Patent Grant
11041184
The present invention relates to mycobacteriophages capable of delivering a set of auto-luminescent elements and uses thereof.
Mycobacterium is a type of organism that is slender and slightly curved, sometimes with branches or filamentum. Mycobacterium is a genus of Actinobacteria in taxonomy. Actinobacteria that are pathogenic to humans may or may not contain mycolic acids, and Mycobacterium contains mycolic acids. Such genus with no flagella or spores generally does not produce endotoxin or exotoxin, and its pathogenicity is related to the composition of bacteria. Mycobacterium causes chronic diseases accompanied by granulomas. A variety of mycobacteria mainly fall into three types, Mycobacterium tuberculosis complex, Mycobacterium leprae and non-tuberculous Mycobacterium (NTM). NTM can be divided into four groups according to colony pigmentation and growth rate. Group IV are bacteria of fast growing which grows fast at 25-45° C., and colonies are visible within 5-7 days of culture. The colonies are usually rough and some can produce pigments. Mycobacterium smegmatis (M. smegmatis) is one of them but does not produce pigments.
A variety of mycobacteria can cause diseases, and Mycobacterium tuberculosis (Mtb) is a pathogen causing tuberculosis. Mtb can invade various organs of the human body, and in particular, lungs. Tuberculosis remains an important infectious disease bringing about the largest number of deaths caused by a single pathogen. There are about 10 million new cases of tuberculosis each year worldwide (9.6 million and 10.4 million in 2014 and in 2016, respectively), and the death toll is about 1.8 million. In recent years, the emergence of drug-resistant tuberculosis has made the treatment of tuberculosis more difficult. Mtb grows very slowly. Generally it takes 3-5 weeks for Mtb to form visible colonies on plates. Therefore, the routine diagnosis of tuberculosis by culturing live Mtb is very time consuming, which takes about 4-8 weeks. Similarly, test on Mtb's sensitivity to a drug also takes a long time. It takes another 4-8 weeks to obtain the drug sensitivity results upon the growth of bacteria. In recent years, BD's MGIT 960 system has been most commonly used in clinical laboratories, shortening the time of diagnosis to 5 to 45 days and drug susceptibility testing to 8-12 days, which is still relatively long. The instrument and tubes for detection are large in size that it not only takes up much space, but also is expensive, and is not suitable for detecting many concentrations of a drug in high-throughput pattern. Therefore, it would be a great improvement to the treatment of tuberculosis if live Mtb in the clinical samples and their phenotypic sensitivity of various drugs in several concentrations are detected in a more rapid, convenient and economic way with improved specificity and accuracy.
The applicant has placed a set of auto-luminescent elements, LuxCDABE genes onto a mycobacterial integrating vector, and inserted it into the genome of Mtb, Mycobacterium Bacille Calmette-Guerin (BCG) or M. smegmatis. Several novel, selectable marker-free auto-luminescent mycobacteria that have lost the resistance marker gene were obtained (Patent No. ZL 201210183007.2); and the related article has been published[1]. Previous research has indicated that the auto-luminescence system can distinguish between dead and live bacteria, and the luminescence intensity of the bacteria is highly correlated with the number of bacteria. The constructed auto-luminescent bacteria can be used for in vitro drug screening, and can even be conveniently used for the detection of drugs and vaccines in vivo in mice, with surprising effect[2].
However, the delivery of such luminescent element is inefficient, and requires specialized equipments such as those for electrotransformation, as well as a large amount of Mtb of competent cells. Even if the transformation is successful, the luminescent bacteria require a growth time of about 4 weeks for growing up and another 1 to 2 weeks for the next step, such as drug sensitivity test. Therefore, it is impossible to rapidly detect live mycobacteria in a sample and drug sensitivity of wild Mtb (including laboratorial strains and clinically acquired strains) with the ability to deliver auto-luminescent elements to Mtb and other mycobacteria in a quick, simple and timely manner. To this end, it is desirable to carry a reporter element into mycobacteria such as Mtb through a phage.
Phage is a type of virus that is exclusively hosted by bacteria. Like other viruses, phages have their genetic material wrapped in a protein shell. Most phages also have a “tail” that is used to “inject” genetic material into the host. Mycobacteriophage can specifically recognize mycobacterium and use them as hosts. Phasmid is constructed from a plasmid vector and a phage vector, combining a replication origin of plasmid and phage elements. Thus, its replication can be carried out as a normal double-stranded plasmid molecule in Escherichia coli cells to generate double-stranded DNA. When the phasmid enters the host bacterium (for example, mycobacterium), the DNA and capsid protein of the progeny phages can be synthesized in the host bacterium. Under certain conditions, some of the phages are packaged into phage particles and are then released by lysing host cells, for example, temperature-sensitive auto-luminescent reporter phages (ARPs). ARPs are packaged into phage particles and are released by lysing the host cells at about 30° C.; and the phages are not formed at 37° C. After ARP enters the host, the host can produce the enzymes and substrates required for the luminescent reaction to emit luminescence.
Furthermore, genetic manipulation of Mtb is difficult in basic research. Phage carrying a highly efficient transposon has been a powerful tool for efficiently disrupting the Mtb genes and obtaining a genetically disrupted mutant strain[3]. Attempts have been made to use such phage-based transposon system to disrupt selectable marker-free auto-luminescent strains. However we found that a large part of the transposon was inserted into the vector carrying the auto-luminescent elements which inserted into its genome but not disrupted genes of the host. This introduce difficulty to the construction of the auto-luminescent Mtb transposon mutants. Therefore, it is believed that by placing the auto-luminescent element on the transposon, along with insertion into the genome of wild-type Mtb, the transposon-inserted mutants can be auto-luminescent, and the insertion sites are assured to be in the genome.
Conventional bacteriological diagnosis of Mtb have many disadvantages, such as low sensitivity, complicated operation, long duration, many influencing factors, and difficulty in standardization due to its intrinsic slow growth rate. As a result, the bacteriological diagnosis cannot fully meet the demand of clinical diagnosis. Methods of diagnosing mycobacteria/Mtb in samples and their advantages and disadvantages are shown in Table 1. Methods available for detecting clinical sensitivity of mycobacteria/Mtb to drug and their advantages and disadvantages are shown in Table 2.
Medicine in 1997; the
Mycobacteriophage can be used for rapid diagnosis and detection of sensitivity of the host to a drug, such as Mtb due to its host specificity to mycobacteria. Considering the application of ARP in diagnosis and detection of drug sensitivity, the methods for phage-based detection and products related (close) to the present invention are shown in Tables 1 and 2.
