WO2017182775A1 - Détection de microorganisme impliquant une filtration - Google Patents
Détection de microorganisme impliquant une filtration Download PDFInfo
- Publication number
- WO2017182775A1 WO2017182775A1 PCT/GB2017/051027 GB2017051027W WO2017182775A1 WO 2017182775 A1 WO2017182775 A1 WO 2017182775A1 GB 2017051027 W GB2017051027 W GB 2017051027W WO 2017182775 A1 WO2017182775 A1 WO 2017182775A1
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- WIPO (PCT)
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- filter
- microorganisms
- nucleic acid
- sample
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- C—CHEMISTRY; METALLURGY
- C12—BIOCHEMISTRY; BEER; SPIRITS; WINE; VINEGAR; MICROBIOLOGY; ENZYMOLOGY; MUTATION OR GENETIC ENGINEERING
- C12Q—MEASURING OR TESTING PROCESSES INVOLVING ENZYMES, NUCLEIC ACIDS OR MICROORGANISMS; COMPOSITIONS OR TEST PAPERS THEREFOR; PROCESSES OF PREPARING SUCH COMPOSITIONS; CONDITION-RESPONSIVE CONTROL IN MICROBIOLOGICAL OR ENZYMOLOGICAL PROCESSES
- C12Q1/00—Measuring or testing processes involving enzymes, nucleic acids or microorganisms; Compositions therefor; Processes of preparing such compositions
- C12Q1/02—Measuring or testing processes involving enzymes, nucleic acids or microorganisms; Compositions therefor; Processes of preparing such compositions involving viable microorganisms
- C12Q1/04—Determining presence or kind of microorganism; Use of selective media for testing antibiotics or bacteriocides; Compositions containing a chemical indicator therefor
-
- C—CHEMISTRY; METALLURGY
- C12—BIOCHEMISTRY; BEER; SPIRITS; WINE; VINEGAR; MICROBIOLOGY; ENZYMOLOGY; MUTATION OR GENETIC ENGINEERING
- C12Q—MEASURING OR TESTING PROCESSES INVOLVING ENZYMES, NUCLEIC ACIDS OR MICROORGANISMS; COMPOSITIONS OR TEST PAPERS THEREFOR; PROCESSES OF PREPARING SUCH COMPOSITIONS; CONDITION-RESPONSIVE CONTROL IN MICROBIOLOGICAL OR ENZYMOLOGICAL PROCESSES
- C12Q1/00—Measuring or testing processes involving enzymes, nucleic acids or microorganisms; Compositions therefor; Processes of preparing such compositions
- C12Q1/68—Measuring or testing processes involving enzymes, nucleic acids or microorganisms; Compositions therefor; Processes of preparing such compositions involving nucleic acids
- C12Q1/6806—Preparing nucleic acids for analysis, e.g. for polymerase chain reaction [PCR] assay
Definitions
- microorganism source of enzymatic activity The methods of the invention therefore enable determination of the absence and presence of microbial pathogens in samples such as un- purified blood, blood culture and other body fluids.
- This invention also relates to devices, compositions of matter and kits comprising such reagents useful for carrying out the methods.
- Measuring the presence and levels of certain molecules which are associated with cell viability is important in a number of contexts. For example, measuring levels of ATP is useful in mammalian cells for growth analysis and toxicology purposes. Culture approaches can be used to detect small numbers of bacteria but such techniques require several days to complete, especially when attempting to detect small numbers of bacteria and also when detecting slower growing microorganisms.
- WO96/002665 describes a method for determining the presence and/or amount of microorganisms and/or their intracellular material present in a sample characterized in that the amount of adenylate kinase in the sample is estimated by mixing it with adenosine diphosphate (ADP), determining the amount of adenosine triphosphate (ATP) produced by the sample from this ADP, and relating the amount of ATP so produced to the presence/or amount of adenylate kinase and to microorganisms and/or their intracellular material, wherein the conversion of ADP to ATP is carried out in the presence of magnesium ions at a molar concentration sufficient to allow maximal conversion of ADP to ATP.
