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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Cell. Infect. Microbiol.</journal-id>
<journal-title>Frontiers in Cellular and Infection Microbiology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Cell. Infect. Microbiol.</abbrev-journal-title>
<issn pub-type="epub">2235-2988</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fcimb.2022.884430</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Cellular and Infection Microbiology</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Development of a Cleaved Probe-Based Loop-Mediated Isothermal Amplification Assay for Rapid Detection of African Swine Fever Virus</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Wang</surname><given-names>Songqi</given-names>
</name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="author-notes" rid="fn003"><sup>&#x2020;</sup></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Shen</surname><given-names>Haiyan</given-names>
</name>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<xref ref-type="author-notes" rid="fn003"><sup>&#x2020;</sup></xref>
<uri xlink:href="https://loop.frontiersin.org/people/469018"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Lin</surname><given-names>Qijie</given-names>
</name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<uri xlink:href="https://loop.frontiersin.org/people/1723366"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Huang</surname><given-names>Jun</given-names>
</name>
<xref ref-type="aff" rid="aff3"><sup>3</sup></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Zhang</surname><given-names>Chunhong</given-names>
</name>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<uri xlink:href="https://loop.frontiersin.org/people/692473"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Liu</surname><given-names>Zhicheng</given-names>
</name>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<uri xlink:href="https://loop.frontiersin.org/people/689895"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Sun</surname><given-names>Minhua</given-names>
</name>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<uri xlink:href="https://loop.frontiersin.org/people/493809"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Zhang</surname><given-names>Jianfeng</given-names>
</name>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<uri xlink:href="https://loop.frontiersin.org/people/630535"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Liao</surname><given-names>Ming</given-names>
</name>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<uri xlink:href="https://loop.frontiersin.org/people/194672"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Li</surname><given-names>Yugu</given-names>
</name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="author-notes" rid="fn001"><sup>*</sup></xref>
<uri xlink:href="https://loop.frontiersin.org/people/455816"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Zhang</surname><given-names>Jianmin</given-names>
</name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="author-notes" rid="fn001"><sup>*</sup></xref>
<uri xlink:href="https://loop.frontiersin.org/people/577951"/>
</contrib>
</contrib-group>
<aff id="aff1"><sup>1</sup><institution>Key Laboratory of Zoonoses Prevention and Control of Guangdong Province; The Research Center for African Swine Fever Prevention and Control; College of Veterinary Medicine, South China Agricultural University</institution>, <addr-line>Guangzhou</addr-line>, <country>China</country></aff>
<aff id="aff2"><sup>2</sup><institution>Maoming Branch Center of Guangdong Laboratory for LingNan Modern Agricultural Science and Technology; Key Laboratory of Livestock Disease Prevention of Guangdong Province, Scientific Observation and Experiment Station of Veterinary Drugs and Diagnostic Techniques of Guangdong Province, Ministry of Agriculture and Rural Affairs, Institute of Animal Health, Guangdong Academy of Agricultural Sciences</institution>, <addr-line>Foshan</addr-line>, <country>China</country></aff>
<aff id="aff3"><sup>3</sup><institution>College of Life Science and Engineering, Foshan University</institution>, <addr-line>Guangzhou</addr-line>, <country>China</country></aff>
<author-notes>
<fn fn-type="edited-by">
<p>Edited by: Muhammad Munir, Lancaster University, United Kingdom</p>
</fn>
<fn fn-type="edited-by">
<p>Reviewed by: Omnia Khaleel, Lancaster University, United Kingdom; Bin Zhou, Nanjing Agricultural University, China</p>
</fn>
<fn fn-type="corresp" id="fn001">
<p>*Correspondence: Yugu Li, <email xlink:href="mailto:liyugu@scau.edu.cn">liyugu@scau.edu.cn</email>; Jianmin Zhang, <email xlink:href="mailto:jmzhang@scau.edu.cn">jmzhang@scau.edu.cn</email></p>
</fn>
<fn fn-type="equal" id="fn003">
<p>&#x2020;These authors have contributed equally to this work</p>
</fn>
