LESSON 4 BASIC METHODS & TOOLS IN MOLECULAR BIOLOGY & DIAGNOSTICS Flashcards

1
Q

type of specimen collected when testing for current or past infection with SARS-CoV-2 is based on the

A

test being performed and its manufacturer’s instructions

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2
Q

• CDC recommendation for initial dx test:

A

upper respiratory specimen

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3
Q

– easier to do

A

• Nasopharyngeal swab and Oropharyngeal swab

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4
Q

• Specimen with the highest viral load is nasopharyngeal wash/aspirate

A

• Nasopharyngeal swab and Oropharyngeal swab

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5
Q

Work within [?] of patients

A

6ft

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6
Q

• Maintain proper

A

infection control

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7
Q

• Follow

A

standard precautions

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8
Q

• Ppe with [?] or higher level of respirator

A

n95

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9
Q

The respirator must be put on [?] and worn during the exposure.

A

correctly

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10
Q

The respirator filter must capture more than [?] of the particles from the air that passes through it.

A

95%

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11
Q

The respirator must [?] against the user’s face to ensure that there are no gaps between the user’s skin and respirator seal.

A

fit snugly

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12
Q

is a critical component to a respiratory protection program.

A

Fit testing

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13
Q

OSHA requires an initial respirator fit test to identify the right [?] respirator for each worker.

A

model, style, and size

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14
Q

ensure that users continue to receive the expected level of protection.

A

• Annual fit tests

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15
Q

Collect as soon as possible after symptoms begin (ideally within?)

A

7 days

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16
Q

PCR - can detect virus from day [?] (virus is already shedding and multiplying; there are already remnants of RNA)

A

1 to day 7

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17
Q
  • Antibody production against SARs-Cov 2 genes takes[?]
A

17 days/2 weeks

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18
Q
  • Antigen can be detected during the
A

first 4 days

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19
Q

Ideally before [?] are administered

A

V antiviral medications

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20
Q

Collect multiple specimens on

A

multiple days

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21
Q

Use only [?] that have been designed for sampling the nasopharyngeal mucosa

A

synthetic fiber swabs with thin plastic or wire shafts

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22
Q

Do not use [?], as they may contain substances that inactivate some viruses and may inhibit molecular tests

A

calcium alginate swabs or swabs with wooden shafts

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23
Q

If both NP and OP specimens are collected, combine them in a single tube to maximize [?] and limit use of [?]

A

test sensitivity

testing resources.

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24
Q

Should be [?]

