Evidence map›Paper›PMID 40962795›Full record

ArticleNature communications2025

Sensitive pathogen DNA detection by a multi-guide RNA Cas12a assay favoring trans- versus cis-cleavage.

Zhen Huang, Zhe Song, Jianfeng Zeng, Xuhui Liu, Mutong Fang, Zhiyuan Wu, Yao Zhao, Yanli Chen, Dan Li, Huan Huang and 10 more

Abstract read
In one paragraph

Article in Nature communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Review
  2. Review
  3. Review
  4. Molecular Mechanisms Underlying Antimicrobial Resistance in Mycobacteria.International journal of molecular sciences · 2026
    Review
  5. Article
  6. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

20 authors.

Zhen HuangCenter for Cellular and Molecular Diagnostics, Tulane University School of Medicine, New Orleans, LA, USA. zhenhuang@tulane.edu.ORCID http://orcid.org/0000-0002-3990-7350
Zhe SongNational Clinical Research Center for Infectious Diseases, Shenzhen Third People's Hospital, Southern University of Science and Technology, Shenzhen, Guangdong, China.
Jianfeng ZengNational Clinical Research Center for Infectious Diseases, Shenzhen Third People's Hospital, Southern University of Science and Technology, Shenzhen, Guangdong, China.
Xuhui LiuDepartment of Tuberculosis, Shanghai Public Health Clinical Center, Fudan University, Shanghai, China.
Mutong FangNational Clinical Research Center for Infectious Diseases, Shenzhen Third People's Hospital, Southern University of Science and Technology, Shenzhen, Guangdong, China.
Zhiyuan WuDepartment of Laboratory Medicine, Huashan Hospital, Fudan University, Shanghai, China.
Yao ZhaoNational Clinical Research Center for Infectious Diseases, Shenzhen Third People's Hospital, Southern University of Science and Technology, Shenzhen, Guangdong, China.ORCID http://orcid.org/0000-0002-2932-2164
Yanli ChenDepartment of Laboratory Medicine, Huashan Hospital, Fudan University, Shanghai, China.
Dan LiNational Clinical Research Center for Infectious Diseases, Shenzhen Third People's Hospital, Southern University of Science and Technology, Shenzhen, Guangdong, China.
Huan HuangCenter for Cellular and Molecular Diagnostics, Tulane University School of Medicine, New Orleans, LA, USA.
Liang FuNational Clinical Research Center for Infectious Diseases, Shenzhen Third People's Hospital, Southern University of Science and Technology, Shenzhen, Guangdong, China.
Peng XuNational Clinical Research Center for Infectious Diseases, Shenzhen Third People's Hospital, Southern University of Science and Technology, Shenzhen, Guangdong, China.
Bo NingCenter for Cellular and Molecular Diagnostics, Tulane University School of Medicine, New Orleans, LA, USA.ORCID http://orcid.org/0000-0001-9437-7244
Jun ChenDepartment of Infectious Diseases and Immunology, Shanghai Public Health Clinical Center, Fudan University, Shanghai, China.
Ming GuanDepartment of Laboratory Medicine, Huashan Hospital, Fudan University, Shanghai, China.ORCID http://orcid.org/0000-0003-2827-3118
Lin SunBeijing Children's Hospital, Capital Medical University, National Clinical Research Center for Respiratory Diseases, National Center for Children's Health, Beijing, China.
Christopher J LyonCenter for Cellular and Molecular Diagnostics, Tulane University School of Medicine, New Orleans, LA, USA.
Xiao-Yong FanDepartment of Tuberculosis, Shanghai Public Health Clinical Center, Fudan University, Shanghai, China.ORCID http://orcid.org/0000-0001-6654-3559
Shuihua LuNational Clinical Research Center for Infectious Diseases, Shenzhen Third People's Hospital, Southern University of Science and Technology, Shenzhen, Guangdong, China. lushuihua66@126.com.
Tony HuCenter for Cellular and Molecular Diagnostics, Tulane University School of Medicine, New Orleans, LA, USA. tonyhu@tulane.edu.ORCID http://orcid.org/0000-0001-7255-5409