<fn fn-type="other" id="fn002">
<p>This article was submitted to Clinical Microbiology, a section of the journal Frontiers in Cellular and Infection Microbiology</p>
</fn>
</author-notes>
<pub-date pub-type="epub">
<day>26</day>
<month>05</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="collection">
<year>2022</year>
</pub-date>
<volume>12</volume>
<elocation-id>884430</elocation-id>
<history>
<date date-type="received">
<day>26</day>
<month>02</month>
<year>2022</year>
</date>
<date date-type="accepted">
<day>25</day>
<month>04</month>
<year>2022</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2022 Wang, Shen, Lin, Huang, Zhang, Liu, Sun, Zhang, Liao, Li and Zhang</copyright-statement>
<copyright-year>2022</copyright-year>
<copyright-holder>Wang, Shen, Lin, Huang, Zhang, Liu, Sun, Zhang, Liao, Li and Zhang</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p>
</license>
</permissions>
<abstract>
<p>African Swine Fever (ASF), caused by African swine fever virus (ASFV), is a highly contagious and lethal viral disease of pigs. However, commercial vaccines are not yet available, and neither are drugs to prevent or control ASF. Therefore, rapid, accurate on-site diagnosis is urgently needed for detection during the early stages of ASFV infection. Herein, a cleaved probe-based loop-mediated isothermal amplification (CP-LAMP) detection method was established. Based on the original primer sets, we targeted the ASFV 9GL gene sequence to design a probe harboring a ribonucleotide insertion. Ribonuclease H2 (RNase H2) enzyme activity can only be activated when the probe is perfectly complementary, resulting in hydrolytic release of a quencher moiety, and consequent signal amplification. The method displayed robust sensitivity, with copy number detection as low as 13 copies/&#xb5;L within 40&#xa0;min at constant temperature (62&#xb0;C). Visualization of the fluorescence product was employed using a self-designed 3D-printed visualization function cassette, and the CP-LAMP method achieved specific identification and visual detection of ASFV. Moreover, coupling the dual function cassette and smartphone quantitation makes the CP-LAMP assay first user-friendly, cost-effective, portable, rapid, and accurate point-of-care testing (POCT) platform for ASFV.</p>
</abstract>
<kwd-group>
<kwd>African swine fever virus</kwd>
<kwd>rapid detection</kwd>
<kwd>RNase H2</kwd>
<kwd>CP-LAMP</kwd>
<kwd>point-of-care testing</kwd>
<kwd>smartphone quantitation</kwd>
</kwd-group>
<counts>
<fig-count count="6"/>
<table-count count="4"/>
<equation-count count="0"/>
<ref-count count="23"/>
<page-count count="9"/>
<word-count count="3676"/>
</counts>
</article-meta>
</front>
<body>
<sec id="s1">
<title>Introduction</title>
<p>African swine fever (ASF), an acute, hemorrhagic, virulent disease caused by ASV virus (ASFV), affects domestic pigs and wild boar (<xref ref-type="bibr" rid="B14">Normile, 2018</xref>; <xref ref-type="bibr" rid="B11">Ma et&#xa0;al., 2020</xref>). ASFV infection is characterized by rapid onset and a mortality rate near 100% for the most acute infections, depending on the viral strain (<xref ref-type="bibr" rid="B4">Galindo and Alonso, 2017</xref>). ASF has a devastating economic impact on the global pig industry (<xref ref-type="bibr" rid="B6">He et&#xa0;al., 2020</xref>; <xref ref-type="bibr" rid="B22">Yoon et&#xa0;al., 2020</xref>). Currently, there are no effective drugs or commercial vaccines to prevent and/or control ASF. Hence, a rapid on-site method is urgently needed for ASFV detection during the early stages of ASFV infection.</p>    <p>The World Organization for Animal Health currently recommends viral isolation, antigen detection, and molecular diagnostic methods for ASFV (<xref ref-type="bibr" rid="B15">S&#xe1;nchez-Vizca&#xed;no and Mur, 2013</xref>). However, viral isolation is laborious and ill-suited to in-field practices, while the presence of antibodies can disrupt antigen detection (<xref ref-type="bibr" rid="B2">Cadenas-Fern&#xe1;ndez et&#xa0;al., 2019</xref>). For ASFV detection, conventional and real-time PCR methods are considered the most reliable (<xref ref-type="bibr" rid="B9">King et&#xa0;al., 2003</xref>; <xref ref-type="bibr" rid="B3">Fern&#xe1;ndez-Pinero et&#xa0;al., 2013</xref>), but they are not sufficiently sensitive, and they cannot achieve quantitative analysis of small quantities of virus DNA during amplification. Real-time fluorescence quantitative PCR (qPCR) has been applied for testing ASFV, which can achieve quantitative analysis at low concentrations of samples using standard sample templates. However, these two methods required laboratory-based equipment and advanced expertise.</p>
