lecture 4 Flashcards

1
Q

what is rapid result testing

A

-smaller automated testing or susceptibility testing
-uses dehydrated substances to detect pre formed enzymes
-some are serological for AB AG detection directly from pt - throat swab for strep
-chromogenic media w/ culture
-rapid testing by automation
-rapid testing by molecular techniques - covid test
-increased accuracy and faster results within 4-6 hours reduces hands on time

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2
Q

how can results be detected :

Agglutination:

Fluorescence:

Chromogenic reaction:

Colorimetric:

Turbidity:

A

Agglutination: AG/AB reaction = clumping.

Fluorescence: Non-fluorescent to start, becomes fluorescent if enzyme breaks down substrate. tagging specimen

Chromogenic reaction: Dye - chromophore colorless to start if enzyme present becomes colored.

Colorimetric: Color produced due to pH or a chemical reaction (enzyme breaks down substrate).

Turbidity: Increased cloudiness if bacteria present.

Colorimetric or Turbidimetric methods can be qualitative or quantitative measurements.

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3
Q

how is turbidity measured

A

-Light-rays are scattered and absorbed by bacteria
in the solution rather than transmitted in straight lines through the sample.

• If measure scattered light = nephelometer
• If measures transmittance = turbidimeter

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4
Q

automated detection systems

A

-measure light change to detect positive or negative results

photometer- measures intensity of light by converting light into electrical current that changes based on the amount of light absorbed

spectrophotometer/colorimeter- measures concentration of a substance or intensity of color of a solution by how much specific colors are absorbed or transmitted

fluorometer: detects increasing levels of fluorescence absorbs UV light

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5
Q

how does a spectrophotometer work

A
  • measures the amount of light that is absorbed or transmitted by the sample - quantitative measure of the concentration of matter in the sample – i.e. amount of bacteria r

Spectrometer:
-COLLIMATOR- a lens that transmits a straight beam of light (photons).
-The light passes through a MONOCHROMATOR (PRISM) splitting it into many wavelengths.
-the SLIT selects and transmits the wavelength you want measured & this wavelength of light is shined onto a sample

Photometer: detects number of photons or intensity of light transmitted or absorbed AFTER the wavelength of light passes through the sample in cuvette and converts into an electrical signal on a display

the more concentrated a solution (darker) is the higher the absorbance of light and lower the transmittance

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6
Q

what is the vitek2

A

-designed for the space program
-identifies bacteria(aer, ana, fast, facul, GP, GN) and yeasts
-64 wells with test subtrate
-measures metabolic activties, acidification, alkalization , growth in presence of inhibitory substances
-uses photometric system to detect changes in light - turbidity
-reading every 15 mins
-results from 4-13 hours
-biocode is generated and compared with known org biocodes

-has cards to perfrom susceptibility testing of non fast, aero, facul bacteria
-Antibiotic susceptibility testing (AST) determines the susceptibility of a bacterial strain to a panel of antibiotics.
-if bacteria grows in certain antibiotic then resistant if it cant then its susceptible
-the lowest concentration of an antibiotic that prevents VISIBLE growth is called MIC
- then this MIC is compared to known org MIC in database

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7
Q

what is PCR

A

-polymerase chain reaction - where copies of a specific target DNA region are made in a TEST TUBE rather then an organism

what is needed:
-dna to be amplified
-dna primers
-dna polymerase
-dNTPs
-buffer to maintain pH and provide MG

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8
Q

PCR COMPONENTS

A

Target DNA - is the DNA extracted from the specimen dont have to be the target sequence but if it is present then it will be used as a template for the new DNA

DNA Polymerase- enzyme in cells that use existing SINGLE DNA strands as a template to make new DOUBLE strands by reading the template and adding nucleotides one at a time
-TAQ POLYMERASE is used because it doesnt denature at high temps that are used in the PCR cycle

dNTPs (deoxyribonucleoside triphosphates):
-Four dNTPs (adenosine triphosphate, guanosine triphosphate, thymidine triphosphate and cytosine triphosphate)
- “building blocks” added to ss of DNA by Taq polymerase to make new ds of DNA

Primers (forward and reverse)
-2 short sequences of complementary DNA or RNA -20 base pairs
-forward or reverse bind to either end on target DNA strand
–taq can only add a few to already existing DNA strand - gives a starting point

3’ TO 5’ BINDS TO 5’ TO 3’
-LABELLED PRIMERS ARE PROBES

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9
Q

what part does the PCR buffer play and what are the next steps in pcr

A

PCR buffer: creates an optimal environment for the Taq to operate
-pH between 8-9.5 with salts like MGCL and KCL to help Taq

