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Electrochemical Based Detection of Influenza by Xiao Guo A thesis submitted in conformity with the requirements for the degree of Master of Science Biochemistry University of Toronto © Copyright by Xiao Guo 2013

Electrochemical Based Detection of Influenza...ii Electrochemical Based Detection of Influenza Xiao Guo Master of Science Biochemistry University of Toronto 2013 Abstract Influenza

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Page 1: Electrochemical Based Detection of Influenza...ii Electrochemical Based Detection of Influenza Xiao Guo Master of Science Biochemistry University of Toronto 2013 Abstract Influenza

Electrochemical Based Detection of Influenza

by

Xiao Guo

A thesis submitted in conformity with the requirements for the degree of Master of Science

Biochemistry University of Toronto

© Copyright by Xiao Guo 2013

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Electrochemical Based Detection of Influenza

Xiao Guo

Master of Science

Biochemistry

University of Toronto

2013

Abstract

Influenza is the infectious agent of the seasonal flu. Flu symptoms from influenza infection are

similar to the symptoms caused by bacterial upper respiratory tract infections. This similarity

causes the inappropriate diagnosis and prescription of antibiotics, leading to drug resistant

bacterial strains. Moreover, the limitations of the current viral detection methods prevent the

clinical diagnosis of influenza.

The objective of this project is to design a rapid and sensitive influenza diagnostic method based

on the highly sensitive Nanostructured microelectrode biosensing assay.

The diagnostic method was designed by selecting probe sequences, controlling the quality of the

probes and the sensing chips, and optimizing the deposition conditions. This diagnostic method

was shown to be capable of differentiating influenza sequences from non-complementary

sequences, detecting influenza sequences in the form of ~1000-nucleotide RNA molecules,

sensing the target influenza RNA within a complex mixture of cell lysates, and achieving a

clinically relevant detection limit.

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Table of Contents

Table of Contents ........................................................................................................................... iii

List of Tables ................................................................................................................................. vi

List of Figures ............................................................................................................................... vii

List of Abbreviations ..................................................................................................................... ix

List of Appendices ......................................................................................................................... xi

Chapter 1 Introduction .................................................................................................................... 1

1 Project Rationale ........................................................................................................................ 1

1.1 Motivation ........................................................................................................................... 1

1.2 Objectives ........................................................................................................................... 2

2 Literature Review ....................................................................................................................... 2

2.1 Influenza Virus and Antimicrobial Resistance ................................................................... 2

2.2 Current Influenza Detection Assays ................................................................................... 4

2.3 NME Biosensing Assay ...................................................................................................... 7

Chapter 2 Influenza Sequence Design and Assay Optimization .................................................. 12

3 Overview .................................................................................................................................. 12

4 Materials and Methods ............................................................................................................. 12

4.1 Materials ........................................................................................................................... 12

4.2 Probe Sequence Design ..................................................................................................... 14

4.3 Probe Synthesis and Quality Control: PNA Synthesis ..................................................... 15

4.4 Probe Synthesis and Quality Control: HPLC Purification and MS Analysis ................... 16

4.5 Probe Synthesis and Quality Control: Gel Binding Assay ............................................... 17

4.6 Chip Cleaning and Quality Control: Chip Cleaning ......................................................... 17

4.7 Chip Cleaning and Quality Control: Acid Scan ................................................................ 18

4.8 NME Formation: Microelectrode Formation .................................................................... 18

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4.9 NME Formation: Nano Structure Formation .................................................................... 18

4.10 NME Biosensing Assay: Probe Deposition ...................................................................... 18

4.11 NME Biosensing Assay: Pre Hybridization Scan ............................................................. 19

4.12 NME Biosensing Assay: Hybridization ............................................................................ 19

4.13 NME Biosensing Assay: Post Hybridization Scan ........................................................... 19

4.14 Probe Deposition Condition Optimization ........................................................................ 21

5 Results and Discussion ............................................................................................................. 21

5.1 Probe Sequence Selection ................................................................................................. 21

5.2 Probe Quality Control ....................................................................................................... 23

5.3 Chip Quality Control ......................................................................................................... 27

5.4 Probe Deposition Condition Optimization ........................................................................ 28

Chapter 3 Influenza Biosensing .................................................................................................... 31

6 Overview .................................................................................................................................. 31

7 Materials and Methods ............................................................................................................. 31

7.1 Materials ........................................................................................................................... 31

7.2 Target Vector Design ........................................................................................................ 32

7.3 In vitro Transcription ........................................................................................................ 32

7.4 Cell Transfection ............................................................................................................... 33

7.5 Cell Lysis and Lysate Preparation .................................................................................... 34

7.6 QPCR Analysis ................................................................................................................. 34

8 Results and Discussion ............................................................................................................. 34

8.1 Target Vector Design ........................................................................................................ 34

8.2 DNA Target Biosensing .................................................................................................... 36

8.3 In vitro Transcribed RNA Target Biosensing ................................................................... 39

8.4 Cell Lysate Biosensing ..................................................................................................... 41

8.5 RNA Quantitation ............................................................................................................. 43

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Chapter 4 Conclusion and Future Directions ................................................................................ 45

9 Conclusion................................................................................................................................ 45

10 Future Directions ...................................................................................................................... 45

References ..................................................................................................................................... 48

Appendix I: Mass Spectrometry Spectrum ................................................................................... 50

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List of Tables

Table 1: The current assays for diagnosing influenza infection. .................................................... 5

Table 2: The components of the NME biosensing device. ............................................................. 9

Table 3: The properties of the selected probe sequences. ............................................................. 23

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List of Figures

Figure 1: The influenza virion. ....................................................................................................... 3

Figure 2: The procedure of the NME biosensing assay. ................................................................. 8

Figure 3: The structure of a nanostructured microelectrode (NME). ........................................... 10

Figure 4: The top and cross-section of the NME biosensing chip. ............................................... 10

Figure 5: The sensitivities and capabilities of the NME biosensor. ............................................. 11

Figure 6: The procedure for designing the probe. ......................................................................... 14

Figure 7: The procedure for synthesizing and characterizing the probe. ...................................... 16

Figure 8: The procedure for characterizing and cleaning the chip. .............................................. 17

Figure 9: A Differential Pulse Voltammetry (DPV) plot used to assay for target hybridization. 20

Figure 10: The acetonitrile gradient of the HPLC methods used to purify the probes. ................ 24

Figure 11: The HPLC chromatograms showing the purification of the probes. ........................... 25

Figure 12: The gel binding assay confirming the specific hybridization of the PNA probes to the

target DNA. ................................................................................................................................... 26

Figure 13: The acid scan checking the gold leads for defects and contaminants. ........................ 28

Figure 14: The NME biosensing assay comparing different deposition conditions. .................... 29

Figure 15: The plasmids for generating the influenza RNA sequences. ....................................... 35

Figure 16: Representative DPV scans using the NME biosensing assay. .................................... 36

Figure 17: The detection of DNA targets with the NME biosensing assay. ................................. 38

Figure 18: The detection of RNA targets with the NME biosensing assay. ................................. 40

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Figure 19: The detection of influenza RNA targets from cell lysates using the NME biosensing

assay. ............................................................................................................................................. 42

Figure 20: The determination of influenza RNA concentration from lysate using QPCR. .......... 44

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List of Abbreviations

CV Cyclic Voltammetry

DCM Dichloromethane

DCPA Direct Current Potential Amperometry

DMF N,N-Dimethylformamide

DPV Differential Pulse Voltammetry

DTT Dithiothreitol

EDTA Ethylenediaminetetraacetic acid

FBS Fetal Bovine Serum

HATU 2-(1H-7-Azabenzotriazol-1-yl)-1,1,3,3-tetramethyl uronium hexafluorophosphate

Methanaminium

HPLC High Pressure Liquid Chromatography

MC Microfabricated Cantilevers

MCH Mercaptohexanol

MEM Minimal essential medium

MS Mass Spectrometry

NME Nanostructured Microelectrode

NMM N-Methylmorpholine

PBS Phosphate Buffer Saline

PNA Peptide Nucleic Acid

QCM Quartz Crystal Microbalance

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QPCR Real time PCR

RTPCR Reverse Transcriptase Polymerase Chain Reaction

SPR Surface Plasmon Resonance

TBE Tris Borate EDTA

TFA Trifluoroacetic Acid

TIPS Triisopropyl silane

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List of Appendices

Appendix I: Mass Spectrometry Spectrum 50

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Chapter 1 Introduction

1 Project Rationale

1.1 Motivation

Influenza is a virus that infects the human respiratory tract and is responsible for the seasonal

flu1. Unlike the viruses that are responsible for the common cold, influenza is highly pathogenic

and may lead to fatal pneumonia1. Influenza is also highly contagious and capable of escaping

the human immune defenses, resulting in seasonal epidemics and global pandemics2. In addition,

inappropriate prescription of antibiotics to the large number of patients suffering from influenza

infections results in the emergence of drug resistant bacterial strains3. Therefore, there is a need

for rapid and sensitive biosensing techniques to diagnose influenza.

Currently, there are 4 main types of diagnostic methods for detecting influenza infection.

However, their limitations make them unsuitable for usage in a clinical setting. Cell culture is

sensitive and specific, but it is very slow and requires trained technicians4. Direct Fluorescent

Antibody Staining is faster than cell culture, but it requires specialized instruments and trained

technicians4. Rapid antigen immunoassays is very fast and simple to perform, but it has very

poor sensitivity4. RTPCR is highly sensitive and specific, but it requires trained technicians and

expensive instruments4.

The Kelley group has developed a biosensing assay based on the hybridization of nucleic acids

and the measurement of electrochemical signals5. This assay is named the nanostructured

microelectrode (NME) biosensing assay, based on the type of electrode used to measure the

signals5. This technique capitalizes on the highly specific and relatively stable base-pairing

interactions to capture specific target sequences5. The hybridization event leads to the generation

of an electrochemical signal, which is very rapid and inexpensive to analyze5. The signal is

amplified and the background is minimized by using nanostructured microelectrodes, peptide

nucleic acid (PNA), and a ferricyanide and ruthenium hexamine reporter system to achieve very

high sensitivity6. A diagnostic device suitable for the clinical setting can be constructed by

modifying this biosensing technique to detect influenza viral sequences.

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1.2 Objectives

The overall goal of the project is to create a biosensing device that is suitable for diagnosing

influenza infections in the clinical setting. There are 2 specific objectives. The first objective is

to design and modify the components of the NME biosensing assay to optimize the detection of

influenza sequences. The second objective is to test the ability of the assay to detect influenza

sequences in the forms of DNA oligonucleotides, in vitro transcribed RNA, and unpurified RNA

from transfected cell lines.

2 Literature Review

2.1 Influenza Virus and Antimicrobial Resistance

Influenza virus is a member of the Orthomyxoviridae family of viruses2. It is classified into A, B,

and C types based on 2 conserved proteins: nucleoprotein and matrix protein2. Influenza A is

further classified into 16 H subtypes (1-16) and 9 N subtypes (1-9) based on the membrane

glycoproteins: hemagglutinin and neuraminidase7. The most common influenza A subtypes are

H1N1, H2N2, and H3N27. Influenza B has only one common subtype

7. Influenza C is mainly

associated with mild cold-like illnesses7.

The influenza viral particle is spherical with an average diameter of 100nm, consisting of RNA

molecules, proteins, and lipids (Figure 1)8. The influenza genome is composed of 8 segments of

linear single stranded negative-sense RNA molecules (Figure 1)8. The viral genome is associated

with RNA binding proteins, which are housed within a lipid bilayer envelope (Figure 1)9.

Outbreaks that lead to seasonal epidemics and global pandemics are mainly caused by influenza

A and B, which affect 20% of children and 5% of adults worldwide1. This high frequency is

largely due to the high rate of viral antigenic change, which generates new viral strains that the

human population has no immunity to10

. Seasonal epidemics occur annually in the winter

months11

. Children, elderly, pregnant women, and chronically ill patients are at high risk for the

infection11

. Each year, influenza infections account for more than 20 000 deaths in North

America4. Pandemics have a large death toll, affect all age groups, and occur on a global scale

every 10 to 50 years4. For instance, the Spanish Flu caused 50 million deaths, and the Asian Flu

and Hong Kong Flu caused 1 to 2 million deaths each12

. Influenza infections therefore affect a

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large population globally, and have a large toll on human welfare, economy, and health care

system4.

