LAMP-enabled diagnosis of Kaposi’s sarcoma for sub-Saharan Africa Article Swipe
Duncan McCloskey
,
Aggrey Semeere
,
Racheal Ayanga
,
Miriam Laker‐Oketta
,
Robert Lukande
,
Matthew Semakadde
,
Micheal Kanyesigye
,
Megan Wenger
,
Philip E. LeBoit
,
Timothy McCalmont
,
Toby Maurer
,
Andrea Gardner
,
Juan Boza
,
Ethel Cesarman
,
Jeffrey N. Martin
,
David Erickson
·
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.1126/sciadv.adc8913
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.1126/sciadv.adc8913
Kaposi’s sarcoma (KS) is an endothelial cancer caused by the Kaposi’s sarcoma-associated herpesvirus (KSHV) and is one of the most common cancers in sub-Saharan Africa. In limited-resource settings, traditional pathology infrastructure is often insufficient for timely diagnosis, leading to frequent diagnoses at advanced-stage disease where survival is poor. In this study, we investigate molecular diagnosis of KS performed in a point-of-care device to circumvent the limited infrastructure for traditional diagnosis. Using 506 mucocutaneous biopsies collected from patients at three HIV clinics in Uganda, we achieved 97% sensitivity, 92% specificity, and 96% accuracy compared to gold standard U.S.-based pathology. The results presented in this manuscript show that LAMP-based quantification of KSHV DNA extracted from KS-suspected biopsies has the potential to serve as a successful diagnostic for the disease and that diagnosis may be accurately achieved using a point-of-care device, reducing the barriers to obtaining KS diagnosis while increasing diagnostic accuracy.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1126/sciadv.adc8913
- https://www.science.org/doi/pdf/10.1126/sciadv.adc8913?download=true
- OA Status
- gold
- Cited By
- 7
- References
- 43
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4316015886
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W4316015886Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1126/sciadv.adc8913Digital Object Identifier
- Title
-
LAMP-enabled diagnosis of Kaposi’s sarcoma for sub-Saharan AfricaWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
-
2023Year of publication
- Publication date
-
2023-01-13Full publication date if available
- Authors
-
Duncan McCloskey, Aggrey Semeere, Racheal Ayanga, Miriam Laker‐Oketta, Robert Lukande, Matthew Semakadde, Micheal Kanyesigye, Megan Wenger, Philip E. LeBoit, Timothy McCalmont, Toby Maurer, Andrea Gardner, Juan Boza, Ethel Cesarman, Jeffrey N. Martin, David EricksonList of authors in order
- Landing page
-
https://doi.org/10.1126/sciadv.adc8913Publisher landing page
- PDF URL
-
https://www.science.org/doi/pdf/10.1126/sciadv.adc8913?download=trueDirect link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
-
https://www.science.org/doi/pdf/10.1126/sciadv.adc8913?download=trueDirect OA link when available
- Concepts
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Mucocutaneous zone, Medical diagnosis, Medicine, Sarcoma, Gold standard (test), Cancer, Disease, Dermatology, Stage (stratigraphy), Point of care, Pathology, Intensive care medicine, Radiology, Internal medicine, Biology, PaleontologyTop concepts (fields/topics) attached by OpenAlex
- Cited by
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7Total citation count in OpenAlex
- Citations by year (recent)
-
2025: 5, 2024: 2Per-year citation counts (last 5 years)
- References (count)
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43Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.cancer | 6 |
| abstract_inverted_index.caused | 7 |
| abstract_inverted_index.common | 20 |
| abstract_inverted_index.device | 61 |
| abstract_inverted_index.study, | 50 |
| abstract_inverted_index.timely | 35 |
| abstract_inverted_index.Africa. | 24 |
| abstract_inverted_index.Uganda, | 82 |
| abstract_inverted_index.cancers | 21 |
| abstract_inverted_index.clinics | 80 |
| abstract_inverted_index.device, | 137 |
| abstract_inverted_index.disease | 43, 126 |
| abstract_inverted_index.leading | 37 |
| abstract_inverted_index.limited | 65 |
| abstract_inverted_index.results | 99 |
| abstract_inverted_index.sarcoma | 1 |
| abstract_inverted_index.accuracy | 91 |
| abstract_inverted_index.achieved | 84, 133 |
| abstract_inverted_index.barriers | 140 |
| abstract_inverted_index.biopsies | 73, 114 |
| abstract_inverted_index.compared | 92 |
| abstract_inverted_index.frequent | 39 |
| abstract_inverted_index.patients | 76 |
| abstract_inverted_index.reducing | 138 |
| abstract_inverted_index.standard | 95 |
| abstract_inverted_index.survival | 45 |
| abstract_inverted_index.accuracy. | 148 |
| abstract_inverted_index.collected | 74 |
| abstract_inverted_index.diagnoses | 40 |
| abstract_inverted_index.diagnosis | 54, 129, 144 |
| abstract_inverted_index.extracted | 111 |
| abstract_inverted_index.molecular | 53 |
| abstract_inverted_index.obtaining | 142 |
| abstract_inverted_index.pathology | 29 |
| abstract_inverted_index.performed | 57 |
| abstract_inverted_index.potential | 117 |
| abstract_inverted_index.presented | 100 |
| abstract_inverted_index.settings, | 27 |
| abstract_inverted_index.Kaposi’s | 0, 10 |
| abstract_inverted_index.LAMP-based | 106 |
| abstract_inverted_index.U.S.-based | 96 |
| abstract_inverted_index.accurately | 132 |
| abstract_inverted_index.circumvent | 63 |
| abstract_inverted_index.diagnosis, | 36 |
| abstract_inverted_index.diagnosis. | 69 |
| abstract_inverted_index.diagnostic | 123, 147 |
| abstract_inverted_index.increasing | 146 |
| abstract_inverted_index.manuscript | 103 |
| abstract_inverted_index.pathology. | 97 |
| abstract_inverted_index.successful | 122 |
| abstract_inverted_index.endothelial | 5 |
| abstract_inverted_index.herpesvirus | 12 |
| abstract_inverted_index.investigate | 52 |
| abstract_inverted_index.sub-Saharan | 23 |
| abstract_inverted_index.traditional | 28, 68 |
| abstract_inverted_index.KS-suspected | 113 |
| abstract_inverted_index.insufficient | 33 |
| abstract_inverted_index.sensitivity, | 86 |
| abstract_inverted_index.specificity, | 88 |
| abstract_inverted_index.mucocutaneous | 72 |
| abstract_inverted_index.point-of-care | 60, 136 |
| abstract_inverted_index.advanced-stage | 42 |
| abstract_inverted_index.infrastructure | 30, 66 |
| abstract_inverted_index.quantification | 107 |
| abstract_inverted_index.limited-resource | 26 |
| abstract_inverted_index.sarcoma-associated | 11 |
| cited_by_percentile_year.max | 98 |
| cited_by_percentile_year.min | 94 |
| corresponding_author_ids | https://openalex.org/A5028439540 |
| countries_distinct_count | 2 |
| institutions_distinct_count | 16 |
| corresponding_institution_ids | https://openalex.org/I205783295, https://openalex.org/I87424562 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/9 |
| sustainable_development_goals[0].score | 0.6299999952316284 |
| sustainable_development_goals[0].display_name | Industry, innovation and infrastructure |
| citation_normalized_percentile.value | 0.86723518 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | False |