General Surgery Center, Department of Gastrointestinal Surgery, Zhujiang Hospital, Southern Medical University, Guangzhou, China.
Department of Gastroenterology, Zhujiang Hospital, Southern Medical University, Guangzhou, China.
Helicobacter. 2021 Aug;26(4):e12828. doi: 10.1111/hel.12828. Epub 2021 Jun 11.
Noninvasive detection of Helicobacter pylori plays an important role in clinical practice. However, few noninvasive methods have been applied in epidemiological studies due to the requirement for expensive equipment and complicated processes. The aim of this study was to establish a reliable, fast, and inexpensive noninvasive method based on CRISPR-Cas12a technology for the detection of Helicobacter pylori in stool specimens.
A novel detection method based on CRISPR-Cas12a technology was established and validated with 41 stool specimens collected from Zhujiang Hospital and compared with reliable Helicobacter pylori detection assays, such as the rapid urease test and urea breath test.
A CRISPR-Cas12a system-based method was established, and its sensitivity and specificity were evaluated. Utilizing a lateral flow biosensor, the limit of detection was 5 copies/μl, and our method could successfully distinguish Helicobacter pylori from other pathogens, suggesting no cross-reactivity with other pathogens. Furthermore, lateral flow biosensor strips were utilized to test stool specimens, which could display the detection results in an accessible way.
Our CRISPR-Cas12a system-based method successfully detected Helicobacter pylori in stool specimens. It is a rapid, simple, and inexpensive method for the detection and screening of Helicobacter pylori, which makes it a very promising supplemental test. However, its sensitivity and specificity compared with those of the gold standard test still need to be examined.
非侵入性检测幽门螺杆菌在临床实践中起着重要作用。然而,由于需要昂贵的设备和复杂的过程,很少有非侵入性方法应用于流行病学研究。本研究旨在建立一种基于 CRISPR-Cas12a 技术的可靠、快速且廉价的非侵入性方法,用于检测粪便标本中的幽门螺杆菌。
建立了一种基于 CRISPR-Cas12a 技术的新型检测方法,并利用从珠江医院采集的 41 份粪便标本进行了验证,并与可靠的幽门螺杆菌检测方法(如快速尿素酶试验和尿素呼气试验)进行了比较。
建立了基于 CRISPR-Cas12a 系统的方法,并对其灵敏度和特异性进行了评估。利用侧向流生物传感器,检测限为 5 拷贝/μl,我们的方法能够成功区分幽门螺杆菌和其他病原体,表明与其他病原体无交叉反应。此外,还利用侧向流生物传感器条检测了粪便标本,能够以易于观察的方式显示检测结果。
我们基于 CRISPR-Cas12a 系统的方法成功地检测了粪便标本中的幽门螺杆菌。这是一种快速、简单且廉价的幽门螺杆菌检测和筛查方法,作为一种很有前途的辅助检测方法。然而,与金标准检测相比,其灵敏度和特异性仍需要进一步检验。