Figure 1: The influenza virion.

The spherical influenza particle is composed of a lipid bilayer envelope, which houses the

genome and the viral proteins. Influenza genome has 8 segments of linear single stranded

negative-sense RNA molecules, which are associated with the nucleoproteins. The matrix

proteins associate with the envelope. Hemagglutinin and neuraminidase are viral receptors

located on the surface of the envelope.

The influenza virus is highly contagious and can cause serious illnesses2. It transmits rapidly in

the population via respiratory aerosols and contaminated surfaces13

. The virus infects and kills

lung epithelial cells in the upper respiratory tract, leading to inflammation14

. This results in the

acute disease, displaying the symptoms of high fever, muscular pain, headache, cough, sore

throat, and nasal congestion15

. In certain cases, the loss of the lung epithelium allows bacteria to

colonize the lower respiratory tract and cause fatal pneumonia16

.

Three quarters of all prescribed antibiotics are used to treat respiratory infections, even though

the majority of respiratory tract infections are caused by viruses including influenza3. Antibiotics

target bacterial factors, and therefore have no effect on the progression of viral diseases like

influenza infection3. However, antibiotics apply a selection pressure on the bacteria present in

the patient and enrich the drug resistant bacterial strains3. The 3 major bacterial species that

Lipid bilayer envelope

RNA genome

Matrix protein

Nucleoprotein

Neuraminidase

Hemagglutinin

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cause secondary infections in flu patients (Streptococcus pneumoniae, Haemophilus influenzae,

and Staphylococcus aureus) are all already resistant to penicillin and macrolid classes of

antibiotics17

. One study showed that the emergence of antibiotic resistant infections increased the

duration of hospital stay, mortality, morbidity, and treatment costs by two folds17

. Another study

found that nearly 80% of the flu patients that received antibiotics were not suffering from any

secondary bacterial infection3. These inappropriate prescriptions cost the United States

approximately $211 million annually3. These studies showed that the inappropriate prescription

of antibiotics not only decreases the effectiveness of the antibiotics, but it also increases health

care costs.

2.2 Current Influenza Detection Assays

The major barrier in reducing inappropriate prescription of antibiotics is a lack of reliable clinical

diagnosis of influenza infections, since bacterial and viral respiratory infections produce very

similar clinical pathologies17

. Often, suspected flu patients are given medication without

diagnosis17

. Currently, the assays used to detect influenza are based on viral culture, or antigen

recognition, or PCR. When diagnostic tests are performed on respiratory infection patients, the

majority of diagnostic samples are collected in the form of bronchial alveolar lavage18

. However,

each of these methods has limitations that make them unsuitable for clinical diagnosis.

The historically earliest influenza diagnosis is growing the virus in the conventional cell culture

or the Shell Vial Cell Culture (Table 1)19

. In the conventional cell culture, the viral specimen is

inoculated into a permissive cell line, such as the Madin Darby Canine Kidney cell19

. After

incubation, the infected cells display cytopathic effects, including rounding and degeneration20

.

In the Shell Vial Cell Culture, the virus is inoculated into a cell culture grown in a shell culture

tube, and then centrifuged at low speed to promote the entry of the virus into the cell20

. After a

short incubation time, the cell culture displays cytopathic effects20

. The Shell Vial Cell Culture

shortens the time required for the virus to infect the cell16

. The advantages of the culture

techniques are high sensitivity and generation of viable virus for further testing (Table 1)20

.

However, trained technicians are needed, and the time requirements (10 days for conventional

culture and 2 days for shell vial cell culture) are too long to affect patient management (Table

1)20

.

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Table 1: The current assays for diagnosing influenza infection.

The sensitivity, specificity, time required, equipment required, technical expertise required,

cost, and throughput of the assays are compared. The sensitivity and specificity are

standardized as a percentage relative to the conventional cell culture, which is considered

as the gold standard assay. The cost refers to the money required to assay a single sample.

Low throughput refers to analyzing 1 sample at a time, medium throughput refers to

analyzing up to 10 samples, and high throughput refers to analyzing up to 100 samples.

Cell culture based assays have high sensitivity and selectivity, but are slow and require

technical expertise. Direct Fluorescent Antibody assay is relatively fast and inexpensive,

but requires expensive instruments. Rapid Antigen Immunoassay is very fast and simple to

use, but has low sensitivity. PCR based assays have high sensitivity and selectivity, but are

very expensive.

The Direct Fluorescent Antibody (DFA) Staining and Rapid Antigen Immunoassay techniques

are based on antigen recognition (Table 1)21

. In the DFA assay, fluorophore-conjugated

antibodies specific for influenza surface antigens are applied to influenza infected cells on a

slide21

. The labeled antibodies bind to the influenza particles, which are visualized with a

fluorescent microscope4. This assay takes less time to perform than the cell culture assays (Table

1)4. However, DFA assay requires trained technicians and expensive instruments, and it has

lower sensitivity compare to the cell culture assays (Table 1)4. In the rapid antigen immunoassay,

antibody 1 is bound to a solid support and targets an influenza antigen, while antibody 2 is

labeled with a chromogenic indicator and targets a different influenza antigen16

. Antibody 2

associates with the viral particle when incubated together in a buffer16

. Antibody 1 captures the

complex of antibody 2 and viral particle when the buffer passes over the solid support16

. The

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result is the deposition of the chromogenic indicator at the location of antibody 1, which is

visualized by the naked eye16

. Although the rapid antigen immunoassay is simple and quick to

perform, its sensitivity is more than 1000 times lower than the cell culture methods (Table 1)4.

The reverse transcriptase PCR (RTPCR) is a PCR based diagnostic assay (Table 1). In this

method, the viral genomic RNA is converted to cDNA by reverse transcriptase21

. Specific

primers and DNA polymerase are used to copy the cDNA multiple times through several cycles

of amplification21

. The PCR can be automated and multiplexed to analyze multiple samples in

high throughput (Table 1)21

. Moreover, this method is much more sensitive than all the previous

detection methods, capable of detecting 5 to 10 viral particles (Table 1)21

. However, it requires

expensive equipment, reagents, and trained technicians (Table 1)4.

An emerging technique in disease diagnostics detects the hybridization of a known nucleic acid

probe sequence with a nucleic acid target sequence from the sample5. Hybridization is based on

the specific and relatively stable base-pairing interactions between complementary nucleic acid

molecules5. In this assay, a nucleic acid probe sequence is first immobilized on a surface

20. Then,

the complementary target nucleic acid sequence binds to the probe sequence20

. The hybridization

event is then measured optically, mechanically, or electrochemically, depending on the sensing

device20

.

Microarray and surface plasmon resonance (SPR) use optical readouts to detect hybridization,

while quartz crystal microbalance (QCM) and microfabricated cantilevers (MC) use mechanical

readouts to detect hybridization20

. The advantages of these methods are their high sensitivities20

.

However, the assays based on optical and mechanical readouts all have technical limitations,

from the degradation and aggregation of fluorescent labels for microarray, to the requirement of

massive quantities of probe deposition for SPR, to the difficulties of assaying in liquid phase for

QCM, to the challenges of fabricating cantilever features for MC20

. In addition, all of the above

hybridization based methods require expensive equipment and sophisticated numerical

algorithms, which are better suited in a laboratory rather than a clinic20

. Fortunately,

hybridization methods that use electrochemical readouts combine the advantage of high

sensitivity with inexpensive device and simple data analysis20

.

There are three diagnostic methods that measure an electrochemical signal. In the

Electrochemistry of Nucleic Acid method, the electrode oxidizes the guanine bases on the

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hybridized sequences and measures the current from the redox reaction5. This method is label

free, but its sensitivity depends on the amount of guanine present in the sequence5. In the Nucleic

Acid Specific Redox Indicator method, the target sequence is labeled with a redox active reporter

such as a metal nanoparticle5. The reporter on the target sequence generates a characteristic

electrochemical signal that is measured by the electrode5. This method is very sensitive, but it

requires sample labeling5.

In the Nucleic Acid Mediated Charge Transport Electrochemistry method, a reporter molecule

such as ruthenium hexamine is recruited to the hybridized double stranded nucleic acid and

undergoes a measurable redox reaction5. This method combines the advantages of the other

electrochemical based hybridization assays5. It is label free, simple, robust, and requires only one

hybridization event5. The sensitivity of this method can be further improved by modifying the

reporter molecule, probe molecule, and electrode structure.

2.3 NME Biosensing Assay

The NME biosensing assay improves upon the Nucleic Acid Mediated Charge Transport

Electrochemistry method. This technique has 5 major steps. The first step is forming the

nanostructured microelectrode (NME) via electroplating (Figure 2)22

. The NME is a working

electrode that is ~30µm in size and contains nanometer scale features (Figure 3)22

. The second

step is attaching the peptide nucleic acid (PNA) probes onto the NME (Figure 2)22

. PNA is a type

of biological polymer that can hybridize to nucleic acids via base-pairing22

. The third step is

scanning the probe modified NME with ferricyanide and ruthenium hexamine redox reporters to

determine the background signal (Figure 2)22

. The next step is hybridizing the target nucleic acid

to the probes (Figure 2)22

. The final step is scanning the NME with the redox reporters to

measure the signal after target hybridization (Figure 2)22

. Each component of the NME

biosensing assay (electrochemical measurement, nucleic acid hybridization, ferricyanide and

ruthenium hexamine redox reporter, PNA, and NME) contributes to improve the sensitivity and

selectivity of the assay (Table 2).

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Figure 2: The procedure of the NME biosensing assay.

A) First, gold and palladium are electroplated onto the lead to form the nanostructured

microelectrode (NME). Gold plating generates the microelectrode, while palladium plating

generates the nanostructures on the electrode. B) Next, the peptide nucleic acid (PNA)

probe is attached onto the NME. The PNA probe is a biological polymer composed of a

charge neutral peptide back bone and nucleic acid bases, which can hybridize to nucleic

acid molecules. C) Then, the background current from the redox reaction of the ruthenium

hexamine and ferricyanide electrochemical reporters is scanned with differential pulse

voltammetry (DPV). Ruthenium hexamine is reduced by the electrode, while ferricyanide

regenerates the oxidized form of ruthenium hexamine. D) After that, the sample DNA or

RNA target sequence is hybridized onto the probe. E) Finally, the electrochemical current

is measured after hybridization, to determine the signal increase from the redox reporters

that are recruited by the target nucleic acid.

The ferricyanide and ruthenium hexamine reporter system amplifies the electrochemical signal

from the redox reaction (Table 2). Ruthenium hexamine is a cationic electron acceptor, and

ferricyanide is an anionic electron acceptor23

. Ruthenium hexamine binds to the phosphate

backbone of nucleic acids via electrostatic interactions, and is reduced by the electrode6. The

reduction signal correlates to the amount of ruthenium hexamine present at the electrode, which

correlates to the amount of nucleic acid that hybridized6. Ferricyanide is electrostatically repelled

from the electrode due to its negative charge6. In solution, ferricyanide regenerates the oxidized

form of ruthenium hexamine, resulting in multiple redox cycles of ruthenium hexamine, which

amplifies the reduction signal (Table 2)6.

NME

Formation

Probe

Deposition

Background

Scan

Post hybridization

Scan

Hybridization

Ruthenium

Hexamine

Ferri

Cyanide

Peptide Nucleic

Acid (PNA)

DNA or RNA

Nanostructured

Microelectrode (NME)

Legend

A B C D E

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Table 2: The components of the NME biosensing device.

Diagnostic techniques based on electrochemical measurements are faster, more

inexpensive, and require less data analysis algorithm than those based on optical and

mechanical measurements. The base pairing interactions of nucleic acid hybridization is

highly specific and relatively stable. This provides high assay selectivity compared to assays

that measure viral induced cell death. The ferricyanide and ruthenium hexamine reporter

system amplifies the electrochemical signal. Ferricyanide regenerates the oxidized form of

ruthenium hexamine, so the reduction of ruthenium hexamine can be measured multiple

times, thus amplifying the signal and increasing the assay sensitivity. The charge neutral

PNA probe increases the selectivity and sensitivity of the assay compared to a charged

DNA probe. Neutrally charged probe binds to nucleic acid stronger than charged probes,

due to the lack of charge repulsion. In addition, neutrally charged probe does not recruit

the electrochemical reporter, thus reducing the background signal. Nanostructured

microelectrode increases sensitivity relative to a bulk electrode, due to the larger surface

area available to attach probes.

