The Novel Multiple Inner Primers-Loop-Mediated Isothermal Amplification (MIP-LAMP) for Rapid Detection and Differentiation of Listeria monocytogenes

Here, a novel model of loop-mediated isothermal amplification (LAMP), termed multiple inner primers-LAMP (MIP-LAMP), was devised and successfully applied to detect Listeria monocytogenes. A set of 10 specific MIP-LAMP primers, which recognized 14 different regions of target gene, was designed to target a sequence in the hlyA gene. The MIP-LAMP assay efficiently amplified the target element within 35 min at 63 °C and was evaluated for sensitivity and specificity. The templates were specially amplified in the presence of the genomic DNA from L. monocytogenes. The limit of detection (LoD) of MIP-LAMP assay was 62.5 fg/reaction using purified L. monocytogenes DNA. The LoD for DNA isolated from serial dilutions of L. monocytogenes cells in buffer and in milk corresponded to 2.4 CFU and 24 CFU, respectively. The amplified products were analyzed by real-time monitoring of changes in turbidity, and visualized by adding Loop Fluorescent Detection Reagent (FD), or as a ladder-like banding pattern on gel electrophoresis. A total of 48 pork samples were investigated for L. monocytogenes by the novel MIP-LAMP method, and the diagnostic accuracy was shown to be 100% when compared to the culture-biotechnical method. In conclusion, the MIP-LAMP methodology was demonstrated to be a reliable, sensitive and specific tool for rapid detection of L. monocytogenes strains.


The Principle of the MIP-LAMP for Detecting Target DNA
The basic principle of the MIP-LAMP assay is illustrated in Figure 1. The MIP-LAMP reaction requires a DNA polymerase with strand displacement activity and a set of six to ten specially designed primers, which consists of two outer primers (F3 and B3), four inner primers (FIP1, FIP2, BIP1 and BIP2) or four loop primers (LF1, LF2, LB1 and LB2). The four inner primers contain sequences of the sense and antisense strands of the target DNA. Inner primers FIP2 and BIP2 initiate MIP-LAMP amplification (Step 1) and will be displaced when the DNA polymerase extends upstream FIP1 and BIP1 primers (Step 2). Two outer primers displace the latter amplification strands and release single-stranded DNAs with FIP1 and BIP1. As a result, several distinct types of single-stranded DNAs form hairpin structures to initiate the loops for cyclic amplification ( . For next elongation, the amplification process is similar to nLAMP, each strand is displaced, and in every cycle, the new stem-loops are synthesized. The final products are the stem-loop DNA fragments with several inverted repeats of target DNA and cauliflower-like structures with multiple loops, which are produced in the process of hybridization between alternately inverted repeats present in the same strand. Furthermore, four loop primers are added into the reaction mixtures to accelerate the MIP-LAMP reaction, which do so by identical nLAMP mechanisms.

The Availability of MIP-LAMP Primers
To determine whether a set of 10 primers was available for MIP-LAMP amplification, four separate nLAMP reactions were carried out with primers set G1, G2, G3 and G4 (Experimental Section 4.3), which were incubated at 64 °C for 1 h. Based on visual detection with FD, positive or negative results were easily determined. All positive amplification appeared green, while negative controls remained light gray (Figure 3). The typical ladder-liker pattern bands on 2.5% gel electrophoresis were generated in positive amplification but not in the negative controls ( Figure 4). These results indicated that the set of 10 primers were available for MIP-LAMP reaction.

The Availability of MIP-LAMP Primers
To determine whether a set of 10 primers was available for MIP-LAMP amplification, four separate nLAMP reactions were carried out with primers set G1, G2, G3 and G4 (Experimental Section 4.3), which were incubated at 64˝C for 1 h. Based on visual detection with FD, positive or negative results were easily determined. All positive amplification appeared green, while negative controls remained light gray ( Figure 3). The typical ladder-liker pattern bands on 2.5% gel electrophoresis were generated in positive amplification but not in the negative controls ( Figure 4). These results indicated that the set of 10 primers were available for MIP-LAMP reaction.
To determine whether a set of 10 primers was available for MIP-LAMP amplification, four separate nLAMP reactions were carried out with primers set G1, G2, G3 and G4 (Experimental Section 4.3), which were incubated at 64 °C for 1 h. Based on visual detection with FD, positive or negative results were easily determined. All positive amplification appeared green, while negative controls remained light gray (Figure 3). The typical ladder-liker pattern bands on 2.5% gel electrophoresis were generated in positive amplification but not in the negative controls ( Figure 4). These results indicated that the set of 10 primers were available for MIP-LAMP reaction.

