Loop-Mediated Isothermal Amplification for Rapid and Reliable Diagnosis of Tuberculous Meningitis
Open accessAbstract
Diagnosis of tuberculous meningitis (TBM) is often difficult. A reliable, simple, and rapid diagnostic test that can be performed in any standard laboratory could be helpful in TBM diagnosis. In this study, a loop-mediated isothermal amplification assay (LAMP) was evaluated to rapidly detect and diagnose TBM infection and was compared to the performance of nested PCR. Six specific primers were used to recognize the IS6110 genomic sequence from Mycobacterium tuberculosis, which included one forward outer primer, one reverse outer primer, two respective inner primers, and two loop primers. The optimum reaction temperature and time were 63°C and 60 min, respectively. Nested PCR was performed targeting the IS6110 region from M. tuberculosis using a commercial kit. The LAMP method yielded a sensitivity of 88.23% and a specificity of 80%, compared to the nested-PCR assay, which yielded a sensitivity of 52.9% and a specificity of 90% for TBM diagnosis. Comparative experiments showed that the LAMP assay is a rapid, sensitive, and specific method to detect TBM infection and that it is superior to the nested-PCR assay. LAMP is very simple, and it can be performed in any laboratory and in rural settings.
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LAMP and NASBA have been studied in various CNS infections and might especially be useful in laboratories with limited resources.
“LAMP and NASBA have been studied in various CNS infections and might especially be useful in laboratories with limited resources (26–31).”
From Molecular diagnostics in cerebrospinal fluid for the diagnosis of central nervous system infections (2024) · cites this paper as [27]
The Introduction (page unavailable) says LAMP could be adopted by any laboratory, and the Discussion (page unavailable) describes its use for diagnosing tuberculous meningitis with an inexpensive turbidometer. This supports the LAMP example and suggests potential use in resource-limited laboratories, but the paper does not study NASBA or LAMP across various CNS infections. (LLM, conf=0.88)
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- Authors
- Nagdev, K. J., Kashyap, R. S., Parida, M. M., Kapgate, R. C., Purohit, H. J., Taori, G. M., & Daginawala, H. F.
- Affiliations
- Central India Institute of Medical Sciences (IN)
- Defence Research and Development Establishment (IN)
- National Environmental Engineering Research Institute (IN)
- Venue
- Journal of Clinical Microbiology
- Publisher
- American Society for Microbiology
- Published
- 2011-05
- Volume
- 49
- Issue
- 5
- Pages
- 1861-1865
- ISSN
- 0095-1137 (ISSN-L)
- 1098-660X
- PMC
- PMC3122663
- OpenAlex
- W2167033417
- Cited by
- 86
- References
- 34
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 6 · 2023: 6 · 2022: 7 · 2021: 1 · 2020: 8 · 2019: 3 · 2018: 5 · 2017: 6 · 2016: 10 · 2015: 5 · 2014: 8 · 2013: 8 · 2012: 6
- FWCI
- 4.73
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Clinical Microbiology (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Physical Sciences › Engineering › Biomedical Engineering › Biosensors and Analytical Detection
- Health Sciences › Medicine › Surgery › Infectious Diseases and Tuberculosis
- Health Sciences › Medicine › Infectious Diseases › Tuberculosis Research and Epidemiology
- Keywords
- tuberculous meningitis, loop-mediated isothermal amplification, Mycobacterium tuberculosis, IS6110, nested PCR, rapid molecular diagnostics, sensitivity and specificity, point-of-care testing
- MeSH terms
- Adolescent, Adult, Aged, Bacteriological Techniques, Child, DNA Transposable Elements, DNA, Bacterial, Female, Humans, Male, Middle Aged, Mycobacterium tuberculosis, Sensitivity and Specificity, Temperature, Tuberculosis, Meningeal, DNA Primers, Nucleic Acid Amplification Techniques, Molecular Diagnostic Techniques, Young Adult
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