The probe made from a PNA molecule decreases the background electrochemical signals (Table

2). PNA is a polymeric molecule composed of a peptide backbone with purine and pyrimidine

bases substituting for amino acid functional groups6. Moreover, PNA has higher affinity to the

complementary sequence than DNA or RNA due to the lack of charge repulsion6. In addition, the

neutrally charged peptide backbone cannot recruit ruthenium hexamine to the electrode without

the hybridization of the charged target sequence, resulting in the decrease of background signals

(Table 2)22

.

The NME increases the amount of probe sequences captured by the electrode and displayed to

the target sequence (Table 2). Nanostructures on the NME create more surface area and are more

efficient at capturing bio-molecules than bulk surfaces22

. This in turn increases the sensitivity of

the assay (Table 2)22

. The PNA probes are able to form a monolayer on the palladium surface of

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the NME via palladium thiol bond22

. In addition, fabricating NMEs using photolithography and

electroplating generates reproducible structures rapidly and cost effectively22

.

Figure 3: The structure of a nanostructured microelectrode (NME).

A) The NME is approximately 20-30 µm in size. The NME structure is made of gold, since

gold is relatively durable. The surface of the NME is coated with palladium, since

palladium forms fine nanostructures. B) The nanostructures are shown as the grooves on

the branches of the electrode. The nanostructures increase the surface area, thus allowing

the attachment of more probes.

Figure 4: The top and cross-section of the NME biosensing chip.

A) The biosensing chips are manufactured in an array on a silicon wafer. Each chip

contains 20 gold leads. B) The bottom layer of the chip is the silicon wafer. The gold leads

are embedded in silicon dioxide above the silicon layer. An aperture is located at the tip of

each gold lead to expose the gold. The NME is seeded from the aperture, where the gold is

exposed. The other end of the gold lead is connected to the potentiostat, allowing the NME

to act as the working electrode.

Electrochemical based hybridization assays that utilize ferricyanide and ruthenium hexamine

reporter system, PNA, and NME provide the advantages of high sensitivity, high selectivity, high

speed, low detection limit, low cost, and low learning curve. The instrument that analyzes the

electrochemical signals is compact and inexpensive. Its low background signal and high signal

A B

Si

SiO2

Au Electrode

Aperture

A B

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amplification allows it to have a 10aM detection limit 22

. This is achieved without molecular

labeling, PCR amplification, or multistep amplification procedures6. In addition, the NME

biosensing assay was shown to differentiate complementary from non-complementary sequences

in unpurified samples of lysed bacterial cells (Figure 5)24

. Moreover, the high sensitivity and

selectivity allow the discrimination of closely related non-complementary sequences in complex

biological samples25

.

Figure 5: The sensitivities and capabilities of the NME biosensor.

The NME biosensor is capable of differentiating between complementary and non-

complementary targets from unpurified samples24

In this case, bacterial lysates containing

nucleic acid, protein, lipid and cell debris are applied directly onto the chip without sample

purification.

Reprinted (adapted) with permission from (Lam, B., Fang, Z., Sargent, E. H. & Kelley, S.

O. Polymerase Chain Reaction-Free, Sample-to-Answer Bacterial Detection in 30 Minutes

with Integrated Cell Lysis. Analytical Chemistry 84, 21-25 (2011).). Copyright (2011)

American Chemical Society.

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Chapter 2 Influenza Sequence Design and Assay Optimization

3 Overview

Detecting influenza with the NME biosensing assay required identifying suitable probe

sequences and optimizing the assay conditions. First, probes were designed to differentiate the

majority of influenza A strains from other sources of nucleic acids. Next, experiments were

conducted to control the quality of the probes and the quality of the biosensing chips. Finally,

different probe deposition conditions were tested to optimize the sensitivity and selectivity of the

assay.

4 Materials and Methods

4.1 Materials

Probe Synthesis. PNA probes were synthesized on a Prelude Peptide Synthesizer (Peptide

Instruments). The monomers for the synthesis were Fmoc-PNA-A(Bhoc)-OH (Link

Technologies 5001-C001), Fmoc-PNA-C(Bhoc)-OH (Link Technologies 5002-C001), Fmoc-

PNA-G(Bhoc)-OH (Link Technologies 5003-C001), Fmoc-PNA-T-OH (Link Technologies

5004-C001), Fmoc-L-Gly-OH (Peptide Instruments B-25-G), Fmoc-L-Cys(Trt)-OH (Peptide

Instruments B-25-CT), and Fmoc-L-Asp(OtBu)-OH (Peptide Instruments B-25-DB). Knorr

Resin (Advanced Chemtech SA5060), HATU (Advanced Chem Tech RC8110), 20% piperidine

in DMF (Peptide Instruments PS3-PPR-L), and 0.4NMM in DMF (Peptide Instruments PS3-

MM-L) were used as the resin, activator, deprotection agent, and base respectively. N,N-

dimethylformamide (Sigma-Aldrich D4551), dichloromethane (Sigma-Aldrich 443484), and

methanol (Sigma-Aldrich 179337) were the solvents used during the synthesis. Trifluoroacetic

acid (Sigma-Aldrich T6508), m-cresol (Sigma-Aldrich 65996), triisopropyl silane (Sigma-

Aldrich 233781), diethyl ether (Sigma-Aldrich 309966), and Bio-Spin Chromatography (Bio-

Rad) were used to process the probes after the synthesis.

Probe Purification. PNA probes were purified on an Agilent 1100 HPLC (Agilent

Technologies) with a Microsorb MV 300-5 C18 250*4.6mm HPLC column (Varian).

Dithiothreitol (Sigma-Aldrich 43815) and Spin-X centrifuge tube filters 0.22µm (Costar) were

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used to treat the probes before the purification. Trifluoroacetic acid (Sigma-Aldrich T6508) and

acetonitrile (Sigma-Aldrich 360457) were the solvents used for the HPLC. Freezone 1

lyophilizer (Labconco) was used to lyophilize the probes.

Gel Binding Assay. Agarose (Bioshop AGA001.500), tris-borate-EDTA buffer 10X (Sigma-

Aldrich T4415-1L), and SYBR Gold nucleic acid gel stain (Invitrogen S-11494) were used to

make and to stain the gels. Owl Easycast B1AS Gel Runner (Thermo Scientific) and Power Pac

3000 power supply (Bio-Rad) were used to run the gels. Epichemi II Darkroom (UVP) was used

to image the gels.

Electrochemistry and Nucleic Acid Quantitation. Epsilon Potentiostat (BASi), silver/ silver

chloride reference electrode (BASi MF-2078), and platinum wire (Sigma-Aldrich 444685) were

used for all the electrochemistry experiments. All potentials were measured relative to the

reference electrode. The Nanodrop 2000 UV-Vis spectrophotometer (Thermo Fisher Scientific)

was used to quantitate the nucleic acid solutions.

Chip Cleaning and Quality Control. The biosensing chip was custom made by AMS. AZ 300T

positive photoresist stripper (Clariant 300T), acetone (Sigma-Aldrich 650501), and isopropanol

(Sigma-Aldrich 19516) were used to chemically clean the surface of the chips. Reactive ion

etcher (SAMCO RIE-1C) and RF generator (ENI) were used to plasma etch the chips. Sulfuric

acid (Bioshop SUL001) and Eclipse LV100 Polarizing Microscope (Nikon) were used to check

for defects in the chips.

NME Formation. Gold (III) chloride solution (Sigma-Aldrich 484385), palladium (II) chloride

(Sigma-Aldrich 323373), hydrochloric acid (Bioshop HCL444), and perchloric acid (Sigma-

Aldrich 244252) were used to make the plating solutions for NME formation.

NME Biosensing Assay. UltraPure DNase/ RNase free distilled water (Invitrogen 10977015),

sonicator (Fisher Scientific FS60), digital heat block (Benchmark), and mercaptohexanol

(Sigma-Aldrich 725226) were used to prepare the probe solutions. Phosphate buffered saline

pH7.4 (Invitrogen 10010023), hexaammineruthenium(III) chloride (Sigma-Aldrich 262005), and

potassium hexacyanoferrate(III) (Sigma-Aldrich 244023) were used to prepare the scanning

solutions. Precision incubator (Thermo Scientific) was used for target hybridization.

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4.2 Probe Sequence Design

The probes were designed using Influenza Primer Design Resource (www.ipdr.mcw.edu),

IDTDNA Oligo Analyzer (www.idtdna.com/analyzer/Applications/OligoAnalyzer/), and NCBI

BLAST (blast.ncbi.nlm.nih.gov/Blast.cgi). Influenza Primer Design Resource was used to align

all the human influenza A sequences to identify conserved regions among different strains.

Regions that were at least 22-nucleotides in length and conserved in at least 90% of the strains

were selected as the raw sequence for probe design. The reverse complement of each region was

then generated. Next, each conserved region and its reverse complement were divided into 22-

nucleotide fragments as potential probe sequences. For example, a 24-nucleotide region would

yield 3 22-nucleotide fragments, and its reverse complement would also yield 3 fragments. The

22-nucleotide fragment length was chosen empirically to balance the high specificity of long

sequence lengths, and the synthesis efficiency of short sequence lengths.

Figure 6: The procedure for designing the probe.

First, influenza A sequences are aligned to locate a conserved region in the genome. The

probe sequence is selected from a conserved region to allow the probe to detect the

majority of influenza A strains. Next, the conserved region is divided into multiple 22-

nucleotide fragments, since 22-nucleotide length is empirically determined to be the ideal

probe length. This is because the length of 22 nucleotides balances probe specificity and

synthesis efficiency. Then, the segments are analyzed to find the sequences with low (more

negative) energy of hybridization, and high (less negative) energy of dimerization and

hairpin formation. Relative to alternative sequences, these are the sequences that have

higher affinity to the complementary molecule. Finally, the segments are analyzed to find

their similarity to human sequences. Eliminating sequences that are similar to human

sequences reduces false positives, since human sequences are the main source of nucleic

acid contamination for the assay.

IDTDNA Oligo Analyzer was used to determine the ΔG energy required for complementary

sequence hybridization, hairpin formation, and self-dimerization of each 22-nucleotide fragment.

The top sequences with the lowest (more negative) ΔGs of hybridization and the highest (less

Align influenza

sequences and select for

the most conserved

region

Divide region into 22nt segments

Check each segment for

the energy of hybridization, dimerization, and hairpin formation

Check the selected

segments for cross

hybridization with human sequences

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negative) ΔGs of hairpin formation and self-dimerization were selected as potential probes for

further analysis.

NCBI BLAST was used to align the top potential probe sequences to human sequences from the

Human Genomic plus Transcript (Human G+T) database. The search was optimized for highly

similar sequences (Megablast). The potential probe sequences with the lowest sequence

similarity to human sequences were selected to be synthesized as PNA probes. The amino acid

residues Cys, Gly, and Asp were added to the PNA sequences prior to synthesis. Cys allowed the

attachment of the probe to the NME via thiol bond, Gly spaced the probe away from the NME

surface to prevent crowding during hybridization, and Asp increased probe solubility.

4.3 Probe Synthesis and Quality Control: PNA Synthesis

To set up the probe synthesis on the peptide synthesizer, a system wash with methanol was

performed. Next, N,N-Dimethylformamide (DMF) was used to dissolve the activator 333mM

HATU, and the monomers (100mM Fmoc-PNA-A(Bhoc)-OH, 100mM Fmoc-PNA-C(Bhoc)-

OH, 100mM Fmoc-PNA-G(Bhoc)-OH, 100mM Fmoc-PNA-T-OH, 100mM Fmoc-L-Gly-OH,

100mM Fmoc-L-Cys(Trt)-OH, and 100mMFmoc-L-Asp(OtBu)-OH). After that, the dissolved

activator and monomers, the wash solvent dichloromethane (DCM), the reaction solvent DMF,

the deprotection agent 20% piperidine in DMF, and the base 0.4M N-Methylmorpholine (NMM)

in DMF were poured into their respective solvent vessels. Finally, 0.35mg of the Knorr resin was

placed into the reaction vessel for each probe. During the synthesis, the first monomer was

attached to the resin using the swell coupling program, which had a long incubation period to

saturate the resin with the solvent, so that it could bind to the monomers. The subsequent

monomers were attached to the probe with the single coupling program with a short incubation

period, since the resin was already saturated with the solvent.

