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Hybridization chain reaction-assisted CRISPR/Cas12a strategy for rapid and visual detection of Haemophilus influenzae
Chunfang Ma1, Jiayi Zhang2, Yayun Jiang3
1Department of Clinical Laboratory, Suzhou Ninth People's Hospital, Suzhou Ninth Hospital Affiliated to Soochow University, Suzhou, China.
Insights
A new visual CRISPR/Cas12a platform, Vi-CasHCP, rapidly detects Haemophilus influenzae. This sensitive and specific test offers a convenient alternative for diagnosing childhood pneumonia, especially in resource-limited settings.
Area of Science:
- Molecular Biology
- Diagnostics
- Microbiology
Background:
- Haemophilus influenzae causes severe childhood pneumonia.
- Current detection methods (culture, qPCR) are slow and require complex equipment.
- Rapid, sensitive, and specific diagnostics are crucial for effective treatment.
Purpose of the Study:
- To develop a visual CRISPR/Cas12a-based detection platform for Haemophilus influenzae.
- To improve diagnostic speed, sensitivity, and convenience for clinical applications.
Main Methods:
- Integrated CRISPR/Cas12a with hybridization chain reaction (HCR) and HRP-catalyzed TMB colorimetric assay (Vi-CasHCP).
- Utilized Recombinase polymerase amplification for enhanced sensitivity.
- Validated performance using respiratory samples and compared with qPCR.
Main Results:
- Vi-CasHCP achieved a detection limit of 11.8 CFU/mL in 70 minutes.
- Demonstrated 100% sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) in clinical validation.
- Provided a clear visual color change for easy interpretation.
Conclusions:
- Vi-CasHCP offers rapid, sensitive, and specific detection of Haemophilus influenzae.
- The platform requires no complex instrumentation, making it suitable for resource-limited settings.
- Vi-CasHCP provides a valuable tool for fast and accurate diagnosis of childhood pneumonia.
Abstract:
Haemophilus influenzae (H. influenzae) is a major pathogen causing community-acquired pneumonia in children, posing a serious threat to children's health. Rapid and convenient testing is needed for effective treatment. Traditional detection methods, such as bacterial culture and qPCR are cumbersome to operate, and require sophisticated instrumentation. Here, we developed a visual CRISPR/Cas detection platform that integrates the hybridization chain reaction (HCR) and horseradish peroxidase (HRP)-catalyzed 3,3',5,5'-Tetramethylbenzidine (TMB) colorimetric change, called Vi-CasHCP. The single-base recognition capability of CRISPR/Cas12a improves the specificity, while the efficiency of HCR shortens the detection time and improves the sensitivity. The peroxidase-like activity of HRP catalyzes the oxidation of TMB to oxTMB, resulting in a blue color change. Vi-CasHCP achieved a detection limit of 11.8 CFU/mL in 70 min, after Recombinase polymerase amplification. Clinical validation using 50 respiratory samples showed complete diagnostic agreement with qPCR, with 100% sensitivity, specificity, PPV, and NPV. Therefore, this platform offers rapid detection, requires no complex instruments, and has high sensitivity, providing fast and accurate diagnostic support for clinical practice, and is particularly suitable for resource-limited settings.
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