Highly sensitive and rapid determination of Coxsackievirus A16 using restriction endonuclease-mediated reverse

Qi Liang1,2,3, Yumei Cao1,4, Xujian Zhang1,5

  • 1Department of Clinical Laboratory, The First People's Hospital of Guiyang, Guiyang, Guizhou, 550004, People's Republic of China.

BMC Microbiology
|May 26, 2026
PubMed

Insights

A new diagnostic method, Coxsackievirus A16-E-RT-MCDA, offers sensitive, rapid, and specific detection of CVA16. This molecular approach is crucial for managing hand, foot, and mouth disease in young children.

Area of Science:

  • Molecular Diagnostics
  • Virology
  • Infectious Diseases

Background:

  • Coxsackievirus A16 (CVA16) is a primary cause of hand, foot, and mouth disease in infants and toddlers.
  • Effective antiviral drugs and vaccines for CVA16 are currently unavailable.
  • Sensitive, specific, and rapid diagnostic methods are essential for CVA16 prevention and management.

Purpose of the Study:

  • To develop a novel molecular diagnostic approach for sensitive, rapid, and specific identification of CVA16.
  • To establish a real-time fluorescence technique coupled with reverse transcription multiple cross-displacement amplification (RT-MCDA) for CVA16 detection.

Main Methods:

  • Designed a unique set of primers targeting the VP1 gene of CVA16 for the RT-MCDA assay.
  • Optimized reaction conditions for CVA16-E-RT-MCDA to 63°C for 35 minutes.
  • Evaluated the assay's limit of detection, specificity, and anti-interference capabilities.

Main Results:

  • The CVA16-E-RT-MCDA assay achieved a limit of detection of 14 copies/µL for the CVA16 RNA standard.
  • The assay demonstrated high specificity and anti-interference properties.
  • Successful confirmation of the method's applicability using clinical samples from suspected CVA16 infections.

Conclusions:

  • The developed CVA16-E-RT-MCDA assay is sensitive, specific, and rapid for CVA16 detection.
  • This assay represents a promising diagnostic tool for clinical applications in managing CVA16 infections.
Abstract

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