Systems for Detection of Pathogens II Flashcards

1
Q

What is molecular gene targeting?

A

➝ detecting a gene of gene products that are pathogen specific

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2
Q

What are the two techniques used for molecular gene targeting?

A

➝ NAAT

➝ PCR

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3
Q

How does PCR work?

A

➝ Two DNA primers specific for opposite strands are used to amplify the DNA region
➝ The product is visualised by fluorescent tags or staining in gels for an amplicon of an exact size

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4
Q

What does quantitative PCR measure?

A

➝ the speed at which a PCR amplicon product accumulates by the amount of fluorescence released

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5
Q

What two conditions is strand displacement amplification used for?

A

➝ gonorrhoea

➝ chlamydia

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6
Q

Which gene is a suitable target for chlamydia and why?

A

➝ IS711

➝ there are multiple copies of the same gene in every chlamydia

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7
Q

Why do you need more copies of H.Pylori than chlamydia to get a positive test result?

A

➝ there is only one copy of the target gene

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8
Q

What 5 variables need to be taken into account when doing a molecular test?

A
➝ Specificity
➝ Reliability
➝ Sensitivity
➝ Accuracy
➝ Rapidity
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9
Q

What is an instant bedside test useful for?

A

➝ Diagnosis of pediatric meningitis

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10
Q

What is a microarray?

A

➝ Ordered short nucleotide probes (40-70) attached to slides in defined spots
➝ each spot represents a single gene

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11
Q

How is comparative genomic hybridisation done?

A

➝ sample DNA and control DNA are fluorescently labelled

➝ they are both hybridised onto a microarray

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12
Q

What are the 4 advantages of tiled arrays?

A

➝ Covers the whole genome
➝ strand dependent
➝ can be used for RNA and transcriptomics
➝ can look for microRNA

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13
Q

What are the 3 ways to detect molecular signatures?

A

➝ Single gene target
➝ multiple gene target
➝ mass spectrometry

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14
Q

How does mass spectrometry (MALDI-TOF) work?

A

➝ Isolate organism
➝ Lyse with crystallizing matrixx
➝ Ionise and detect time of flight for each particle
➝ Calculate molecular weight (daltons) for each protein produced

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15
Q

What are the two advantages of mass spectrometry?

A

➝ Rapid

➝ Specific identification

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16
Q

What are the three disadvantages of mass spectrometry?

A

➝ Requires a pure culture
➝Requires rigorous calibration and protocol standardisation
➝ will only identify known profiles

17
Q

What does the latex agglutination test use?

A

➝ Uses particles coated with specific antibody to cell wall antigens

18
Q

How do you detect the Shiga toxin in E.Coli O157?

A

1) enterohaemolysis
2) agglutination with anti-toxin antibodies
3) PCR for the presence of the gene

19
Q

What 3 pathogens do you use a CSF direct agglutination test for?

A

➝ Neisseria Meningitidis B
➝ Haemophilus influenzae type B
➝ Streptococcus pneumoniae

20
Q

What is targeted when looking at biomarkers of virulence?

A

➝ looking for selected genes that drive the disease process

➝ use proteins that are inside the bacteria or cell membrane components

21
Q

What are the 5 disadvantages of biomarkers?

A

➝ Serological response is not rapid therefore not useful in acute infections
➝ Single sera results are meaningless due to possible previous exposure
➝ some antibodies are cross-reactive
➝virulence is only inferred by the presence of a biomarker
➝ only in vivo testing of a cultured pathogen infected into an animal can prove virulence

22
Q

What can sequencing show?

A

➝ Differences in single bases in strains or resistance mutations to antibiotics

23
Q

What are the 5 advantages of molecular detection methods?

A

➝ Rapid
➝ faster detection of pathogens than traditional techniques
➝ allows appropriate timely antimicrobial therapy and infection control interventions
➝ increased sensitivity over culture and microscopy based techniques in positive samples
➝ can be automated

24
Q

What are the 8 disadvantages of molecular detection methods?

A
➝ Expensive
➝ does not screen for unknowns
➝ requires expertise
➝ labour intensive
➝ possibility of contamination
➝ requires complex and efficient methods of extraction of nucleic acids
➝ negative samples may still need gold standard culture
➝ hospital cost
25
Q

What is bio signature profiling?

A

➝ taking people who have the active disease and seeing which genes are switched on when the disease is present

26
Q

What kind of genes would be switched on during disease?

A

➝ ferritin
➝ cytokines
➝ antibody genes

27
Q

What is metabolic profiling?

A

➝ using excreted metabolites to diagnose malaria in urine

28
Q

What is the advantage of point of care testing?

A

➝ rapid sequencing of samples direct at the bedside

29
Q

What are 5 things that a new system for detecting pathogens has to have?

A

➝ Reliable, sensitive,specific and rapid
➝ applied to correct specimen
➝ must derive from a large reference database
➝ constantly updates with new species of variants
➝ must be as good as or better than gold standard