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ANTIBIOTIC RESISTANCE & BACTERIAL TRANSFORMATION IDENTIFICATION OF AN UNKNOWN ANTIBIOTIC-RESISTANCE GENE INSTRUCTOR MANUAL Robin Ulep, Rebecca Sanchez Pitre, Stephanie Messina, Rebecca Fisher, & Jawed Alam
Transcript
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ANTIBIOTIC RESISTANCE & BACTERIAL

TRANSFORMATION

IDENTIFICATION OF AN UNKNOWN ANTIBIOTIC-RESISTANCE GENE

INSTRUCTOR MANUAL

Robin Ulep, Rebecca Sanchez Pitre, Stephanie Messina,

Rebecca Fisher, & Jawed Alam

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ABOUT BEST SCIENCE!

Acknowledgements: The Antibiotic Resistance & Bacterial Transformation curriculum module including

laboratory kits and other support material are products of the BEST Science! program, a collaborative

project between the Academics Division of Ochsner Clinic Foundation

and the Genetics Department of Louisiana State University Health

Sciences Center – New Orleans. This program is supported by a

Science Education Partnership Award (# R25OD010515) under the

auspices of the Office of the Director of the National Institutes of

Health. The content of this manual and associated products are solely

the responsibility of the BEST Science! program personnel and do not

necessarily represent the official views of the NIH. The development

of this laboratory module was significantly aided by the knowledge

and concepts created by other individuals and those contributions are

acknowledged in the bibliography.

For more information about BEST Science! and the services and resources provided by the program, please

visit the program website www.academics.ochsner.org/bestscience or contact

Allison Sharai [email protected]

504-842-4712

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TABLE OF CONTENTS

ABOUT BEST SCIENCE! ___________________________________________________________ 2

TABLE OF CONTENTS ____________________________________________________________ 3

Antibiotics – A Brief Introduction __________________________________________________ 4

ANTIBIOTIC RESISTANCE – A BRIEF INTRODUCTION ___________________________________ 5

BACTERIAL TRANSFORMATION – A BRIEF INTRODUCTION ______________________________ 8

BIBLIOGRAPHY ________________________________________________________________ 11

IDENTIFICATION OF AN UNKNOWN ANTIBIOTIC-RESITANCE GENE COMPLETE PROTOCOL ____ 12

EXPERIMENT OVERVIEW _____________________________________________________________ 12

PRE-LAB STUDENT PREPARATION ______________________________________________________ 13

PRE-LAB TEACHER PREPARATION ______________________________________________________ 15

MATERIALS ________________________________________________________________________ 15

GENERAL PRECAUTIONS ______________________________________________________________ 16

STEP-BY-STEP PROCEDURE ____________________________________________________________ 17

Prepare for the Experiment ___________________________________________________________________ 17

Add Antibiotics to Agar Plates _________________________________________________________________ 18

Prepare Competent Bacteria __________________________________________________________________ 20

Mix Competent Bacteria with DNA _____________________________________________________________ 21

Heat Shock & Recover ________________________________________________________________________ 21

Plate Bacterial Cells __________________________________________________________________________ 22

Results & Analysis ___________________________________________________________________________ 23

DISCUSSION __________________________________________________________________ 25

APPENDIX ____________________________________________________________________ 26

A.1 TRANSFORMATION LAB – SHORT PROTOCOL __________________________________________ 26

Prepare for the Experiment ___________________________________________________________________ 26

Add Antibiotics to the Agar Plates ______________________________________________________________ 26

Prepare Competent Bacteria __________________________________________________________________ 26

Mix Competent Bacteria with DNA _____________________________________________________________ 27

Heat Shock the DNA/Cell Mixture ______________________________________________________________ 27

Plate the Bacterial Cells ______________________________________________________________________ 27

Results & Analysis ___________________________________________________________________________ 28

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ANTIBIOTICS – A BRIEF INTRODUCTION

Antibiotics are drugs that are used to treat bacterial infections in humans and animals. They can be broadly classified

into two types: bactericidal, which kill bacteria, and bacteriostatic, which stop bacteria from replicating. There are a

wide range of antibiotics available to healthcare providers, and each antibiotic has a different way in which it

interferes with bacteria to kill them or stop their growth. Figure 1 below shows some common bacterial structures or

processes that are often targeted by antibiotics.

Figure 1: Common antibiotic mechanisms of action

Within the groups of antibiotics that have a common mechanism of action, there are additional variations in the

manner in which that action is accomplished. For example, in this lab we will use Ampicillin (a Penicillin derivative),

Kanamycin (an Aminoglycoside) and Chloramphenicol antibiotics. Kanamycin and Chloramphenicol both inhibit the

construction of new proteins, termed protein synthesis. Kanamycin interacts with the ribosome, inhibiting correct

reading of the genetic code and the transfer of amino acids from the ribosomes, so that proteins cannot be

constructed. Chloramphenicol prevents the formation of the peptide bonds that are necessary to link amino acids to

make proteins. Both of these result in a stoppage in protein construction through two completely different methods.

