This study presents a novel molecular diagnostic platform that integrates the structure-specific cleavage activity of flap endonuclease 1 (FEN1)-coupled cascade enzymatic reactions to detect target nucleic acids without the need for polymerase chain r...
This study presents a novel molecular diagnostic platform that integrates the structure-specific cleavage activity of flap endonuclease 1 (FEN1)-coupled cascade enzymatic reactions to detect target nucleic acids without the need for polymerase chain reaction (PCR) amplification. This system leverages AMP produced by FEN1 cleavage to trigger glucose degradation, which can be quantified using a personal glucose meter (PGM). Validation of this platform was conducted using target DNA based on the Chlamydia trachomatis (Ct) sequence, demonstrating effectiveness in detecting sequences identical to common bacterial pathogens. Utilizing this system, target nucleic acid was successfully detected with a detection limit of 4.8 pM. Additionally, the potential to detect target nucleic acids derived from Chlamydia trachomatis showed excellent selectivity compared to other STD genes and mismatches. By overcoming the limitations of PCR and fluorescence-based techniques, this platform offers a cost-effective, scalable, and user-friendly diagnostic solution with significant potential for application in resource-limited settings.