RT Journal Article T1 Development and validation of a new and rapid molecular diagnostic tool based on RT-LAMP for Hepatitis C virus detection at point-of-care A1 Arca Lafuente, Sonia A1 Yépez Notario, Cristina A1 Cea Callejo, Pablo A1 Laran Aguilar, Violeta A1 Crespo Bermejo, Celia A1 Martín Carbonero, Luz A1 Santos, Ignacio de los A1 Briz, Verónica A1 Madrid González, Ricardo AB PURPOSE: Globally, it is estimated that 1.0 million individuals are newly infected by Hepatitis C virus (HCV) every year, and nearly 50 million people live with a chronic infection, according to World Health Organization. To overcome underdiagnosis of HCV infection among hard-to-reach populations, it is essential to develop new rapid and easy-to-use molecular diagnostic systems. In this work, we have developed a pangenotypic diagnostic tool based on Loop-Mediated Isothermal Amplification (LAMP), coupled to a direct sample lysis procedure for molecular detection of HCV at point-of-care (POC).METHODS: Procedure validation was performed using 129 different samples from HCV infected patients (116 serum samples, and 13 fresh blood samples), 27 individuals who tested negative for HCV but positive for HIV, and 11 healthy donors. Serum was collected, lysed for minutes at room temperature, and assayed by RT-LAMP. To achieve this, a set of 9 LAMP-primers was used for the first time. Parallel RT-qPCR assays were conducted for HCV to bothvalidate the procedure and quantify viral loads.RESULTS: HCV was detected by RT-LAMP in 109/116 HCV positive serum samples, and in 11/13 positive blood samples in less than 40 minutes. Compared to RT-qPCR results, our RT-LAMP procedure showed a sensitivity of 94%, 100% specificity, and a limit of detection of 3.26 log10 IU/mL (10-20 copies per reaction).CONCLUSIONS: We have developed an accurate system, more affordable than the current available rapid tests for HCV. Since no prior RNA purification step from capillary blood is required, we strongly recommend our RT-LAMP system as a valuable and rapid tool for the molecular detection of HCV at POC. PB Elsevier SN 1046-2023 YR 2024 FD 2024-10-17 LK https://hdl.handle.net/20.500.14352/109810 UL https://hdl.handle.net/20.500.14352/109810 LA eng NO Arca-Lafuente, S., Yépez-Notario, C., Cea-Callejo, P., Lara-Aguilar, V., Crespo-Bermejo, C., Martín-Carbonero, L., De Los Santos, I., Briz, V., & Madrid, R. (2024). Development and validation of a new and rapid molecular diagnostic tool based on RT-LAMP for Hepatitis C virus detection at point-of-care. Methods, S1046202324002251. https://doi.org/10.1016/j.ymeth.2024.10.008 NO Comunidad de Madrid DS Docta Complutense RD 14 abr 2025