Elisabeth
Trinh
a,
Kate L.
Thompson
a,
Shang-Pin
Wen
a,
Gavin J.
Humphreys
b,
Bianca L.
Price
bc and
Lee A.
Fielding
*ad
aDepartment of Materials, School of Natural Sciences, The University of Manchester, Oxford Road, Manchester, M13 9PL, UK. E-mail: lee.fielding@mancheter.ac.uk
bDivision of Pharmacy and Optometry, School of Health Sciences, Faculty of Biology Medicine and Health, The University of Manchester, Oxford Road, Manchester, M13 9PT, UK
cDivision of Pharmacy and Optometry, Lydia Becker Institution of Immunology and Inflammation, Faculty of Biology Medicine and Health, The University of Manchester, Oxford Road, Manchester, M13 9PT, UK
dHenry Royce Institute, The University of Manchester, Oxford Road, Manchester, M13 9PL, UK
First published on 14th March 2023
The current gold standard diagnostic for bacterial infections is the use of culture, which can be time consuming and can take up to five days for results to be reported. There is therefore an unmet clinical need for a rapid and label free alternative. This paper demonstrates a method of detecting the presence of amplified DNA from bacterial samples using a sterically-stabilised, cationic polymer latex and widely available equipment, providing an accessible alternative DNA detection technique. If DNA is present in a sample, successful amplification by polymerase chain-reaction (PCR) results in the amplified DNA inducing flocculation of the polymer latex followed by rapid sedimentation. This results in a visible and obvious change from a milky-white dispersion to a precipitated latex with a colourless and transparent supernatant, thus giving a clear visual indication of the presence or absence of amplified DNA. Specifically, the response of four polymer latexes with different morphologies to the addition of amplified bacterial DNA was investigated. Cationic latexes flocculated rapidly whereas non-ionic and anionic latexes did not, as judged by eye, disc centrifuge photosedimentometry (DCP), and UV-visible spectrophotometry. The stability of several cationic latexes with different morphologies in typical PCR reagents was investigated. It was found that unwanted flocculation occurred for a latex with a non-ionic core and a cationic corona (poly[2-vinyl pyridine-b-benzyl methacrylate], prepared by polymerisation-induced self-assembly) whereas a ∼700 nm PEGMA-stabilised P2VP latex (non-ionic stabiliser, cationic core), prepared by emulsion polymerisation remained stable. The sensitivity and rate of sedimentation of the PEGMA-stabilised P2VP latex was demonstrated by varying the sequence length and concentration of amplified DNA from Pseudomonas aeruginosa using universal bacterial primers. DNA concentrations as low as 0.78 ng μl−1 could readily be detected within 30 minutes from the addition of amplified DNA to the latex. Furthermore, the specificity of this method was demonstrated by showing a negative result occurs (no flocculation of the latex) when PCR product from a fungal (Candida albicans) sample using bacterial primers was added to the latex.
There are currently various proposed and applied ways of detecting bacteria as an alternative to culture. A number of techniques for detecting the presence of specific bacterial DNA use amplification techniques to recognise and amplify the target DNA sequence using specific primers. These methods include loop-mediated isothermal amplification (LAMP) and polymerase chain reaction (PCR), the latter of which is currently the most used and researched method for amplification of nucleic acids.15–18 A Nucleic Acid Amplification Test (NAAT) such as PCR involves the extraction, amplification and consequent detection of DNA using a variety of methods in order to determine the presence or absence of an infection.
PCR takes approximately 2–4 hours and a very low concentration of DNA can be amplified to detectable levels, typically nanogram quantities.19,20 However, PCR can be time consuming, particularly compared to LAMP, and requires specialised equipment and expertise.21,22 This can limit the time to diagnosis meaning patients are often empirically treated with antibiotics when not needed, or alternatively are lost to follow up (i.e. when positive results are available but patients do not return for treatment).13
After the nucleic acids present in a sample have undergone amplification by conventional PCR, samples are then typically analysed using gel electrophoresis. This is the most commonly used method in research and routine laboratories for detection of DNA.23,24 Gel electrophoresis is known to be an efficient and effective way of separating nucleic acids and detecting the presence of DNA fragments. However, it is relatively labour intensive, requires additional equipment and can take over an hour for separation and analysis.23,25 Alternatively qPCR26,27 directly analyses amplified DNA using fluorescent labelling (such as SYBR green) but requires a more complex PCR set-up.23,25 There is therefore an interest in developing alternative methods of detecting amplified DNA using biosensors, which is the focus herein.
