Principles and Applications of Loop-Mediated Isothermal Amplification to Point-of-Care Tests

Biosensors (Basel). 2022 Oct 10;12(10):857. doi: 10.3390/bios12100857.

Abstract

For the identification of nucleic acids, which are important biomarkers of pathogen-mediated diseases and viruses, the gold standard for NA-based diagnostic applications is polymerase chain reaction (PCR). However, the requirements of PCR limit its application as a rapid point-of-care diagnostic technique. To address the challenges associated with regular PCR, many isothermal amplification methods have been developed to accurately detect NAs. Isothermal amplification methods enable NA amplification without changes in temperature with simple devices, as well as faster amplification times compared with regular PCR. Of the isothermal amplifications, loop-mediated isothermal amplification (LAMP) is the most studied because it amplifies NAs rapidly and specifically. This review describes the principles of LAMP, the methods used to monitor the process of LAMP, and examples of biosensors that detect the amplicons of LAMP. In addition, current trends in the application of LAMP to smartphones and self-diagnosis systems for point-of-care tests are also discussed.

Keywords: LAMP; isothermal amplification; molecular diagnosis; point of care.

Publication types

  • Review

MeSH terms

  • Nucleic Acid Amplification Techniques* / methods
  • Nucleic Acids*
  • Point-of-Care Testing
  • Sensitivity and Specificity

Substances

  • Nucleic Acids

Supplementary concepts

  • LAMP assay

Grants and funding

This work was supported by the National Research Foundation of Korea (NRF) grant funded by the Korea government (MSIT) (no. 2021R1A2C201339612) and (no. 2021R1F1A105197112).