Over time strains of bacteria have emerged that are resistant to antibiotics. Antibiotic resistance genes are the focus

of this lab and will be discussed more thoroughly in the following sections. It is important to note that a single

resistance gene only confers resistance to one antibiotic. This is due to the unique target that each antibiotic has. For

example, a Kanamycin resistant gene can make a protein that modifies the Kanamycin structure so that it can no

longer interact with the ribosome to prevent protein synthesis. This resistance protein would not be able to affect

Chloramphenicol because it would not be able to block it from interfering with peptide bond formation. So even

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though both Kanamycin and Chloramphenicol inhibit protein synthesis, the Kanamycin resistance gene allows the

bacteria to continue replicating only in the presence of Kanamycin, not Chloramphenicol.

ANTIBIOTIC RESISTANCE – A BRIEF INTRODUCTION

Development of Antibiotic Resistance: Antibiotics are the main therapeutic tools used in medicine to treat

a variety of bacterial infectious diseases from pneumonia and tuberculosis to syphilis and gonorrhea. Since

the introduction of penicillin in 1943 during World War II, an increasing number of antibiotics have been

developed with the inevitable proliferation of antibiotic-resistant bacteria. Antibiotic resistance occurs

when an antibiotic can no longer effectively control or stop bacterial growth; the bacteria become

resistant and continue to multiply despite the use of the antibiotic. Survival of the fittest naturally occurs

and selection is directed towards resistant strains of bacteria (Figure 1)1.

Mechanisms by Which Bacteria Acquire Resistance: Bacteria generally develop antibiotic resistance as a

result of genetic changes - either through mutation of their own DNA or through appropriation of

antibiotic resistance genes (ARGs) from other bacteria2. For instance, an antibiotic may kill bacterial cells

by binding to and inhibiting a protein essential for cell growth. A spontaneous mutation within the gene

encoding this protein may result in a mutant protein that still has cell growth activity but is no longer able

to bind to the antibiotic, thus rendering the cell insensitive to the antimicrobial.

ARGs typically encode either enzymes that chemically degrade or inactivate the antibiotic or proteins that

form “efflux pumps” or channels that actively export antimicrobials and other compounds out of the cell,

thus preventing accumulation of chemicals toxic to the cell. Inter-bacterial transfer of ARGs occurs in

nature typically through one of three processes: transformation, transduction, or conjugation (Figure 2).

During transformation, bacteria take up naked, “foreign” DNA from their environment (often DNA

released after death of other cells) and incorporate it into their own chromosome. Transduction is a

Figure 1. Development of Antibiotic Resistance

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process in which DNA is exchanged between two bacteria with the assistance of bacterial viruses or

bacteriophages. During viral infection, bacteriophages can acquire pieces of donor cell DNA and can then

transfer that DNA to recipient cells upon further infection. Conjugation involves the transfer of ARGs via a

bridge, called a pilus, which connects two bacteria2.

Consequences of Antibiotic

Resistance: Antibiotic resistance is a

global health issue. With increasing

numbers of bacteria resistant to

antibiotics, it is becoming significantly

more difficult and more expensive to

treat and control infections. A current

example is drug-resistant tuberculosis

(TB). In the developing world,

inadequate access to medical care and

proper treatment regimens,

availability of counterfeit drugs, and

the common practice of self-

medication have substantially

exacerbated the problem of drug

resistance. Strains of multi-drug

resistant tuberculosis (MDR-TB) and

extensively drug-resistant tuberculosis

(XDR-TB) have developed as bacteria

have become resistant to multiple

antibiotics (Figure 3)3. MDR-TB occurs

when bacteria become resistant to at

least two first-line TB antibiotics. XDR-

TB is resistance to the first-line

antibiotics and at least one of the second-line antibiotics, which makes this type of TB even more difficult

to treat. A patient who develops drug-resistant TB can then transmit the drug-resistant form to other

individuals perpetuating the cycle.

Improper use of antibiotics and the concomitant proliferation of antibiotic-resistant bacteria are not only a

concern in the developing world, but also a priority in industrialized countries. In the United States alone,

an estimated 2,049,442 illnesses and 23,000 deaths resulted from infection by antibiotic-resistant bacteria

in 20131. In many affluent nations, infections acquired in settings such as hospitals and nursing homes are

a major source of illness and death. Methicillin-resistant Staphylococcus aureus (MRSA) is the most

common cause of hospital-acquired infection. In a 2009 study, the CDC estimated that the costs of treating

healthcare-associated infections like MRSA ranged from $28.4 to $45 billion dollars annually4. Antibiotic

resistance has led not only to increased healthcare costs but also to increased treatment complications,

Figure 2. Mechanisms of Horizontal Genetic Transfer

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extended hospital stays, additional doctor visits, and a need for expensive second-line antibiotics to

replace first-line drugs that may no longer be effective.

The misuse and overuse of antimicrobials have resulted in the emergence and spread (Figure 4)1 of strains

of bacteria that no longer respond to antimicrobial therapy. Examples of misuse are prescribing antibiotics

for a viral infection, incorrect choice of medicine, incorrect dosing, and failure to finish the complete

course of antibiotics. It is essential that both industrialized and developing nations focus on preventive

measures such as improving sanitation, encouraging hand hygiene, and minimizing improper prescription

of antibiotics for use in humans, farm animals, and agriculture.