Biosensors can be involved in specific areas of the DNA detection process by improving the yield and purity of the extraction prior to the DNA reaction, or act as a DNA detection method for the PCR product.28–30 Their use can simplify and improve the experimental steps and/or improve the sensitivity and specificity of detecting DNA.28 A number of biosensors have been developed which allow ‘label free’ detection of DNA. Many of these involve the binding of DNA oligonucleotides to nanoparticles. Typically, this involves using gold or silver nanoparticles where complementary binding causes a shift in the surface plasmon resonance of the nanoparticles, resulting in a subtle but detectable (e.g., via eye or plate reader) colour change.31,32 Magnetic particles have also been used in order to detect the presence of DNA via aggregation.28 In this case, amplified DNA was added to magnetic beads which bound to their surface. When placed in a magnetic field, aggregation was induced, providing label-free detection of DNA. Aggregation via bridging flocculation of magnetic nanoparticles has also been described by Wee et al.33 to detect pathogenic DNA. In this case, a low pH buffer was used to trigger flocculation of these magnetic particles after the addition of amplified DNA. All the aforementioned techniques speed up the time taken in order to show a positive PCR result when compared to gel electrophoresis and have the benefit of an easy-to-read visual change. However, they typically use multiple step processes including washing steps which can add to the length of the process, magnetic fields which adds complexity, or require the use of sequence specific DNA oligonucleotides. Hence, it is important to develop a quick, sensitive and easy to read approach to detect amplified DNA after PCR which does not rely on complex additional equipment.
This report investigates the detection of amplified DNA using a readily synthesised and scalable polymer latex. The amplification of bacterial DNA was achieved through conventional PCR using a common bacteria strain (Pseudomonas aeruginosa) and universal primers, which target the 16s rDNA gene of most bacterial species.34 DNA was amplified and then added to a series of latexes with varying morphology and functionality. For sterically stabilised, lightly cross-linked, poly(2-vinylpyridine)-based latexes, the anionic amplified DNA undergoes charge complexation with the cationic latex and causes bridging flocculation of the particles (Scheme 1). The subsequent sedimentation of the particles gives an obvious visible change which could be interpreted by a non-professional as a clear binary result indicating the presence of any amplified bacterial DNA. This has been investigated in terms of specificity, sensitivity and timescale of sedimentation using a combination of UV-visible spectrophotometry (UV-Vis) and disc centrifuge photosedimentometry (DCP).
A series of polymer latexes was therefore designed to investigate their association with amplified DNA via electrostatic interactions and determine whether they sediment over a short timescale as a result of bridging flocculation. Two different cationic latex morphologies were synthesised, along with a non-ionic and an anionic control (see Table 1). Specifically, poly(2-vinyl pyridine-b-benzyl methacrylate) (herein denoted ‘P2VP32-b-PBzMA300’) particles were prepared via RAFT-mediated polymerisation-induced self-assembly (PISA) to provide particles with a cationic corona and hydrophobic latex core. In contrast, lightly cross-linked PEGMA-stabilised (average Mn 2000 g mol−1) poly(2-vinyl pyridine) (herein simply referred to as ‘PEGMA-P2VP’) latexes were prepared by conventional emulsion polymerisation to yield latexes with a hydrophilic (but non-ionic) steric stabiliser and cationic core. Anionic poly(4-styrene sulfonate-b-benzyl methacrylate) (denoted as ‘PSS54-b-PBzMA100’) and non-ionic poly(benzyl methacrylate) (denoted as ‘PBzMA200’) were prepared by RAFT-aqueous emulsion polymerisation and RAFT miniemulsion polymerisation using a non-ionic surfactant, respectively (see ESI† for detailed descriptions).
