A seminested recombinase polymerase amplification assay to detect rickettsial pathogens in clinical samples

Treatment at the early stage of onset is vital for the prognosis of rickettsioses. But the absence of specific clinical symptoms complicates the diagnosis of this condition. Herein we established a seminested recombinase polymerase amplification assay (snRPA-nfo) that enables quick detection and dif...

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Veröffentlicht in:Diagnostic microbiology and infectious disease 2023-12, Vol.107 (4), p.116067-116067, Article 116067
Hauptverfasser: Zhang, Ying, Hai, Yan, Duan, Biao, Long, Hu, Xie, Xiaofei, Teng, Zhongqiu, Yin, Feifei, Wang, Mingliu, Xiong, Yanwen, Shao, Zhujun, Guo, Weidong, Qin, Aiping
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container_issue 4
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container_title Diagnostic microbiology and infectious disease
container_volume 107
creator Zhang, Ying
Hai, Yan
Duan, Biao
Long, Hu
Xie, Xiaofei
Teng, Zhongqiu
Yin, Feifei
Wang, Mingliu
Xiong, Yanwen
Shao, Zhujun
Guo, Weidong
Qin, Aiping
description Treatment at the early stage of onset is vital for the prognosis of rickettsioses. But the absence of specific clinical symptoms complicates the diagnosis of this condition. Herein we established a seminested recombinase polymerase amplification assay (snRPA-nfo) that enables quick detection and differentiation of rickettsial pathogens in clinical samples with high sensitivity and specificity. The conserved 17-kDa protein gene of Rickettsia sibirica and the 47-kDa protein gene of Orientia tsutsugamushi were targeted for the duplex RPA-nfo assay. The snRPA-nfo assay exhibited an increased LOD in spiked blood samples, up to 1000-fold in comparison to standard RPA-nfo, and a better detection rate (83.3%, 5/6) than TaqMan PCR (16.6%, 1/6, Ct ≤ 35) in clinically confirmed patient blood samples. Thus, snRPA-nfo assay represents a promising alternative to TaqMan PCR in the early diagnosis of rickettsioses for point-of-care testing as well as in resource-limited settings.
doi_str_mv 10.1016/j.diagmicrobio.2023.116067
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subjects Orientia tsutsugamushi
Recombinase polymerase amplification (RPA)
Rickettsia spp
Rickettsioses
Seminested RPA
title A seminested recombinase polymerase amplification assay to detect rickettsial pathogens in clinical samples
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