<p>Loop-mediated isothermal amplification (LAMP) is a highly specific, simple, sensitive, and rapid technique for pathogen detection (<xref ref-type="bibr" rid="B17">Tomita et&#xa0;al., 2008</xref>). In LAMP assays, the target DNA or RNA template is amplified under isothermal conditions (60&#x2212;65&#xb0;C) using a DNA polymerase possessing strong strand displacement activity, and a set of primers that recognizes six distinct genomic regions. LAMP does not require expensive equipment, making it potentially ideal for clinical field testing. In addition, The LAMP assay results can be visualized with intercalating dyes such as ethidium bromide and SYBR Green (<xref ref-type="bibr" rid="B17">Tomita et&#xa0;al., 2008</xref>), or complexometric calcein (<xref ref-type="bibr" rid="B7">Hill et&#xa0;al., 2008</xref>) and hydroxyl naphthol blue (HNB) (<xref ref-type="bibr" rid="B5">Goto et&#xa0;al., 2009</xref>), a fluorescent metal indicator, under a UV lamp. However, distinguishing weak color changes from negative reactions is challenging, increasing the risk of inaccurately interpreting the results, especially at low sample concentrations. LAMP results can be judged quantitatively using real-time thermocyclers that detect fluorescence, or a real-time turbidimeter (<xref ref-type="bibr" rid="B7">Hill et&#xa0;al., 2008</xref>). However, LAMP cannot achieve quantification through analysis of color changes of fluorescent intercalating dyes.</p>
<p>To overcome these limitations, we aimed to develop a rapid, sensitive, cleaved probe-based LAMP (CP-LAMP) detection method. In this method based on traditional LAMP, we replaced one primer with a loop primer probe containing a ribonucleotide insertion; only when the base sequence perfectly matches the DNA-RNA mutant target can it be cleaved by the enzyme RNase H2. When the reporter fluorophore and the quencher fluorophore of the loop primer probe are separated, the fluorescent signal is generated, which can be read by a real-time thermocycler. Our method can detect ASFV quantitatively based on a standard curve, and it does not require addition of separate dyes, which effectively avoids contamination and false-positive results. With the help of a portable self-designed 3D-printed visualization function cassette to read the results, detection of ASFV is made more convenient for clinical diagnosis, and it meets the requirements of POCT.</p>
</sec>
<sec id="s2" sec-type="materials|methods">
<title>Materials and Methods</title>
<sec id="s2_1">
<title>Primer Design</title>
<p>Sequence data from publicly accessible databases were used to generate consensus sequences by aligning the genomes of ASFV isolates. Primers were designed based on the 9GL gene sequence of ASFV isolate Pig/HLJ/2018 (GenBank: MK333180.1), which is highly conserved, and targeted for specific primer design using Primer Explorer V5. All oligonucleotide primers and probes used in this research were synthesized by Sangon Biotech (Shanghai) Co., Ltd. (Shanghai, China).</p>
</sec>
<sec id="s2_2">
<title>Standard Plasmid</title>
<p>The 9GL gene was chemically synthesized by Sangon Biotech (Shanghai) Co., Ltd., and inserted into the pUC57 plasmid (herein referred to as pUC57-9GL). The resulting construct was transformed into <italic>Escherichia coli</italic> DH5&#x3b1; cells, then extracted using an Endo-free Plasmid Mini Kit (D6950, Omega Bio-tek, USA) according to the manufacturer&#x2019;s instructions. Plasmid concentrations were measured by spectrophotometry, converted to copy numbers, and plasmid were used as templates for sensitivity assays.</p>
</sec>
<sec id="s2_3">
<title>CP-LAMP Reaction Conditions</title>
<p>In-tube CP-LAMP reactions consisted of a 25 &#x3bc;L reaction mixture containing 8 U of Bst 2.0 DNA polymerase, 100 &#xb5;mol MgSO<sub>4</sub>, 2.5 &#xb5;L of 10&#xd7; buffer (New England Biolabs Inc.), 0.1 U/&#xb5;L RNase H2 Enzyme (catalog no. 11-02-12-01, Integrated DNA Technologies), 4 &#xb5;L of dNTPs (TransGenBiotech), and 2.5 &#xb5;L of DNA sample. Mineral oil was applied to the surface to prevent contamination before lid closure. The reaction procedure was performed at 1 cycle/min for 60 cycles using a CFX96 Touch Real-time PCR Detection System (Bio-Rad). The CP-LAMP assay could be completed in less than 40&#xa0;min at 62&#xb0;C, and the reaction was monitored using a real-time PCR instrument.</p>
</sec>
<sec id="s2_4">
<title>Specificity of CP-LAMP</title>
<p>Genomic DNA from African swine fever virus (ASFV), porcine circovirus type 2 (PCV2), pseudorabies virus (PRV), and porcine parvovirus (PPV) was used to evaluate the specificity of the CP-LAMP method. Total RNA from classic swine fever virus (CSFV), transmissible gastroenteritis virus (TGEV), porcine reproductive respiratory syndrome virus (PRRSV), and porcine epidemic diarrhea virus (PEDV) was extracted and reverse-transcribed into cDNA for use in specific testing.</p>
</sec>
<sec id="s2_5">
<title>Sensitivity of CP-LAMP</title>
