Genomagnetic LAMP-based electrochemical test for determination of
high-risk HPV16 and HPV18 in clinical samples
Martin Bartosik
a, *
, Ludmila Jirakova
a
, Milan Anton
b
, Borivoj Vojtesek
a
, Roman Hrstka
a
a
Regional Centre for Applied Molecular Oncology (RECAMO), Masaryk Memorial Cancer Institute, Zluty kopec 7, 656 53, Brno, Czech Republic
b
Dept. Obstet. Gynecol., Univ. Hosp. Brno and Medical Faculty Masaryk University, Obilni trh 11, 602 00, Brno, Czech Republic
highlights graphical abstract
Electrochemical assay based on LAMP
amplification for detection of two
most oncogenic types, HPV16 and
HPV18.
Good specificity, sensitivity and sta-
bility was obtained.
Assay was successfully tested both on
HPV16 and HPV18-positive patient
samples, as well as HPV-negative
samples.
article info
Article history:
Received 11 May 2018
Received in revised form
6 August 2018
Accepted 10 August 2018
Available online xxx
Keywords:
HPV
Cervical cancer
Genomagnetic assay
Electrode chip
LAMP amplification
abstract
Major cause of cervical cancer is a persistent infection with high-risk types of human papillomaviruses
(HPV). For that reason, HPV testing is now becoming an important addition to standard cytological
screening of cervical malignancies in women (known as Pap test). New methods are sought which could
offer rapid and inexpensive detection schemes, such as those based on electrochemical (EC) readout.
Here, we developed an assay for parallel detection of two most oncogenic high-risk HPV types, HPV16
and HPV18, by combining loop-mediated amplification (LAMP) of template DNA, its separation using
magnetic beads and detection with amperometry at carbon-based electrode chips. Our EC-LAMP test
enabled us to successfully discriminate both HPV types not only in cancer cell lines, but also using clinical
material obtained from HPV-positive patient samples.
© 2018 Elsevier B.V. All rights reserved.
1. Introduction
Infection with human papillomaviruses (HPVs) is very common,
often cleared by the immune system without serious consequences.
However, small fraction of infections becomes persistent over
longer period of time and is associated with increased risk of
developing precancerous lesions, and ultimately cancer
(particularly cervical cancer in women). The traditional test for
early detection of cervical cancer is the Pap test, a cytological ex-
amination detecting potentially precancerous changes in the cer-
vix. Persistent infections are caused by a small subset of HPVs, so-
called high-risk HPVs. The most common high-risk types are
HPV16 and HPV18, together accounting for over 70% of all cervical
carcinomas [1]. Based on these findings, recent years witnessed
increased efforts to develop and implement HPV testing as a
screening option besides the standard cytological examination [2].
In fact, results from a large clinical trial ATHENA suggested that the
* Corresponding author.
E-mail address: martin.bartosik@mou.cz (M. Bartosik).
Contents lists available at ScienceDirect
Analytica Chimica Acta
journal homepage: www.elsevier.com/locate/aca
https://doi.org/10.1016/j.aca.2018.08.020
0003-2670/© 2018 Elsevier B.V. All rights reserved.
Analytica Chimica Acta xxx (2018) 1e7
Please cite this article in press as: M. Bartosik, et al., Genomagnetic LAMP-based electrochemical test for determination of high-risk HPV16 and
HPV18 in clinical samples, Analytica Chimica Acta(2018), https://doi.org/10.1016/j.aca.2018.08.020