Figure 3. Percentage of New TB Cases with MDR-TB

Figure 4. Spread of Antibiotic Resistance

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BACTERIAL TRANSFORMATION – A BRIEF INTRODUCTION

Natural Transformation: As noted above, transformation is the process by which bacteria take up naked,

“foreign” DNA. This ability - coupled with replication of the foreign DNA, either independently or after

integration into the bacterial chromosome - can potentially provide a selective advantage to the

transformed bacteria if the DNA confers a desirable trait such as antibiotic resistance or the ability to

defend against viral infections. More generally, the ability to acquire exogenous DNA by transformation or

other mechanisms enhances genomic plasticity and bacterial diversity.

Artificial Transformation: Scientists have capitalized on the ability of bacteria to take up DNA to artificially

introduce defined DNA molecules with specific characteristics and at high efficiency. Artificial bacterial

transformation was a foundational technology of genetic engineering that led to the birth of the

biotechnology industry in the early 1970s. Today, scientists use bacterial transformation for multiple

research and commercial purposes. For instance, transformation is used in the biotech industry to produce

numerous therapeutic drugs such as insulin (which is used to treat type-1 diabetes) and human growth

hormone (which is used to treat children with growth failure due to insufficient endogenous growth

hormone or those with short stature as a result of Turner’s syndrome, a genetic disorder). Researchers use

transformation to make many copies of specific DNA sequences, also known as DNA cloning. This is

particularly important when specific DNAs, as may be the case with archeological specimens of extinct

organisms such as dinosaurs and Neanderthals, are available only in limiting quantities. In transformed

bacteria, DNA pieces from these sources can be preserved indefinitely and replicated as desired. The

polymerase chain reaction (PCR) now provides an alternative means for replicating specific DNA sequences

from low-abundance samples such as DNA recovered from crime scenes, but DNA cloning is still a common

and standard procedure in research laboratories. Among other applications, scientists also use

transformation when creating mutations in genes and making proteins for research applications.

Plasmids: In nature, antibiotic-resistance genes (ARGs) are frequently found on plasmids - small, circular

pieces of DNA that replicate independently of the bacterial chromosome. Through genetic engineering,

scientists have modified and optimized

plasmids for use in artificial transformation

as described above. Plasmids used in

transformation typically contain three key

genetic features (Figure 5) a Multiple

Cloning Site that consists of recognition

sequences for one or more specific

restriction enzymes and is the region where

“foreign” genetic material, such as the

human insulin gene, the human growth

hormone gene, or Neanderthal DNA, is

inserted during cloning; 2) a DNA segment

called the Origin of Replication which is

Figure 5. Structure of a Generic Plasmid

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necessary for the plasmid to replicate itself (multiply) within the bacterial cell; and 3) an Antibiotic

Resistance Gene which allows for selection of bacterial cells that have taken up the plasmid DNA during

transformation.

Transformation Procedure: The standard bacterial transformation procedure is illustrated below. It is

important that you understand the procedure before completing the lab.

For routine transformations, Escherichia coli is the most commonly used bacteria although other bacteria

can also be transformed. E. coli at the log phase of growth is used when the experiment requires maximal

transformation efficiency. Remember, bacteria normally reproduce by binary fission. The organism

duplicates its genetic material and then divides into two separate parts. During the log phase, E. coli is

dividing and bacterial number is increasing exponentially. If, however, transformation efficiency is not

critical as in the experiment described in this manual, non-log phase cells are also suitable for

transformation.

Cells are spread onto agar plates and grown in the presence of antibiotics.

Growth media is added to the cell mixture to help the cells recover from the high temperatue enviornment.

The mixture is subjected to a Heat Shock, which allows the foreign DNA to rush inside of the permeable cell membrane.

Competent bacterial cells are mixed with foreign DNA

Bacteria is combined with Calcium Choride, which we will refer to as the Transformation Reagent (Tx).

This creates competent cells, which have a permeable membrane.

Bacteria is grown and collected.

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STEP 2: Collect cells by scrapping a few colonies off of the plate

and adding to ice-cold calcium chloride.

The cell pellet is resuspended in an ice-cold solution of CaCl2 buffer. This step

makes the E. coli cells “competent” to take up plasmid DNA. How Ca++ ions

make the cells permeable to DNA is not completely understood, but they are

thought to facilitate adherence of DNA molecules to the bacterial cell surface

by one or more mechanisms. This includes 1) disruption or weakening of the

bacterial cell surface structure, 2) increasing cell membrane fluidity, or possibly

3) neutralization of the negatively-charged phospholipids of the cell

membrane and the negatively-charged DNA molecules that, under normal

conditions, would repel each other.

STEP 3: Mix cells with plasmid DNA containing antibiotic resistant gene (ARG).

STEP 1: Grow E. coli to log phase in growth media.

The plasmid DNA(s) to be transformed is mixed with the “competent” cells and the

mixture is incubated on ice for a short period of time. In general, only a small quantity

of plasmid DNA, nanogram amounts, is used in transformations.

STEP 4: Heat shock cells at 42°C.

