Figures & data
Table 1 The Primers Used in the Current Report
Figure 1 Sequence and location of nuc (A) and mecA (B) genes used to design loop-mediated isothermal amplification primers. The nucleotide sequences of the sense strand of nuc and mecA are listed. Right arrows and left arrows indicate sense and complementary sequences that are used.
![Figure 1 Sequence and location of nuc (A) and mecA (B) genes used to design loop-mediated isothermal amplification primers. The nucleotide sequences of the sense strand of nuc and mecA are listed. Right arrows and left arrows indicate sense and complementary sequences that are used.](/cms/asset/b141ac61-12e4-49cd-b41a-c44ed6d2ce6e/didr_a_243881_f0001_c.jpg)
Table 2 Bacterial Strains Used in the Current Study
Figure 2 Detection and confirmation of nuc- and mecA-LAMP products. A (left), B (left) and C (left), Color change of nuc-, mecA- and multiplex LAMP tubes; A (right), B (right) and C (right), LFB applied for visual detection of nuc-, mecA- and multiplex LAMP products. Tube A1, B1 and C1, positive amplification; tube A2, B2 and C2, negative amplification (S. pneumonia), tube A3, B3 and C3, negative amplification (L. monocytogenes), tube A4, B4 and C4, negative control (DW); Biosensor A1, B1 and C1, positive amplification; biosensor A2, B2 and C2, negative amplification (S. pneumonia), biosensor A3, B3 and C3, negative amplification (L. monocytogenes), biosensor A4, B4 and C4, negative control (DW).
![Figure 2 Detection and confirmation of nuc- and mecA-LAMP products. A (left), B (left) and C (left), Color change of nuc-, mecA- and multiplex LAMP tubes; A (right), B (right) and C (right), LFB applied for visual detection of nuc-, mecA- and multiplex LAMP products. Tube A1, B1 and C1, positive amplification; tube A2, B2 and C2, negative amplification (S. pneumonia), tube A3, B3 and C3, negative amplification (L. monocytogenes), tube A4, B4 and C4, negative control (DW); Biosensor A1, B1 and C1, positive amplification; biosensor A2, B2 and C2, negative amplification (S. pneumonia), biosensor A3, B3 and C3, negative amplification (L. monocytogenes), biosensor A4, B4 and C4, negative control (DW).](/cms/asset/b0576606-018a-42c8-9782-d6d8aec77373/didr_a_243881_f0002_c.jpg)
Figure 3 Optimal amplification temperature for nuc- and mecA-LAMP primer sets. The conventional LAMP reactions for detection of nuc (A) and mecA (B) were monitored by real-time measurement of turbidity and the corresponding curves of concentrations of templates were marked in the figures. The threshold value was 0.1 and the turbidity of >0.1 was considered to be positive. Six kinetic graphs (1–6) were obtained at various temperatures (61 oC-66°C, 1°C intervals) with target pathogens DNA at the level of 10 pg per vessel. (A) the graphs from 2 (62°C) to 5 (65°C) showed robust amplification; (B) the graphs from 2 (62°C) to 4 (64°C) showed robust amplification.
![Figure 3 Optimal amplification temperature for nuc- and mecA-LAMP primer sets. The conventional LAMP reactions for detection of nuc (A) and mecA (B) were monitored by real-time measurement of turbidity and the corresponding curves of concentrations of templates were marked in the figures. The threshold value was 0.1 and the turbidity of >0.1 was considered to be positive. Six kinetic graphs (1–6) were obtained at various temperatures (61 oC-66°C, 1°C intervals) with target pathogens DNA at the level of 10 pg per vessel. (A) the graphs from 2 (62°C) to 5 (65°C) showed robust amplification; (B) the graphs from 2 (62°C) to 4 (64°C) showed robust amplification.](/cms/asset/5b215834-bc47-4caa-8a9a-b4b399dfc3ac/didr_a_243881_f0003_c.jpg)
Figure 4 Detection of a single target in a LAMP reaction. Two sets of LAMP primers targeting the nuc (A) and mecA (B) genes were used in different reactions and the serial dilutions (1 ng, 100 pg, 10 pg, 1 pg, 100 fg, 10 fg and 1 fg) of target templates were subjected to conventional LAMP reactions. A (top) and B (top), LFB applied for visual detection of nuc- and mecA-LAMP products. A (bottom) and B (bottom), VDR applied to nuc- and mecA-LAMP products. Biosensors A1-A7 (Tubes A1-A7), S. aureus (ATCC 43300) genomic templates (1 ng-1 fg), biosensors A8 (Tube A8), negative control (DW). Biosensors B1-B7 (Tubes B1-B7), S. aureus (ATCC 43300) genomic templates (1 ng-1 fg), biosensors B8 (Tube B8), negative control (DW). NC, negative control.
