Assessment of loop-mediated isothermal amplification assays for Escherichia coli detection
Creators: name: Mila, Djisalov
name: Ljiljana, Šašić Zorić
name: Ljiljana, Janjušević
name: Teodora, Knežić
name: Ivana, Gadjanski
Publisher: name: Zenodo
Year: 2021
Subjects: Escherichia coli; Colorimetric LAMP; WarmStart LAMP; malB gene

description: <strong>INTRODUCTION:</strong>As of lately, loop-mediated isothermal amplification (LAMP) has become a powerful alternative to the polymerase chain reaction (PCR) in the field of molecular diagnostics, especially for pathogen detection in clinical and food samples. LAMP is a powerful and new method of nucleic acid amplification, with the ability to detect DNA at a very low level. In comparison to other molecular methods such as PCR and Real-Time PCR, LAMP eliminates the need for sophisticated thermal cyclers. High efficiency of DNA amplification by LAMP significantly shortens the whole amplification process.<br> <strong>OBJECTIVES: </strong>This study aims to assess the efficacy of two different LAMP kits, WarmStart (Real-Time LAMP) and Colorimetric LAMP, for detection of <em>Escherichia coli</em>. In present study, kits were tested and optimized for detection of <em>E. coli </em>ATCC® 25922 directly from bacterial suspension and indirectly using bacterial genomic DNA (gDNA). LAMP results were then compared with the results of <em>E. coli</em> detection using standard PCR methodology.<br> <strong>METHOD / DESIGN: </strong>For use in LAMP detection of <em>E. coli </em>directly from the bacterial suspension, eight bacterial dilutions in concentrations ranging from 1.5x10<sup>8</sup>- 1.5x10<sup>1</sup> CFU/mL were prepared. All bacterial dilutions were then used for LAMP detection using WarmStart Colorimetric LAMP 2X Master Mix (New England BioLabs) and WarmStart LAMP Kit (New England BioLabs). Real-Time LAMP reactions were done on the Genie® II, an instrument for isothermal nucleic acid amplification. LAMP primers (F3, B3, FIP, BIP, LF, BF) for the <em>malB </em>gene are taken from the literature. For indirect detection, genomic DNA from <em>E. coli </em>using GeneJET<br> Genomic DNA Purification Kit (Thermo Scientific) was extracted. Extracted gDNA with the concentration 50 ng/μl was used for preparation of ten-fold dilutions (10<sup>-1</sup> - 10<sup>-4</sup>), and these dilutions were used in both Colorimetric and WarmStart LAMP assays in order to compare limits of detection with and without DNA extraction. Finally,<em> E. coli</em> genomic DNA serial dilutions for standard PCR, using F3 and B3 primers for <em>malB</em> gene, were applied.<br> <strong>RESULTS:</strong> The results showed that both LAMP methods (WarmStart and Colorimetric LAMP) enabled the detection of <em>E. coli</em> directly, in suspension (without prior DNA isolation) for bacterial concentration of 1.5x10<sup>8</sup> CFU/mL. Additionally, the results of Colorimetric LAMP using serial dilutions of <em>E. coli</em> gDNA showed detection in all tested concentrations, except the lowest. On the other hand, the WarmStart LAMP kit enabled <em>E. coli </em>gDNA detection in all tested gDNA dilutions. The conventional PCR methods failed to detect <em>E. coli malB</em> gene product for the lowest DNA concentration. Additionally, DNA bends on agarose gels were more intensive in the LAMP products compared to those obtained with PCR products.<br> <strong>CONCLUSIONS: </strong>Presented research showed the incredible power of the LAMP methodology (both, Colorimetric and Real-Time) to detect <em>E. coli</em> even without prior isolation of bacterial gDNA. Also, LAMP enabled <em>E. coli </em>detection even at an extremely low concentration of tested gDNA (50 x 10<sup>-4</sup> ng/μl), while with conventional PCR that was not the case. PCR managed to detect bacterial gDNA up to a concentration of 50 x 10<sup>-3</sup> ng/μl. According to all the above, LAMP was proved to be more sensitive than PCR, with a large capacity to be used in molecular diagnostics. Also, LAMP is easier to handle since it is more time efficient and involves the use of portable small devices suitable for on Point-of-Care (POC) research.