This disclosure relates to systems, methods, and apparatus for detecting and quantifying target nucleic acids, particularly those that are well-suited for detecting target nucleic acids of a particular type that are present in low concentration in a specimen.
The polymerase chain reaction (PCR) has become a method of choice for sensitive and specific detection of pathogens in a sample. The detection of nucleic acids derived from pathogens by PCR is currently the authoritative method for the diagnosis of many infectious diseases. One challenge arising is the detection of target nucleic acids that are present in low concentration in a specimen. Various fluorescent techniques are known and have been used with PCR systems that use sensitive and relatively expensive optical detectors. The expense of such systems and components have been a limit on the ability to develop PCR systems for use outside of a laboratory setting, as for home-based testing.
One such known fluorescent PCR technique is iFRET (induced fluorescence resonance energy transfer). As described in Howell W M, Jobs M, Brookes A L iFRET: an improved fluorescence system for DNA-melting analysis. Genome Res 2002; 12:1401-7, the contents of which are incorporated by reference herein, in this method a solution of a double-stranded DNA-binding dye in the presence of a DNA duplex provides donor fluorescence to an acceptor dye covalently attached to a strand of the duplex. The specific method carried out by Howell used single-labeled probes that hybridized to target nucleic acids immobilized onto a solid support (not in solution). Later, iFRET was shown to work in solution and with asymmetric PCR (Masocj et al., Genotyping by induced fluorescence resonance energy transfer (iFret) Mechanism and Simultaneous Mutation Screening. Human Mutation; Vol 34, No 4 636-643, 2013, the contents of which are incorporated by reference herein) but again only using single-labeled probes. U.S. Pat. No. 6,174,670, the contents of which are incorporated by reference herein in their entirety, discloses methods of monitoring hybridization using fluorescence during PCR, including multiplexing by melting temperature to quantify amplified DNA.
A system or process that has improved signal or signal-to-noise ratio and thus improved sensitivity for detecting target nucleic acids would be an improvement in the art. Such a system that could be used with a device, whether an instrument or receptacle, for monitoring nucleic acid amplification using optical detectors with medium-to-low sensitivity would be a further improvement in the art.
The present disclosure is directed to systems, apparatus, and methods and processes that may be used to increase the signal or signal-to-noise ratio of a target-specific reporter molecule using multiple copies of covalently attached fluorophores that are excited by iFRET (induced fluorescence resonance energy transfer) from donor fluorescence of a double-stranded DNA-binding dye bound to the double-stranded DNA structure created by hybridization of a reporter molecule to the target during or after an amplification reaction. Suitable reporter molecule constructs may be formed in various ways that result in plural copies of an acceptor label within the reporter molecule double helix formed by the probe-target duplex.
In a first illustrative example, a double-stranded DNA-binding dye is provided in solution and during amplification and/or after amplification is completed, the dye binds to the probe-target duplex, and provides fluorescence resonance energy transfer to multiple acceptor fluorophores that are covalently attached to the probe-target duplex. In some illustrative examples, the multiple acceptor fluorophores are present on a target specific reporter molecule or probe used in processes in accordance with the present disclosure. In other illustrative examples, multiple acceptor fluorophores are incorporated into the amplified target by use of labeled primers and/or by use of labeled deoxynucleotide triphosphate (dNTP), and said amplified target becomes the reporter molecule. Therefore, when the term reporter molecule” is used in this disclosure, it should be understood to include these many forms of reporter molecules.
It will be appreciated by those of ordinary skill in the art that the various drawings are for illustrative purposes only. The nature of the present disclosure, as well as other embodiments in accordance with this disclosure, may be more clearly understood by reference to the following detailed description, to the appended claims, and to the several drawings.
The present disclosure relates to apparatus, systems, and methods related to detecting and/or quantifying target nucleic acids, particularly those that are well-suited for detecting target nucleic acids of a particular type (e.g., pathogen nucleic acid) that are present in low concentration in a specimen. It will be appreciated by those skilled in the art that the embodiments herein described, while illustrative, are not intended to limit this disclosure or the scope of the appended claims. Those skilled in the art will also understand that various combinations or modifications of the embodiments presented herein can be made without departing from the scope of this disclosure. All such alternate embodiments are within the scope of the present disclosure.