Latex compositiona | Intensity-average diameter (nm)b | Polydispersity indexb | Weight- average diameter (nm)c | Charged |
---|---|---|---|---|
a Latex preparation details and characterisation data can be found in the ESI (Fig. S1 to S4). b Determined via dynamic light scattering (DLS) at 25 °C. All measurements were performed in triplicate on 0.01% w/w dispersions for DLS. c Measured by disc centrifuge photosedimentometry (DCP) at 20 °C. d Based on aqueous electrophoresis measurements and synthetic method. | ||||
PBzMA200 | 330 | 0.12 | 379 | Non-ionic |
PSS54-b-PBzMA100 | 660 | 0.13 | 837 | Anionic |
P2VP32-b-PBzMA300 | 166 | 0.02 | 242 | Cationic corona |
PEGMA-stabilised P2VP | 754 | 0.06 | 710 | Cationic core |
In order to investigate if DNA induced flocculation of the four latex morphologies, amplified DNA was prepared by conventional colony PCR from a PA01 reference strain of Pseudomonas aeruginosa targeting the bacterial 16s gene using universal primers (27F 1492R), which amplify the DNA of most bacterial species (Table 2). This amplified PCR product is approximately 1400 base pairs in length. The amplified DNA was added to diluted latex to give an overall concentration of DNA between 2–4 ng μl−1 and a latex particle concentration of 0.2% w/w. This mixture was left undisturbed for 30 minutes to observe sedimentation by visual observation (Fig. 1, bottom row). Additionally, complementary experiments were performed using DCP, to evaluate the degree of incipient flocculation by analysing the observed particle size distribution (Fig. 1, top row), and UV-Vis to monitor the rate of sedimentation (Fig. 1, middle row).
Primer | Target gene | Amplicon length/base pairs | Selectivity |
---|---|---|---|
27F, 1492R | 16s rDNA | ∼1400 | Most bacterial species |
8FPL1, 806R | 16s rDNA | ∼800 | Most bacterial species |
HDA1, HDA2 | V2-V3 region of 16s rDNA | ∼200 | Most bacterial species |
When observing the bottom row of Fig. 1, it is apparent that sedimentation occurs for both P2VP32-b-PBzMA300 (cationic corona, Fig. 1l) and PEGMA-P2VP (cationic core, Fig. 1i) leaving a transparent and colourless supernatant and milky white sediment. However, for PSS54-b-PBzMA100 (anionic corona) and PBzMA200 (non-ionic particles) no visible change is observed on the addition of amplified DNA and the dispersions remain milky-white (Fig. 1j and k). When investigated further using DCP (Fig. 1a–d) it is apparent that all of the initial particle size distributions (red traces) are unimodal and relatively narrow. However, on the addition of DNA, shown as black dotted lines in Fig. 1a to d, there are effectively no changes to the traces for PSS54-b-PBzMA100 and PBzMA200, indicating no incipient flocculation occurs on the addition of amplified DNA to these anionic and non-ionic particles. Furthermore, when monitoring these samples using UV-Vis by mixing the particles and DNA within a cuvette and immediately monitoring the absorbance at 600 nm for 30 minutes (Fig. 1f and g), there is no sign of sedimentation (which would be indicated by a decrease in absorbance). Thus, it can be concluded that these anionic and non-ionic particles are not suitable for detecting amplified DNA using this methodology. This was expected as DNA is anionic, meaning that electrostatically induced flocculation would not occur for anionic and/or non-ionic particles.
The black dotted DCP traces in Fig. 1a and 1d show the particle size distributions on the addition of amplified DNA to PEGMA-P2VP and P2VP32-b-PBzMA300, respectively. In both cases the particle size distributions show clear signs of flocculation through the appearance of peaks at larger particle sizes. This is expected as the relatively high molecular weight and negatively charged DNA is capable of electrostatically associating with the cationic latexes and causing charge neutralisation as well as bridging flocculation. This observation provides a colloidal length scale explanation of the macro-scale visual observations made in the bottom row of Fig. 1. Furthermore, when amplified DNA was added to these latexes and monitored by UV-Vis, a gradual decrease in the absorbance is observed over the 30 minute timescale (Fig. 1e and 1h). Once the particles have sedimented at the bottom of the cuvette this leaves a relatively transparent supernatant and thus a comparatively low absorption at 600 nm. These measurements also demonstrate that a 30 minute timescale is appropriate for subsequent experiments to judge whether DNA amplification has been successful or not.
