PI primers increase the efficacy of LAMP and RT-LAMP for SARS-CoV-2 and MS2 phage detection

Igor P Oscorbin1, Lidiya M Novikova1, Evgeniy A Khrapov1

  • 1Laboratory of Pharmacogenomics, Institute of Chemical Biology and Fundamental Medicine, Siberian Branch of the Russian Academy of Sciences, 8 Lavrentiev Avenue, 630090 Novosibirsk, Russia.

Insights

Novel PI primers enhance the speed and sensitivity of Loop-mediated isothermal amplification (LAMP) assays. This optimization is particularly beneficial for molecular diagnostics, improving performance in clinical settings.

Area of Science:

  • Molecular Biology
  • Biotechnology
  • Medical Diagnostics

Background:

  • Loop-mediated isothermal amplification (LAMP) is a widely used molecular diagnostic technique, especially for point-of-care testing.
  • Current LAMP methods require optimization to maximize efficacy and sensitivity for clinical applications.
  • Accelerating LAMP speed and enhancing sensitivity are key goals for improving diagnostic performance.

Purpose of the Study:

  • To introduce and evaluate a novel fourth primer pair, termed PI primers, for Loop-mediated isothermal amplification.
  • To assess the impact of PI primers on the speed and sensitivity of quantitative LAMP assays.
  • To demonstrate the utility of PI primers in various LAMP formats, including RT-LAMP and duplex LAMP.

Main Methods:

  • PI primers were designed as a novel addition to existing LAMP primer sets, functioning as inner primers.
  • Quantitative LAMP assays were performed using PI primers to detect SARS-CoV-2 and MS2 targets.
  • The performance of PI primers was evaluated with both artificial templates and clinical RNA samples from nasal swabs.
  • RT-LAMP and duplex LAMP assays were also conducted to assess the versatility of PI primers.

Main Results:

  • The addition of PI primers significantly increased the speed of quantitative LAMP reactions.
  • PI primers demonstrably enhanced the sensitivity of quantitative LAMP, RT-LAMP, and duplex LAMP assays.
  • Improved performance was observed across artificial templates and clinical RNA samples, indicating broad applicability.
  • The PI primers proved effective even with highly variable DNA targets possessing limited conserved regions.

Conclusions:

  • PI primers represent a valuable tool for optimizing Loop-mediated isothermal amplification assays.
  • This novel primer strategy offers a method to accelerate LAMP speed and improve sensitivity, especially for challenging targets.
  • The integration of PI primers can enhance the diagnostic capabilities of LAMP, particularly in resource-limited or point-of-care settings.