Development of a pan-serotype reverse transcription loop-mediated isothermal amplification assay for the detection of dengue virus

被引:18
作者
Dauner, Allison L. [1 ]
Mitra, Indrani [1 ]
Gilliland, Theron, Jr. [1 ]
Seales, Sajeewane [1 ]
Pal, Subhamoy [1 ]
Yang, Shih-Chun [2 ]
Guevara, Carolina [3 ]
Chen, Jiann-Hwa [2 ]
Liu, Yung-Chuan [2 ]
Kochel, Tadeusz J. [1 ]
Wu, Shuenn-Jue L. [1 ]
机构
[1] Naval Med Res Ctr, Silver Spring, MD 20910 USA
[2] Natl Chung Hsing Univ, Taichung 40227, Taiwan
[3] US Naval Med Res Unit 6, Iquitos, Peru
关键词
Dengue; Loop-mediated isothermal amplification; RI-LAMP; JAPANESE ENCEPHALITIS-VIRUS; WEST-NILE-VIRUS; RAPID DETECTION; SENSITIVE DETECTION; NUCLEIC-ACID; VIRAL-RNA; RT-LAMP; DIAGNOSIS; DNA; DIFFERENTIATION;
D O I
10.1016/j.diagmicrobio.2015.05.004
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
During dengue outbreaks, acute diagnosis at the patient's point of need followed by appropriate supportive therapy reduces morbidity and mortality. To facilitate needed diagnosis, we developed and optimized a reverse transcription loop-mediated isothermal amplification (RI-LAMP) assay that detects all 4 serotypes of dengue virus (DENV). We used a quencher to reduce nonspecific amplification. The assay does not require expensive thermocyclers, utilizing a simple water bath to maintain the reaction at 63 degrees C. Results can be visualized using UV fluorescence, handheld readers, or lateral flow immunochromatographic tests. We report a sensitivity of 86.3% (95% confidence interval [CI], 72.7-94.8%) and specificity of 93.0% (95% Cl. 83.0-98.1%) using a panel of clinical specimens characterized by DENV quantitative reverse transcription-polymerase chain reaction. This pan-serotype DENV RI-LAMP can be adapted to field-expedient formats where it can provide actionable diagnosis near the patient's point of need. (C) 2015 Elsevier Inc. All rights reserved.
引用
收藏
页码:30 / 36
页数:7
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