“Heat shock” is thought to promote internalization of the DNA, possibly by creating pores in

the cell membrane and/or by creating a thermal imbalance across the membrane (higher

temperature outside the cell, lower inside). Because of the temperature differential, warm

water rushes into the cell through the pores, thereby generating the force necessary to

carry the plasmid DNA into the cell interior. After a QUICK heat shock, the cells are cooled

on ice and then brought to room temperature. Too much incubation time at 42°C can cause

cell death. If a 42°C incubator or water bath is not available or is inconvenient, heat shock

can be performed at 37°C as described in the protocol in this manual.

STEP 5: Add growth medium to cells.

Heat shock of E. coli cells at 42OC is equivalent to a high fever in humans (107.6OF).

Like humans, bacterial cells need time to recover from such an adverse condition. E.

coli cells will recover best at 37OC in the presence of nutrients (i.e., growth medium).

This is not unlike your mom giving you warm broth when you are sick. Growth of E.

coli for a period of time also allows the internalized plasmid to replicate and also

produce the antibiotic resistance protein required for survival in the next step.

Growth media acts like food for the bacteria. E.coli is a competent bacterium,

which means that it can take up extracellular DNA from its environment due to

induced membrane permeability.

STEP 6: Spread cells on antibiotic/agar plates.

After the bacterial cells have been allowed to recover, they are spread on an agar plate containing nutrients and an

appropriate antibiotic. Only cells that have taken up the plasmid DNA and synthesized the antibiotic resistance protein

will survive in the presence of the antibiotic. Each transformed cell will continue to divide and, after 20-48 hours of

growth on the agar plate, will be represented by an individual colony. Only a very small fraction of the initial bacterial

cells take up the plasmid DNA and become transformed. For most experiments, this is not an issue. Indeed, some

experiments are considered a success even if only a single colony (or transformant) is obtained on the agar plate.

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BIBLIOGRAPHY

1. Centers for Disease control and Prevention (2013, September 16) Antibiotic/Antimicrobial Resistance.

Retrieved July 30, 2015, from http://www.cdc.gov/drugresistance/about.html

2. Food and Drug Administration, Center for Veterinary Medicine (2015, April 20) Antimicrobial Resistance:

Animation Narration. Retrieved July 30, 2015, from

http://www.fda.gov/AnimalVeterinary/SafetyHealth/AntimicrobialResistance/ucm134455.htm

3. World Health Organization (2014, October 22) Global Tuberculosis Report 2014. Retrieved July 30, 2015,

from http://gamapserver.who.int/mapLibrary/Files/Maps/Global_TB_MDRcases.png

4. Centers for Disease control and Prevention (Scott II, RD, 2009) The Direct Medical Costs of Healthcare-

associated Infections in U.S. Hospitals and the Benefits of Prevention. Retrieved July 30, 2015, from

http://www.cdc.gov/HAI/pdfs/hai/Scott_CostPaper.pdf

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IDENTIFICATION OF AN UNKNOWN ANTIBIOTIC-RESITANCE GENE

COMPLETE PROTOCOL This section provides detailed instructions for carrying out bacterial transformation with plasmid DNA and

testing for acquired antibiotic resistance. Select individual steps also include helpful hints.

EXPERIMENT OVERVIEW

Patient John Doe comes in with a painful cough, high fever, chest pain when breathing, and shortness of

breath. The doctor has determined that the patient has a bacterial infection. To determine the bacteria

causing the infection, the doctor collected a sample of mucus from the back of the patient’s throat using a

sterile cotton-tipped applicator. The throat swab was sent out to the microbiology lab for culture and

analysis. In order to make the best antibiotic selection to treat the infection it is important to know the

type of bacteria causing the infection and if it is resistant to any antibiotics.

The bacterial culture did not grow very well in the lab, so plasmid DNA (bacterial DNA) was collected from

the sample instead. Here, you are provided with the unknown plasmid DNA (referred to as pDNAx) that

may or may not harbor one or more antibiotic resistant genes (ARGs). By transforming pDNAx into E. coli

and testing growth in the presence of several different antibiotics, you should be able to identify the

specific ARG(s) residing on pDNAx. With this knowledge, the patient-care team will know what antibiotic is

best used in treatment of the patient.

Clinical Observation: The patient-care team must determine to which antibiotic the infecting

bacteria is susceptible in order to efficiently treat the patient.

Scientific Question: Which antibiotic resistance gene(s) does the unknown DNA harbor?

Date: August 1, 2017 Patient Name: John Doe Patient # : 1926472

First M Last

Gender: Male Birthday: January 11, 1982 Age: 35

Symptoms: Cough

Yellowish-green mucus Fatigue Shortness of breath Slight fever and chills Chest discomfort

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PRE-LAB STUDENT PREPARATION

Bacteria are typically cultured in circular Petri Dishes in the presence of Growth Media, which acts as the

bacteria food source. Several levels of bacterial growth may be observed on your plates as shown below.

When cell growth is too dense to visualize individual colonies, the growth is often referred to as a “lawn”

of bacteria.

