Sensitive and Rapid Detection of Cholera Toxin-Producing Vibrio Cholerae Using a Loop-Mediated Isothermal Amplification

BMC Microbiol. 2008 Jun 12;8:94. doi: 10.1186/1471-2180-8-94.


Background: Vibrio cholerae is widely acknowledged as one of the most important waterborne pathogen causing gastrointestinal disorders. Cholera toxin (CT) is a major virulence determinant of V. cholerae. Detection of CT-producing V. cholerae using conventional culture-, biochemical- and immunological-based assays is time-consuming and laborious, requiring more than three days. Thus, we developed a novel and highly specific loop-mediated isothermal amplification (LAMP) assay for the sensitive and rapid detection of cholera toxin (CT)-producing Vibrio cholerae.

Results: The assay provided markedly more sensitive and rapid detection of CT-producing V. cholerae strains than conventional biochemical and PCR assays. The assay correctly identified 34 CT-producing V. cholerae strains, but did not detect 13 CT non-producing V. cholerae and 53 non-V. cholerae strains. Sensitivity of the LAMP assay for direct detection of CT-producing V. cholerae in spiked human feces was 7.8 x 102 CFU per g (1.4 CFU per reaction). The sensitivity of the LAMP assay was 10-fold more sensitive than that of the conventional PCR assay. The LAMP assay for detection of CT-producing V. cholerae required less than 35 min with a single colony on thiosulfate citrate bile salt sucrose (TCBS) agar and 70 min with human feces from the beginning of DNA extraction to final determination.

Conclusion: The LAMP assay is a sensitive, rapid and simple tool for the detection of CT-producing V. cholerae and will be useful in facilitating the early diagnosis of human V. cholerae infection.

Publication types

  • Evaluation Study

MeSH terms

  • Bacterial Typing Techniques
  • Base Sequence
  • Cholera / microbiology*
  • Cholera Toxin / genetics*
  • Cholera Toxin / metabolism
  • Feces / microbiology
  • Humans
  • Molecular Sequence Data
  • Polymerase Chain Reaction / methods*
  • Sensitivity and Specificity
  • Vibrio cholerae / genetics
  • Vibrio cholerae / isolation & purification*
  • Vibrio cholerae / metabolism


  • Cholera Toxin