Wastewater-based surveillance of the COVID-19 pandemic holds great promise; however, a
point-of-use detection method for SARS-CoV-2 in wastewater is lacking. Here, a portable
paper device based on CRISPR/Cas12a and reverse-transcription loop-mediated isothermal
amplification (RT-LAMP) with excellent sensitivity and specificity was developed for
SARS-CoV-2 detection in wastewater. Three primer sets of RT-LAMP and guide RNAs (gRNAs)
that could lead Cas12a to recognize target genes via base pairing were used to perform
the high-fidelity RT-LAMP to detect the N, E, and S genes of SARS-CoV-2. Due to the
trans-cleavage activity of CRISPR/Cas12a after high-fidelity amplicon recognition,
carboxyfluorescein-ssDNA-Black Hole Quencher-1 and carboxyfluorescein-ssDNA-biotin
probes were adopted to realize different visualization pathways via a fluorescence or
lateral flow analysis, respectively. The reactions were integrated into a paper device
for simultaneously detecting the N, E, and S genes with limits of detection (LODs) of
25, 310, and 10 copies/mL, respectively. The device achieved a semiquantitative analysis
from 0 to 310 copies/mL due to the different LODs of the three genes. Blind experiments
demonstrated that the device was suitable for wastewater analysis with 97.7% sensitivity
and 82% semiquantitative accuracy. This is the first semiquantitative endpoint detection
of SARS-CoV-2 in wastewater via different LODs, demonstrating a promising point-of-use
method for wastewater-based surveillance.