Loop-Mediated Isothermal Amplification Assay for Detection of Haemophilus influenzae Type b in Cerebrospinal Fluid
Open accessAbstract
Haemophilus influenzae type b (Hib) is one of the leading causes of meningitis in developing countries. To establish and evaluate a novel loop-mediated isothermal amplification (LAMP) assay for Hib, we designed a LAMP primer set targeting the Hib-specific capsulation locus. LAMP detected 10 copies of purified DNA in a 60-min reaction. This indicated that the detection limit of LAMP was >100-fold lower than the detection limits of both a PCR for the detection of bexA and a nested PCR for Hib (Hib PCR). No H. influenzae, other than Hib or control bacteria, was detected. Linear determination ranged from 10 to 1,000,000 microorganisms per reaction mixture using real-time turbidimetry. We evaluated the Hib LAMP assay using a set of 52 randomly selected cerebrospinal fluid (CSF) specimens obtained from children with suspected meningitis. For comparison, the CSF specimens were tested using a conventional Hib PCR assay. Hib was detected in 30 samples using LAMP and in 22 samples using the Hib PCR assay. The Hib PCR showed a clinical sensitivity of 73.3% and a clinical specificity of 100% relative to the Hib LAMP assay. These results suggest that further development and evaluation of the Hib LAMP will enhance the global diagnostic capability for Hib detection.
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The sensitivity of bexA PCR for Haemophilus influenzae ranged from 81% to 100% with a median of 93%, and specificity ranged from 81% to 100% with a median of 94%.
“The sensitivity of bexA PCR ranged from 81% to 100% with a median of 93%, with a specificity ranging from 81% to 100% (median 94%) (54, 58, 65–68).”
From Molecular diagnostics in cerebrospinal fluid for the diagnosis of central nervous system infections (2024) · cites this paper as [66]
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Self-citationMolecular diagnostics in cerebrospinal fluid for the diagnosis of central nervous system infections
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- Authors
- Kim, D. W., Kilgore, P. E., Kim, E. J., Kim, S. A., Anh, D. D., & Seki, M.
- Affiliations
- International Vaccine Institute (KR)
- National Institute of Hygiene and Epidemiology, Hanoi, Vietnam
- Nihon University (JP)
- Corresponding author
- Seki, Mitsuko
- Venue
- Journal of Clinical Microbiology
- Publisher
- American Society for Microbiology
- Published
- 2011-10
- Volume
- 49
- Issue
- 10
- Pages
- 3621-3626
- ISSN
- 0095-1137 (ISSN-L)
- 1098-660X
- PMC
- PMC3187296
- OpenAlex
- W2091575535
- Cited by
- 50
- References
- 23
- Citations by year
- 2026: 2 · 2025: 5 · 2024: 2 · 2023: 1 · 2022: 5 · 2021: 3 · 2020: 2 · 2019: 3 · 2018: 3 · 2017: 5 · 2016: 6 · 2015: 3 · 2014: 6 · 2013: 1 · 2012: 3
- FWCI
- 2.97
- Type
- journal article
- Language
- en
- Update notices
- correction (2014-03-11)
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Clinical Microbiology (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- The Royal Society of Chemistry’s Journals, Books and Databases (The Royal Society of Chemistry) (submittedVersion)
- Funders
- School of Dentistry, Nihon University
- Japan Society for the Promotion of Science (22592348)
- Topics
- Life Sciences › Immunology and Microbiology › Microbiology › Bacterial Infections and Vaccines
- Physical Sciences › Engineering › Biomedical Engineering › Biosensors and Analytical Detection
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Clinical Biochemistry › Bacterial Identification and Susceptibility Testing
- Keywords
- Haemophilus influenzae type b, loop-mediated isothermal amplification, cerebrospinal fluid, meningitis, molecular diagnosis, sensitivity and specificity, turbidimetric detection
- MeSH terms
- Bacteriological Techniques, Cerebrospinal Fluid, Humans, Meningitis, Haemophilus, Sensitivity and Specificity, Temperature, Time Factors, DNA Primers, Haemophilus influenzae type b, Nucleic Acid Amplification Techniques, Molecular Diagnostic Techniques
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