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Fig 1.

Schematic presentation of the mechanism of mLAMP.

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Table 1.

The fluorophores and detection channels.

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Table 2.

Primer and FD probe sequences for the mLAMP reaction.

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Fig 2.

The effect of the ratio of FD-FIP composite probe to unlabeled primer on FMDV amplification.

The mLAMP reaction was optimized by using FMDV-specific primers and an FD-FIP composite probe (labeled with FAM and BHQ1). The products were imaged by using the 520 nm channel (A), and the turbidity curve was generated by a real-time turbidimeter (B). The total amount of FIP in each reaction was maintained at 0.8 μM and composed of various ratios of FD-FIP to unlabeled FIP as follows: 1: FD-FIP: unlabeled FIP = 0; 3: 25%; 5: 50%; 7: 75%; 9: 100%, 2, 4, 6, 8, 10 were the negative controls for the corresponding proportions. With the increase in the FD-FIP ratio, the inhibition became more severe with a slower amplification time. At FD-FIP concentrations equal to or higher than 75%, the turbidity curve and fluorescence increase were not observed, suggesting that the reaction was completely inhibited at these concentrations. An equimolar ratio (50%) was used to balance the fluorescence signal and amplification rate for FMDV amplification in the mLAMP reaction.

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Fig 3.

The effect of the labeling position of the fluorophore on the mLAMP reaction.

The mLAMP products amplified by using FMDV-specific composite probes with fluorophores/quenchers labeling different positions were imaged using a 520 nm channel (A), and the turbidity curve was monitored by a real-time turbidimeter (B). 1: The FD-FITC/FIP-BHQ1 composite probe is composed of FD labeled with FITC at the 3’ end and FIP labeled with BHQ1 at the 5’ end, and the amplification product showed a robust fluorescence signal with a shorter initial reaction time. 2: For the FD-BHQ1/FIP-FITC composite probe with the quencher and fluorophore position reversed, the initial reaction time was slightly longer than that of composite probe 1. 3: The FD-FAM/FIP-BHQ1 composite probe had a similar fluorescence signal and initial reaction time as composite probe 1. 4: BD-FAM/BIP-BHQ1 composite probe labeled with fluorophore at the BIP terminus. 5: Both the FIP and BIP termini were labeled with fluorophores (FD-FAM/FIP-BHQ1, BD-FAM/BIP-BHQ1). Composite probes 4 and 5 inhibited mLAMP with a weak fluorescence signal compared to that of 1, 2 and 3.

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Fig 4.

The effect of FD length on the mLAMP reaction.

The mLAMP products amplified by using FMDV-specific composite probes with different lengths of FD were imaged using a 520 nm channel (A), and the turbidity curve was monitored by a real-time turbidimeter (B). 1: FD1 consists of 22 bases and is completely complementary to FMDV-F1c with a TM value of 64.2°C, and the initial reaction time is 57.3 min; 2: FD2 consists of removing 3 bases from the 5’ end of FMDV-FD1 with a TM value of 57.1°C, and the initial reaction time is 37.2 min; 3: FD3 consists of removing 6 bases from the 5’ end of FD1 with a TM value of 50.9°C, and the initial reaction time is 34.2 min; 4: FMDV-FD4 consists of removing 9 bases from the 5’ end of FMDV-FD1 with a TM value of 39.4°C, and the initial reaction time is 28.3 min; 5–8: negative controls of FD1-4.

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Fig 5.

The effect of different strand-displacing enzymes on the mLAMP reaction.

The fluorescent mLAMP products were imaged separately using multiple channels (A), and the turbidity was monitored by a real-time turbidimeter (B). Amplification time dependence upon different strand-displacing enzymes with different working amounts. Bst 2.0 WarmStart showed shorter amplification times than Bst 3.0 in the mLAMP reaction. 1: Without addition of enzyme, the reaction was completely inhibited without any amplification; 2: each reaction with 8 U Bst 2.0 WarmStart had an initial amplification time of 52 minutes, 3: each reaction with 16U Bst 2.0 WarmStart had an initial amplification time of approximately 36 minutes, 4: each reaction with 3U Bst 3.0 had an initial amplification time of 55 minutes, 5: each reaction with 16U Bst 3.0 had an initial amplification time of 42 minutes, 6: negative control.

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Fig 6.

Specificity of mLAMP.

The fluorescent mLAMP products were imaged separately using multiple channels (A). The turbidity curve was generated by a real-time turbidimeter to interpret the process of amplification (B). Green fluorescence (FAM) indicates FMDV-positive amplification, red fluorescence (Cy5) indicates VSV-positive amplification, and blue fluorescence (Cy3) indicates BTV-positive amplification. Overlapping fluorescence indicates multiple positive amplifications. Lane 1: FMDV A, lane 2: FMDV O, lane 3: FMDV Asia I, lane 4: VSV IND, lane 5: VSV ND, lane 6: BTV 1, lane 7: BTV 2, lanes 8: FMDV A+ VSV IND + BTV1; 9–15: PPRV, EHDV, SVDV, BVDV, MB, IBRV, negative control.

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Table 3.

Probit analysis to determine the detection limit of mLAMP.

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Table 4.

Performance of the mLAMP assay for detection in clinical samples.

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