After the synthesis, the probes were processed on a vacuum manifold. First, the resins with

attached probes were washed and resuspended with DMF, and then transferred to a

chromatography column. Next, the column with the probes was washed with DMF, resuspended

with DCM, and washed with DMF again, to remove the contaminants. After that, the cleavage

solution containing 85% trifluoroacetic acid (TFA), 10% m-cresol, 2.5% distilled water, and

2.5% triisopropyl silane (TIPS) was incubated with the probes on a tilting platform for 2h, to

release the probes from the resin, and deprotect the PNA bases and amino acid side chains. Then,

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the supernatant containing the probes was collected. Next, cold -80ºC diethyl ether was added to

the probe solution to precipitate the probes. After that, the mixture was centrifuged at 4000rpm at

-9ºC for 10min to pellet the probes, and the supernatant was then decanted. Then, the pellet was

resuspended with cold diethyl ether, and centrifuged 3 times to clean the probes. Finally, the

probes were allowed to dry overnight.

Figure 7: The procedure for synthesizing and characterizing the probe.

First, the PNA-peptide probe is synthesized by linking the monomers and processing the

resulting molecule. Then, the probe is purified on the HPLC to isolate the probe, and to

remove contaminants and incomplete probe fragments. Next, the purified probe is

analyzed on mass spectrometer to ensure that the resulting biological polymer is the

correct molecule. Finally, the probe is analyzed with the gel binding assay to ensure that

the resulting probe is capable of hybridizing to the complementary sequence.

4.4 Probe Synthesis and Quality Control: HPLC Purification and MS Analysis

To prepare the probes for HPLC purification, the cysteine residues on the probes were reduced

by incubating <1mg of the probe in a 0.5M dithiothreitol (DTT) 10% acetonitrile in water

solution for 1h. The solution was then centrifugally filtered at 13000rpm for 5min. Lastly, 100µl

of the sample was loaded onto the HPLC.

The HPLC mobile phase was made from the two solvents 0.1% TFA in acetonitrile, and 0.1%

TFA in distilled water. Initially, the mobile phase contained 5% of the acetonitrile solvent and

95% of the aqueous solvent. The acetonitrile concentration in the mobile phase increased over

time. The probes were initially purified using a steep acetonitrile gradient, where the acetonitrile

concentration increased 1.5% every minute. Due to poor separation of the probe from the side

products, a shallower gradient was used. In this gradient, the acetonitrile concentration increased

1.5% for 4min, then 0.25% for 20min, then 0.5% for 32min, and finally 1.5% for 4min. The

probes were then collected from the HPLC, lyophilized, and sent to SickKids Advanced Protein

Technology Centre for MS analysis.

Synthesize the PNA-peptide

probe

Purify the probe on HPLC

Confirm the probe mass

with MS

Check binding specificity with

gel binding assay

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4.5 Probe Synthesis and Quality Control: Gel Binding Assay

The 5 different samples used to assay the quality of the probes were PNA probe alone,

complementary DNA alone, non-complementary DNA alone, PNA probe with complementary

DNA, and PNA probe with non-complementary DNA. All the samples were resolved on a 2%

agarose TBE gel in TBE buffer. DNA-alone samples were composed of 1X loading dye and

1µM DNA in PBS. PNA-alone samples were composed of 1X loading dye and 1µM PNA in

PBS. DNA-PNA hybridization samples were composed of 1X loading dye, 1µM PNA, and 1µM

DNA in PBS. All the samples were incubated at 37ºC prior to loading onto the gels. Next, the

gels were ran at 100V for 40min. After that, the gels were stained in a solution containing 1X

SYBR Gold in TBE for 30min. Finally, the gels were imaged.

4.6 Chip Cleaning and Quality Control: Chip Cleaning

The biosensing chips were manufactured on a silicon wafer. A layer of silicon dioxide was

deposited on the silicon wafer, and gold leads were deposited on top of the silicon dioxide layer.

The chips were then passivated with a layer of silicon dioxide to insulate the leads. Next, 500nm

diameter apertures were created at the tip of each lead to allow for NME formation. Finally, each

chip was protected with a positive photoresist.

To clean a chip, it was first incubated in AZ 300T photoresist stripper for 5min. The chip was

then rinsed with acetone, then isopropanol, and finally water. After that, the chip was dried with

a stream of nitrogen gas. Next, the chip was etched with an oxygen plasma etcher at 15W for

120s. Finally, the chip was rinsed with acetone, isopropanol, and water.

Figure 8: The procedure for characterizing and cleaning the chip.

First, the chip is treated with the AZ 300T stripper to remove the photoresist. This

treatment exposes the gold lead under the aperture. Then, the chip is washed with acetone,

isopropanol, and distilled water to remove the stripper and dust particles. Next, the chip is

etched with plasma to remove organic particles, and to make the surface hydrophilic. After

that, the chip is washed with acetone, isopropanol, and distilled water again to remove dust

and contaminants. Finally, the leads are examined with acid scan to find defect free and

contaminant free electrodes with proper sized aperture.

AZ 300T treatment

Acetone-isopropanol

-distilled water wash

Plasma etch

Acetone-isopropanol

-distilled water wash

Acid scan

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4.7 Chip Cleaning and Quality Control: Acid Scan

Each chip was connected to the Epsilon Potentiostat and acted as the working electrode. A silver/

silver chloride electrode acted as the reference electrode, and a platinum wire acted as the

counter electrode. The potentiostat was used to scan the chips with either Cyclic Voltammetry

(CV) or Differential Pulse Voltammetry (DPV). CV was ideal for examining the quality of the

NME and the quality of the deposited probe. DPV was ideal for quantitating the electrochemical

signal.

To assay the quality of the leads on the chip, the chip and the electrodes were immersed in a

50mM sulfuric acid solution. The chip was then scanned with CV. CV was set to scan from an

initial potential of -0.1V to a switching potential of 1.5V, at a scan rate of 100mV/s.

4.8 NME Formation: Microelectrode Formation

The gold NMEs were electroplated by submerging a cleaned chip, the reference electrode, and

the counter electrode in a gold plating solution containing 50mM gold chloride and 500mM

hydrochloric acid. Direct Current Potential Amperometry (DCPA) was used to electroplate the

gold leads by applying a relative potential (potential relative to the reference electrode) of 0V for

30s. A clean defect free chip would produce a ~20µA final current and a ~30µm NME. The size

of the NME was checked under a light microscope at 10X magnification.

4.9 NME Formation: Nano Structure Formation

The nanostructures on the NME were formed by submerging a chip with gold NME in a

palladium plating solution containing 5mM palladium chloride and 500mM perchloric acid.

DCPA was used to form the nanostructures by applying a relative potential (potential relative to

the reference electrode) of -0.25V for 5s. A defect free NME would produce a ~4µA final

current.

4.10 NME Biosensing Assay: Probe Deposition

The PNA probes were co-deposited with mercaptohexanol (MCH). The deposition solution was

composed of 0.1µM probe and 0.9µM MCH dissolved in a solvent of 10% acetonitrile in

distilled water. The solution was sonicated for 30min, and heated to 60ºC for 30min to dissolve

the probe. Next, a 30µl volume of the deposition solution was deposited onto a chip, and

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incubated in a humidity chamber for 1h at room temperature. The chip was then washed with

PBS 3 times, and incubated in 10% PBS until it was ready for the electrochemical assay.

4.11 NME Biosensing Assay: Pre Hybridization Scan

The sensing solution was composed of 4000µM potassium hexacyanoferrate(III) and 10µM

hexaammineruthenium(III) chloride in 10% PBS. Before adding the hexacyanoferrate(III) and

the hexaammineruthenium(III), the 10% PBS was purged by bubbling nitrogen gas through the

10% PBS for 30min. In addition, the sensing solution was prepared fresh every 30min. A chip

with probe modified NME was incubated in the sensing solution for 1min, and then scanned with

DPV. The chip was scanned from 0V to -0.4V with 5mV step E, 50ms pulse width, 100ms pulse

period, and 10mV pulse amplitude. The pre hybridization scan current (I1) was measured from

the baseline to the peak of the current (Figure 9). The chip was then incubated in PBS until it was

ready for hybridization.

4.12 NME Biosensing Assay: Hybridization

The target solution was prepared by diluting nucleic acid (DNA or RNA) in PBS. A 30µl volume

of the target solution was applied to the probe modified NME, and incubated at 37ºC for 30min.

The chip was then washed 3 times with PBS, and incubated in 10% PBS until it was ready for

scanning.

4.13 NME Biosensing Assay: Post Hybridization Scan

The post hybridization scan used the same scanning solution preparation method, the same DPV

parameters, and the same current measurement as the pre hybridization scan. The post

hybridization current was defined as I2 (Figure 9). The baselines of the pre and the post

hybridization DPV scans were adjusted using Matlab by aligning them to the horizontal plane. In

this way, the DPV scans were superimposed (Figure 9). The change in current (ΔI) was

calculated by subtracting the pre hybridization current from the post hybridization (ΔI= I2- I1)

(Figure 9). Due to changes in the reduction potential, the binding of the complementary sequence

could shift the electrochemical signal to a higher or lower voltage relative to the signal produced

from the probe alone. However, the electrochemical signal always resided close to the -200mV

region.

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The change in signal intensity of the DPV scans was mainly caused by the reduction of the

reporter molecules, that were recruited via the binding of the target sequence. However, the

signal intensity could also be affected by the quality of the NME, the size of the NME, the

quantity of the probe deposited onto the NME, the quality of the probe, the probe to MCH ratio,

the incubation time for hybridization, the chemistry of the scanning solution, the quality of the

electrodes, the contact between the chip and the potentiostat, and the potentiostat. Negative

control experiments using non-complementary target sequences were performed to account for

the signal change caused by sources other than target sequence hybridization. Negative controls

were conducted in parallel with the test samples using the same potentiostat, electrodes, scanning

solution, chip, probe, deposition solution, deposition conditions, and incubation conditions.

Figure 9: A Differential Pulse Voltammetry (DPV) plot used to assay for target

hybridization.

The probe covered electrode is scanned with DPV to determine the background current.

The background current is created by the reduction of the electrochemical reporters

associated to the electrode and probe. This blue curve is the pre target hybridization signal,

and the associated current is measured as I1. The probe covered electrode that hybridized

with the target nucleic acid is scanned with DPV to determine the signal current. The signal

current is generated by the reduction of the electrochemical reporters recruited by the

target sequence. This red curve is the post hybridization signal, and the associated current

is measured as I2. The change in current (ΔI) is calculated by subtracting pre hybridization

peak height from the post hybridization peak height. The ΔI represents the change in

current induced by the hybridization of the target sequence.

Δ I

=(I2-I1)

I1

I2

Potential (V)

Cu

rren

t (A

)

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4.14 Probe Deposition Condition Optimization

The methods from sections 4.6 to 4.13 described the assay procedure using the optimized probe

deposition condition. However, 3 additional deposition conditions were also examined. The 4

deposition solutions were 0.1µM probe and 0.9µM MCH in 10% acetonitrile solution (1µM total

concentration, 1:9 probe to MCH ratio), 0.5µM probe and 0.5µM MCH in 10% acetonitrile

solution (1µM total concentration, 1:1 probe to MCH ratio), 0.5µM probe and 4.5µM MCH in

10% acetonitrile solution (5µM total concentration, 1:9 probe to MCH ratio), and 2.5µM probe

and 2.5µM MCH in 10% acetonitrile solution (5µM total concentration, 1:1 probe to MCH

ratio). The probe 2A was used to optimize the deposition conditions. For the hybridization step,

the chips were incubated with either 100nM complementary DNA (positive control) or 100nM

non-complementary DNA (negative control).

5 Results and Discussion

5.1 Probe Sequence Selection

The probes for the NME biosensing assay were designed to differentiate sequences from the

majority of influenza A strains apart from nucleic acids originating from other sources. This

process involved identifying a conserved region to design potential probe sequences, checking

the thermodynamic properties of the potential probes, and checking for cross hybridization of the

potential probes with human sequences.

