Multiplex Reverse-Transcription Loop-Mediated Isothermal Amplification Coupled with Cascade Invasive Reaction and Nanoparticle Hybridization for Subtyping of Influenza A Virus

Sci Rep. 2017 Mar 21:7:44924. doi: 10.1038/srep44924.

Abstract

Considering the fatal human victims and economic loss caused by influenza virus infection every year, methodologies for rapid and on-site detection of influenza viruses are urgently needed. LAMP is the most commonly used nucleic acid isothermal amplification technology suitable for on-site use. However, for multiplex LAMP, differentiation of the amplicons derived from multiple targets is still challengeable currently. Here we developed a multiplex RT-LAMP assay for simultaneous amplification of three prominent subtypes of influenza viruses (A/H5, A/H7 and 2009A/H1). The amplicons were further identified by cascade invasive reaction and nanoparticle hybridization in separate target-specific detection tubes (referred to as mRT-LAMP-IRNH). The analytic sensitivities of the assay are 10 copies of RNA for all the three HA subtypes, and the specificity reached 100%. Clinical specimen analysis showed this assay had a combined sensitivity and specificity of 98.1% and 100%, respectively. Overall, the mRT-LAMP-IRNH assay can be used as a cost-saving method that utilizes a simple instrument to detect A/H5, A/H7, and 2009A/H1 influenza viruses, especially in resource-limited settings.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Gold
  • Humans
  • Influenza A virus / classification*
  • Influenza A virus / genetics*
  • Influenza, Human / diagnosis
  • Influenza, Human / virology*
  • Nanoparticles*
  • Nucleic Acid Amplification Techniques* / methods
  • Nucleic Acid Hybridization*
  • RNA, Viral
  • Reproducibility of Results
  • Reverse Transcription*
  • Sensitivity and Specificity

Substances

  • RNA, Viral
  • Gold