Development of loop-mediated isothermal amplification-lateral flow dipstick as a rapid screening test for detecting Listeria monocytogenes in frozen food products using a specific region on the ferrous iron transport protein B gene

Background and Aim: Listeria monocytogenes is a critical foodborne pathogen that infects pregnant females and their newborns and older adults and individuals with comorbidities. It contaminates fresh vegetables, fruits, ready-to-eat foods, and frozen food products consumed by individuals. The culture conventional detection methods for L. monocytogenes are time-consuming, taking 4 days. This study aimed to describe the development and comparison of loop-mediated isothermal amplification (LAMP)- lateral flow dipstick (LFD), LAMP assay to PCR, and conventional culture for detecting L. monocytogenes in frozen food products. Materials and Methods: Five LAMP primer sets, including F3, B3, forward inner primer, and backward inner primer, were designed from a specific region on ferrous iron transport protein B gene (feoB gene) to amplify LAMP products. The DNA probe was created, and the detection limit was determined in pure culture and purified DNA, as well as the detection in 20 frozen food product samples. Results: The LMfeoB4 LAMP primer sets and DNA probe were LAMP products amplified at 60°C for 50 min. The specificity of the assay revealed no cross-reactivity with other pathogenic bacteria. The limit of detection (LOD) of the LAMP-LFD and LAMP assays using purified genomic DNA was 219 fg/μL both in LAMP and LAMP-LFD assays. The LOD of LAMP and LAMP-LFD assays in pure culture was 4.3×102 colony-forming unit (CFU)/mL and 43 CFU/mL, respectively. The LOD of the LAMP-LFD assay using artificially inoculated chicken in frozen food samples with pre-enrichment was 3.2×102 CFU/mL. The LAMP-LFD was also more sensitive than the LAMP assay and polymerase chain reaction. Finally, LAMP-LFD revealed no false positives in any of the 20 frozen food product samples. Conclusion: LAMP-LFD assay using a specific region on the feoB gene to detect L. monocytogenes was highly specific, sensitive, faster, and convenient, making it a valuable tool for the monitoring and rapid screening of L. monocytogenes in frozen food products. This technique is applicable to the development of detection technologies for other pathogens in food products.


