Department of Gastroenterology, Affiliated Children's Hospital, Capital Institute of Pediatrics, Beijing, China.
Experimental Research Center, Capital Institute of Pediatrics, Beijing, China.
Front Cell Infect Microbiol. 2024 Nov 14;14:1396330. doi: 10.3389/fcimb.2024.1396330. eCollection 2024.
(, HP), recognized globally as one of the most widespread bacteria, serves as primary etiological agent for numerous gastroduodenal diseases, highlighting the urgent need to develop rapid and sensitive diagnostic method for infection. Here, we devised a new diagnostic test that merged multiple cross displacement amplification (MCDA) with nanoparticle-based lateral flow biosensor (LFB), termed HP-MCDA-LFB, to facilitate the rapid and sensitive detection of . The whole detection workflow, which includes stages such as DNA template extraction (15 min), MCDA pre-amplification (40 min), and result readout (2 min), was efficiently completed within 1 h. After optimization, the HP-MCDA-LFB assay demonstrated remarkable sensitivity in detecting , with a detection threshold as low as 60 fg of genomic DNA (56 copies) per microliter. Furthermore, the HP-MCDA-LFB assay also achieved a perfect specificity rate of 100%, exhibiting no cross-reactivity with non- isolates. Particularly, the clinical feasibility of HP-MCDA-LFB assay was validated using 40 antral mucosa samples, among which 17 tested positive for , which was in complete agreement with the results obtained from the rapid urease test. In conclusion, the HP-MCDA-LFB method developed in this study is a rapid, sensitive, and specific method for diagnosing infection, indicating great potential for eradication therapy.
(, HP), 作为全球分布最广泛的细菌之一,被认为是许多胃十二指肠疾病的主要病因,因此需要开发一种快速、灵敏的 感染诊断方法。在这里,我们设计了一种新的诊断测试,将多重交叉置换扩增 (MCDA) 与基于纳米颗粒的侧向流动生物传感器 (LFB) 相结合,称为 HP-MCDA-LFB,以促进 的快速和灵敏检测。整个检测工作流程包括 DNA 模板提取(约 15 分钟)、MCDA 预扩增(约 40 分钟)和结果读取(约 2 分钟)等阶段,在 1 小时内高效完成。经过优化,HP-MCDA-LFB 检测法在检测 方面表现出了很高的灵敏度,检测下限低至 60 fg 基因组 DNA(~56 拷贝)/微升。此外,HP-MCDA-LFB 检测法还具有 100%的完美特异性,与非 分离株无交叉反应。特别是,该研究通过 40 个胃窦黏膜样本验证了 HP-MCDA-LFB 检测法的临床可行性,其中 17 个样本检测出 呈阳性,与快速尿素酶试验的结果完全一致。综上所述,本研究开发的 HP-MCDA-LFB 方法是一种快速、灵敏、特异的 感染诊断方法,为 根除治疗提供了很大的潜力。