LESSON 4 BASIC METHODS & TOOLS IN MOLECULAR BIOLOGY & DIAGNOSTICS Flashcards
type of specimen collected when testing for current or past infection with SARS-CoV-2 is based on the
test being performed and its manufacturer’s instructions
• CDC recommendation for initial dx test:
upper respiratory specimen
– easier to do
• Nasopharyngeal swab and Oropharyngeal swab
• Specimen with the highest viral load is nasopharyngeal wash/aspirate
• Nasopharyngeal swab and Oropharyngeal swab
Work within [?] of patients
6ft
• Maintain proper
infection control
• Follow
standard precautions
• Ppe with [?] or higher level of respirator
n95
The respirator must be put on [?] and worn during the exposure.
correctly
The respirator filter must capture more than [?] of the particles from the air that passes through it.
95%
The respirator must [?] against the user’s face to ensure that there are no gaps between the user’s skin and respirator seal.
fit snugly
is a critical component to a respiratory protection program.
Fit testing
OSHA requires an initial respirator fit test to identify the right [?] respirator for each worker.
model, style, and size
ensure that users continue to receive the expected level of protection.
• Annual fit tests
Collect as soon as possible after symptoms begin (ideally within?)
7 days
PCR - can detect virus from day [?] (virus is already shedding and multiplying; there are already remnants of RNA)
1 to day 7
- Antibody production against SARs-Cov 2 genes takes[?]
17 days/2 weeks
- Antigen can be detected during the
first 4 days
Ideally before [?] are administered
V antiviral medications
Collect multiple specimens on
multiple days
Use only [?] that have been designed for sampling the nasopharyngeal mucosa
synthetic fiber swabs with thin plastic or wire shafts
Do not use [?], as they may contain substances that inactivate some viruses and may inhibit molecular tests
calcium alginate swabs or swabs with wooden shafts
If both NP and OP specimens are collected, combine them in a single tube to maximize [?] and limit use of [?]
test sensitivity
testing resources.
Should be [?]
drayon, rayon, or polyester fiber swabs
Select swabs with [?]
serrated shafts
Do not use [?] nor ones with [?]; they may inhibit PCR
calcium alginate or cotton swabs; wooden sticks
- Tilt patient’s head back [?]
- Insert [?] through nares parallel to palate (not upwards) until:
a. Resistance is met, OR - Completely insert until there is resistance (about [?])
b. Distance is equivalent to half the distance from the [?]. - Gently [?] the swab.
- Leave swab in place for [?] to absorb secretions.
- Slowly remove the swab while rotating it and immediately place in sterile tube containing [?].
70°
flexible shaft mini-tip swab
2 inches
patient’s ear to their nostril
rub and roll
several seconds
transport medium
Insert swab into the
posterior pharynx and tonsillar areas
Rub swab over both tonsillar pillars and posterior oropharynx and avoid touching the
tongue, teeth, and gums
Place swab, tip first, into the [?] provided.
transport tube
Store respiratory specimens at [?] after collection
2-8°C for up to 72 hours
If a delay in testing or shipping is expected, store specimens at
70°C or below
Store extracted nucleic acid samples at
-70°C or lower
allows the safe transfer of
viruses, chlamydia and mycoplasma, conventional cell culture methods, diagnostic tests, and molecular biology techniques
One of the standardized components of VTM by CDC and WHO
to prevent microbial growth:
o Calcium
o Magnesium
o heat-inactivated Fetal Bovine Serum (FBS)
o Antibiotics (Gentamycin and Amphotericin B)
and contains heat-inactivated Fetal Bovine Serum (FBS)
Calcium and Magnesium
: growth supplement for in vitro cell culture
Fetal Bovine Serum (FBS)
UNACCEPTABLE SPECIMENS
[?] specimens (specimen container info and form do not match)
No identification on [?]
Specimens with [?] for testing
Improper specimen type sent
Spillage or possibility of [?]
Specimens shipped at [?]
Excessive specimen [?]
Improperly identified
specimen container or form
insufficient Quantity
cross contamination
improper temperature
transport time
One of the most critical part in molecular techniques because downstream procedures and analysis relies on the quality of the DNA used for the assay
DNA ISOLATION
Refers to the process of separating DNA from other cellular materials such as proteins and membranes.
DNA ISOLATION
Removes potential inhibitors to the polymerase chain reaction PCR) amplification and produces a stable solution of highquality DNA that can be stored for prolonged durations without degrading
DNA ISOLATION
SOURCES OF DNA
Plasmid DNA
Viral Nucleic Acids
Genomic DNA from Blood and Biological Fluids
Genomic DNA from Tissue and Cells
Genomic DNA from Forensic Samples
Genomic DNA from Plant and Fungi
Genomic DNA from Food and Feed
Ancient DNA (archeologic)
3 BASIC STEPS
01 LYSIS
02 PRECIPITATION
03 PURIFICATION
The cell and the nucleus are broken open to release the DNA inside.
01 LYSIS
separates DNA from the cellular debris.
02 PRECIPITATION
Extracted DNA can be rinsed with alcohol to remove any remaining unwanted material and cellular debris.
03 PURIFICATION
At this point the purified DNA is usually redissolved in water for easy handling and storage.
03 PURIFICATION
LYSIS METHODS
- Mechanical disruption
- Using the following detergents and enzymes:
- can be a manual method using mortar and pestle, homogenizer
- Mechanical disruption
- Using the following detergents and enzymes:
Organic: NaOH, Sodium Dodecyl Sulfate
Inorganic: Tris-EDTA (TE), EDTA, SDS
PRECIPITATION METHODS
- Na+ ions
- Ethanol/ Isopropanol
is added and causes DNA to precipitate out of the aqueous solution because it is not soluble in alcohol
- Ethanol/ Isopropanol
neutralize the negative charges on the DNA molecules which makes them more stable and less water soluble.
Na+ ions
- normally, DNA has a
(-) charge
: to precipitate and prevent dissolving
- less water soluble
- dehydrants
Ethanol/ Isopropanol
- also causes DNA to precipitate out of the aqueous solution
Ethanol/ Isopropanol
- to separate DNA and precipitate
Ethanol/ Isopropanol
- to purify or clean further with an alcohol or buffer
PURIFICATION
- redissolve and resuspend in water
PURIFICATION
REAGENTS USED FOR IDENTIFICATION
designed to lyse outer cell membrane, but will not break down nuclear membrane
CELL LYSIS BUFFER
Nucleus is intact
CELL LYSIS BUFFER
remove contaminating protein
PHENOL
allows protein to settle at the bottom
PHENOL
prevents cutting of DNA during isolation.
CHLOROFORM
It solubilizes lipids and a lot of protein to remove them from the DNA
CHLOROFORM
Comes with phenol
CHLOROFORM
Contaminating proteins and lipids also settles at the bottom
CHLOROFORM
DNA floats at the top of the solution
CHLOROFORM
remove most of the protein by digesting with proteolytic enzymes
PROTEINASE K
Active against a broad spectrum of native proteins and denatured proteins
PROTEINASE K
Alternative for phenol and chloroform
PROTEINASE K
An enzyme method
PROTEINASE K
chelating agent of d Mg2+.
EDTA
Mg2+is a cofactor for DNase if the Mg2+is bound up by
EDTA