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<http://www.journalofclinicalvirology.com/article/PIIS1386653211003404/abstract?rss=yes>
Journal of Clinical Virology
Article in Press
Development of a novel genotype-specific loop-mediated isothermal
amplification technique for Hepatitis B virus genotypes B and C genotyping
and quantification
Zhejun Cai, Guoqiang Lou, Ting Cai, Jin Yang, Nanping Wu
Received 1 June 2011; received in revised form 2 August 2011; accepted 15
August 2011. published online 12 September 2011. Corrected Proof
Abstract
Background
There is the need for a rapid, economical method for genotyping Hepatitis B
virus (HBV) to support clinical practice. Objectives
To develop a novel HBV genotyping process using genotype specific loop
mediated isothermal amplification (LAMP). Study design
HBV genotypes B and C specific LAMP methods were evaluated using standard
panel. A comparative analysis of the LAMP test against Taqman assay using
105 clinical samples, was undertaken to evaluate the quantitation capacity
of the method. 111 clinical samples were used to test the clinical
applicability of the genotype specific LAMP method. The results were
compared with those obtained by real-time PCR based genotyping and
sequencing. Results
Using genotype-specific primers, the LAMP assay correctly identified all
predefined genotypes B and C, and no cross-reaction was observed. Real-time
format of this assay provides simultaneous identification and
quantification of genotypes B and C. The detection sensitivity of the
method was found to be 323 and 515copies/ml for genotypes B and C specific
LAMP assay respectively. High correlation (R2=0.91) and good agreement
between the LAMP method and the real-time PCR test were achieved for HBV
quantitation. Samples from 111 HBV-infected patients were genotyped with
LAMP, revealing 53% HBV as genotype B, 36% as genotype C, and 12% as mixed
genotypes B and C. LAMP method showed coincidence rates of 96.7% with the
real-time PCR genotyping results.
Conclusion
This approach is a promising tool for HBV genotyping and quantitation. It
appears to be useful for routine clinical practice even in field
investigation. |
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