<p>To evaluate the limit-of-detection (LOD) of the ASFV CP-LAMP assay, a 10-fold dilution series of pUC57-9GL in deionized water ranging from 1.3&#xd7;10<sup>6</sup> to 1.3 copies/&#xb5;L was prepared. Each solution was tested in triplicate in a 96-well PCR plate and heated at 62&#xb0;C for 40&#xa0;min. Finally, experimental data were used to establish a standard curve.</p>
</sec>
<sec id="s2_6">
<title>Stability and Repeatability of CP-LAMP</title>
<p>To measure the repeatability of this method, standard solutions of plasmid pUC57-9GL in the range of 1.3&#xd7;10<sup>6</sup> to 1.3&#xd7;10<sup>2</sup> copies/&#xb5;L were used as templates. Under the same conditions, CP-LAMP amplification was performed and each dilution tested in triplicate. Finally, the coefficient of variation (CV) was calculated according to its cycle threshold (Ct) value to evaluate the repeatability of the measurement.</p>
</sec>
<sec id="s2_7">
<title>Comparison of CP-LAMP With Conventional PCR (For Diagnostic Sensitivity)</title>
<p>Diagnostic performance was evaluated by testing 61 DNA samples provided by the Research Center for African Swine Fever Prevention and Control, South China Agricultural University, Guangzhou, People&#x2019;s Republic of China. The CP-LAMP assay performance was directly compared with the conventional PCR amplification and TaqMan probe real-time PCR of ASFV (<xref ref-type="bibr" rid="B9">King et&#xa0;al., 2003</xref>; <xref ref-type="bibr" rid="B12">McKillen et&#xa0;al., 2010</xref>).</p>
<p>For the PCR assay, we performed as the Chinese national standard: Diagnostic techniques for African Swine Fever (GB/T 18648-2020). The primers were designed to target the conserved region of ASFV B646L gene, F-PPA-1: 5&#x2019;-AGTTATGGGAAACCCGACCC-3&#x2019;, R-PPA-2: 5&#x2019;-CCCTGAATCGGAGCATCCT-3&#x2019;, the primer concentration was 10&#x3bc;M, and the amplification band was 257 bp. The conventional PCR was performed in a 20&#x3bc;L reaction volume containing 10 &#x3bc;L Premix Taq, 1 &#x3bc;L each primer, 6 &#x3bc;L H<sub>2</sub>O and 2 &#x3bc;L of the genomic DNA. The tube was sealed, and centrifuged briefly. Positive, negative, and blank controls were included for each time of the conventional PCR performed. Thermal cycling involved a 95&#xb0;C pre-denaturation step for 10&#xa0;min, followed by 40 cycles of denaturation at 95&#xb0;C for 15 s, annealing at 62&#xb0;C for 30 s, extension at 72&#xb0;C for 30 s, and a final extension at 72&#xb0;C for 7&#xa0;min. For PCR amplification product electrophoresis, 5 &#xb5;L of 6 &#xd7; loading buffer was added to each PCR product, mixed, and 8 &#xb5;L was run on a 2% agarose gel prepared with 1 &#xd7; TAE buffer, and electrophoresed for 30&#x2212;40 min. After electrophoresis, the agarose gel was placed in a gel imager to observe the results.</p>
</sec>
<sec id="s2_8">
<title>Assembly of the 3D-Printed Visualization Function Cassette for Detection</title>
<p>We prepared a hand-held portable cassette device box 122&#xa0;mm long, 82&#xa0;mm wide, and 70&#xa0;mm deep in previous work (<xref ref-type="bibr" rid="B20">Wen et&#xa0;al., 2021</xref>). The box is powered by rechargeable portable lithium batteries, which are connected in series to eight light-emitting diodes (LEDs) with an emission peak of 495 nm. When energized, the light source passes through a 495 nm band-pass filter between the LED lamp and the centrifuge tube, and illuminates the reaction solution at 495 nm, causing the fluorescent group to emit light. In order to facilitate observation and eliminate the overlap of excitation light and emission light, a plane reflector with a 45&#xb0;C angle was placed on the opposite side of the tube body, and the reaction result graph can be obtained using a mobile phone.</p>
</sec>
</sec>
<sec id="s3">
<title>Results</title>
<sec id="s3_1">
<title>Primer Design, Optimization, and establishment of the Basic Reaction System</title>
<p>Optimal CP-LAMP primers were selected by aligning the sequences of ASFV 9GL genes from the from NCBI database to identify the highly-conserved region for primer design. Five sets of candidate primers were selected and synthesized (<xref ref-type="table" rid="T1"><bold>Table&#xa0;1</bold></xref>). Moreover, we targeted this fragment of the ASFV 9GL gene to design a new reporter dye and a quencher-modified allelic discrimination cleaved probe with a ribonucleotide insertion (<xref ref-type="fig" rid="f1"><bold>Figure&#xa0;1</bold></xref> and <xref ref-type="table" rid="T1"><bold>Table&#xa0;1</bold></xref>). Upon perfect matching with the ribonucleotide mutant site, the RNase H2 hydrolytic mechanism is activated, and release of the quencher generates an amplified signal. Conversely, a signal is not generated with mismatching ribonucleotides. Thus, robust specific detection of the ASFV 9GL gene was achieved.</p>
<table-wrap id="T1" position="float">
<label>Table&#xa0;1</label>
<caption>