The main phage-based detection methods include: Phage amplified biologically assay (PhaB assay)[15], luciferase reporter phage assay (LRP assay)[16] and GFP-expressing phage detection assay (EGFP-phage assay)[17, 18]. The PhaB assay adopts wild D29 mycobacteriophage, of which the principle is shown in
The LRP assay and EGFP-phage assay both use the constructed recombinant reporter phage to detect the presence of live phage and drug sensitivity of live bacteria (as shown in
As previously mentioned, the main methods of diagnosing live Mtb and detecting sensitivity of clinical bacterial strains to the drug are based on the BD MGIT960 system for detecting the bacterial growth and the aforementioned phage-based methods.
The BD MGIT960 system is used as a main method in clinical practice. The main disadvantages of the system include: 1) slow, requiring 5-45 days for diagnosis, and another 9-12 days for sensitivity detection; 2) expensive, not only for the culture and the detection equipment, but for the culture medium and the experimental supplies; specifically, requiring a special medium and a 70-RMB (CNY) tube for detecting a single concentration of a single drug; 3) complicated operation, being difficult and time-consuming; and 4) occupying a large space for its large size.
The PhaB method has the following disadvantages: 1) complicated operation, uneasy to master: the phage infection time needs to be accurately mastered, otherwise, incomplete infection or the lysing of live cells after infection will occur, reducing the sensitivity; and difficult operational procedures are required, including preparing culture plate; 2) occupying a large space due to a large size of the device; and 3) higher cost of diagnosis and drug sensitivity test as compared to the present invention.
As for the LRP method, a related product has been developed even till its patents expired. This could be because the reaction requires an expensive fluorescein substrate with a weaker ability to penetrate the mycobacterial cell wall. Other disadvantages include unclear relationship between luminescence value and the amount of live bacteria an uncertain detection accuracy.
The EGFP-phage method has the following disadvantages: 1) flow cytometer is expensive to purchase and use; fluorescence microscope is also expensive; the fluorescence of green fluorescent protein need to be detected with the help of excitation light; fluorescence can also be observed in dead cells, thus interfering with the experimental results; and Mtb itself has a certain background fluorescence; 2) the detection sensitivity is low due to the limitations of the method and tool; 3) the operation is complicated and difficult to master compared to the present invention; and 4) the detection efficiency is low.
The aforementioned method of constructing artificial recombinant phages (
The current recombinant mycobacteriophage is a recombinant phage recombined either with a reporter gene (such as the small reporter gene Flue and egfp mentioned above) or a highly efficient transposon (MycoMarT7, etc.[3, 21]), yet there are currently no reports indicating that the long luxCDABE gene set can be inserted in a highly efficient transposon and thereby recombined into a mycobacteriophage.
In addition to the above diagnostic techniques, gene disruption is often required in the basic research of Mtb application, such as studies on gene functions, and the knock-out and disruption of virulence-related genes. Meanwhile, if the mutant strain is auto-luminescent, it will undoubtedly provide significant improvement in the efficiency of research and development. However, there is currently no such a tool.
In order to solve the above problems, the applicant has, through extensive efforts and experimental research, succeeded in constructing artificial phasmids and a phage (ARP) capable of delivering a set of auto-luminescent elements. The phasmid constructed has the following characteristics: the auto-luminescent element carried is present on a highly efficient transposon, which can be randomly inserted into the host genome in an efficient manner, disrupting the host genes on the one hand, and enabling auto-luminescence of the host bacteria on the other hand. Therefore it can be convenient to efficiently study the function of the disrupted host gene by utilizing the feature of auto-luminescence.
An objective of the present invention is to provide a phage capable of enabling auto-luminescence of host bacteria. Meanwhile, ARP can be used to rapidly prepare auto-luminescent host bacteria (e.g. Mtb), such that such that the auto-luminescent bacteria can be convenient for drug screening, evaluation, vaccine screening and etc, as well as for in vivo studies in small animals, which in this case can be performed conveniently by detecting luminescence values after the infection of the small animals.
Another objective of the present invention is to provide a phage capable of delivering the auto-luminescent element set for diagnosis of live mycobacterium.
Yet another objective of the present invention is to provide a use of the phage in detecting a bacterium and/or sensitivity of a bacterium to a drug.
A phasmid enabling auto-luminescence of a host bacterium includes a DNA fragment including a LuxCDABE gene enabling auto-luminescence of the host bacterium.
Further, the DNA fragment includes a transposon system, a resistance gene and/or a promoter.
Further, the transposon system transposes the DNA fragment to a host genome.
Further, the transposon system is selected from Himarl mariner family or TnA family.
Further, the resistance gene is selected from at least one of hygromycin resistant gene Hyg, kanamycin resistant gene Kan, thiostrepton resistant gene Tsr and apramycin resistant gene Apr.
Further, the promoter allows for normal expression of a gene upstream of or downstream of a site in the host genome to which the DNA fragment is transposed.
Further, the promoter is selected from at least one of Mop, G13, Hsp60 and A37 promoters.
Further, the transposon system comprises a transposase gene and inverted repeat sequences. The resistance gene and the LuxCDABE gene are ligated together to form a LuxCDABE gene-resistance gene fragment. A promoter is ligated at both ends of the LuxCDABE gene-resistance gene fragment to form a promoter-LuxCDABE gene-resistance gene-promoter fragment. The promoter allows for normal expression of a gene upstream of or downstream of a site in the host genome to which the DNA fragment is transposed; and
each end of the promoter-LuxCDABE gene-resistance gene-promoter fragment is ligated with each of two inverted repeat sequences in the transposon system to transpose the promoter-LuxCDABE gene-resistance gene-promoter fragment to the host genome by transposase.
Further, the DNA fragment includes a replication origin capable of replication in Escherichia coli, which allows the DNA fragment to replicate in a large amount in a plasmid or phasmid.
Further, the replication origin is oriE.
Further, the DNA fragment further includes a recombination site capable of homologous recombination with a phasmid backbone, which allows the DNA fragment to be ligated to the phasmid backbone.
Further, the phasmid backbone comprises a phAE159 backbone.
Further, the DNA fragment is represented by SEQ ID NO: 1.
Further, the phasmid includes a phAE159 backbone, and the DNA fragment is located between two recombination sites of the phAE159 backbone.
In the present invention, a method of preparing the phasmid includes:
digesting a phasmid backbone into a linear sequence to allow the phasmid to be recombined with a target fragment containing the LuxCDABE gene;
mixing the digested phasmid backbone with the target fragment containing the LuxCDABE gene and transforming Escherichia coli competent cells with the mixed digested phasmid backbone and the target fragment for recombination and amplification; and
extracting the plasmid from positive recombinant Escherichia coli to obtain the phasmid.