Introduction
The agricultural food industry is crucial to the economies of several countries, including Thailand. The current "food safety" and "traceability" or "from farm to table" issue has piqued the interest of customers both inside and outside the country. Listeria monocytogenes can cause agricultural food production problems due to the bacteria contaminating an environment for a long period and growing at low temperature (2-4°C). L. monocytogenes can induce listeriosis, which causes meningitis, septicemia, and abortion [1]. According to the European Union One Health 2019 Zoonoses Report , 2621 confirmed cases of invasive listeriosis or infection with L. monocytogenesin humans were reported in 2019 [2]. The EU notification rate was 0.46 cases per 100,000 population in 2019, accounting for 17.6% of all fatalities, making L. monocytogenes one of the most virulent foodborne pathogens [2]. According to the US Foodborne Diseases Active Surveillance Network (FoodNet), the annual incidence rate per 100,000 cases for L. monocytogenes is 0.28 in the License (http://creativecommons.org/licenses/ by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http:// creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. general population, 3.73 in pregnant women, and 1.33 in adults over 70 years old; rates are expected to rise from 0.25 to 0.32 in 2030 due to population growth [3]. The FoodNet report in 2019 indicated that there were 25,866 cases of illness, 6164 hospitalizations, and 122 fatalities. The number of laboratory-diagnosed Listeria included 134 cases of illnesses, 131 cases of hospitalizations, and 21 cases of death, with an incidence rate of 0.3 cases per 100,000 in the population [4]. The Foodborne Disease Outbreak Surveillance System, United States, 2015 of L. monocytogenes reported outbreaks at 35%, with 380 illnesses, 334 hospitalizations, and 74 deaths [5].
There are several methods for conducting an initial inspection and monitoring depth to detect microorganisms in animal products and food ingredients [6]. Typically, manufacturers perform a random check on the bacteria produced by animal feed through microbiological culture media, which requires large volumes and multiple steps. It takes a minimum of 24 h in a culture, making it difficult and time-consuming. The gene amplification technique has a wide range of applications in the laboratory, such as food, molecular research, and detection of contaminants in the environment and food. The most popular gene amplification technique is polymerase chain reaction (PCR) [7,8], which has been used in various patterns, including reverse transcription PCR [9], nested PCR [10,11], multiplex PCR [12], and real-time PCR [13]. Extended genes are employed in the food industry to detect disease-causing contaminants in food. PCR technique is used as the basis to check for about 2-3 h, requiring specific tools with high precision, including PCR and real-time PCR machines, which are expensive. Certain technological procedures use specific tools to detect genes that are increasing. It is impossible to apply this technology in a small lab or the field. In 2000, a report developed with gene expansion technique loop-mediated isothermal amplification (LAMP) by Japanese researchers under the name Tsugunor I Notomi helped to solve critical problems of the PCR technique, the high amplification efficiency under isothermal conditions without the thermal cycler used in PCR. This assay can use the temperature range of 60-65°C to determine the genes that increase the number in the same procedure [14]. Therefore, gene expansion using the LAMP technique is advanced and fast in detecting microorganisms in animal products and feed ingredients [15][16][17]. The LAMP assay is not required if a thermocycler is used to amplify the genes that improve DNA yield in the same procedure. This technique is suitable for developing countries, small laboratories, and field operations because it is easy and quick [18,19]. Furthermore, to avoid the visualization of LAMP products by agarose gel electrophoresis (AGE), fluorescent DNA dye and chromatographic lateral flow dipstick (LFD) [20,21] format have been applied to reveal LAMP products in a simpler and faster way [22,23].
This study aimed to describe the development and comparison of LAMP-LFD, LAMP assay to PCR, and conventional culture for detecting L. monocytogenes in frozen food products.

Ethical approval
The present study did not involve any invasive procedure, so ethical approval is not required.

Study period and location
The study was conducted from August 2017 to February 2020 at the Center for Agricultural Biotechnology, Kasetsart University, Kamphaeng Saen Campus, Nakhon Pathom.  Table-1. All strains were transferred from stock to culture in 10 mL of tryptic soy broth (TSB, Difco; USA) and incubated at 37°C for 24 h.

Preparation of bacterial culture and DNA extraction
The DNA of L. monocytogenes was prepared by centrifuging 1 mL of TSB enrichment solution at 9,520 x g for 1 min, followed by three washes with 1 mL sterile deionized water. Then, 100 µL of sterile water was added to pellets and mixed thoroughly. The mixture was incubated in a heat box at 100°C for 10 min, centrifuged at 9,520 x g for 1 min. A pipette was used to transfer the supernatant to purified genomic DNA of L. monocytogenes using the DNeasy kit (QIAGEN, Germany) and collected a template of DNA and stored at -20°C for one week.

LAMP primers design
The specific iron transport protein gene was used to design primer and classify L. monocytogenes by division using the PCR method [7]. The specific region of feoB was designed as multiplex PCR primers to detect L. monocytogenes and sequenced to confirm and show the identification of bacterial genes were identified 100% of DNA sequence which PCR primers were highly specific with target gene [24]. The 216-bp-specific region of feoB was used in this study. To ensure assay specificity, five LAMP primer sets were designed for the target gene (feoB). All feoB sequences were aligned with CLUSTALW (https://www.genome.jp/tools-bin/clustalw), and the conserved regions were used for analysis across Listeria spp. This study designed LAMP primers using PrimerExpoler V5 (http://primerexplorer.jp/ lampv5e/index.html) and confirmed the specificity of target feoB primer sets of Listeria innocua, Listeria ivanovii, Listeria welshimeri, and other pathogenic bacteria were detected. The specific LAMP primers, including F3 and B3 (outer primers), forward internal primer (FIP) and backward internal primer (BIP) (inner primers), and all primers were synthesized by Ward Medic IDT (Thailand), as shown in Figure- 2 µL of DNA template and added up sterile deionized water to 25 µL. The LAMP reactions were modified to the methods described in the previous report [25]. The optimum temperature was determined using the LAMP condition by various temperatures at 55°C, 56°C, 57°C, 58°C, 59°C, 60°C, 61°C, 62°C, 63°C, 64°C, and 65°C for 60 min and stop the reaction by heating at 90°C for 5 min. The LAMP products were analyzed by 2% AGE. Under the identified optimal temperature, the optimization time was evaluated for 10, 20, 30, 40, 50, and 60 min, and stopped the reaction. Each LAMP product was assessed using 2% AGE. Two microliters of sterile water were used as the negative control (NC).

