Human Practices

Abstract

The number of drug-resistant bacteria in the ocean has increased at an alarming rate over the past decade due to environmental pollution, the misuse of antibiotics and other factors. If the development of drug-resistant bacteria is not curbed, these "superbugs", which are inherently difficult to eliminate, will become one of the biggest global health threats in the next 30 years. The impact of drug-resistant bacteria on humans has suddenly become real. This problem will now affect millions of people directly or indirectly. It is an urgent problem that we need to be aware of immediately.

Hainan University is located on the shore of the largest ocean in China. The utilization and sustainable development of Marine environmental resources have always been the focus of our research. The HainanU_China team 2022 is dedicated to solving the problem of detecting drug-resistant bacteria in the ocean.

Interview with Experts

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Figure 1a.Professor Liao

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Figure 1b. Professor Zhou

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Figure 1c. Dr. Wan Yi

Study and summary of previous teams

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Figure 2a. CU-Boulder

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Conculsion

Under the guidance of currently available solutions and regulations, we focused on the current epidemic situation, consulted relevant literature and proposed a preliminary design after team brainstorming, namely, to establish a nucleic acid detection method based on type ⅵ CRISPR⁃Cas system, and further improve the sensitivity of detection by introducing Csm6.

Dialogue with local aquatic enterprises

We visited Hainan Ruilai Aquaculture Co., LTD. The company is a leading enterprise focusing on the breeding of Penaeus vannamei larvae, and is an important standardized breeding base of Penaeus vannamei larvae in China. Through the field visit, we learned that Hainan Ruilai currently has three molecular biology testing laboratories, equipped with a complete set of molecular biology testing equipment, and adopts the national standard (or industry standard) method used by authorities to carry out daily pathogen monitoring on water sources, shrimps, biological bait, larvae and shrimps, etc. The experimental operation and control will be carried out by graduate students with theoretical and technical foundation of molecular biology. In the process of communication with the staff, we raised the question of "whether there are any microbial diseases in the process of breeding that cannot be controlled by the application of drugs", which attracted their attention. The staff said that such "difficult diseases" appeared in the process of breeding, and the use of drugs against specific pathogenic microorganisms still did not help. Finally, through further investigation, it was found that the root cause of this situation was the development of drug resistance of pathogenic microorganisms. Through our in-depth discussion, we found that the detection of microbial resistance has a significant role in aquaculture. At present, we are in a highly concerned about the health of human society, human health with the continuous development of the society will only become more and more the center of construction. Facing consumers with higher and higher requirements for the quality of food products, aquatic enterprises must respond to the call of The Times, conform to the needs of consumers, and invest a large number of resources into product quality control and improvement. "We need an accurate, convenient and rapid method for detecting microbial resistance," the farm technician stressed as we investigated the issue further.

These suggestions greatly expanded our thinking. In order to better determine the direction of the project, we began to investigate the current market pain points. In the process, we had in-depth communication with the following companies and improved our design iteratively based on their feedback.

In the project of experiment in the process, we found that at present most of the means of both need to be sequenced columns to can detect by Cas detection system, in order to activate the Cas nucleic acid enzyme activity detection signal, and RPA, LAMP isothermal amplification methods although the high sensitivity, but the amplification process prone to product pollution, causing false positive results. Especially for Cas14a, because it only recognizes ssDNA, in order to generate a single strand that can be recognized by Cas14a, a primer is modified with thiophosphate lipid during nucleic acid amplification to be tested. After adding T7 exonuclide, the unmodified strand will be degraded and only the target sequence to be tested will be retained. Therefore, Cas14a is less tolerant of the mismatch between crRNA and the nucleic acid to be tested. In addition, the nucleic acid amplification step will also affect the sensitivity and speed of detection because of the long reaction time.

Research on the market to understand the current problems facing aquaculture

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①Current context: The unique challenges facing aquaculture

In recent years, with the continuous expansion of aquaculture scale and the continuous improvement of the degree of intensification, 150 ~ 200 kinds of diseases can be monitored in 90 aquaculture varieties. Aquaculture diseases are characterized by wide epidemic areas, variety of diseases and high mortality. Aquaculture diseases cause annual economic losses of 40 billion to 50 billion yuan.

②Identification of problems: Field investigation of local aquaculture farms

We visited Hainan Ruilai Aquaculture Co., LTD. Through field investigation, we learned that Hainan Ruilai currently has three molecular biology testing laboratories, equipped with a complete set of molecular biology testing equipment, and adopts the national standard (or industry standard) method used by authorities to carry out daily pathogen monitoring for water sources, shrimps, biological bait, larvae, shrimp seedlings, etc. In the process of communication, we raised the question of "whether there are microbial diseases that cannot be controlled by the application of drugs in the process of breeding", which attracted their attention. The staff said that such "difficult diseases" appeared in the process of breeding and production, and the use of corresponding drugs for specific pathogenic microorganisms was still of no avail. Finally, through further investigation and testing, it was found that the root cause of this situation was the resistance of pathogenic microorganisms. After the conversation, the farm technicians put forward their demands -- "We urgently need an accurate, convenient and rapid microbial resistance detection scheme".