- ADP adenosine diphosphate
- ATP adenosine triphosphate
- NAD-dependent ligases are described as a useful indicator of the presence of a microorganism in a sample.
- Ligases are enzymes which catalyze ligation of nucleic acid molecules. The ligation reaction requires either ATP or NAD+ as co-factor depending upon the ligase concerned.
- WO2011/130584 describes a method for detection of viable microorganisms based on detection of DNA or RNA polymerases in which a sample is contacted with a nucleic acid substrate that acts as a substrate for microbial polymerase, incubated under conditions suitable for polymerase activity from intact microorganisms and any resulting nucleic acid product is determined using a nucleic acid amplification technique such as quantitative polymerase chain reaction.
- Such assays have been termed "ETGA assays", where ETGA stands for Enzymatic Template Generation and Amplification.
- ETGA assays A problem with ETGA assays for viable microorganisms in crude samples is the presence of contaminating polymerase activity outside the microorganisms arising from host (e.g. human) cells and dead microorganisms. The ETGA assay is unable to distinguish microorganism
- WO2010/119270 describes a method for removing DNA ligase activity outside intact microorganisms.
- WO2011/070507 describes the selective lysis of animal cells using a non-ionic detergent and a buffer.
- step b filtering the filtrate from step b through a second filter that retains
- the first filter thus functions as a coarse filter to prevent large insoluble matter from passing, and thus impacting on the subsequent microorganism enzymatic activity detection methods.
- the first filter prevents blockage of the second filter.
- the initial filtration thus generates a filtrate.
- This filtrate is then further filtered through a second filter.
- the second filter has the functional requirement of retaining any
- microorganisms contained in the filtrate within or upon the filter This permits
- the filter/filtration body may be of a thickness sufficient to permit separation of the insoluble cellular material from the captured microorganisms.
- a single filter/filtration body comprising a pore size on the inlet side of the filter/filtration body that prevents passage of insoluble cellular material and a pore size on the outlet side of the filter/filtration body that retains microorganisms within the filter/filtration body; or ii. a filter/filtration body comprising a laminate structure comprising a first layer that prevents passage of insoluble cellular material and a second layer that retains microorganisms within the filter/filtration body
- a method of detecting the absence or presence of a (viable or recently viable) microorganism in a sample that may also contain non- microorganism cells comprises:
- a single filter/filtration body comprising a pore size on the inlet side of the filter/filtration body that prevents passage of insoluble cellular material and a pore size on the outlet side of the filter/filtration body that retains microorganisms within the filter/filtration body; or ii. a filter/filtration body comprising a laminate structure comprising a first layer that prevents passage of insoluble cellular material and a second layer that retains microorganisms within the filter/filtration body
- a method of detecting the absence or presence of a (viable or recently viable) microorganism in a sample that may also contain non-microorganism cells comprises:
- a single filter/filtration body comprising a pore size on the inlet side of the filter/filtration body that prevents passage of insoluble cellular material and a pore size on the outlet side of the filter/filtration body that retains microorganisms within the filter/filtration body; or ii. a filter/filtration body comprising a laminate structure comprising a first layer that prevents passage of insoluble cellular material and a second layer that retains microorganisms within the filter/filtration body
- step c lysis of the microorganisms retained within the filter/filtration body
- step d incubating the lysate from step c with a nucleic acid molecule which acts as a substrate for nucleic acid modifying activity of the microorganisms; and e. specifically determining the absence or presence of a modified nucleic acid molecule resulting from the action of the nucleic acid modifying enzyme on the substrate nucleic acid molecule to indicate the absence or presence of the microorganism.
- the filter/filtration body is a membrane.
- Suitable membrane materials are discussed herein and include polysulfone membranes, such as polyethersulfone membranes (e.g. available from Merck Millipore).
- Other membrane materials that may be utilised include polyvinylidene fluoride (PVDF) membranes (e.g. available from Merck Millipore) and glass fibre filters, optionally with a binder (e.g. available from Merck Millipore).
