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Molecular Diagnostics and Genetics |
1 Harrington Department of Bioengineering, Arizona State University, Tempe, AZ.
2 Arcxis Biotechnologies, Pleasanton, CA.
3 United States Army Medical Research Institute of Infectious Diseases, Frederick, MD.
aAddress correspondence to this author at: Arizona State University, PO Box 879709, Tempe, AZ 85287-9709. Fax 480-727-7624; e-mail Michael.Caplan{at}asu.edu.
| Abstract |
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Methods: Tentacle ProbesTM, cooperative reagents with both a capture and a detection probe based on specific cell-targeting principles, were developed as a replacement for 2 chromosomal TaqMan–minor groove binder (MGB) assays previously developed for Yersinia pestis and Bacillus anthracis detection. We compared TaqMan-MGB probes to Tentacle Probes for SNP and deletion detection based on the presence or absence of a growth curve.
Results: With the TaqMan-MGB Y. pestis yp48 assays, false-positive results for Yersinia pseudotuberculosis occurred at every concentration tested, and with the TaqMan-MGB B. anthracis gyrA assays, false-positive results occurred in 21 of 29 boil preps of environmental samples of near neighbors. With Tentacle Probes no false-positive results occurred.
Conclusions: The high specificity exhibited by Tentacle Probes may eliminate melting curve analysis for SNP and deletion mutation detection, allowing the diagnostic use of previously difficult targets.
| Introduction |
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The Roche LightCycler 2.0 and its field-adapted counterpart, the Ruggedized Advanced Pathogen Identification Device, are 2 devices with potential for point-of-care and field applications because of their automated software calling of growth curves. These instruments are based on a series of technologies designed largely by Wittwer et al.(1)(2)(3). The primary features of these devices include fast-cycling PCR with hot-air thermal cycling of reagents in glass capillaries. The detector software on both devices has the advantage of being intuitive to users without technical backgrounds in real-time PCR analysis because it can identify the presence or absence of a signal for automated target identification.
Automatic calling can be problematic, however, when genetic sequences are very similar [i.e., differ by a single-nucleotide polymorphisms (SNP)1 or deletion]. Assays designed to detect these genetic differences often generate low-level signal in the near-neighbor genotype, and this signal is pronounced when high concentrations of near-neighbor template are present. Although the difference in wild-type and low-level near-neighbor signals is discernable when concentration and sample integrity are known, signals from samples of dubious origin in which PCR efficiency may be inhibited could be more difficult to resolve, and growth curves from samples with unknown integrity and concentrations cannot be called with any degree of confidence. In these cases, signal generated from a high concentration of the near neighbor could be interpreted as a low level of wild-type organism. Many select agents have near neighbors whose genomes differ only by SNPs or deletions(4)(5)(6). Any signal from such a near neighbor would contribute to false positives with the detector software of the LightCycler or Ruggedized Advanced Pathogen Identification Device.
Recently our laboratories have designed and tested assays for chromosomal genes (Bacillus anthracis gyrA GenBank accession no. AY281534 and AY291535 and Yersinia pestis yp48 GenBank accession nos. AL031866, NC_004088, NC_003143, NC_005810, and NC_006155) from 2 CDC Category A pathogens, Y. pestis (Bubonic plague) and B. anthracis (Anthrax) using Tentacle ProbesTM, which we recently showed increased specificity in SNP differentiation using a nonamplified fluorescence detection assay(7). In this study we applied Tentacle Probes to real-time PCR for the 1st time. These assays were selected because of ongoing difficulties with the selective detection of these genes in quantitative PCR using TaqMan–minor groove binder (MGB) probes(8). Y. pestis differs from its near neighbor Yersinia pseudotuberculosis by a 25-base deletion in the yp48 gene. Prior efforts to differentiate Y. pestis from Y. pseudotuberculosis with TaqMan-MGB probes demonstrated that post-PCR analysis was required(8). Although TaqMan-MGB probes have increased utility in differentiating genetic sequences differing by SNPs(9)(10), their ability to successfully differentiate such sequences under more routine conditions is not clear. In the course of the studies by Chase et al.(8), 10 probes were synthesized to attempt the differentiation of Y. pestis from Y. pseudotuberculosis under real-time PCR conditions, without success.