Confirmation and Detection of MIP-LAMP Products
In order to demonstrate the mechanism of MIP-LAMP, amplification reactions were carried out in the presence of or absence of genomic DNA templates. The positive amplification tube, which contained the DNA templates, was indicated by a colour change from light gray to green, while the negative control remained light gray ( Figure 5A). The positive reaction by electrophoresis showed a ladder-liker pattern after 2.5% agarose gel electrophoresis analysis but not in the negative controls ( Figure 5B). The result showed that our MIP-LAMP approach was feasible for DNA amplification.

Validation of the Reliability of MIP-LAMP by Sequencing
In order to further confirm the reliability and specificity of MIP-LAMP assay, a MIP-LAMP-PCR-sequencing strategy was established to analyze the MIP-LAMP products. The sequences of PCR amplicons, which amplified from MIP-LAMP products, were 97% match with the expected target sequences ( Figure 6). The sequencing data indicated that the correct amplification of MIP-LAMP was further verified.

Confirmation and Detection of MIP-LAMP Products
In order to demonstrate the mechanism of MIP-LAMP, amplification reactions were carried out in the presence of or absence of genomic DNA templates. The positive amplification tube, which contained the DNA templates, was indicated by a colour change from light gray to green, while the negative control remained light gray ( Figure 5A). The positive reaction by electrophoresis showed a ladder-liker pattern after 2.5% agarose gel electrophoresis analysis but not in the negative controls ( Figure 5B). The result showed that our MIP-LAMP approach was feasible for DNA amplification.

Confirmation and Detection of MIP-LAMP Products
In order to demonstrate the mechanism of MIP-LAMP, amplification reactions were carried out in the presence of or absence of genomic DNA templates. The positive amplification tube, which contained the DNA templates, was indicated by a colour change from light gray to green, while the negative control remained light gray ( Figure 5A). The positive reaction by electrophoresis showed a ladder-liker pattern after 2.5% agarose gel electrophoresis analysis but not in the negative controls ( Figure 5B). The result showed that our MIP-LAMP approach was feasible for DNA amplification.

Validation of the Reliability of MIP-LAMP by Sequencing
In order to further confirm the reliability and specificity of MIP-LAMP assay, a MIP-LAMP-PCR-sequencing strategy was established to analyze the MIP-LAMP products. The sequences of PCR amplicons, which amplified from MIP-LAMP products, were 97% match with the expected target sequences ( Figure 6). The sequencing data indicated that the correct amplification of MIP-LAMP was further verified.

Validation of the Reliability of MIP-LAMP by Sequencing
In order to further confirm the reliability and specificity of MIP-LAMP assay, a MIP-LAMP-PCR-sequencing strategy was established to analyze the MIP-LAMP products. The sequences of PCR amplicons, which amplified from MIP-LAMP products, were 97% match with the expected target sequences ( Figure 6). The sequencing data indicated that the correct amplification of MIP-LAMP was further verified.

The Optimal Temperature of MIP-LAMP Assay
To determine the optimal temperature of MIP-LAMP reaction, the reference strain EGD-e was selected as positive control at the level of 2.5 pg genomic DNA per reaction and the MIP-LAMP reactions were carried out at different temperatures (60-67 °C) with the appropriate primers. The results were monitored by real-time measurement of turbidity and a typical kinetics graph was