For the P2VP32-b-PBzMA300 particles, on addition of latex to the dNTPs flocculation occurred. Sedimentation of the particles occurred within 10 minutes, as judged visually and by UV-Vis (see Fig. S5, ESI†). Therefore, this latex would result in false positives when exposing it to an unsuccessful or successful PCR reaction and ultimately making these particles unsuitable for this application.
For the PEGMA-P2VP particles, no indications of sedimentation occurred in the presence of dNTPs (Fig. 2b and f). In addition, the PEGMA-P2VP latex showed no signs of flocculation when any common PCR reagents were added, including primers, solvents, salts and Taq polymerase. In all cases, there was no change in absorption at 600 nm after being monitored for 30 minutes, the DCP traces remained mono-modal, and the dispersions remained milky white (Fig. 2).
The difference between these two latexes is likely due to their differing morphologies, with the cationic stabiliser chains losing their ability to provide stabilisation when associated with negatively charged dNTP molecules. This is supported by aqueous electrophoresis measurements which show a charge reversal from cationic to anionic when dNTPs are added (Fig. S6, ESI†). In contrast, the PEGMA-P2VP particles have a non-ionic PEGMA steric stabiliser. Therefore, although charge reversal occurs in the presence of dNTPs through their association with the P2VP core of the particles (Fig. S6, ESI†), they remain stable due to the PEGMA stabiliser. Thus, whilst the PEGMA-P2VP latexes are susceptible to bridging flocculation induced by relatively high molecular weight anionic species (in this case amplified DNA), they are not sensitive to small-molecule or salt induced aggregation. Overall, this shows that the flocculation and consequent sedimentation of the PEGMA-P2VP particles in the presence of amplified DNA (Fig. 1) is due to a combination of bridging and electrostatic flocculation.
To further investigate the role of the PEGMA stabiliser on providing stability in the presence of PCR reagents, two additional PEGMA-P2VP latexes were prepared using PEGMA with a lower average Mn (360 and 500 g mol−1, Fig. S7, ESI†). When challenged with amplified DNA these latexes also sediment but they were not stable in the presence of PCR mastermix (Fig. S8, ESI†), indicating the importance of having a suitably high molecular weight non-ionic stabiliser in avoiding false positives from occurring. Furthermore, the particle diameter of the PEGMA-P2VP latex also affected the rate and clarity of sedimentation when amplified DNA was added (Fig. S9, ESI†), with the larger particles giving the clearest visible result.
Additional negatively charged species which may be present in bacterial DNA amplification include proteins and cell/bacteria debris. Most of these species are typically removed through DNA extraction and/or purification steps. Nevertheless, when a PCR is conducted typically, the sample is lysed (heated) to release the template DNA for amplification. Thus, in order to analyse the potential interference of any bacterial cell proteins still present prior to purification, a sample of bacterial cell lysate from P. aeruginosa was added to the PEGMA-P2VP latex and no flocculation was observed (Fig. S10, ESI†).
Fig. 3b shows the sedimentation rate of the PEGMA-P2VP latexes for different amplified DNA concentrations. In all cases, the measured absorbance of the 0.1% latex dispersion decreases steadily over 20–30 minutes, with all samples analysed reaching ∼0 absorbance after 30 minutes. Thus, for this PEGMA-P2VP latex and amplified DNA combination, 30 minutes is sufficient to judge the outcome of a test by allowing the particles to fully sediment to the bottom of the tube. However, when observing flocculation by eye, the presence of flocculation is usually apparent within a few minutes.
