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.2012 Mar;61(1):178-82.
doi: 10.1016/j.parint.2011.08.009. Epub 2011 Aug 16.

Rapid detection of Opisthorchis viverrini copro-DNA using loop-mediated isothermal amplification (LAMP)

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Rapid detection of Opisthorchis viverrini copro-DNA using loop-mediated isothermal amplification (LAMP)

Yuji Arimatsu et al. Parasitol Int.2012 Mar.

Abstract

Opisthorchis viverrini and other foodborne trematode infections are major health problem in Thailand, the Lao People's Democratic Republic, Vietnam and Cambodia. Differential diagnosis of O. viverrini based on the microscopic observation of parasite eggs is difficult in areas where Clonorchis sinensis and minute intestinal flukes coexist. We therefore established a rapid, sensitive and specific method for detecting O. viverrini infection from the stool samples using the loop-mediated isothermal amplification (LAMP) method. A total of five primers from seven regions were designed to target the internal transcribed spacer 1 (ITS1) in ribosomal DNA for specific amplification. Hydroxy naphthol blue (HNB) was more effective to detect the LAMP product compared to the Real-time LAMP and turbidity assay for its simple and distinct detection. The LAMP assay specifically amplified O. viverrini ITS1 but not C. sinensis and minute intestinal flukes with the limit of detection around 10(-3)ng DNA/μL. The sensitivity of the LAMP was 100% compared to egg positive samples. While all microscopically positive samples were positive by LAMP, additionally 5 of 13 (38.5%) microscopically negative samples were also LAMP positive. The technique has great potential for differential diagnosis in endemic areas with mixed O. viverrini and intestinal fluke infections. As it is an easy and simple method, the LAMP is potentially applicable for point-of-care diagnosis.

Copyright © 2011 Elsevier Ireland Ltd. All rights reserved.

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Figures

Fig. 1
Fig. 1
Opisthorchis viverrini ITS1 sequence and primer sequence (A) Name and location of each target sequence as a primer in theO. viverrini ITS1 gene. (B) Names and sequences of LAMP and PCR primers used in this study.
Fig. 2
Fig. 2
Real-time monitoring of LAMP reaction. The generated fluorescence intensity of DNA binding SYBR Green I was monitored at every 1 minute. Template DNAs were prepared from 101 to 10-5 ng/μL. Distilled water (D.W.) was used as a negative control.
Fig. 3
Fig. 3
Specificity of LAMP and PCR-RFLP assays forOpisthorchis viverrini and minute intestinal flukes. Sample numbers are as follows: 1, negative control; 2,O. viverrini adults; 3,O viverrini metacercariae; 4,O. viverrini cercariae; 5,C. sinensis adults; 6,C. caninus metacercariae; 7,H. taichui adults. (A) Visual examination of LAMP products by HNB. +, positive reaction; -, negative reaction. (B) PCR-RFLP assay. +AcuI, digestion with AcuI endonuclease; -AcuI, without digestion.
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