The Optimal Temperature of MIP-LAMP Assay
To determine the optimal temperature of MIP-LAMP reaction, the reference strain EGD-e was selected as positive control at the level of 2.5 pg genomic DNA per reaction and the MIP-LAMP reactions were carried out at different temperatures (60-67˝C) with the appropriate primers. The results were monitored by real-time measurement of turbidity and a typical kinetics graph was shown in Figure 7. Moreover, the positive amplifications were also observed as a ladder-like banding pattern on agarose gel electrophoresis ( Figure 8). The amplification temperatures of 61-66˝C were recommended as the standard temperatures for the MIP-LAMP methodology and the temperature of 63˝C was used for the rest of MIP-LAMP reaction conducted in this study.
Molecules 2015, 20, page-page 7 shown in Figure 7. Moreover, the positive amplifications were also observed as a ladder-like banding pattern on agarose gel electrophoresis (Figure 8). The amplification temperatures of 61-66 °C were recommended as the standard temperatures for the MIP-LAMP methodology and the temperature of 63 °C was used for the rest of MIP-LAMP reaction conducted in this study.

The Specificity of the MIP-LAMP Assay for Detection of L. monocytogenes
Detection specificity of the L. monocytogenes MIP-LAMP assay was evaluated by using various bacterial strains. Thirty nine L. monocytogenes DNA templates were correctly identified, whereas no amplification of the 34 non-L. monocytogenes templates was observed (Figure 9). These results demonstrated that the MIP-LAMP method employing a set of 10 primers had high selectivity for screening L. monocytogenes.

The Specificity of the MIP-LAMP Assay for Detection of L. monocytogenes
Detection specificity of the L. monocytogenes MIP-LAMP assay was evaluated by using various bacterial strains. Thirty nine L. monocytogenes DNA templates were correctly identified, whereas no amplification of the 34 non-L. monocytogenes templates was observed (Figure 9). These results demonstrated that the MIP-LAMP method employing a set of 10 primers had high selectivity for screening L. monocytogenes.

The Specificity of the MIP-LAMP Assay for Detection of L. monocytogenes
Detection specificity of the L. monocytogenes MIP-LAMP assay was evaluated by using various bacterial strains. Thirty nine L. monocytogenes DNA templates were correctly identified, whereas no amplification of the 34 non-L. monocytogenes templates was observed (Figure 9). These results demonstrated that the MIP-LAMP method employing a set of 10 primers had high selectivity for screening L. monocytogenes.

The Analytical Sensitivity of MIP-LAMP Assays
To test the LoD of the MIP-LAMP assays, serial dilutions (from 2.5 ng to 31.25 fg) of total genomic DNA extracted from pure-cultured L. monocytogenes were subjected to MIP-LAMP reactions in triplicate. The MIP-LAMP amplifications were monitored by real-time turbidity detection (Realtime Turbidimeter LA-320C, Eiken), and the decreasing concentrations of genomic DNA were presented from left to right ( Figure 10). The minimum detection concentration required for the MIP-LAMP assay was 62.5 fg genomic DNA per reaction. Agarose gel electrophoresis of the MIP-LAMP products, which was used as alternative detection method, displayed the typical ladder-like patterns in positive tubes ( Figure 10). Moreover, the hlyA-MIP-LAMP amplifications required only 35-min incubation periods at LoD levels of DNA templates.

Sensitivity Comparison of nLAMP and MIP-LAMP in Test of Genomic DNA of L. monocytogenes
The LoD of nLAMP assays were found to be 250 fg genomic DNA per reaction for L. monocytogenes, while the novel MIP-LAMP assay was able to amplify DNA at lower levels (125 and 62.5 fg) of genomic DNA per reaction ( Figure 10). The results demonstrated that hlyA-MIP-LAMP assay was 4-fold more sensitive than hlyA-LAMP approach for detecting L. monocytogenes genomic DNA. Moreover, the sensitivity of the novel MIP-LAMP methodology on L. monocytogenes was evaluated by detecting CFUs, and the LoD of MIP-LAMP technique for hlyA gene with pure cultures was 2.4 CFU per reaction (The MIP-LAMP reaction was found to be positive for sample containing 2.4 × 10 3 CFU per milliliter,