Further, the method includes digesting a phasmid backbone phAE159 with restriction endonuclease PacI, and recovering a large-fragment product after digestion; mixing the recovered product with a base fragment according to SEQ ID NO: 1, and transforming Escherichia coli competent cells with the mixed product and the base fragment; and extracting the plasmid from a positive recombinant Escherichia coli to obtain the phasmid.
Further, a method of preparing the base fragment according to SEQ ID NO: 1 includes:
1) Construction of a pUCF2 Plasmid:
artificially synthesizing a F0 fragment of SEQ ID NO: 2; ligating the F0 fragment to a pUC19 vector to obtain a pUCF0 plasmid; digesting the pUCF0 plasmid with restriction endonuclease XbaI, and recovering a fragment of about 2.8 kb; ligating the fragment digested by XbaI and containing hygromycin resistant gene Hyg with the two recovered fragments to obtain a pUCF2 plasmid of about 3.9 kb;
2) Construction of a pUCF3 Plasmid:
artificially synthesizing a F1 fragment according to SEQ ID NO: 3; ligating the F0 fragment to a pUC19 vector to obtain a pUCF1 plasmid; digesting the pUCF1 plasmid with restriction endonucleases KpnI and EcoRI and recovering a fragment of about 2.7 kb; digesting the pUCF2 plasmid with restriction endonucleases KpnI and EcoRI; recovering a fragment of about 1.3 kb, and ligating the two recovered fragments to obtain a pUCF3 plasmid of about 4 kb;
3) Construction of a pUCRLlux2P Plasmid:
digesting the pUCF3 plasmid with restriction endonucleases KpnI and EcoRI, and recovering a fragment of about 3.9 kb; digesting a pluxOK plasmid with restriction endonucleases KpnI and EcoRI, and recovering a fragment of about 6.3 kb; ligating the two recovered fragments to obtain a pUCRLlux2P plasmid of about 10.2 kb;
4) Construction of a pYUBT Plasmid:
amplifying a transposase trans gene sequence from a MycoMarT7 phage, adding a NcoI restriction site to a 5′ end of the trans gene, adding a SpeI restriction site to a 3′ end of the trans gene, and digesting the amplified product with NcoI and SpeI and recovering a fragment of about 1 kb; digesting a pYUB854 plasmid with restriction endonucleases NcoI and SpeI, and recovering a fragment of about 3.8 kb; ligating the two recovered fragments to obtain a pYUBT plasmid;
5) Construction of a pYUOK Plasmid:
digesting a pUCRLlux2P plasmid with restriction endonucleases NcoI and and recovering a fragment of about 7.6 kb; digesting the pYUBT plasmid with restriction endonucleases NcoI and XbaI, and recovering a fragment of about 2.9 kb; ligating the two recovered fragments to obtain a pYUOK plasmid of about 10.5 kb;
6) Construction of a p159LART Plasmid:
synthesizing a base fragment according to SEQ ID NO: 4, ligating the base fragment to a pUC19 vector to obtain a p159LR plasmid, digesting the p159LR plasmid with NheI and recovering a fragment; amplifying a Apr gene fragment with a NheI restriction site at both ends, digesting the fragment with restriction endonuclease NheI and recovering a fragment; ligating the two recovered fragments to obtain a p159LART plasmid of about 4.8 kb;
7) Construction of a pYUOKLART Plasmid:
digesting the pYUOK plasmid with restriction endonuclease Pad, and recovering a fragment of about 10.5 kb; digesting the p159LART plasmid with restriction endonuclease PacI, recovering a fragment of about 2 kb, and ligating the two recovered fragments to obtain a pYUOKLART plasmid of about 12.5 kb; and
8) Production of a Base Fragment According to SEQ ID NO: 1
digesting the pYUOKLART plasmid with restriction endonuclease recovering a large-fragment product after digestion to obtain the base fragment according to SEQ ID NO: 1.
A phage capable of delivering an auto-luminescent element includes the phasmid of the present application.
A use of the phage in detecting a host bacterium and/or drug sensitivity of a host bacterium is provided.
Further, the host bacterium is Mycobacterium.
Further, the mycobacterium includes Mtb, Mycobacterium smegmatis, Mycobacterium marinum and Mycobacterium Bacille Calmette-Guerin (BCG).
A method of detecting a host bacterium with the phage includes the following steps:
1) adding a phage-containing liquid to a sample to be tested;
2) culturing the sample at 36.5-42° C. for 35 minutes or more, and detecting bioluminescence using a luminometer;
3) if there is a significant bioluminescence compared to a negative control group without ARP, indicating the sample contains a large amount of live mycobacteria; if the bioluminescence intensity is lower than 120% of the bioluminescence intensity of the negative control, adding a phage-killing reagent SK to kill the phage whose genome has not entered the mycobacterium; wherein the SK reagent is selected from at least one of ammonium sulfate, ferrous sulfate, ammonia sulfate and ammonium ferrous sulfate;
4) adding a neutralizing agent SN to neutralize the excess SK reagent, adding an indicator bacterium, and culturing the sample at 20-32° C. for 12 hours or more; wherein the neutralizing agent SN is selected from at least one of MgSO4, potassium dichromate, CaCl2) and MnCl2; and
5) detecting luminescence of the sample added with the indicator bacterium with a luminometer; wherein the luminescence indicates the presence of live mycobacteria in the sample; non-luminescence indicates the absence of live mycobacteria in the sample.
Further, the indicator bacterium is a host of the phage, and the phage proliferates and lyses cells in the host.
A method of detecting sensitivity of a host bacterium to a drug with the phage includes the following steps:
1) mixing the phage with the host bacterium, and adding a certain concentration of a drug to be tested;
2) culturing the mixed phage and the host bacterium at 36.5-42° C. for at least 2 hours, and detecting luminescence using a luminometer; and
3) if there is significant difference between the luminescence of the tested sample and the luminescence of a sample with no drug, indicating the host bacteria is sensitive to the drug of the concentration; if there is no significant difference, indicating the host bacteria is resistant to the drug at the concentration.
