PMID- 35508977 OWN - NLM STAT- MEDLINE DCOM- 20220506 LR - 20220716 IS - 1471-2334 (Electronic) IS - 1471-2334 (Linking) VI - 22 IP - 1 DP - 2022 May 4 TI - CRISPR-Cas12a combination to alleviate the false-positive in loop-mediated isothermal amplification-based diagnosis of Neisseria meningitidis. PG - 429 LID - 10.1186/s12879-022-07363-w [doi] LID - 429 AB - BACKGROUND: Loop isothermal amplification (LAMP) has recently been proposed as a point-of-care diagnostic tool to detect acute infectious pathogens; however, this technique embeds risk of generating false-positive results. Whereas, with abilities to accurately recognize specific sequence, the CRISPR/Cas12a can forms complexes with cognate RNA sensors and cleave pathogen's DNA targets complimerntary to its cognate RNA, afterward acquiring the collateral activity to unbiasedly cut nearby off-target fragments. Therefore, if relevant fluorescent-quencher-nucleic probes are present in the reaction, the non-specific cleavage of probes releases fluorescences and establish diagnostic read-outs. METHODS: The MetA gene of N. meningitidis was selected as target to optimize the LAMP reaction, whereas pseudo-dilution series of N. meningitidis gemonics DNA was used to establish the detection limit of LAMP/Cas12a combination assay. The diagnostic performance of established LAMP/Cas12a combination assay was validated in comparation with standard real-time PCR on 51 CSF samples (14 N. meningitidis confirmed patients and 37 control subjects). RESULTS: In relevant biochemical conditions, CRISPR-Cas12a and LAMP can work synchronously to accurately identify genetics materials of Nesseria menitigistis at the level 40 copies/reaction less than 2 h. CONCLUSIONS: In properly optimized conditions, the CRISPR-Cas12a system helps to alleviate false positive result hence enhancing the specificity of the LAMP assays. CI - (c) 2022. The Author(s). FAU - Trung, Ngo Tat AU - Trung NT AD - Centre for Genetics Consultation and Cancer Screening (CGC), Hanoi, Vietnam. tatrungngo@gmail.com. AD - Vietnamese-German Center for Medical Research (VG-CARE), Hanoi, Vietnam. tatrungngo@gmail.com. AD - Faculty of Tropical and Infectious Diseases, 108 Military Central Hospital, Hai Ba Trung District, No 1, Tran Hung Dao Street, Hanoi, Vietnam. tatrungngo@gmail.com. AD - 108 Institute of Clinical Medical and Pharmaceutical Sciences, Hanoi, Vietnam. tatrungngo@gmail.com. FAU - Son, Le Huu Phuc AU - Son LHP AD - Centre for Genetics Consultation and Cancer Screening (CGC), Hanoi, Vietnam. AD - Vietnamese-German Center for Medical Research (VG-CARE), Hanoi, Vietnam. FAU - Hien, Trinh Xuan AU - Hien TX AD - Centre for Genetics Consultation and Cancer Screening (CGC), Hanoi, Vietnam. AD - Vietnamese-German Center for Medical Research (VG-CARE), Hanoi, Vietnam. FAU - Quyen, Dao Thanh AU - Quyen DT AD - Vietnamese-German Center for Medical Research (VG-CARE), Hanoi, Vietnam. AD - Faculty of Tropical and Infectious Diseases, 108 Military Central Hospital, Hai Ba Trung District, No 1, Tran Hung Dao Street, Hanoi, Vietnam. AD - 108 Institute of Clinical Medical and Pharmaceutical Sciences, Hanoi, Vietnam. FAU - Bang, Mai Hong AU - Bang MH AD - Vietnamese-German Center for Medical Research (VG-CARE), Hanoi, Vietnam. AD - 108 Institute of Clinical Medical and Pharmaceutical Sciences, Hanoi, Vietnam. FAU - Song, Le Huu AU - Song LH AD - Vietnamese-German Center for Medical Research (VG-CARE), Hanoi, Vietnam. lehuusong@108-icid.com. AD - Faculty of Tropical and Infectious Diseases, 108 Military Central Hospital, Hai Ba Trung District, No 1, Tran Hung Dao Street, Hanoi, Vietnam. lehuusong@108-icid.com. AD - 108 Institute of Clinical Medical and Pharmaceutical Sciences, Hanoi, Vietnam. lehuusong@108-icid.com. LA - eng GR - 108.06-2017.21/Vietnam National Foundation for Science and Technology Development (NAFOSTED)/ GR - 364/2020/HD-NCKHCN/The Vietnamese Ministry of National Defence/ PT - Journal Article DEP - 20220504 PL - England TA - BMC Infect Dis JT - BMC infectious diseases JID - 100968551 RN - 63231-63-0 (RNA) RN - 9007-49-2 (DNA) RN - LAMP assay SB - IM MH - *CRISPR-Cas Systems MH - DNA MH - Humans MH - Molecular Diagnostic Techniques MH - *Neisseria meningitidis/genetics MH - Nucleic Acid Amplification Techniques/methods MH - RNA PMC - PMC9066958 OTO - NOTNLM OT - CRISPR OT - Cas12a OT - LAMP OT - Nesseria menitigistis OT - PCR COIS- The authors declare no conflict of interests. EDAT- 2022/05/06 06:00 MHDA- 2022/05/07 06:00 PMCR- 2022/05/04 CRDT- 2022/05/05 00:03 PHST- 2020/11/17 00:00 [received] PHST- 2022/04/07 00:00 [accepted] PHST- 2022/05/05 00:03 [entrez] PHST- 2022/05/06 06:00 [pubmed] PHST- 2022/05/07 06:00 [medline] PHST- 2022/05/04 00:00 [pmc-release] AID - 10.1186/s12879-022-07363-w [pii] AID - 7363 [pii] AID - 10.1186/s12879-022-07363-w [doi] PST - epublish SO - BMC Infect Dis. 2022 May 4;22(1):429. doi: 10.1186/s12879-022-07363-w.