<p>Primers and probe information of the CP-LAMP assay.</p>
</caption>
<table frame="hsides">
<thead>
<tr>
<th valign="top" align="left">Name</th>
<th valign="top" align="center">Sequence (5&#x2019;&#x2192;3&#x2019;)</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left" style="">F3</td>
<td valign="top" align="left" style="">GCCGGTTATTTACGTTGTT</td>
</tr>
<tr>
<td valign="top" align="left" style="">B3</td>
<td valign="top" align="left" style="">TTTCAGACGCTCCTAGCT</td>
</tr>
<tr>
<td valign="top" align="left" style="">FIP</td>
<td valign="top" align="left" style="">CACGCCTTTTCGTATCTTACAAAAACGAAGGTCCAGTACTGAAAG</td>
</tr>
<tr>
<td valign="top" align="left" style="">BIP</td>
<td valign="top" align="left" style="">CTGGTGCATGGCAGAGACTCAAGAAAAATATGAAGCCATCCA</td>
</tr>
<tr>
<td valign="top" align="left" style="">LF</td>
<td valign="top" align="left" style="">ACATTAAACAACTCGGAGGA</td>
</tr>
<tr>
<td valign="top" align="left" style="">probe</td>
<td valign="top" align="left" style="">FAM-ACATTAAACAACTC<bold><italic>
<underline>G</underline>
</italic>
</bold>(RNA)GAGGA-BHQ1</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn>
<p>The bold and underline letter indicates that the base is a ribonucleotide.</p>
</fn>
</table-wrap-foot>
</table-wrap>
<fig id="f1" position="float">
<label>Figure&#xa0;1</label>
<caption>
<p>Schematic diagram of the 9GL gene showing the position and composition of ASFV CP-LAMP primers and probe. F3, forward outer primer (F3); B3, backward outer primer; FIP (F1c+F2), forward inner primer; BIP (B1+B2c), backward inner primer; LF, loop forward primer; Probe, cleaved probe.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-12-884430-g001.tif"/>
</fig>
<p>Based on our previous report (<xref ref-type="bibr" rid="B16">Shen et&#xa0;al., 2020</xref>), we successfully set up a basic reaction system using standard plasmids. The reaction system contained 2.5 &#x3bc;L of buffer (10&#xd7;), 1.5 &#x3bc;L of MgSO<sub>4</sub>, 4 &#x3bc;L of dNTPs, 8 U/&#xb5;L of Bst 2.0 WarmStart DNA polymerase (1 &#xb5;L), 0.1 U/&#xb5;L of RNase H2 Enzyme (0.3 &#xb5;L), 0.3 &#xb5;L of probe (10 &#xb5;M), 4 &#xb5;L of FIP/BIP primer (10 &#xb5;M), 0.5 &#xb5;L of F3/B3 primer (10 &#xb5;M), 1.5 &#xb5;L of loop primer (10 &#xb5;M), and 2.5 &#xb5;L of DNA sample. The mixture was made up to 25 &#xb5;L with deionized water. The ASFV standard plasmid was successfully detected with good repeatability and reaction efficiency (<xref ref-type="fig" rid="f2"><bold>Figure&#xa0;2A</bold></xref>). In order to facilitate the clinical testing, we use a self-designed 3D-printed visualization function cassette to establish the point-of-care testing (POCT) platform for ASFV. After the CP-LAMP reaction, the tubes containing the reaction mixtures were placed in the cassette and the results can be visualized using a smartphone (<xref ref-type="fig" rid="f2"><bold>Figure&#xa0;2B</bold></xref>).</p>
<fig id="f2" position="float">
<label>Figure&#xa0;2</label>
<caption>
<p>Basic reaction system was performed in real-time PCR instrument <bold>(A)</bold> and the results were observed using 3D-printed visualization function cassette <bold>(B)</bold>. (a) ASFV standard plasmid (in triplicate test). (b) Negative control.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-12-884430-g002.tif"/>
</fig>
<p>To optimize the reaction temperature of the CP-LAMP assay, reaction mixtures were tested from 60 to 64&#xb0;C at 1&#xb0;C intervals for 60&#xa0;min. There was optimal reaction efficiency and amplification efficiency at 62&#xb0;C, hence this temperature was chosen for subsequent testing (<xref ref-type="fig" rid="f3"><bold>Figure&#xa0;3</bold></xref>).</p>
<fig id="f3" position="float">
<label>Figure&#xa0;3</label>
<caption>
<p>Temperature optimization results. <bold>(A)</bold> 61&#xb0;CC. <bold>(B)</bold> 60&#xb0;CC, <bold>(C)</bold> 62&#xb0;CC, <bold>(D)</bold> 64&#xb0;CC, <bold>(E)</bold> 63&#xb0;CC.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-12-884430-g003.tif"/>
</fig>
<p>To confirm the optimal reaction duration of the CP-LAMP assay, fluorescence values were compared and analyzed throughout the entire reaction, and values peaked then tended to remain constant after 40&#xa0;min. Based on amplification efficiency and total detection time, a 40&#xa0;min reaction duration was considered most appropriate.</p>
</sec>
<sec id="s3_2">
<title>Specificity of Test Results</title>
<p>Genomic DNAs or cDNAs of ASFV, PRV, PCV2, PPV, CSFV, PRRSV TGEV and PEDV were determined by CP-LAMP to evaluate the specificity. As shown in <xref ref-type="table" rid="T2"><bold>Table&#xa0;2</bold></xref> and <xref ref-type="fig" rid="f4"><bold>Figure&#xa0;4</bold></xref>, reaction systems containing genomic DNA of ASFV gave excellent signal in the assay, while reaction systems containing DNAs or cDNAs from the other seven pathogens did not generate detectable signals. Therefore, the CP-LAMP assay displayed good specificity, and only amplified the 9GL gene DNA of ASFV.</p>
