Department of Clinical Laboratory, The First People's Hospital of Guiyang, Guiyang, Guizhou, China.
Front Cell Infect Microbiol. 2024 Nov 11;14:1450199. doi: 10.3389/fcimb.2024.1450199. eCollection 2024.
(, CA) is an essential invasive fungus in clinical diagnosis. Although several detection methods exist, none meet the need for early diagnosis. A rapid, sensitive, and specific diagnostic tool is crucial for effective prevention and control of infections.
This study aimed to develop a new, rapid, and ultrasensitive diagnostic tool for detection based on restriction endonuclease-mediated real-time loop-mediated isothermal amplification (ERT-LAMP-CA). The ERT-LAMP-CA technology combines LAMP amplification, restriction endonuclease cleavage, and real-time fluorescence detection in a single reaction tube, which can complete a diagnosis of in a short time (approximately 1 h).
Herein, we developed the primer sequences required for ERT-LAMP-CA based on the ITS2 gene of and found that ERT-LAMP-CA limit of detection was approximately 500 ag/μL genomic DNA and can present negative results for non- templates. We tested sputum samples from 64 patients with suspected infections to validate ERT-LAMP-CA applicability in clinical sample testing and found that ERT-LAMP-CA was consistent with multiplex PCR-capillary electrophoresis.
In conclusion, ERT-LAMP-CA is a rapid, accurate, and sensitive assay with excellent potential for clinical and basic laboratory diagnosis and an efficient screening strategy.
(,)是一种重要的临床诊断真菌。虽然有几种检测方法,但没有一种方法能满足早期诊断的需要。快速、敏感和特异的诊断工具对于有效预防和控制感染至关重要。
本研究旨在开发一种基于限制性内切酶介导的实时环介导等温扩增(ERT-LAMP-CA)的新型快速、高灵敏度的检测方法。ERT-LAMP-CA 技术将 LAMP 扩增、限制性内切酶切割和实时荧光检测结合在一个反应管中,可在短时间内(约 1 小时)完成检测。
在此,我们根据的 ITS2 基因设计了 ERT-LAMP-CA 的引物序列,发现 ERT-LAMP-CA 的检测限约为 500 ag/μL 基因组 DNA,并且可以对非模板呈阴性结果。我们测试了 64 例疑似感染患者的痰样本,以验证 ERT-LAMP-CA 在临床样本检测中的适用性,发现 ERT-LAMP-CA 与多重 PCR-毛细管电泳一致。
总之,ERT-LAMP-CA 是一种快速、准确、敏感的检测方法,具有良好的临床和基础实验室诊断应用潜力和高效的筛选策略。