During its life cycle, influenza produces the coding strand RNA in the form of mRNA

transcripts, and the non-coding strand RNA in the form of genomic segments8. Therefore, probes

complementary to the influenza genome and probes complementary to the influenza transcripts

were both designed, in order to maximize the amount of influenza RNA that could be detected.

The probes should target a conserved influenza sequence, so that they could detect influenza A

RNA even though the most prevalent influenza strain differed each year. More than 9000

influenza A sequences were aligned to locate the most conserved region: 5’-TTT GTG TTC

ACG CTC ACC GTG CCC AGT GAG CGA GGA CTG CAG CGT AGA CGC TTT GTC CAA

AAT GCC CT-3’. This region had 68 nucleotides and was found on the matrix gene in segment

7 of the influenza genome. This conserved sequence was located on the coding strand. Thus, it

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was used to make the genome binding probe. The reverse complement of this conserved region

was located on the non-coding strand. Thus, it was used to make the transcript binding probe.

PNA is more hydrophobic than both DNA and RNA, since it does not have the charged

phosphate backbone22

. The ideal probe length was found empirically to be ~22 nucleotides, since

longer probes were difficult to synthesize and might aggregate, while shorter probes might not be

specific. The 68-nucleotide conserved region and its reverse complement were both divided into

47 22-nucleotide segments as potential probes.

Thermodynamically, the ideal probe has high affinity to its complementary sequence and low

affinity to non-complementary sequences, so that it is specific and sensitive. It does not form

hairpins nor dimerize, since probe with hairpins and probe dimers do not bind target nucleic acid

effectively. Therefore, probes with low (more negative) ΔGs of hybridization and high (less

negative) ΔGs of hairpin formation and dimerization were selected as potential probes for further

analysis. IDT DNA Oligo Analyzer tool was used to calculate the ΔGs of hybridization,

dimerization, and hairpin formation to find the most energetically optimal sequences.

In a bronchial alveolar lavage sample, the main source of nucleic acid is from human cells26

.

Therefore, potential probes with good thermodynamic properties were aligned to human

sequences to check for cross hybridization. The potential probes that had the least similarities

with human sequences were selected for further modification. The nucleotide sequence of the

final genome binding probe was 5’-CGT GCC CAG TGA GCG AGG ACT G-3’ (Table 3). The

nucleotide sequence of the final transcript binding probe was 5’-AGG GCA TTT TGG ACA

AAG CGT C-3’ (Table 3). The sequences of the selected probes originated from the same region

of the influenza genome as the influenza A H1N1 universal probe sequence designed by CDC27

.

In addition to the 22 PNA residues, 4 amino acids were added to both probes. The sequence Cys-

Gly-Asp was added to the 5’ end of the probe, and an Asp residue was added to the 3’ end of the

probe. The Cys residue had a thiol group, which was important for attaching the probe to the

palladium coated NME. The Gly residue was used to increase the distance between the PNA

bases and the NME, so that the probe sequence was physically more exposed to the target

nucleic acids present in the diagnostic samples. The 2 Asp residues added charges to the probe,

so that the probe was more soluble in PBS.

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Table 3: The properties of the selected probe sequences.

Compare to all potential probes, the selected probes have low (more negative) ΔG of

hybridization to maximize targeting binding, and high (less negative) ΔG of hairpin and

dimer formation to minimize self-hybridization. In addition, they have low sequence

similarity with all human sequences to minimize cross-hybridization.

5.2 Probe Quality Control

The quality of the probes was checked to ensure that the probes could hybridize to their target

sequences. HPLC was used to separate the probes from side products. MS was used to confirm

the mass of the probes. Gel binding assay was used to analyze the binding specificity of the

probes.

The absorbance chromatogram at 260nm from the HPLC analysis showed several peaks,

suggesting that the probe synthesis process generated side products along with the probe (Figure

11). Purification of PNA from the HPLC column depended on the acetonitrile concentration,

thus modifying the rate of change of the acetonitrile concentration altered the time that molecules

exited from the column. Initially, a steep acetonitrile gradient (acetonitrile concentration

increased at a rate of 1.5% per minute), was used to purify the probe (Figure 10). This resulted in

narrow peaks and a short purification time, where the major peak appeared around 15min (Figure

11). However, several of the peaks overlapped, suggesting that the probe and the side products

were still mixed after the purification (Figure 11). A modified method with a shallower

acetonitrile gradient was used to increase the resolution of the HPLC spectrum (Figure 10). In

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this method, acetonitrile concentration increased 1.5% every minute for the first 4min, because

nothing exited the column in this range of acetonitrile concentrations. Acetonitrile concentration

increased 0.25% every minute for the next 20min to maximize the separation of the different

products. In the following 32min, acetonitrile concentration increased 0.5% every minute to

sharpen the peaks, since the probe was purified from the column during this range of acetonitrile

concentrations. The acetonitrile concentration increased 1.5% every minute for the final 4min to

flush out any products left in the column. The HPLC method with the shallow gradient

significantly improved the separation of the probe from the side products (Figure 11).

Figure 10: The acetonitrile gradient of the HPLC methods used to purify the probes.

The purification of the probe via HPLC depends on the acetonitrile concentration of the

mobile phase. The 22-nucleotide probe exits the column at ~20% acetonitrile concentration.

In addition to the probe, the probe synthesis process also generates incomplete fragments

and side products. When purifying with a steep acetonitrile gradient, the probe exits the

column very quickly, but side products also exit the column with the probe. An improved

gradient is designed so that it is very steep at the beginning of the purification, since

nothing exists at the beginning. The gradient between 10% and 20% acetonitrile

concentration is very shallow to separate the side products from the probe. Finally, the

gradient near 20% acetonitrile concentration is slightly steeper, so that the probe is easy to

visualize on the chromatogram.

The products exiting from the HPLC column were collected every 2min and analyzed with MS.

For the 1C probe, the peak corresponding to the mass of the probe was found in the 40-42min

and the 42-44min fractions (Figure 11). For the 2A probe, the peak corresponding to the mass of

the probe was found in the 36-38min and the 38-40min fractions (Figure 11). For both probes,

0

10

20

30

40

50

60

70

80

90

100

0 10 20 30 40 50 60 70

Ace

ton

itri

le c

on

cen

trat

ion

in m

ob

ile

ph

ase

(%

)

Time (min)

Steep acetonitrile gradient Shallow acetonitrile gradient

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these fractions corresponded to the location of the largest peak on their HPLC chromatograms.

For both probe purifications, these results thus showed that the major product was indeed the

probe.

Figure 11: The HPLC chromatograms showing the purification of the probes.

The purification of the probe is visualized by tracking the absorbance at 260nm, since the

bases on PNA absorb at this range. The probe exits the column at ~20% acetonitrile

concentration, thus the probe is recovered around 15 min in the steep gradient and around

40 min in the shallow gradient. Diagrams A and B show the purification of probe 1C on the

steep and the shallow gradient, respectively. A) Probe 1C purified in the steep acetonitrile

gradient produces a ~2500mAU peak, since side products are superimposed with the probe.

B) Probe 1C purified in the shallow acetonitrile gradient produces a ~600mAU peak, since

the peaks are more resolved and most of the side products exit the column before probe 1C.

Diagrams C and D show the purification of probe 2A on the steep and the shallow gradient,

respectively. C) Probe 2A purified in the steep acetonitrile gradient produces a ~1500mAU

peak, since side products are superimposed with the probe. D) Probe 2A purified in the

shallow acetonitrile gradient produces a ~600mAU peak, since the peaks are more resolved

and most of the side products exit the column before probe 2A.

0

500

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C D

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Figure 12: The gel binding assay confirming the specific hybridization of the PNA probes

to the target DNA.

The gel binding assay uses the SYBR Gold dye, which binds to single or double stranded

DNA, but not peptide nucleic acid (PNA) nor DNA-PNA hybrids. Relative to the DNA

target alone, DNA-PNA hybrids stain lighter and migrate slower. However, DNA and PNA

fragments that are incubated together but do not bind are located at similar position and

have similar band intensity as the DNA fragment alone. This assay is performed on the

HPLC fractions (1C40, 1C42, 2A36, and 2A38) that contain the probe. As expected, the

PNA probe alone samples (negative control) have no band and the DNA alone samples

(negative control) have bright fast migrating bands. All non-complementary DNA with

probe samples have fast migrating bands, demonstrating that the probes do not bind to the

non-complementary sequences. All complementary DNA with PNA probe samples have

slow migrating faint bands, indicating that the probes bind to the complementary

sequences.

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The gel binding assay tested for the ability of a PNA sequence to hybridize to the complementary

DNA sequence (Figure 12). The hybridization temperature and incubation period used for the gel

binding assay were the same as the corresponding conditions used for the NME biosensing

assay, so that the results from the gel binding assay were relevant to the NME biosensing assay.

The SYBR Gold dye binds double or single stranded DNA but not PNA or DNA-PNA hybrids.

Moreover, when DNA and PNA hybridize, they migrate slower than DNA alone. Therefore,

when the PNA probe hybridizes to a complementary DNA sequence, the band is fainter and

migrates slower than the DNA alone band. However, when the PNA probe is incubated with a

non-complementary DNA sequence, the band is the same intensity and migrates to the same

location as the DNA alone band. The gel binding assay was performed on the HPLC fractions

(1C40, 1C42, 2A36, and 2A38) that contained the probe (Figure 12). As expected, all probe

alone samples had no band, and all DNA alone samples had bright fast migrating bands (Figure

12). All non-complementary DNA with probe samples had fast migrating band, indicating that

the probe did not hybridize to non-complementary DNA (Figure 12). All complementary DNA

with probe samples had slow migrating faint bands, since the hybridization of the probe to the

complementary DNA inhibited the binding of the dye (Figure 12).

5.3 Chip Quality Control

The AZ 300T treatment was used to remove the positive photoresist. The acetone, isopropanol,

and water rinses were used to clean the chip. The plasma etch was used to increase the

hydrophilicity of the chip surfaces. The removal of the photoresist exposed the gold surfaces in

the aperture, so that the NME could be electroplated. The generation of a hydrophilic surface

prevented non-specific deposition of the hydrophobic PNA probe onto the chip surface. Acid

scan was used to ensure that the leads were defect free, and that the gold surfaces were free from

contaminants. During the acid scan in 50mM sulfuric acid, the oxidation and reduction of a clean

gold surface created peaks at 1.2V and 0.9V, respectively (Figure 13A). The absence of these

peaks, the presence of other peaks, or any distortion in the Cyclic Voltammetry graph indicated

an unclean surface or a defective lead (Figure 13B).

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Figure 13: The acid scan checking the gold leads for defects and contaminants.

Gold oxidizes at 1.2V and reduces at 0.9V in 50mM sulfuric acid, resulting in peaks at these

potentials. Absence of these features indicates the presence of contaminants or defects in

the lead. A) Diagram A shows the acid scan of a clean and defect free lead. The scan of a

clean lead has relatively small current change throughout the scan except at the 1.2V and

the 0.9V potentials. B) Diagram B shows the acid scan of a defective or unclean lead. The

large current change suggests that the lead possibly has multiple apertures or

contaminants. Leads like this are not used.

5.4 Probe Deposition Condition Optimization

The ideal deposition condition should result in high signal to background ratio at low target

molecule concentrations. The deposition solution was composed of the probe and MCH, where

the MCH binds to the NME competitively and allows the probe to form an evenly spaced

monolayer. Thus, deposition required the optimization of the probe and the MCH concentrations.

High probe concentrations could result in high background signal, while low probe

concentrations could provide fewer sites for target nucleic acid to bind. Moreover, high MCH

concentrations could reduce the number of probes bound to NME, while low MCH

concentrations could cause the probe to clump on the NME and increase the background signal.

-4.00

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4.00

-100 300 700 1,100 1,500

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rre

nt

(nA

)

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rre

nt

(nA

)

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A B

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Figure 14: The NME biosensing assay comparing different deposition conditions.