The Analytical Sensitivity of MIP-LAMP Assays
To test the LoD of the MIP-LAMP assays, serial dilutions (from 2.5 ng to 31.25 fg) of total genomic DNA extracted from pure-cultured L. monocytogenes were subjected to MIP-LAMP reactions in triplicate. The MIP-LAMP amplifications were monitored by real-time turbidity detection (Realtime Turbidimeter LA-320C, Eiken), and the decreasing concentrations of genomic DNA were presented from left to right ( Figure 10). The minimum detection concentration required for the MIP-LAMP assay was 62.5 fg genomic DNA per reaction. Agarose gel electrophoresis of the MIP-LAMP products, which was used as alternative detection method, displayed the typical ladder-like patterns in positive tubes ( Figure 10). Moreover, the hlyA-MIP-LAMP amplifications required only 35-min incubation periods at LoD levels of DNA templates.

Sensitivity Comparison of nLAMP and MIP-LAMP in Test of Genomic DNA of L. monocytogenes
The LoD of nLAMP assays were found to be 250 fg genomic DNA per reaction for L. monocytogenes, while the novel MIP-LAMP assay was able to amplify DNA at lower levels (125 and 62.5 fg) of genomic DNA per reaction ( Figure 10). The results demonstrated that hlyA-MIP-LAMP assay was 4-fold more sensitive than hlyA-LAMP approach for detecting L. monocytogenes genomic DNA. Moreover, the sensitivity of the novel MIP-LAMP methodology on L. monocytogenes was evaluated by detecting CFUs, and the LoD of MIP-LAMP technique for hlyA gene with pure cultures was 2.4 CFU per reaction (The MIP-LAMP reaction was found to be positive for sample containing 2.4ˆ10 3 CFU per milliliter, with 1 µL was included in the MIP-LAMP amplification system) (data not shown). However, the sensitivity of nLAMP reactions set for detection of L. monocytogenes in pure cultures were 24 CFU per reaction, thus these results indicated that the hlyA-MIP-LAMP assay was 10-fold more sensitive than hlyA-nLAMP methods for detecting L. monocytogenes CFUs.

Evaluation of the MIP-LAMP Assay in Artificially Contaminated Milk
To examine the applicability of the novel MIP-LAMP technology as a surveillance tool for L. monocytogenes, comparative analysis of sensitivity of L. monocytogenes detection by MIP-LAMP and nLAMP was performed using a dilution series of artificially contaminated milk. The LoD of the MIP-LAMP assay was found to be 24 cells per reaction which corresponds to 2.4 × 10 4 CFU per milliliter, while the nLAMP method had a detection limit of 2.4 × 10 5 CFU/mL for hlyA gene in artificial contamination of milk samples (data not shown).

Evaluation of the MIP-LAMP Assay Using Pork Samples
To evaluate the feasibility of the novel MIP-LAMP assay to detect L. monocytognes in food samples, 48 pork samples were analyzed using the novel MIP-LAMP approach, compared to the nLAMP and culture-based methods. The results are summarized in Table 2. Of a total of 48 pork

Evaluation of the MIP-LAMP Assay in Artificially Contaminated Milk
To examine the applicability of the novel MIP-LAMP technology as a surveillance tool for L. monocytogenes, comparative analysis of sensitivity of L. monocytogenes detection by MIP-LAMP and nLAMP was performed using a dilution series of artificially contaminated milk. The LoD of the MIP-LAMP assay was found to be 24 cells per reaction which corresponds to 2.4ˆ10 4 CFU per milliliter, while the nLAMP method had a detection limit of 2.4ˆ10 5 CFU/mL for hlyA gene in artificial contamination of milk samples (data not shown).

Evaluation of the MIP-LAMP Assay Using Pork Samples
To evaluate the feasibility of the novel MIP-LAMP assay to detect L. monocytognes in food samples, 48 pork samples were analyzed using the novel MIP-LAMP approach, compared to the nLAMP and culture-based methods. The results are summarized in Table 2. Of a total of 48 pork samples, 13 and 13 were tested to be positive by MIP-LAMP and nLAMP in 48-h FB broth, while 13 and 10 were detected to be positive by MIP-LAMP and nLAMP in 24-h FB broth, respectively. The detection accuracy of the MIP-LAMP assay was 100% when compared with the culture-biotechnical method, indicating the high specificity and sensitivity of the novel MIP-LAMP.