Draw your prediction for bacterial growth in each scenario:

SENARIO 1. Bacteria containing AMPICILLIN-RESISTANT PLASMID DNA grown in the presence of

KANAMYCIN

SENARIO 2. Bacteria containing no ARG (Antibiotic resistant gene) grown in the presence of

KANAMYCIN

SENARIO 3. Bacteria containing AMPICILLIN-RESISTANT PLASMID DNA grown in the presence of 10 X

(100 mg/ml) AMPICILIN

SENARIO 4. Bacteria containing AMPICILLIN-RESISTANT PLASMID DNA grown in the presence of 1 X (10

mg/ml) AMPICILIN

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Discussion questions:

1. Describe and determine the effect of factors in the transformation protocol that can change

transformation efficiency (the number of bacteria that take up the plasmid).

2. In this protocol, you will add antibiotic to the plates by using glass beads to spread the drug

over the surface of the plate. Knowing this, how would you interpret bacterial growth along the

plate rim in Scenario 2?

Using your discussions in the previous questions, create a simple model (flowchart, pictogram,

algorithm, etc) to help in your results analysis.

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PRE-LAB TEACHER PREPARATION

To prepare for the Transformation Lab with students, carry out the following steps 30-60 minutes before

the start of the lab:

□Step 1 Determine the number and constitution of the lab groups. This protocol is designed for 4

students per group but, depending on the number of students in the class, one group may be smaller or

larger in size.

□Step 2 If you requested the 37OC incubator with the kit, set up and plug in the incubator.

Otherwise make sure your school incubator is set to 37OC.

□Step 3 Fill the water bath (not provided) with water such that the waterline is slightly above the

top of the legs of the float rack. If the water bath is to be prepared with a beaker of water and a hot

plate, use a beaker size that will accommodate the circular, plastic float rack. If you have more than one

hot plate, set up additional baths. Turn on the water bath, and set or adjust the temperature to 37OC.

While the heat shock is most effective at 42OC, in this protocol heat shock is performed at 37OC, which is

consistent with the growth media incubation temperature. If available, you can set up a second water

bath to 42OC for the heat shock step. Do not incubate the growth media at 42 OC. □Step 4 Insert the orange Growth Medium (GM) tubes into a float rack (one tubes per group) and

place it in the 37OC incubator. If you are using a large water bath that can accommodate all the float

racks, then it is better to put the Growth Medium into a water bath. The medium will achieve and

maintain a temperature of 37OC much better in a water bath than in a dry incubator.

□Step 5 Fill plastic container(s) with ice and place them at the individual workstations. Remove the

tubes of DNA samples, antibiotic solutions, and transformation reagent from either the refrigerator or

freezer and place the appropriate number of tubes (see Table II) in the ice bucket.

□Step 6 Place the remaining supplies at each workstation and shared station as listed in Table I.

MATERIALS

All materials required for the experiment are listed in Table I.

TABLE I: EQUIPMENT, SUPPLIES AND REAGENTS

Provided in Kit

SHARED WORKSTATION

1 biohazard bag 1 tube of ethanol for used glass beads

1 plate of competent bacteria 1 box of Kim-wipe tissues

1 bag of sterile loops 1 waste container

1 bag each of small, medium & large gloves 1 microcentrifuge

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1 orange tubes of Growth Media (GM) per group (0.5 ml each)

2 float racks (for incubation of GM tubes)

1 incubator (if requested)

EACH STUDENT GROUP WORKSTATION

4 agar plates 1 microcentrifuge tube rack

1 lab marker/Sharpie 1 waste container

4 tubes of glass beads 1 clear tube of Transformation Reagent, Tx (1 ml)

1 multi fixed-volume micropipette (50-250 µl ) 1 pink tubes of placebo (PBO) antibiotic (120 µl each)

1 bag of small pipet tips 1 blue tubes of ampicillin (AMP) antibiotic (120 µl each)

2 individually wrapped 1 ml transfer pipets 1 green tube of kanamycin (KAN) antibiotic (120 µl each)

1 bucket of ice 1 brown tube of chloramphenicol (CMP) antibiotic (120 µl each)

1 float rack 1 purple tube of pDNAx DNA (5 μl; 50 ng)

Not Provided in Kit

Water bath or equivalent with thermometer

Incubator (if not requested in kit)

GENERAL PRECAUTIONS

Please make sure to take the following precautions when carrying out this experiment:

The E. coli strain provided in this kit is classified as a Risk Group 1 (RG1) Biohazard agent:

Agents that are not associated with disease in healthy adult humans. Nevertheless, it is

important to follow universal laboratory precautions and standard microbiological practice

when conducting the experiment. Please discard all bacterial waste directly into the

Biohazard bag provided and transfer all other waste into the same bag at the end of the

experimnent.

Bacteria are all around us… on our hands, in the air, etc. To avoid contamination, please DO

NOT leave agar plates exposed to the air (i.e., uncovered) any longer than necessary when

carrying out a step.

The temperature at which specific steps are conducted, or solutions and suspensions are

incubated, is very critical for the success of the experiment. Where indicated, please follow

instructions regarding temperature without deviation.

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STEP-BY-STEP PROCEDURE

This procedure contains multiple steps. It is good scientific practice to check off each step as you complete

it. Also, where appropriate, please make sure to read the “Student Tips” before starting that step.

PREPARE FOR THE EXPERIMENT

□Step 1 Make sure each of the items listed in Table I above is present at either your group’s personal

workstation or at the shared workstation.