- PVDF polyvinylidene fluoride
- a binder e.g. available from Merck Millipore
- Each may be provided in asymmetric form or as a laminate structure as discussed herein. Each may incorporate pores of the specific sizes as described in further detail herein.
- Pore sizes are typically presented in terms of (maximum) "diameter”. However, the sizes herein generally refer to the maximum dimension of the pore to take account of the fact that different filters may contain non-circular pores. This dimension may represent the intended average of all pores in the filter, based on the usual manufacturing tolerances and the use of non-uniform materials, as would be readily appreciated by one skilled in the art.
- Suitable pore sizes to prevent passage of insoluble cellular material may be, or may be on average, at least 1 ⁇ . They may be, or may be on average, between 1 ⁇ and 5 ⁇ , such as between 1 ⁇ and 2 ⁇ .
- step b comprises use of a filter with a (minimum) pore size (on the inlet side) of at least 1 ⁇ .
- the (minimum) pore size (on the inlet side) is between 1 ⁇ and 5 ⁇ , such as between 1 ⁇ and 2 ⁇ .
- Suitable pore sizes to achieve retention of microorganisms on or within the filter may be, or may be on average no more than 0.5 ⁇ , no more than 0.45 ⁇ , no more than 0.25 ⁇ , no more than 0.22 ⁇ or no more than 0.2 ⁇ .
- step c comprises use of a filter with a (maximum) pore size (on the outlet side) of no more than 0.5 ⁇ , no more than 0.45 ⁇ , no more than 0.25 ⁇ , no more than 0.22 ⁇ or no more than 0.2 ⁇ .
- a particularly suitable membrane type tested herein is an asymmetric polysulfone membrane with a pore size of around 0.22 ⁇ (on the outlet side).
- the duration of exposure to the high pH conditions is typically less than 20 minutes and may be not more than 10, 9, 8, 7, 6 or 5 minutes and may be around 5, 6, 7, 8, 9 or 10 minutes. In some embodiments the treatment is carried out for between around 2 and 15 minutes, such as around 5 minutes. By “around” is meant plus or minus 30 seconds.
- any suitable reagent may be added to the second filter (containing the captured microorganisms) in order to provide high pH conditions.
- the high pH conditions comprise contacting the sample with an alkali or a buffer.
- NaOH or Na2C03 is used.
- the concentration of the NaOH or Na2C03 is around 5mM or greater.
- the buffer may have a pKa value above 9. Examples of suitable buffers include borate, carbonate and pyrophosphate buffers.
- High pH is generally a pH of at least around 10, such as around 10, 11 , 12, 13 or 14.
- Low pH is generally a pH of less than or equal to around 4, such as around 4, 3, 2, or 1.
- around is meant 0.5 of a pH unit either side of the stated value. Altering the pH of the sample may be achieved using any suitable means, as would be readily appreciated by one skilled in the art. Microbial enzymes such as polymerases and ligases may be resistant to extremes of pH, whereas corresponding mammalian enzymes may be inactivated under the same pH conditions.
- lysis of the microorganisms may be performed using a lysis reagent containing the substrate nucleic acid molecule.
- a volume of lysis reagent is typically applied that will saturate the filter.
- the volume applied to the filter is no more than 1.1 , 1.2, 1.3, 1.4 or 1.5 times the capacity of the filter. This helps to prevent enzymes released from the lysed microorganisms being washed out of the filter (to a significant degree).
- the additional volume i.e. moderately greater than capacity
- the additional volume may be beneficial to ensure previous solution contained within the filter is forced out. The additional volume may thus ensure saturation with a substantially undiluted lysis reagent.
- any active process for applying the lysis reagent to the filter is stopped or otherwise controlled so as to prevent enzymes released from the lysed microorganisms being forced out of the filter (to a significant degree).
- steps are advantageous because it is generally preferred that the incubation with the substrate nucleic acid molecule is performed in the filter.
