4.7 Review

Isothermal nucleic acid amplification technology for rapid detection of virus

Journal

CRITICAL REVIEWS IN BIOTECHNOLOGY
Volume 43, Issue 3, Pages 415-432

Publisher

TAYLOR & FRANCIS LTD
DOI: 10.1080/07388551.2022.2030295

Keywords

Isothermal nucleic acids amplification test (INAAT); rapid detection; virus; on-site detection; flexible electronics integration

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This article systematically analyzed the recent advances in isothermal nucleic acid amplification tests (INAAT) and provided practical case examples for virus detection applications. The characteristics that make INAAT systems useful for diagnosis relevant decisions were compared through the evaluation of key performance indicators and cost-effectiveness of different methods. This review is important for bridging the knowledge gap between researchers and clinical practitioners when choosing suitable test kits and methods for rapid virus detection.
While the research field and industrial market of in vitro diagnosis (IVD) thrived during and post the COVID-19 pandemic, the development of isothermal nucleic acid amplification test (INAAT) based rapid diagnosis was engendered in a global wised large measure as a problem-solving exercise. This review systematically analyzed the recent advances of INAAT strategies with practical case for the real-world scenario virus detection applications. With the qualities that make INAAT systems useful for making diagnosis relevant decisions, the key performance indicators and the cost-effectiveness of enzyme-assisted methods and enzyme-free methods were compared. The modularity of nucleic acid amplification reactions that can lead to thresholding signal amplifications using INAAT reagents and their methodology design were examined, alongside the potential application with rapid test platform/device integration. Given that clinical practitioners are, by and large, unaware of many the isothermal nucleic acid test advances. This review could bridge the arcane research field of different INAAT systems and signal output modalities with end-users in clinic when choosing suitable test kits and/or methods for rapid virus detection.

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