Cas9 & Cpf1 secretion
and activity
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<h2 class="subhead" id="subhead-3">The system</h2> | <h2 class="subhead" id="subhead-3">The system</h2> | ||
− | The OUTCASST two-component system consists of two proteins, expressed to the membrane of a dryable cell. One of the proteins is a Cas9-fusion and the other contains Cpf1. Both proteins can be given a guide RNA that makes it bind to a specific, user-chosen, complementary sequence. When both proteins bind a DNA fragment from a sample, they co-localize, so that a transcription factor is released intracellularly which then induces an intracellular reporter mechanism such as a dye or fluorescent signal. | + | The OUTCASST two-component system consists of two proteins, expressed to the membrane of a dryable cell. One of the proteins is a Cas9-fusion and the other contains Cpf1. Both proteins can be given a guide RNA that makes it bind to a specific, user-chosen, complementary sequence. When both proteins bind a DNA fragment from a sample, possibly containing pathogen DNA, they co-localize, so that a transcription factor is released intracellularly which then induces an intracellular reporter mechanism such as a dye or fluorescent signal. |
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<h2 class="subhead" id="subhead-2">Introduction</h2> | <h2 class="subhead" id="subhead-2">Introduction</h2> | ||
− | It is very important that measurements in all engineering disciplines are reliable and reproducible. However, the compatibility of measurements in different labs around the world has always been difficult. This is why there is a need for robust measurement procedures. The iGEM Measurement Committee has chosen Green Fluorescent Protein as the measurement marker for this study, as it is one of the most commonly used markers in the lifesciences. For this fourth interlab study, fluorescence measurements were performed with E. coli. Six different GFP expression plasmids and additional positive and negative control plasmids were used. The protocols for this study were provided by the iGEM organisation to ensure method uniformity between participating labs. | + | It is very important that measurements in all engineering disciplines are reliable and reproducible. However, the compatibility of measurements in different labs around the world has always been difficult. This is why there is a need for robust measurement procedures. The iGEM Measurement Committee has chosen Green Fluorescent Protein as the measurement marker for this study, as it is one of the most commonly used markers in the lifesciences. For this fourth interlab study, fluorescence measurements were performed with <i>E. coli</i>. Six different GFP expression plasmids and additional positive and negative control plasmids were used. The protocols for this study were provided by the iGEM organisation to ensure method uniformity between participating labs. |
<br><br> | <br><br> | ||
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<li />InterLab Parts and Measurement Kit (http://parts.igem.org/Help:2017_DNA_Distribution#Measurement_Kit) | <li />InterLab Parts and Measurement Kit (http://parts.igem.org/Help:2017_DNA_Distribution#Measurement_Kit) | ||
<li />Plate reader: Biotek Synergy HT | <li />Plate reader: Biotek Synergy HT | ||
− | <li />E. coli DH5-alpha cells | + | <li /><i>E. coli</i> DH5-alpha cells |
</ul> | </ul> | ||
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<h2 class="subhead" id="subhead-4">Methods</h2> | <h2 class="subhead" id="subhead-4">Methods</h2> | ||
<ul> | <ul> | ||
− | <li />Protocol for the transformation of competent E. coli: single tube transformation protocol (http://parts.igem.org/Help:Protocols/Transformation) | + | <li />Protocol for the transformation of competent <i>E. coli</i>: single tube transformation protocol (http://parts.igem.org/Help:Protocols/Transformation) |
<li />Protocol for the plate reader (https://static.igem.org/mediawiki/2017/8/85/InterLab_2017_Plate_Reader_Protocol.pdf) | <li />Protocol for the plate reader (https://static.igem.org/mediawiki/2017/8/85/InterLab_2017_Plate_Reader_Protocol.pdf) | ||
</ul> | </ul> | ||
<br> | <br> | ||
− | All eight plasmids were transformed in competent E. coli DH5-alpha cells with heat shock. After incubating overnight at 37°C, single colonies were picked and grown in 5mL LB medium with chloramphenicol. These cultures were grown at 37°C while being shaken at 200 rpm (instead of the recommended 220 rpm). | + | All eight plasmids were transformed in competent <i>E. coli</i> DH5-alpha cells with heat shock. After incubating overnight at 37°C, single colonies were picked and grown in 5mL LB medium with chloramphenicol. These cultures were grown at 37°C while being shaken at 200 rpm (instead of the recommended 220 rpm). |
<br><br> | <br><br> | ||
Ludox-S40 and fluorescein were used to calibrate the OD600 and fluorescence measurements, respectively. To gain a homogeneous bacterial concentration, the OD600 of the overnight cultures were measured and diluted to achieve an OD600 of 0.02. | Ludox-S40 and fluorescein were used to calibrate the OD600 and fluorescence measurements, respectively. To gain a homogeneous bacterial concentration, the OD600 of the overnight cultures were measured and diluted to achieve an OD600 of 0.02. | ||
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− | <a href=" | + | <a href="javascript: void(0);" class="btn blue" style="margin: 0; padding: 10px 25px; font-size: 18px; color: white; font-family: 'Open Sans', 'sans-serif';" onclick="jQuery('html, body').animate({scrollTop: jQuery('.timeline').offset().top - 100}, 500)">Follow our journey</a> |
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− | <h2>Westerdijk</h2> | + | <h2>Westerdijk Fungal Biodiversity Institute</h2> |
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− | + | <p>The first person we talked to came from the Westerdijk Fungal Biodiversity Institute in Utrecht. Here, they perform mycological research, wherein the focus lies on the determination and classification of fungi. We were told that our tool would not have an added value in this field and that we really should find a place for our tool in the field of disease diagnostics…</p> | |
− | <p>The first person we talked to came from the Westerdijk Fungal Biodiversity Institute in Utrecht. Here, they perform mycological research, wherein | + | <a class="bnt-more" href="javascript:void(0)" onclick="openmodal('westerdijk')">More</a> |
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+ | <h2>Genome Diagnostics - University Utrecht</h2> | ||
