One-pot recombinase polymerase amplification and CRISPR/Cas12a assay for Cryptococcus neoformans

Appl Microbiol Biotechnol. 2026 Feb 9;110(1):61. doi: 10.1007/s00253-026-13733-0.

Abstract

Cryptococcus neoformans, an opportunistic fungal pathogen, can induce central nervous system infections, posing a life-threatening risk and imposing substantial global health challenges and economic burdens. Given the significant reduction in mortality achieved through early monitoring of C. neoformans, there is an urgent demand for a rapid detection method for this pathogen. Herein, we developed a rapid, sensitive, and specific assay for the detection of C. neoformans based on a one-pot recombinase polymerase amplification (RPA) and CRISPR/Cas12a system, which can be read using a real-time fluorescent PCR instrument or lateral flow strips. This assay exhibits high sensitivity, with a detection limit of 1 copy/µL for C. neoformans, and no cross-reactivity was observed across different fungal strains. Notably, the assay can be performed in harsh environments without reliance on complex equipment, making it suitable for point-of-care testing (POCT). Collectively, this method not only provides a robust alternative for C. neoformans detection but also offers valuable insights for the identification of other fungal pathogens. KEY POINTS: • We developed a one-pot RPA and CRISPR/Cas12a assay to detect Cryptococcus neoformans. • This assay exhibits high sensitivity and specificity. • Detection results can be obtained by three ways which is suitable for POCT.

Keywords: Cryptococcus neoformans; CRISPR/Cas12a; One-pot assay; RPA.

MeSH terms

  • Bacterial Proteins
  • CRISPR-Associated Proteins
  • CRISPR-Cas Systems*
  • Cryptococcosis* / diagnosis
  • Cryptococcosis* / microbiology
  • Cryptococcus neoformans* / genetics
  • Cryptococcus neoformans* / isolation & purification
  • Endodeoxyribonucleases
  • Humans
  • Nucleic Acid Amplification Techniques* / methods
  • Point-of-Care Testing
  • Real-Time Polymerase Chain Reaction / methods
  • Recombinases* / genetics
  • Recombinases* / metabolism
  • Sensitivity and Specificity

Substances

  • Recombinases
  • Cas12a protein
  • Bacterial Proteins
  • Endodeoxyribonucleases
  • CRISPR-Associated Proteins