A Rapid and Ultrasensitive Detection of Coxsackievirus A16 Using Reverse Transcription Multiple Cross Displacement

Qi Liang1,2,3, Yumei Cao2,4, Xujian Zhang2,5

  • 1Department of Basic Clinical Laboratory Medicine, School of Clinical Laboratory Science, Guizhou Medical University, Guiyang 550001 Guizhou, P. R. China.

Insights

A new diagnostic platform, CVA16-RT-MCDA-CRISPR, offers rapid and sensitive detection of Coxsackievirus A16 (CVA16), a key cause of hand, foot, and mouth disease (HFMD) in young children.

Area of Science:

  • Molecular Biology
  • Virology
  • Biotechnology

Background:

  • Coxsackievirus A16 (CVA16) is a major cause of hand, foot, and mouth disease (HFMD) in children.
  • Accurate and timely CVA16 detection is vital for patient management and epidemic control, especially in resource-limited settings.

Purpose of the Study:

  • To develop a novel diagnostic platform for the rapid and sensitive detection of CVA16.
  • To combine reverse transcription multiple cross displacement amplification (RT-MCDA) with CRISPR-Cas12a for CVA16 detection.

Main Methods:

  • Designed MCDA primers, an engineered CP1 primer, and a guide RNA (gRNA) targeting the CVA16 VP1 gene.
  • Utilized RT-MCDA for preamplification of CVA16 RNA and CRISPR-Cas12a for specific detection of amplicons.
  • Validated the assay using CVA16 RNA standards and 96 clinical samples.

Main Results:

  • The CVA16-RT-MCDA-CRISPR assay demonstrated a limit of detection of 2.8 × 10-1 copies/µL for CVA16 RNA.
  • The assay exhibited high specificity, with no cross-reactivity against other common pathogens.
  • Feasibility was confirmed through successful validation with clinical samples.

Conclusions:

  • The CVA16-RT-MCDA-CRISPR assay is a reliable, rapid, and sensitive tool for CVA16 detection.
  • This platform holds promise for improving diagnostics in settings with limited resources.
  • Effective CVA16 detection is crucial for managing HFMD outbreaks.