Discussion
The most conventional technologies for screening and detecting foodborne pathogens are to use bacteriological media to selectively grow and enumerate bacteria. Although inexpensive and effective, these approaches are culture-dependent and the enrichment procedures take at least 24 h [23]. Beside, preparation of microbiological media and bacteriological plates, as well as colony counting and biochemical identifications of the isolated colonies are laborious and time-consuming processes. Thus, one of the best methods to detect target pathogens is to employ nucleic acid-based techniques to guarantee high selectivity. Among the most promising and attractive technologies, the PCR and PCR-based assays are the most widespread techniques in screening target pathogens due to its rapidness, sensitivity and specificity [24,25]. However, expensive apparatus and sophisticated technical skill required to conduct these techniques make them inaccessible in resource-poor settings, what's more, problems with the in situ applications have hampered its routine use in many laboratories [26,27]. Therefore, it is urgently necessary to devise a simple, rapid and cost-effective alternative solution to microbiological examination.
Loop-mediated isothermal amplification (LAMP), a powerful innovative gene amplification technique, has been described as an easy and rapid diagnostic tool for the detection of microbes and viruses, but still has room for improvement in a number of areas [28]. The approach may not detect extremely low levels of microorganisms that are non-culturable cells present in clinical specimens and food samples, such as sublethally injured bacteria [21,29,30]. Thus, we presented the novel MIP-LAMP methodology, as an isothermal amplification strategy, which did not require thermal denaturation of templates, and obviating the use of the temperature-regulating apparatus. The FD colorimetric indicator, a visual detection technique for the results of the novel MIP-LAMP amplifications, shows visual discrimination of the positive results within 35-min, eliminating the use of costly specialized equipment and further procedures.
As a technological improvement, we modified the conventional LAMP technique by employing two additional inner primers and loop primers that significantly enhance the sensitivity and shorten the amplification time. The MIP-LAMP assay developed in this study was capable of detecting 62.5 fg L. monocytogenes DNA per reaction and 2.4 CFU per reaction in pure culture within 45-min incubation period, which was more sensitive than the nLAMP assay ( Figure 10, A1 and B1). Moreover, the newly developed MIP-LAMP technology detected as little as 24 CFU per reaction in artificially contaminated milk samples and was also more sensitive than the conventional LAMP methodology. The analytical sensitivity of the novel MIP-LAMP technique was 16-fold more sensitive than the hlyA-LAMP assay for detection of L. monocytogenes, which was reported by Wang et al. [31]. Furthermore, six core primers (two outer primers and four inner primers) with ten binding sites hybridize correctly to their target sequences which ensure the higher specificity of MIP-LAMP, and two pairs of loop primers are added to the reaction to further enhance the amplification of MIP-LAMP. Similar to LAMP assay, the MIP-LAMP products can be analyzed by gel electrophoresis, FD reagents and real-time turbidimetry of reaction tubes [32,33]. With these advantages, the novel MIP-LAMP has the potential to be widely used as a diagnostic tool. Therefore, these attractive properties can motivate researchers to explore the use of the novel MIP-LAMP for genetic analysis in diverse fields.
Listeriosis cases are associated with the digestion of unhygienic food products, post-processing contaminated food and ready-to-eat food [34]. In order to quickly identify the source of foodborne outbreaks or for a faster commercial batch release, the diagnostic tools for rapid detection and differentiation of the target pathogen in food are required. In this present study, the novel MIP-LAMP technique was applied to amplify the species-specific hlyA gene for detection and identification of foodborne L. monocytognes and the diagnostic sensitivity and specificity of the method were successfully assessed by using a panel of bacterial DNA templates and pork samples collected from the local markets. The results demonstrated that the novel MIP-LAMP assay for screening L. monocytognes was sensitive (62.5 fg genomic DNA per reaction in pure culture), specific (no false-positive amplification for the strains tested in the study) and rapid (within 45-min incubation periods) ( Figure 10). In order to achieve the requirement of samples detection, the practical application of MIP-LAMP detection to L. monocytogenes in pork samples was evaluated. Forty eight pork samples were collected from the local markets and examined by the novel MIP-LAMP, nLAMP and culture-technical detection for the presence of L. monocytongenes. Thirteen of the 48 pork samples were positive for L. monocytogenes using the novel MIP-LAMP assay with a 24 h-enrichment in FB, and the results were consistent with culture-biotechnical methods. Comparing to the culture-technical assay, the novel MIP-LAMP technique saved time and was less expensive. Three pork samples were confirmed to be positive by MIP-LAMP and culture-biotechnical detection, but negative by using nLAMP assay with a 24 h-enrichment in FB. Therefore, the L. monocytognes MIP-LAMP-based assay, which provides the analytical advantages on rapid amplification, high specificity and sensitivity, can be used as a potential screening tool for L. monocytogenens in routine food safety monitoring.

