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標題: M-specific reverse transcription loop-mediated isothermal amplification for detection of pandemic (H1N1) 2009 virus
作者: Lee, Min-Shiuh
Shih, Hung-Chang
Lu, Jang-Jih
Su, Mei-Chi
Deng, Ming-Chung
Wu, Chia-Chen
Lin, Fong-Yuan
Lin, Kuan-Hsun
Chen, Po-Yen
Hsu, Wei-Li
關鍵字: Diagnosis accuracy;nasopharyngeal swabs;pandemic (H1N1) 2009 virus;real-time reverse transcription PCR;RT-LAMP
Project: European Journal of Clinical Investigation, Volume 41, Issue 4, Page(s) 434-441.

Since the initial outbreak in March 2009, the novel pandemic (H1N1) 2009 virus has affected individuals worldwide and caused over 18 138 deaths. There is an urgent need for the development of an easy, accurate and simple method for the diagnosis of this novel pandemic virus.


Reverse transcription loop-mediated isothermal amplification assay (RT-LAMP) with primers targeting the M segment was established for the rapid differential diagnosis of pandemic (H1N1) 2009 virus. The performance of this assay was characterized using 111 clinic nasopharyngeal swabs, and the diagnosis accuracy was compared with real-time reverse transcription PCR (RRT-PCR) and virus isolation, the latter being the reference standard.


This method successfully detected pandemic (H1N1) 2009 virus with a detection limit of approximately 20 copies of the target RNA per reaction, which is a comparably sensitivity to the RRT-PCR assay. Furthermore, this assay was able to discriminate pandemic (H1N1) 2009 virus from seasonal influenza viruses, such as H1N1 and H3N2, and other respiratory viruses (parainfluenza type 2 and 3, adenovirus, echovirus 7, and coxsackievirus A10). Based on validation by virus isolation, the specificity and sensitivity of this M-specific RT-LAMP assay were 100% and 98 center dot 25%, respectively. Moreover, the RT-LAMP amplification of most positive samples (46 out of 56) was achieved in < 20 min.


This is an accurate and fast analysis system suitable for general diagnostic laboratories with only limited equipment, e.g. first-line health care centre. This assay will help clinicians and public health officials to react effectively during an outbreak.
ISSN: 0014-2972
DOI: 10.1111/j.1365-2362.2010.02427.x
Appears in Collections:微生物暨公共衛生學研究所

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