It will be appreciated that while PCR is the amplification method used in the examples of this disclosure that it is understood that any nucleic acid amplification method compatible with the use of double-stranded DNA-binding dye may be used for detection and/or quantification using the methods and processes disclosed herein. It will be appreciated that while PCR is the amplification method used in the examples herein, it is understood that any amplification method that uses a primer may be suitable, whether the signal or target is amplified. In fact, any proximity-based amplification approaches known to those of skill in that art may be used, including assays for the signal amplification to detect antigens. Some suitable procedures may include polymerase chain reaction (PCR); strand displacement amplification (SDA); nucleic acid sequence-based amplification (NASBA); cascade rolling circle amplification (CRCA), loop-mediated isothermal amplification of DNA (LAMP); isothermal and chimeric primer-initiated amplification of nucleic acids (ICAN); target based-helicase dependent amplification (HDA); transcription-mediated amplification (TMA), CRISPR-Cas9-triggered strand displacement amplification, immuno-PCR, recombinase polymerase assay (RPA) and the like. Amplification methods may include pre-enrichment steps such as antibody- or affinity-mediated capture or precipitation of microorganisms, other means to concentrate the target microorganism, and pre-enrichment of the target nucleic acid sequence such as by immobilized probes, by whole genome amplification, by nested PCR, or the like. Amplification methods may further include analyses such as melting curve analysis, high-resolution melting, and high-speed melting analyses. Therefore, when the term PCR is used, it should be understood to include other alternative amplification methods, amplification that is preceded by enrichment, and analysis of amplification products. It is understood that protocols may need to be adjusted accordingly.
The present disclosure is directed to methods for detecting and/or quantifying target nucleic acids that have general application, but that are particularly well-suited for detecting target nucleic acids of a particular type (e.g., pathogen nucleic acid) that are present in low concentration in a specimen. This also opens an opportunity to build instruments for monitoring nucleic acid amplification using optical systems that are less expensive and less sensitive than those commonly found in PCR devices that typically use expensive discrete lenses, interference filters and multiple detectors.
In particular, methods and processes in accordance with the present disclosure may be used to increase the signal or signal-to-noise ratio of a target-specific reporter molecule using multiple copies of covalently attached fluorophores that are excited by iFRET (induced fluorescence resonance energy transfer) from donor fluorescence of a double-stranded DNA-binding dye bound to the double-stranded DNA structure created by hybridization of a reporter molecule to the target during or after a nucleic acid amplification reaction. Suitable reporter molecule constructs may be formed in various ways that result in plural copies of an acceptor label within the reporter molecule double helix formed by the reporter-target duplex.
A first illustrative example is depicted in
It will be appreciated that a reporter molecule includes various constructs as exemplified in
A target nucleic acid sequence can originate from an organism of interest or a variant/mutation of interest, or can also be a tag or barcode nucleic acid sequence which is released during specific amplification to which the reporter molecule hybridizes.
By increasing the copy number of acceptor fluorophores, not only is the signal of the reporter molecule increased, but background from the double-stranded DNA binding dye is decreased, resulting in improved signal-to-noise ratio in the optical channel in which the acceptor signal is primarily detected but also may see spill-over signal from the donor dye. Examples of such decrease in dye signal by increase in acceptor fluorophore copy number are shown in Examples 2 and 3.
Commonly, spill-over, or crosstalk, between different fluorophores is algorithmically solved by color compensation methods (e.g., as in U.S. Pat. No. 6,197,520, the contents of which are incorporated by reference herein in its entirety). However, for targets that are present in low concentrations (such as virus RNA or DNA), particularly in the presence of higher concentrations of background nucleic acids (such as human DNA) or when used with low-sensitivity detectors, color compensation is expected to be less effective, and decreasing the interfering signal will be helpful.
