A versatile isothermal amplification assay for the detection of leptospires from various sample types

Background Leptospirosis is a zoonotic disease caused by bacteria of the genus Leptospira that affects both humans and animals worldwide. Early detection of the pathogen in humans is crucial for early intervention and control of the progression of the disease to a severe state. It is also vitally im...

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Main Authors: Shuhaidah Othman, Pui-Yuei Lee, Jia-Yong Lam, Noraini Philip, Nurul Natasya Azhari, Norliza Bahtiar Affendy, Siti Norbaya Masri, Vasantha Kumari Neela, Farah Shafawati Mohd-Taib, Hui-Yee Chee
Format: Article
Language:English
Published: PeerJ Inc. 2022-03-01
Series:PeerJ
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Online Access:https://peerj.com/articles/12850.pdf
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author Shuhaidah Othman
Pui-Yuei Lee
Jia-Yong Lam
Noraini Philip
Nurul Natasya Azhari
Norliza Bahtiar Affendy
Siti Norbaya Masri
Vasantha Kumari Neela
Farah Shafawati Mohd-Taib
Hui-Yee Chee
author_facet Shuhaidah Othman
Pui-Yuei Lee
Jia-Yong Lam
Noraini Philip
Nurul Natasya Azhari
Norliza Bahtiar Affendy
Siti Norbaya Masri
Vasantha Kumari Neela
Farah Shafawati Mohd-Taib
Hui-Yee Chee
author_sort Shuhaidah Othman
collection DOAJ
description Background Leptospirosis is a zoonotic disease caused by bacteria of the genus Leptospira that affects both humans and animals worldwide. Early detection of the pathogen in humans is crucial for early intervention and control of the progression of the disease to a severe state. It is also vitally important to be able to detect the presence of the pathogen in carrier animals to control the spread of the disease from the environment. Here we developed a simple and rapid loop-mediated isothermal amplification (LAMP) assay targeting the leptospiral secY gene. Results Several reaction conditions of the LAMP reaction were optimized to ensure efficient amplification of the target DNA. The sensitivity of the developed LAMP assay obtained using a pure Leptospira culture was 2 × 104 copies of genomic DNA per reaction (equivalent to 0.1 ng) for a 40-minute reaction time. No cross-reactions were observed in the LAMP reaction against a series of non-leptospiral bacteria, indicating a specific reaction. The applicability of the LAMP assay was demonstrated on human blood and urine specimens collected from suspected leptospirosis patients and rat kidney specimens collected from suspected leptospirosis outbreak areas and high-risk areas. The developed LAMP assay demonstrated a higher detection rate for leptospiral DNA compared with the polymerase chain reaction (PCR) assay, possibly due to the presence of inhibitory substances, especially in rat kidney specimens, to which the PCR method is more susceptible. The present findings also highlight the importance of urine sample collection from patients for routine monitoring of the disease. Conclusions In short, the developed LAMP assay can serve as a feasible alternative tool for the diagnosis of leptospirosis and be used for epidemiological and environmental surveillance of the disease, considering its robustness, rapidity, sensitivity, and specificity, as demonstrated in this study.
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spelling doaj.art-7f81419e6fca4b21b78d16b9958b512a2023-12-02T21:53:43ZengPeerJ Inc.PeerJ2167-83592022-03-0110e1285010.7717/peerj.12850A versatile isothermal amplification assay for the detection of leptospires from various sample typesShuhaidah Othman0Pui-Yuei Lee1Jia-Yong Lam2Noraini Philip3Nurul Natasya Azhari4Norliza Bahtiar Affendy5Siti Norbaya Masri6Vasantha Kumari Neela7Farah Shafawati Mohd-Taib8Hui-Yee Chee9Department of Medical Microbiology, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, Selangor, MalaysiaDepartment of Medical Microbiology, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, Selangor, MalaysiaDepartment of Medical Microbiology, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, Selangor, MalaysiaDepartment of Medical Microbiology, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, Selangor, MalaysiaDepartment of Medical Microbiology, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, Selangor, MalaysiaDepartment of Medical Microbiology, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, Selangor, MalaysiaDepartment of Medical Microbiology, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, Selangor, MalaysiaDepartment of Medical Microbiology, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, Selangor, MalaysiaDepartment of Biological Sciences and Biotechnology, Faculty of Science and Technology, Universiti Kebangsaan Malaysia, Bangi, Selangor, MalaysiaDepartment of Medical Microbiology, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, Selangor, MalaysiaBackground Leptospirosis is a zoonotic disease caused by bacteria of the genus Leptospira that affects both humans and animals worldwide. Early detection of the pathogen in humans is crucial for early intervention and control of the progression of the disease to a severe state. It is also vitally important to be able to detect the presence of the pathogen in carrier animals to control the spread of the disease from the environment. Here we developed a simple and rapid loop-mediated isothermal amplification (LAMP) assay targeting the leptospiral secY gene. Results Several reaction conditions of the LAMP reaction were optimized to ensure efficient amplification of the target DNA. The sensitivity of the developed LAMP assay obtained using a pure Leptospira culture was 2 × 104 copies of genomic DNA per reaction (equivalent to 0.1 ng) for a 40-minute reaction time. No cross-reactions were observed in the LAMP reaction against a series of non-leptospiral bacteria, indicating a specific reaction. The applicability of the LAMP assay was demonstrated on human blood and urine specimens collected from suspected leptospirosis patients and rat kidney specimens collected from suspected leptospirosis outbreak areas and high-risk areas. The developed LAMP assay demonstrated a higher detection rate for leptospiral DNA compared with the polymerase chain reaction (PCR) assay, possibly due to the presence of inhibitory substances, especially in rat kidney specimens, to which the PCR method is more susceptible. The present findings also highlight the importance of urine sample collection from patients for routine monitoring of the disease. Conclusions In short, the developed LAMP assay can serve as a feasible alternative tool for the diagnosis of leptospirosis and be used for epidemiological and environmental surveillance of the disease, considering its robustness, rapidity, sensitivity, and specificity, as demonstrated in this study.https://peerj.com/articles/12850.pdfLeptospirosis Loop-mediated isothermal amplification Clinical detection Vector surveillance
spellingShingle Shuhaidah Othman
Pui-Yuei Lee
Jia-Yong Lam
Noraini Philip
Nurul Natasya Azhari
Norliza Bahtiar Affendy
Siti Norbaya Masri
Vasantha Kumari Neela
Farah Shafawati Mohd-Taib
Hui-Yee Chee
A versatile isothermal amplification assay for the detection of leptospires from various sample types
PeerJ
Leptospirosis
Loop-mediated isothermal amplification
Clinical detection
Vector surveillance
title A versatile isothermal amplification assay for the detection of leptospires from various sample types
title_full A versatile isothermal amplification assay for the detection of leptospires from various sample types
title_fullStr A versatile isothermal amplification assay for the detection of leptospires from various sample types
title_full_unstemmed A versatile isothermal amplification assay for the detection of leptospires from various sample types
title_short A versatile isothermal amplification assay for the detection of leptospires from various sample types
title_sort versatile isothermal amplification assay for the detection of leptospires from various sample types
topic Leptospirosis
Loop-mediated isothermal amplification
Clinical detection
Vector surveillance
url https://peerj.com/articles/12850.pdf
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