□Step 2 Pulse centrifuge all microcentrifuge tubes with liquid.

Microcentrifuges are expensive pieces of equipment. They should only be operated when the

tubes are inserted in a balanced configuration. Aside from full-load (6 tubes), there are three

other suitable configurations as shown below. For the 3-tube configuration, all three tubes

must have the same or similar (± 10% difference) volumes. For the 2-, 4-, and 6-tube

configurations, only the tubes across from each other need to have the same or similar

volume.

Make sure the tubes are balanced when centrifuging. Balance the antibiotics against each other, since they contain similar volumes.

□Step 3 Put the tubes of Growth Media (GM) at 37°C. Place the microcentrifuge tubes with DNA,

Antibiotics and Transfection Reagent (Tx) on ice:

pink tubes (labeled PBO) - antibiotic placebo

blue tubes (labeled AMP) - antibiotic ampicillin

green tube (labeled KAN) - antibiotic kanamycin

brown tube (labeled CMP) - antibiotic chloramphenicol

purple tube (labeled pDNAx) DNA

clear tube (labeled Tx) - bacterial transformation reagent;

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It is important that the antibiotic solutions (PBO, AMP, KAN, and CMP) always stay refrigerated or on ice as they will degrade over time at room temperature or higher. It is also important that the transformation reagent be cold at the time of the experiment. The temperature of the DNA is less critical.

ADD ANTIBIOTICS TO AGAR PLATES

□Step 4 Put on gloves. □Step 5 The experimental overview is depicted in Table II. Plate A will act as a control.

TABLE II: EXPERIMENT DESIGN

Plate ID Antibiotic DNA

A Placebo (PBO) - water pDNAx

B Ampicillin (AMP) pDNAx

C Kanamycin (KAN) pDNAx

D Chloramphenicol (CMP) pDNAx

□Step 6 Now, turn the agar plates upside down so that the dish with the agar is facing up. Using a lab

marker, label the agar plates with letters A, B, C, or D, your group identifier and date. Turn the plates right-

side up and label the lid with the same letter as on the bottom dish.

The top lid of an agar plate can be easily misplaced on the wrong dish. That is why scientists always label the bottom of the agar plate.

□Step 7 Unscrew the cap from one tube containing sterile glass beads. Remove the lid from one agar

plate and gently pour out the glass beads onto the agar. Replace the cover on the agar plate. Repeat with

the remaining glass beads and remaining agar plates.

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When pouring out the glass beads, touch the open edge of the tube to the lip of the plate and tilt the tube gently to let the glass beads flow slowly onto the agar. If you decant the glass beads quickly from high above the agar, the beads will bounce off the agar. If any beads bounce off the agar onto the bench top, DO NOT put them back on the agar plate as they are no longer sterile.

In this protocol, we are using glass beads instead of a spreader because students tend to “gouge” the agar when using a spreader.

□Step 8 Retrieve the micropipette, adjust the volume to 100 µl, and attach a clean pipet tip. Open

the pink tubes and pipet up 100 µl of the PBO solution. Dispense the PBO drop by drop over different

areas of agar plate A. Place the cover back on the plate.

□Step 9 Change the tip on the micropipette. Add 100 μl of ampicillin (AMP), kanamycin (KAN), and

chloramphenicol (CMP) antibiotics to the appropriate plates (see Table II).

□Step 10 Stack the 4 plates on top of each other. Then lift the stack with both hands and shake the

plates sideways (NOT VERTICALLY!!!) for 10 seconds. Rotate the stack 90 degrees clockwise between your

hands and shake for 10 more seconds. Repeat turning and shaking until you have completed a 360 degree

turn.

The purpose of this step is to spread, with the help of the glass beads, the liquid solution over the entire agar surface. Don’t shake the

plates so hard that the beads are flying off the agar.

□Step 11 Place the plate stack, still

containing the beads, right-side up on the

bench-top.

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PREPARE COMPETENT BACTERIA

□Step 12 Carry your ice bucket to the shared station.

□Step 13 Remove a single sterile loop from the bag by grabbing the end opposite of the loop.

Gliding the edge of the loop gently on the surface of the agar, “pick up” (scrape) 10-15 colonies from the

plate (or a 1 cm patch of bacteria if individual colonies are not available).

Be careful not to scrape off any agar from the plate. If necessary, your teacher can assist you with this step. Best results are obtained if there is a visible amount of bacteria on the loop.

□Step 14 Open the clear tube containing the Transformation Reagent (Tx). Insert the loop

containing the bacteria as far into the tube as possible. Spin the loop rapidly with your index finger and

thumb until the bacterial “glob” detaches from the loop. Discard the loop into the waste container.

You may have to tap the loop against the sides of the tube to dislodge all the cells.

Note: each student group will prepare only one tube of competent cells but it will be used for all 4 plates.

□Step 15 Unwrap one of the sterile, 1 ml

transfer pipets and remove the pipet by the bulb.

Firmly attach a small pipet tip to the end of the

transfer pipet. Pipet the bacterial suspension up and

down repeatedly until the cells are completely

resuspended. Place the tube back in ice. Discard the

transfer pipet.

Hold the tube up to the light to check the cell suspension. The suspension should be cloudy but no clumps (arrows) should be visible. Best results are obtained when cells are completely resuspended and no clumps remain.