Primers for the MIP-LAMP Amplification
A set of 10 primers, including six core primers (F3, B3, FIP1, FIP2, BIP2 and BIP1) and four loop primers (LF1, LF2, LB2 and LB1) were designed on the basis of the mechanism of MIP-LAMP for detection of L. monocytogenes (Figure 1). The locations and sequences of the MIP-LAMP primers are shown in Figure 2 and Table 1.

Bacterial Strains and Genomic DNA Extraction
A total of 73 bacterial stains, including 39 L. monocytogenes and 34 non-L. monocytogenes strains, were used in the inclusivity and exclusivity tests, respectively (Table 3). All Listeria and other non-Listeria strains were grown on brain heart infusion plates overnight at 37˝C. Strain EGD-e was selected as a positive control for the assay of optimization and sensitivity testing with pure culture.
Bacterial genomic DNA was extracted from all cultured strains using DNA extraction kits (QIAamp DNA minikits; Qiagen, Hilden, Germany) according to the manufacturer's instructions. DNA samples were stored at´20˝C.
The 25 µL reaction mixtures of nLAMP and MIP-LAMP were incubated at 64˝C for 60 min and then heated at 95˝C for 5 min to stop the reaction. A sample was used as a negative control, in which no template was added. A total of 3 methods were used to confirm nLAMP and MIP-LAMP DNA amplification, including direct visual inspection of the amplification products with FD by naked eye, electrophoresis in 2.5% agarose gels with ethidium bromide staining, and real-time measurement of turbidity using Loopamp Real-time Turbidimeter LA-320C (Eiken Chemical Co., Ltd.). These techniques were used to analyze that nLAMP and MIP-LAMP tests amplified the correct targets. Analysis of each sample was tested at least three times.
In order to evaluate the optimal reaction temperature, the MIP-LAMP amplification was carried out at a constant temperature ranging from 60˝C to 67˝C for 60 min in 1˝C increments in separate reactions and then incubated at 85˝C for 10 min to stop the reaction. Mixture without DNA template was used as a negative control.

Validation by Sequencing
To further evaluate the reliability and specificity of the MIP-LAMP approach, a MIP-LAMP-PCR-sequencing was devised to analyze the MIP-LAMP products. The MIP-LAMP products corresponding to the level of 62.5 fg template DNA were confirmed by agarose gel electrophoresis, and the ladders between 100 bps and 1500 bps were extracted and purified by using QIAquick Gel Extraction Kit (Qiagen) to obtain the template DNA for PCR. Four sets of primers (P1, B1; P1, B2; P2, B1 and P2, B2) were used (Table 1), and PCR reactions were carried out in a final volume of 20 µL containing 10 mMTris-HCl (pH 8.3), 50 mMKCl, 1.5 mM MgCl 2 , 0.001% gelatin, 0.2 µM each of P1, P2, B1 and B2 primers, 0.2 mM each of dNTPs, 0.5 µL DNA template, and 0.5 units of Taq DNA polymerase (ExTaq; Takara, Dalian, China). The amplification program consisted of the initial denaturation of 5 min at 95˝C, 35 cycles of 30 s at 95˝C, 30 s at 58˝C and 1 min at 72˝C, plus a final 5 min extension at 72˝C. The PCR products of each reaction were also validated by electrophoresis, and then extracted and purified by using QIAquick Gel Extraction Kit (Qiagen) again to obtain the template for sequencing. Sequencing was performed using the same primers as for PCR (Tsingke, Beijing, China) and the sequence data were compared with the target gene sequences in the GenBank database.

