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Group 4_LAMP Assay

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    MOLECULAR BIOTECHNOLOGY

    LECTURER: DR. TRAN NGOC DUC

    GROUP 4

    1. TONG NGUYEN NHAT ANH

    2. TRAN THAI MY DUYEN

    3. TRINH HAI MY4. NGUYEN NGOC THIEN HUONG

    5. TRUONG LE PHUC NHI

    6. NGUYEN HAI QUAN

    7. NGUYEN HUU THOI

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    OUTLINE

    I INTRODUCTION

    II MATERIALS AND METHODS

    III RESULT

    IV

    VALIDATION

    V CONCLUSION

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    Bacterial meningitis?

    Meningitis: an infection of the

    membranes (meninges) surrounding the

    brain and spinal cord

    Caused by a bacterial, fungal or viralinfection.

    I. Introduction

    Bacterial meningitis: caused by one or several types of

    bacteria(Haemophilus influenzae type b, Neisseria meningitidis, and Streptococcus

    pneumoniae)

    The infection can cause the tissues around the brain to swell ->

    interferes with blood flow -> result in paralysis or even stroke.

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    Conventional diagnosis of bacterial meningitis

    Method Advantages LimitationGram staining Quick Low sensitivity

    Culturing Takes few days

    PCR High sensitivity

    & specificity

    Expensive instrument

    Experienced technicianFew-hour performance

    Loop-mediated isothermal amplification (LAMP) assay

    Accurate

    Rapid

    Cost-effective method

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    Aim

    Design and develop LAMP assay capable of detecting multiple

    bacterial species based on the nucleotide sequences of the 16S

    rRNA genes of the bacteria

    (Staphylococcus aureus , Streptococcus pneumoniae, S. suis andS. agalactiae )

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    II. Materials and methods

    1. LAMP assay

    LAMP = loop-mediated isothermal amplification( Isothermal amplification process using a strand displacement reaction)

    Characterized by the use of 4 different primersspecificallydesigned to recognize 6 distinct regions of the target gene

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    Stages in Loop-mediated Isothermal Amplification

    Production of starting material

    Cycling amplification with elongation

    Recycling

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    2. Materials

    Bacterial strains

    Serotypes 3 and 10 of S. pneumoniae isolated from upper

    respiratory tract in Vietnamese patients

    Strains 8-01 and 8-02 of S. suis serotype 2E. coli, S. aureusand S. agalactiae also isolated from Vietnamese

    patients

    H. Influenzae, N. meningitidis isolated from Japanese patients

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    Samples preparation

    Grow bacteriaon agar

    Harvested &suspended innormal saline

    Collect cells

    Suspend cells inTE buffer

    Dilute with TEbuffer

    Boiling (20 min)

    Centrifuge

    (10,000 rpm, 10min)

    Get supernatant

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    3. Methods

    Design of LAMP assay primers

    The broad range LAMP primers were designed to be specific

    for bacterial 16S rRNA-specific gene

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    LAMP primer sequences for simultaneous detection of

    S. pneumoniae , S. agalactiae , S. aureus andS. suis

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    Optimization of LAMP reaction

    Loopamp DNA amplification kitPrimers FIP, BIP 40 pmol (1 uL)/each

    F3, B3 5 pmol (1 uL/each)

    Loop F, loop B 20 pmol (1 uL/each)

    Extracted DNA 2 uL

    Positive control a confirmed positive sample

    Negative control a reaction mixture withdistilled water instead of

    DNA template

    Total amount 25 uL

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    LAMP reaction was performed at

    several different temperatures ranging

    from 55 to 68 C in 90 min using LA-

    320C Loopamp real-time turbidimeter.

    The best condition for LAMPprocedure was at 63 C and in 60 min.

    Therefore, all of mixtures were

    incubated at 63 C for 90 min,

    followed by heating at 80 C for 5 minto inactivate the reaction.

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    After amplification:

    2 uL of the LAMP product was further separated by 2%

    agarose gel electrophoresis.

    The remained LAMP product: added 1 uL of SYBR Green I

    A change from orange to fluorescent green col-our: positive

    To distinguish bacterial species: digested 2 uL of the LAMP

    product with 10 U of DdeI or HaeIII at 37C for 90 min.

    The digested LAMP product was analysed by 2% agarose gel

    electrophoresis

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    III. Result

    Visual detection of the LAMP products

    Visual inspection of S.pneumoniaeby fluorescence

    Under ultraviolet lamp Under day light

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    Identification of bacterial species

    HaeIII digestion patternsDdeI digestion patterns

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    IV. Validation

    Sensitivity of LAMP assay

    Serially dilute 10 - fold of target bacteria(from 10*7 to 10*0 CFU mL*-1)

    Detection of S. pneumoniae Sensitivities of LAMP and conventional PCRassays

    The sensitivity of LAMP assay was 100 1000 times higher

    compared with the conventional PCR assay

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    Specificity of LAMP assay

    A mixture of DNA template extracted from:

    4 species for detection Other bacteria

    - Staphylococcus aureus

    - Streptococcus pneumoniaeserotypes 3 & 10

    - Streptococcus suis serotypes 2-

    8-01 & 2-8-02

    - Streptococcus agalactiae

    - Haemophilus influenzae

    - Escherichia coli- Neisseria meningitidis

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    Specificity of broad range LAMP assay

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    V. Conclusion

    Four common pathogen of BM including S. pneumoniae,

    S. suis, S. agalactiae andS. aureus could be detected using

    LAMP assay

    Advantages Limitation

    - Rapid (< 1h)

    - Simple

    - NOT require highly experienced

    technician- Can be performed in a water

    bath at bedside or in rural areas

    Only four species could be

    detected

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    THANK YOU FOR KIND

    ATTENTION!


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