Specificity tests of the LAMP assays in pure culture
The specificity of the LAMP assays was determined under the optimized conditions based on the feoB gene were tested using the 22 bacterial isolates (Table-1), including L. monocytogenes and non-L. monocytogenes. Each microbial DNA template was amplified with LAMP using LMfeoB primers, and products from amplification were analyzed with 2% AGE. The specificity detection results were compared with conventional culture and PCR assay systems.

PCR primers and condition
The two outer primers (F3 and B3) of each LAMP primer set were used to amplify the feoB genes by PCR. The PCR reaction consisted of 2.5 µM of each outer primer, 2.5-mM dNTPs, 4-mM MgCl 2 , 0.3 U of Taq DNA polymerase, and 2-µL DNA templates, which added up dH 2 O to 20 µL. The five steps of PCR cycling were as follows: 5 min for the initial denaturation step at 95°C, followed by 35 cycles of  b a amplification step, including denaturation at 95°C for 30 s. After the denaturation step, the temperature was reduced to 62°C for 30 s (annealing). In the last step (extension), the optimal temperature of 72°C was used for 30 s and 5 min at 72°C at the end of the reaction. Two microliters of each PCR product were examined using 2% AGE, while 2 µL of sterile dH 2 O was included as the NC.

DNA probe design and LAMP primers combined with hybridization
The probe of DNA was designed using regions in the middle of the FIP and BIP primers for detection by LAMP-LFD. The FIP primer was 5′-labeled with DIG and the probe of DNA was 5′ end-labeled with biotin (Petty patent submission numbers 2003002812). The CLUSTALW program (https:// www.genome.jp/tools-bin/clustalw) was used to align the feoB nucleotide sequences in the L. monocytogenes strain CFSAN023463 (GenBank Accession No: CP012021.1) with the DNA probe.
The primer sets used for LAMP amplification coupled with LFD, FIP was modified using DIG labeling at the 5' end of the oligonucleotide sequence. Ward Medic IDT (Thailand) synthesized and labeled all primers and DNA probes protected by petty patent submission numbers 2003002812.

LAMP-LFD assay conditions
LAMP combined with hybridization reactions were operated in a 25-µL volume containing 0.8-µM DIG-labeled FIP primer, 0.8-µM BIP primer, 0.4-µM F3 primer, 0.4-µM B3 primer, 1.6-µM of biotin-labeled DNA probe, 0.8 M betaine, 1.4 mM of each dNTPs, 4-mM MgSO 4 , 8 U of the Bst DNA polymerase, 1× of the Bst buffer, and DNA template 2 µL by boiling method. The mixture of reaction was incubated at 60°C for 60 min. After incubation and stopping the reaction, 8 µL of each hybridized LAMP product was transferred to 100 µL of the assay buffer (Serve Science, Thailand). Finally, a commercial LFD strip (Serve Science) was dipped into the reaction mixture. The result was visualized as a cherry-pink color signal at the control and test lines after 1 min. The control and test lines appeared on the LAMP-LFD showing a positive result. However, the sample producing a single line at the control showed a negative result (Figure-2). If no line appeared at the control line, the test strip could be considered invalid.

