Development and evaluation of a reverse transcription-loop-mediated isothermal amplification assay for rapid detection of enterovirus 71

J Clin Microbiol. 2011 Mar;49(3):870-4. doi: 10.1128/JCM.02045-10. Epub 2010 Dec 22.

Abstract

Human enterovirus 71 (EV71) is the major etiological agent of hand, foot, and mouth disease (HFMD), which is a common infectious disease in young children and infants. EV71 can cause various clinical manifestations and has been associated with severe neurological complications; it has resulted in fatalities during recent outbreaks in Asian-Pacific regions since 1997. The early and rapid detection is critical for prevention and control of EV71 infection, since no vaccine or antiviral drugs are currently available. In this study, a simple and sensitive reverse transcription-loop-mediated isothermal amplification (RT-LAMP) assay was developed for rapid detection of EV71. The detection limit of the RT-LAMP assay was approximately 0.01 PFU per reaction mixture, and no cross-reactive amplification with other enteroviruses was observed. The assay was evaluated further with 40 clinical specimens and exhibited 92.9% sensitivity and 100% specificity. This RT-LAMP assay may become a useful alternative in clinical diagnosis of EV71, especially in resource-limited hospitals or rural clinics of China and other countries in the Asian-Pacific region.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Child, Preschool
  • China
  • Enterovirus A, Human / genetics
  • Enterovirus A, Human / isolation & purification*
  • Enterovirus Infections / diagnosis*
  • Humans
  • Infant
  • Molecular Diagnostic Techniques / methods*
  • Molecular Sequence Data
  • Nucleic Acid Amplification Techniques / methods*
  • RNA, Viral / genetics
  • Reverse Transcription
  • Sensitivity and Specificity
  • Sequence Analysis, DNA
  • Virology / methods*

Substances

  • RNA, Viral

Associated data

  • GENBANK/GU366191