Loop‐Mediated Isothermal Amplification (LAMP) for the Diagnosis of Sexually Transmitted Infections: A Review

ABSTRACT Sexually transmitted infections (STIs) remain a significant public health concern. Given the asymptomatic nature of many STIs, diagnostic testing is critical for determining the appropriate treatment, enabling effective tracing and reducing the risk of further transmission. Nucleic acid amp...

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Main Authors: Yasaman Ahmadi, Yejiong Yu, Zhanfeng Cui, Wei E. Huang, Monique I. Andersson
Format: Article
Language:English
Published: Wiley 2025-05-01
Series:Microbial Biotechnology
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Online Access:https://doi.org/10.1111/1751-7915.70153
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author Yasaman Ahmadi
Yejiong Yu
Zhanfeng Cui
Wei E. Huang
Monique I. Andersson
author_facet Yasaman Ahmadi
Yejiong Yu
Zhanfeng Cui
Wei E. Huang
Monique I. Andersson
author_sort Yasaman Ahmadi
collection DOAJ
description ABSTRACT Sexually transmitted infections (STIs) remain a significant public health concern. Given the asymptomatic nature of many STIs, diagnostic testing is critical for determining the appropriate treatment, enabling effective tracing and reducing the risk of further transmission. Nucleic acid amplification tests (NAATs) are the most sensitive and the most widely used in well‐resourced settings. The majority of available NAATs are based on polymerase chain reaction (PCR), which requires highly trained personnel and costly equipment, making it impractical for resource‐limited settings. Loop‐mediated isothermal amplification (LAMP) has emerged as a simple, rapid, sensitive and low‐cost alternative for pathogen detection, particularly well‐suited for point‐of‐care tests (POCT). In this review, we evaluate LAMP assays reported in the literature for the detection of pathogens linked to the high incidence STIs prioritised by the World Health Organization (WHO) for POCT in 2023. These include Neisseria gonorrhoeae, Chlamydia trachomatis, Trichomonas vaginalis, T. pallidum subspecies pallidum, as well as other common STIs such as herpes simplex virus, hepatitis B virus and human immunodeficiency virus (HIV). For each LAMP assay, we identified and summarised the key elements such as the type and number of tested clinical specimens, chosen target gene, detection system, reference test and clinical outcomes. We highlight the advantages and limitations of these assays and discuss the gaps that should be addressed to improve their applicability for POCT.
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spelling doaj-art-6f3b5392d6fe47ba89f94d3aedcdda6f2025-08-20T03:12:35ZengWileyMicrobial Biotechnology1751-79152025-05-01185n/an/a10.1111/1751-7915.70153Loop‐Mediated Isothermal Amplification (LAMP) for the Diagnosis of Sexually Transmitted Infections: A ReviewYasaman Ahmadi0Yejiong Yu1Zhanfeng Cui2Wei E. Huang3Monique I. Andersson4Department of Engineering Science University of Oxford Oxford UKDepartment of Engineering Science University of Oxford Oxford UKDepartment of Engineering Science University of Oxford Oxford UKDepartment of Engineering Science University of Oxford Oxford UKDepartment of Microbiology Oxford University Hospitals NHS Foundation Trust Oxford UKABSTRACT Sexually transmitted infections (STIs) remain a significant public health concern. Given the asymptomatic nature of many STIs, diagnostic testing is critical for determining the appropriate treatment, enabling effective tracing and reducing the risk of further transmission. Nucleic acid amplification tests (NAATs) are the most sensitive and the most widely used in well‐resourced settings. The majority of available NAATs are based on polymerase chain reaction (PCR), which requires highly trained personnel and costly equipment, making it impractical for resource‐limited settings. Loop‐mediated isothermal amplification (LAMP) has emerged as a simple, rapid, sensitive and low‐cost alternative for pathogen detection, particularly well‐suited for point‐of‐care tests (POCT). In this review, we evaluate LAMP assays reported in the literature for the detection of pathogens linked to the high incidence STIs prioritised by the World Health Organization (WHO) for POCT in 2023. These include Neisseria gonorrhoeae, Chlamydia trachomatis, Trichomonas vaginalis, T. pallidum subspecies pallidum, as well as other common STIs such as herpes simplex virus, hepatitis B virus and human immunodeficiency virus (HIV). For each LAMP assay, we identified and summarised the key elements such as the type and number of tested clinical specimens, chosen target gene, detection system, reference test and clinical outcomes. We highlight the advantages and limitations of these assays and discuss the gaps that should be addressed to improve their applicability for POCT.https://doi.org/10.1111/1751-7915.70153Chlamydia trachomatishepatitis B virusherpes simplex virushuman immunodeficiency virus (HIV)loop‐mediated isothermal amplification (LAMP)Neisseria gonorrhoeae
spellingShingle Yasaman Ahmadi
Yejiong Yu
Zhanfeng Cui
Wei E. Huang
Monique I. Andersson
Loop‐Mediated Isothermal Amplification (LAMP) for the Diagnosis of Sexually Transmitted Infections: A Review
Microbial Biotechnology
Chlamydia trachomatis
hepatitis B virus
herpes simplex virus
human immunodeficiency virus (HIV)
loop‐mediated isothermal amplification (LAMP)
Neisseria gonorrhoeae
title Loop‐Mediated Isothermal Amplification (LAMP) for the Diagnosis of Sexually Transmitted Infections: A Review
title_full Loop‐Mediated Isothermal Amplification (LAMP) for the Diagnosis of Sexually Transmitted Infections: A Review
title_fullStr Loop‐Mediated Isothermal Amplification (LAMP) for the Diagnosis of Sexually Transmitted Infections: A Review
title_full_unstemmed Loop‐Mediated Isothermal Amplification (LAMP) for the Diagnosis of Sexually Transmitted Infections: A Review
title_short Loop‐Mediated Isothermal Amplification (LAMP) for the Diagnosis of Sexually Transmitted Infections: A Review
title_sort loop mediated isothermal amplification lamp for the diagnosis of sexually transmitted infections a review
topic Chlamydia trachomatis
hepatitis B virus
herpes simplex virus
human immunodeficiency virus (HIV)
loop‐mediated isothermal amplification (LAMP)
Neisseria gonorrhoeae
url https://doi.org/10.1111/1751-7915.70153
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