③Verifying requirements: interviewing various aquaculture farms

To verify the need for testing microbial resistance protocols on aquaculture farms in Hainan, we interviewed our key stakeholder, aquaculture farmers. Through field interviews, we learned the answers to three main questions.

1.What are the main problems in their breeding process?

2.Do they think microbial resistance testing will be needed in the market?

3.What characteristics do they want for microbial resistance testing methods?

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Survey of local topography and location of Haikou

To better understand the local port information, as well as to find the appropriate river estuary for sample collection. We made a survey of the topography of Haikou.

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Figure 4a.Topography of Haikou

For the topographic analysis of the whole island, we selected 53 of the estuaries and made a map.

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Figure 4b. Terrain

Based on the terrain, whether the rivers are polluted by human actions in scenic spots, factories or other areas, we have selected 30 of them and will arrange to conduct seawater sampling at these 30 locations in turn around Hainan Province.

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Cooperation with microbiology related technology companies

01、Trends in the molecular diagnostics industry

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①Aging, increased incidence of infectious diseases and tumors

By 2030, there will be 360 million people over the age of 60. With aging, human immunity decreases, which leads to an increased risk of infectious diseases, tumors and other diseases, and the need for molecular diagnostics such as disease screening and tumor early screening increases.

②Urbanization and emerging viruses lead to epidemics of infectious diseases

By the end of 2021, the urbanization rate of permanent residents in China was 64.72%, and it is expected to reach 71.2% by 2050. Excessive urban population growth and more frequent contact with dense population mobility have provided favorable conditions for the spread and prevalence of infectious diseases. SARS in 2003, Ebola in 2014, Zika in 2016, COVID-19 in 2020 and the recent emergence of unexplained hepatitis in children have all posed new challenges to the global health system, as the accelerated rate of virus mutation makes it more difficult to control infectious diseases.

③The emergence of drug-resistant microorganisms poses a great threat

If effective measures are not taken, it is estimated that by 2050, 10 million people will die of drug-resistant bacteria worldwide every year, and the economic loss will reach 100 trillion US dollars. Microbial drug resistance has become a global public health crisis. Traditional bacterial culture requires a long detection time, and most viruses are difficult to or even cannot be cultured in vitro, while molecular diagnosis can rapidly diagnose microbial resistance. The Xpert® CarBA-R Assay carbapenem resistance gene test kit launched by Sapei in 2020. Five major carbapenem resistance genes blaKPC, blaNDM, blaVIM, blaIMP and BlaoxA-48 were also reported.

④The COVID-19 pandemic has accelerated the development of the industry, and PCR laboratories are springing up all over the country

Before the epidemic, PCR laboratories were mainly located in large Classⅲ Grade A hospitals, CDC, laboratories of scientific research institutes and other institutions, which had very high requirements on personnel quality, equipment and laboratory environment. Since the outbreak of the epidemic, nearly 10,000 PCR laboratories have been established in hospitals above the second level and third-party ICL, which greatly improved China's nucleic acid detection capacity in a short period of time and effectively shortened the "testing time for all". In the post-epidemic era, how to play the functions of these "costly" PCR laboratories has become a new topic. Molecular diagnosis in the hospital can not only solve the turn-around time (TAT) of detection, but also reduce the vacancy problem of PCR laboratories.

02、Product features

What we've designed is a portable test for antibiotic-resistant microorganisms in the ocean. The system is relatively small in size, can achieve rapid detection, human-computer interaction interface friendly and easy to operate. The system mainly has three modules, mainly divided into temperature regulation module, optical path detection module and Android screen display module. Functions that can be implemented (key benefits)

①Sample as you go

②Portability and miniaturization bring a wider range of application scenarios

Hierarchical diagnosis and treatment, some community outpatient clinics, secondary hospitals, township health centers, etc., also need molecular diagnosis, but these primary medical institutions lack professionals, and fewer medical personnel;

In emergency scenarios, the collection and delivery of clinical laboratory specimens takes a lot of time. How to minimize TAT has become a key factor restricting the rapid diagnosis and treatment of emergency medicine;

Border entry and exit quarantine, the increase of import and export goods increases the workload of border entry and exit quarantine, at the same time, the emergence of new viruses, increased the difficulty of quarantine, a little negligence will cause serious economic losses; In addition, airports, high-speed railway stations, ports and other places with dense personnel and large mobility, as well as field hospitals, all need portable, miniaturized, moderate flux and easy to operate diagnostic instruments.

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During the visit to VIEWKER, HP team had a detailed discussion with Chief Engineer Yongjie Zhong, focusing on the hardware part of the marine microbial drug resistance testing instrument.