Funding

Direct quantitation of the circulating Mtb-peptidome for pediatric TB managementR01HD090927 · NICHD · TULANE UNIVERSITY OF LOUISIANA · PI Christopher J Lyon, Charles DeBeaux Mitchell · 2017 to 2026
$4.5M
Mtb and HIV/SIV antigen peptide signatures as blood biomarkers to detect early infection to active disease in young children and NHPR01HD103511 · NICHD · TULANE UNIVERSITY OF LOUISIANA · PI LYON, CHRISTOPHER J · 2021 to 2025
$3.7M
A nanopore biosensor for leveling Mtb antigens in bloodR01AI144168 · NIAID · TULANE UNIVERSITY OF LOUISIANA · PI Christopher J Lyon · 2022 to 2026
$3.0M
Rapid Detection of TB from Blood using Cell-Free DNA and CRISPRR01AI174964 · NIAID · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Richard S Garfein, Timothy Charles Rodwell · 2023 to 2026
$2.9M
Multiplexed detection of cell-free M. Tuberculosis DNA and its drug-resistant variants in bloodR01AI175618 · NIAID · TULANE UNIVERSITY OF LOUISIANA · PI Zhen Huang, Jeffrey Tornheim · 2023 to 2026
$2.9M
Diagnostic Innovations for Pediatric Tuberculosis in BoliviaR01AI173021 · NIAID · TULANE UNIVERSITY OF LOUISIANA · PI ROBERT H GILMAN, Bo Ning · 2023 to 2026
$2.8M
CRISPR detection of circulating cell-free Mycobacterium avium complex (MAC) DNA for rapid diagnosis and monitoring of MAC pulmonary diseaseR01AI177986 · NIAID · OREGON HEALTH & SCIENCE UNIVERSITY · PI Bo Ning, Kevin Loring Winthrop · 2024 to 2026
$2.3M
CRISPR-TB for pediatric TB diagnosis and treatment responseR01AI179714 · NIAID · UNIVERSITY OF WASHINGTON · PI Sylvia LaCourse · 2024 to 2026
$2.2M
Liposome fusion enabled extracellular vesicle detection for COVID-19R21AI169582 · NIAID · TULANE UNIVERSITY OF LOUISIANA · PI NING, BO · 2022 to 2023
$419k
National Natural Science Foundation of China (National Science Foundation of China) 82302614NIAID NIH HHS R01 AI144168NIAID NIH HHS R01 AI173021NIAID NIH HHS R01 AI174964NIAID NIH HHS R01 AI175618NIAID NIH HHS R01 AI177986NIAID NIH HHS R01 AI179714NIAID NIH HHS R21 AI169582NICHD NIH HHS R01 HD090927NICHD NIH HHS R01 HD103511Tulane University Weatherhead Presidential Endowment fundU.S. Department of Defense (United States Department of Defense) W8IXWH1910026U.S. Department of Health & Human Services | NIH | Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) R01HD090927, R01HD103511U.S. Department of Health & Human Services | NIH | National Institute of Allergy and Infectious Diseases (NIAID) R01AI144168, R01AI175618, R01AI173021, R01AI174964, R01AI177986, R01AI179714, R21AI169582-01A1
6 · The paper itself

Abstract

Most CRISPR assays lack clinical utility due to their complex workflows and limited validation. Here we present a streamlined "one-pot" asymmetric CRISPR tuberculosis assay that attenuates amplicon degradation to achieve 5 copies/μL sensitivity within 60 min and detect positive patient samples within 15 min. This assay exhibited 93%, 83%, and 93% sensitivity with adult respiratory, pediatric stool, and adult cerebral spinal fluid specimens, and detected 64% of clinically diagnosed tuberculous meningitis cases, in a cohort of 603 clinical samples. This assay achieves complete specificity and greater sensitivity (74% vs. 56%) than the most sensitive reference test with prospectively collected tongue swabs, and exhibits similar performance when adapted to a lateral flow assay format and employed to analyze self-collected tongue swabs. These results demonstrate the utility of this approach across diverse specimen types, including those suitable for use in remote and resource-limited settings, to improve access to molecular diagnostics.

Indexed as

CRISPR-Associated ProteinsCRISPR-Cas SystemsDNA, BacterialMolecular Diagnostic TechniquesMycobacterium tuberculosisRNA, Guide, CRISPR-Cas SystemsAdultBacterial ProteinsChildEndodeoxyribonucleasesFecesHumansSensitivity and SpecificityTuberculosis, MeningealBacterial ProteinsCas12a proteinCRISPR-Associated ProteinsDNA, BacterialEndodeoxyribonucleasesRNA, Guide, CRISPR-Cas Systems

Identifiers

PMID40962795
PMCPMC12443966

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.