Team:Paris Bettencourt/Project/Detect
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- | Tuberculosis (TB) remains a major global health problem. While the treatment of this disease in countries with adequate medical care is fairly easy to detect and treat, it remains hard to treat and diagnose in poorer countries. <br> | + | Tuberculosis (TB) remains a major global health problem. While the treatment of this disease in countries with adequate medical care is fairly easy to detect and treat, it remains hard to treat and diagnose in poorer countries. <br> |
Up to now, a high quality lab that uses modern diagnostics is a prerequisite for early, rapid and accurate detection of TB. Therefore, diagnosis of TB and drug resistant TB remains a particular challenge for laboratory systems, especially in developing countries.
The lack of cheap, quick and accurate tests make it hard to control the Tuberculosis epidemic, which claims millions of lives every year in developing countries.
Setting up a cheap, fast and culture-based method could therefore decrease diagnostic time and facilitate patient treatment.<p> | Up to now, a high quality lab that uses modern diagnostics is a prerequisite for early, rapid and accurate detection of TB. Therefore, diagnosis of TB and drug resistant TB remains a particular challenge for laboratory systems, especially in developing countries.
The lack of cheap, quick and accurate tests make it hard to control the Tuberculosis epidemic, which claims millions of lives every year in developing countries.
Setting up a cheap, fast and culture-based method could therefore decrease diagnostic time and facilitate patient treatment.<p> | ||
The most common method for diagnosing TB nowadays is sputum smear microscopy, in which bacteria are observed in sputum samples of patients under the microscope. However, this cannot be used to identify paucibacillary (containing just a few bacteria) or extrapulmonary (outside of the lungs) TB.
Diagnosis methods using culture methods require laboratory infrastructure that is not widely available in countries with a high burden of TB and results are only available after a few weeks.
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The most common method for diagnosing TB nowadays is sputum smear microscopy, in which bacteria are observed in sputum samples of patients under the microscope. However, this cannot be used to identify paucibacillary (containing just a few bacteria) or extrapulmonary (outside of the lungs) TB.
Diagnosis methods using culture methods require laboratory infrastructure that is not widely available in countries with a high burden of TB and results are only available after a few weeks.
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<img src="https://static.igem.org/mediawiki/2013/d/d8/PB_phagesensor02.png" width="200"><br> | <img src="https://static.igem.org/mediawiki/2013/d/d8/PB_phagesensor02.png" width="200"><br> | ||
- | <b>Figure | + | <b>Figure 3. The CRISPR/Cas system generates a site-specific double strand break in the kanamycin resistance gene. This break activates the expression of the reporter and a color output can be seen.</b> |
</div> | </div> | ||
- | The helper plasmid encodes for everything of the phage but doesn’t contain the packaging sequence, while the phagemid plasmid only contains the packaging sequence but doesn’t code for anything else of the M13 phage. As M13 is a lysogenic phage, the phagemid particles are exported into the media, where they can be collected (Figure 4) and transferred to the target strain (Figure 5). The phagemid infects cells that are conjugating, as M13 needs a sex pili to attach to the cell and release the plasmid plasmid into the cell (Figure 6). Within the target strain, the Cas9 protein as well as the trRNA and crRNA are expressed (Figure 7). The crRNA and trRNA are further processed and form a hybrid that attaches to the Cas9 protein (Figure 8). The RNA hybrid guides the Cas9 to the target sequence (Kanamycin resistance gene) as it can be seen in Figure 9 and the Cas9 protein generates a target specific double strand break (Figure 10). | + | The helper plasmid encodes for everything of the phage but doesn’t contain the packaging sequence, while the phagemid plasmid only contains the packaging sequence but doesn’t code for anything else of the M13 phage. As M13 is a lysogenic phage, the phagemid particles are exported into the media, where they can be collected (Figure 4) and transferred to the target strain (Figure 5). |
+ | <img src="https://static.igem.org/mediawiki/2013/9/92/PB_phagesensor03.png" width="200"><br> | ||
+ | <b>Figure 4. TProducer strain containing a helper plasmid for M13 and the phagemid plasmid with the sensor elements.</b> | ||
+ | </div> | ||
+ | <p> | ||
+ | <img src="https://static.igem.org/mediawiki/2013/f/fa/PB_phagesensor04.png" width="200"><br> | ||
+ | <b>Figure 5. TProducer strain containing a helper plasmid for M13 and the phagemid plasmid with the sensor elements.</b> | ||
+ | </div> | ||
+ | <p> | ||
+ | The phagemid infects cells that are conjugating, as M13 needs a sex pili to attach to the cell and release the plasmid plasmid into the cell (Figure 6). Within the target strain, the Cas9 protein as well as the trRNA and crRNA are expressed (Figure 7). The crRNA and trRNA are further processed and form a hybrid that attaches to the Cas9 protein (Figure 8). The RNA hybrid guides the Cas9 to the target sequence (Kanamycin resistance gene) as it can be seen in Figure 9 and the Cas9 protein generates a target specific double strand break (Figure 10). | ||
This double strand break activates the SOS response promoter pRECA (Figure), which then starts the expression of β-galactosidase (Figure 11). In the presence of xgal, xgal is hydrolyzed by β-galactosidase, which gives a blue color output (Figure 11 and 12). | This double strand break activates the SOS response promoter pRECA (Figure), which then starts the expression of β-galactosidase (Figure 11). In the presence of xgal, xgal is hydrolyzed by β-galactosidase, which gives a blue color output (Figure 11 and 12). | ||
<br> | <br> |
Revision as of 18:44, 4 October 2013
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We developed a sensor to target antibiotic resistances in E.coli to test if a specific strain carries a certain antibiotic resistance gene. Our sensor system consists out of a phagemid with a CRISPR/Cas system and LacZ as a reporter under the control of a pRECA promoter (SOS response promoter).
