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2016 ; 10
(10
): e0004950
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
RNA Aptamer That Specifically Binds to Mycolactone and Serves as a Diagnostic
Tool for Diagnosis of Buruli Ulcer
#MMPMID27776120
Sakyi SA
; Aboagye SY
; Otchere ID
; Liao AM
; Caltagirone TG
; Yeboah-Manu D
PLoS Negl Trop Dis
2016[Oct]; 10
(10
): e0004950
PMID27776120
show ga
BACKGROUND: Buruli ulcer (BU) is a subcutaneous skin disease listed among the
neglected tropical diseases by the World Health Organization (WHO). Early case
detection and management is very important to reduce morbidity and the
accompanied characteristic disfiguring nature of BU. Since diagnosis based on
clinical evidence can lead to misdiagnosis, microbiological confirmation is
essential to reduce abuse of drugs; since the anti-mycobacterial drugs are also
used for TB treatment. The current WHO gold standard PCR method is expensive,
requires infrastructure and expertise are usually not available at the peripheral
centers where BU cases are managed. Thus one of the main research agendas is to
develop methods that can be applied at the point of care. In this study we
selected aptamers, which are emerging novel class of detection molecules, for
detecting mycolactone, the first to be conducted in a BUD endemic country.
METHODS: Aptamers that bind to mycolactone were isolated by the SELEX process. To
measure their affinity and specificity to mycolactone, the selected aptamers were
screened by means of isothermal titration calorimetry (ITC) and an enzyme-linked
oligonucleotide assay (ELONA). Selected aptamers were assessed by ELONA using
swab samples from forty-one suspected BU patients with IS2404 PCR and culture as
standard methods. ROC analysis was used to evaluate their accuracy and
cutoff-points. RESULTS: Five out of the nine selected aptamers bound
significantly (p< 0.05) to mycolactone, of these, three were able to distinguish
between mycolactone producing mycobacteria, M. marinum (CC240299, Israel) and
other bacteria whilst two others also bounded significantly to Mycobacterium
smegmatis. Their dissociation constants were in the micro-molar range. At 95%
confidence interval, the ROC curve analysis among the aptamers at OD450 ranged
from 0.5-0.7. Using this cut-off for the ELONA assay, the aptamers had 100%
specificity and sensitivity between 0.0% and 50.0%. The most promising aptamer,
Apt-3683 showed a discernible cleavage difference relative to the non-specific
autocatalysis over a 3-minute time course. CONCLUSION: This preliminary
proof-of-concept indicates that diagnosis of BUD with RNA aptamers is feasible
and can be used as point of care upon incorporation into a diagnostic platform.