Kargar Mohammad, Askari Ahzam, Doosti Abbas, Ghorbani-Dalini Sadegh
Department of Microbiology, Jahrom Branch, Islamic Azad University, Jahrom, Iran.
Indian J Virol. 2012 Jun;23(1):18-23. doi: 10.1007/s13337-012-0067-2. Epub 2012 Mar 25.
Hepatitis C virus (HCV) is a major public health problem and a leading cause of chronic liver disease. An estimated 180 million people are infected worldwide. In this study, we developed a loop-mediated isothermal amplification (LAMP) assay for rapid detection of HCV genomic RNA and compared the sensitivity of LAMP with nested-PCR. A total of 30 blood samples from HCV-infected patients were analyzed with six primers targeting conserved sequences of the HCV 5'UTR within 70 min, under isothermal conditions at 62 °C. Then, visualized by gel electrophoresis with ethidium bromide staining and detected by the naked-eye after adding SYBR Green I. All samples positive for HCV by nested PCR were confirmed by LAMP method. When visualized by gel electrophoresis and ethidium bromide staining, the HCV LAMP assay products appeared in a ladder pattern, with many bands of different sizes. The HCV LAMP product could also be detected by the naked-eye after adding SYBR Green I to the reaction tube and observing a color change from orange to green in positive samples. The HCV LAMP had the same sensitivity as a nested-PCR assay, the detection limit for the both systems were found to be 10 copies/mL of HCV RNA. The LAMP assay reported here is superior for rapid amplification, simple operation, and easy detection and will be useful for rapid and reliable clinical diagnosis of HCV in areas with limited resources, such as developing countries.
丙型肝炎病毒(HCV)是一个重大的公共卫生问题,也是慢性肝病的主要病因。全球估计有1.8亿人感染。在本研究中,我们开发了一种环介导等温扩增(LAMP)检测法用于快速检测HCV基因组RNA,并将LAMP的灵敏度与巢式PCR进行比较。在62℃等温条件下,使用针对HCV 5'UTR保守序列的六种引物,在70分钟内对30份来自HCV感染患者的血液样本进行分析。然后,通过溴化乙锭染色的凝胶电泳进行可视化,并在加入SYBR Green I后用肉眼检测。巢式PCR检测为HCV阳性的所有样本均通过LAMP方法得到证实。当通过溴化乙锭染色的凝胶电泳进行可视化时,HCV LAMP检测产物呈现阶梯状,有许多不同大小的条带。在反应管中加入SYBR Green I并观察到阳性样本从橙色变为绿色后,也可用肉眼检测到HCV LAMP产物。HCV LAMP与巢式PCR检测具有相同的灵敏度,两种检测系统的检测限均为10拷贝/mL的HCV RNA。本文报道的LAMP检测法在快速扩增、操作简单和易于检测方面具有优势,将有助于在资源有限的地区(如发展中国家)对HCV进行快速可靠的临床诊断。