Yi 
            Sun
          
        
      a, 
      
        
          
            Raghuram 
            Dhumpa
          
        
      b, 
      
        
          
            Dang Duong 
            Bang
          
        
      b, 
      
        
          
            Jonas 
            Høgberg
          
        
      b, 
      
        
          
            Kurt 
            Handberg
          
        
      c and 
      
        
          
            Anders 
            Wolff
          
        
      *a
      
aDTU Nanotech, Department of Micro- and Nanotechnology, Technical University of Denmark (DTU), Ørsteds Plads, DK-2800 Kgs, Lyngby, Denmark. E-mail: anders.wolff@nanotech.dtu.dk
      
bDTU Vet, Laboratory of Applied Micro-Nanotechnology, National Veterinary Institute, Technical University of Denmark, Hangøvej 2, DK-8200, Aarhus, Denmark
      
cLaboratory of Avian Influenza Virus, National Veterinary Institute, Technical University of Denmark (DTU), Hangøvej 2, DK-8200, Aarhus, Denmark
    
First published on 2nd March 2011
The endemic of Avian Influenza Virus (AIV) in Asia and epizootics in some European regions have caused serious economic losses. Multiplex reverse-transcriptase (RT) PCR has been developed to detect and subtype AIV. However, the number of targets that can be amplified in a single run is limited because of uncontrollable primer–primer interferences. In this paper, we describe a lab-on-a-chip device for fast AIV screening by integrating DNA microarray-based solid-phase PCR on a microfluidic chip. A simple UV cross-linking method was used to immobilize the DNA probes on unmodified glass surface, which makes it convenient to integrate microarray with microfluidics. This solid-phase RT-PCR method combined RT amplification of extracted RNA in the liquid phase and species-specific nested PCR on the solid phase. Using the developed approach, AIV viruses and their subtypes were unambiguously identified by the distinct patterns of amplification products. The whole process was reduced to less than 1 hour and the sample volume used in the microfluidic chip was at least 10 times less than in the literature. By spatially separating the primers, highly multiplexed amplification can be performed in solid-phase PCR. Moreover, multiplex PCR and sequence detection were done in one step, which greatly simplified the assay and reduced the processing time. Furthermore, by incorporating the microarray into a microchamber-based PCR chip, the sample and the reagent consumption were greatly reduced, and the problems of bubble formation and solution evaporation were effectively prevented. This microarray-based PCR microchip can be widely employed for virus detection and effective surveillance in wild avian and in poultry productions.
To minimize the interferences in multiplex PCR, a technique called solid-phase PCR has been developed by grafting one or both primers on a solid support while keeping other PCR components in the liquid phase.9,10 The primers can be immobilized on microtiter plates,11 flat surfaces,12 or microbeads.13 In each case, enzymatic extension of the primer produces a tethered amplicon. Solid-phase PCR on DNA microarray has become increasingly popular as highly multiplexed amplification could occur in a miniature space with hundreds or thousands of discrete immobilized primers.14–16 The multiplexing capabilities are produced by spatially encoding the array, in which each spot on the array is used to target a specific analyte. As the primers are spatially separated, the interferences between various primers are minimized, and the number of different targets able to be amplified in a single PCR reaction is greatly improved. The technique has been applied for a variety of applications, including diagnosis of infectious diseases16 and single-nucleotide polymorphism (SNP) analysis.17 Solid-phase PCR has shown its advantages of high throughput, ease of operation and specific detection. However, protocols for attaching probes on the glass surface were complicated and the method has never been applied for a fragile material like viral RNA.
In conventional solid-phase PCR, a self-adhesive frame7 or a glass coverslip18 is mounted on the oligonucleotide array to seal the reaction mixture. In both cases, a large amount of PCR samples are required. Moreover, air bubbles are easily trapped in the aqueous phase and the solutions are subject to evaporation, which could adversely affect the efficiency of solid-phase PCR. The problems can be addressed by using lab-on-a-chip technology. Since the concept of lab-on-a-chip was proposed, PCR microchips have been rapidly developed.19–21 The microfabricated chips have characteristic dimensions in the order of µm, and PCR samples could be processed in a much shorter time with a high degree of fluid control. With the advances of microfabrication techniques, DNA microarrays have been incorporated into PCR microchips to detect PCR products by hybridization where unique DNA sequences are recognized through base pairing.22–24 However, PCR microchips with microarrays for solid-phase PCR have seldom been reported.