+ | </div> | ||
+ | <p>We used this information and went to two DNA genome diagnostic labs, one in Utrecht and one in Amsterdam. At the University Medical Center of Utrecht we talked about the non-invasive prenatal testing and the use of our system to test for genetic conditions. | ||
+ | <br><br> | ||
+ | To be useful in this field, our system must be able to distinguish between methylated and unmethylated DNA. This would be needed to be sure the measured DNA is from the fetus and the mother…</p> | ||
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+ | <h2>Academic Medical Center Amsterdam</h2> | ||
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− | + | <p>At the Academic Medical Center in Amsterdam we talked about the use of cell-free tumor DNA as a biomarker for cancer and pathogen detection…</p> | |
− | <p> | + | <a class="bnt-more" href="javascript:void(0)" onclick="openmodal('amca1')">More</a> |
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+ | <h2>Cancer Research - University Utrecht</h2> | ||
+ | </div> | ||
+ | <p>To get more information on these topics, we went to a cancer research department in Utrecht. Here they stressed that our system should not bind to a DNA strand with a single nucleotide polymorphism and that the use of our system to measure cell-free tumor DNA would not be efficient as a diagnostic tool, unless it is able to determine the difference between normal cell-free DNA and cell-free tumor DNA…</p> | ||
+ | <a class="bnt-more" href="javascript:void(0)" onclick="openmodal('cancerresearch')">More</a> | ||
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+ | background-size: cover;"> | ||
+ | <h2>Netherlands Forensic Institute</h2> | ||
+ | </div> | ||
+ | <p>In the meantime, we also spoke with someone from the Netherlands Forensic Institute, where they work with DNA detection as well. Here, it became clear that there is no need to find a specific strand of DNA, but that they sequence the DNA to get information on externally visible characteristics, like hair and eye color, ethnicity and gender. | ||
+ | <br><br> | ||
+ | We were advised to look into pathogen detection in water and patients, as the Academical Medical Center did as well…</p> | ||
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+ | <h2>Doctors without borders</h2> | ||
+ | </div> | ||
+ | <p>To get more information about pathogen detection, we went to doctors without borders where we talked about different diseases like malaria, black fever, African sleeping disease and Chagas disease. | ||
+ | <br><br> | ||
+ | It became clear that there are a lot of good diagnostic tools for Malaria, but that there was a lack of these tools for the other three diseases…</p> | ||
+ | <a class="bnt-more" href="javascript:void(0)" onclick="openmodal('doctors')">More</a> | ||
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+ | <h2>Parasitology - Erasmus University<br>Medical Center Rotterdam</h2> | ||
+ | </div> | ||
+ | <p>These three diseases are all neglected tropical diseases. Since these three diseases are of parasitic origin, we talked to a parasitologist in Rotterdam. Here we learned that the diagnostic field for Chagas disease is less developed than the other two. | ||
+ | <br><br> | ||
+ | Through these discussions, we decided to focus on Chagas disease and to make the design of our tool suitable for use in rural areas…</p> | ||
+ | <a class="bnt-more" href="javascript:void(0)" onclick="openmodal('erasmus')">More</a> | ||
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+ | <h2>Clinical molecular parasitology<br>Academic Medical Center Amsterdam</h2> | ||
+ | </div> | ||
+ | <p>Lastly, to get a clearer picture of what Chagas disease actually is and how best to tackle it, we asked Aldert Bart, a clinical molecular parasitologist from the Academic Medical Center of Amsterdam to prepare a lecture for our team about the disease, its life-cycle and properties…</p> | ||
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<h2 class="subhead" id="subhead-2">Safety</h2> | <h2 class="subhead" id="subhead-2">Safety</h2> | ||
− | <b> | + | <b>Lab Safety</b><br><br> |
Since we are working with GMO’s we have to follow several safety regulations to ensure the safety of our team members whilst working on OUTCASST. Our team’s lab management worked closely with drs. Fraukje Bitter-van Asma, the Occupational Health and Safety & Environment Expert of Utrecht University. She helped us determine which safety forms and permits needed to be filled out, filed and requested as well as which university guidelines and emergency measures were in place in case of calamities and to prevent health risks to both team members working on the lab and the environment. | Since we are working with GMO’s we have to follow several safety regulations to ensure the safety of our team members whilst working on OUTCASST. Our team’s lab management worked closely with drs. Fraukje Bitter-van Asma, the Occupational Health and Safety & Environment Expert of Utrecht University. She helped us determine which safety forms and permits needed to be filled out, filed and requested as well as which university guidelines and emergency measures were in place in case of calamities and to prevent health risks to both team members working on the lab and the environment. | ||
<br><br> | <br><br> | ||
− | <b> | + | <b>User Safety</b><br><br> |
Since we are going to use OUTCASST for the diagnosis of Chagas disease, our users will be caregivers and medical professionals in rural areas. Safety of our device is of great importance to them. During the interviews to find suitable end users (see the end-users section), we also discussed the safety of HEK293T cells to detect specific DNA regions. All interviewees were unanimous that these cell lines would not be a problem regarding safety issues and that potential risks would lie with the samples applied to the device. Since we are going to use blood from people that are potentially infected with parasites, it is important to point out the risk of contamination of the caregiver or other people. This risk is, however, no different from that of other simple diagnostic procedures. | Since we are going to use OUTCASST for the diagnosis of Chagas disease, our users will be caregivers and medical professionals in rural areas. Safety of our device is of great importance to them. During the interviews to find suitable end users (see the end-users section), we also discussed the safety of HEK293T cells to detect specific DNA regions. All interviewees were unanimous that these cell lines would not be a problem regarding safety issues and that potential risks would lie with the samples applied to the device. Since we are going to use blood from people that are potentially infected with parasites, it is important to point out the risk of contamination of the caregiver or other people. This risk is, however, no different from that of other simple diagnostic procedures. | ||