In order to assess whether this method can be applied to amplified DNA with shorter sequence lengths, PCR targeting other regions of the bacterial genome was conducted and the products added to PEGMA-P2VP latex. Specifically, partial 16S rRNA gene sequences were used to amplify DNA of an approximate base pair length of 200 and 800 bp (see Table 2).38,39 Hence, purified PCR products were added to the PEGMA-P2VP particles (latex concentration 0.2% w/w, DNA concentration 2–3 ng μl−1) and observed for 30 minutes (Fig. 4). In both cases, flocculation was observed within 20 min visibly and by UV-Vis monitoring. DCP analysis (Fig. S11, ESI†) also showed the presence of a shoulder due to flocculation on the addition of amplified DNA of both sequence lengths. However, the clarity of the supernatant observed for 200 bp (Fig. 4a ii) was not as clear as previously observed for longer amplified DNA sequence lengths. This is likely due to the shorter amplified DNA length being a less efficient flocculant. This indicates that this particular latex/DNA combination (concentration etc.) requires further optimisation for detecting relatively short amplified DNA sequence lengths.
Flocculation of the latex particles did not occur as evidenced by no changes in: (i) the DCP trace of the PEGMA-P2VP latex after the addition of PCR product (Fig. 5a); (ii) the UV-Vis absorption over the course of 30 minutes (Fig. 5b); and visual inspection of the PCR tube (Fig. 5c). Hence, this confirms that flocculation only occurs when amplified DNA is present as a result of a successful PCR.
Since the detection of amplified DNA by this method relies on a successful PCR being carried out, there is the potential to utilise this simple detection method for rapid speciation or detection of specific genetic motifs, by changing the primer set used. For example, PCR can be used to amplify DNA from viruses and fungi, as well as targeting e.g. MRSA specific genes in bacteria to best identify a course of treatment, which is being pursued currently.
For a typical PCR, per sample the following reagents were added to a 0.2 ml PCR tube; 35.25 μl of molecular water (Sigma-Aldrich, UK), 5 μl of PCR buffer (Taq Buffer (10X), without detergent; Thermo-Fisher, UK), 1.5 μl MgCl2 (50 mM; Meridan Bioscience, UK), 1 μl dNTPs (10 mM; Thermo-Fisher, UK), 2.5 μl forward primer (Eurofins Genomics, EU), 2.5 μl reverse primer (Eurofins Genomics, EU), 1 μl DMSO (Sigma-Aldrich, UK), 1 μl DNA template and 0.25 μl Taq polymerase (Invitrogen; Thermo-Fisher, UK). PCR was conducted using a TGradient PCR instrument (Biometra Göttingen, Germany). PCR tubes were placed into the pre-programmed thermal cycler to start the PCR reaction. The 16S programmed cycle was set as follows; stage 1 – 95 °C for 2 min; stage 2 – 95 °C for 1 min, 53 °C for 30 s, 72 °C for 1 min (repeated for 30 cycles); stage 3 – 72 °C for 5 min. Following the PCR cycle, 10 μl of PCR product was mixed with 2 μl loading dye (Thermo-Fisher, UK) and analysed by gel electrophoresis on a 1% w/v agarose gel at 120 V for 90 minutes. If required, purification of the PCR product was performed using QIAquick PCR purification Kit (Qiagen, UK). The DNA gene targeted was the 16S rDNA gene using the following primers: forward primer 27F (5′-AGA GTT TGA TCC TGG CTC AG-3′); reverse primer 1492R (5′-TAC CTT GTT ACG ACT T-3′). Therefore, the amplified PCR product was approximately 1400 base pairs in length. In subsequent experiments, the DNA sequence length was varied using the following primers: 8FPL1 (5′-GAG TTT GAT CCT GGC TCA G-3′) and 806R (5′-GGA CTA CCA GGG TAT CTA AT-3′) to amplify DNA of an approximate base pair length of 800bp; HDA1 (5′-ACT CCT ACG GGA GGC AGC AGT-3′) and HDA2 (5′-GTA TTA CCG CGG CTG CTG GCA C-3′) which target the V2-V3 region of the 16s rRNA gene to give an overall base pair sequence of approximately 200bp.
Footnote |
† Electronic supplementary information (ESI) available: Additional experimental methods for latex preparation; characterisation of latexes by DCP, DLS, Aqueous electrophoresis, and TEM; addition of DNA, bacterial lysate and dNTPs to various cationic latexes; measured zeta potential for addition of PCR reagents to cationic latexes; DCP analysis of addition of amplified DNA with different sequence lengths to PEGMA-P2VP latex. See DOI: https://doi.org/10.1039/d2tb02714c |
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