Probe 2A is used for this experiment. The black bars represent hybridization to a

complementary DNA target, while the white bars represent hybridization to a non-

complementary DNA target. Mercaptohexanol (MCH) is a reagent that prevents probe

aggregation on the electrode surface. The probe:MCH ratio and the total probe-MCH

concentration are varied in the experiment. Comparing the deposition conditions with the

same total probe-MCH concentration and different probe:MCH ratios, the condition with

the higher MCH concentration (1st and 3

rd set of bars) results in a higher signal to noise

ratio. When comparing the deposition conditions with the same probe:MCH ratio and

different total probe-MCH concentrations, the condition with the lower total concentration

(1st and 2

nd set of bars) results in a higher signal to noise ratio. Thus, in the conditions

tested, 1µM total probe MCH concentration with a 1:9 probe:MCH ratio is the optimal

condition that maximizes the hybridization of complementary sequences and minimizes the

non-specific binding of non-complementary sequences.

Deposition solution composition was optimized by varying both the combined probe and MCH

concentration, and the probe to MCH ratio. The 4 conditions tested were 1µM total concentration

in 1:9 probe:MCH ratio, 1µM total concentration in 1:1 probe:MCH ratio, 5µM total

concentration in 1:9 probe:MCH ratio, and 5µM total concentration in 1:1 probe:MCH ratio

(Figure 14). Comparing the deposition conditions with the same total probe-MCH concentration

and different probe:MCH ratios, the condition with the higher MCH concentration resulted in a

higher ΔI when incubated with complementary DNA, and a lower ΔI when incubated with non-

complementary DNA (Figure 14). When comparing the deposition conditions with the same

probe:MCH ratio and different total probe-MCH concentrations, the condition with the lower

total concentration resulted in a higher ΔI when incubated with complementary DNA, and a

lower ΔI when incubated with non-complementary DNA (Figure 14). Thus, in the conditions

0.00

0.50

1.00

1.50

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ratio

1µM 1:1Probe:MCH

ratio

5µM 1:9Probe:MCH

ratio

5µM 1:1Probe:MCH

ratio

ΔI (

nA

)

Deposition Solution Composition

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tested, 1µM total probe MCH concentration with a 1:9 probe:MCH ratio was the optimal

condition that maximized the hybridization of complementary sequences and minimized the non-

specific binding of non-complementary sequences (Figure 14).

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Chapter 3 Influenza Biosensing

6 Overview

The NME biosensing assay was tested to detect the target influenza sequence in the forms of

synthetic DNA, in vitro transcribed RNA, and RNA released from cell lysate. Target DNAs were

assayed to check the ability of the NME biosensing assay to differentiate complementary from

non-complementary sequences. In vitro transcribed RNAs were assayed to determine if the NME

biosensing assay could detect large RNA molecules, since influenza nucleic acids were large

RNA molecules. Finally, transfected cell lysates that contained influenza RNA were assayed to

simulate patient bronchial alveolar lavage samples.

7 Materials and Methods

7.1 Materials

Target Sequence Samples. DNA oligonucleotide 1C_T 5’-CAG TCC TCG CTC ACT GGG

CAC G-3’(IDTDNA), DNA oligonucleotide 2A_T 5’-GAC GCT TTG TCC AAA ATG CCC T-

3’(IDTDNA), and DNA oligonucleotide EC_T 5’-AAC TAC ACC ACA GAG CAG AT-

3’(IDTDNA) were used as the DNA targets. FirstChoice human lung total RNA (Ambion

AM7968) was used as the RNA negative control target.

In vitro Transcription. BamHI (Thermo Scientific ER0051) was used for the restriction digest.

Phenol: chloroform: isoamyl alcohol 25:24:1 10mM tris pH8 1mM EDTA (Sigma-Aldrich

P2069), sodium acetate ph5.2 buffer solution (Sigma-Aldrich S7899), ethanol (UofT Medstore

39752-PO16-EAAN), and UltraPure DNase/ RNase free distilled water (Invitrogen 10977015)

were used to extract and precipitate DNA. T7 RiboMAX Express Large Scale RNA Production

System (Promega P1320), phenol: chloroform: isoamyl alcohol 125:24:1 (Sigma-Aldrich

77619), 2-propanol (Sigma-Aldrich I9516), and ethanol (UofT Medstore 39752-PO16-EAAN)

were used to in vitro transcribe and purify RNA.

Cell Transfection. A549 Human Carcinomic Human Alveolar Basal Epithelial cell line (ATCC

CCL-185) was the cell line used for transfection. Ham’s F-12K medium (Invitrogen 21127022),

fetal bovine serum (Invitrogen 12483020), and Forma Series II Water Jacketed CO2 Incubator

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(Thermo Scientific) were used to culture the A549 cells. Phosphate buffered saline pH7.4

(Invitrogen 10010023), 0.25% trypsin EDTA phenol red (Invitrogen 25200056), X-tremeGENE

HP DNA transfection reagent (Roche 06366236001), and Opti-MEM reduced-serum medium

(Invitrogen 31985062) were used to transfect the A549 cells. TC10 automated cell counter (Bio-

Rad) was used to quantify the cells. OmniLyse lysis kit (ClaremontBio 01.340.24) was used to

lyse the cells. RNeasy Mini Kit (Qiagen 74104) and ethanol (UofT Medstore 39752-PO16-

EAAN) were used to purify the cellular RNA.

RNA Quantitation. RTPCR and QPCR were performed on a MyCycler Thermal Cycler (Bio-

Rad) and a 7500 Fast Real Time PCR System (Applied Biosystems) respectively. High Capacity

RNA-to-cDNA kit (Invitrogen 4387406), and Power SYBR Green PCR Master Mix (Applied

Biosystems 4367659) were the master mixes used for RTPCR and QPCR respectively. DNA

oligonucleotide primer_F 5’-GAC CAA TCT TGT CAC CTC TGA C-3’(IDTDNA) and DNA

oligonucleotide primer_R 5’-AGG GCA TTT TGG ACA AAG CGT CTA-3’(IDTDNA) were

the primers used for QPCR.

7.2 Target Vector Design

To generate the target RNA sequence, 2 plasmids were designed and synthesized. One expressed

the influenza segment 7 genomic RNA and the other expressed the influenza matrix transcript

RNA. The sequence of the Influenza A Virus (A/Hong Kong/H090-770-V22/2009(H1N1))

matrix protein 2 (M2) and matrix protein 1 (M1) gene (Genebank accession number

CY120390.1) was used as the starting sequence to design the plasmid that encoded the influenza

matrix transcript RNA. The reverse complement of this sequence was used as the starting

sequence to design the plasmid that encoded the influenza segment 7 genomic RNA. Both

sequences were modified by adding a BamHI restriction site at their 3’ ends and a HindIII

restriction site at their 5’ ends to allow for subcloning. The modified sequences were sent to

GeneArt to be synthesized and subcloned into pcDNA1.3(+) plasmids. GeneArt confirmed the

sequences of the plasmids with DNA sequencing and restriction digest.

7.3 In vitro Transcription

Restriction digest was completed in a reaction of volume of 40µl to prepare the plasmid for in

vitro transcription. The reagents were added in the following order: 30µl of nuclease free water,

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4µl of 10X Buffer BamHI, 2µl of 1µg/µl plasmid DNA (restriction digest was performed for the

plasmids vec_inf_ma_genome_pcDNA3.1+ and vec_inf_ma_genemrna_pcDNA3.1+), and 4µl

of BamHI. The mixture was incubated at 37ºC for 2h.

The linearized plasmid DNA was extracted by adding an equal volume of phenol: chloroform:

isoamyl alcohol 25:24:1 10mM tris pH8 1mM EDTA solution to the restriction digest. Then, the

mixture was vortexed and centrifuged at 1300rpm at room temperature for 30s. After that, the

aqueous phase was mixed with one tenth volume of 3M sodium acetate. Next, two fold volume

of cold 95% ethanol was added. After that, the mixture was centrifuged at 1300rpm for 5min,

and the supernatant was removed. Then, 1ml of 70% ethanol was added to the pellet, and

centrifuged at 1300rpm for 5min. Finally, the supernatant was decanted, and the pellet was air

dried and resuspended in UltraPure DNase/ RNase free distilled water.

The purified linearized plasmid DNA was in vitro transcribed using T7 RiboMAX Express Large

Scale RNA Production System according to the manufacture’s protocol.

7.4 Cell Transfection

A549 cells were cultured, and transfected with the plasmids vec_inf_ma_genome_pcDNA3.1+

and vec_inf_ma_genemrna_pcDNA3.1+. A549 cells were cultured in 10% fetal bovine serum

(FBS) Ham’s F-12K medium (F-12K), and seeded in 6-well plates at a concentration of 105

cell/ml. The cells were incubated at 37ºC and 5% carbon dioxide until they were grown to 80%

confluence. The media was renewed 12h before transfection.

To transfect the cultured A549 cells, 5µl of 1µg/µl plasmid DNA (transfection was performed

for the plasmids vec_inf_ma_genome_pcDNA3.1+ and vec_inf_ma_genemrna_pcDNA3.1+)

was added to 500µl of Opti:MEM reduced-serum medium, and mixed. Next, 5µl of X-

tremeGENE HP DNA transfection reagent was added to the transfection mixture. The

transfection mixture was then incubated at room temperature for 30min, and added to the

cultured A549 cells without changing media. For the negative control, the transfection mixture

did not contain any plasmid DNA. The cells were then incubated at 37ºC and 5% carbon dioxide

for 24h.

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7.5 Cell Lysis and Lysate Preparation

The cells were harvested after transfection by removing the old media, and replacing it with

0.25% trypsin EDTA phenol red. Then, the cells were incubated at room temperature for 10min.

Next, the cells were centrifuged at 5000rpm. After that, the supernatant was decanted, and the

cells were washed and resuspended in PBS. Then, the cell concentration was measured with an

automated cell counter, and then diluted to 5*104 cells/ml. After that, the suspended cells were

lysed with OmniLyse lysis kit. Next, the lysates were aliquoted, where some were reserved for

QPCR and some were reserved for the NME biosensing assay. The RNA in the aliquots reserved

for QPCR was purified with RNeasy Mini Kit according to the manufacture’s protocol. Once the

concentrations of the influenza genomic RNA and the influenza transcript RNA were quantitated

with QPCR, the lysates that contained the influenza RNA were diluted to 106 copies of influenza

RNA/µl using the lysates that did not contain any influenza RNA, so that the total cellular RNA

concentration remained constant.

7.6 QPCR Analysis

The absorbances of the in vitro transcribed RNA of both influenza genomic RNA and influenza

transcript RNA were measured with a Nanodrop UV-Vis spectrophotometer, and their

concentrations were calculated. Both RNA samples were serial diluted with PBS to 1010

, 109,

109, 10

7, 10

6, 10

5, and 10

4 copies/µl. These samples were then used to construct the standard

curve for the QPCR assay. The standard curve samples, the influenza transcript and genomic

RNAs from the lysed transfected cells, the RNA from lysed but not transfected cells, and 3

QPCR negative controls (no template, no primer, and no enzyme) were reverse transcribed using

the High Capacity RNA-to-cDNA kit, according to the manufacture’s protocol. The cDNA

products were then quantitated with the Power SYBR Green PCR Master Mix, using 200nM of

primers and following the manufacture’s protocol.

8 Results and Discussion

8.1 Target Vector Design

Plasmids that encoded the influenza RNA were designed to generate a safe non-biohazardous

source of influenza samples. Two different plasmids were constructed, where one encoded

influenza genomic segment 7 RNA and the other encoded influenza matrix transcript RNA

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(Figure 15). The pcDNA3.1+ plasmid contained a T7 promoter and a BamHI restriction site, so

large quantities of RNA could be produced via in vitro transcription (Figure 15). The plasmid

also contained a CMV promoter and a BGH poly (A) site, so that it could be transcribed in a

human lung cell (Figure 15).

Figure 15: The plasmids for generating the influenza RNA sequences.

The pcDNA3.1+ plasmid is used to create both plasmid constructs. It contains a T7

promoter and a BamHI cleavage site, so that transcripts can be generated via in vitro

transcription. The CMV promoter and BGH poly (A) site allow the transcription of the

sequence in human lung cells. The target sequences are inserted via the HindIII and

BamHI sites. A) Diagram A shows the plasmid used to create the influenza genome

segment 7 via in vitro transcription. B) Diagram B shows the plasmid used to create the

influenza matrix gene transcript via in vitro transcription.