A

drayon, rayon, or polyester fiber swabs

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25
Select swabs with [?]
serrated shafts
26
Do not use [?] nor ones with [?]; they may inhibit PCR
calcium alginate or cotton swabs; wooden sticks
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1. Tilt patient's head back [?] 2. Insert [?] through nares parallel to palate (not upwards) until: a. Resistance is met, OR - Completely insert until there is resistance (about [?]) b. Distance is equivalent to half the distance from the [?]. 3. Gently [?] the swab. 4. Leave swab in place for [?] to absorb secretions. 5. Slowly remove the swab while rotating it and immediately place in sterile tube containing [?].
70° flexible shaft mini-tip swab 2 inches patient's ear to their nostril rub and roll several seconds transport medium
28
Insert swab into the
posterior pharynx and tonsillar areas
29
Rub swab over both tonsillar pillars and posterior oropharynx and avoid touching the
tongue, teeth, and gums
30
Place swab, tip first, into the [?] provided.
transport tube
31
Store respiratory specimens at [?] after collection
2-8°C for up to 72 hours
32
If a delay in testing or shipping is expected, store specimens at
70°C or below
33
Store extracted nucleic acid samples at
-70°C or lower
34
allows the safe transfer of
viruses, chlamydia and mycoplasma, conventional cell culture methods, diagnostic tests, and molecular biology techniques
35
One of the standardized components of VTM by CDC and WHO to prevent microbial growth:
o Calcium o Magnesium o heat-inactivated Fetal Bovine Serum (FBS) o Antibiotics (Gentamycin and Amphotericin B)
36
and contains heat-inactivated Fetal Bovine Serum (FBS)
Calcium and Magnesium
37
: growth supplement for in vitro cell culture
Fetal Bovine Serum (FBS)
38
UNACCEPTABLE SPECIMENS [?] specimens (specimen container info and form do not match) No identification on [?] Specimens with [?] for testing Improper specimen type sent Spillage or possibility of [?] Specimens shipped at [?] Excessive specimen [?]
Improperly identified specimen container or form insufficient Quantity cross contamination improper temperature transport time
39
One of the most critical part in molecular techniques because downstream procedures and analysis relies on the quality of the DNA used for the assay
DNA ISOLATION
40
Refers to the process of separating DNA from other cellular materials such as proteins and membranes.
DNA ISOLATION
41
Removes potential inhibitors to the polymerase chain reaction PCR) amplification and produces a stable solution of highquality DNA that can be stored for prolonged durations without degrading
DNA ISOLATION
42
SOURCES OF DNA
Plasmid DNA Viral Nucleic Acids Genomic DNA from Blood and Biological Fluids Genomic DNA from Tissue and Cells Genomic DNA from Forensic Samples Genomic DNA from Plant and Fungi Genomic DNA from Food and Feed Ancient DNA (archeologic)
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3 BASIC STEPS
01 LYSIS 02 PRECIPITATION 03 PURIFICATION
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The cell and the nucleus are broken open to release the DNA inside.
01 LYSIS
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separates DNA from the cellular debris.
02 PRECIPITATION
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Extracted DNA can be rinsed with alcohol to remove any remaining unwanted material and cellular debris.
03 PURIFICATION
47
At this point the purified DNA is usually redissolved in water for easy handling and storage.
03 PURIFICATION
48
LYSIS METHODS
1. Mechanical disruption 2. Using the following detergents and enzymes:
49
- can be a manual method using mortar and pestle, homogenizer
1. Mechanical disruption
50
2. Using the following detergents and enzymes:
Organic: NaOH, Sodium Dodecyl Sulfate Inorganic: Tris-EDTA (TE), EDTA, SDS
51
PRECIPITATION METHODS
1. Na+ ions 2. Ethanol/ Isopropanol
52
is added and causes DNA to precipitate out of the aqueous solution because it is not soluble in alcohol
2. Ethanol/ Isopropanol
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neutralize the negative charges on the DNA molecules which makes them more stable and less water soluble.