B. anthracis differs from its near neighbor Bacillus cereus by an SNP in the gyrA gene (GenBank accession nos. AY291534 and AY291535). Hurtle et al.(11) synthesized 6 probes in an attempt to find a B. anthracis probe that demonstrated good specificity from its near neighbor B. cereus for this SNP. In the process, the annealing/fluorescence monitoring temperature was increased to 67 °C to improve specificity, a procedure that departed from the standard protocol and prevented multiplexing of the assay. Hurtle et al.(11) did attain specificity for B. anthracis under laboratory conditions; however, in this study, we show that Hurtle et al.s assay does not perform nearly as well under more challenging experimental conditions, such as boil preps, that are commonly used to screen environmental samples.
Tentacle Probes act through cooperative binding with both a detection and a capture probe designed around the principles of specific cell targeting(12)(13)(14)(15)(16). These probes have been shown to have increased binding kinetics compared to standard stem-loop fluorescent DNA probes, to have concentration-independent melting curves, and to increase specificity without sacrificing sensitivity(7). These attributes allow the development of a binary style assay that generates a yes or no signal in the presence of wild-type or variant forms. In this study we compare the rate of false positives generated by TaqMan-MGB and Tentacle Probes in real-time PCR applications. We compared the previously developed and optimized TaqMan-MGB assay to single-iteration designs of Tentacle Probes for detecting the gyrA gene of B. anthracis and the yp48 gene of Y. pestis (GenBank accession nos. AL031866, NC_004088, NC_003143, NC_005810, and NC_006155). These targets are chromosomal genes from CDC Category A pathogens that differ from their near neighbors by an SNP and deletion, respectively. This class of probes should be generally applicable to clinical genetic testing in which detection of SNPs and deletions is required.
| experimental procedures |
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yp48 assay.
The real-time PCR conditions and probes developed by Chase et al.(8) for yp48 differentiation were used and directly compared with Tentacle Probes targeting the same amplicon. The reaction conditions were 15 µL of master mix (10.2 µL deionized water, 2 µL 10x reaction buffer in 50 mmol/L MgCl2, 2 µL of 10x dNTPs, 0.2 µL each of 50 µmol/L forward and reverse primers, 0.2 µL of 10 µmol/L probe, 0.2 µL of Taq polymerase) with 5 µL of template. TaqMan-MGB assay used Taq platinum polymerase with a 2-min denaturation at 95 °C, followed by 45 cycles of 95 °C for 0 seconds and 60 °C for 20 seconds. The Tentacle Probe assay used Taq TSP polymerase (exonuclease deficient) with a 2-min denaturation at 95 °C, followed by 45 cycles of 95 °C for 0 seconds, 60 °C for 10 seconds, and 70 °C for 10 seconds (mechanism in Fig. 1A
). Taq TSP polymerase, which is exonuclease deficient, was used for Tentacle Probes to allow fluorescence monitoring at temperatures other than the annealing temperature, such as during the extension step. TaqMan-MGB probes required degradation, so Taq platinum polymerase was used in reactions with TaqMan-MGB probes. Because TaqMan-MGB probes were degraded, fluorescence monitoring at temperatures other than the annealing temperature was not beneficial. Standard dilutions of template were used from 20 copies to 20 000 copies with 3 replicates each for subsequent rounds of PCR. Amplification products were run on a gel to verify successful PCR results.
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gyrA assay.