Next steps: extract, purify the DNA = template DNA
put your DNA and all ingredients in small tube into a thermocyler

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10
Q

what is a thermocycler

A
  • a thermal block and holes to hold the PCR reaction tubes
    -raises and lowers the temp of the block
    -repeating steps of denaturation, extension, and annealing

before the cycle starts you may have to do a hot start and heat the block at 95C for 1-10 mins if you are using a dna polymerase that is heat activated

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11
Q

PCR STEPS and analysis

A

Denaturation - 98C 1-2 mins- increase temps to separate the DNA strands
Annealing 50-65C for 1-2 min - decreased temps allow primers to pair to comple DNA template
Extension 68-72C 10-15 min - polymerase extends the primer to form nascent DNA strand

Exponential amplification of target region about 2 bill copies in 30th cycle

ANALYZED BY
agarose gel electrophoresis
-NA or protein seperated based on charge, size and shape from neg to pos
-visualize with dye staining fluorescence
-compared with ladder - a ruled of base pair sizes

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12
Q

VISUALIZING OUR SAME PRODUCT BY REAL TIME PCR (qPCR)

A

-qPCR combines PCR amplification and detection into a single step
-amplification products are assayed as they accumulate instead of at the end
-positive result can be seen while still running
-uses fluorescent reporter dye or probe labelled with a fluo dye
-the thermocyler will also have a UV light source to excite the reporter and a camera to detect the fluor in EACH cycle

-two dyes
SYBR Green – what we used
Taqman

FASTER with quantitation of amplified product

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13
Q

what is qPCR-SYBR Green

A

-Fluorescent dye that BINDS to any double strand of DNA
-dna BOUND with dye has a stronger fluorescent signal than unbound – increased fluorescence is measured

Less specific than Taqman- will bind to any amplified double stranded DNA product target & non target

emission by BINDING

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14
Q

WHAT IS qPCR-Taqman Probe

A

-short sequence of DNA specific to a section of target DNA
-It has a fluorescent dye on its 5’ end and quencher on its 3’ end -when close and bound no fluoresce
-the probe binds to homologous region on target DNA
-as the DNA polymerase extends the primes on the target DNA and comes in contact with the probe. The probe cannot be extended, It will eat the probe because it has exonuclease activity causing the fluorescent dye to come away from the quencher and emit a fluorescent signal

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15
Q

what are the phases of a qPCR curve

A

-seen on a amplification curve

1-Baseline phase- 3-15 cycles of PCR when there is no change or low amplification to fluor signal (little background)
2.Expotential phase - 16-25 cycles in where the PCR product is starting to amplify and double
3.stationary or plateau phase - 26-38 cycles in components get used up and no increase in amplified product

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16
Q

what is the threshold line on qPCR curve

A

indicator
- it is the cycle # where the fluorescence of a PCR product is detected above the background signal - set by instrument

ct cycle threshold): cycle# where fluorescence in a sample crosses the threshold line.
-measure of the concentration of target DNA in the PCR reaction
-inversely related to the starting amount of target
-more target DNA present in the sample the lower the Ct cycle number

17
Q

USING qPCR to FIGURE OUT ABSOLUTE QUANTITY OF AMPLIFIED PRODUCT

A

LOOK AT SLIDE

Absolute quantification:
Samples of known quantity are serially diluted and then amplified to generate a standard curve
Unknown samples are then quantified by comparison to this curve

18
Q

Maldi-Tof MASS SPECTROMETRY
Matrix Assisted Laser Desorption Ionization Time-of-Flight

what happens in a maldi

A

-rapid identification of microorgs - bacteria, fungus, mycobacteria
-measure mass to charge ratio of molecules

-uses micro plate and a 1uL overlay of organic matrix - cinnamic acid- must be air dried before plating

-An ultraviolet laser beam hits the test spot on the slide
-organic matrix absorbs laser energy and protects the sample
-matrix excitation causes vaporization where orgs are ejected from the target surface = desorption
-protons are transferred from matrix to proteins - ionization
-Results in positively charged proteins in a gas phase
-Electrostatic field and high voltage accelerate these ions into the flight tube ( mass spectrophotometric vacuum chamber)
-Ion particles migrate to the detector at a speed that depends on their mass
-Smaller ions reach detector faster than larger ones – each ions time-of-flight is measured
-A protein spectra is produced and is compares it with known orgs