Detection limits of the LAMP-LFD, LAMP, and PCR assays in pure culture
The limit of detection (LOD) for the LAMP-LFD, LAMP-AGE, LAMP-SYBR Green I, and PCR assays were evaluated using tenfold serial dilutions of a 12-h culture of L. monocytogenes in TSB enrichment solution. To count the colonies number of bacteria in 100 µL aliquots of each tenfold dilution using spread technique in duplicate on palcam agar and colonies number, these plates were counted after incubation for 24 h at 37°C. For DNA extraction, 100 µL of each tenfold dilution 10 8 colony-forming unit (CFU)/mL to 10 0 CFU/mL was used to prepare the DNA template using the boiling method, as described above in bacterial culture and DNA extraction methods. Then, 2 µL of the prepared DNA template was added to the LAMP reaction, and the results of LAMP-LFD, LAMP-AGE, and LAMP-SYBR Green I were compared with the detection limits of conventional culture and PCR assay systems.

Detection limits of the LAMP-LFD and LAMP assays in purified DNA
The detection limits of the LAMP-LFD and LAMP-AGE assays were determined using purified DNA from a 12-h pure culture of L. monocytogenes in a TSB enrichment solution. After overnight growth, the purified genomic DNA was extracted from L. monocytogenes using a DNeasy kit (QIAGEN). The concentration of the extracted DNA was determined at A260/280 using a spectrophotometer (Nanodrop800, Thermo Scientific) and diluted using 10-fold serial dilutions before adding two microliters of the prepared DNA to the LAMP-LFD and LAMP-AGE reactions.

Detection limits of the LAMP-LFD, LAMP, and PCR assays for artificial contamination in frozen products with and without pre-enrichment
The pure culture of L. monocytogenes was grown in tryptic soy broth, as previously described in detection limits of the LAMP-LFD, LAMP, and PCR assays in pure culture method, and 1 mL of the L. monocytogenes suspension was diluted with peptone salt solution to yield cell concentrations ranging from 10 1 CFU/ mL to 10 8 CFU/mL. Then, 1 mL of diluted L. monocytogenes suspension was added to 225 mL half Fraser broth in a stomacher bag for artificial contamination in 25 g chicken meat samples. The chicken meat samples were prepared without adding L. monocytogenes as the NC. The inoculated chicken meat samples were homogenized in a stomacher for 90 s. The prepared samples were used without pre-enrichment samples determined by LAMP-LFD, LAMP, PCR assays, and conventional methods. The suspension of prepared samples was incubated at 37°C for 12 h and used with pre-enrichment samples determined by LAMP-LFD, LAMP, PCR assays, and conventional methods.

Detection of L. monocytogenes in frozen product samples
Twenty frozen product samples, including pork, chicken, beef, and fish, were collected from a supermarket in Kanchanaburi Province, Thailand. Five samples of each type of frozen meat were collected. Then, 25 g of each frozen food sample were added to 225 mL half Fraser broth in a stomacher bag. The inoculated samples were homogenized in a stomacher for 90 s and the suspension was incubated at 37°C for 12 h. The boiling method was used to extract DNA from 1 mL of supernatant samples, and each 2 µL of extracted DNA sample was used as a template of DNA for the LAMP-LFD, the LAMP, and PCR assays. All  [26][27][28].

Optimization of LAMP reaction conditions
Five LAMP primer sets were evaluated for L. monocytogenes feoB gene fragment detection. The optimum LAMP temperature for amplification of the LMfeoB1, LMfeoB2, LMfeoB3, LMfeoB4, and LMfeoB5 primer sets was determined. The results with equal LAMP reaction master mix concentrations were used and assessed based on 2% AGE. The optimum temperature for the LMfeoB4 primer set was 60°C and 61°C (Figure-1a), whereas no amplification occurred at any optimum temperature for the LMfeoB1, LMfeoB2, LMfeoB3, and LMfeoB5 primer sets. Therefore, the result indicates that the LAMP assay using the LMfeoB4 primer set was effective for L. monocytogenes detection based on feoB gene within 60°C and 61°C. Based on the result, LAMP amplicons showed the clearest pattern at 60°C, and thus 60°C was considered the optimal temperature for LAMP assay.
The optimum reaction time for LAMP amplification of the LMfeoB4 primer sets was 60 min. Figure-1b depicts the results when equal LAMP reactions at 60°C were used and assessed based on 2% AGE. NC followed no amplification. The results indicated that the LAMP assay using LMfeoB4 primer set for the detection of L. monocytogenes prosperously amplified the feoB genes, and the LAMP products optimized temperatures and time was at 60°C for 60 min.  Figure-2b for L. monocytogenes detection using LMfeoB4 primer sets was that target feoB genes. The results of the LMfeoB4 primer set do not cross-amplify target genes in non-L. monocytogenes strains. These results indicate that the LAMP-SYBR Green I and LAMP-AGE assays based on LMfeoB4 primer sets of feoB genes are considerably efficient and highly specific for the detection of L. monocytogenes.