In this paper, we describe a lab-on-a-chip device for rapid AIV detection by integrating DNA microarray-based solid-phase PCR on microchip. A 2 µl hybrid PDMS–glass chamber-based PCR microchip was fabricated and a DNA microarray for interrogating different influenza types was integrated in the chip. A very simple UV cross-linking procedure was used to immobilize TC-tagged oligonucleotide probes on the glass surface without any surface modification. The immobilization method is fast and thermally stable, making it a convenient to integrate microarrays into microfluidic systems. The fragile viral RNA was used as templates. The on-chip solid-phase PCR combined reverse-transcription amplification of RNA extract in the liquid phase and the simultaneous sequence-specific enzymatic extension of probes on the solid phase. The amplicons remained covalently bound to the glass and could be directly detected after PCR by fluorescence scanning. Using the developed approach, AIV viruses and their subtypes were unambiguously identified by their distinct patterns. Parameters such as the ratio of aqueous primers and solid probe densities were optimized for the system to improve efficiency of solid-phase amplification. This is the first demonstration of incorporation of solid-phase PCR into PCR microchip. Highly multiplex PCR can be performed on chip for viral classification attributed to the high-throughput capabilities of microarrays. Amplification and sequence detection are done during solid-phase PCR in a single, valveless chamber, which eliminates the need for post-PCR step and greatly simplifies the assay. Moreover, despite the sample volume being at least ten times less than that in the literature, ten-fold increase in detection sensitivity has been achieved when compared to both solution-based multiplex PCR and standard microarray method. The device can be considered as a versatile tool for identification of other genetic targets or it can also be integrated with other functionalities such as sample preparation to develop an automated and fully integrated sample-in–answer-out system.
The working model for on-chip solid-phase PCR is illustrated in Fig. 1. The viral RNA and RT-PCR mixture is pumped into the chamber. Subsequently, the chamber is sealed and RT-PCR is performed by temperature cycling (Fig. 1a). The RNA is first reverse transcribed to complementary DNA (cDNA) in the liquid (Fig. 1b). cDNA is then amplified with freely moving PCR primers (Fig. 1c). Simultaneously, the newly amplified PCR amplicons in the liquid phase interact with the nested probes immobilized on the solid phase (Fig. 1d). If the probes match the bases in the template DNA, they are extended by the polymerase (Fig. 1e). In the next cycle, the extended probe served as templates for the second strand elongation primed by the forward primers in the liquid phase (Fig. 1f), thus generating new templates for the solid-phase amplification (Fig. 1g). After the reaction, PCR products remain attached to the glass slide through covalent binding and could be directly visualized as the forward primers in the liquid phase were labelled with Cy5 dyes. Detection of influenza virus A and simultaneous identification of two highly pathogenic AIV subtypes H5 and H7 are achieved by examining the specific patterns of the microarray.
|  | ||
| Fig. 1 The concept of on-chip solid-phase PCR for rapid AIV detection. (a) The viral RNA and RT-PCR mixture is pumped into the chamber. (b) The RNA is reverse transcribed to cDNA in the liquid. (c) cDNA is amplified with freely moving PCR primers. (d) The newly amplified PCR amplicons in the liquid phase interact with the nested probes immobilized on the solid support. (e) The matched probes are extended by the polymerase. (f) In the next cycle, the forward primers in the liquid phase are annealed to the extended probes. (g) Complementary strands are generated and serve as new templates for the solid-phase amplification. After the reaction, PCR products remain attached to the glass slide through covalent binding and could be directly visualized as the forward primers are labeled with Cy5 dyes. | ||
| No. | Viral strains and sources | Titre (HA) | 
|---|---|---|
