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Expert Rev Mol Diagn ; 21(1): 43-61, 2021 01.
Artículo en Inglés | MEDLINE | ID: covidwho-1066147

RESUMEN

Introduction: Over the past decade, loop-mediated isothermal amplification (LAMP) technology has played an important role in molecular diagnostics. Amongst numerous nucleic acid amplification assays, LAMP stands out in terms of sample-to-answer time, sensitivity, specificity, cost, robustness, and accessibility, making it ideal for field-deployable diagnostics in resource-limited regions.Areas covered: In this review, we outline the front-end LAMP design practices for point-of-care (POC) applications, including sample handling and various signal readout methodologies. Next, we explore existing LAMP technologies that have been validated with clinical samples in the field. We summarize recent work that utilizes reverse transcription (RT) LAMP to rapidly detect SARS-CoV-2 as an alternative to standard PCR protocols. Finally, we describe challenges in translating LAMP from the benchtop to the field and opportunities for future LAMP assay development and performance reporting.Expert opinion: Despite the popularity of LAMP in the academic research community and a recent surge in interest in LAMP due to the COVID-19 pandemic, there are numerous areas for improvement in the fundamental understanding of LAMP, which are needed to elevate the field of LAMP assay development and characterization.


Asunto(s)
Prueba de COVID-19 , COVID-19/diagnóstico , Técnicas de Diagnóstico Molecular , Técnicas de Amplificación de Ácido Nucleico , Pruebas en el Punto de Atención , SARS-CoV-2/aislamiento & purificación , Colorimetría , Reacciones Falso Positivas , Fluorescencia , Humanos , Límite de Detección , Pandemias , Sistemas de Atención de Punto , Reacción en Cadena de la Polimerasa/métodos , ARN Viral/aislamiento & purificación , Sensibilidad y Especificidad
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