<br><br> | <br><br> | ||
Since the HEK293T cells are too fragile to use in the device, we opt to use air-dried cells from the anhydrobiotic insect, Polypedilum vanderplanki. To make the use of these cells as safe as possible, the design of our tool is going to be a closed system, wherein everything is present and only the blood sample will be applied. There will also be several mechanisms and kill-switches incorporated in the detecting cells. This way, the cells are physically separated from both the user and patients and this minimizes the chance of survival of these cells outside of the system. | Since the HEK293T cells are too fragile to use in the device, we opt to use air-dried cells from the anhydrobiotic insect, Polypedilum vanderplanki. To make the use of these cells as safe as possible, the design of our tool is going to be a closed system, wherein everything is present and only the blood sample will be applied. There will also be several mechanisms and kill-switches incorporated in the detecting cells. This way, the cells are physically separated from both the user and patients and this minimizes the chance of survival of these cells outside of the system. | ||
<br><br> | <br><br> | ||
− | <b> | + | <b>Patient Safety</b><br><br> |
With our design, early and rapid diagnosis of Chagas disease is possible and thus effective treatment can take place. Our detection method is relatively non-invasive since only a small blood sample of the patients has to be taken. The design is made out of one piece, which reduces risks during use. | With our design, early and rapid diagnosis of Chagas disease is possible and thus effective treatment can take place. Our detection method is relatively non-invasive since only a small blood sample of the patients has to be taken. The design is made out of one piece, which reduces risks during use. | ||
<br><br> | <br><br> | ||
− | <b> | + | <b>Public Safety</b><br><br> |
An essential part of public safety is providing information about Chagas disease and how our device works. The disease is not contagious but is transmitted by a vector. Currently, all efforts for Chagas prevention are directed at vector control. By limiting the carriers of the disease, infection amongst humans is prevented. Although these strategies do not affect the disease or those infected, it does limit the exposure of uninfected individuals to the pathogen. The OUTCASST tool itself can add to these strategies by helping resolve who are and are not infected with the pathogen, increasing public health and safety further. | An essential part of public safety is providing information about Chagas disease and how our device works. The disease is not contagious but is transmitted by a vector. Currently, all efforts for Chagas prevention are directed at vector control. By limiting the carriers of the disease, infection amongst humans is prevented. Although these strategies do not affect the disease or those infected, it does limit the exposure of uninfected individuals to the pathogen. The OUTCASST tool itself can add to these strategies by helping resolve who are and are not infected with the pathogen, increasing public health and safety further. | ||
<br><br> | <br><br> | ||
Naturally, use of GMO tools needs to be done safely and responsibly, lest it proves a risk to public safety. We have made sure to make our tool robust to handling errors and tried to make it as easy to use as possible. That way, it will be less likely for something to go wrong. | Naturally, use of GMO tools needs to be done safely and responsibly, lest it proves a risk to public safety. We have made sure to make our tool robust to handling errors and tried to make it as easy to use as possible. That way, it will be less likely for something to go wrong. | ||
<br><br> | <br><br> | ||
− | <b> | + | <b>Environment</b><br><br> |
In order to minimize environmental impact of OUTCASST, our closed-box system must be disposed of in a proper manner. Disposing of OUTCASST must adhere to guidelines set for GMO products. These guidelines differ from country to country but since it is best to take clear precautions, we have added a disposal guideline in the toolkit manual. | In order to minimize environmental impact of OUTCASST, our closed-box system must be disposed of in a proper manner. Disposing of OUTCASST must adhere to guidelines set for GMO products. These guidelines differ from country to country but since it is best to take clear precautions, we have added a disposal guideline in the toolkit manual. | ||
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We should also consider the material that the device is going to be made of. It should be of sturdy quality to prevent contamination of the environment with the device’s content. From the production perspective, the costs to produce it should be as low as possible to make the tool affordable. A main issue with costs, currently, is the production of the gRNA as it is expensive to synthesize. | We should also consider the material that the device is going to be made of. It should be of sturdy quality to prevent contamination of the environment with the device’s content. From the production perspective, the costs to produce it should be as low as possible to make the tool affordable. A main issue with costs, currently, is the production of the gRNA as it is expensive to synthesize. | ||
<br><br> | <br><br> | ||