| 1 | H1N1 A/DK/ALB 35/76 | 1 ![[thin space (1/6-em)]](https://www.rsc.org/images/entities/char_2009.gif) : ![[thin space (1/6-em)]](https://www.rsc.org/images/entities/char_2009.gif) 16 | 
| 2 | H5N1 A/CK/Scotland/ 59 06.04.67 | 1 ![[thin space (1/6-em)]](https://www.rsc.org/images/entities/char_2009.gif) : ![[thin space (1/6-em)]](https://www.rsc.org/images/entities/char_2009.gif) 256 | 
| 3 | H7N5-2 A/Chick/Nether/2993—17/03 AV 506/03 | 1 ![[thin space (1/6-em)]](https://www.rsc.org/images/entities/char_2009.gif) : ![[thin space (1/6-em)]](https://www.rsc.org/images/entities/char_2009.gif) 128 | 
| 4 | Newcastle diseases, Ulster strain | 1 ![[thin space (1/6-em)]](https://www.rsc.org/images/entities/char_2009.gif) : ![[thin space (1/6-em)]](https://www.rsc.org/images/entities/char_2009.gif) 128 | 
| 5 | H16N3—A/Gull/Denmark/68110/02 | 1 ![[thin space (1/6-em)]](https://www.rsc.org/images/entities/char_2009.gif) : ![[thin space (1/6-em)]](https://www.rsc.org/images/entities/char_2009.gif) 128 | 
| Type or subtype | Target gene | Primers and probes | Sequences (5′–3′) | Amplicon (bp) | 
|---|---|---|---|---|
| A | Matrix | Forward DB-MF | CY5-AGA TGA GTC TTC TAA CCG AGG TCG | 98 | 
| Reverse DB-MR | TGC AAA AAC ATC TTC AAG TCT CTG | |||
| M gene probe | TTTTTTTTTTCCCCCCCCCC TCA GGC CCC CTC AAA GCC GA | |||
| H5 | HA | Forward DB-H5LH1 | CY5-ACA TAT GAC TAC CCA CAR TAT TCA G | 151 | 
| Reverse DB-H5RH1 | AGA CCA GCT AYC ATG ATT GC | |||
| H5 Probe | TTTTTTTTTTCCCCCCCCCC TCW ACA GTG GCG AGT TCC CTA GCA | |||
| H7 | HA | Forward DB-LH6H7 | CY5-GGC CAG TAT TAG AAA CAA CAC CTA TGA | 131 | 
| Reverse DB-R4H7 | GCC CCG AAG CTA AAC CAA AGT AT | |||
| H7 Probe | TTTTTTTTTTCCCCCCCCCC CCG CTG CTT AGT TTG ACT GGG TCA ATC T | 
![[thin space (1/6-em)]](https://www.rsc.org/images/entities/char_2009.gif) :
:![[thin space (1/6-em)]](https://www.rsc.org/images/entities/char_2009.gif) 1 mixture of PDMS pre-polymer and curing agent (Sylgard 184, Dow Cornig, MI, USA) was stirred thoroughly and then poured onto the master and cured for 1 h at 65 °C. After curing, the 1 mm thick PDMS replica was peeled from the master. Inlet and outlet holes were punched by a needle. The PDMS substrate and the glass chip with DNA microarray were sealed by plasma bonding. Both PDMS and glass substrates were exposed to oxygen plasma for 30 s at 100 W with an oxygen flow rate of 240 ml min−1 (Plasma Processor 300, PVA TePla, Germany). Right after the removal from the plasma chamber, the substrates were brought into conformal contact where an irreversible seal formed spontaneously. Though the probe array was also exposed to oxygen plasma, test showed that the functionality of DNA as probes for PCR was not affected at such low power exposure. As shown in Fig. 2, the outer dimension of the microchip was 10 mm × 10 mm and the volume of the microchamber was 2 µl.
1 mixture of PDMS pre-polymer and curing agent (Sylgard 184, Dow Cornig, MI, USA) was stirred thoroughly and then poured onto the master and cured for 1 h at 65 °C. After curing, the 1 mm thick PDMS replica was peeled from the master. Inlet and outlet holes were punched by a needle. The PDMS substrate and the glass chip with DNA microarray were sealed by plasma bonding. Both PDMS and glass substrates were exposed to oxygen plasma for 30 s at 100 W with an oxygen flow rate of 240 ml min−1 (Plasma Processor 300, PVA TePla, Germany). Right after the removal from the plasma chamber, the substrates were brought into conformal contact where an irreversible seal formed spontaneously. Though the probe array was also exposed to oxygen plasma, test showed that the functionality of DNA as probes for PCR was not affected at such low power exposure. As shown in Fig. 2, the outer dimension of the microchip was 10 mm × 10 mm and the volume of the microchamber was 2 µl.
        |  | ||
| Fig. 2 Photograph of the hybrid PDMS–glass microchip. DNA microarray was spotted on the glass substrate. The outer dimension of the microchip was 10 mm × 10 mm and the volume of the microchamber was 2 µl. | ||
The microarray in the microchip was scanned by an array scanner (LaVision BioTec, Germany). Fluorescence imaging and processing software (LaVision BioTec, Germany) was used to quantify the spots by calculating the average pixel intensity inside the defined spots.
![[thin space (1/6-em)]](https://www.rsc.org/images/entities/char_2009.gif) :
:![[thin space (1/6-em)]](https://www.rsc.org/images/entities/char_2009.gif) 64. The fifty percent egg infectious dose (EID50) calculated for H16N3 strain was 6.7 log10EID50 per ml. 5 µl of RNA was used as template and added to 20 µl PCR master mix.
64. The fifty percent egg infectious dose (EID50) calculated for H16N3 strain was 6.7 log10EID50 per ml. 5 µl of RNA was used as template and added to 20 µl PCR master mix.
      
