Development of a Recombinase Polymerase Amplification Assay for Schistosomiasis Japonica Diagnosis in the Experimental Mice and Domestic Goats

Although the prevalence of schistosomiasis japonica has declined gradually in China, more accurate and sensitive diagnostic methods are urgently needed for the prevention and control of this disease. Molecular diagnostic methods are advantageous in terms of sensitivity and specificity, but they are...

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Autores principales: Qinghong Guo, Kerou Zhou, Cheng Chen, Yongcheng Yue, Zheng Shang, Keke Zhou, Zhiqiang Fu, Jinming Liu, Jiaojiao Lin, Chenyang Xia, Wenqiang Tang, Xiaonan Cong, Xuejun Sun, Yang Hong
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Publicado: Frontiers Media S.A. 2021
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spelling oai:doaj.org-article:70773c52693549d9bac137d6943731882021-11-16T06:31:10ZDevelopment of a Recombinase Polymerase Amplification Assay for Schistosomiasis Japonica Diagnosis in the Experimental Mice and Domestic Goats2235-298810.3389/fcimb.2021.791997https://doaj.org/article/70773c52693549d9bac137d6943731882021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fcimb.2021.791997/fullhttps://doaj.org/toc/2235-2988Although the prevalence of schistosomiasis japonica has declined gradually in China, more accurate and sensitive diagnostic methods are urgently needed for the prevention and control of this disease. Molecular diagnostic methods are advantageous in terms of sensitivity and specificity, but they are time-consuming and require expensive instruments and skilled personnel, which limits their application in low-resource settings. In this study, an isothermal DNA amplification assay and recombinase polymerase amplification (RPA) combined with lateral flow dipstick (LFD) were set up. It was used to detect S. japonicum infections in experimental mice and domestic goats by amplifying a specific DNA fragment of S. japonicum. The lower limit of detection for the LFD-RPA assay was evaluated using dilutions of plasmid containing the target sequence. Cross-reactivity was evaluated using genomic DNA from eight other parasites. The effectiveness of the LFD-RPA assay was verified by assessing 36 positive plasma samples and 36 negative plasma samples from mice. The LFD-RPA assay and real-time PCR were also used to assess 48 schistosomiasis japonica-positive plasma samples and 53 negative plasma samples from goats. The LFD-RPA assay could detect 2.6 femtogram (fg) of S. japonicum target DNA (~39 fg genomic DNA of S. japonicum), only 10-fold less sensitive than real-time PCR assay. There was no cross-reactivity with DNA from the other eight parasites, such as Haemonchus contortus and Spirometra. The whole amplification process could be completed within 15 min at 39°C, and the results can be observed easily using the LFD. The sensitivity and specificity of the LFD-RPA assay were 97.22% (35/36, 95% CI, 85.47%–99.93%) and 100% (36/36, 95% CI, 90.26%–100%) in mice, and 93.75% (45/48, 95% CI, 82.80%–98.69%) and 100% (53/53, 95% CI, 93.28%–100%) in goats. By comparison, the sensitivity and specificity of real-time PCR were 100% (36/36, 95% CI, 90.26%–100%) and 100% (36/36, 95% CI, 90.26%–100%) for mice, and 97.92% (47/48, 95% CI, 88.93%–99.95%) and 100% (53/53, 95% CI, 93.28%–100%) for goats. The LFD-RPA assay exhibits high sensitivity and specificity for the diagnosis of schistosomiasis japonica, and it is an alternative method for diagnosis schistosomiasis japonica in low resource setting.Qinghong GuoQinghong GuoKerou ZhouKerou ZhouCheng ChenCheng ChenYongcheng YueYongcheng YueZheng ShangZheng ShangKeke ZhouKeke ZhouZhiqiang FuZhiqiang FuJinming LiuJinming LiuJiaojiao LinJiaojiao LinChenyang XiaWenqiang TangXiaonan CongXuejun SunYang HongFrontiers Media S.A.articleschistosomiasis japonicarecombinase polymerase amplification (RPA)real-time PCRdiagnosisdomestic goatsMicrobiologyQR1-502ENFrontiers in Cellular and Infection Microbiology, Vol 11 (2021)
institution DOAJ
collection DOAJ
language EN
topic schistosomiasis japonica
recombinase polymerase amplification (RPA)
real-time PCR
diagnosis
domestic goats
Microbiology
QR1-502
spellingShingle schistosomiasis japonica
recombinase polymerase amplification (RPA)
real-time PCR
diagnosis
domestic goats
Microbiology
QR1-502
Qinghong Guo
Qinghong Guo
Kerou Zhou
