王毅, 王晓霞, 王立程, 韩丽梅, 李沙, 符晓莹, 李欢, 陈海, 朱雄. 环介导恒温扩增结合纳米生物传感器快速检测类鼻疽伯克霍尔德菌的方法及临床应用[J]. 疾病监测, 2021, 36(8): 831-836. DOI: 10.3784/jbjc.202108010422
引用本文: 王毅, 王晓霞, 王立程, 韩丽梅, 李沙, 符晓莹, 李欢, 陈海, 朱雄. 环介导恒温扩增结合纳米生物传感器快速检测类鼻疽伯克霍尔德菌的方法及临床应用[J]. 疾病监测, 2021, 36(8): 831-836. DOI: 10.3784/jbjc.202108010422
Wang Yi, Wang Xiaoxia, Wang Licheng, Han Limei, Li Sha, Fu Xiaoying, Li Huan, Chen Hai, Zhu Xiong. Development and clinical application of loop-mediated isothermal amplification combined with nanoparticles-based lateral flow biosensor for rapid detection of Burkholderia pseudomallei[J]. Disease Surveillance, 2021, 36(8): 831-836. DOI: 10.3784/jbjc.202108010422
Citation: Wang Yi, Wang Xiaoxia, Wang Licheng, Han Limei, Li Sha, Fu Xiaoying, Li Huan, Chen Hai, Zhu Xiong. Development and clinical application of loop-mediated isothermal amplification combined with nanoparticles-based lateral flow biosensor for rapid detection of Burkholderia pseudomallei[J]. Disease Surveillance, 2021, 36(8): 831-836. DOI: 10.3784/jbjc.202108010422

环介导恒温扩增结合纳米生物传感器快速检测类鼻疽伯克霍尔德菌的方法及临床应用

Development and clinical application of loop-mediated isothermal amplification combined with nanoparticles-based lateral flow biosensor for rapid detection of Burkholderia pseudomallei

  • 摘要:
      目的   建立一种环介导恒温扩增(LAMP)结合纳米生物传感器(LFB)快速检测类鼻疽伯克霍尔德菌的快速方法,为临床检测提供依据。
      方法   针对类鼻疽伯克霍尔德菌的Ⅲ型分泌系统基因设计LAMP特异性引物,建立LAMP方法,通过纳米生物传感判断结果,并应用临床样本对该方法进行评价。
      结果   LAMP-LFB检测的最佳扩增条件为67 ℃反应40 min,对类鼻疽伯克霍尔德菌纯培养物DNA灵敏度达到100 fg,对258株菌株进行检测,包括227株类鼻疽伯克霍尔德菌和31株非类鼻疽伯克霍尔德菌,特异性为100%。 应用于46个临床样本检测时,与传统分离培养方法相比,达到100%的诊断准确率。 LAMP-LFB整个检测过程可在1 h内完成,包括15 min DNA制备,40 min LAMP扩增,2 min的LFB结果判读。
      结论   本研究建立的LAMP-LFB技术是一种快速、灵敏、特异的检测类鼻疽伯克霍尔德菌的方法,可作为类鼻疽基础、现场和临床实验室诊断的潜在工具。

     

    Abstract:
      Objective   To establish a simple, rapid, and reliable diagnosis assay of loop-mediated isothermal amplification combined with nanoparticles-based lateral flow biosensor (LAMP-LFB), for the detection of Burkholderia pseudomallei.
      Methods   A set of six LAMP primers was designed to establish the LAMP assay for the specific amplifying one of type Ⅲ secretion system (TTS1) genes of B. pseudomallei. Nanoparticles-based lateral flow biosensor was used to indicating the results and clinical samples were used to evaluate the LAMP-LFB assay.
      Results   The optimal amplification conditions of LAMP-LFB assay were 67 ℃ for 40 mins. The sensitivity of the assay was 100 fg of genomic DNA from pure bacterial cultures, and the analytical specificity was 100% by the examination of 258 strains, including 227 strains of B. pseudomallei and 31strains of non-B. pseudomallei. To further demonstrate the feasibility, the LAMP-LFB assay exhibited a diagnostic accuracy of 100% in 46 clinical samples, which is comparable with the culture-biotechnical method. Particularly, the whole detection procedure of LAMP-LFB assay was completed within 1 h, including 15 mins for genomic DNA preparation, 40 mins for loop-mediated isothermal amplification, and 2 mins for the results interpretation visually by biosensor.
      Conclusion   B. pseudomallei-LAMP-LFB assay is a rapid, sensitive and specific method for the detection of B. pseudomallei, which can be developed as a potential tool to diagnose melioidosis either in field or clinical laboratory.

     

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