    
    
      |  | ||
| Fig. 3 Specificity of on-chip solid-phase PCR. (a) Microarray layout. The DNA probes for M gene and HA genes specific for H5 and H7 are represented as gray circles. Each dot is 150 µm in diameter with a center-to-center distance of 300 µm. Green circles are guiding dots used for orientation. Fluorescent images after 40 cycle amplification of four different viral RNA strains: (b) AIV H1N1, (c) AIV H5N1, (d) AIV H7N5 and (e) Newcastle disease virus (NDV). The strong fluorescence outside of the chip is due to the autofluorescence of PDMS residues. | ||
As the aqueous forward primers were designed to bind to both templates in the solution and amplicons tethered on the solid support, the reverse primers were included at a limiting concentration to lower the competition with solid probes. The optimum primer ratios were identified by keeping the concentration of reverse primers at 0.5 µM while increasing the concentration of forward primers from 0.5 µM to 5 µM. When the forward primers in the liquid were doubled from 0.5 µM to 1 µM, 20% increase in the amount of immobilized amplicons was observed. Further increase in the concentration had no effect on the yield of solid-phase amplifications. Therefore, 1 µM forward primers were used to ensure amplification was not limited by the amount of aqueous primers in the reaction.
The probe density is another important factor that could limit the amount of amplicons. The density of probes immobilized on the glass substrate was changed by varying the spotting concentrations from 5 µM to 50 µM. As shown in Fig. 4, the amount of amplicons increased linearly when the probe concentration was raised from 5 µM to 20 µM. But increasing the concentration from 20 µM to 40 µM had no significant effect on the yield of the immobilized amplicons, while an excess number of probes reduced the yield of solid-phase amplifications, indicating that too high probe density negated amplification. The low amplification efficiency at high probe concentration may have several explanations. One explanation could be screening effect: when the probes are immobilized at high density, the high negative charges in close proximity to a solid support disturb polymerase functioning on the surface and repel of target DNA in solution, thus reducing the extension efficiency. Another explanation could be that abnormal target–probe and probe–probe interactions on planar microarrays are intensified at higher probe density, therefore decreasing the amount of accessible probes on the chip and reducing priming and amplification efficiency. For this system, the maximum amplification efficiency was achieved at the combined condition of 1 µM forward primers and 20 µM immobilized probes.
|  | ||
| Fig. 4 Effect of probe concentration on solid-phase RT-PCR. Solid-phase amplification of 10−1H16N3 viral RNA was performed in replicate reactions with probe concentration varied from 5 µM to 50 µM. 1 µM forward primers and 0.5 µM reverse primers were contained in the PCR solution. Fluorescence intensities of probes specific to M gene were measured. Values represent the mean fluorescence and the standard deviation of triplicate reactions for each probe concentration. | ||
|  | ||
| Fig. 5 Sensitivity of solid-phase RT-PCR. Serial 10-fold dilutions of viral RNA extracted from H16N3, ranging from 100 to 10−9, were used as templates. Replicate solid-phase PCR was prepared each containing 1 µM forward primers and 0.5 µM reverse primers in solution, and 20 µM probes immobilized on glass surface. Fluorescence intensities of probes specific to M gene were measured. Values represent the mean fluorescence and the standard deviation of triplicate reactions for each template concentration. The detection limit was 10−6, or equivalent to 0.7 log10EID50 per ml. | ||
In our approach, a 2 µl chamber-based PCR microchip was fabricated to replace the conventional coverslip or frame. As the sample volume was greatly reduced, the denaturation and annealing steps occurred as soon as the correct temperature was reached, and the process was only limited by the extension step. Consequently, the total reaction time was shortened by half. Furthermore, due to the micron sized feature dimension and the closed fluidic format of the microchip, the small amount of samples could be manipulated and processed with a high degree of control. Solution evaporation and bubble formation were effectively prevented. Compared to solid-phase PCR carried out using the coverslip or frame, the amplification in PCR microchip provided better performance as the detection limit achieved on-chip (10−6) was 10-fold better than that obtained using the coverslip (10−5)30 (see ESI†). PCR microchip and DNA microarray have been shown to be a perfect combination, which affords gains in terms of control, speed, efficiency and functionality.
| Footnote | 
| † Electronic supplementary information (ESI) available: Information on sensitivity of two other AIV identification methods—multiplex solution-based RT-PCR and conventional solid-phase PCR with coverslip. See DOI: 10.1039/c0lc00528b | 
| This journal is © The Royal Society of Chemistry 2011 |