<table-wrap id="T2" position="float">
<label>Table&#xa0;2</label>
<caption>
<p>Specificity of the CP-LAMP assay.</p>
</caption>
<table frame="hsides">
<thead>
<tr>
<th valign="top" align="left">Pathogen</th>
<th valign="top" align="center">ASFV</th>
<th valign="top" align="center">PRV</th>
<th valign="top" align="center">PCV2</th>
<th valign="top" align="center">PPV</th>
<th valign="top" align="center">CSFV</th>
<th valign="top" align="center">PRRSV</th>
<th valign="top" align="center">PEDV</th>
<th valign="top" align="center">TGEV</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">Result</td>
<td valign="top" align="center">+</td>
<td valign="top" align="center">&#x2013;</td>
<td valign="top" align="center">&#x2013;</td>
<td valign="top" align="center">&#x2013;</td>
<td valign="top" align="center">&#x2013;</td>
<td valign="top" align="center">&#x2013;</td>
<td valign="top" align="center">&#x2013;</td>
<td valign="top" align="center">&#x2013;</td>
</tr>
</tbody>
</table>
</table-wrap>
<fig id="f4" position="float">
<label>Figure&#xa0;4</label>
<caption>
<p>Specificity analysis was performed in real-time PCR instrument <bold>(A)</bold> and observed by the 3D-printed visualization function cassette <bold>(B)</bold>. (a) ASFV. (b) PRV. (c) PCV2. (d) CSFV. (e) PRRSV. (f) PPV. (g) PEDV. (h) TGEV. (i) Negative control.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-12-884430-g004.tif"/>
</fig>
</sec>
<sec id="s3_3">
<title>Detection Limit of Test Results</title>
<p>Sensitivity testing of CP-LAMP was performed by using the real-time PCR instrument, and the results showed that plasmid concentrations from 1.3&#xd7;10<sup>6</sup> copies/&#xb5;L to 1.3 copies/&#xb5;L were amplified successfully (<xref ref-type="fig" rid="f5"><bold>Figure&#xa0;5</bold></xref>). Therefore, the detection limit was 13 copies/&#xb5;L, analysis could be completed within 40&#xa0;min, the standard curve equation was y = -1.7326x + 26.289 (R<sup>2</sup> = 0.9831), and there was an excellent correlation between copy number the reaction duration. Moreover, the results observed by the 3D-printed visualization function cassette are consistent with the results observed by real-time PCR instrument. In all, these results demonstrated that the CP-LAMP assay established in this study to detect ASFV was a sensitive probe-based real-time LAMP method.</p>
<fig id="f5" position="float">
<label>Figure&#xa0;5</label>
<caption>
<p>Detection limit analysis used the real-time PCR instrument <bold>(A)</bold> and observed by the 3D-printed visualization function cassette <bold>(B)</bold>. CP-LAMP was used tested using ASFV plasmid diluted to various concentrations. (a) 1.3&#xd7;10<sup>6</sup> copies/&#xb5;L. (b) 1.3&#xd7;10<sup>5</sup> copies/&#xb5;L. (c) 1.3&#xd7;10<sup>4</sup> copies/&#xb5;L. (d) 1.3&#xd7;10<sup>3</sup> copies/&#xb5;L. (e) 1.3&#xd7;10<sup>2</sup> copies/&#xb5;L. (f) 1.3&#xd7;10<sup>1</sup> copies/&#xb5;L. (g) 1.3&#xd7;10<sup>0</sup> copies/&#xb5;L. (h) Negative control.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-12-884430-g005.tif"/>
</fig>
</sec>
<sec id="s3_4">
<title>Repeatability of Test Results</title>
<p>In the same laboratory, using the same instrument, each sample was replicated three times over a short period of time. The CV values of three repeated experiments were all less than 0.05 (<xref ref-type="table" rid="T3"><bold>Table&#xa0;3</bold></xref>), indicating that the method had good reproducibility.</p>
<table-wrap id="T3" position="float">
<label>Table&#xa0;3</label>
<caption>
<p>Reproducibility of the CP-LAMP method.</p>
</caption>
<table frame="hsides">
<thead>
<tr>
<th valign="top" align="left">Plasmid concentration(copies/&#x3bc;L)</th>
<th valign="top" align="center">Intra-assay coefficient of variation</th>
<th valign="top" align="center">Inter-assay coefficientof variation</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">1.3&#xd7;10<sup>6</sup>
</td>
<td valign="top" align="center">3.01%</td>
<td valign="top" align="center">1.98%</td>
</tr>
<tr>
<td valign="top" align="left">1.3&#xd7;10<sup>5</sup>
</td>
<td valign="top" align="center">1.96%</td>
<td valign="top" align="center">0.11%</td>
</tr>
<tr>
<td valign="top" align="left">1.3&#xd7;10<sup>4</sup>
</td>
<td valign="top" align="center">4.20%</td>
<td valign="top" align="center">0.83%</td>
</tr>
<tr>
<td valign="top" align="left">1.3&#xd7;10<sup>3</sup>
</td>
<td valign="top" align="center">3.41%</td>
<td valign="top" align="center">1.87%</td>
</tr>
<tr>
<td valign="top" align="left">1.3&#xd7;10<sup>2</sup>
</td>
<td valign="top" align="center">4.54%</td>
<td valign="top" align="center">0.58%</td>
</tr>
</tbody>
</table>
</table-wrap>
</sec>
<sec id="s3_5">
<title>Application of CP-LAMP to Clinical Samples</title>