19
Q

what are the limitations and advantages of Maldi

A

-agar ingredients can interfere with the ID
-bacteria with mucoid capsules or spores are hard to ID
-unfinished database or poor inoculum gets a poor ID
-if orgs are closely related they may not be ID properly
Common Examples (there are more): E.coli & Shigella, S. pneumoniae & S. mitis

NO AST TESTING

ADVANTAGES
Accurate, reproducible and very rapid, ID in minutes
-no need for a ref lab
-identifies to subspecies
-Can be used to ID anaerobic and fastidious or slow growing microorganisms
-need low sample size 1 colony
-low reagent costs

20
Q

what is the KIESTRA/WASP

A

LAB OF THE FUTURE

-modular - pick and choose what fits
-processes any container any specimen
-400 inoculation per hour
-takes decisions based on computer images instead of plates

21
Q

Non- Agglutination Type Screen Tests

Catalase
Oxidase
Pbile
Spot indole
PYR
Dnase

A

-quick tests to BEGIN differentiating bacterial genus with similar strain results
Staph & Strep are both gram positive cocci
Staph are catalase +, Strep are catalase -

Catalase- Differentiates Staphylococcus & Streptococcus

Oxidase -Differentiates Gram negative organisms

Pbile- Differentiates S. pneumoniae & Viridans streptococcus

Spot indole- Differentiates Gram negative organisms

PYR-Helps differentiate some of the Streptococci & some Staph

Dnase- Differentiates Gram negative organisms & some Staph

22
Q

what is the Catalase test

A

-if catalase enzyme is produced
-the enzyme functions at the END of oxidative metabolism of glucose
-Once an organism produces superoxide dismutase to get rid of superoxide a less toxic by product, hydrogen peroxide (H2O2) is formed.
-If organism produces catalase, it converts H2O2 to water and oxygen = protection from harmful effects of H2O2
-Add hydrogen peroxide to a colony on a glass slide and look for immediate bubbles – indicates catalase present

23
Q

what is the OXIDASE TEST

A

if cytochrome C oxidase enzyme can be produced

-Oxidase reagent = 6% tetramethyl phenylenediamine dihydrochloride
-aromatic amine that is colorless when in a reduced state – which is how it starts off
- if the org produces the cytochrome oxidase the oxidase reagent becomes oxidized to a colored compound called indophenol and turns a deep purple blue

24
Q

what is the SPOT INDOLE TEST

A

-if org can produce tryptophanase enzyme needed to breakdown tryptophan into indole, pyruvic acid and ammonia

Indole detected by addition of spot indole reagent p-dimethylaminocinnamaldehyde
-results in 3 min
-detects indole production on colonies
-Green/Turquoise color is positive No color is negative

25
Q

what is DEOXYRIBONUCLEASE (DNase) TEST

A
  • if an org can produce Dnase enzyme in order to breakdown DNA as a source of carbon and energy for growth.

-medium contains DNA, peptides as a nutrient source, and methyl green dye as an indicator giving agar blue-green color at pH 7.5
-If DNAse is secreted, DNA in the medium hydrolyses into smaller particles which are no longer bound to the methyl green dye
Results in a clear zone in the agar around the bacterial growth

26
Q

what is PYR

A

if orgs can produce enzyme L-pyroglutamyl-aminopeptidase (PYRase)
-Some organisms produce the PYRase enzyme which hydrolyses L-pyrorolidonyl-B-napthylamide to B-naphthylamine
-if the pyr is on a disk deep pink violet color with the addition of the indole reagent

27
Q

what is the BILE SOLUBILITY TEST

A

-if an organism will lyse in the presence of bile salts
-Differentiates S. pneumoniae from other alpha hemolytic strep
-Bile salts trigger catalytic enzymes in Streptococcus pneumoniae that promote the autolysis of cells
-bile sales lower the surface tension at PM & S. pneumoniae will disintegrate (disappear) or lyse within 30 minutes in the presence of 10% sodium desoxycholate, a surfactant

-lyse alpha hemolytic colonies = positive bile solubility

28
Q

what is the OPTICHIN DISK TEST

A

-if an organism is susceptible to the chemical optochin (or ethyl hydrocupreine)
-Differentiates S. pneumoniae from other alpha hemolytic strep
-streak a colony for confluent growth on BAP with optochin disk and incubate at 35 in CO2
-Zones of inhibition with a diameter ≥ 14 mm are interpreted as optochin-susceptible and isolate is S. pneumoniae
No zone is consistent with an alpha-haemolytic streptococcus other than S. pneumonia

like ast plate- put the disk right on the plate