The MIP-LAMP Specificity Test
To evaluate the specificity of the MIP-LAMP assays, the MIP-LAMP reactions were carried out under the conditions described above with DNA templates from 39 L. monocytogenes and 34 non-L. monocytogenes strains ( Table 2). Analysis of each sample were examined twice independently.

The MIP-LAMP Sensitivity Test
In order to determine the LoD of MIP-LAMP assay, the sensitivity was examined using serial dilutions of genomic DNA templates (2.5 ng, 250 pg, 25 pg, 2.5 pg, 250 fg, 125 fg, 62.5 fg and 31.25 fg, respectively). To test the minimal detectable colony forming units (CFUs), the cultures with EGD-e strain were serially diluted (10´1 to 10´9), and aliquots of 100 µL of each dilution were used to extract DNA as described above. Moreover, the aliquots of 100 µL appropriate dilution (10´6) was plated in triplicate on brain heart infusion (BHI) and the CFUs were counted after 24 h at 37˝C. The analytical sensitivity comparison of nLAMP and MIP-LAMP was also carried out with the identical dilutions of templates at the optimal conditions in triplicate. The hlyA-LAMP assay has been developed by Tang et al., which were employed to verify the LoD of nLAMP approaches [35].

MIP-LAMP Application in Artificially Contaminated Milk
The milk was purchased from a grocery store in Beijing and confirmed as being L. monocytogenes-negative by traditional culture assay and PCR [36]. It was artificially contaminated with L. monocytogenes strain EGD-e at five concentrations (2.4ˆ10 5 , 2.4ˆ10 4 , 2.4ˆ10 3 , 2.4ˆ10 2 and 2.4ˆ10 1 CFUs per milliliter), individually, and aliquots (100 µL) of the milk were used for DNA extraction. This experiment was performed in triplicate independently, and the supernatants (1 µL) were used for MIP-LAMP and nLAMP detection.

Practical Application of MIP-LAMP Detection to L. monocytogenes in Food Samples
To estimate the feasibility of the MIP-LAMP assay to detect L. monocytogenes in food samples, we tested 48 pork samples collected from local market, and compared the results with a culture-biotechnical method, MIP-LAMP and nLAMP detection for the same samples. According to the ISO 11290-1 standard method, culture-biotechnical method of food samples was carried out. In brief, an amount of 25 g from each pork sample was added to a bag containing 225 mL Listeria enrichment broth (Half Fraser's broth, Oxoid, Hampshire, UK) and homogenized, followed by incubating broth for 24 h at 30˝C. Then, 0.1 mL of the enrichment broth was transferred to 10 mL of Fraser's broth (FB) in a culture tube, which was incubated for 24 and 48 h at 37˝C with shaking (250 rpm). Aliquots (1 mL) of the enriched culture were subjected to DNA extraction and used as templates for nLAMP and MIP-LAMP detections. A portion (0.05 mL) of positive FB enriched cultures after 48 h incubation was plated on PALCAM agar plates (Oxoid), which were incubated for 48 h at 37˝C. Five typical Listeria colonies with an opaque halo were selected from each of selective plates and the further confirmation of L. monocytogenes strains were identified by characteristic colony morphology, gram stain, and various tests (motility, aesculin hydrolysis, catalase, indole, urease, CAMP and oxidase tests).

Conclusions
A novel MIP-LAMP technology was established for amplification of the target sequences, which was successfully applied to detect hlyA gene in L. monocytogenes. The MIP-LAMP methodology developed here is easy, rapid and robust, which has advantages over nLAMP assay, namely more rapid amplification, higher specificity and sensitivity. In the analysis of food samples, the novel MIP-LAMP assay has the potential to be a rapid, sensitive, and cost-effective for detection of L. monocytogenes in food. Eventually, it is anticipated that the novel MIP-LAMP assay has enormous potential for detection of a variety of bio-related markers.