Simple and quick detection of extended-spectrum β-lactamase and carbapenemase-encoding genes using isothermal nucleic acid amplification techniques

J Microorg Control. 2023;28(4):145-152. doi: 10.4265/jmc.28.4_145.

Abstract

The spread of plasmid-mediated antibiotic-resistant bacteria must be controlled; to this end, developing kits for simple and rapid detection in food and clinical settings is desirable. This review describes the detection of antibiotic resistance genes in extended-spectrum β-lactamase (ESBL)- and carbapenemase-producing bacteria. Loop-mediated isothermal amplification (LAMP), a technique developed in Japan, is a useful diffusion amplification method that does not require equipment like thermal cyclers, and amplifies the target gene in 30 min at about 65℃. Although most reports targeting ESBL and carbapenemase genes are intended for clinical use, environmental and food samples have also been targeted. Recombinase polymerase amplification (RPA) has recently been developed; in RPA, the reaction proceeds under the human skin with reaction conditions of 30 min at 37℃. Detection of ESBL and carbapenemase-encoding genes in food and clinical samples using RPA has been reported in limited studies. However, research on RPA has just begun, and further development is expected.

Keywords: Carbapenemase; ESBL; LAMP; RPA.

Publication types

  • Review

MeSH terms

  • Anti-Bacterial Agents
  • Bacterial Proteins* / genetics
  • Humans
  • Nucleic Acid Amplification Techniques / methods
  • beta-Lactamases* / genetics

Substances

  • carbapenemase
  • beta-Lactamases
  • Bacterial Proteins
  • Anti-Bacterial Agents