A reverse transcription loop-mediated isothermal amplification for broad coverage detection of Asian and African Zika virus lineages

Teoh, Boon-Teong and Chin, Kim-Ling and Samsudin, Nur-Izyan and Loong, Shih-Keng and Sam, Sing-Sin and Tan, Kim-Kee and Khor, Chee-Sieng and Abd-Jamil, Juraina and Zainal, Nurhafiza and Wilder-Smith, Annelies and Zandi, Keivan and Abu Bakar, Sazaly (2020) A reverse transcription loop-mediated isothermal amplification for broad coverage detection of Asian and African Zika virus lineages. BMC Infectious Diseases, 20 (1). ISSN 1471-2334, DOI https://doi.org/10.1186/s12879-020-05585-4.

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Abstract

BackgroundEarly detection of Zika virus (ZIKV) infection during the viremia and viruria facilitates proper patient management and mosquito control measurement to prevent disease spread. Therefore, a cost-effective nucleic acid detection method for the diagnosis of ZIKV infection, especially in resource-deficient settings, is highly required.MethodsIn the present study, a single-tube reverse transcription loop-mediated isothermal amplification (RT-LAMP) assay was developed for the detection of both the Asian and African-lineage ZIKV. The detection limit, strain coverage and cross-reactivity of the ZIKV RT-LAMP assay was evaluated. The sensitivity and specificity of the RT-LAMP were also evaluated using a total of 24 simulated clinical samples. The ZIKV quantitative reverse transcription-polymerase chain reaction (qRT-PCR) assay was used as the reference assay.ResultsThe detection limit of the RT-LAMP assay was 3.73 ZIKV RNA copies (probit analysis, P <= 0.05). The RT-LAMP assay detected the ZIKV genomes of both the Asian and African lineages without cross-reacting with other arthropod-borne viruses. The sensitivity and specificity of the RT-LAMP assay were 90% (95% CI=59.6-98.2) and 100% (95% CI=78.5-100.0), respectively. The RT-LAMP assay detected ZIKV genome in 9 of 24 (37.5%) of the simulated clinical samples compared to 10 of 24 (41.7%) by qRT-PCR assay with a high level of concordance (kappa =0.913, P<0.001).ConclusionThe RT-LAMP assay is applicable for the broad coverage detection of both the Asian and African ZIKV strains in resource-deficient settings.

Item Type: Article
Funders: UNSPECIFIED
Uncontrolled Keywords: Infectious disease; Diagnostics; RT-LAMP; ZIKV; Mosquito; Vector; Vector-borne
Subjects: R Medicine
R Medicine > RA Public aspects of medicine
R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Divisions: Faculty of Medicine
Depositing User: Ms Zaharah Ramly
Date Deposited: 29 Nov 2023 01:27
Last Modified: 29 Nov 2023 04:34
URI: http://eprints.um.edu.my/id/eprint/36186

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