Na+ ions
54
- normally, DNA has a
(-) charge
55
: to precipitate and prevent dissolving
- less water soluble
56
- dehydrants
Ethanol/ Isopropanol
57
- also causes DNA to precipitate out of the aqueous solution
Ethanol/ Isopropanol
58
- to separate DNA and precipitate
Ethanol/ Isopropanol
59
- to purify or clean further with an alcohol or buffer
PURIFICATION
60
- redissolve and resuspend in water
PURIFICATION
61
REAGENTS USED FOR IDENTIFICATION
62
designed to lyse outer cell membrane, but will not break down nuclear membrane
CELL LYSIS BUFFER
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Nucleus is intact
CELL LYSIS BUFFER
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remove contaminating protein
PHENOL
65
allows protein to settle at the bottom
PHENOL
66
prevents cutting of DNA during isolation.
CHLOROFORM
67
It solubilizes lipids and a lot of protein to remove them from the DNA
CHLOROFORM
68
Comes with phenol
CHLOROFORM
69
Contaminating proteins and lipids also settles at the bottom
CHLOROFORM
70
DNA floats at the top of the solution
CHLOROFORM
71
remove most of the protein by digesting with proteolytic enzymes
PROTEINASE K
72
Active against a broad spectrum of native proteins and denatured proteins
PROTEINASE K
73
Alternative for phenol and chloroform
PROTEINASE K
74
An enzyme method
PROTEINASE K
75
chelating agent of d Mg2+.
EDTA
76
Mg2+is a cofactor for DNase if the Mg2+is bound up by
EDTA
77
DNAses are inactivated.
EDTA
78
Protects the DNA from damage
EDTA
79
Inactivates DNAses that destroys the DNA
EDTA
80
: important cofactor of DNAse; once chelated, DNAse will not work anymore
Magnesium
81
is an anionic detergent which helps cell membrane and nuclear envelope to break open
SODIUM DODECYL SULFATE (SDS)
82
Inhibit RNAse and DNAse.
SODIUM DODECYL SULFATE (SDS)
83
A lysis regant
SODIUM DODECYL SULFATE (SDS)
84
Inactivates nucleases
SODIUM DODECYL SULFATE (SDS)
85
Prevent DNA and RNA degradation
TRIS-EDTA (TE) BUFFER
86
Used for final resuspension and storage because it is a buffer that preserves any changes in pH
TRIS-EDTA (TE) BUFFER
87
Preserves DNA and RNA
TRIS-EDTA (TE) BUFFER
88
Precipitation of DNA
95% ETHANOL OR ISOPROPANOL
89
: organic procedure
Ethanol
90
: inorganic procedure
Isopropanol and phenol
91
DIFFERENT TYPES OF DNA EXTRACTION METHODS
1.Chemical based DNA extraction method 2.Solid phase DNA extraction method
92
A.Organic solvent-based DNA extraction
1. Phenol-chloroform Method
93
Commonly used in the laboratory
Phenol-chloroform Method
94
Used in the RNA isolation of covid 19 testing
Phenol-chloroform Method
95
Advantage: Rapid denaturation of nucleases (destroys RNA and DNA) and stabilization of RNA (phenol and chloroform can be used)
Phenol-chloroform Method
96
Drawbacks: Laborious and manually intensive processing
Phenol-chloroform Method Silica Column-based DNA Extraction Method
97
Phenol-chloroform Method Steps:
98
(open it up to free the nucleus; addition of buffer/detergent/enzyme)
Lyse/Homogenize cells
99
: addition of phenol and chloroform then centrifuge
Extraction
100
: organic phase separated
Precipitation
101
: aqueous soln with precipitated DNA
Top
102
: Protein contaminants and cellular debris
Bottom
103
: Proteins (separate by placing to another container → add water → clean it further by washing with buffer or alcohol → resuspend with water)
Middle
104
Precipitated DNA will be purified or rehydrated or resuspended with water or buffer
Phenol-chloroform Method
105
Phenol + chloroform
Phenol-chloroform Method
106
is good for stabilization
Chloroform
107
Lipids and cell membrane lipids will dissolve in [?] since it is an organic compound
phenol
108
After release of DNA from the cell, further purification requires removal of contaminating proteins, lipids, carbohydrates, and cell debris through
high salt, low pH and phenol & chloroform
109
: extracting reagents
phenol & chloroform
110
: increases the yield and purity of DNA
high salt, low pH
111
: DNA will be pipeted for precipitation with ethanol
Supernatant
112
: Phenol and Chloroform will extract the proteins
Bottom
113
: added to prevent RNA contamination
RNAse
114
B. Inorganic solvent-based DNA extraction
1. Salting out Method 2. Proteinase K Method/ Enzymatic Method