− | We have also heard that the tool should have a low incidence of false positive and negative results and that our device should distinguish DNA strands with one different base pair. We want to take this information into account to decide the target DNA. There are two possibilities from which we can choose. The first option would be to permit certain mutations in the target DNA, to prevent getting a false negative result in some cases. The second option would be to use a very conserved domain as target DNA and don’t allow any mismatches. From our perspective, we think the second option would be more suitable, since the specificity in our system is a very valuable aspect of the design. We have chosen to use the satellite DNA, which is present in the T. cruzi parasite as a 195 base pair repeat with about 100,000 copies (Aldert Bart, Academical Medical Center Amsterdam: Clinical molecular parasitologist). | + | We have also heard that the tool should have a low incidence of false positive and negative results and that our device should distinguish DNA strands with one different base pair. We want to take this information into account to decide the target DNA. There are two possibilities from which we can choose. The first option would be to permit certain mutations in the target DNA, to prevent getting a false negative result in some cases. The second option would be to use a very conserved domain as target DNA and don’t allow any mismatches. From our perspective, we think the second option would be more suitable, since the specificity in our system is a very valuable aspect of the design. We have chosen to use the satellite DNA, which is present in the <i>T. cruzi</i> parasite as a 195 base pair repeat with about 100,000 copies (Aldert Bart, Academical Medical Center Amsterdam: Clinical molecular parasitologist). |
</script> | </script> | ||
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<br><br> | <br><br> | ||
− | |||
− | < | + | <div style="text-align: center;"> |
− | + | ||
− | < | + | <div class="outreach-video"> |
− | <h2 class="subhead" id="subhead-2"> | + | <h2 class="subhead" id="subhead-2">iGEM Utrecht: an introduction</h2> |
− | < | + | <video poster="" controls> |
− | <h2 class="subhead" id="subhead-2"> | + | <source src="" type='video/mp4'/> |
+ | <source src="" type='video/ogg; codecs="theora, vorbis"'/> | ||
+ | <source src="" type='video/webm; codecs="vp8, vorbis"'/> | ||
+ | <a href=""><img border="0" src="" alt="Click to view on Youtube" width="100%"></a> | ||
+ | <p style="font-style:italic;color:red;border-style:solid;border-width:2px;border-color:red">Your browser either does not support HTML5 or cannot handle MediaWiki open video formats. Please consider upgrading your browser, installing the appropriate plugin or switching to a Firefox or Chrome install.</p> | ||
+ | </video> | ||
+ | |||
+ | </div> | ||
+ | <div class="outreach-video right"> | ||
+ | |||
+ | <h2 class="subhead" id="subhead-2">Meet the team</h2> | ||
+ | |||
+ | <video poster="" controls> | ||
+ | <source src="" type='video/mp4'/> | ||
+ | <source src="" type='video/ogg; codecs="theora, vorbis"'/> | ||
+ | <source src="" type='video/webm; codecs="vp8, vorbis"'/> | ||
+ | <a href=""><img border="0" src="" alt="Click to view on Youtube" width="100%"></a> | ||
+ | <p style="font-style:italic;color:red;border-style:solid;border-width:2px;border-color:red">Your browser either does not support HTML5 or cannot handle MediaWiki open video formats. Please consider upgrading your browser, installing the appropriate plugin or switching to a Firefox or Chrome install.</p> | ||
+ | </video> | ||
+ | |||
+ | </div> | ||
+ | <div class="outreach-video"> | ||
+ | |||
+ | <h2 class="subhead" id="subhead-2">The problem; the detection of infectious disease has to be improved</h2> | ||
+ | |||
+ | <video poster="" controls> | ||
+ | <source src="" type='video/mp4'/> | ||
+ | <source src="" type='video/ogg; codecs="theora, vorbis"'/> | ||
+ | <source src="" type='video/webm; codecs="vp8, vorbis"'/> | ||
+ | <a href=""><img border="0" src="" alt="Click to view on Youtube" width="100%"></a> | ||
+ | <p style="font-style:italic;color:red;border-style:solid;border-width:2px;border-color:red">Your browser either does not support HTML5 or cannot handle MediaWiki open video formats. Please consider upgrading your browser, installing the appropriate plugin or switching to a Firefox or Chrome install.</p> | ||
+ | </video> | ||
+ | |||
+ | </div> | ||
+ | <div class="outreach-video right"> | ||
+ | |||
+ | <h2 class="subhead" id="subhead-2">Why Chagas Disease?</h2> | ||
+ | |||
+ | <video poster="" controls> | ||
+ | <source src="" type='video/mp4'/> | ||
+ | <source src="" type='video/ogg; codecs="theora, vorbis"'/> | ||
+ | <source src="" type='video/webm; codecs="vp8, vorbis"'/> | ||
+ | <a href=""><img border="0" src="" alt="Click to view on Youtube" width="100%"></a> | ||
+ | <p style="font-style:italic;color:red;border-style:solid;border-width:2px;border-color:red">Your browser either does not support HTML5 or cannot handle MediaWiki open video formats. Please consider upgrading your browser, installing the appropriate plugin or switching to a Firefox or Chrome install.</p> | ||
+ | </video> | ||
+ | |||
+ | </div> | ||
+ | |||
+ | </div> | ||
+ | |||
+ | <div style="clear: both;"></div> | ||
+ | |||
+ | <style type="text/css"> | ||
+ | .outreach-video | ||
+ | { | ||
+ | width: 320px; | ||
+ | padding: 20px; | ||
+ | background: #fafafa; | ||
+ | float: left; | ||
+ | border: 2px solid #f6f6f6; | ||
+ | margin: 0 0 20px 0; | ||
+ | display: inline-block; | ||
+ | text-align: center; | ||
+ | } | ||
+ | |||
+ | .outreach-video.right { float: right; margin-right: 0; } | ||
+ | |||
+ | .outreach-video>video { width: 100%; } | ||
+ | .outreach-video>h2 { font-size: 17px; color: black; font-weight: bold; padding-bottom: 10px; border-bottom: 2px solid #f6f6f6; } | ||
+ | </style> | ||
</script> | </script> | ||
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<div class="timeline-img-header"> | <div class="timeline-img-header"> | ||
<img width="100%" style="margin-top: -75px;" src="https://static.igem.org/mediawiki/2017/c/ca/Uuquincy.jpg"> | <img width="100%" style="margin-top: -75px;" src="https://static.igem.org/mediawiki/2017/c/ca/Uuquincy.jpg"> | ||
− | <h2>Quincy | + | <h2>Quincy Holzapfel</h2> |
</div> | </div> | ||
<p> | <p> | ||
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body { | body { | ||
font-family: 'Open Sans', 'sans-serif'; | font-family: 'Open Sans', 'sans-serif'; | ||
− | |||
} | } | ||
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3: "Additional considerations", | 3: "Additional considerations", | ||
}, | }, | ||
− | "outreach" : { | + | "outreach" : {}, |
− | + | ||
− | + | ||
− | + | ||
− | + | ||
− | + | ||
− | + | ||
− | + | ||
"collaborations" : { | "collaborations" : { | ||
1: "", | 1: "", | ||
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var width = element.getWidth(); | var width = element.getWidth(); | ||
var height = element.getHeight(); | var height = element.getHeight(); | ||
− | var offset = element. | + | var offset = element.positionedOffset(); |
var line = $$(".menu-underline")[0]; | var line = $$(".menu-underline")[0]; | ||
− | line.style.top = (offset.top + height | + | line.style.top = (offset.top + height + 3) + "px"; |