<p>To assess the practical application of the CP-LAMP method, 61 DNA samples were used to test CP-LAMP. A total of 13 samples were detected as positive by traditional PCR methods, while 48 samples were negative. By comparison, 17 samples were detected as positive by the CP-LAMP method, 13 of which were detected as positive by both traditional PCR and CP-LAMP methods, but the other four samples were only detected as positive by the CP-LAMP method (<xref ref-type="table" rid="T4"><bold>Table&#xa0;4</bold></xref>). Thus, CP-LAMP achieved a superior detection rate compared with traditional PCR, and no positive samples were missed. Meanwhile, partial visualization results of clinical samples using the 3D-printed visualization function cassette are shown in <xref ref-type="fig" rid="f6"><bold>Figure&#xa0;6</bold></xref>.</p>
<table-wrap id="T4" position="float">
<label>Table&#xa0;4</label>
<caption>
<p>Detection of suspected clinical ASFV samples.</p>
</caption>
<table frame="hsides">
<thead>
<tr>
<th valign="top" rowspan="2" align="left">Number of Samples</th>
<th valign="top" colspan="2" align="center">Traditional PCR</th>
<th valign="top" colspan="2" align="center">CP-LAMP</th>
<th valign="top" colspan="2" align="center">TaqMan probe real-time PCR</th>
</tr>
<tr>
<th valign="top" align="center">Positive</th>
<th valign="top" align="center">Negative</th>
<th valign="top" align="center">Positive</th>
<th valign="top" align="center">Negative</th>
<th valign="top" align="center">Positive</th>
<th valign="top" align="center">Negative</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">61</td>
<td valign="top" align="center">13</td>
<td valign="top" align="center">48</td>
<td valign="top" align="center">17</td>
<td valign="top" align="center">44</td>
<td valign="top" align="center">17</td>
<td valign="top" align="center">44</td>
</tr>
</tbody>
</table>
</table-wrap>
<fig id="f6" position="float">
<label>Figure&#xa0;6</label>
<caption>
<p>Partial visualization results of clinical samples using the 3D-printed visualization function cassette: +, Positive control; -, Negative control; (a&#x2013;f) are clinical samples.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-12-884430-g006.tif"/>
</fig>
</sec>
</sec>
<sec id="s4">
<title>Discussion</title>
<p>Since the first ASF outbreak in China in August 2018, the diseases has spread to almost 32 provinces, and huge numbers of pigs have been culled to halt further expansion, which has had a devastating impact on both pork production and food security (<xref ref-type="bibr" rid="B10">Li and Tian, 2018</xref>). Currently, neither an efficacious vaccine nor effective control strategies are available. Thus, a rapid, facile, and accurate on-site detection method is essential to help control the epidemic and minimize losses. In the present study, we established a CP-LAMP detection method for this purpose. The ASFV CP-LAMP method achieved fast, efficient, and specific amplification at a constant temperature (62&#xb0;C) in a short time (within 40&#xa0;min) using a DNA polymerase possessing high strand displacement activity (<xref ref-type="bibr" rid="B21">Yang et&#xa0;al., 2018</xref>). Furthermore, it achieved excellent detection performance without the need for advanced instrumentation or technological expertise (<xref ref-type="bibr" rid="B13">Mori and Notomi, 2020</xref>), hence it has the potential to be developed into a simple-to-use on-site molecular assay for diagnosis of ASFV in the field.</p>
<p>In the CP-LAMP ASFV detection method, based on the original primer sets, we targeted the 9GL gene sequence by designing a new fluorophore quencher-labeled cleaved probe with a ribonucleotide insertion; RNase H2 is only activated when the probe perfectly matches the mutant target, leading to the hydrolytic release of a quencher moiety, and consequently an amplified signal (<xref ref-type="bibr" rid="B16">Shen et&#xa0;al., 2020</xref>). Our CP-LAMP reaction can be measured in real time using a simple thermocycler to quantify fluorescence; it does not require any additional fluorescent intercalating dyes. Based on a 10-fold dilution series of positive plasmid solutions and their corresponding amplification curves, a standard curve equation was established. There was an excellent correlation between copy number and reaction duration, and the equation could be used for accurate quantification of unknown samples. A LAMP assay using EvaGreen as reported previously (<xref ref-type="bibr" rid="B19">Wang et&#xa0;al., 2020</xref>), but this method only achieved objective real-time detection, not quantitative detection. Another study reported an ASFV detection method that combined LAMP and image processing with the hue-saturation-value (HSV) color model. The colorimetric results of this LAMP assay can be used for semi-quantitative analysis of ASFV following HSV color space transformation (<xref ref-type="bibr" rid="B23">Yu et&#xa0;al., 2021</xref>).</p>