- the methods may involve pumping 250 ⁇ of lysis reagent onto the filter. The methods of the invention may thus incorporate the following steps:
- PTO-AS oligo an antisense oligonucleotide comprising phosphorothioate nucleotides.
- PTO-S1 oligo a sense oligonucleotide comprising
- Detection of the amplification products may be by routine methods, such as, for example, gel electrophoresis but in some embodiments is carried out using real-time or end-point detection methods.
- the method involves a step of lysis of the microorganisms retained within or upon the filter following filtration through the second filter in which the lysis reagent contains a nucleic acid molecule which acts as a substrate for nucleic acid modifying activity of the microorganisms.
- step c incubating the lysate from step c with a nucleic acid molecule which acts as a substrate for nucleic acid modifying activity of the microorganisms; and e. specifically determining the absence or presence of a modified nucleic acid molecule resulting from the action of the nucleic acid modifying enzyme on the substrate nucleic acid molecule to indicate the absence or presence of the microorganism;
- the microorganism that may be detected in the sample is a pathogenic microorganism, such as a pathogenic bacterium or fungus/yeast.
- the bacterium may be any bacterium which is capable of causing infection or disease in a subject, preferably a human subject.
- the bacteria comprises or consists essentially of or consists of any one or more of
- the detection means comprises, or is, a nucleic acid molecule which acts as a substrate for nucleic acid modifying activity of the microorganisms.
- BacT/ALERT blood broth (Sheep Blood in Alsever's; TCS Biosciences Cat# SB069 Lot# 30523900) was inoculated to approximately 1 x 10 7 cfu/mL for E. coli and S. aureus; and approximately 1 x 10 5 cfu/mL for C. albicans.
- TVC plates were prepared for inoculated blood broth samples (Columbia Agar Base for E. coli and S. aureus; and Sabouraud Dextrose Agar for C. albicans) and 'No Spike Controls' (NSCs) (Columbia Agar Base). 1 mL blood broth was added to the mixing chamber of each SCP.
- the ⁇ .22 ⁇ PES' filter was shortlisted because it had the best filtration performance of all filter configurations tested. '2 ⁇ GF + 0.22 ⁇ PVDF' was selected, despite performing similarly to ⁇ ⁇ GF + 0.22 ⁇ PVDF', because previous testing with a blood broth to lysis buffer ratio of 1 :4 showed that '2 ⁇ GF + 0.22 ⁇ PVDF' provided slightly lower filtration pressures (data not shown).
- the '5 ⁇ PVDF + 0.22 ⁇ PES' dual filter configuration was shortlisted, despite performing worse than certain GF pre-filter configurations, because it was deemed important to compare both single and dual filter configurations in the context of the full Cognitor Minus HT test (see section 4.3).
- Clinically-relevant microorganism species can be detected at approximately 10 3 cfu/mL.
Abstract
L'invention concerne un procédé de détection de l'absence ou de la présence d'un microorganisme effectué dans un échantillon qui peut également contenir des cellules ne provenant pas de microorganismes. Le procédé comprend la lyse sélective de cellules ne provenant pas de microorganismes présentes dans l'échantillon, de quelconques microorganismes présents dans l'échantillon étant en même temps laissés intacts. Le lysat est filtré sur un premier filtre qui empêche le passage de matière cellulaire insoluble à travers le filtre. Le filtrat est ensuite filtré sur un second filtre qui retient les microorganismes à l'intérieur du filtre ou sur le filtre. L'absence ou la présence de microorganismes retenus à l'intérieur du filtre ou sur le filtre peut ensuite être détectée. Les premier et second filtres sont avantageusement disposés dans une seule structure de filtration qui peut comprendre des pores asymétriques ou qui peut être une structure stratifiée. Des pores de plus grande taille du côté entrée empêchent le passage de matière insoluble (provenant de la lyse de cellules ne provenant pas de microorganismes) mais laissent intacts les microorganismes pour qu'ils passent du côté sortie du filtre. Le côté sortie du filtre a des plus petits pores permettant ainsi de piéger les microorganismes. L'invention concerne également des kits et produits associés.