The present invention has the following beneficial effects:
1) The present invention relates to the concepts of synthetic biology, where a novel artificial mycobacteriophage (ARP) was successfully constructed by utilizing synthetic DNA, and approaches including genetic engineering and molecular biology. ARP is a temperature sensitive phage. It can lyse the host under a temperature below 30° C., while it cannot lyse the host at 37-42° C. By delivering auto-luminescent gene elements to the host, ARP can make its host mycobacterium express its corresponding proteins (enzymes). These enzymes can utilize the metabolites of live host bacteria to circulate the generation of substrates required for the luminescence reaction, as well as the enzymes required for the reaction. Therefore, the live host bacteria may be luminescent without addition of any substrate. The auto-luminescent element carried by the ARP of the present invention is present on a highly efficient transposon, along with which the element can be randomly inserted into the host genome in an efficient manner, disrupting the host genes on the one hand, and enabling the auto-luminescence of the host bacteria with disrupted genes on the other hand. It is important that the ARP can rapidly diagnose live host bacteria in a sample and rapidly test the drug sensitivity of a host strain. Such diagnosis and detection are about 8-40 days faster than the most popular BD MGIT 960 system on the market, and are simpler, more intuitive and more economical. The ARP has certain preference for its host in mycobacteria, and Mtb is one of the most important host bacteria.
2) The phage constructed by the present invention can transform a mycobacterium and enable the auto-luminescence of the transformed mycobacterium after incubation at a temperature. The mycobacterium includes, but is not limited to Mycobacterium smegmatis, Mtb and BCG.
3) According to the characteristics of the host bacterium, the present invention can prepare a host bacterium-specific phage capable of delivering the auto-luminescent elements. The auto-luminescent mycobacterium is obtained after the phage is transduced into the mycobacterium. Since the mycobacteriophage has host specificity (specific to mycobacterium), the phage can be used for rapid detection of a live mycobacterium.
4) The present invention provides a p159OK phasmid for constructing the phasmid of the auto-luminescent bacterium. The phasmid includes a phAE159 phage backbone, a mycobacterial strong promoter (Hsp60); a gene required for luminescence (LuxCDABE); a hygromycin resistant gene (Hyg); a transposase gene (trans); inverted repeat sequences IR-L and IR-R; and Mop and G13 promoters. The luminescent mycobacterium, obtained by the transformation of the host with the phasmid or the phage produced from the phasmid, is an auto-luminescent mycobacterium. The phasmid or the phage is convenient for detection with high accuracy, and can be used for detection of sensitivity of a mycobacterium to a drug.
5) The present invention has skipped a packaging process of X phage. Early studies by the applicant adopted the packaging process of X phage, yet the applicant failed to obtain the p159OK phasmid despite of repeated a large amount of experimental studies, and this cannot succeed in theory. Since such packaging process of X phage was skipped, the present invention was not limited to the size of the X phage packaging, and achieved good experimental results. The p159OK phasmid was successfully constructed with a size capable of more than 57 kb, while the size of the largest vector that can be obtained by the existing X phage packaging does not exceed 52 kb.
6) Even if the auto-luminescent elements are not integrated into the genome, the host bacteria can still be auto-luminescent. The ARP obtained by the invention may efficiently introduce the carried auto-luminescent element into Mtb and BCG, to allow the live Mtb to be luminescent (dead bacteria are not luminescent), thereby rapidly diagnosing the live host bacteria in a sample and quickly testing the sensitivity of the host bacteria to a drug. In order to increase the sensitivity of the diagnosis, a bacteriophage-killing agent (neutralizer) and an indicator bacterium (Mycobacterium smegmatis MC2 155; Msm) amplifying the signal are used. The reaction is carried out in the same tube that is inexpensive, with a strong luminescence signal detectable over a long period of time.
7) The artificial phage provided by the present invention can be used in the following applications: i) efficient preparation of an auto-luminescent mycobacterium transposon mutant strain, which facilitates the studies of gene functions; ii) simple, economical and rapid diagnosis of live Mtb in a sample, with the specificity of the phage used to assist in the identification of bacterial species; and iii) simple, economical and rapid drug susceptibility testing (DST).
8) By using the auto-luminescent phage obtained by transforming the host bacteria with the phasmid of the present invention, dead and live bacteria can be distinguished by detecting luminescence, which is suitable for various experiments or tests.
9) The auto-luminescent mycobacterium prepared through the transduction of ARP of the present invention can be used for in vitro drug activity test, and does not require any substrate. The lights from the same sample can be continuously with a high sensitivity and a high reproducibility.
A phasmid enabling auto-luminescence of a host bacterium includes a DNA fragment enabling auto-luminescence of the host bacterium; and the DNA fragment includes a LuxCDABE gene cluster for luminescence.
Preferably, the DNA fragment further includes a transposon system, a resistance gene and/or a promoter.
Preferably, the transposon system transposes the DNA fragment to a host genome.
Preferably, the transposon system is selected from Himarl mariner family or TnA family.
Preferably, the resistance gene is selected from at least one of hygromycin resistant gene Hyg, kanamycin resistant gene Kan, thiostrepton resistant gene Tsr and apramycin resistant gene Apr.
Preferably, the promoter allows for normal expression of a gene upstream of or downstream of a site in the host genome to which the DNA fragment is transposed.
Preferably, the promoter is selected from at least one of Mop, G13, Hsp60 and A37 promoters.
Preferably, the transposon system includes a transposase gene and inverted repeat sequences. The resistance gene and the LuxCDABE gene are ligated together to form a LuxCDABE gene-resistance gene fragment. A promoter is ligated at both ends of the LuxCDABE gene-resistance gene fragment to form a promoter-LuxCDABE gene-resistance gene-promoter fragment. The promoter allows for normal expression of a gene upstream of or downstream of a site in the host genome to which the DNA fragment is transposed.
Each end of the promoter-LuxCDABE gene-resistance gene-promoter fragment is ligated with each of two inverted repeat sequences in the transposon system to transpose the promoter-LuxCDABE gene-resistance gene-promoter fragment to the host genome by transposase.
Preferably, the DNA fragment capable of making a host bacterium auto-luminescent further includes a replication origin capable of replication in Escherichia coli, which allows the DNA fragment to replicate in a large amount in a plasmid or phasmid.
Preferably, the replication origin is oriE.
Preferably, the DNA fragment further includes a recombination site capable of homologous recombination with a phasmid backbone, which allows the DNA fragment to be ligated to the phasmid backbone.
Preferably, the phasmid backbone comprises a phAE159 backbone.
Preferably, the DNA fragment is represented by SEQ ID NO: 1.
Preferably, the phasmid further includes a phAE159 backbone, and the DNA fragment is located between two recombination sites of the phAE159 backbone.