115
Salting out Method Steps:
Precipitation
116
Salting out Method Precipitation: [?] helps in the DNA extraction
Isopropanol and salts ( sodium acetate, sodium chloride, potassium acetate and ammonium acetate)
117
facilitates high DNA yield but it is time-consuming.
Proteinase K Method/ Enzymatic Method
118
Good in research, experimentation, forensic
Proteinase K Method/ Enzymatic Method
119
Extract as much DNA
Proteinase K Method/ Enzymatic Method
120
Also if not maintained well in a cold chain, the (?) cannot be utilized for a longer period of time
Proteinase K Method/ Enzymatic Method
121
The lower stability of the enzyme is another major issue in this method.
Proteinase K Method/ Enzymatic Method
122
Disadvantage: Labile
Proteinase K Method/ Enzymatic Method
123
Solid phase DNA extraction method
A. Silica column based DNA extraction method
124
: (+) charged; has affinity for DNA to isolate it
Silica column/Silica beads
125
: Rapid denaturation of nucleases and stabilization of RNA
Silica column based DNA extraction method
126
: Laborious and manually intensive processing
Silica column based DNA extraction method
127
Difficult method
Silica column based DNA extraction method
128
Principle: works on the unique chemistry interaction between silica and DNA. A positively charged particles (column/bids) bind/ adsorbed with the negatively charged DNA during centrifugation
Silica column based DNA extraction method
129
Silica column based DNA extraction method Blue: Black: Droplet:
Blue: silica Black: DNA Droplet: elite DNA
130
Silica column based DNA extraction method 1. Lyse cells and [?] to remove large cell debris 2. Apply [?] to silica column (spin column)/ beads 3. Addition of [?] (extraction rgt) and acidification to remove contaminating 4. [?]/ Nucleic acid extractor machine 5. Adsorbed DNA will be washed using [?] 6. Final product [?] (purified DNA; extraction of adsorbed DNA)
spin lysate reagent alcohol Microcentrifugation buffers Elute DNA
131
Widely accepted because of its good quality DNA yield and minimal simple operating system.
Silica column based DNA extraction method
132
The method is most rapid, reliable, accurate and consumes less time.
Silica column based DNA extraction method
133
This extraction lasts up to 30 mins
Silica column based DNA extraction method
134
RNA Extractor Machine
Silica column based DNA extraction method
135
is a cation-chelating resin (positively-charged) binds to the negatively charged phosphate of DNA and helps in the extraction of DNA
Chelex
136
rapid and used in forensic
DNA extraction using the anionic resins
137
Positively charged magnetic beads attract the negatively charged DNA.
DND extraction by magnetic beads
138
The DNA is separated under the magnetic field.
DND extraction by magnetic beads
139
is used to fractionate DNA based on density
CsCI Density gradient method
140
A procedure for separating particles (such as viruses or ribosomes or molecules such as DNA ) in which the sample is placed on a preformed gradient such as sucrose or caesium chloride.
Density gradient Centrifugation
141
Upon centrifugation either by rate zonal or equilibrium procedures, the macromolecules are 'banded" in the gradient and can be collected as a pure fraction.
Density gradient Centrifugation
142
Blood sample + sucrose or caesium chloride (ficoll: rgt)
Ficoll Density Gradient Centrifugation
143
Source of DNA: WBC
Ficoll Density Gradient Centrifugation
144
Nuclear DNA and Mitochondrial DNA stays
Ficoll Density Gradient Centrifugation
145
DNA can be stored for [?] in a refrigerator or stored frozen for [?]
months years
146
Extracted DNA is typically stored at [?] for long-term storage, to prevent nuclease activity - To prevent DNAse from degrading the DNA
-20°C and up to -80°C
147
are protein enzymes found in cells that degrade DNA to allow the cells to recycle nucleotide components
Nucleases
148
Nucleases need [?] to work properly so one of the measures to prevent them from digesting DNA in blood is the use of EDTA
magnesium
149
The [?] chelates, or binds up, most of the free magnesium and thus helps prevent the nucleases from destroying the DNA in the collected blood sample
EDTA
150