Detection limits in purified DNA
The concentration of L. monocytogenes pure culture at 4.3×10 8 CFU/mL was extracted and purified. The LOD for the LAMP-LFD (Figure-4a) and the LAMP-AGE assays (Figure-4b) using pure DNA based on the feoB gene was 219 fg for both assays (Figure-4). Using ten-fold serial dilutions for pure DNA and grown cells, this study discovered that serial dilution is the most crucial element in determining the detection thresholds for regulatory guidance and the number of standard procedures. The detection limit obtained by utilizing genomic DNA as a DNA template shows that the results are more sensitive than pure grown cells.
This result suggests that the developed LFD can provide better sensitivity than the LAMP assay and PCR method. The results showed that the LAMP test was more sensitive than the PCR assay, with and without pre-enrichment of approximately 1000 and 100 times, respectively. The LOD for L. monocytogenes in the pure state was greater than the LOD of L. monocytogenes in artificially inoculated frozen chicken samples. In addition, the pre-enrichment sample increased the detection limit of the LAMP test, indicating that the rich component in samples that might impact sensitivity was reduced.

Discussion
In this study, the selection of feoB gene was used to detect L. monocytogenes because of the key role of home transport and maintenance of intracellular iron homeostasis in the pathogenesis of L. monocytogenes [29]. A previous study by Monica and Douglas [7] identified a serotype of L. monocytogenes by PCR assay. Three primers were designed from the L. monocytogenes genome variable regions and used in combination with the previously described division III primer set to classify 122 strains of L. monocytogenes into five serotype groups and L. monocytogenes division I, which can interact with only one division of the iron transport protein gene primer. L. monocytogenes division I has also been discovered to be the division causing the most severe food poisoning.
Available at www.veterinaryworld.org/Vol.15/March-2022/7.pdf A study by Awassada [24] compared multiplex PCR to the PCR and conventional culture for detection of pathogenic bacteria in goat milk and bovine milk and detection of L. monocytogenes, Staphylococcus aureus ATCC25923, Bacillus cereus, and Escherichia coli ATCC35218. The primer for the detection of L. monocytogenes was designed from the feoB gene sequence. Recent studies concerning virulence-associated genes, such as Imo0460, prs, PrfA, hly, hlyA, iap, flaA, actA, inlA, plcA, plcB, IgY, and inlB, and those involving the pathogenesis of the Listeriosis process have been published [30][31][32]. The previous studies reported the rapid detection of L. monocytogenes foodborne pathogen based on plcB and listeriolysin O (hly) gene using the LAMP-LFD [25] and LAMP-turbidity assays [33], as shown in Table-2 [7,8,16,17,19,20,[21][22][23][24][33][34][35]. The LAMP primers set and DNA probes for L. monocytogenes detection were designed based on the iap gene using the duplex LFD technique for detecting L. monocytogenes in meat products based on LAMP assay [36]. Herein, five primer sets (LMfeoB1-LMfeoB5) were designed from a specific region of the feoB gene on the nucleotide sequence of L. monocytogenes strain CFSAN023463 (GenBank accession no ID: CP012021.1). Optimization of LAMP reaction conditions was modified to the previous report by Sirirat et al. [25]. Optimization of the LAMP assay was performed on the FeoB gene based on the use of four kinds of primers (two inners and two outers) that recognize six distinct regions of a target gene in the presence of Bst DNA polymerase, which is an enzyme that can divide double-stranded DNA into single strands without utilizing high temperatures.