A method of preparing the phasmid enabling auto-luminescence of a host bacterium includes:
digesting a phasmid backbone into a linear sequence to allow the phasmid to be recombined with a target fragment containing the LuxCDABE genes;
mixing the digested phasmid backbone with the target fragment containing the LuxCDABE genes and transforming Escherichia coli competent cells with the mixed digested phasmid backbone and the target fragment for recombination and amplification; and
extracting the plasmid from positive recombinant Escherichia coli to obtain the phasmid.
Preferably, the method includes:
digesting a phasmid backbone phAE159 with restriction endonuclease PacI, and recovering a large-fragment product after digestion;
mixing the recovered product with a base fragment according to SEQ ID NO: 1, and transforming Escherichia coli competent cells with the mixed product and the base fragment; and
extracting the plasmid from a positive recombinant Escherichia coli to obtain the phasmid.
Preferably, a method of preparing the base fragment according to SEQ ID NO: 1 includes the following steps:
1) Construction of a pUCF2 Plasmid
artificially synthesizing a F0 fragment of SEQ ID NO: 2; ligating the F0 fragment to a pUC19 vector to obtain a pUCF0 plasmid; digesting the pUCF0 plasmid with restriction endonuclease XbaI, and recovering a fragment of about 2.8 kb; ligating the fragment digested by XbaI and containing hygromycin resistant gene Hyg with the two recovered fragments to obtain a pUCF2 plasmid of about 3.9 kb;
2) Construction of a pUCF3 Plasmid
artificially synthesizing a F1 fragment according to SEQ 1D NO: 3; ligating the F0 fragment to a pUC19 vector to obtain a pUCF1 plasmid; digesting the pUCF1 plasmid with restriction endonucleases KpnI and EcoRI and recovering a fragment of about 2.7 kb; digesting the pUCF2 plasmid with restriction endonucleases KpnI and Econ recovering a fragment of about 1.3 kb, and ligating the two recovered fragments to obtain a pUCF3 plasmid of about 4 kb;
3) Construction of a pUCRLlux2P Plasmid
digesting the pUCF3 plasmid with restriction endonucleases KpnI and EcoRI, and recovering a fragment of about 3.9 kb; digesting a pluxOK plasmid with restriction endonucleases KpnI and EcoRI, and recovering a fragment of about 6.3 kb; ligating the two recovered fragments to obtain a pUCRLlux2P plasmid of about 10.2 kb;
4) Construction of a pYUBT Plasmid
amplifying a transposase trans gene sequence from a MycoMarT7 phage, adding a NcoI restriction site to a 5′ end of the trans gene, adding a SpeI restriction site to a 3′ end of the trans gene, and digesting the amplified product with NcoI and SpeI and recovering a fragment of about 1 kb; digesting a pYUB854 plasmid with restriction endonucleases NcoI and SpeI, and recovering a fragment of about 3.8 kb; ligating the two recovered fragments to obtain a pYUBT plasmid;
5) Construction of a pYUOK Plasmid
digesting a pUCRLlux2P plasmid with restriction endonucleases NcoI and SpeI, and recovering a fragment of about 7.6 kb; digesting the pYUBT plasmid with restriction endonucleases NcoI and XbaI, and recovering a fragment of about 2.9 kb; ligating the two recovered fragments to obtain a pYUOK plasmid of about 10.5 kb;
6) Construction of a p159LART Plasmid
synthesizing a base fragment according to SEQ ID NO: 4, ligating the base fragment to a pUC19 vector to obtain a p159LR plasmid, digesting the p159LR plasmid with NheI and recovering a fragment; amplifying a Apr gene fragment with a NheI restriction site at both ends, digesting the fragment with restriction endonuclease NheI and recovering a fragment; ligating the two recovered fragments to obtain a p159LART plasmid of about 4.8 kb;
7) Construction of a pYUOKLART Plasmid
digesting the pYUOK plasmid with restriction endonuclease PacI, and recovering a fragment of about 10.5 kb; digesting the p159LART plasmid with restriction endonuclease Pad, recovering a fragment of about 2 kb, and ligating the two recovered fragments to obtain a pYUOKLART plasmid of about 12.5 kb; and 8) production of a base fragment according to SEQ ID NO: 1 digesting the pYUOKLART plasmid with restriction endonuclease SmaI, recovering a large-fragment product after digestion to obtain the base fragment according to SEQ ID NO: 1.
A phage capable of delivering an auto-luminescent element includes any one of the aforesaid phasmid.
A use of the phage in detecting a host bacterium and/or drug sensitivity of a host bacterium is provided.
Preferably, the host bacterium is mycobacterium.
Preferably, the mycobacterium includes Mycobacterium smegmatis, Mtb, Mycobacterium marinum and BCG.
A method of detecting a host bacterium with the aforesaid phage includes the following steps:
1) adding a phage-containing liquid to a sample to be tested;
2) culturing the sample at 36.5-42° C. for 35 minutes or more, and detecting luminescence using a luminometer;
3) if there is a significant bioluminescence compared to a negative control group without ARP, indicating the sample contains a large amount of live mycobacteria; if the bioluminescence intensity is lower than 120% of the bioluminescence intensity of the negative control, adding a phage-killing reagent SK to kill the phage whose genome has not entered the mycobacterium; wherein the SK reagent is selected from at least one of ammonium sulfate, ferrous sulfate, ammonia sulfate and ammonium ferrous sulfate;
4) adding a neutralizing agent SN to neutralize the excess SK reagent, adding an indicator bacterium, and culturing the sample at 20-32° C. for 12 hours or more; wherein the neutralizing agent SN is selected from at least one of MgSO4, potassium dichromate, CaCl2 and MnCl2; and
5) detecting luminescence of the sample added with the indicator bacterium with a luminometer; wherein the luminescence indicates the presence of live mycobacterium in the sample; non-luminescence indicates the absence of live mycobacterium in the sample.
Preferably, the indicator bacterium is a host of the phage, and the phage proliferates and lyses cells in the host.
Preferably, a culture temperature in step 2) is 36.5-37.5° C.
Preferably, a culture temperature in step 4) is 29-31° C.
A method of detecting the drug sensitivity of a host bacterium with the phage, wherein the method includes the following steps:
1) mixing the phage with the host bacterium, and adding a certain concentration of a drug to be tested;
2) culturing the mixed phage and the host bacterium at 36.5-42° C. for at least 2 hours, and detecting luminescence using a luminometer; and
3) if there is significant difference between the luminescence of the tested sample and the luminescence of a sample with no drug, indicating the host bacteria is sensitive to the drug of the concentration; if there is no significant difference, indicating the host bacteria is resistant to the drug at the concentration.
The present invention will be further described below in conjunction with specific embodiments, but is not limited thereto.