Attaching the small pipet tip with the smaller opening, in comparison to the transfer pipet alone, helps break the bacterial “glob” into smaller pieces which

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aids in resuspension.

MIX COMPETENT BACTERIA WITH DNA

□Step 16 Attach a new tip to the micropipette and pipet up 100 µl of the cell suspension from the

clear Tx tube. Uncap the purple pDNAx tube and add the cell suspension. Close the purple tube.

□Step 17 Flick the bottom of the purple tube with a finger several times to mix the cells and DNA.

Tap the tubes to the bench-top to force all droplets to the bottom of the tube. Insert the tubes completely

into the holes of the float rack in ice.

□Step 18 Incubate the float rack/purple tube on ice for 15 minutes.

For best results, the DNA/cell mixture should be completely immersed in ice.

HEAT SHOCK & RECOVER

□Step 19 Following the 15 minute incubation on ice, immediately place the float rack into the 37OC

water-bath for exactly two minutes.

It is critical that the cells receive a sharp and distinct heat shock. Make sure the tubes are pushed all the way down in the rack so the bottom of the tubes with the cell suspension makes contact with the warm water.

□Step 20 After the “heat shock,” immediately place the float rack back on ice for an additional 2

minutes.

For best transformation results, the change from 0°C to 37°C then back to 0°C must be as rapid as possible. If available, you can use a 42°C for the heat shock (see STEP 3 in teacher pre-lab preparation for more guidance).

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□Step 21 After 2 minutes on ice, move the float rack to the bench. Remove the tubes from the float

rack, place them on a microcentrifuge rack, and uncap.

□Step 22 Collect one orange Growth Media (GM) tube from the water bath or incubator.

□Step 23 Using a transfer pipet, transfer all of the Growth Media (GM) from the orange tube into

the purple pDNAx tube.

□Step 24 Close the purple tube. While holding each tube between your thumb and index finger, mix

the solutions by turning upside down 5 times. Insert the tube into the float rack, and place the float rack

in the 37°C water bath or incubator for 20 minutes.

If available, incubation in a water bath is the better option.

PLATE BACTERIAL CELLS

□Step 25 After 20 minutes of incubation, transfer the tube to a microcentrifuge tube rack on your

bench.

□Step 26 Attach a new tip to the micropipette. Mix the purple pDNAx tube by several gentle

inversions, uncap and transfer 100 μL of the cell suspension to each of the 4 plates (A to D).

□Step 27 Stack the plates on top of each other and spread the cells by agitation as before in Step 9.

If there is enough time in the class, leave the plate stack on the bench for 5 minutes to let the liquid

absorb into the agar. If there is insufficient time, proceed to the next step immediately.

Skip the 5 minute incubation if the class is running late.

□Step 28 To discard the glass beads, invert the stack so that the glass beads fall onto the lids. One

plate at a time, pour off the glass beads into the 50 ml tube containing ethanol (EtOH). Place the lid back

on the plate and stack the plates.

□Step 29 Place the plate stack upside down (agar dish up) in the 37oC incubator.

□Step 30 Discard your gloves and accumulated waste into the biohazard bag. Wipe down the

bench-top with disinfectant, if available. Wash your hands.

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□Step 31 Write down your predictions regarding bacterial growth for each plate in Table II, under

Step 5.

RESULTS & ANALYSIS

□Step 32 Cell growth will be evident in 20-24 hours. Carefully remove the plate stack from the

incubator and transfer to your bench top.

There may be significant condensation on the lid. DO NOT TURN THE PLATE RIGHT SIDE UP just yet.

If your class does not meet the day after cell plating, don’t let the cells grow

more than 36 hours in the incubator. Remove the plates, clean the condensation as described in the next step, and store the plates at 4OC until the next class.

□Step 33 While keeping the plates upside down, carefully separate the stack into individual plates.

Working with one plate at a time, wipe off any condensation in the inside of the lid with Kim-Wipe tissues,

then invert the plates right-side up.

□Step 34 Describe your observations in Table III. Take photographs of your plates if desired.

Several types of bacterial growth you may observe on your plates are shown below. When cell growth is too dense to visualize individual colonies, the growth is often referred to as a “lawn” of bacteria.

□Step 34 After documented, dispose of all plates in the biohazard bag.

□Step 35 If requested by your teacher, answer the questions below in Table IV.

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TABLE III: EXPERIMENTAL RESULTS Directions: Describe the type of bacterial growth observed on each plate. For plates with individual colonies, count the number of colonies. It is sometimes helpful to mark the colonies on the bottom of the plate with a permanent marker as you count. If there are a large number of colonies, divide the bottom of the plate into 4 quadrants or 8 pie slices using a straight edge and a permanent marker. Count one section and multiply the number of colonies by 4 or 8 to obtain an approximate value for total number of colonies. In the circles on the left side of the table below, manually draw what you see on the top of the corresponding agar plate. On the right side, record your observations. At minimum, they should include: relative bacterial growth, count of total bacterial colonies, and color and shape of the colonies.

