Pathogen analysis and genetic predisposition testing using microelectronic arrays and isothermal amplification

C. F. Edman, P. Mehta, R. Press, C. A. Spargo, G. T. Walker, M. Nerenberg

Research output: Contribution to journalArticlepeer-review

24 Scopus citations


Background: A simple yet powerful tool for providing for rapid gene identification in the clinic would be the combination of isothermal gene amplification with electronic microchip analysis. This is a first report of such a union of these technologies. Methods: The first assay demonstrates discrimination between four bacterial pathogens. For this, one portion of the bacterial 16S rRNA gene encompassing a microheterogeneous region was isothermally amplified using Strand Displacement Amplification (SDA). Type identification was then made by 'sandwich' assay format either using selective electronic hybridization of amplicons to sequence-specific capture oligonucleotides and a universal, fluorescently labeled reporter oligonucleotide, or, alternatively, sequence-specific reporters and a universal capture oligonucleotide. The second assay tested for the presence or absence of the Factor V Leiden point mutation using DNA obtained from 18 patients in a blind assay. For this, allele-specific SDA was developed. Following amplification using a sense-biotinylated primer and either the corresponding antisense wild type or mutant primer, multiple patient amplicons were targeted to specified locations on the microarray and visualized using a fluorescently labeled reporter oligonucleotide. Positive signals were scored as greater than or equal to two times the background. Results: Bacterial type-specific signals were between 3- to 10-fold greater than nonspecific in both assay formats. Using allele-specific SDA, 100% agreement was observed between PAGE analysis, microarray results, and clinical diagnosis in Factor V mutation analysis. Conclusions: We demonstrated two model clinical assays combining amplified materials and microelectronic arrays, one potentially suitable for pathogen screening and the other for a deleterious genetic mutation.

Original languageEnglish (US)
Pages (from-to)93-101
Number of pages9
JournalJournal of Investigative Medicine
Issue number2
StatePublished - 2000


  • Bacteria
  • DNA
  • Factor V
  • Fluorescent
  • Hybridization

ASJC Scopus subject areas

  • Biochemistry, Genetics and Molecular Biology(all)


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