Design and fabrication of multiplex microfluidic LAMP PCR for simultaneous detection of opportunistic protozoa

Intestinal parasites are a health problem in many regions, especially in developing countries. Giardia lamblia, Cryptosporidium spp., and Enterocytozoon bieneusi are of great diagnostic importance, particularly in immunocompromised patients and children. This study aimed to develop a multiplex micro...

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Main Authors: Fatemeh Mahdavi, Maryam Niyyati, Amir Shamloo, Rasool Dezhkam, Seyed Mohammadali Hoseinian, Seyyed Javad Seyyedtabaei, Hamed Mirjalali
Format: Article
Language:English
Published: Elsevier 2025-06-01
Series:Sensing and Bio-Sensing Research
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Online Access:http://www.sciencedirect.com/science/article/pii/S2214180425000534
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author Fatemeh Mahdavi
Maryam Niyyati
Amir Shamloo
Rasool Dezhkam
Seyed Mohammadali Hoseinian
Seyyed Javad Seyyedtabaei
Hamed Mirjalali
author_facet Fatemeh Mahdavi
Maryam Niyyati
Amir Shamloo
Rasool Dezhkam
Seyed Mohammadali Hoseinian
Seyyed Javad Seyyedtabaei
Hamed Mirjalali
author_sort Fatemeh Mahdavi
collection DOAJ
description Intestinal parasites are a health problem in many regions, especially in developing countries. Giardia lamblia, Cryptosporidium spp., and Enterocytozoon bieneusi are of great diagnostic importance, particularly in immunocompromised patients and children. This study aimed to develop a multiplex microfluidic LAMP (MμLAMP) PCR for rapid detection of three protozoa. The LAMP primers were designed for the parasites. The microfluidic disk with different compartments was designed using AutoCAD software and fabricated by laser beam. After DNA extraction, the amplifications were performed for all positive samples using MμLAMP PCR. Sensitivity and specificity of tests were calculated and the results were compared to the real-time PCR. The LAMP analysis revealed that 29/30 (96.7 %), 12/19 (63.2 %), and 25/30 (83.3 %) samples were positive for G. lamblia, Cryptosporidium spp., and E. bieneusi, respectively. The specificity results of the LAMP method were high and the sensitivity test results indicated that the LAMP method has the ability to detect 180 ag/μL of G. lamblia DNA, 2.5 fg/μL of Cryptosporidium spp. DNA, and 34 ag/μL of E. bieneusi DNA. The multiplex accuracy results of microfluidic disk showed that none of two-parasite DNA mixes with their non-specific primers cause false positive results. The present study simultaneously detects G. lamblia, Cryptosporidium spp., and E. bieneusi. The current results indicate that the MμLAMP PCR method is a rapid, sensitive, and highly specific method for simultaneous detection of G. lamblia, Cryptosporidium spp., and E. bieneusi in clinical studies, making it a suitable tool for screening and point of care (PoC) testing.
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spelling doaj-art-e61c8eea96c24d80883fed587b1738852025-08-20T03:45:28ZengElsevierSensing and Bio-Sensing Research2214-18042025-06-014810078710.1016/j.sbsr.2025.100787Design and fabrication of multiplex microfluidic LAMP PCR for simultaneous detection of opportunistic protozoaFatemeh Mahdavi0Maryam Niyyati1Amir Shamloo2Rasool Dezhkam3Seyed Mohammadali Hoseinian4Seyyed Javad Seyyedtabaei5Hamed Mirjalali6Foodborne and Waterborne Diseases Research Center, Research Institute for Gastroenterology and Liver Diseases, Shahid Beheshti University of Medical Sciences, Tehran, IranDepartment of Medical Parasitology and Mycology, Faculty of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran; Corresponding authors.Department of Mechanical Engineering, Sharif University of Technology, Tehran, Iran; Corresponding authors.Department of Mechanical Engineering, Sharif University of Technology, Tehran, IranDepartment of Mechanical Engineering, Sharif University of Technology, Tehran, IranDepartment of Medical Parasitology and Mycology, Faculty of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, IranFoodborne and Waterborne Diseases Research Center, Research Institute for Gastroenterology and Liver Diseases, Shahid Beheshti University of Medical Sciences, Tehran, Iran; Corresponding authors.Intestinal parasites are a health problem in many regions, especially in developing countries. Giardia lamblia, Cryptosporidium spp., and Enterocytozoon bieneusi are of great diagnostic importance, particularly in immunocompromised patients and children. This study aimed to develop a multiplex microfluidic LAMP (MμLAMP) PCR for rapid detection of three protozoa. The LAMP primers were designed for the parasites. The microfluidic disk with different compartments was designed using AutoCAD software and fabricated by laser beam. After DNA extraction, the amplifications were performed for all positive samples using MμLAMP PCR. Sensitivity and specificity of tests were calculated and the results were compared to the real-time PCR. The LAMP analysis revealed that 29/30 (96.7 %), 12/19 (63.2 %), and 25/30 (83.3 %) samples were positive for G. lamblia, Cryptosporidium spp., and E. bieneusi, respectively. The specificity results of the LAMP method were high and the sensitivity test results indicated that the LAMP method has the ability to detect 180 ag/μL of G. lamblia DNA, 2.5 fg/μL of Cryptosporidium spp. DNA, and 34 ag/μL of E. bieneusi DNA. The multiplex accuracy results of microfluidic disk showed that none of two-parasite DNA mixes with their non-specific primers cause false positive results. The present study simultaneously detects G. lamblia, Cryptosporidium spp., and E. bieneusi. The current results indicate that the MμLAMP PCR method is a rapid, sensitive, and highly specific method for simultaneous detection of G. lamblia, Cryptosporidium spp., and E. bieneusi in clinical studies, making it a suitable tool for screening and point of care (PoC) testing.http://www.sciencedirect.com/science/article/pii/S2214180425000534MicrofluidicsLAMPMultiplex microfluidic LAMP PCRPoint-of-careOpportunistic protozoa
spellingShingle Fatemeh Mahdavi
Maryam Niyyati
Amir Shamloo
Rasool Dezhkam
Seyed Mohammadali Hoseinian
Seyyed Javad Seyyedtabaei
Hamed Mirjalali
Design and fabrication of multiplex microfluidic LAMP PCR for simultaneous detection of opportunistic protozoa
Sensing and Bio-Sensing Research
Microfluidics
LAMP
Multiplex microfluidic LAMP PCR
Point-of-care
Opportunistic protozoa
title Design and fabrication of multiplex microfluidic LAMP PCR for simultaneous detection of opportunistic protozoa
title_full Design and fabrication of multiplex microfluidic LAMP PCR for simultaneous detection of opportunistic protozoa
title_fullStr Design and fabrication of multiplex microfluidic LAMP PCR for simultaneous detection of opportunistic protozoa
title_full_unstemmed Design and fabrication of multiplex microfluidic LAMP PCR for simultaneous detection of opportunistic protozoa
title_short Design and fabrication of multiplex microfluidic LAMP PCR for simultaneous detection of opportunistic protozoa
title_sort design and fabrication of multiplex microfluidic lamp pcr for simultaneous detection of opportunistic protozoa
topic Microfluidics
LAMP
Multiplex microfluidic LAMP PCR
Point-of-care
Opportunistic protozoa
url http://www.sciencedirect.com/science/article/pii/S2214180425000534
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