In the embodiments as will described blow, the experimental techniques of molecular biology include PCR amplification, plasmid extraction, plasmid transformation, DNA fragment ligation, restriction enzyme digestion, gel electrophoresis, etc., each of which follows a conventional protocol. See Sambrook J, Russell D W, Janssen K, Argentine J. Molecular Cloning: A Laboratory Manual (Third Edition) (Translated by Huang Peitang et al., Beijing: Science Press, 2002).
DNA polymerase, dNTP and relevant reagents for PCR reaction were purchased from Beijing TransGene Biotech Co., Ltd. E. coli competent cells DH5α were purchased from Guangzhou Dongsheng Biotech Co., Ltd.; product number: C1042. DNA ligation reactions were performed using Takara Biotech's T4DNA Ligation Kit; product model: D6020A. Plasmid Mini Kit (P1001), Large Plasmid Extraction Kit (P1151-02), Gel DNA Recovery Kit (D2111) and PCR Product Recovery Kit (D2120/D2121) were purchased from Guangzhou Megan Biotech Company. Restriction enzymes were purchased from Takara Biotech Co., Ltd. Ampicillin and apramycin antibiotics were purchased from Guangzhou Whiga Biotech Co., Ltd. Hygromycin B was purchased from Roche Company.
Referring to
Hsp60: a strong mycobacterial promoter that promotes strong expression of subsequent genes.
LuxCDABE: an enzyme gene for luminescence, the expression of which allows for auto-luminescence of the host bacteria (see Halkila K, Maksimow M, Karp M, Virta M (2002) Reporter genes lucFF, luxCDABE, gfp, and dsred have different characteristics in whole-cell bacterial sensors. Analytical biochemistry 301: 235-242).
Hygromycin resistant gene (Hyg): a selection marker for the screening for the desired strain. Upon expression of the hygromycin resistant gene (Hyg) in mycobacterium and E. coli, the host becomes resistant to hygromycin, that is, may grow in a medium containing hygromycin antibiotics. Hyg is a typical drug for resistance screening with a Hyg concentration of 50 μg/mL for mycobacterium and a Hyg concentration 200 μg/mL for E. coli.
Transposase gene (trans): a gene encoding an enzyme that performs transposition.
Inverted repeat sequences (IR-L and IR-R): located at both ends of the transposon as its components.
Promoters (Mop and G13): mainly used for ensuring the normal expression of a gene upstream of or downstream of a site in the host genome to which the DNA fragment is transposed.
Specifically, processes for construction of plasmid are as follows.
1. Construction of pUCF2 Plasmid
A starting plasmid pUCF0 was obtained by ligating a synthetic F0 fragment (shown as SEQ ID NO: 2; Shanghai Generay Biotech Co., Ltd) with a pUC19 vector (
2. Construction of pUCF3 Plasmid
A starting plasmid pUCF1 was obtained by ligating a synthetic F1 fragment (shown as SEQ ID NO: 3; Shanghai Generay Biotech Co., Ltd) with the pUC19 vector (
3. Construction of pUCRLlux2P Plasmid
As shown in
4. Construction of pYUBT Plasmid
1) Primers ZZf (shown as SEQ ID NO: 5) and ZZr (shown as SEQ ID NO: 6) were employed to amplify a trans gene sequence (shown as SEQ ID NO: 9) from a MycoMarT7 phage. During the amplification, a NcoI restriction site and a SpeI restriction site were introduced to 5′ end and 3′ end of the trans gene, respectively. The amplified product was digested with NcoI and SpeI overnight and then the digested product was recovered.
2) The pUCF2 plasmid was digested with restriction endonucleases NcoI and SpeI, and a fragment of about 2.7 kb was recovered. The two recovered fragments were ligated to obtain a pUCF4 plasmid (the map is shown in
3) The pUCF4 plasmid which was correctly sequenced through trans gene was digested with restriction endonucleases NcoI and SpeI and a fragment of about 1 kb was recovered (shown in
4) A pYUB854 plasmid was digested with restriction endonucleases NcoI and Spa and a fragment of about 3.8 kb was recovered (shown in
5) The two fragments obtained in steps 3) and 4) were ligated to obtain a pYUBT plasmid of about 4.8 kb (shown in
5. Construction of pYUOK Plasmid
The pUCRLlux2P plasmid was digested with restriction endonucleases NcoI and SpeI, and a fragment of about 7.6 kb was recovered. The pYUBT plasmid was digested with restriction endonucleases NcoI and XbaI, and a fragment of about 2.9 kb was recovered. Restriction endonucleases XbaI and SpeI are isocaudamers. The two fragments were ligated to obtain a pYUOK plasmid of about 10.5 kb. The E. coli competent cells DH5α were transformed with the pYUOK plasmid. Positive clones were screened using the LB solid plate with resistance to hygromycin. A monoclone was picked and cultured in the LB liquid medium. Then the plasmid was extracted to be identified through an enzyme digestion. The pYUOK plasmid which was correctly constructed was used for the next step.
6. Construction of p159LART Plasmid
A base fragment (shown as SEQ ID NO: 4) containing two homologous recombination fragments 159L and 159R of a phAE159 plasmid was synthesized. The base fragment was ligated with a pUC19 vector to obtain a p159LR plasmid (the map is shown in
7. Construction of pYUOKLART Plasmid
As shown in
8. Construction of p159OK Phasmid
As shown in
7H9 medium and Tween 80 involved in this embodiment were both purchased from Guangzhou Huaqisheng Biotech Co., Ltd. Agar was purchased from Guangzhou Kanglong Biotech Co., Ltd. Biorad electroporator (Biorad GenePpLser Xcell) and electroporation cuvette were purchased from Biorad Company.
Materials
1) Mycobacterium smegmatis MC2155 (Msm) was provided by China General Microbiological Culture Collection Center (CGMCC), preservation No: 1.2621.
2) Top agar: 0.6% agar.
3) MP buffer: 50 mL of 1 M Tris-HCL (pH 7.5), 8.766 g of NaCl (final concentration of 150 mM), 2.46 g of magnesium sulfate heptahydrate (final concentration of 10 mM) and 0.222 g of anhydrous calcium chloride (final concentration of 2 mM) were added to distilled water to a final volume of 1 L followed by a filtration to remove the bacteria.
Specifically, the processes are described in detail below.
Method for preparing the phage by electrotransformation
1) 10 μl of concentrated P159OK plasmid and 200 μl of Msm competent cells were added to a labeled electroporation cuvette (0.2 cm), and mixed gently and thoroughly. The cuvette was then placed on ice for 10 minutes. The moisture on the cuvette needed to be wiped off before inserting it into the electroporator.