If our CRISPR/Cas system can bind to the target (antibiotic resistance gene), the Cas9 generates at this specific target site a double strand break, which starts the expression of our reporter, as the promoter gets active at stress resulting from double strand breaks (Figure. 1). Having the system on a phagemid, the sensor system will spread all over a population, to get a clear color output if the target has been detected. Depending on target sequence the system carries, we can identify different antibiotic resistances in a strain. This is a novel approach of detecting genes in bacterial strains. We used E.coli and a M13 phagemid to target the kanamycin resistance gene.
Figure 1. The CRISPR/Cas system generates a site-specific double strand break in the kanamycin resistance gene. This break activates the expression of the reporter and a color output can be seen.
This sensor is a proof of concept for a similar system in mycobacterium tuberculosis. Such a system could potentially be used to test if a patient has TB and what type of resistance genes the specific strain contains to adapt the patient’s drug treatment.
Motivation and existing TB detection systems
Tuberculosis (TB) remains a major global health problem. While the treatment of this disease in countries with adequate medical care is fairly easy to detect and treat, it remains hard to treat and diagnose in poorer countries.
Up to now, a high quality lab that uses modern diagnostics is a prerequisite for early, rapid and accurate detection of TB. Therefore, diagnosis of TB and drug resistant TB remains a particular challenge for laboratory systems, especially in developing countries.
The lack of cheap, quick and accurate tests make it hard to control the Tuberculosis epidemic, which claims millions of lives every year in developing countries.
Setting up a cheap, fast and culture-based method could therefore decrease diagnostic time and facilitate patient treatment.
The most common method for diagnosing TB nowadays is sputum smear microscopy, in which bacteria are observed in sputum samples of patients under the microscope. However, this cannot be used to identify paucibacillary (containing just a few bacteria) or extrapulmonary (outside of the lungs) TB. Diagnosis methods using culture methods require laboratory infrastructure that is not widely available in countries with a high burden of TB and results are only available after a few weeks.
Other conventional methods used to diagnose multidrug-resistant TB (MDR-TB) also rely on the culturing of specimens followed by drug susceptibility testing (DST). Results take weeks to obtain and not all laboratories have the capacity to perform DST of first-line or of second-line drugs. MTB/RIF is a new rapid molecular test that can diagnose TB and rifampicin-resistant TB within hours. Molecular tests, such as GeneXpert, unlike culture-based methods, are fast, accurate and can detect drug-resistant strains. But the high costs and need for laboratories make access an issue for developing countries. The new method, published in the Journal of Applied Microbiology, uses a microcalorimeter to detect heat produced by Mycobacterium tuberculosis, the bacterium that causes TB, on a growth medium. The study showed that detection takes 4–5 days but more sensitive microcalorimeters could detect tuberculosis in 24 hours.
System Design
To use our system, we need two strains, a phagemid producing strain and the target strain. The producer strain contains a helper plasmid, which produces the capsid proteins for the phage and the phagemid plasmid with the sensor elements (Figure 2), which is packed up into the M13 capsids (Figure 3).
Figure 2. TProducer strain containing a helper plasmid for M13 and the phagemid plasmid with the sensor elements.
Figure 3. The CRISPR/Cas system generates a site-specific double strand break in the kanamycin resistance gene. This break activates the expression of the reporter and a color output can be seen.