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
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GB201606750 | 2016-04-18 | ||
GB1606750.6 | 2016-04-18 |
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WO2017182775A1 true WO2017182775A1 (fr) | 2017-10-26 |
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PCT/GB2017/051027 WO2017182775A1 (fr) | 2016-04-18 | 2017-04-12 | Détection de microorganisme impliquant une filtration |
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Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO2021069903A1 (fr) | 2019-10-08 | 2021-04-15 | Momentum Bioscience Limited | Capture de micro-organisme à partir d'une solution contenant un agent antimicrobien |
Citations (8)
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WO2009007719A2 (fr) * | 2007-07-09 | 2009-01-15 | Iseao Technologies Limited | Détection améliorée de micro-organismes |
WO2010091080A2 (fr) * | 2009-02-03 | 2010-08-12 | Network Biosystems, Inc. | Purification d'acide nucléique |
WO2011070507A1 (fr) * | 2009-12-08 | 2011-06-16 | Koninklijke Philips Electronics N.V. | Lyse sélective de cellules |
US20120156716A1 (en) * | 2010-12-17 | 2012-06-21 | Biomerieux, Inc. | Methods For The Isolation, Accumulation, Characterization And/Or Identification Of Microorganisms Using A Filtration And Sample Transfer Device |
WO2013023198A2 (fr) * | 2011-08-11 | 2013-02-14 | Zybac, Llc | Détection rapide et sensible de bactéries dans des produits sanguins, dans l'urine, et dans d'autres fluides |
US20130309700A1 (en) * | 2012-05-21 | 2013-11-21 | Celsis International Limited | Methods, devices, and systems of detecting microorganisms |
WO2014193481A1 (fr) * | 2013-05-31 | 2014-12-04 | Rajesh Krishnamurthy | Détection rapide de microbes |
WO2016005768A1 (fr) * | 2014-07-10 | 2016-01-14 | Momentum Bioscience Limited | Procédé et kit de détection de l'absence de micro-organismes |
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2017
- 2017-04-12 WO PCT/GB2017/051027 patent/WO2017182775A1/fr active Application Filing
Patent Citations (8)
Publication number | Priority date | Publication date | Assignee | Title |
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WO2009007719A2 (fr) * | 2007-07-09 | 2009-01-15 | Iseao Technologies Limited | Détection améliorée de micro-organismes |
WO2010091080A2 (fr) * | 2009-02-03 | 2010-08-12 | Network Biosystems, Inc. | Purification d'acide nucléique |
WO2011070507A1 (fr) * | 2009-12-08 | 2011-06-16 | Koninklijke Philips Electronics N.V. | Lyse sélective de cellules |
US20120156716A1 (en) * | 2010-12-17 | 2012-06-21 | Biomerieux, Inc. | Methods For The Isolation, Accumulation, Characterization And/Or Identification Of Microorganisms Using A Filtration And Sample Transfer Device |
WO2013023198A2 (fr) * | 2011-08-11 | 2013-02-14 | Zybac, Llc | Détection rapide et sensible de bactéries dans des produits sanguins, dans l'urine, et dans d'autres fluides |
US20130309700A1 (en) * | 2012-05-21 | 2013-11-21 | Celsis International Limited | Methods, devices, and systems of detecting microorganisms |
WO2014193481A1 (fr) * | 2013-05-31 | 2014-12-04 | Rajesh Krishnamurthy | Détection rapide de microbes |
WO2016005768A1 (fr) * | 2014-07-10 | 2016-01-14 | Momentum Bioscience Limited | Procédé et kit de détection de l'absence de micro-organismes |
Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO2021069903A1 (fr) | 2019-10-08 | 2021-04-15 | Momentum Bioscience Limited | Capture de micro-organisme à partir d'une solution contenant un agent antimicrobien |
EP4283300A2 (fr) | 2019-10-08 | 2023-11-29 | Momentum Bioscience Limited | Capture de micro-organisme à partir d'une solution contenant un agent antimicrobien |
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