Q1:How to make the enzyme standard instrument more convenient

A1: flux, temperature control system (there must be heat dissipation, power supply and other power appliances in it, it limits its volume, only through a relatively small flux, as far as possible through a special method to limit its power can not be too large, there will also be sacrifices, such as similar to PCR to warm up and annealing must be high-powered components to meet, such as the traditional power does not need too large, because there are Power devices exist for the reason that the power supply limits its portability, if you want to portable must bring a power supply, then the instrument will not work for a long time

Q2: Is there a better way to detect fluorescence

A2: At present, microbial detection from the fluorescence detection method is only the plate method and MPN method, but these two methods have a disadvantage - it takes a long time and is cumbersome to use. And now the common method is mainly plate counting method. Compared with the MPN, the plate technology may be a little less effort, but it will cost more, you need to buy a lot of supplies and supporting some sealing machine and other things. This kind of fluorescence detection, and then want to be able to quantify, then the current words. There is no other method, plate technology. If you want to do the counting method, you can do it visually.

Q3: Is it necessary to detect nucleic acid accurately to a single base

A3: The current process of detection methods that require PCR amplification is very cumbersome and time-consuming, requiring multiple manual interventions

Test strips: sensitivity is very poor (nanodiamond is used to improve sensitivity, but the technology is not yet mature)

By single base non-amplification method can greatly simplify the process, and can be popularized, no biochemical related background personnel can also do (add samples and wait for the end of the test to collect data)

Q4:What are the current market instruments for marine microbial diagnosis, or nucleic acid detection instruments

A4: Most are done by PCR, for known microorganisms to know what type, based on genetic data to determine, or based on the characteristics of the plate colony, whether you use your eyes to count, or in the microscope. Under the microscope to count live bacteria, it is a method that belongs to this technique. And then there's a putative method, which is estimation. And then you can check the standard. Collectively, it's called the MPN method. Some of them are called esophageal method. Some are 51-well quantitative method, and some are 97-well quantitative method. And then the conventional method is the esophageal method. We dilute it in a gradient and then inoculate it. Inoculated into ten tubes, and then according to your tube. The long discoloration of that situation, and then to check the table. Finally, you can estimate a number of this microorganism.

Q5: Our project can be applied in what fields after

A5:Product quality control, water quality testing, pharmaceutical analysis, microbial fermentation, development of engineering bacteria, food safety, cosmetics and other production quality control (all qualitative OR quantitative testing of microorganisms / research OR factory)

Q6: What about the cost? About the cost of hardware, self-cleaning costs, durability and safety, etc.

A6: The hardware is about one or two hundred dollars, mainly the cost of the structure, which may be thousands; safety has to be verified through experiments, by manually going through the process and then integrated into the automated machine hardware. For each safety indicators to be considered clearly, sealing issues, material issues (corrosion resistance, permeability, etc.)

Q8: What are the existing instruments (in terms of nucleic acid detection - fluorescence-based detection)

A8: Enzyme marker, UV spectrophotometer, traditional impedance method, by indirectly detecting the current signal, but the stability is poor and the error is relatively large.

Q9: If the project is landed, how competitive can our project be in the market?

A9:The principle of drug resistance detection is based on colorimetric reaction and photoelectric detection, so the competitiveness is mainly reflected in the indicators of the embodied instruments. Now microbial detection methods are still based on the most traditional technology, only to be popularized by the integration of easy-to-operate instruments, which is of great importance to the whole industry.

03、Optimize the experimental scheme and achieve cooperation intention

Our products meet the development concept of "rapid detection" of VREWKR company, and compared with the traditional microplate reader, the cost is lower, more portable and the process is simpler, which has a broad market development space and a wide range of target users.

During the visit to the company, the head of the technical department discussed with our experimental group members, They introduced us to a synthetic nucleic acid analogue, peptide nucleic acid (PNA), consisting of nuclear bases aligned along a pseudopeptide skeleton, and suggested that we take advantage of PNA's ability to integrate the genetic information encoded by nucleic acids with the structural and functional properties of amino acids encoded by proteins. By specifically hybridizing with DNA or RNA to form stable PNA-DNA or PNA-RNA heterozygous double-stranded structure, it can exert its high biological stability and high affinity for binding to complementary nucleic acid sequences, so as to solve the problem of false positives in detection results. This feedback will promote us to carry out a new round of experimental scheme optimization and product upgrade. In the future, we will build a portable microbial resistance detector that can be mass-produced, low-cost and high-precision.

At present, Hainanu-China has reached a preliminary cooperation intention with Hainan Wekrypton Biotechnology Co., LTD., and we will complete the plans on the transformation of scientific and technological achievements, financing and instrument mass production in the future.

Ninth China Regional IGEM Exchange Conference

The team also participated in the 9th China Regional IGEM Communication Conference (CCIC), which invited several honorary guests, ranging from famous academicians to successful entrepreneurs, who gave valuable sharing on their understanding of the future of synthetic biology and related technical principles. At the meeting, we actively exchanged our project experiences with other teams and drew extensive guidance advice on hardware, and the CCiC Executive Committee Chair evaluated our project and provided us with useful suggestions to improve our presentation.

It is worth mentioning that we won the best hardware design award among the many teams in this CCIC!

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