line.style.left = offset.left + "px"; | line.style.left = offset.left + "px"; | ||
line.style.width = width + "px"; | line.style.width = width + "px"; | ||
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} | } | ||
} | } | ||
+ | |||
+ | // scroll to top | ||
+ | window.scrollTo(0, 0); | ||
+ | |||
+ | var first_load = 0; | ||
+ | |||
+ | if(!$$("body")[0].getAttribute("data-page")) | ||
+ | first_load = 1; | ||
$$("body")[0].setAttribute("data-page", page); | $$("body")[0].setAttribute("data-page", page); | ||
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var page_container = $$(".page-content")[0]; | var page_container = $$(".page-content")[0]; | ||
var page_content = $("page-" + page); | var page_content = $("page-" + page); | ||
+ | |||
+ | if(!first_load) | ||
+ | { | ||
+ | $$(".page-container")[0].addClassName("no_transition"); | ||
+ | $$(".page-container")[0].addClassName("hidden"); | ||
+ | } | ||
page_container.update(page_content.innerHTML.replace("<!--","").replace("-->","")); | page_container.update(page_content.innerHTML.replace("<!--","").replace("-->","")); | ||
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$$(".top-menu")[0].removeClassName("active"); | $$(".top-menu")[0].removeClassName("active"); | ||
$$(".menu-container")[0].removeClassName("active"); | $$(".menu-container")[0].removeClassName("active"); | ||
+ | |||
+ | if(!first_load) | ||
+ | { | ||
+ | window.setTimeout(function(){ | ||
+ | $$(".page-container")[0].removeClassName("no_transition"); | ||
+ | $$(".page-container")[0].removeClassName("hidden"); | ||
+ | }, 100); | ||
+ | } | ||
} | } | ||
+ | |||
+ | function getSectionByPage(page) | ||
+ | { | ||
+ | var key; | ||
+ | |||
+ | if(page == "home") | ||
+ | key = "home"; | ||
+ | else | ||
+ | { | ||
+ | var section = $$(".section[data-url='" + page + "']")[0]; | ||
+ | |||
+ | key = section.up(".sections").getAttribute("data-key"); | ||
+ | } | ||
+ | |||
+ | return key; | ||
+ | } | ||
+ | |||
+ | var mouseout_timeout; | ||
document.observe("dom:loaded", function() | document.observe("dom:loaded", function() | ||
{ | { | ||
− | + | // retrieve page info | |
+ | var current_page = window.location.pathname; | ||
+ | current_page = current_page.replace("/Team:Utrecht/", ""); | ||
+ | current_page = current_page.replace("/igemsite/", ""); | ||
+ | current_page = current_page.toLowerCase(); | ||
+ | |||
+ | var remap = { | ||
+ | "interlab": "interlab-study", | ||
+ | "contribution": "interlab-study", | ||
+ | "model": "modeling-and-mathematics", | ||
+ | "improve": "", | ||
+ | "attributions": "team", | ||
+ | "basic_part": "", | ||
+ | "composite_part": "", | ||
+ | "hp/silver": "stakeholders", | ||
+ | "hp/gold_integrated": "product-design", | ||
+ | "engagement": "outreach" | ||
+ | }; | ||
+ | |||
+ | if(typeof remap[current_page] !== "undefined") | ||
+ | current_page = remap[current_page]; | ||
+ | |||
+ | if(typeof page_menus[current_page] === "undefined") | ||
+ | current_page = "home"; | ||
+ | |||
+ | var key = getSectionByPage(current_page); | ||
+ | |||
+ | move_underline($$(".top-menu-links li[data-key='" + key + "']")[0]); | ||
− | + | change_page(current_page); | |
$$(".top-menu")[0].observe("mouseover", function() | $$(".top-menu")[0].observe("mouseover", function() | ||
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this.addClassName("active"); | this.addClassName("active"); | ||
$$(".menu-container")[0].addClassName("active"); | $$(".menu-container")[0].addClassName("active"); | ||
+ | |||
+ | mouseout_timeout = window.clearTimeout(mouseout_timeout); | ||
}); | }); | ||
− | $$(".top-menu")[0].observe("mouseout", function() | + | $$(".top-menu")[0].observe("mouseout", function(e) |
{ | { | ||
document.body.removeClassName("sections_active"); | document.body.removeClassName("sections_active"); | ||
− | + | $$(".top-menu")[0].removeClassName("active"); | |
$$(".menu-container")[0].removeClassName("active"); | $$(".menu-container")[0].removeClassName("active"); | ||
+ | |||
+ | mouseout_timeout = window.clearTimeout(mouseout_timeout); | ||
+ | mouseout_timeout = window.setTimeout(function(){ | ||
+ | var current_page = document.body.getAttribute("data-page"); | ||
+ | |||
+ | var key = getSectionByPage(current_page); | ||
+ | |||
+ | move_underline($$(".top-menu-links li[data-key='" + key + "']")[0]); | ||
+ | }, 50); | ||
}); | }); | ||
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page = "/"; | page = "/"; | ||
− | + | history.pushState({}, title, page); | |
} | } | ||
}); | }); | ||
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//$$(".menu-container")[0].style.top = pos_y + "px"; | //$$(".menu-container")[0].style.top = pos_y + "px"; | ||
+ | }); | ||
+ | }); | ||
+ | </script> | ||
+ | |||
+ | <script id="modal-westerdijk" type="text/template"> | ||
+ | <h2>Ecology of Clinical Fungi - Westerdijk Fungal Biodiversity Institute</h2> | ||
+ | Bert Gerrits van den Ende is a research assistant at the Westerdijk Institute in Utrecht. This institute performs mycological research that contributes to the discovery and understanding of fungi and its biodiversity. | ||
+ | <br><br> | ||
+ | It became clear to us that the device would not be very helpful for the work done at this institute for they focus on the determination and classification of fungi, which can be very complex due to the overlap in genes between different species within a genus and between genera. This relies on positioning of genetic sequences with relation to other sequences. A tool that is able to detect known sequences is of little use in these studies. | ||
+ | <br><br> | ||
+ | However, OUTCASST could be used as a diagnostic tool to diagnose diseases caused by fungi. We were told that some serious fungal infections are only diagnosable in late stages or, in some cases, not at all. Often, symptoms of such diseases are not specific enough and physicians or specialists tend to look for different causes. If a conserved domain for all fungi exists and is detectable by our sensor system, it could be used to determine whether a patient’s disease is caused by fungi or not in an early stage. The tool is also of great value when the questions from the physician are very specific. Our tool would be useful, if he or she wants to know whether the disease is caused by a certain species or when it is important to know if an antimycotic drug will be effective, for example. | ||
+ | <br><br> | ||
+ | Concerning safety issues, mr. Gerrits van den Ende believes our concept device is safe to use and that any technical issues will most likely lie with the samples added to the device. | ||