It can enhance the quantity of target DNA at a single temperature. It is a stable enzyme that functions well at temperatures ranging from 60°C to 65°C. Furthermore, 10× polymerase buffer is a buffer of Bst DNA polymerase enzyme used to optimize reaction conditions. It is resistant to diverse contaminants, dNTPs function as subunits in the synthesis of new DNA strands and as substrates in polymerization processes to join the DNA strands until a new strand of DNA is obtained by adding dNTPs to the 3'-OH side. Betaine can speed up the production of DNA polymerase (polymerase activity). It also aids in the disintegration of the double helix structure, stabilizing the linear DNA to make DNA amplification more convenient. This raises the likelihood of raising particular DNA volumes while decreasing base stacking difficulties. Reaction parameters were also optimized by single factor optimization experiment to determine the optimal reaction system of 25 µL as follows: 0.8-µM each LAMP inner primers, 0.4-µM each LAMP outer primers, 1.4-mM dNTPs (Thermo Fisher Scientific Inc.), 0.8 M Betaine, 4-mM MgSO 4 , 1× of Bst polymerase buffer (Biolab Inc.), 8 U of Bst DNA polymerase, 2 µL of DNA template and added up sterile deionized water to 25 µL. The current study showed the LMfeoB4 LAMP reaction food. The most popular gene amplification technique is PCR [7,8], which has amplified the feoB gene of L. monocytogenes at an optimized temperature of 60°C for 50 min, which was an optimizing time similar to previous study [25]. The optimized time of 50 min for the LAMP reaction was similar to Sirirat et al. [25]. These studies observed that the plcB and hly genes of L. monocytogenes used  Conynebacter glutamicum 461, Pichia membranaefaciens 5108, Rhodotorula mucilaginosa 5861, Serratia marcescens, and Proteus mirabilis. Following the same procedure as the previous study [25], genomic DNA from each of the 35 bacterial isolates was purified and used for LAMP-LFD by amplifying the plcB gene, revealing that the method was could identify L. monocytogenes without false positives or cross-reaction with another Listeria spp. and non-Listeria spp, such as Campylobacter spp., Salmonella ssp., E. coli ATCC 25922, Shigella spp., B. cereus, Pseudomonas aeruginosa ATCC27853, S. aureus ATCC25923, M. luteus, Serratia marcescens, Citrobacter diversus, Klebsiella oxytoca, and Enterobacter aerogenes.
The result of the LOD of the LAMP and LAMP-LFD assay using purified genomic DNA was 219 fg/µL for both the LAMP and LAMP-LFD assays. The LOD of the LAMP and LAMP-LFD assay in pure culture was 4.3×10 2 CFU/mL and 43 CFU/mL, respectively. Further, the LOD of LAMP-LFD assay using artificially inoculated chicken in frozen food samples with pre-enrichment was 3.2×10 2 CFU/mL, and without pre-enrichment was 3.2×10 6 CFU/mL. These studies revealed that the LOD of L. monocytogenes in the pure state was greater than the LOD of L. monocytogenes in artificial inoculated frozen chicken samples, which could be due to the fat inhibitors found in food samples. The increase in LAMP-LFD sensitivity could be because LAMP-negative samples generated positive results with the LAMP-LFD method. The sensitivity of LAMP-LFD one order of magnitude higher than that of LAMP when testing pure culture medium might be because the DNA probe is designed based on the nucleotide sequence of the target gene in a reaction, LFD is more specific than the LAMP approach. In the previous studies, Bauer et al. [37] and Demmel et al. [38] used the labeling agent in the PCR method to improve its sensitivity. According to other studies, the detection limit of LAMP-LFD was close to our study, with a reported detection limit of 2.82×10 0 CFU/mL for the detection of L. monocytogenes based on the plcB gene [25,33] and the detection limit of DNA extraction was 4.3×10 2 CFU/mL. Sudarat et al. [36] reported that the detection limit of the PCR assay was ten-fold lower than the LAMP assays. The detection limit of the LAMP-AGE and LAMP-LFD assays using purified genomic DNA and pure culture was 800 fg based on the iap gene and 900 fg based on prs gene, with a pure culture of 20 CFU/mL [34]. These results indicated that the detection