Double-stranded DNA-binding dyes, are dyes that have very little fluorescence when free, but emit a strong signal when bound to double-stranded DNA. Non-limiting examples of such dyes include SYBR Green I (ThermoFisher Scientific Corporation, Carlsbad, Calif.), EvaGreen (Biotium, Fremont, Calif.), LC Green Plus (BioMerieux, Salt Lake City, Utah), SYTO 9, SYTO 40 (both from Thermo Fisher Scientific, Waltham, Mass.), and Maverick Blue (Co-Diagnostics, Inc., Salt Lake City, Utah).
Detection of target can be accomplished either by quantitative or qualitative real-time PCR (for DNA targets) or real-time RT-PCR (for RNA targets), and/or melting curve analysis of the probe-target hybrid and/or that of the PCR product (amplicon). In an illustrative example, a probe tagged with more than one acceptor fluorescent label is added to a PCR mixture containing a double-stranded DNA-binding dye. Illustrative configurations of such probes are shown in Table 1.
To increase FRET, the distance between the donor dye and receptor fluorophore should be minimized, and therefore, the linkers on the amino-modifiers should be short, e.g., a two-carbon (C2) to a six-carbon (C6) linker. In general, double-stranded DNA-binding dyes incorporate one dye molecule every 4 to 10 base pairs, so multiple locations of donor emissions are available along the double-stranded DNA. When probes or primers are labeled with multiple acceptor fluorophores, the best acceptor fluorophore spacing is a compromise between (1) increased fluorescence resulting from more than one copy of acceptor fluorophore, and (2) decreased fluorescence from quenching between acceptor fluorophores. The distance between acceptor fluorophores on the same DNA strand is a function of both the number of bases between the fluorophores and their relative radial position around the double helix. Quenching can be minimized (without affecting the average donor-to-acceptor distance) by placing acceptor fluorophores on opposite sides of the DNA helix, which completes one turn in 10.5 bases. Therefore, based on radial position, optimal spacing would be 5.25, 15.75, and 26.25 bases, or 4.25, 14.75 and 25.25 unlabeled bases between adjacent labeled bases. However, quenching is likely too strong with the shortest spacing of 4 bases, and the longest spacing of 25 bases will leave some donor dyes unutilized. Therefore, a spacing of 15 bases is geometrically optimal for multiple iFRET labeling. Acceptor fluorophores with an 8-23 base separation are preferred, with a 10-20 base separation more preferred, 13-17 base separation even more preferred, and a 15 base separation is most preferred.
Fluorophores may be added during oligonucleotide synthesis on the 3′-end with a labeled CPG support, and on the 5′-end with labeled phosphoramidites, or by post-synthesis on amino-linkers through N-hydroxysuccinimide (NHS) ester coupling as is known in the art. Multiple identical labels can be added simultaneously onto multiple amino linkers on the same probe through NHS ester coupling. Internal fluorophore labeling on amino-linkers attached to DNA bases are preferred so as to minimize effects on hybridization, specifically amino-modifier C6dT, as well as amino-modifier C6dA, C6dC, and C6dG (Glen Research, Sterling, Va.).
Fluorophores can also be incorporated into the reporter molecule by use of a fluorescent dNTP optionally mixed with its non-fluorescent counterpart in the amplification reaction mixture. The nucleic acid sequence of the amplified reporter molecule and/or the ratio of labeled to nonlabelled dNTP determine the actual or average frequency of incorporation or spacing of fluorescent labels along the length of the amplicon. Nonlimiting examples of a labeled dNTP are rhodamine-12-dUTP, dCTP-Cy5, dUTP-Texas Red, dCTP-Cy3, or fluorescein-12-dUTP (Jena Bioscience, Jena, Germany).
