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PLoS One . Development of a multiplex Loop-Mediated Isothermal Amplification (LAMP) assay for on-site diagnosis of SARS CoV-2

tetano

Editor, Senior Moderator
PLoS One


. 2021 Mar 3;16(3):e0248042.
doi: 10.1371/journal.pone.0248042. eCollection 2021.
Development of a multiplex Loop-Mediated Isothermal Amplification (LAMP) assay for on-site diagnosis of SARS CoV-2


Woong Sik Jang[SUP] 1 [/SUP], Da Hye Lim[SUP] 2 [/SUP], Jung Yoon[SUP] 2 [/SUP], Ahran Kim[SUP] 2 [/SUP], Minsup Lim[SUP] 1 [/SUP], Jeonghun Nam[SUP] 1 [/SUP], Richard Yanagihara[SUP] 3 [/SUP], Sook-Won Ryu[SUP] 4 [/SUP], Bo Kyeung Jung[SUP] 5 [/SUP], Nam-Hee Ryoo[SUP] 6 [/SUP], Chae Seung Lim[SUP] 2 [/SUP]



Affiliations

Abstract

A newly identified coronavirus, designated as severe acute respiratory syndrome coronavirus 2 (SARS CoV-2), has spread rapidly from its epicenter in China to more than 150 countries across six continents. In this study, we have designed three reverse-transcription loop-mediated isothermal amplification (RT-LAMP) primer sets to detect the RNA-dependent RNA polymerase (RdRP), Envelope (E) and Nucleocapsid protein (N) genes of SARS CoV-2. For one tube reaction, the detection limits for five combination SARS CoV-2 LAMP primer sets (RdRP/E, RdRP/N, E/N, RdRP/E/N and RdRP/N/Internal control (actin beta)) were evaluated with a clinical nasopharyngeal swab sample. Among the five combination, the RdRP/E and RdRP/N/IC multiplex LAMP assays showed low detection limits. The sensitivity and specificity of the RT-LAMP assay were evaluated and compared to that of the widely used Allplex™ 2019-nCoV Assay (Seegene, Inc., Seoul, South Korea) and PowerChek™ 2019-nCoV Real-time PCR kit (Kogenebiotech, Seoul, South Korea) for 130 clinical samples from 91 SARS CoV-2 patients and 162 NP specimens from individuals with (72) and without (90) viral respiratory infections. The multiplex RdRP (FAM)/N (CY5)/IC (Hex) RT-LAMP assay showed comparable sensitivities (RdRP: 93.85%, N: 94.62% and RdRP/N: 96.92%) to that of the Allplex™ 2019-nCoV Assay (100%) and superior to those of PowerChek™ 2019-nCoV Real-time PCR kit (RdRP: 92.31%, E: 93.85% and RdRP/E: 95.38%).
 
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