Tunable Duplex Semiquantitative Detection of Nucleic Acids with a Visual Lateral Flow Immunoassay Readout

Anal Chem. 2022 Mar 8;94(9):3956-3962. doi: 10.1021/acs.analchem.1c05039. Epub 2022 Feb 24.

Abstract

Quantitative nucleic acid amplification testing (NAAT) is a key enabling technology for infectious disease management, especially in instances where viral load informs therapeutic decisions. Inadequate access to quantitative NAATs remains a challenge to the successful deployment of antiretroviral therapy (ART) regimens for patients with chronic hepatitis B virus (CHB) in low resourced settings (LRS). Current field-deployable NAATs are generally qualitative (yes/no) rather than quantitative in nature, making them ill-suited for viral load monitoring programs for CHB patients. Here, we report the development of a proof-of-concept molecular diagnostic test, the semiquantitative ligation and amplification (SQLA) assay, which achieves semiquantitative detection of input target DNA at two independently tunable detection thresholds with a simple visual readout. The SQLA assay utilizes a duplex competitive thermophilic helicase-dependent amplification (tHDA) chemistry and can be performed in under 1 h.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Hepatitis B virus* / genetics
  • Hepatitis B virus* / isolation & purification
  • Hepatitis B, Chronic* / diagnosis
  • Hepatitis B, Chronic* / virology
  • Humans
  • Immunoassay*
  • Molecular Diagnostic Techniques
  • Nucleic Acid Amplification Techniques*
  • Nucleic Acids* / analysis
  • Nucleic Acids* / genetics

Substances

  • Nucleic Acids