+ | </script> | ||
+ | |||
+ | <script id="modal-amca1" type="text/template"> | ||
+ | <h2>Clinical Genetics - Academic Medical Center Amsterdam </h2> | ||
+ | Jet Bliek and Ruud van den Bogaard, who work at the DNA diagnostics lab of the clinical genetics department, screen gene panels containing genes which are known to be involved in diseases. | ||
+ | <br><br> | ||
+ | After introducing our DNA sensor they told us that a faster, more specific and cheaper way of detection is always welcome but, to use it in a clinical setting, it is important to have a very low false-positive and false-negative rate. Validation studies need to show that the system can correctly detect a specific mutated base every time the test is performed. | ||
+ | <br><br> | ||
+ | Although they could not indicate direct applications in their own laboratory, they saw the possibility of using the DNA sensor in personalized medicine, to track circulating tumor DNA. This way, physicians could easily monitor whether the tumor is responding to treatment or not. Another suggestion that they came with was to use it for pathogen detection. This could be done in two ways. The first would implement a fluid chip with the DNA sensor to detect a wide range of diseases to quickly determine the cause of an outbreak. The second way would use such a chip to detect a specific pathogen when the cause is already known. The latter can be used to quickly screen a lot of people in an infected area for this pathogen. | ||
+ | <br><br> | ||
+ | Both Jet and Ruud encouraged us to think about the usage of our device (depending on the specific application) and stressed how important it is to be easy to use, as they saw possibilities for a closed box design. | ||
+ | </script> | ||
+ | |||
+ | <script id="modal-genomediagnostics" type="text/template"> | ||
+ | <h2>Genome diagnostics - University Medical Center of Utrecht</h2> | ||
+ | Patrick van Zon and Pieter-Jaap Krijtenburg from the UMCU department of genetics were also willing to share their thoughts with us. They do similar work as Jet Bliek and Ruud van den Bogaard from the Academic Medical Center in Amsterdam. | ||
+ | <br><br> | ||
+ | With them, we discussed non-invasive prenatal testing, which can be used to detect genetic defects such as trisomy, before birth. These tests are used to detect fetal DNA in maternal blood. Fetal DNA is detectable in the mother’s serum from the tenth week of pregnancy onward. Such tests have the advantage that they are non-invasive compared to tests with amniotic fluid. In 1% of the cases of the latter test, complications occur that can lead to miscarriages. The biggest disadvantage of non-invasive prenatal tests is the uncertainty of the fetal DNA concentration in maternal plasma; 90-95% of all cell-free DNA in the maternal blood is from the mother and only 5-10% is of fetal origin. Too low amounts of fetal DNA can lead to false negative results. | ||
+ | <br><br> | ||
+ | They told us that they could greatly use a tool that can distinguish fetal from maternal DNA. To be able to do this, our system would need to be sensitive to differences between fetal and maternal DNA such as the difference in their methylation state. | ||
+ | <br><br> | ||
+ | They thought our system could be fast, cheap and accessible and that we should indeed focus on quick diagnostics. However, people who have hereditary questions don’t need results as fast as patients with acute diseases and the latter might thus be a better target. Nevertheless, they believed that there could still be improvements to the duration it takes to get a signal from our device. In theory, it would take about 10 to 12 hours to get the results from our tool and they believe this could be shortened. At these timescales, PCR might still be preferred to our system, as this is also very quick and readily available to labs that do diagnoses of hereditary issues. They told us that the current methods to detect viral DNA in the blood are very expensive and that it would be a major boon if we could detect these in a cheaper way. This brings another problem with it, however, as viruses mutate quickly, making the detection of a specific sequence more challenging. | ||
+ | <br><br> | ||
+ | Another practical consideration is the waiting time from taking of the sample to its testing with our device. After taking a blood sample, there is no cell-free DNA input anymore, but DNA degradation continues. To counteract this, quick administering of the sample to our device would be necessary, unless the sample could be frozen until administration to our device but this would require especially developed tubes that stabilize cell-free DNA. | ||
+ | <br><br> | ||
+ | Patrick and Pieter-Jaap were a little concerned over the binding length of OUTCASST, because it relies on two binding events with regions of, at minimum, 20 bp. Commercial companies use probes of 120 bp because this seems to be the optimal length for binding. However, the binding of the target DNA is stabilized by dCas9 and dCpf1 surrounding it. The commercial probes don’t have this stabilisation, which means that the binding of our system to target DNA does not need to be as long as the commercial probes. Nevertheless, as a tip, they told us that we should heighten the GC-content in the binding sequence to make the binding affinity higher. | ||
+ | <br><br> | ||
+ | Lastly, they believed our system to be very safe to use and that there are more threats from the environment to our device than the other way around. Any safety issues would depend on the disease we want to diagnose, because end users would be working with possibly infected samples. | ||
+ | <br><br> | ||
+ | They advised us to focus on detection of point mutations and smaller sequences of DNA if we wanted to stay with genetic disorders as our system is not specific for detection of bigger sequences of DNA. In their field, there is no rush for the sequencing results and development of faster tools thus have very little priority. Currently, the detection of viral DNA in blood is very expensive. If we manage to design our system to be cheap, it might be a great improvement to such detections. It also has to be quick, or PCR techniques will be more applicable in many situations. | ||
+ | <br><br> | ||
+ | In their eyes, our system could serve as a first prenatal screening tool before heavier tests are performed. | ||
+ | </script> | ||
+ | |||
+ | <script id="modal-forensics" type="text/template"> | ||
+ | <h2>Netherlands Forensic Institute</h2> | ||