The real-time PCR probes developed by Hurtle et al.(11) for gyrA differentiation were used and directly compared with Tentacle Probes targeting the same amplicon under identical PCR conditions. Those conditions were 15 µL of master mix (10.2 µL deionized water, 2 µL of 10x reaction buffer in 50 mmol/L MgCl2, 2 µL of 10x dNTPs, 0.2 µL each of 50 µmol/L forward and reverse primers, 0.2 µL of 10 µmol/L probe, and 0.2 µL of Platinum Taq polymerase) with 5 µL of template. The temperature cycles included a 2-min denaturation at 95 °C, followed by 45 cycles of 95 °C for 0 seconds and 60 °C for 20 seconds. Standard dilutions of template were used from 20 copies to 20 000 copies with 3 replicates each.
Both assays were assessed for specificity with boil preps of 29 environmental liquid collected air samples known to contain near neighbors to B. anthracis. Boil preps were prepared from 2 to 3 isolated colonies taken from overnight cultures on streaked plates. Colonies were removed from the plate, suspended in 500 µL Dulbeccos PBS (8 g/L sodium chloride, 1.15 g/L sodium phosphate diabasic, 0.2 g/L potassium chloride, 0.2 g/L potassium phosphate monobasic), and centrifuged/washed twice. They were then suspended in 100 µL deionized water at 95 °C for 15 min. The samples were centrifuged at 15 000g for 10 min, and the supernatant was collected for PCR analysis. The average nucleic acid concentration of each boil prep was 500 mg/L, and 5 µL was used in each reaction. The reaction conditions for both Tentacle Probes and TaqMan-MGB were 15 µL of master mix (10.2 µL deionized water, 2 µL 10x reaction buffer in 50 mmol/L MgCl2, 2 µL of 10x dNTPs, 0.2 µL each of 50 µmol/L forward and reverse primers, 0.2 µL of 10 µmol/L probe, and 0.2 µL of Taq Platinum polymerase) with 5 µL of template undergoing a 2-min denaturation at 95 °C, followed by 45 cycles of 95 °C for 0 seconds and 60 °C for 20 seconds. A 2nd set of experiments was performed with an annealing temperature of 67 °C. One positive control containing 20 000 copies of the wild-type B. anthracis chromosome was run simultaneously with 29 boil preps from environmental samples known to contain near neighbors to B. anthracis. Amplification products were run on a gel to verify successful PCR results. Tentacle Probe reaction mechanism with exonuclease active polymerase is shown in Fig. 1B
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| Results |
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With both TaqMan-MGB and Tentacle Probes, the gyrA assay using 20–20 000 purified copies of both wild type and variant produced no false negatives or false positives (Fig. 2
, C and D). When boil preps of 29 environmental samples were used, however, TaqMan-MGB results included 21 false positives, whereas Tentacle Probes had no false positives for any of the samples (Fig. 3
). A gel was run for all the PCR products from the boil preps for both TaqMan-MGB and Tentacle Probes (Fig. 4
). The presence of amplification products in each indicated that the DNA was equally amplified in both experiments.
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When Hurtle et al.(11) failed to achieve specificity of reaction with a 60 °C annealing temperature even after 6 designs of TaqMan-MGB, they used the best probe design at an increased annealing temperature, 67 °C. Accordingly, we repeated the TaqMan-MGB gyrA experiment with 29 boil preps of environmental samples at this high annealing temperature and still obtained 7 false positives for the 29 samples (data not shown) compared to zero false positive results for Tentacle Probes at the more conventional 60 °C.
| Discussion |
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Y. pestis is an example of an organism for which few differences in the genome exist from its near neighbors(18). Although detection can be performed based on virulence plasmids(19)(20)(21), concerns regarding the development of genetically modified organisms and the implication that the plasmids alone are not responsible for the virulence of Y. pestis(5) require the addition of a chromosomal assay. The yp48 gene contains one of the greatest differences between Y. pestis and Y. pseudotuberculosis a 25-bp deletion in Y. pestis(22).
