Huang J, Li P, Shi S J, Li Y H, Xie X B
Laboratory department,West Hainan Central Hospital, Danzhou 571700,China.
Department of Medical Laboratory and Pathology Center,Hunan University of Chinese Medicine, Changsha 410007,China.
Zhonghua Yu Fang Yi Xue Za Zhi. 2021 Dec 6;55(12):1518-1523. doi: 10.3760/cma.j.cn112150-20210831-00850.
Digital loop-mediated isothermal amplification (digital LAMP, dLAMP) is a novel nucleic acid amplification technique developed in recent years. It divides the target nucleic acid and LAMP reagent into a large number of independent detection regions, and uses a highly active chain replacement DNA polymerase and four specially designed primers for rapid amplification under isothermal conditions, which provides a good platform for quantitative detection of target nucleic acids. The advantages of high accuracy, high sensitivity, absolute quantification, high tolerance to inhibitors and simple instrumentation make the dLAMP technique very promising in molecular diagnosis, especially in rapid detection of pathogenic microorganisms, it shows a good application prospect in the fields of clinical diagnosis, food safety and environmental monitoring. Certainly, the development of dLAMP still faces some challenges, such as how to avoid non-specific amplification in multiple primer designs, multi-target nucleic acids and simultaneous detection of a large number of samples. With the development of dLAMP technology, this technology will greatly enrich the future development of molecular diagnostics. Applying rapid and effective molecular diagnostic techniques to the diagnosis of pathogenic microorganisms has important social significance for disease prevention and control.
数字环介导等温扩增技术(Digital loop-mediated isothermal amplification,dLAMP)是近年来发展起来的一种新型核酸扩增技术。它将靶核酸和LAMP试剂分隔成大量独立的检测区域,并利用高活性链置换DNA聚合酶和四条专门设计的引物在等温条件下进行快速扩增,为靶核酸的定量检测提供了良好的平台。dLAMP技术具有准确性高、灵敏度高、绝对定量、对抑制剂耐受性强以及仪器简单等优点,使其在分子诊断领域极具前景,特别是在病原微生物的快速检测方面,在临床诊断、食品安全和环境监测等领域展现出良好的应用前景。当然,dLAMP的发展仍面临一些挑战,如在多重引物设计中如何避免非特异性扩增、多靶核酸以及大量样本的同时检测等。随着dLAMP技术的发展,该技术将极大地丰富分子诊断的未来发展方向。将快速有效的分子诊断技术应用于病原微生物的诊断对疾病防控具有重要的社会意义。