: good for inactivating nucleases
EDTA
151
is usually more stable over time.
Highly concentrated DNA
152
DNA can gradually hydrolyze in
acidic conditions
153
As such, storage buffers are slightly basic such as
Tris buffer
154
of total RNA is ribosomal RNA
80-90%
155
is messenger RNA
2.5-5%
156
SARs-COV 2: [?] is extracted
RNA
157
Difficult and very crucial since [?] are major contaminant
RNAse
158
One of the most critical part in molecular techniques because downstream procedures and analysis relies on the quality of the DNA used for the assay
RNA ISOLATION
159
Refers to the process of separating DNA from other cellular materials such as proteins and membranes.
RNA ISOLATION
160
Removes potential inhibitors to the polymerase chain reaction PCR) amplification and produces a stable solution of highquality DNA that can be stored for prolonged durations without degrading
RNA ISOLATION
161
Requires STRICT precautions to avoid sample degradation.
RNA ISOLATION
162
RNA especially
labile
163
Goal: Prevent RNA degradation by
RNAses
164
is a common contaminant
RNAse
165
- naturally occurring
RNAse
166
- bacterial and human source
RNAse
167
- could be difficult to inactivate because it can reactivate even after autoclaving
RNAse
168
Must be eliminated or inactivated before isolation of RNA
RNAse
169
There must be a
RNAse-free
170
Protecting Specimen Against RNAse: • Wear [?] at all times • Use [?] • Use [?], chemicals • Pre-treat materials with extended heat (180 C for several hours), wash with [?] • Supplement reactions with [?] • Reusable [?] is seldom used
gloves RNase-free tubes and pipet tips dedicated, RNase-free DEPC-treated water, NaOH orH202 RNase inhibitors glassware
171
Common: Phenol-Chloroform Extract
172
1. Cell lysis step for RNA isolation is performed in detergent or phenol in the presence of [?]. 2. RNA is precipitated by addition of two volumes of ethanol or one volume of isopropanol a. Top: b. Bottom: 3. RNA precipitate is then washed in [?] and resuspended in RNF buffer or water.
high salt or RNase inhibitors aqueous solution with total RNA ; Protein contaminants solvents 70% ethanol
173
is added at the lysis step or purification step to eliminate contamination of DNA
DNase
174
is a strong denaturant of RNases and can be used instead of high-salt buffers
Guanidine isothiocyanate (GIC)
175
A positively charged silica particles bind with the negatively charged RNA during centrifugation
Silica column based RNA extraction method
176
mRNA: only [?] of the total RNA
2.5% to 5%
177
Principle: All mRNAs have a [?] (many adenine)
poly (A) tail
178
could be used to specifically capture mRNA with magnetic beads/ columns with poly T chain
Poly(A tail)
179
[?] columns or beads bind the polyA tail of mRNA
Oligo polythymine (or polyuracil)
180
The bead/column has a
3’ T 5’
181
mRNA has
5’ A 3’
182
mRN(A) is attracted to
T
183
3 Adenine will form hydrogen bonds with
3 Thymine
184
After washing away residual RNA, [?] is eluted by washing the column with warmed, low-salt buffer containing detergent to break the hydrogen bonds between the mRNA and the column.
polyA RNA
185
WHY DO WE WANT TO EXTRACT ONLY THE MRNA? Because mRNA represents the genes that are expressed and will be translated into
proteins
186
mRNA with instructions for making the [?] is developed in a lab
spike protein (s-gene)
187
(: lacks s-gene)
omicron
188
mRNA enters the cell (extracted using ?)
poly-T bead
189
COVID-19 virus [?] created
spike protein
190
are recognized by the immune system, which produces specific antibodies against the COVID-19 virus
Spike proteins
191
If you're infected with the COVID-19 virus, [?] bind to virus & stop it from replacing
antibodies
192
Proteinase K Method/ Enzymatic Method [?] of blood + [?] TE buffer Mix well and centrifuge at [?] To pellet add [?] TE buffer Mix well and centrifuge at [?] To pellet add [?] Proteinase K + (?) of DNA extraction buffer Mix well and incubate it At [?] Add [?] + Salt: NaCI / sodium acetate Mix well and centrifuge at [?] Wash with [?] Mix well and centrifuge at [?]] Dissolving DNA in [?]
2ml; 20uL 2500pm, 20min 20uL 2500pm, 15min 20uL 2 ml 56°C to 60°C for 2hrs Isoamyl alcohol 9000 rpm, 2 min ethanol 9000pm, 2 min TE Buffer