Coronavirus disease 2019 (COVID-19) is a highly transmissible
disease that has affected more than 90% of the countries
worldwide. At least 17 million individuals have been infected,
and some countries are still battling first or second waves of
the pandemic. Nucleic acid tests, especially reverse
transcription polymerase chain reaction (RT-PCR), have become
the workhorse for early detection of COVID-19 infection.
Positive controls for the molecular assays have been developed
to validate each test and to provide high accuracy. However,
most available positive controls require cold-chain distribution
and cannot serve as full-process control. To overcome these
shortcomings, we report the production of biomimetic virus-like
particles (VLPs) as SARS-CoV-2 positive controls. A SARS-CoV-2
detection module for RT-PCR was encapsidated into VLPs from a
bacteriophage and a plant virus. The chimeric VLPs were obtained
either by
in vivo
reconstitution and
coexpression of the target detection module and coat proteins or
by
in vitro
assembly of purified detection
module RNA sequences and coat proteins. These VLP-based positive
controls mimic SARS-CoV-2 packaged ribonucleic acid (RNA) while
being noninfectious. Most importantly, we demonstrated that the
positive controls are scalable, stable, and can serve broadly as
controls, from RNA extraction to PCR in clinical settings.