The amplification reaction mixture may be illuminated at the excitation wavelength of the double-stranded DNA binding dye, and detection may be performed using the wavelength of emission of the reporter label(s). It is often not possible, nor is it necessary, to exactly match the illumination of dye at its peak excitation wavelength as long as the dye can be excited. Similarly, it is not necessary to detect the signal of the reporter label at its peak emission wavelength. If the emission spectra of two or more reporter labels are sufficiently spaced apart, multiple targets can be detected simultaneously using different colors with this method (
It will be appreciated that prior to the present disclosure it appears that affixing more than one copy of a fluorescent label onto a probe or primer is seldom done, and has not been used in combination with iFRET. A typical probe or primer is 15-30 nucleotides long, and thus has limited space available for multiple labels to be covalently affixed to it. The common concern with using multiple copies of labels in such proximity is the possibility of intramolecular quenching which will dampen the signal rather than increase the signal. In fact, in protein analysis, the dampening of signal by bringing two identical labels close to each other is used to study clustering of identical proteins (see e.g., Edwin et al., Enumeration of Oligomerization States of Membrane Proteins in Living Cells by Homo-FRET Spectroscopy and Microscopy: Theory and Application; Biophysical Journal 92(9) 3098-3104, 2007, the contents of which are incorporated by reference herein in its entirety). Applicant has found that iFRET procedures using double-stranded DNA-binding dye to multiple copies of acceptor fluorophore labels on a probe-target duplex or on an amplicon in accordance with the present disclosure do not suffer from such self-quenching as long as the number of unlabeled bases between adjacent fluorophores is at least 8 bases. A spacing between acceptor fluorophores of about 15 bases (or equivalent distances using linkers) is optimal. Longer spacing is also useful in increasing acceptor signal although it will leave some of the donor fluorescence unused for iFRET. Therefore, with long reporter molecules, the preferred approach is to tile acceptor fluorophores every 10 to 20 bases along the available length (to the extent that such tiling does not impede performance of the reporter molecule) so that iFRET is maximized and background signal from the donor dye is minimized. Without being limited to a particular mechanism, it is surmised that the accumulation of energy from a chain of donor dye molecules into multiple acceptor fluorophores overcomes any quenching between them. Advances in oligonucleotide synthesis and purification have also lowered the cost of providing multiple labels, enabling the multiple label approach.
It will be appreciated that methods and processes in accordance with the present disclosure may include additional steps to further increase the signal of the reporter probe, such as by use of asymmetric PCR to favor the production of the target DNA strand that hybridizes to the probe, thus reducing competition from its complementary DNA strand, as is known in the art. When labeled primers are used, keeping the amplicon short will limit donor fluorescence that is not transferred to the acceptors while effectively increasing the acceptor fluorescence by use of multiple acceptor dyes. An ideal configuration is to have both primers labeled at their 5′ ends and at one internal position about 5 bases from their 3′ ends (so as not to impede extension), with a 5 base pair separation between primers. Assuming 20 base primer pairs, such configuration incorporates 4 acceptors into a 45 base amplicon all at 15 base spacing, maximizing the acceptor fluorescence from iFRET and minimizing residual donor fluorescence. Another additional step to increase the signal of the reporter probe is to have two, or more probes that specifically hybridize to a region different from the first probe but on the same gene or on the same genome, all labeled with a plurality of the same fluorophore as the first probe. If melting analysis is to be used, then all probes for the same gene or same genome may be designed to have equivalent melting temperatures. Further, the detection of targets can be multiplexed optionally by use of their differences in melting temperature (Tm) as is known in the art. This is particularly useful when color compensation, and reduction of the double-stranded DNA binding dye signal is not enough to fully discriminate two or more targets that are hybridized to their respective probes that have crosstalk despite being labeled with different-colored fluorophores.
Amplification Curves with One or Two Copies of Fluorophore on an iFRET Probe.
