Loop-mediated
isothermal amplification (LAMP) is a commonly used
alternative to PCR for point-of-care detection of nucleic acids due
to its rapidity, sensitivity, specificity, and simpler instrumentation.
While dual-labeled TaqMan probes are widely used in PCR for single-nucleotide
polymorphism (SNP) genotyping, real-time LAMP primarily relies on
turbidimetry or intercalator fluorescence measurements, which can
be non-specific and generate false-positive results. In this study,
we propose a closed-tube, dual-labeled RNA-modified probes and RNase
H II-assisted real-time LAMP (RART-LAMP) method for SNP genotyping.
Our findings indicate that (1) fluorescence signals were predominantly
derived from probe hydrolysis rather than hybridization, (2) temperature-controlled
hybridization between the probe and template ensured the specificity
of SNP analysis, and (3) RNase H II hydrolysis between the target
containing SNP sites and probes did not exhibit sequence specificity.
Our RART-LAMP approach demonstrated excellent performance in genotyping
C677T clinical samples, including gDNA extracted from blood, saliva,
and swabs. More importantly, saliva and swab samples could be directly
analyzed without any pretreatment, indicating promising prospects
for nucleic acid analysis at the point of care in resource-limited
settings.