+ | Next, we interviewed Titia Sijen from the Netherlands Forensic Institute. The NFI analyses human DNA present in evidentiary samples left at the crime scenes. Most often, these evidentiary samples represent dried bodily fluids, contact traces or human remains. The quality of the DNA is important to enable DNA profiling and there are many environmental factors that cause DNA degradation. However, once samples are dried, the DNA can remain remarkably stable, even for decades. For that reason, evidentiary samples are stored and kept dry. An important principle in forensic science is that 'every contact leaves a trace' (known as the Locard-principle), meaning that not only body fluid deposition but also skin contact leaves human DNA. | ||
+ | <br><br> | ||
+ | In practice, the activity that led to deposition of somebody's DNA is disputed in court and thus is the main goal for study by forensic scientists. This means that the detection of DNA is not an issue. Besides the results of standard DNA profiling, which involves simultaneous amplification of 27 markers followed by detection by capillary electrophoresis, the information of externally visible characteristics, such as eye color, hair color, gender and ethnicity, can be derived from DNA and may be used in court. Since this is privacy information, there are strict legal constraints ('besluit DNA-onderzoek in strafzaken') that need to be followed. | ||
+ | <br><br> | ||
+ | Mrs. Sijen does not see a clear application of our toolkit in the forensic field and encourages us to keep looking for an end-user that may reside in the field of detection of GMO’s in food or pathogens in water or patients. Regarding the first application, the Rikilt company in Wageningen may provide information. For the second application, the TNO company has developed microfluidic chips that may benefit from our two-component system. | ||
+ | </script> | ||
+ | |||
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+ | <h2>Cancer research - University Medical Center of Utrecht</h2> | ||
+ | We spoke to Hans Bos and Hugo Snippert, both researchers at the University Medical Center of Utrecht, about cancer diagnostics. We contacted them because cell free tumor DNA could be a potential target for our system. The current, most widely used, DNA detection technique is PCR and subsequent sequencing. Both mr. Bos and mr. Snippert stressed that the concept we propose needs to have an advantage over the PCR technique to be valuable for their work. | ||
+ | <br><br> | ||
+ | An advantage of our system, compared to microarrays, is that it does not require a PCR treatment, since the signal gets amplified within the cell. According to them, the OUTCASST system has the advantage that PCR can be performed for additional amplification if an unamplified signal is not sufficient for detection, thus together resulting in deeper sensitivity than PCR or our tool alone could achieve. Our testing method does not preclude a PCR pre-treatment, so PCR can be combined with our tool, if necessary. | ||
+ | <br><br> | ||
+ | The concentrations of cell-free tumor DNA in blood are often very low. Detection of such low quantities is going to be hard with our system. In addition, the fragmentation of tumor DNA is very random, just as with normal cells, and this further complicates detection. Mr. Bos and mr. Snippert advised us to think about a way to distinguish between normal and tumor DNA because both have mutations. | ||
+ | <br><br> | ||
+ | When a DNA strand of 40 nucleotides contains one mutation, it will still bind to our sensor. Single nucleotide mutations are thus hard to pinpoint. A solution would be to use versions of dCas9 and dCpf1 that are less stable when one or more mutations are present. There is a less stable version of Cas9, which only binds 100% complementary sequences. Implementing this version as the extracellular domain of the OUTCASST sensor could thus be an option. | ||
+ | <br><br> | ||
+ | Overall, they indicated that neglected tropical diseases might be a better application for our system as our design could be made cheaply and easy to use. The distinctions between different species can be detected more easily than single mutation differences within a species. They were, however, also interested in the possibility to use OUTCASST to detect the changes to resistance markers. | ||
+ | </script> | ||
+ | |||
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+ | <h2>Doctors without borders</h2> | ||
+ | We continued our search with a conversation with Marit de Wit from doctors without borders, who has worked a lot with malaria. She told us that there are already a lot of diagnostic tools for malaria like (fluorescence)microscopy, rapid diagnostics tests and kits. The second one uses antibodies to detect malaria parasites in the blood of the patient. The last one can only be performed in labs with PCR’s, which is hardly available in most areas that are affected by the disease. In these labs it is also possible to sequence the DNA from a single parasite. The diagnostics of malaria can be divided into two kind of questions. 1) does the patient have malaria and 2) is the parasite in this patient resistant to a certain drug. | ||
+ | <br><br> | ||
+ | The risk of transmission of malaria is very high in areas where the majority of the population has it. In these areas, it is most important to figure out who needs to be treated. As the prevalence of malaria decreases, the chance of transmission also decreases. In these cases many of the infections are of drug resistant strains. The goal in this case is to find these infections and treat them with the right drug to eradicate malaria and its resistance in that specific area. | ||
+ | <br><br> | ||
+ | The added value of our system could be in the second category, wherein we would detect the most common resistance markers of malaria in the field, in view of the patient. Marit also told us that it would be of great value if we could make our tool very robust, for there is very limited access to standard equipment and because the patient is sometimes in a rural environment. The tool would need to be portable and resistant to high humidity and temperature fluctuations without the need of storage in a fridge or freezer. | ||
+ | <br><br> | ||
+ | Lastly, she also told us that there are diseases for which there are only very complicated diagnostic tools, like trypanosomiasis (including the African sleeping disease and Chagas disease), black fever, measles and rubella. Trypanosomiasis and black fever are caused by parasites, while the latter two are caused by RNA viruses. Although our system is not build to detect RNA, it is theoretically possible to substitute the extracellular DNA binding domains for RNA binding domains. She emphasized that it would be great if we could make a tool for these kind of diseases, which are fast and easy to use in the field. | ||