A 73 bp fragment of the single-stranded RNA bacteriophage MS2 was amplified with forward primer TCCAGGGTGCATATGAG SEQ ID NO. 1 (Tm=59.41° C.) and reverse primer TTAGTACCGACCTGACG SEQ ID NO. 2 (Tm=59.58° C.) in the presence of either the single-labeled ROX probe AAGAGTTTCTTCCTATGAGAGCC-ROX SEQ ID NO. 3 or the double-labeled ROX probe: ROX-AAGAGTTTCTTCCTATGAGAGCC-ROX SEQ ID NO. 3 (Tms=64.06° C.), all obtained from IDT (Coralville, Iowa). The reaction mixture included 2×104 copies of MS2, 0.25 μM limiting forward primer, 0.5 μM reverse primer, 0.5 μM labeled probe, 200 μM of each dNTP (Sigma-Aldrich, St. Louis, Mo.), 20 μM Maverick Blue nucleic acid stain (Idaho Molecular, Inc., Salt Lake City, Utah), 3.2 U/μL GoScript reverse transcriptase (ProMega, Madison, Wis.), 0.04 U/μL KlenTaq 1 (DNA Polymerase Technologies, St Louis, Mo.), 4 mM MgCl2 (Sigma), 125 μg/mL bovine serum albumin (Sigma), and 50 mM Tris, pH 8.3 in a 10 μL LightCycler capillary (Roche Molecular Systems, Indianapolis, Ind.). Samples were temperature cycled on a capillary LightCycler with a reverse transcription step of 45° C. for 30 s, followed by denaturation at 95° C. for 30 s, and then 50 cycles of amplification between 95° C. for 0 s and 55° C. for 0 s. Fluorescence was collected at 55° C. each cycle in the F1 (530+/−20 nm) and F2 (640+/−30 nm) channels.
The results are depicted in
Melting Peak Signals with One or Two Copies of Fluorophore on iFRET Probes.
Single- and double-labeled probes were melted from their reverse complements. MS2 single- and double-labeled probes were of the same sequence given in Example 1 but were labeled with Cy5. In addition, single- and double-labeled probes targeting the human RNase P gene were AAGGCTCTGCGCGGACTTG-ROX SEQ ID NO. 4 and ROX-AAGGCTCTGCGCGGACTTG-ROX SEQ ID NO. 4. Probes and their reverse complements were mixed at equimolar concentrations (0.5 μM each) in the presence of 20 μM Maverick Blue, 3 mM MgCl2, 125 μg/ml BSA and 50 mM Tris, pH 8.3. Twenty microliter aliquots of each probe/complement combination were melted in a LightCycler 480 instrument from 50 to 85° C. at a rate of 5 acquisitions/° C. Excitation was at 440 nm with emission monitored at 488, 510, 580, 610, 640, and 660 nm.
At lower wavelengths that monitor Maverick Blue emission (488 and 510 nm), double-labeled probes emit only 28-53% of the light of single-labeled probes. Whereas, at higher wavelengths (610 and 640 nm for ROX, 640 and 660 nm for Cy5), double-labeled probes emit 127-170% of the light of single-labeled probes. This suppression of donor fluorescence and augmentation of acceptor fluorescence is expected to increase further when triple, quadruple, or even more labels are added to iFRET probes.
Multiplexing iFRET with Double-Labeled Probes Using Both Color and Probe Tm.
