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ANovelBiocompatibleMonolithicPolymerforUseinNucleicAcidExtraction,DNAPurificationandDNASequencing. MarkDobbs,IvanRueda,SuzyKwon,VictorShumandKeithAOberg MonolythixInc.CamarilloCA With increasing demand for molecular genetic testing comes an increased demand for non-invasive cell sampling technologies for nucleic acid extraction. We describe a novel hydrophilic polymer monolith that has been used to robustly extract nucleic acids from human buccal epithelial cells. The methods and material described here result in high efficiency extraction of good quality genomic DNA from single buccal swabs. With a normal cell count, the process extracts > 800ng of high molecular weight genomic DNA from a single swab. In addition, where higher concentrations of DNA are required, we describe a method for pooling and concentrating the DNA from multiple swabs using the monolith in a novel format. The monolithic polymer can also be used to purify PCR products for use in downstream reactions, and to purify sequencing reaction products. We present data from sequential processing of DNA from buccal cells to sequencing results where all purification steps are mediated by the monolith polymer. G H 7 8 9 10 11 12 23.7 NoCq 22.8 NoCq 22.5 NoCq 22.2 NoCq 23.4 NoCq 23.3 Std. NoCq 23.1 NoCq 23.1 NoCq 22.7 NoCq 22.6 NoCq 23.3 NoCq 23.5 23.1 NoCq 23.5 NoCq 22.9 NoCq 22.6 NoCq 23.2 NoCq 23.3 NoCq NoCq 23.2 NoCq 23.0 NoCq 22.6 NoCq 22.6 NoCq 22.5 NoCq 23.5 23.1 NoCq 23.4 NoCq 22.4 NoCq 22.6 NoCq 23.5 NoCq 23.2 NoCq NoCq 22.7 NoCq 23.0 Sequencing Products Std. 22.6 NoCq 22.3 NoCq 23.3 NoCq 23.4 2000 1.89 1.92 1767 1732 1.86 1628 2.00 1639 Elution1 1500 1.50 1.00 1000 0.50 500 93 0 0.00 P1 P6 P11 P16 PosCtrl PlateNumber NegCtrl n=20wellsperplate Buccal cell extraction performance Elution2 characteristics. Elution 1 has > 80% of DNA (> 1000 ng in 60 uL, >16 ng/uL). Second 60 uL elution adds about 20% more DNA. Buccal cell DNA Integrity. Elution 1 DNA has a strong HMW region with minimal smearing/degradation. Elution 2 has equivalent integrity, but is lower in concentration (not shown). 52.7ng/uL Concentration Method: 1. 2. 3. 4. 845 uL dilute buccal DNA (17.5 ng/uL) Add 210 uL 1M MOPS, pH 6.8 plus 1.0 mL of DDW Split into 4 parts, apply to 4 monoliths in P1000 tips Perform two sequential 30 uL elutions, pool second elutions ModelPointofCareDiagnosticDeviceinaP1000Tip WickintoTip Mix WholeBlood Dropof Blood into Isotonic Buffer Detector Wick up 1min StainedWhiteCellsTrappedatTip DetectionofCFTRgeneinWhiteCells: AmplificationatendofMonolithTip LightSource 1530 2.08 Successful amplification, PCR product purification, and Sanger product purification was achieved for 4 targets ranging in size from 180bp to 5100bp Trackingmovementofbloodcellsinmonolith Saliva Cells (~80% WBC) 1.93 • Purifyusing MLXPurifier (15-30min) • Sanger Sequencing Cap.GelRun • High Concentration Applications, e.g.NGS Stainwith MethyleneBlue andRinse BuccalKitDNAYield 23.0 NoCq 22.8 NoCq 22.4 NoCq 21.9 NoCq 23.1 NoCq 23.0 16 replicate Buccal Cell Extractions of 3 different samples in a checkerboard array. For 3 of 48 negative control wells, a quantitative standard DNA was used in the real time reaction (Std.) The negative controls all had no real time PCR amplification curve. Mean percent recoveries based on input cell counts were from 82% to 99%. • Purifyusing MLXPurifier (~15min) • Prepare Sequencing Reactions PCR Products 6 Std. F BuccalCells 5 B E • ExtractDNA usingMLXBCGEKit (~1hr) • AmplifyPCR Fragments (different lengths) 4 22.9 NoCq 22.9 NoCq 22.6 NoCq 22.7 NoCq 23.0 NoCq 22.9 NoCq D BuccalCellExtractionMonolithin96WellFormat. 3 A C 2 A260/A280 1 DNAYi eld(ng) RelativeSignalIntensity 0.3min LightSource 10-40min Detector Positive 620 PlusPolymeraseTestSample 2.0min DetectionofDNAEgeneafterwickingofWholeBlood spikedwithE.coli:AmplificationInsideMonolith 180 NoPolymeraseControl Transfer Tipto LAMP Mix,Heat Transfer Tipto Chase Solution HorizontalMonolithCone(Split) VerticalMonolithCone Negative SignalofPositivesamplewas stronginternally DetectionofDNAEgeneafterwickingofBacteria: LAMPReagentsDriedinMonolith LightSource Detector Positive HorizontalMonolithCone(Split) Negative SignalofPositivesamplewas stronginternally Model of a self-wicking point of care device. Raw sample can be loaded at left, filtered, extracted, and amplified in sequential processing zones. Detection would occur in restricted zone after all processing is done. The sink (right) ensures adequate and continuous fluid flow. DigestionofBSAusingimmobilizedProteinaseK.BSAsolution waswickedintoProteaseZone,heldfor15minutesandwicked intotheCollectionZonebeforeanalysisbyHPLC. IntegratedDeviceMilestones 1. ExtractionofpuregDNA frombuccalcells 2. Bound,(concentrated),andreleasedpurebuccalcellDNA 3. Separationofwhitebloodcellsandbacteriafromredbloodcellsbywicking 4. Insituisothermalamplificationoftargetspecificgenesinmonolith(LAMPon WBC,E.coli,Flu) 5. InsitudetectionofamplificationusingaDNAbindingdye 6. ImmobilizationofactiveproteinaseK(andlysozyme)inmonolith 7. PreservationofLAMPreagents,includingpolymerase,inmonolith