It might be thought that detecting a 25-bp deletion would be easy; however, detecting the 25 deleted bases in the near neighbor does not rule out the presence of Y. pestis. The differentiation of the 2 species in this region is difficult for 2 reasons (Fig. 5
). (a) The insertion is flexible, allowing the 2 flanking sequences matching the probe to form a perfect match to the probe. (b) Additionally, 7 bases flanking the 5' end of the insertion are repeated in the 3' end of the insertion, causing exact matches to shorter probes, an especially problematic feature for probes that depend on short lengths for increased specificity. TaqMan-MGB is an example of a probe that requires short lengths for improved differentiation, thus explaining why false positives were present even after 10 design iterations of TaqMan-MGB probes(8). Because Tentacle Probes use a strong hairpin for enhanced differentiation and do not require short probes, they are ideal candidates for specifically detecting Y. pestis.
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In spite of the progress Tentacle Probes achieve in differentiation without post-PCR analysis, there is still room for improvement. For example, the Y. pestis assay for Tentacle Probes required up to 7 additional cycles for detection (Fig. 2
). Because this experiment was performed with exonuclease-deficient polymerase and growth curves were monitored during the extension step, we believe the longer cycle detection times were attributable to decreased amplification efficiency due to high probe melting temperatures. This explanation for loss in cycle threshold was supported by repeats of the experiment with exonuclease-active polymerase, which resulted in similar cycle thresholds for both Tentacle Probes and TaqMan-MGB (data not shown). Further optimization of Tentacle Probes to avoid this limitation is possible, and it should be noted that the Tentacle Probes studied in this report were not optimized (1st-iteration design).
Anthrax detection can be performed by amplifying the virulence plasmids(23)(24)(25), but as with Y. pestis, there is concern over genetic modification of near neighbors and false negatives from B. anthracis without one or more of the plasmids. Moreover, B. cereus and Bacillus thuringiensis isolates have been found that harbor 1 or both B. anthracis plasmids with and without anthrax toxin genes(26)(27)(28)(29)(30)(31). Accordingly, a chromosomal assay may augment the ability to distinguish B. anthracis from other environmental Bacillus isolates, but unfortunately there are few specific chromosomal targets to differentiate B. anthracis from other Bacillus species. Until now, the gyrA sequence in B. anthracis has appeared to be unique; however, the single-base mutation present in near neighbors has proved difficult to reliably reject even after 6 TaqMan-MGB probe designs(11). Although TaqMan-MGB has been used with greater success in the gyrA assay at an annealing temperature of 67 °C, this temperature departs from our standard protocol, precluding the option of multiplexing this chromosomal assay with virulence plasmid genes, and still reported 7 false positives out of 29 samples. For this reason, we chose to contrast the TaqMan-MGB assay and the Tentacle Probe assay at 60 °C.
TaqMan-MGB has been used with success to differentiate SNPs in other organisms(9)(32) and to detect B. anthracis via gyrA in laboratory samples; however, when boil preps of these samples were used, TaqMan-MGB reliability diminished sharply. One possibility for this failure is that variants other than the 49 strains of B. cereus and B. thuringiensis (testing reported in the original publication) were encountered(11). Another explanation is that the large amount of starting material present in boil preps may cause nonspecific amplification to occur, an explanation we consider unlikely, because gel images of the PCR product show that the samples that caused the most false positives (circled in Fig. 4
) were predominately comprised of a single PCR product and were at approximately the same concentration as those that did not cause false positives.
Alternatively, TaqMan-MGB loss in specificity may be due to the presence of cell lysate, which contains salts, surfactants, and other molecules that may influence the binding behavior of the probe. Because the cells were lysed in deionized water, however, surfactant or chemical contamination is not possible, and salt carryover from previous steps should be minimal. Additionally, the DINAMelt server does not register any change in the predicted melting temperature for such a small amount of salt contamination (http://frontend.bioinfo.rpi.edu/applications/hybrid/twostate.php). A final hypothesis is the presence of cellular proteins and debris; however, the amount of these should be minimal after a rigorous centrifugation step. Any soluble proteins should have been denatured by heat during the lysis step. Furthermore, if an interaction with cellular proteins causes a PCR probe to fail, then its utility in clinical diagnostics is questionable.