2) Electrotransformation was performed using the electroporator with a pulse wave of 2.5 KY voltage, 1000Ω resistance and 25 μF capacitance. The pulse time of the negative bacteria control without plasmid should be between 19-21 seconds, at which the bacteria to be transformed were in a good state.
3) 2 mL of 7H9 medium (without Tween 80) was added into the electroporation solution, and then was transferred to a 50 mL centrifuge tube followed by an incubation in an incubator at 37° C. for 3 hours.
4) After the incubation, the system was centrifuged to obtain a precipitation and a supernatant which was discarded. The precipitation was resuspended with 150 μl of 7H9 medium (without Tween 80). 10 or 100 μl of the resuspended bacteria suspension was introduced to 3.5 mL of top agar cooled to 42° C., which then was applied on a solid LB medium plate. The plate was incubated in an incubator at 30° C. and plaques appeared after 48 hours, while some larger plaques appeared earlier than 48 hours.
5) 2 mL of MP buffer was added to each plate and the plate was shaken at 4° C. for several hours. Liquid from plates was filtered with a 0.4 μm filter to produce a filtrate and the filtrate containing phages was stored at 4° C.
1) Mycobacterium was inoculated into a conical flask containing 50 mL of 7H9 liquid medium (containing 0.1% Tween 80), and then incubated under shaking at 37° C. to produce a bacterial suspend with 0D600 of 0.8-1.0.
2) 45 mL of the bacterial suspension was washed with an equal volume of NIP buffer. The washed bacterial suspension was centrifuged at 6000 rpm for 5 minutes to produce precipitation and supernatant which was discarded.
3) 5 mL of MP buffer was used to resuspend the precipitation, 200 μl of which was taken as a control.
4) About 109 phages prepared above were added to the resuspension (or MP buffer as a control), and was incubated at 37° C. for 4-12 hours; wherein the volume of the phage was preferably less than 2 mL.
5) After the incubation, the sample was applied on a surface of 7H11 solid medium with resistance to hygromycin and was incubated at 37° C. Luminescent colonies on the medium were observed within about 3 days of incubation (mycobacterium of slow growth may require 3-4 weeks). Thus, the auto-luminescent colonies of mycobacterium mutated by transposon insertion were obtained.
Method: a schematic diagram of detecting live mycobacterium (i.e., Mtb) in a sample was illustrated in
1) A liquid containing a phage (ARP) was added to a sample to be detected.
2) A mixture of the sample and the liquid containing the phage was cultured at 37° C. for more than 35 minutes, and luminescence of the mixture was detected with a luminometer. The culture may be carried out at 36.5-42° C.
3) If significant bioluminescence was detected, the presence of a large amount of live mycobacteria in the sample was indicated; and if the bioluminescence intensity is lower than 120% of the bioluminescence intensity of the negative control, a phage-killing reagent SK was added to kill the phage failing to transpose its genome into mycobacterium. The SK reagent is selected from at least one of ammonium sulfate, ferrous sulfate, ammonia sulfate and ammonium ferrous sulfate, and these reagents were all purchased from Sigma Company.
4) A neutralizing agent SN was then added to neutralize the excess SK reagent, and an indicator bacterium (Msm) was added. The sample was incubated at 30° C. (may be 20-32° C.) for more than 12 hours. During the incubation, the phages inside mycobacterium of the sample lysed host cells, After being released, the phages can infect the indicator bacterium in a large amount and circulate the process of entering and lysing the host. When enough phages have entered enough indicator bacteria, the sample would become luminescent, indicating the presence of live mycobacterium in the sample.
The neutralizing agent SN was selected from at least one of MgSO4, potassium dichromate, CaCl2 and MnCl2 (Sigma Company).
5) The luminescence of the sample with the indicator bacterium was detected with a luminometer. If the sample was luminescent, the presence of live mycobacterium in the sample was demonstrate& and if the sample was not luminescent, the absence of live mycobacterium in the sample was demonstrated.
1. According to the method described above, the phages of the present invention were adopted to detect a sample containing more than 108 Mtb. A liquid containing the phages was added to the sample to be detected and followed by a culture at 37° C. for 35 min. After the culture, a significant intensity of luminescence was detected with the luminometer when compared with a control, which indicated that the detection method of the present invention is fast and easy to operate. Furthermore, the luminescence intensity became stronger as the culture time extended (shown in
2. According to the method described above, the phages of the present invention were adopted to detect 9 positive clinical sputum samples (P1 to P9) and the results were shown in
3. In order to further study a sensitivity of the above detection method, Mtb samples diluted with different times were detected. When diluted to 10−8, the amount of Mtb in each sample was not more than 10. The details referred to the method of Example 4, and after the phages were added the culture was carried out at 37° C. for 4 hours. The results were shown in
In summary, it can be seen that if there was a large amount of Mtb in the sample, Mtb can be quickly detected within 4 hours. If the amount of Mtb is small in the sample, less than 10 mycobacteria can be detected in the sample after about 28 hours.
Method: a schematic diagram of detecting sensitivity of a host bacterial strain to a drug was illustrated in
1) A phage (ARP) prepared by the present invent was mixed with target live bacteria (i.e., Mtb) contained in a 1.5 mL transparent tube (or a 96-well plate), and a drug of a concentration was added into the transparent tube.
2) They were cultured at 37° C. for at least 2 hours (the culture temperature may be 36.5-42° C.). After the culture, the luminescence was detected with a luminometer.
3) If there is a significant difference between the luminescence of the tested sample and that of a sample with no drug, the host bacteria is sensitive to the drug of the concentration; if there is no significant difference, the host bacteria is resistant to the drug at the concentration.
According to the method as described above, the sensitivity of Mtb to each of the following drugs was detected: rifampicin (RIF, 2 μg/mL), isoniazid (INH, 1 μg/mL), ethambutol (EMB, 5 μg/mL), linezolid (LZD, 1 μg/mL) and oxazolidinone (PNU, 0.5 μg/mL), and the results were shown in
In summary, the method of the present invention can rapidly detect a sensitivity of a host bacterium (i.e., Mtb) to various drugs within 4-8 hours.