Plates Observations

A: PBO + pDNAx

B: AMP + pDNAx

C: KAN + pDNAx

D: CMP + pDNAx

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DISCUSSION 1. Use the model you constructed earlier to determine the antibiotic resistance of the plasmid based on your growth data.

2. Compare your results with the rest of the class. Did any groups get different results from you? What could be the cause of the differences? 3. Based on the class data, what should the patient care team do next? 4. In a mixed population of bacteria, explain how bacteria without the antibiotic resistance gene could be protected by bacteria with the antibiotic resistance gene, without transfer of the gene. 5. Explain how globalization or increased travel and trade between countries could contribute to antibiotic resistance. 6. What can you do to prevent the spread of antibiotic resistant bacteria?

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APPENDIX

A.1 TRANSFORMATION LAB – SHORT PROTOCOL

The Short Protocol contains a simplified version of the step-by-step procedure for bacterial

transformation. Scientists who have prior experience with a procedure often follow an abbreviated version

as they are doing the actual experiment. Typically, in an abbreviated procedure, the number of steps is

condensed; although here we have maintained the same number of steps as in the Complete Protocol to

avoid confusion if a student needs to go back and forth between the two protocols. Procedural hints for

both the student and teacher have been deleted.

This procedure contains multiple steps. It is good scientific practice to check off each step completed.

PREPARE FOR THE EXPERIMENT

□Step 1 Make sure all items required for the experiment are present in the class lab (see Table II).

□Step 2 Pulse centrifuge all microcentrifuge tubes with liquid.

□Step 3 Place the microcentrifuge tubes with DNA, antibiotics and transfection reagent on ice. Put

the tubes of growth medium at 37OC.

ADD ANTIBIOTICS TO THE AGAR PLATES

□Step 4 Put on gloves.

□Step 5 Label the agar plates with your group identifier and date.

□Step 6 Add sterile, glass beads to all the agar plates □Step 7 Add 100 µl of placebo (PBO) to the appropriate plates (see Table II).

□Step 8 Add 100 μl of ampicillin (AMP), kanamycin (KAN), and chloramphenicol (CMP) antibiotics

to the appropriate plates (see Table II).

□Step 9 Stack plates and spread PBO and AMP over the entire agar surface by agitation of the glass

beads.

□Step 10 Place the plate stack on the bench.

PREPARE COMPETENT BACTERIA

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□Step 11 Carry your ice bucket to the shared station.

□Step 12 Using a sterile loop, “pick up” (scrape) 10-15 colonies from the plate (or a 1 cm patch of

bacteria if individual colonies are not available).

□Step 13 Put the loop into the tube with the Transformation Reagent (Tx) and dislodge the

bacterial “glob.”

□Step 14 Completely resuspend the bacterial cells using a sterile 1 ml transfer pipet with an

attached yellow pipet tip. Place the tube back in ice.

MIX COMPETENT BACTERIA WITH DNA

□Step 15 Add 100 µl of the cell suspension to the green pEMPTY tube.

□Step 16 Add 100 µl of the cell suspension to the green pEMPTY tube.

□Step 17 Mix the cell/DNA mixture in the green and yellow tubes by tapping the bottom of the

tubes and insert in the float rack on ice.

□Step 18 Incubate the float rack/tubes on ice for 15 minutes.

HEAT SHOCK THE DNA/CELL MIXTURE

□Step 19 Transfer the float rack into the 37OC water bath and leave for exactly two minutes.

□Step 20 After the “heat shock” transfer the float rack on ice for an additional 2 minutes.

□Step 21 After 2 minutes on ice, move the float rack to the bench. Remove the tubes from the float

rack, place them on a microcentrifuge rack and uncap.

□Step 22 Collect one orange Growth Medium (GM) tubes from the water bath or incubator.

□Step 23 Using a sterile transfer pipet, transfer all of the Growth Medium from one orange tube

into the purple pDNAx tube.

□Step 24 Mix the solutions in the purple tube by gentle inversions. Insert the tubes into the float

rack and place the float rack in the 37oC water bath or incubator for 20 minutes.

PLATE THE BACTERIAL CELLS

□Step 25 After 20 minutes of incubation, transfer the tubes to a microcentrifuge tube rack on your

bench.

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□Step 26 Mix the purple pDNAx tube by several gentle inversions, uncap and, using the

micropipette, transfer 100 μL of the cell suspension to each of the 4 plates (A to D).

□Step 27 Stack the plates on top of each other and spread the cells by agitation. Leave the plate

stack on the bench for 5 minutes. □Step 28 Discard the glass beads into the 50 ml tube containing ethanol (EtOH).

□Step 29 Place the plate stack upside down in the 37oC incubator.

□Step 30 Discard gloves and other trash. Clean up bench areas.

□Step 31 Write down your predictions regarding bacterial growth for each plate in Table II.

RESULTS & ANALYSIS

□Step 32 Cell growth will be evident in 20-24 hours. Keeping the plate stack upside down, transfer

from the incubator to your bench.

□Step 33 Wipe off any condensation in the inside of the lid with Kim-Wipe tissues and invert the

plate right-side up.

□Step 34 Describe your observations in Table III. Take photographs of your plates if desired.

□Step 35 Dispose of all plates in the biohazard bag.

□Step 36 If requested by your teacher, answer the questions in Table IV.

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