One-step, rapid, nanoparticle-based biosensor platform for the simultaneous identification of hepatitis B virus and hepatitis C virus in clinical applications

BMC Microbiol. 2024 Nov 6;24(1):455. doi: 10.1186/s12866-024-03610-z.

Abstract

Objectives: Viral hepatitis caused by hepatitis B virus (HBV) and hepatitis C virus (HCV) infections remain a major global public health challenge, particularly in low- and middle-income countries. It is crucial to utilize a pointof-care (POC) testing platform that is sensitive, specific, rapid, and user-friendly for screening and diagnosis of the two infections. Here, a novel molecular diagnostic assay, integrating multiplex loop-mediated isothermal amplification with a gold nanoparticle-based lateral flow biosensor (mLAMP-AuNPs-LFB) was developed and applied for one-step, visual, rapid, sensitive, and specific identification of HBV and HCV.

Methods: The AuNPs-based LFB was devised and constructed for the simultaneous detection of HBV and HCV. The HBV-LAMP and HCV-LAMP primers were designed against the S and 5'-untranslated region (5'-UTR) genes from the major HBV genotypes (B, C, D, B/C recombinant, and C/D recombinant) and HCV subtypes (1b, 2a, 3a, 3b, and 6a) in China, respectively. Our assay conditions, both multiplex-LAMP amplification temperature and time were optimized. The sensitivity and specificity of our assay were tested, and the feasibility of our assay was verified through clinical samples.

Results: The AuNPs-based LFB used here was successfully manufactured according to our devise manual. The two unique independent primer pairs were successfully designed based on the S and 5'-UTR genes, respectively. The optimal mLAMP-AuNPs-LFB detection process, involving rapid nucleic acid isolation (10 min), mLAMP (63 °C for 35 min), and visual AuNPs-LFB interpretation (less than 2 min), could be completed within 50 min. The HBV&HCV-mLAMP-AuNPs-LFB assay can detect the target genes (HBV-S and HCV-5'-UTR) with as low as 20 copies of plasmid template per test, and the specificity was 100% for the experimental pathogens.

Conclusions: The preliminary results manifested that our mLAMP-AuNPs-LFB assay is a valuable tool and has tremendous potential as a POC testing approach for HBV and HCV identification, especially in undeveloped regions.

Keywords: Biosensor; Hepatitis B virus; Hepatitis C virus; Loop-mediated isothermal amplification; Point-of-care platform.

MeSH terms

  • Biosensing Techniques* / methods
  • China
  • DNA Primers / genetics
  • Genotype
  • Gold* / chemistry
  • Hepacivirus* / genetics
  • Hepacivirus* / isolation & purification
  • Hepatitis B virus* / genetics
  • Hepatitis B virus* / isolation & purification
  • Hepatitis B* / diagnosis
  • Hepatitis B* / virology
  • Hepatitis C* / diagnosis
  • Hepatitis C* / virology
  • Humans
  • Metal Nanoparticles* / chemistry
  • Molecular Diagnostic Techniques* / methods
  • Nucleic Acid Amplification Techniques* / methods
  • Sensitivity and Specificity*

Substances

  • Gold
  • DNA Primers

Supplementary concepts

  • LAMP assay