limit using purified genomic DNA has higher sensitivity than pure cultured. The enrichment step is very helpful for detecting L. monocytogenes in frozen food products because it multiplies viable cells, reduces interference from powdered substances through dilution, and eliminates the issue of false-positive results. Dead cells can cause false-positive results, which become negligible after enrichment [39]. The result of evaluating artificial contamination with and without pre-enrichment of L. monocytogenes in frozen chicken products indicates that LAMP-LFD, LAMP-SYBR Green I, and PCR demonstrate 100% accuracy compared to conventional methods and PCR. The LAMP primer LMfeoB4 detected L. monocytogenes in 20 frozen food products and showed positive results in all four PC samples, yielding the same detection as the conventional method, while the PCR detected L. monocytogenes contamination in 20 samples with negative results. The LAMP-LFD was shown to be more sensitive than LAMP-AGE, LAMP-SYBR Green I, and PCR assay (Table-3). Eventually, LAMP-LFD revealed no false positives in any of the 20 samples of frozen food products. The LAMP-LFD demonstrated higher accuracy than conventional culture methods, LAMP-SYBR Green I, and PCR assay. The LAMP-LFD test was created to detect DIG-labeled LAMP products hybridized to a biotin-labeled specific DNA probe. Then, a gold-labeled anti-biotin antibody detected the biotin-labeled specific DNA probe. This triple-labeled complex was ultimately avidin-trapped at a test line, resulting in a cherry-pink band (positive result). Non-LAMP products, on the other hand, hybridized with the biotin-labeled specific probe and bound the gold-labeled anti-biotin antibody but did not bind avidin due to a lack of biotin; thus, this complex passed through to the test line but was detained at the control line. By comparison, LAMP-LFD has two advantages over LAMP-AGE. First, it saves time and prevents the use of carcinogens, such as ethidium bromide in AGE. The LAMP products can easily be detected by dipping the strips into assay buffer, reducing the total time to <40 min. In addition, the specificity and sensitivity of the LAMP assay increased by hybridization with a specific probe for LAMP amplicons.
Furthermore, the combination of LAMP and LFD was faster than the traditional methods of PCR, which requires 2-3 h for thermal cycling [40]. The LAMP-LFD was proven to be significantly specific, sensitive, convenient, fast, and accurate. The conventional method for detecting L. monocytogenes is a labor-intensive procedure that takes about 4-5 days and requires numerous subculture phases, complex biochemical and serological tests. It is time-consuming but has excellent accuracy for L. monocytogenes live cells according to the ISO 11290-1 (2017) standard method [26] for foods that support the growth of L. monocytogenes, the previous limit of not detected in 25 g for foods PCR and real-time monitoring. In most cases, PCR takes 1-2 h and requires the use of a thermocycler to generate target DNA; about 20 times less DNA is produced [41].

Conclusion
This study developed LAMP-LFD as a rapid screening test for detecting L. monocytogenes using a specific region of the feoB gene; the LAMP-LFD was highly sensitive, specific, and accurate. Consequently, the technique would be a valuable tool for the rapid screening and monitoring of L. monocytogenes contamination in frozen food products. There are limitations to this test kit, 12 h enrichment is required. If the DNA content is 219 fg/µL then a positive result will be shown and low sensitivity can easily result in contamination and consequently in false-positive. Table-3 : Comparison of sensitivity, specificity, accuracy, coefficient of variation, and process time of LAMP-LFD for detection of L. monocytogenes in frozen food products (pork, chicken, beef, and fish meat) against standard culture, PCR, and LAMP-SYBR Green I assays.

Diagnosis methods
Positive results of L. monocytogenes