The SARS-CoV-2 E gene and the human internal control gene RNase P were amplified simultaneously in the presence of double-labeled probes that differed both in emission color and probe melting temperatures. A 122 bp product of the E gene was amplified with forward primer TTCGGAAGAGACAGGTACGTTA SEQ ID NO. 5 and reverse primer TATTGCAGCAGTACGCACA SEQ ID NO. 6 with probe ROX-ACTAGCCATCCTTACTGCa-ROX SEQ ID NO. 7 where “a” is a non-complementary base added to limit fluorophore quenching from GC base pairs. A 72 bp product of the RNase P gene was amplified with forward primer GCGGTGTTTGCAIATTTIG SEQ ID NO. 8 where I (inosine) is substituted for G to lower the primer Tm. The RNase P reverse primer was GGCTGTCTCCACAAGTC SEQ ID NO. 9 and RNase P probe was Cy5-AAGGCTCTGCGCGGACTT-Cy5 SEQ ID NO. 10. Templates for amplification variably included 2×103 copies of heat-inactivated SARS-CoV-2 (VR-1986) (ATCC, Manassas, Va.), 2 μL human saliva as the source of human DNA, both or neither (no template control) in a 10 μL reaction. The concentrations of E gene primers were 0.25 μM forward and 0.5 μM reverse, and RNase P primers were 0.125 μM forward and 0.25 μM reverse. The double-labeled E gene ROX probe was at 0.5 μM and the double-labeled RNase P gene Cy5 probe at 0.25 μM. Enzymes, dNTPs and buffer components were the same as in Example 1. Samples were temperature cycled on a capillary LightCycler with a reverse transcription step of 45° C. for 30 s, followed by denaturation at 95° C. for 30 s, and then 60 cycles of 3-step amplification at 95° C. for 0 s and 55° C. for 0 s and 76° C. for 5 s. Fluorescence was collected at 55° C. each cycle in the F1 (530+/−20 nm) channel and displayed in
Derivative melting curves for channels F1, F2 and F3 show Maverick Blue fluorescence of both target amplicons (
iFRET with Zero to Four Copies of Acceptor Fluorophore
A short PCR product was used to demonstrate fluorescence energy transfer from Maverick Blue dye (donor) to zero, one, two, three or four copies of ROX fluorophore (acceptor). The PCR product was generated by use of the forward and reverse primer configurations in Table 4.
Forward primer TTAAACCAGGTGGAACC SEQ ID NO. 11 and reverse primer AGTTGTGGCATCTCCT SEQ ID NO. 12 were used to amplify a short 5 bp sequence between the primers, resulting in an amplicon of 38 bp with the sequence TTAAACCAGGTGGAACCtcatcAGGAGATGCCACAACT SEQ ID NO. 13 (the 5 bp sequence is shown in lower case). Donor fluorophore ROX could be attached to the primers at the 5′ terminus and/or the underlined thymine bases. When ROX was attached to all four possible positions, spacings between fluorophores on the resulting amplicon were 10, 16, and 10 bases (not counting the thymine bases to where ROX was attached). PCR was performed with 0.25 μM of each primer pair, 20 μM Maverick Blue nucleic acid stain, 104 copies/μL of a synthetic double-stranded DNA template with the same sequence as the amplicon, 0.04 U/μL KlenTaq 1 DNA polymerase, 200 μM of each dNTP, 4 mM MgCl2, 125 μg/mL bovine serum albumin, and 50 mM Tris, pH 8.3 in a 10 μL sample volume. Samples were temperature cycled using a LightScanner32 real-time PCR instrument (Idaho Technology, Inc., Salt Lake City, Utah) with 45 cycles of 3-step amplification at 95° C. for 5 s, 50° C. for 10 s, and 72° C. for 5 s using ramp rates of 20° C./s. Fluorescence intensity data were collected at 50° C. each cycle in the 530 nm (Maverick Blue) and the 640 nm (ROX) channels. Compared to the single-labeled iFRET configuration (1A, 1B in Table 4), a clear increase in the ROX signal was achieved by increasing the number of ROX labels.
Signal-to-noise (S/N) ratio at each PCR cycle was calculated by dividing the fluorescent intensities at 640 nm by those at 530 nm. As shown in
While this disclosure has been described using certain embodiments, it can be further modified while keeping within its spirit and scope. This application is therefore intended to cover any variations, uses, or adaptations of the disclosure using its general principles. This application is intended to cover any and all such departures from the present disclosure as come within known or customary practices in the art to which it pertains, and which fall within the limits of the appended claims.
The instant application contains a Sequence Listing which has been submitted electronically as an XML file and is hereby incorporated by reference in its entirety. The electronically submitted XML file is named: “IMI-0004.NP Sequence Listing.xml”, was created on Dec. 13, 2022 and is 12,397 bytes in size.
This application claims the benefit of U.S. Provisional Application No. 63/294,694, filed Dec. 29, 2021 and U.S. Provisional Application No. 63/295,388, filed Dec. 30, 2021, the disclosures of each of which are incorporated herein by reference in their entireties.
Number | Date | Country | |
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63294694 | Dec 2021 | US | |
63295388 | Dec 2021 | US |