![Figure 4 Detection of a single target in a LAMP reaction. Two sets of LAMP primers targeting the nuc (A) and mecA (B) genes were used in different reactions and the serial dilutions (1 ng, 100 pg, 10 pg, 1 pg, 100 fg, 10 fg and 1 fg) of target templates were subjected to conventional LAMP reactions. A (top) and B (top), LFB applied for visual detection of nuc- and mecA-LAMP products. A (bottom) and B (bottom), VDR applied to nuc- and mecA-LAMP products. Biosensors A1-A7 (Tubes A1-A7), S. aureus (ATCC 43300) genomic templates (1 ng-1 fg), biosensors A8 (Tube A8), negative control (DW). Biosensors B1-B7 (Tubes B1-B7), S. aureus (ATCC 43300) genomic templates (1 ng-1 fg), biosensors B8 (Tube B8), negative control (DW). NC, negative control.](/cms/asset/32c1f294-6101-4fb8-b77c-3390b38fd884/didr_a_243881_f0004_c.jpg)
Figure 5 Visual detection of multiplex targets in a m-LAMP reaction. Two sets of LAMP primers targeting nuc and mecA genes were simultaneously added to a reaction vessel and the LoD of m-LAMP for simultaneously detecting S. aureus and identifying MRSA was analyzed using LFB. Biosensors 1, 2, 3, 4, 5, 6, 7 and 8 represent DNA levels of 1 ng (S. aureus ATCC 43300 templates), 100 pg (S. aureus ATCC 43300 templates), 10 pg (S. aureus ATCC 43300 templates), 1 pg (S. aureus ATCC 43300 templates), 100 fg (S. aureus ATCC 43300 templates), 10 fg (S. aureus ATCC 43300 templates), 1 fg (S. aureus ATCC 43300 templates) and negative control (DW). The LoD of m-LAMP assay for nuc and mecA detection was 100 fg per vessel.
![Figure 5 Visual detection of multiplex targets in a m-LAMP reaction. Two sets of LAMP primers targeting nuc and mecA genes were simultaneously added to a reaction vessel and the LoD of m-LAMP for simultaneously detecting S. aureus and identifying MRSA was analyzed using LFB. Biosensors 1, 2, 3, 4, 5, 6, 7 and 8 represent DNA levels of 1 ng (S. aureus ATCC 43300 templates), 100 pg (S. aureus ATCC 43300 templates), 10 pg (S. aureus ATCC 43300 templates), 1 pg (S. aureus ATCC 43300 templates), 100 fg (S. aureus ATCC 43300 templates), 10 fg (S. aureus ATCC 43300 templates), 1 fg (S. aureus ATCC 43300 templates) and negative control (DW). The LoD of m-LAMP assay for nuc and mecA detection was 100 fg per vessel.](/cms/asset/9c91d6fc-f011-41f0-b257-cba390b9c754/didr_a_243881_f0005_c.jpg)
Figure 6 Optimal duration of time required for m-LAMP assay. Four different reaction times (A, 20 min; B, 30 min; C, 40 min; and D, 50 min) were tested and compared at 63 °C. Biosensors 1, 2, 3, and 4 represent DNA levels of 100 fg/μL (LoD level). The best sensitivity was seen when the amplification lasted for 50 min (C).
![Figure 6 Optimal duration of time required for m-LAMP assay. Four different reaction times (A, 20 min; B, 30 min; C, 40 min; and D, 50 min) were tested and compared at 63 °C. Biosensors 1, 2, 3, and 4 represent DNA levels of 100 fg/μL (LoD level). The best sensitivity was seen when the amplification lasted for 50 min (C).](/cms/asset/3912dc8b-468e-456b-b28f-d99892fb1f12/didr_a_243881_f0006_c.jpg)
Figure 7 Analytical sensitivity of m-LAMP assay using different bacterial strains. The m-LAMP amplifications were performed using different genomic DNA templates and were monitored by means of visual format. Biosensor 1, MRSA (ATCC 43300); biosensor 2, MSSA (ATCC 25923); biosensor 3–17, biosensor 18, negative control (DW).
![Figure 7 Analytical sensitivity of m-LAMP assay using different bacterial strains. The m-LAMP amplifications were performed using different genomic DNA templates and were monitored by means of visual format. Biosensor 1, MRSA (ATCC 43300); biosensor 2, MSSA (ATCC 25923); biosensor 3–17, biosensor 18, negative control (DW).](/cms/asset/41e6f4d2-f6fc-4a0b-b706-9306c9ba0782/didr_a_243881_f0007_c.jpg)
Table 3 Comparison of Conventional LAMP-LFB, Culture Biotechnical and PCR Methods for the Detection of S. Aureus in Sputum Samples of Human