Whatever the cause of the failure mode of the TaqMan-MGB assay, Tentacle Probes maintained specificity under identical conditions. We previously reported Tentacle Probes with concentration-independent specificity, which prevents a loss of specificity, even in the presence of unexpected levels of nonspecific amplification(7). Second, the large stems in the hairpin of the detection probe provide a stabilized form that may be less susceptible to nonspecific binding in general. Although we cannot state the exact cause of the loss in specificity of TaqMan-MGB, we are certain that Tentacle Probes experienced no false positives under identical test conditions as are used with the TaqMan-MGB probes.
There are a variety of other probes and PCR techniques that have been successfully used in the differentiation of SNPs and deletions(33); however, Tentacle Probes is the only probe, to our knowledge, that exhibits cooperative binding between probe and target DNA. Simpler methods, such as allele-specific amplification, fail to confer the required specificity, because they do not completely inhibit amplification of the variant(34)(35). In clinical samples, for which starting concentrations and purity are unknown, delayed amplification cannot differentiate between the presence of a small amount of wild type and a large amount of variant. Of the hybridization probes, Scorpion primers and molecular beacons have shown excellent SNP differentiation in controlled laboratory environments(36)(37)(38)(39). However, although TaqMan-MGB showed excellent SNP differentiation of the gyrA gene in a controlled environment across a panel of 49 strains of near neighbors without any false positives(11), it does not perform equally well with field samples, as demonstrated in this study. Similarly, although there are no data to indicate that Scorpion primers would yield false positives with field samples, there also are no data to indicate they will be successful.
The basic difference between Scorpion primers and Tentacle Probes is in the interaction of the stem-loop region with its target. Scorpion primers consist of a stem-loop detection region connected to a primer; the stem-loop region interacts with the extended primer resulting in a unimolecular detection event. Although similar in appearance, Tentacle Probes exhibit a cooperative interaction with the target DNA through their capture segment (compare to the primer region of the Scorpion primer) and also through their stem-loop region (instead of binding to the extended primer as in the Scorpion primer). Thus, Tentacle Probes have 2 interactions between the probe and the target DNA compared to the 1 interaction for Scorpion primers. As described above, we cannot be certain as to the cause of the improved performance of Tentacle Probes over TaqMan-MGB, but a strong candidate is the cooperativity generated by this 2nd interaction between probe and target DNA. If this hypothesis is correct, Tentacle Probes would likely exhibit advantages over Scorpion primers similar to the advantages over TaqMan-MGB.
In summary, we developed a 1st iteration Tentacle Probe design that detects 2 priority select agents without any false positives, in contrast to multiple iteration designs of TaqMan-MGB, which continue to generate false-positive results from near neighbors. The high degree of specificity attainable with Tentacle Probes will allow more precise identification of genetic mutations, including SNPs and deletions, without requiring melting-curve analysis.
| Acknowledgments |
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Financial disclosures: Arcxis Biotechnologies is a for-profit corporation and owns the rights to Tentacle Probes, a commercial product.
Acknowledgments: We thank Dr. Seth Stern for helpful review of this manuscript. We also thank Leslie Wachter for facilitating research at USAMRIID facilities.
| Footnotes |
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1 Nonstandard abbreviations: SNP, single-nucleotide polymorphism; MGB, minor groove binder; RAPID, Ruggedized Advanced Pathogen Identification Device; USAMRIID, United States Army Medical Research Institute of Infectious Disease. ![]()
| References |
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The following articles in journals at HighWire Press have cited this article:
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B. C. Satterfield, M. R. Caplan, and J. A. A. West Tentacle probe sandwich assay in porous polymer monolith improves specificity, sensitivity and kinetics Nucleic Acids Res., November 1, 2008; 36(19): e129 - e129. [Abstract] [Full Text] [PDF] |
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