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Cas12a Cis-cleavage mediated lateral flow assay enables multiplex and ultra-specific nucleic acid detection

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Listed:
  • Mei Lin

    (South China Normal University)

  • Zhiqiang Qiu

    (South China Normal University)

  • Mengen Hao

    (South China Normal University)

  • Weiwei Qi

    (South China Normal University)

  • Ting Zhang

    (South China Normal University)

  • Yuting Shen

    (South China Normal University)

  • Hongrui Xiao

    (South China Normal University)

  • Chaoyue Liang

    (South China Normal University)

  • Longxu Xie

    (Guangzhou Hybribio Medicine Technology Ltd)

  • Yongzhong Jiang

    (Hubei Provincial Center for Disease Control and Prevention)

  • Meng Cheng

    (The First Affiliated Hospital of Guangzhou Medical University)

  • Tian Tian

    (South China Normal University)

  • Xiaoming Zhou

    (South China Normal University
    South China Normal University)

Abstract

CRISPR technology holds significant promise for advancing nucleic acid assays. However, current CRISPR diagnostic techniques, reliant on indiscriminate trans-cleavage mechanisms, face challenges in developing multiplex detection formats. Moreover, chaotic trans-cleavage activity often results from mismatched targets, leading to specificity issues. To address these limitations, here we exploit a double-key recognition mechanism based on CRISPR-Cas12a cis-cleavage and invasive hybridization identification of released sticky-end DNA products. By integrating multiplexed nucleic acid amplification, the double-key Cas12a detection mechanism, and a lateral flow detection platform, we develop a method termed Cas12a cis-cleavage mediated lateral flow assay (cc-LFA). We demonstrate that the cc-LFA exhibited superior specificity compared to three mainstream trans-cleavage-based CRISPR diagnostic techniques, achieving single-base resolution detection free from high-concentration wild-type DNA background interference. cc-LFA is also applied for highly specific detection of multiple respiratory pathogen samples and precise multiplexed detection of nine high-risk human papillomavirus (HPV) subtypes, achieving over 90% sensitivity and 100% specificity, respectively. Additionally, we present a portable device to automate nucleic acid amplification and strip detection procedures, showcasing the potential of cc-LFA for future applications in decentralized laboratory scenarios.

Suggested Citation

  • Mei Lin & Zhiqiang Qiu & Mengen Hao & Weiwei Qi & Ting Zhang & Yuting Shen & Hongrui Xiao & Chaoyue Liang & Longxu Xie & Yongzhong Jiang & Meng Cheng & Tian Tian & Xiaoming Zhou, 2025. "Cas12a Cis-cleavage mediated lateral flow assay enables multiplex and ultra-specific nucleic acid detection," Nature Communications, Nature, vol. 16(1), pages 1-14, December.
  • Handle: RePEc:nat:natcom:v:16:y:2025:i:1:d:10.1038_s41467-025-60917-9
    DOI: 10.1038/s41467-025-60917-9
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    References listed on IDEAS

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    1. Cheri M. Ackerman & Cameron Myhrvold & Sri Gowtham Thakku & Catherine A. Freije & Hayden C. Metsky & David K. Yang & Simon H. Ye & Chloe K. Boehm & Tinna-Sólveig F. Kosoko-Thoroddsen & Jared Kehe & Ti, 2020. "Massively multiplexed nucleic acid detection with Cas13," Nature, Nature, vol. 582(7811), pages 277-282, June.
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    3. Yanan Tang & Turun Song & Lu Gao & Saifu Yin & Ming Ma & Yun Tan & Lijuan Wu & Yang Yang & Yanqun Wang & Tao Lin & Feng Li, 2022. "A CRISPR-based ultrasensitive assay detects attomolar concentrations of SARS-CoV-2 antibodies in clinical samples," Nature Communications, Nature, vol. 13(1), pages 1-10, December.
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