A

B

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8.2 DNA Target Biosensing

The NME biosensing assay was performed on 22-nucleotide target DNA oligonucleotides. The

hybridization of the probes to the oligonucleotides was measured with DPV scans (Figure

16).This experiment was conducted to ensure that the assay was capable of differentiating

complementary from non-complementary sequences. Several different concentrations of the

target DNA were used to determine the detection limit of the assay. DNA rather than RNA was

assayed even though influenza genome and transcripts are RNA molecules, since DNA is more

stable1.

Figure 16: Representative DPV scans using the NME biosensing assay.

A) Diagram A shows a DPV scan from assaying a sequence complementary to the probe.

The current from the post hybridization scan is much greater than the current from the

pre hybridization scans, since the hybridized DNA recruits reporter molecules to the NME

to amplify the signal. B) Diagram B shows a DPV scan from assaying a sequence not

complementary to the probe. The current from the post hybridization scan is similar to the

current from the pre hybridization scan, since the non-complementary DNA does not bind

to the probe, and thus does not recruit reporter molecules to the NME.

Both probes 1C and 2A were examined with the biosensing assay. The negative control for both

probes was a non-complementary Escherichia coli sequence (Figure 17). The 10000pM, 100pM,

and 1pM concentrations of the complementary DNA target were assayed for both probes (Figure

17). The concentration of the negative control target was at least ten fold greater than the

concentration of any of the complementary targets (Figure 17). In this experiment, 5 independent

trials were performed for each test condition.

In the trials using probe 1C, the mean ΔI for the 100mM Neg Ctrl, the 10000pM, 100pM, and

1pM samples were 0.198nA, 3.58nA, 2.78nA, and 0.912nA, respectively. The standard error of

0.0

0.5

1.0

1.5

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rre

nt

(nA

)

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Pre hybridization Post hybridization

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A B

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the mean for the 100mM Neg Ctrl, the 10000pM, 100pM, and 1pM samples were 0.0632nA,

0.259nA, 0.307nA, and 0.127nA, respectively. The data were statistically significant, since the

standard error bar of the negative control did not overlap with the ones from the trials that used

complementary DNA sequence (Figure 17). The precision of the assay was expressed via relative

standard error of the mean. The relative standard error of the mean for the negative control was

32%. This value appeared high, because the mean ΔI for the negative control was low. The

relative standard error of the mean for the 10000pM, 100pM, and 1pM samples were 7%, 11%,

and 14%, respectively. This suggested that these trials had high repeatability.

In the trials using probe 2A, the mean ΔI for the 100mM Neg Ctrl, the 10000pM, 100pM, and

1pM samples were 0.284nA, 3.13nA, 2.04nA, and 0.643nA, respectively. The standard error of

the mean for the 100mM Neg Ctrl, the 10000pM, 100pM, and 1pM samples were 0.203nA,

0.215nA, 0.135nA, and 0.156nA, respectively. The data were statistically significant, since the

standard error bar of the negative control did not overlap with the ones from the trials that used

complementary DNA sequence (Figure 17). The precision of the assay was expressed via relative

standard error of the mean. The relative standard error of the mean for the negative control was

71%. This value appeared high, because the mean ΔI for the negative control was low. The

relative standard error of the mean for the 10000pM, 100pM, and 1pM samples were 7%, 7%,

and 24%, respectively. This suggested that these trials had high repeatability.

For both probes, the results showed that the ΔI from hybridizing to the non-complementary

sequence was lower than any of the ΔI from hybridizing to the complementary sequence (Figure

17). This demonstrated that both probes had a greater affinity for the complementary target than

the non-complementary target, even though the concentration of the non-complementary DNA

was greater than those of the complementary DNAs. Furthermore, a higher concentration of the

incubated complementary DNA resulted in a higher ΔI for both 1C and 2A probe assays (Figure

17). This provided further evidence that the probes were specific, since the ΔI depended on the

target concentration. The results also showed that the limit of detection of the assays were 1pM

of DNA (Figure 17). It was interesting to note that the ΔI from the hybridization of the probe 1C

to its complementary targets was greater than the corresponding ΔI using the probe 2A for all 3

target concentrations (Figure 17). In addition, the ΔI from the hybridization of the probe 1C to

the non-complementary target was smaller than the corresponding ΔI using the probe 2A (Figure

17). This could be caused by differences in the qualities or binding affinities of the probes.

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Figure 17: The detection of DNA targets with the NME biosensing assay.

A range of concentrations of the 22-nucleotide complementary DNA targets are used to

examine the limit of detection. The negative control is a 22-nucleotide non-complementary

DNA sequence. A) Probe 1C is hybridized to the complementary or non-complementary

DNA. B) Probe 2A is hybridized to the complementary or non-complementary DNA. For

both probes, the results show that the ΔI from hybridizing to the non-complementary

sequence is lower than any of the ΔI from hybridizing to the complementary sequence. This

demonstrates that both probes have a greater affinity for the complementary target than

the non-complementary target, even though the concentration of the non-complementary

DNA is greater than that of the complementary DNAs. Furthermore, a higher

concentration of the incubated complementary DNA results in a higher ΔI for both 1C and

2A probe assays. This provides further evidence that the probes are specific, since the ΔI

depends on the target concentration. The results also show that the assays are capable of

detecting 1pM of DNA.

0.00

1.00

2.00

3.00

4.00

100nM Neg Ctrl 10000pM 100pM 1pM

ΔI (

nA

)

DNA Target Concentration

0.00

1.00

2.00

3.00

4.00

100nM Neg Ctrl 10000pM 100pM 1pM

ΔI (

nA

)

DNA Target Concentration

A

B

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8.3 In vitro Transcribed RNA Target Biosensing

The NME biosensing assay was conducted with ~1000-nucleotide RNA sequences produced

from in vitro transcription, since influenza genome segment 7 RNA and matrix transcript RNA

were both ~1000-nucleotides in length1. This experiment was performed to determine if the

NME biosensing assay was capable of detecting long RNA molecules. In addition, several

concentrations of the RNA molecules were assayed to determine the sensitivity of the assay.

Both probes 1C and 2A were examined with the biosensing assay. The negative control was total

RNA from human lung epithelial cells, since the major nucleic acid contaminants from influenza

patient bronchial alveolar lavage samples were from human cells (Figure 18)26

. Since the

negative control contained a mixture of different RNA sequences, its concentration was

expressed in µg/µl rather than M (Figure 18). The 10000pM, 100pM, and 1pM concentrations of

the ~1000-nucleotide complementary RNA fragments were assayed (Figure 18). The negative

control target RNA was at least 25 times more concentrated than any of the complementary

targets (Figure 18). In this experiment, 10 independent trials were performed for each test

condition.

In the trials using probe 1C, the mean ΔI for the Neg Ctrl, the 10000pM, 100pM, and 1pM

samples were 0.203nA, 1.35nA, 0.813nA, and 0.379nA, respectively. The standard error of the

mean for the Neg Ctrl, the 10000pM, 100pM, and 1pM samples were 0.0263nA, 0.0516nA,

0.0756nA, and 0.0621nA, respectively. The data were statistically significant, since the standard

error bar of the negative control did not overlap with the ones from the trials that used

complementary RNA (Figure 18). The precision of the assay was expressed via relative standard

error of the mean. The relative standard error of the mean for the Neg Ctrl, 10000pM, 100pM,

and 1pM samples were 13%, 4%, 9%, and 16%, respectively. This suggested that these trials had

high repeatability.

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Figure 18: The detection of RNA targets with the NME biosensing assay.

The positive samples are ~1000-nucleotide RNA produced from in vitro transcription, and

then serially diluted. The negative control is purified lung epithelial cell total RNA. A)

Probe 1C is hybridized to either the negative control or the influenza genome segment 7

RNA. B) Probe 2A is hybridized to either the negative control or the influenza matrix

transcript RNA. The ΔI resulting from the hybridization of the probe to the human RNA

(negative control) is less than the ΔI resulting from the hybridization of the probe to the

complementary RNA, even though the concentration of the human RNA is much greater

than that of the complementary RNA. In addition, the ΔI from the hybridization of the

probe to the complementary RNA is dependent on the RNA concentration. These trends

are observed for both probe 1C and 2A assays. These results show that the NME

biosensing assay is capable of differentiating large RNA molecules with complementary

sequences from a mixture of non-complementary RNAs. In addition, the results show that

the assays are capable of detecting 1pM of RNA.

0.00

0.40

0.80

1.20

1.60

1µg/µl Neg Ctrl 10000pM(40000pg/µl)

100pM(400pg/µl)

1 pM (4pg/µl)

ΔI(

nA

)

RNA Sample Concentration

0.00

0.40

0.80

1.20

1.60

1µg/µl Neg Ctrl 10000pM(40000pg/µl)

100pM(400pg/µl)

1 pM (4pg/µl)

ΔI (

nA

)

RNA Sample Concentration

B

A

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In the trials using probe 2A, the mean ΔI for the Neg Ctrl, the 10000pM, 100pM, and 1pM

samples were 0.266nA, 1.19nA, 0.716nA, and 0.461nA, respectively. The standard error of the

mean for the Neg Ctrl, the 10000pM, 100pM, and 1pM samples were 0.0330nA, 0.0708nA,

0.0864nA, and 0.0562nA, respectively. The data were statistically significant, since the standard

error bar of the negative control did not overlap with the ones from the trials that used

complementary RNA (Figure 18). The precision of the assay was expressed via relative standard

error of the mean. The relative standard error of the mean for the Neg Ctrl, 10000pM, 100pM,

and 1pM samples were 12%, 6%, 12%, and 12%, respectively. This suggested that these trials

had high repeatability.

Similar to the experiment using the DNA target, the ΔI resulting from the hybridization of the

probe to the human RNA (negative control) was less than the ΔI resulting from the hybridization

of the probe to the complementary RNA, even though the concentration of the human RNA was

much greater than those of the complementary RNA (Figure 18). In addition, the ΔI from the

hybridization of the probe to the complementary RNA was dependent on the RNA concentration,

similar to the results from using DNA targets (Figure 18). These trends were observed for both

probe 1C and 2A assays. These results showed that the NME biosensing assay was capable of

differentiating large RNA molecules with the complementary sequence from a mixture of non-

complementary RNAs. In addition, the results showed that the assays were capable of detecting

1pM of RNA (Figure 18). Similar to the experiments that used DNA targets, the ΔI produced

when using the probe 1C was greater than the ΔI produced when using the probe 2A for

complementary targets, and lower from non-complementary targets (Figure 18). In general, the

hybridization of the probe to the RNA targets produced smaller ΔI than the hybridization of the

probe to the DNA targets (Figure 17, 18). This could be caused by the slower diffusion rate of

the large RNA molecules compared to the small DNA molecules, since small molecules diffuse

faster than large ones.

8.4 Cell Lysate Biosensing

Bronchial alveolar lavage was the main method to obtain samples from influenza patients26

.

Typically, these samples contained approximately 105 cells/ml and 10

9 viral particles/ml

26,28.

Transfected cells rather than patient samples were assayed as a safe non-biohazardous

alternative. To maintain a constant background cellular RNA concentration in all samples, all

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cells were dilute to a constant cellular concentration before they were lysed. Moreover, the

lysates from the non-transfected cells were used as the diluent to dilute the influenza RNA in the

transfected cells. The diluted lysates of the transfected cells were hybridized to the probes to

determine if the NME biosensing assay could detect the viral RNA present within a mixture of

cellular nucleic acids and cell debris.

Figure 19: The detection of influenza RNA targets from cell lysates using the NME

biosensing assay.

Lung epithelial cells are transfected with plasmids to produce either the influenza segment

7 genomic RNA or the influenza matrix transcript RNA. The concentration of lysed cells is

chosen to reflect the number of cells in bronchial alveolar lavage. The influenza RNA

concentration is chosen to reflect the viral load in infected patients. The negative control is

un-transfected cell lysates. For both probe assays, the results show that the ΔI from the

transfected cell samples is higher than the ΔI from the non-transfected cell samples. This

demonstrates that the assay is capable of differentiating between samples with viral RNAs

from the samples without, at clinically relevant viral RNA and cellular RNA

concentrations. In addition, the results show that the assay is capable of detecting influenza

RNA in complex biological samples.

