Phase II year
2010
(last award dollars: 2011)
Recent events such as the spread of swine flu and potential future detrimental mutations of influenza viruses point to an urgent need for a point-of-care influenza typing system; particularly because over 90% of hospitals and smaller clinical labs in the U.S. cannot perform DNA-based diagnostic analysis. To enable a quick response to a potential influenza outbreak, it is desirable to have a fast, accurate diagnostic method capable of simultaneously typing and subtyping influenza viruses. Innovative solutions are needed in sample preparation, DNA/RNA extraction, microfluidics, DNA amplification methods as well as instrument miniaturization to make bacterial and/or viral point-of-care molecular diagnostics a reality. This project leverages a feasibility of on-chip, real time rolling circle amplification of DNA on an electronic microarray platform demonstrated in Phase I with our efforts in miniaturization of DNA detection and development of platforms for integration with the sample preparation. The following innovative solutions form the basis of the proposed technology:(i) novel real-time fluorescence detection of (branched) rolling circle amplification of DNA on the electronic microarray platform; (ii) a disposable cartridge that incorporates a unique fluidics enabling magnetic bead DNA/RNA extraction, reverse transcription, DNA amplification and microarray detection; (iii) low cost, screen printed carbon electrodes-based microarray for electric field-assisted acceleration of DNA hybridization. The Phase II project specific aims will demonstrate the feasibility of the technology that will consist of: (1) Optimization of real-time rolling circle amplification (RCA) conditions on the carbon-based electronic microarray; (2) Development and optimization of influenza virus genotyping assay based on hemagglutinin (HA) and neuraminidase (N) typing; (3) Development of sample preparation chemistry for influenza typing assay and incorporation onto a disposable cartridge using magnetic bead based separation of RNA/DNA, reverse transcription and RCA amplification; (4) MDx system development and adaptation to influenza assay; and, (5) Validation of the influenza assay using spiked and clinical (archived) samples.
Public Health Relevance: The recent spread of the H1N1 swine-origin influenza virus and potential detrimental mutations of influenza viruses point to an urgent need to develop point-of-care systems that will be capable of typing influenza viruses. Molecular diagnostics methods providing accurate typing of a virus will ensure a quick and appropriate response and enable improved management of patients and limit transmission of viruses. Standard techniques for viral typing are mostly based on PCR or real-time RT-PCR methods that are complex and require several hours to perform the analysis. This project brings a new real-time method for detection of DNA based on an extremely rapid rolling circle amplification of DNA/RNA targets on the electronic microarray platform. In the proposed project, the instrument and the assay will be fully developed and provide a low-cost, portable solution to diagnose influenza and/or other infectious diseases.
Thesaurus Terms: Acceleration; Acylneuraminyl Hydrolase; Animals; Archives; Assay; Bioassay; Biologic Assays; Biological Assay; C Element; Carbon; Caring; Chemistry; Clinical; Communicable Diseases; Complex; Computer Systems Development; Dna; Dna Amplification; Dna Analysis; Deoxyribonucleic Acid; Detection; Development; Development, Computer Systems; Diagnosis; Diagnostic; Diagnostic Method; Diagnostic Procedure; Diagnostic Technique; Diarrhea; Electrodes; Electronics; Elements; Ensure; Event; Family Suidae; Fluorescence; Future; Gene Products, Rna; Genes; Genetic Alteration; Genetic Change; Genetic Defect; Genotype; Grippe; H1n1 Virus; Hosp; Heating; Hemagglutinin; Hospitals; Hour; Human; Human, General; Infectious Disease Pathway; Infectious Diseases; Infectious Diseases And Manifestations; Infectious Disorder; Influenza; Influenza A Virus, H1n1 Subtype; Influenza B Virus; Influenza Virus; Influenza Viruses Type B; Magnetism; Man (Taxonomy); Man, Modern; Marketing; Methods; Methods And Techniques; Methods, Other; Microfluidic; Microfluidics; Miniaturisations; Miniaturization; Miniaturizations; Molecular; Molecular Diagnostic Methods; Molecular Diagnostic Technics; Molecular Diagnostic Techniques; Molecular Diagnostic Testing; Mutation; N-Acylneuraminate Glycohydrolases; Neuraminidase; Nucleic Acids; Oligosaccharide Sialidase; Operation; Operative Procedures; Operative Surgical Procedures; Orthomyxoviruses Type B; Outcome; Patients; Phase; Pigs; Point-Of-Care Systems; Preparation; Printing; Rna; Rna, Non-Polyadenylated; Rt-Pcr; Rtpcr; Reproducibility; Reverse Transcriptase Polymerase Chain Reaction; Reverse Transcription; Ribonucleic Acid; Sampling; Science Of Chemistry; Sensitivity And Specificity; Sialidase; Solutions; Suidae; Surgical; Surgical Interventions; Surgical Procedure; Swine; Syringes; System; System, Loinc Axis 4; Systems Development; Techniques; Technology; Time; Transmission; Validation; Viral; Viral Genes; Viral Meningitis; Virus; Viruses, General; Base; Commercialization; Cost; Electric Field; Exo Alpha Sialidase; Flu Infection; Flu Outbreak; Genome Mutation; Improved; Influenza Infection; Influenza Outbreak; Influenzavirus; Influenzavirus (Unspecified); Innovate; Innovation; Innovative; Instrument; Instrument Miniaturization; Magnetic; Magnetic Beads; Novel; Pandemic Flu; Pandemic Influenza; Point Of Care; Porcine; Public Health Relevance; Rapid Method; Rapid Technique; Respiratory; Response; Reverse Transcriptase Pcr; Suid; Surgery; Swine Flu; Transmission Process