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2022-RA-899-ESGO Electrode biochips coupled to isothermal amplification LAMP technique in diagnostics of cervical precancer
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  1. Martin Bartosik1,
  2. Milan Anton2,
  3. Nasim Izadi1,
  4. Ravery Sebuyoya1,
  5. Ludmila Moranova1 and
  6. Roman Hrstka1
  1. 1Masaryk Memorial Cancer Institute, Brno, Czech Republic
  2. 2Univ. Hosp. Brno and Medical Faculty Masaryk University, Brno, Czech Republic

Abstract

Introduction/Background Persistent infection with high-risk human papillomavirus (hrHPV) is a major etiological factor of cervical cancer. Hence, the effectivity of cytological screening can be improved by the implementation of hrHPV tests [1]. Current methods of HPV detection frequently involve expensive reagents and instrumentation or need for skilled personnel. Electrochemical methods of detection may address these challenges since they offer rapid detection times and require small, inexpensive instrumentation that is simple to operate.

Methodology We compared two different bioplatforms. Both utilized loop-mediated isothermal amplification (LAMP) to amplify HPV DNA from two most oncogenic HPV types, HPV16 and HPV18, taking 30–40 mins. Then, we used capture probes to bind amplified DNA, followed by an electrochemical detection using peroxidase reaction.

Results Using magnetic beads, we detected HPV DNA directly from crude lysates of cervical cancer cell lines (CaSki, SiHa, HeLa) and from 19 clinical samples (patients with high-grade squamous intraepithelial lesions or healthy controls), without DNA extraction step [2]. Detection was possible from as little as 10 cells. We obtained excellent concordance of our assay with PCR, reaching 100% sensitivity for both genotypes, 81.82% specificity for HPV 16 and 94.12% specificity for HPV 18. Later, we omitted magnetic beads to detect HPV directly on gold electrodes, obtaining very good sensitivity and specificity when determining HPV16/HPV18 infection in 15 clinical samples when compared to the PCR [3].

Conclusion Electrochemical detection might be a useful tool in cervical (pre)cancer diagnostics due to its low cost, speed, simplicity, and high sensitivity. Support from AZV NU21–08–00057, MH CZ – DRO (MMCI, 00209805) and BBMRI-CZ no. LM2018125 is acknowledged. References: (1) Koliopoulos et al., Cochrane Database Syst Rev. 2017, 8, CD008587. (2) Izadi et al., Anal. Chim. Acta 2021, 1187, 339145. (3) Sebuyoya et al., Biosens. Bioelectron. X, 2022, submitted.

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