In this experiment, 10 independent trials were performed for each test condition. The mean ΔI

for the 2A probe 50cells/µl (negative control) sample, the 2A probe 50cells/µl 106 viral RNA/µl

sample, the 1C probe 50cells/µl (negative control) sample, and the 1C probe 50cells/µl 106 viral

RNA/µl sample were 0.278nA, 0.596nA, 0.407nA, and 0.836nA, respectively. The standard

error of the mean for the 2A probe 50cells/µl (negative control) sample, the 2A probe 50cells/µl

106 viral RNA/µl sample, the 1C probe 50cells/µl (negative control) sample, and the 1C probe

50cells/µl 106 viral RNA/µl sample were 0.0940nA, 0.0699nA, 0.0808nA, and 0.0444nA,

0.00

0.20

0.40

0.60

0.80

1.00

2A Probe; 50Cells/µl

2A Probe; 50Cells/µl; 1E+6

Viral TranscriptRNA/µl

1C Probe; 50Cells/µl

1C Probe; 50Cells/µl; 1E+6Viral Genomic

RNA/µl

ΔI(

nA

)

Probe Name and Sample Composition

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respectively. The data were statistically significant, since the standard error bar of the negative

control did not overlap with the ones from the trials that used viral RNA (Figure 19). The

precision of the assay was expressed via relative standard error of the mean. The relative

standard error of the mean for the 2A probe 50cells/µl (negative control) sample, the 2A probe

50cells/µl 106 viral RNA/µl sample, the 1C probe 50cells/µl (negative control) sample, and the

1C probe 50cells/µl 106 viral RNA/µl sample were 34%, 12%, 20%, and 5%, respectively. This

suggested that these trials had high repeatability.

For both probe assays, the results showed that the ΔI from the transfected cell samples was

higher than the ΔI from the non-transfected cell samples (Figure 19). This demonstrated that the

assay was capable of differentiating the samples that contained viral RNA from the samples that

did not, at clinically relevant viral RNA and cellular RNA concentrations. In addition, the results

showed that the assay was capable of detecting influenza RNA in complex biological samples

(Figure 19). Similar to the experiments that used DNA targets or in vitro transcribed RNA

targets, the ΔI produced when using the probe 1C was greater than the ΔI produced when using

probe 2A (Figure 19).

8.5 RNA Quantitation

QPCR was performed on the in vitro transcribed RNA and the RNA from the lysed transfected

cells. QPCR was used to ensure that the correct sequence was produced from in vitro

transcription. In addition, it was used to create a standard curve with the RNA from in vitro

transcription and to quantitate the influenza RNA produced from the transfected cells.

The primers used for the QPCR were the universal primers designed by CDC to detect H1N1

influenza A27

. The primers were designed to amplify a region on the influenza matrix gene,

located on genome segment 7. They were capable of amplifying both the genomic RNA and the

transcript RNA. The standard curve was constructed with in vitro transcribed RNA in tenfold

dilution intervals from 104 to 10

10 copies/µl (Figure 20). The concentration of the genomic RNA

from cell transfection was determined to be 15.1*106 copies/µl (Figure 20). The concentration of

the transcript RNA from cell transfection was determined to be 4.41*106 copies/µl (Figure 20).

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Figure 20: The determination of influenza RNA concentration from lysate using QPCR.

The in vitro transcribed RNAs are quantified with the Nanodrop 2000 UV-Vis

spectrophotometer, and plotted as the triangle data points to construct the standard curves.

The concentrations of the influenza RNAs from the lysate are calculated from the standard

curve and plotted as the square data points. A) The concentration of segment 7 genomic

RNA that binds to probe 1C is 1.517 copies/µl. B) The concentration of matrix RNA

transcript that binds to probe 2A is 4.416 copies/ µl.

1.51E+07

0

5

10

15

20

25

30

1.0E+04 1.0E+05 1.0E+06 1.0E+07 1.0E+08 1.0E+09 1.0E+10

Thre

sho

ld C

ycle

RNA Concentration (Copies / µl)

A

4.41E+06

0

5

10

15

20

25

30

1.0E+04 1.0E+05 1.0E+06 1.0E+07 1.0E+08 1.0E+09 1.0E+10

Thre

sho

ld C

ycle

RNA Concentration (Copies / µl)

B

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Chapter 4 Conclusion and Future Directions

9 Conclusion

A diagnostic assay based on the NME biosensing assay was developed to detect both influenza A

transcript RNA and influenza A genomic RNA. The development of this assay required the

construction of highly specific probe sequences, the selection of defect free and contaminant free

chips, the purification of probes capable of binding specifically to complementary sequences,

and the optimization of the probe and the MCH concentrations for deposition.

The assay was capable of differentiating 1pM of complementary DNA from 100nM of non-

complementary DNA. In addition, it was able to differentiate 4pg/µl of large complementary

RNA molecules from 1µg/µl of non-complementary mixed RNA molecules. Finally, the assay

was able to detect 106 copies/µl of viral RNA in a complex solution containing 50cell/µl of lysed

cells. The development and optimization of this assay was a significant step toward the rapid

detection of influenza particles in a clinical setting.

10 Future Directions

The progress made in developing an influenza diagnostic assay can be taken further by

improving the assay parameters and by expanding the assay applications. Several assay

parameters can be improved so that the assay can be performed in the clinical setting. This

requires further characterizing and optimizing the assay conditions, stabilizing the probe and

NME for storage, and testing patient samples. The applications of the assay can be expanded to

detect more than just the conserved influenza A sequence. This requires designing and testing

new probes from other influenza strains and other viruses, and designing a multiplexed platform.

Ideally, the only steps required to use the diagnostic device in the clinic are reading the

background signal, applying the sample, incubating the sample, and reading the sample signal.

However, several challenges need to be resolved. A major challenge is the susceptibility of the

probe, the NME, and the scanning solution to degradation. Due to this susceptibility, the plating

of the NME, the deposition of the sample, and the preparation of the scanning solution must be

performed immediately prior to assaying the sample. Thus, this prevents the creation of chips

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with pre-deposited probes. To overcome these issues, a case needs to be designed to

mechanically protect the NME from damage and dust particles. In addition, the PNA probes need

to be stabilized from chemical and biological degradation. Finally, an airtight container is

required to store the scanning solution.

Another challenge is the strict reliance on specific assay conditions, where any deviation from

these conditions can cause false positives or false negatives. Experiments need to be performed

to determine how different parameters affect the assay. The parameters relating to probe design

and synthesis include probe length, probe GC content, probe synthesis conditions, and HPLC

purification conditions. The parameters relating to NME formation include chip preparation

process, NME size, NME nanostructuring, and NME composition. The parameters relating to

deposition conditions include acetonitrile concentration, probe:MCH ratio, probe concentration,

deposition time, and deposition temperature. The parameters relating to electrochemical

measurements include scanning solution, incubation time, incubation temperature, and sample

preparation. An understanding of how each parameter affects the assay allows for the

optimization of these parameters.

A third challenge that prevents the assay from being clinic ready is the possibility that the patient

samples contain factors that can interfere with the assay. The ability of the assay to detect

influenza in bronchial alveolar lavage samples from flu patients needs to be tested. For this

experiment, the negative control is bronchial alveolar lavage from healthy samples, and the

positive control is bronchial alveolar lavage from healthy samples spiked with influenza

particles. Samples from patients infected with influenza, patients with other viral respiratory

infections, patients with bacterial respiratory infections, and healthy patients need to be

examined.

The accuracy of influenza diagnosis can be improved by assaying the same patient sample with

multiple different probes. Potential relevant probes include sequences conserved in specific

subtypes of influenza A viruses, and sequences from influenza B and influenza C. Moreover,

conserved sequences from other respiratory viruses such as the adenovirus can be used to

provide a more detailed diagnosis on the cause of flu-like symptoms.

To limit the cost and time required for the assay and to prevent the degradation of the patient

samples, assaying with multiple probes requires a multiplexed platform. This platform requires

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the design of a single chip that contains multiple NMEs, so that one chip is sufficient to examine

multiple sequences from the same patient sample. In addition to a multiplexed chip design, a

process to deposit different probes in close proximity needs to be developed. The chip also needs

to be compartmentalized to run the negative control samples in parallel with the patient samples.

Moreover, hardware needs to be developed to connect the multiplexed chip to the potentiostat.

Finally, software needs to be programed to integrate the data collected from the multiplexed

chip.

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16 Sakai-Tagawa, Y. et al. Sensitivity of Influenza Rapid Diagnostic Tests to H5N1 and

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Human Seasonal and Pandemic Influenza Virus Infection. (Australasian Medical

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20 Ellis, J. S. & Zambon, M. C. Molecular Diagnosis of Influenza. Vol. 12 (Wiley, 2002).

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Appendix I: Mass Spectrometry Spectrum

Mass Spectrometry Spectrum for Probe 2A

+TOF MS: 23 MCA scans from 20120420_015 Sean 2A36.wiffa=3.56598087820512760e-004, t0=5.98822642784070920e+001

Max. 6783.0 counts.

1000 1500 2000 2500 3000 3500 4000 4500 5000 5500 6000 6500 7000 7500 8000 8500 9000 9500m/z, amu

0

10

20

30

40

50

60

70

80

90

100

110

120

130

140

150

160

170

180

190

200

210

220

230

240

250

258

Inte

ns

ity

, c

ou

nts

4050.6079

6435.5990

3585.40954580.8735

4855.8967

5107.0380

1747.7349 4314.77853226.3208

3517.4684

1581.6550

4117.6727 6483.2112882.5553

5982.90983782.56312131.90771039.4493

2407.03105398.1079

4382.5819 6589.61421963.85441456.6105

+TOF MS: 48 MCA scans from 20120420_016 Sean 2A38.wiffa=3.56598087820512760e-004, t0=5.98822642784070920e+001

Max. 1083.0 counts.

1000.0 2000.0 3000.0 4000.0 5000.0 6000.0 7000.0 8000.0 9000.0 1.0e4 1.1e4 1.2e4m/z, amu

0

50

100

150

200

250

300

350

400

450

500

550

600

650

700

750

800

850

900

950

1000

1050

1083

Inte

ns

ity

, c

ou

nts

679.5042

4580.8967

4855.96234049.6546

4314.78425107.0520

5400.5385

3585.39276435.5860882.5419

3851.51204118.60733516.4585

637.2941 1421.6257 3226.3212 5693.99722131.9148 4382.6890 5981.1443

2409.01141039.44982291.7706 5251.00624470.7267 6588.4689 9441.0871 9966.7960 11292.5836

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51

Mass Spectrometry Spectrum for Probe 1C

+TOF MS: 49 MCA scans from 20120508_011 Sean 1C40.wiffa=3.56609674488498070e-004, t0=5.87080628066032660e+001

Max. 995.0 counts.

1000.0 2000.0 3000.0 4000.0 5000.0 6000.0 7000.0 8000.0 9000.0 1.0e4 1.1e4m/z, amu

0

50

100

150

200

250

300

350

400

450

500

550

600

650

700

750

800

850

900

950

995

Inte

ns

ity

, c

ou

nts

4582.3320

4855.8624

4316.66904050.5818

5400.69775106.8456

5691.7759

3585.40764117.4871 6435.6279

5983.43514053.4862637.3087 3852.3909

4385.47946485.18533226.3316

2409.0212

2133.8936

6590.38244388.5676

2292.3604 4693.33262024.8851 9966.97905543.1649882.5457 2659.0764 6259.9748 9439.79674203.6098 8633.9514

+TOF MS: 74 MCA scans from 20120508_012 Sean 1C42.wiffa=3.56609674488498070e-004, t0=5.87080628066032660e+001

Max. 822.0 counts.

1000.0 2000.0 3000.0 4000.0 5000.0 6000.0 7000.0 8000.0 9000.0 1.0e4 1.1e4m/z, amu

0

50

100

150

200

250

300

350

400

450

500

550

600

650

700

750

800

822

Inte

ns

ity

, c

ou

nts

4858.2984

4580.7760

5112.0524

5400.5981

5692.0802

4048.65964314.6879 6436.1875637.3049

5983.3945

3517.3833 6485.3696

3584.3577 4116.6489

2131.93843850.5092

6588.4960

2408.9959

5000.2246659.2884 6602.07105246.96964722.2938

2291.9593 9966.84746324.2765 11215.17632025.5938 9717.46113939.6524 6122.53375875.5202