+ | </script> | ||
+ | |||
+ | <script id="modal-erasmus" type="text/template"> | ||
+ | <h2>Parasitology - Erasmus University Medical Center Rotterdam</h2> | ||
+ | Lastly, we spoke with Jaap van Hellemond, a parasitologist at the Erasmus University Medical Center in Rotterdam. We talked about three human diseases caused by Trypanosomatidae parasites. These diseases were black fever (visceral leishmaniasis), African sleeping disease and Chagas disease. Black fever is caused by parasites from the genus Leismania. The other two are caused by parasites from the genus Trypanosoma. | ||
+ | <br><br> | ||
+ | Mr. van Hellemond explained that the most sensitive method to detect these parasites is through PCR, but these tests still require expensive equipment and consumables. They are, therefore, hardly applied in the field. So far, only antibody-based diagnostic tests are available for the black fever and the sleeping disease, but these detection methods do not work as well as one would like. In some cases, the load of parasitic material or the antibody response is too low to detect the disease with these kinds of serological tests. | ||
+ | <br><br> | ||
+ | HIV infections are also a big issue for these tests. For these people, these tests do not work that well either, because the targeted immune response markers are depleted by HIV. Another disadvantage of these serological tests is the indirect method of detection. It is not possible to see whether someone is cured or has a reinfection as the test measures the quantities of antibodies, which remain after the infection has passed, and not the disease itself. | ||
+ | <br><br> | ||
+ | A third method to diagnose these diseases is through microscopic examination. For these methods, there is a need for skilled personnel and expensive material. This is generally lacking in rural areas. | ||
+ | <br><br> | ||
+ | Out of all neglected tropical diseases, Chagas disease gets the least attention. The disease starts with an acute phase with flu-like symptoms. After this, there is a long latent phase which can take from 10 to 30 years. Only about 25% of people infected with this disease will get symptoms again after the latent phase, and when they do, it is often fatal, as is the case when it results in myopathy of heart muscles or the gut. | ||
+ | <br><br> | ||
+ | Mr. van Hellemond told us that it is very hard to detect the presence of parasites in serum during the chronic phase of Chagas disease, even with modern PCR techniques. For Chagas, there is a complete lack of diagnostic tests. It is also unclear what factors influence who will get further symptoms after the latent phase. This makes it even harder to decide which people to treat. | ||
+ | <br><br> | ||
+ | The starting material for diagnosis of these parasitic diseases is blood. Chagas disease, for instance, is intracellularly present in the latent phase. Aside from its serum presence, it is present almost exclusively in the muscle tissue of a patient’s organs. Taking biopsies thereof is very invasive. Even if a biopsy is taken, it is still unsure whether you have a parasite in your sample, due to the low pathogen abundance. | ||
+ | <br><br> | ||
+ | Blood samples can currently be investigated with PCR techniques and fluorescent primer probes, but these tests have a relatively high chance to get false-negative results due to their amplification step overshadowing rare sequences. There is no standard in diagnosing Chagas disease, making it hard to develop and bench-mark a diagnostic tool. | ||
+ | <br><br> | ||
+ | We also discussed sample preparation before addition to our tool. One of the major questions from a user perspective is how we could get DNA out of the parasites without harming the OUTCASST cells. Mr. van Hellemond told us that the parasitic cells can be lysed using detergents, a hypotonic environment or even proteases. Out of these three, a hypotonic environment seems to be the best option, as detergents are hard to remove from solution and will affect the sensing cells and proteases need to be deactivated through heat beforehand. A hypotonic environment could be used to lyse the parasites, because the sample can then be made isotonic again with a resetting buffer, before it is added to the sensing cells. | ||
+ | </script> | ||
+ | |||
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+ | <h2>Clinical molecular parasitologist - Academic Medical Center Amsterdam</h2> | ||
+ | To fully understand the problem we are trying to solve, an in-depth lecture was organised with Aldert Bart, an expert on neglected tropical diseases from the Academical Medical Center in Amsterdam. In this session, all the aspects of Chagas Disease were discussed. Trypanosomiasis cruzi, (<i>T. Cruzi</i>) a parasite with a high prevalence in South America, causes Chagas disease. Only quite recently the number of people living in Western countries got infected, suspectedly due to the stream of immigrants that entered Europe instead of the USA after 9/11. | ||
+ | <br><br> | ||
+ | The life cycle of <i>T. Cruzi</i> is known, but the exact route of infection (via glands, through skin or wounds) is still under discussion. The latest updates about both cute and chronic symptoms were discussed and methods for early detection are indeed lacking. | ||
+ | <br><br> | ||
+ | The way our OUTCASST system can contribute to this is is by detecting either satellite DNA or minicircle repeat DNA. These DNA targets are used in the Academical Medical Center to detect the presence of <i>T. Cruzi</i>. Because the minicircle repeat DNA is possible cross-reactive with T. rangeli DNA, satellite DNA would be a better target. Satellite DNA occurs in <i>T. cruzi</i> as, on average, 100,000 copies of a 195 base pair repeat. | ||
+ | <br><br> | ||
+ | So far, it seems to be extremely hard to detect the presence of <i>T. Cruzi</i> as antibody count against the pathogen is quite low, and fragmentation techniques are included in the detection protocol to enhance the chance on correct diagnosis. The demand for better solutions seems to be high but largely forgotten. Hopefully, with our iGEM project, we can put it back on the agenda and alleviate the problem. | ||
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Revision as of 17:56, 29 October 2017
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