Amplificación Isotérmica de Ácidos Nucleicos
El futuro del diagnóstico molecular
DOI:
https://doi.org/10.29105/bys9.17-235Keywords:
Molecular diagnosis, qPCR, DNA, RNA, NASBA, LAMP, RPAAbstract
Molecular diagnostics is a key tool with applications in human health, veterinary science, and food safety, among other areas. In human health, the COVID-19 pandemic spurred the widespread use of real time polymerase chain reaction (also known as qPCR when it
when used in quantitative analysis) tests, enabling large-scale screenings and millions of diagnoses worldwide, establishing qPCR as the most widely used molecular technique in history. However, access to these tests was not equitable across countries, as qPCR requires specialized infrastructure and costly equipment. To address this limitation, nucleic acid isothermal amplification has emerged as a revolutionary alternative in molecular diagnostics, enabling rapid and accurate detection of pathogens and biomarkers without the need for sophisticated equipment. This article discusses three methods shaping the future of molecular detection: NASBA (Nucleic Acid Sequence-Based Amplification), LAMP (Loop-Mediated Isothermal Amplification), and RPA (Recombinase Polymerase Amplification). Each technique offers advantages in sensitivity, specificity, and ease of use, making them particularly suitable for low-resource settings and point-of-care diagnostics. These technologies not only have the potential to revolutionize diagnostics but also to enable a rapid and effective response to future health crises.
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References
Becherer, L., Borst, N., Bakheit, M., Frischmann, S., Zengerle, R., Von Stetten, F., 2020. Loop-mediated isothermal amplification (LAMP) – review and classification of methods for sequence-specific detection. Analytical Methods 12, 717–746. https://doi.org/10.1039/C9AY02246E
Clipper, B., 2020. The Influence of the COVID-19 Pandemic on Technology: Adoption in Health Care. Nurse Lead 18, 500. https://doi.org/10.1016/J.MNL.2020.06.008
Compton, J., 1991. Nucleic acid sequence-based amplification. Nature 350, 91–92. https://doi.org/10.1038/350091A0
Curtis, K.A., Morrison, D., Rudolph, D.L., Shankar, A., Bloomfield, L.S.P., Switzer, W.M., Owen, S.M., 2018. A multiplexed RT-LAMP assay for detection of group M HIV-1 in plasma or whole blood. J Virol Methods 255, 91–97. https://doi.org/10.1016/J.JVIROMET.2018.02.012
González-González, E., Lara-Mayorga, I.M., Rodríguez-Sánchez, I.P., Zhang, Y.S., Martínez-Chapa, S.O., Santiago, G.T., Alvarez, M.M., 2021. Colorimetric loop-mediated isothermal amplification (LAMP) for cost-effective and quantitative detection of SARS-CoV-2: the change in color in LAMP-based assays quantitatively correlates with viral copy number. Analytical Methods 13, 169–178. https://doi.org/10.1039/D0AY01658F
Kia, V., Tafti, A., Paryan, M., Mohammadi-Yeganeh, S., 2023. Evaluation of real-time NASBA assay for the detection of SARS-CoV-2 compared with real-time PCR. Ir J Med Sci 192, 723–729. https://doi.org/10.1007/S11845-022-03046-2
Kurosaki, Y., Magassouba, N., Oloniniyi, O.K., Cherif, M.S., Sakabe, S., Takada, A., Hirayama, K., Yasuda, J., 2016. Development and Evaluation of Reverse Transcription-Loop-Mediated Isothermal Amplification (RT-LAMP) Assay Coupled with a Portable Device for Rapid Diagnosis of Ebola Virus Disease in Guinea. PLoS Negl Trop Dis 10, e0004472. https://doi.org/10.1371/JOURNAL.PNTD.0004472
Li, R., Wang, Jinfeng, Sun, X., Liu, L., Wang, Jianchang, Yuan, W., 2021. Direct and Rapid Detection of Mycoplasma bovis in Bovine Milk Samples by Recombinase Polymerase Amplification Assays. Front Cell Infect Microbiol 11. https://doi.org/10.3389/FCIMB.2021.639083
Mao, Z., Lei, H., Chen, R., Ren, S., Liu, B., Gao, Z., 2024. CRISPR/Cas13a analysis based on NASBA amplification for norovirus detection. Talanta 280. https://doi.org/10.1016/J.TALANTA.2024.126725
Mullis, K., Faloona, F., Scharf, S., Saiki, R., Horn, G., Erlich, H., 1986. Specific enzymatic amplification of DNA in vitro: the polymerase chain reaction. Cold Spring Harb Symp Quant Biol 51 Pt 1, 263–273. https://doi.org/10.1101/SQB.1986.051.01.032
Notomi, T., Okayama, H., Masubuchi, H., Yonekawa, T., Watanabe, K., Amino, N., Hase, T., 2000. Loop-mediated isothermal amplification of DNA. Nucleic Acids Res 28. https://doi.org/10.1093/NAR/28.12.E63
Piepenburg, O., Williams, C.H., Stemple, D.L., Armes, N.A., 2006. DNA Detection Using Recombination Proteins. PLoS Biol 4, e204. https://doi.org/10.1371/JOURNAL.PBIO.0040204
Smits, H.L., Van Gemen, B., Schukkink, R., Van Der Velden, jacobus, Tjong-a-hung, S.P., Jebbink, maarten F., Ter Schegget, J., 1995. Application of the NASBA nucleic acid amplification method for the detection of human papillomavirus type 16 E6-E7 transcripts. J Virol Methods 54, 75–81. https://doi.org/10.1016/0166-0934(95)00032-P
Tan, M., Liao, C., Liang, L., Yi, X., Zhou, Z., Wei, G., 2022. Recent advances in recombinase polymerase amplification: Principle, advantages, disadvantages and applications. Front Cell Infect Microbiol 12, 1019071. https://doi.org/10.3389/FCIMB.2022.1019071/BIBTEX
Total COVID-19 tests, URL https://ourworldindata.org/grapher/full-list-total-tests-for-covid-19?tab=table&facet=none&country=ECU~IND~IDN~ITA~SEN~NZL~MEX#explore-the-data (accessed 10.24.24).
Wand, N.I.V., Bonney, L.C., Watson, R.J., Graham, V., Hewson, R., 2018. Point-of-care diagnostic assay for the detection of Zika virus using the recombinase polymerase amplification method. J Gen Virol 99, 1012. https://doi.org/10.1099/JGV.0.001083
Zingg, J.-M., Yang, Y.-P., Seely, S., Joshi, P., Roshid, M.H.O., Iribarren Latasa, F., O’Connor, G., Alfaro, J., Riquelme, E., Bernales, S., Dikici, E., Deo, S., Daunert, S., 2023. Rapid isothermal point-of-care test for screening of SARS-CoV-2 (COVID-19). Aspects of Molecular Medicine 1, 100002. https://doi.org/10.1016/J.AMOLM.2023.100002
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Copyright (c) 2026 Everardo González-González, Margarita de la Luz Martínez-Fierro, Idalia Garza-Veloz, Gerardo de Jesús Trujillo-Rodríguez, Iván Delgado-Enciso, Elda A. Flores-Contreras, Iram Pablo Rodríguez-Sánchez

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