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A Versatile Colorimetric Diagnostic Platform Based on Primer Exchange Reaction Cascades Driven Loop-Mediated
Xiaoya Liu1, Hai Peng2, Xiaoping Ye3
1Department of Oncology, Laboratory of Immunity, Inflammation & Cancer, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China.
Analytical Chemistry
|April 15, 2025
Summary
A new vcPeLa platform combines primer exchange reaction (PER) with loop-mediated isothermal amplification (LAMP) for sensitive cancer biomarker detection. This method offers rapid, colorimetric detection of microRNAs and CEA with high selectivity.
Area of Science:
- Biotechnology
- Molecular Diagnostics
- Isothermal Nucleic Acid Amplification
Background:
- Conventional primer exchange reaction (PER) has limitations in amplification efficiency due to its linear signal amplification.
- There is a need for sensitive and rapid detection methods for cancer biomarkers like microRNAs (miRNAs) and carcinoembryonic antigen (CEA).
Purpose of the Study:
- To develop a versatile colorimetric platform by integrating PER with loop-mediated isothermal amplification (LAMP), termed vcPeLa.
- To achieve rapid and sensitive detection of cancer biomarkers (miRNAs and CEA) using the developed vcPeLa platform.
Main Methods:
- The vcPeLa platform integrates PER for target-initiated DNA amplification with LAMP.
- PER produces single-stranded DNA products that serve as templates for LAMP, generating double stem-loop DNAs.
- A pyrophosphate sensing probe detects pyrophosphate produced during LAMP, leading to a colorimetric signal.
Main Results:
- The vcPeLa platform demonstrated ultrasensitive detection of miRNA at 0.31 fM and CEA at 0.043 ng/mL.
- The assay exhibited high selectivity and stability for cancer biomarker detection.
- The method eliminates the need for additional reaction steps or sample transfers, simplifying the process.
Conclusions:
- The facile and ultrasensitive vcPeLa platform offers a promising new tool for cancer diagnosis.
- This integrated approach enhances amplification efficiency compared to conventional PER.
- The colorimetric nature of vcPeLa facilitates rapid and straightforward biomarker screening.