Kerou Zhou
Cheng Chen
Cheng Chen
Yongcheng Yue
Yongcheng Yue
Zheng Shang
Zheng Shang
Keke Zhou
Keke Zhou
Zhiqiang Fu
Zhiqiang Fu
Jinming Liu
Jinming Liu
Jiaojiao Lin
Jiaojiao Lin
Chenyang Xia
Wenqiang Tang
Xiaonan Cong
Xuejun Sun
Yang Hong
Development of a Recombinase Polymerase Amplification Assay for Schistosomiasis Japonica Diagnosis in the Experimental Mice and Domestic Goats
description Although the prevalence of schistosomiasis japonica has declined gradually in China, more accurate and sensitive diagnostic methods are urgently needed for the prevention and control of this disease. Molecular diagnostic methods are advantageous in terms of sensitivity and specificity, but they are time-consuming and require expensive instruments and skilled personnel, which limits their application in low-resource settings. In this study, an isothermal DNA amplification assay and recombinase polymerase amplification (RPA) combined with lateral flow dipstick (LFD) were set up. It was used to detect S. japonicum infections in experimental mice and domestic goats by amplifying a specific DNA fragment of S. japonicum. The lower limit of detection for the LFD-RPA assay was evaluated using dilutions of plasmid containing the target sequence. Cross-reactivity was evaluated using genomic DNA from eight other parasites. The effectiveness of the LFD-RPA assay was verified by assessing 36 positive plasma samples and 36 negative plasma samples from mice. The LFD-RPA assay and real-time PCR were also used to assess 48 schistosomiasis japonica-positive plasma samples and 53 negative plasma samples from goats. The LFD-RPA assay could detect 2.6 femtogram (fg) of S. japonicum target DNA (~39 fg genomic DNA of S. japonicum), only 10-fold less sensitive than real-time PCR assay. There was no cross-reactivity with DNA from the other eight parasites, such as Haemonchus contortus and Spirometra. The whole amplification process could be completed within 15 min at 39°C, and the results can be observed easily using the LFD. The sensitivity and specificity of the LFD-RPA assay were 97.22% (35/36, 95% CI, 85.47%–99.93%) and 100% (36/36, 95% CI, 90.26%–100%) in mice, and 93.75% (45/48, 95% CI, 82.80%–98.69%) and 100% (53/53, 95% CI, 93.28%–100%) in goats. By comparison, the sensitivity and specificity of real-time PCR were 100% (36/36, 95% CI, 90.26%–100%) and 100% (36/36, 95% CI, 90.26%–100%) for mice, and 97.92% (47/48, 95% CI, 88.93%–99.95%) and 100% (53/53, 95% CI, 93.28%–100%) for goats. The LFD-RPA assay exhibits high sensitivity and specificity for the diagnosis of schistosomiasis japonica, and it is an alternative method for diagnosis schistosomiasis japonica in low resource setting.
format article
author Qinghong Guo
Qinghong Guo
Kerou Zhou
Kerou Zhou
Cheng Chen
Cheng Chen
Yongcheng Yue
Yongcheng Yue
Zheng Shang
Zheng Shang
Keke Zhou
Keke Zhou
Zhiqiang Fu
Zhiqiang Fu
Jinming Liu
Jinming Liu
Jiaojiao Lin
Jiaojiao Lin
Chenyang Xia
Wenqiang Tang
Xiaonan Cong
Xuejun Sun
Yang Hong
author_facet Qinghong Guo
Qinghong Guo
Kerou Zhou
Kerou Zhou
Cheng Chen
Cheng Chen
Yongcheng Yue
Yongcheng Yue
Zheng Shang
Zheng Shang
Keke Zhou
Keke Zhou
Zhiqiang Fu
Zhiqiang Fu
Jinming Liu
Jinming Liu
Jiaojiao Lin
Jiaojiao Lin
Chenyang Xia
Wenqiang Tang
Xiaonan Cong
Xuejun Sun
Yang Hong
author_sort Qinghong Guo
title Development of a Recombinase Polymerase Amplification Assay for Schistosomiasis Japonica Diagnosis in the Experimental Mice and Domestic Goats
title_short Development of a Recombinase Polymerase Amplification Assay for Schistosomiasis Japonica Diagnosis in the Experimental Mice and Domestic Goats
title_full Development of a Recombinase Polymerase Amplification Assay for Schistosomiasis Japonica Diagnosis in the Experimental Mice and Domestic Goats
title_fullStr Development of a Recombinase Polymerase Amplification Assay for Schistosomiasis Japonica Diagnosis in the Experimental Mice and Domestic Goats
title_full_unstemmed Development of a Recombinase Polymerase Amplification Assay for Schistosomiasis Japonica Diagnosis in the Experimental Mice and Domestic Goats
title_sort development of a recombinase polymerase amplification assay for schistosomiasis japonica diagnosis in the experimental mice and domestic goats
publisher Frontiers Media S.A.
publishDate 2021
url https://doaj.org/article/70773c52693549d9bac137d694373188
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