Detection of monkeypox virus using helicase dependent amplification and recombinase polymerase amplification combined with lateral flow test

Abstract The monkeypox virus (MPXV) is a zoonotic DNA virus that belongs to the poxvirus family. Conventional laboratory methods for detecting MPXV are complex and expensive, making them unsuitable for detecting the virus in regions with limited resources. In this study, we using the Helicase depend...

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Main Authors: Abudushalamu Gulinaizhaer, Chuankun Yang, Mingyuan Zou, Shuo Ma, Xiaobo Fan, Guoqiu Wu
Format: Article
Language:English
Published: BMC 2023-11-01
Series:Virology Journal
Subjects:
Online Access:https://doi.org/10.1186/s12985-023-02223-8
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author Abudushalamu Gulinaizhaer
Chuankun Yang
Mingyuan Zou
Shuo Ma
Xiaobo Fan
Guoqiu Wu
author_facet Abudushalamu Gulinaizhaer
Chuankun Yang
Mingyuan Zou
Shuo Ma
Xiaobo Fan
Guoqiu Wu
author_sort Abudushalamu Gulinaizhaer
collection DOAJ
description Abstract The monkeypox virus (MPXV) is a zoonotic DNA virus that belongs to the poxvirus family. Conventional laboratory methods for detecting MPXV are complex and expensive, making them unsuitable for detecting the virus in regions with limited resources. In this study, we using the Helicase dependent amplification (HDA) method and the Recombinase polymerase amplification (RPA) technique in combination with the lateral flow test (LFT), together with a self-designed qPCR technique for the detection of the MPXV specific conserved fragment F3L, to compare the sensitivity and specificity of the three assays. By analyzing the sensitivity detection results using Probit, it can be seen that the limit of detection (LOD) of the HDA-LFT detection target is 9.86 copies/µL (95% confidence interval, CI 7.52 copies/µL lower bound), the RPA-LFT detection target is 6.97 copies/µL (95% CI 3.90 copies/µL lower bound), and the qPCR detection target is 479.24 copies/mL (95% CI 273.81 copies/mL lower bound). The specificity test results showed that the specificity of the three methods mentioned above was higher than 90% in detecting pseudoviruses of the same genus of MPXV. The simple, highly sensitive, and specific MPXV assay developed in this study is anticipated to provide a solid foundation for future applications in the early screening, diagnosis, and evaluation of the efficacy of MPXV. This is the first time the HDA-LFT assay has been utilized to detect MPXV infection.
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spelling doaj.art-87cf399790aa41579b7609e1cccfe2552023-11-26T12:20:23ZengBMCVirology Journal1743-422X2023-11-0120111310.1186/s12985-023-02223-8Detection of monkeypox virus using helicase dependent amplification and recombinase polymerase amplification combined with lateral flow testAbudushalamu Gulinaizhaer0Chuankun Yang1Mingyuan Zou2Shuo Ma3Xiaobo Fan4Guoqiu Wu5Zhongda Hospital, Center of Clinical Laboratory Medicine, Medical School, Southeast UniversityZhongda Hospital, Center of Clinical Laboratory Medicine, Medical School, Southeast UniversityZhongda Hospital, Center of Clinical Laboratory Medicine, Medical School, Southeast UniversityZhongda Hospital, Center of Clinical Laboratory Medicine, Medical School, Southeast UniversityZhongda Hospital, Center of Clinical Laboratory Medicine, Medical School, Southeast UniversityZhongda Hospital, Center of Clinical Laboratory Medicine, Medical School, Southeast UniversityAbstract The monkeypox virus (MPXV) is a zoonotic DNA virus that belongs to the poxvirus family. Conventional laboratory methods for detecting MPXV are complex and expensive, making them unsuitable for detecting the virus in regions with limited resources. In this study, we using the Helicase dependent amplification (HDA) method and the Recombinase polymerase amplification (RPA) technique in combination with the lateral flow test (LFT), together with a self-designed qPCR technique for the detection of the MPXV specific conserved fragment F3L, to compare the sensitivity and specificity of the three assays. By analyzing the sensitivity detection results using Probit, it can be seen that the limit of detection (LOD) of the HDA-LFT detection target is 9.86 copies/µL (95% confidence interval, CI 7.52 copies/µL lower bound), the RPA-LFT detection target is 6.97 copies/µL (95% CI 3.90 copies/µL lower bound), and the qPCR detection target is 479.24 copies/mL (95% CI 273.81 copies/mL lower bound). The specificity test results showed that the specificity of the three methods mentioned above was higher than 90% in detecting pseudoviruses of the same genus of MPXV. The simple, highly sensitive, and specific MPXV assay developed in this study is anticipated to provide a solid foundation for future applications in the early screening, diagnosis, and evaluation of the efficacy of MPXV. This is the first time the HDA-LFT assay has been utilized to detect MPXV infection.https://doi.org/10.1186/s12985-023-02223-8MonkeypoxINAATHDARPALFTqPCR
spellingShingle Abudushalamu Gulinaizhaer
Chuankun Yang
Mingyuan Zou
Shuo Ma
Xiaobo Fan
Guoqiu Wu
Detection of monkeypox virus using helicase dependent amplification and recombinase polymerase amplification combined with lateral flow test
Virology Journal
Monkeypox
INAAT
HDA
RPA
LFT
qPCR
title Detection of monkeypox virus using helicase dependent amplification and recombinase polymerase amplification combined with lateral flow test
title_full Detection of monkeypox virus using helicase dependent amplification and recombinase polymerase amplification combined with lateral flow test
title_fullStr Detection of monkeypox virus using helicase dependent amplification and recombinase polymerase amplification combined with lateral flow test
title_full_unstemmed Detection of monkeypox virus using helicase dependent amplification and recombinase polymerase amplification combined with lateral flow test
title_short Detection of monkeypox virus using helicase dependent amplification and recombinase polymerase amplification combined with lateral flow test
title_sort detection of monkeypox virus using helicase dependent amplification and recombinase polymerase amplification combined with lateral flow test
topic Monkeypox
INAAT
HDA
RPA
LFT
qPCR
url https://doi.org/10.1186/s12985-023-02223-8
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