<p>Our CP-LAMP assay accurately detected ASFV without cross-reacting with other swine viruses, which demonstrates its high specificity. Furthermore, our CP-LAMP method only requires adding a fluorophore quencher-labeled probe, similar to the conventional LAMP method, and the other primer sets and dosage of reagents do not change. This makes is perfect for the highly sensitive standard LAMP strategy. Sensitivity analysis showed that the minimum detectable copy number was 13 copies/&#xb5;L.</p>
<p>Compared with other methods, our method is more sensitive than traditional PCR assays for detection of ASFV DNA in field samples (<xref ref-type="bibr" rid="B1">Atuhaire et&#xa0;al., 2014</xref>). Moreover, the sensitivity of our CP-LAMP method is higher than that of the conventional LAMP assay (copy number = 330) (<xref ref-type="bibr" rid="B8">James et&#xa0;al., 2010</xref>), similar to a semi-quantitative colorimetric LAMP method (<xref ref-type="bibr" rid="B23">Yu et&#xa0;al., 2021</xref>) and a one-step visual LAMP assay using neutral red dye (<xref ref-type="bibr" rid="B18">Wang et&#xa0;al., 2021</xref>). Moreover, quantitative detection by CP-LAMP can be performed on an isothermal real-time instrument rather than a thermocycler, greatly decreasing costs for clinical use. In addition to real-time quantitative detection, we also used a home-made 3D-printed visualization function cassette for detection (<xref ref-type="fig" rid="f6"><bold>Figure&#xa0;6</bold></xref>). Furthermore, a mobile phone can be used to both read the results and upload the data. Thus, our succinct operation process meets the needs of on-site diagnosis, and it may be applicable to other pathogens.</p>
<p>In summary, our method achieved real-time, quantitative, and sensitive detection of ASFV by replacing one primer with a probe without adding fluorescent intercalating dyes. The entire detection process can be completed under closed-tube conditions following a one-step sample addition process. Thus, our CP-LAMP detection platform achieves cost-effective, user-friendly, rapid, portable, and accurate POCT for ASFV.</p>
</sec>
<sec id="s5" sec-type="data-availability">
<title>Data Availability Statement</title>
<p>The original contributions presented in the study are included in the article/supplementary material. Further inquiries can be directed to the corresponding authors.</p>
</sec>
<sec id="s6" sec-type="ethics-statement">
<title>Ethics Statement</title>
<p>In this study, 61 DNA samples were provided by the Research Center for African Swine Fever Prevention and Control, South China Agricultural University, Guangzhou, China, which did not involve the isolation and identification of ASFV from samples of relevant sources. It did not include animal research and human research, and there were no ethical issues related to living animals and human. Ethics approval was not needed for this study from the Committee on the Ethics of Animal Experiments of South China Agricultural University, according to the Constitution on the Ethics of Animal Experiments of South China Agricultural University [Hua-nong-ban (2014)23hao], and the guidelines of our institution.</p>
</sec>
<sec id="s7" sec-type="author-contributions">
<title>Author Contributions</title>
<p>SW: Conceptualization, Methodology, Investigation, Visualization, Writing &#x2013; original draft, Writing &#x2013; review and editing. HS: Conceptualization, Writing &#x2013; review and editing, Supervision. QL: Cassette design, Software. JH: Data curation, Formal analysis. CZ: Visualization, Resources. ZL: Data curation. MS: Data curation. JZ (8th author): Formal analysis. ML: Resources, Supervision, Project administration. YL: Validation, Writing &#x2013; review &amp; editing. JZ (11th author): Writing &#x2013; review and editing, Supervision, Project.</p>
</sec>
<sec id="s8" sec-type="funding-information">
<title>Funding</title>
<p>This work was supported by the Key-Area Research and Development Program of Guangdong Province (2019B020211005), the Special Topic on Emergency Prevention and Control of African Classical Swine Fever in Guangdong Province (2019B020211003), the Independent Research and Development Projects of Maoming Laboratory (2021ZZ003), the Special Fund for Scientific Innovation Strategy-construction of High Level Academy of Agriculture Science-Prominent Talents (R2020PY-JC001), and the Science and Technology Planning Project of Guangdong Province (2020A1515010950, 2021A1515011125).</p>
</sec>
<sec id="s9" sec-type="COI-statement">
<title>Conflict of Interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec id="s10" sec-type="disclaimer">
<title>Publisher&#x2019;s Note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
</body>
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