>G.</given-names>
</name>
<name>
<surname>Zhang</surname> <given-names>R.</given-names>
</name>
<etal/>
</person-group>. (<year>2015</year>). <article-title>External quality assessment for the detection of measles virus by reverse transcription-PCR using armored RNA</article-title>. <source>PloS One</source> <volume>10</volume>, <elocation-id>e0134681</elocation-id>. doi: <pub-id pub-id-type="doi">10.1371/journal.pone.0134681</pub-id>
</citation>
</ref>
<ref id="B36">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Zinatizadeh</surname> <given-names>M. R.</given-names>
</name>
<name>
<surname>Zarandi</surname> <given-names>P. K.</given-names>
</name>
<name>
<surname>Ghiasi</surname> <given-names>M.</given-names>
</name>
<name>
<surname>Kooshki</surname> <given-names>H.</given-names>
</name>
<name>
<surname>Mohammadi</surname> <given-names>M.</given-names>
</name>
<name>
<surname>Amani</surname> <given-names>J.</given-names>
</name>
<etal/>
</person-group>. (<year>2023</year>). <article-title>Immunosenescence and inflamm-ageing in COVID-19</article-title>. <source>Ageing Res. Rev.</source> <volume>4</volume>, <fpage>101818</fpage>. doi: <pub-id pub-id-type="doi">10.1016/j.arr.2022.101818</pub-id>
</citation>
</ref>
</ref-list>
</back>
</article>