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Reusable Single Cell for Iterative Epigenomic Analyses
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Two stage, nested isothermal amplification in a single tube.

Mohamed El-Tholoth1, Eman Anis, Haim H Bau

  • 1Department of Virology, Faculty of Veterinary Medicine, Mansoura University, Mansoura 35516, Egypt. tholothvirol@mans.edu.eg.

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|December 28, 2020
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Summary

A new two-stage molecular test, Penn-RAMP, offers rapid, sensitive detection of animal respiratory viruses like infectious laryngotracheitis (ILT) and infectious bronchitis (IB) at the point of need. This low-cost assay requires minimal equipment and training, improving diagnostic accessibility.

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Area of Science:

  • Veterinary Molecular Diagnostics
  • Isothermal Amplification Techniques
  • Animal Virology

Background:

  • Molecular diagnostics are crucial for controlling animal respiratory diseases but conventional methods (PCR) are costly and time-consuming.
  • Point-of-need diagnostic tools are needed to overcome limitations of centralized laboratory testing.
  • Rapid and accurate diagnosis of infectious laryngotracheitis (ILT) and infectious bronchitis (IB) in poultry is economically significant.

Purpose of the Study:

  • To develop and validate a novel, rapid, sensitive, and point-of-need molecular diagnostic assay for animal respiratory pathogens.
  • To combine two isothermal amplification techniques in a single closed-tube assay for enhanced detection.
  • To evaluate the efficacy of the new assay for diagnosing infectious laryngotracheitis (ILT) and infectious bronchitis (IB) in chickens.

Main Methods:

  • Developed Penn-RAMP, a two-stage, closed-tube molecular test integrating recombinase polymerase amplification (RPA) at 38 °C and loop-mediated isothermal amplification (LAMP) at 63 °C.
  • Tested Penn-RAMP using clinical samples for the detection of infectious laryngotracheitis (ILT) and infectious bronchitis (IB) viruses in chickens.
  • Compared Penn-RAMP performance against the gold standard quantitative PCR (qPCR) assay.

Main Results:

  • Penn-RAMP demonstrated high sensitivity and specificity, with results concordant to qPCR.
  • The assay achieved a 10-fold lower limit of detection compared to both standalone LAMP and qPCR.
  • Penn-RAMP requires minimal instrumentation and training, operating at low temperatures (38 °C and 63 °C).

Conclusions:

  • Penn-RAMP is a highly sensitive, rapid, and accessible molecular diagnostic tool for animal respiratory diseases.
  • The integrated RPA-LAMP approach offers significant advantages over conventional PCR and standalone isothermal methods.
  • This technology has the potential to reduce false negatives and improve disease management in field settings.