The above embodiments are preferred embodiments of the present invention, but the invention is not limited thereto. Any equivalent changes, modifications, substitutions, combinations, and simplifications that are made without departing from the spirit and principles of the invention are intended to fall within the scope of the present invention.
| Number | Date | Country | Kind |
|---|---|---|---|
| 201610127984.9 | Mar 2016 | CN | national |
This application is a continuation of International patent Application No. PCT/CN2016/081202, filed on May 6, 2016, which claims the benefit of priority from Chinese Application No. 201610127984.9, filed on Mar. 7, 2016. The content of the aforementioned applications, including any intervening amendments thereto, are incorporated herein by reference.
| Number | Name | Date | Kind |
|---|---|---|---|
| 8619257 | Plowman | Dec 2013 | B2 |
| 20070185016 | Muir | Aug 2007 | A1 |
| 20120052292 | Pulapura | Mar 2012 | A1 |
| 20140370495 | Jacobs | Dec 2014 | A1 |
| Number | Date | Country |
|---|---|---|
| 1884555 | Dec 2006 | CN |
| 102719471 | Oct 2013 | CN |
| 2010097411 | Sep 2010 | WO |
| Entry |
|---|
| Nathalie Franche, Manon Vinay, Mireille Ansaldi. Substrate-independent luminescent phage-based biosensor to specifically detect enteric bacteria such as E. coli. Feb. 23, 2016. Springer. 24: 42-51. (Year: 2016). |
| Seongmi Kim, Minsik Kim, and Sangryeol Ryu. Development of an Engineered Bioluminescent Reporter Phage for the Sensitive Detection of Viable Salmonella Typhimurium. May 8, 2014. ACS Publications. 86, 5858-5864 (Year: 2014). |
| Tianyu Zhang, Si-Yang Li, Eric L. Nuermberger. Autoluminescent Mycobacterium tuberculosis for Rapid, Real-Time, Non-Invasive Assessment of Drug and Vaccine Efficacy. Jan. 2012. PLoS ONE. vol. 7. pp. 1-8 (Year: 2012). |
| Francesca Forti, Veronica Mauri, Gianni Deho, Daniela Ghisotti. Isolation of conditional expression mutants in Mycobacterium tuberculosis by transposon mutagenesis. 2011. vol. 91. 569-578. (Year: 2011). |
| William Jacobs, Gene Transfer in Mycobacterium tuberculosis: Shuttle Phasmids to Enlightenment. Apr. 11, 2014, American Society for Microbiology Press, vol. 2, pp. 1-22 (Year: 2014). |
| Jain et al., Specialized Transduction Designed for Precise High-Throughput Unmarked Deletions in Mycobacterium tuberculosis, Jun. 3, 2014, mBio, vol. 5, 1-9 (Year: 2014). |
| Jacobs WR et al.,“Rapid assessment of drug susceptibilities of Mycobacterium tuberculosis by means of luciferase reporter phages”,Science,vol. 260,No. 5109,May 7, 1993. |
| Huang,Hairong et al.,“Application of Phages in Mycobacterium tuberculosis Research”,Chinese Journal of Tuberculosis and Respiratory Diseases,vol. 25,No. 8,Aug. 12, 2002. |
| Feng,Yang et al.,“Engineering more stable, selectable marker-free autoluminescent mycobacteria by one step”,PLOS One,2015. |
| Tianyu Zhang et al.,“Autoluminescent Mycobacterium tuberculosis for rapid,real-time, non-invasive assessment of drug and vaccine efficacy”,PLOS One,2012. |
| Gyanu Lamichhane et al.,“A postgenomic method for predicting essential genes at subsaturation levels of mutagenesis: Application to Mycobacterium tuberculosis”,Proc Natl Acad Sci USA,2003. |
| Shu-Chi Chang et al.,“Flow cytometric detection and quantification of mycobacteria in metalworking fluids”,Int Biodeterior Biodegradation,2004. |
| McCann Jr et al.,“Beta-lactamase can function as a reporter of bacterial protein export during Mycobacterium tuberculosis infection of host cells”,Microbiol SGM,2007. |
| Mochammad Hatta et al.,“Detection and identification of mycobacteria in sputum from suspected tuberculosis patients”,BMC Res Notes,2010. |
| Danica Helb et al.,“Rapid detection of Mycobacterium tuberculosis and rifampin resistance by use of on-demand,near-patient technology”,J Clin Microbiol,2010. |
| Garg SK et al.,“Diagnosis of tuberculosis: available technologies, limitations, and possibilities”,J Clin Lab Anal,2003. |
| Hsieh SC et al.,“Rapid identification of Mycobacterium tuberculosis infection by a new array format-based surface plasmon resonance method”,Nano scale Res Lett,2012. |
| Wilson SM et al.,“Evaluation of a new rapid bacteriophage-based method for the drug susceptibility testing of Mycobacterium tuberculosis”,Nat Med,1997. |
| Mariana Piuri et al.,“Fluoromycobacteriophages for Rapid, Specific,and Sensitive Antibiotic Susceptibility Testing of Mycobacterium tuberculosis”,PLOS One,2009. |
| Rondon L et al.,“Evaluation of fluoromycobacteriophages for detecting drug resistance in Mycobacterium tuberculosis”, J Clin Microbiol,2011. |
| Agustina I. de la Iglesia et al.,“Comparison of the performances of two in-house rapid methods for antitubercular drug susceptibility testing”,Antimicrob Agents Chemother,2009. |
| Francesca Forti et al.,“Isolation of conditional expression mutants in Mycobacterium tuberculosis by transposon mutagenesis. Tuberculosis”,Tuberculosis,2011. |
| Xia Yu et al.,“Evaluation of Loop-mediated isothermal amplification for the rapid detection of M. tuberculosis in sputa”, Chin J Lab Diagn,2013. |
| K. Lily Therese et al.; “Detection of Mycobacterium tuberculosis directly from sputum specimens & phenotypic drug resistance pattern of M. tuberculosis isolates from suspected tuberculosis patients in Chennai”; 2012. 135(5):778-782. |
| J. A. Robledo et al; “Evaluation of a rapid culture method for tuberculosis diagnosis: a Latin American multi-center study” 2006. 10(60):613-619. |
| L. Heifets, T. Linder, T. Sanchez, et al.; “Two Liquid Medium Systems, Mycobacteria Growth Indicator Tube and MB Redox Tube, for Mycobacterium tuberculosis Isolation from Sputum Specimens”. Indian J Med Sci. 2012.135(5):778-782. |
| Tan, Yaoju et al; “Clinical application of phage bioassay for detection of Mycobacterium tuberculosis in sputum”; Chinese Journal of Laboratory Medicine; 2011. 34 (5):448-450. |
| Number | Date | Country | |
|---|---|---|---|
| 20190040445 A1 | Feb 2019 | US |
| Number | Date | Country | |
|---|---|---|---|
| Parent | PCT/CN2016/081202 | May 2016 | US |
| Child | 16124252 | US |
