Podcast
Questions and Answers
Which molecular technique is specifically used to confirm Hepatitis C and HIV infections?
Which molecular technique is specifically used to confirm Hepatitis C and HIV infections?
Western blot technique.
What is the primary purpose of serological tests like ELISA in the context of viral infections?
What is the primary purpose of serological tests like ELISA in the context of viral infections?
To screen for the presence of antibodies against viruses.
Name two nucleic acid amplification methods used for detecting microorganisms.
Name two nucleic acid amplification methods used for detecting microorganisms.
PCR and loop-mediated isothermal amplification (LAMP).
What is the significance of using agarose gel electrophoresis in molecular detection?
What is the significance of using agarose gel electrophoresis in molecular detection?
Which organisms are noted to be received in clinical laboratories in high volumes?
Which organisms are noted to be received in clinical laboratories in high volumes?
What is the role of quantitative PCR (qPCR) in infectious disease detection?
What is the role of quantitative PCR (qPCR) in infectious disease detection?
Identify one gene associated with antimicrobial resistance mentioned in the content.
Identify one gene associated with antimicrobial resistance mentioned in the content.
What challenge is mentioned regarding the processing of multiple microbial samples in clinical laboratories?
What challenge is mentioned regarding the processing of multiple microbial samples in clinical laboratories?
What are the primary advantages of molecular-based tests for microorganism detection?
What are the primary advantages of molecular-based tests for microorganism detection?
Why are Histoplasma and Coccidioides considered hazardous to handle in clinical laboratories?
Why are Histoplasma and Coccidioides considered hazardous to handle in clinical laboratories?
What role does the selection of target sequences play in nucleic acid tests?
What role does the selection of target sequences play in nucleic acid tests?
What challenges arise when culturing fungal organisms like Histoplasma and Coccidioides?
What challenges arise when culturing fungal organisms like Histoplasma and Coccidioides?
In the context of molecular detection, why is mycobacterium considered a difficult organism to grow?
In the context of molecular detection, why is mycobacterium considered a difficult organism to grow?
How do molecular techniques improve the detection of microorganisms that are bioterrorism agents?
How do molecular techniques improve the detection of microorganisms that are bioterrorism agents?
What types of organisms are highlighted as included in the molecular detection framework?
What types of organisms are highlighted as included in the molecular detection framework?
What are chromosomal abnormalities, and why are they significant in molecular detection of inherited diseases?
What are chromosomal abnormalities, and why are they significant in molecular detection of inherited diseases?
What is the primary purpose of multiplex PCR methods?
What is the primary purpose of multiplex PCR methods?
Name two parasites that can be detected simultaneously using multiplex real-time PCR assays.
Name two parasites that can be detected simultaneously using multiplex real-time PCR assays.
What additional feature do multiplex PCR methods include to ensure accuracy?
What additional feature do multiplex PCR methods include to ensure accuracy?
How do bacteria produce resistance to antimicrobial agents according to the content?
How do bacteria produce resistance to antimicrobial agents according to the content?
What is the role of β-lactamase in bacterial resistance?
What is the role of β-lactamase in bacterial resistance?
Describe a mechanism through which microorganisms can alter drug accessibility.
Describe a mechanism through which microorganisms can alter drug accessibility.
What kind of samples are mentioned as likely to have PCR inhibition?
What kind of samples are mentioned as likely to have PCR inhibition?
What is a common example of an organism that develops resistance through the production of β-lactamase?
What is a common example of an organism that develops resistance through the production of β-lactamase?
What is the clinical significance of a positive PCR assay for respiratory tract pathogens?
What is the clinical significance of a positive PCR assay for respiratory tract pathogens?
What are the common non-molecular methods used for bacterial identification in respiratory specimens?
What are the common non-molecular methods used for bacterial identification in respiratory specimens?
What distinguishes an infection caused by a respiratory pathogen from mere colonization?
What distinguishes an infection caused by a respiratory pathogen from mere colonization?
What are the target genomes for qPCR detection of Bordetella pertussis?
What are the target genomes for qPCR detection of Bordetella pertussis?
What causes aneuploidy during gamete production?
What causes aneuploidy during gamete production?
What limitation does 16S RNA sequencing have in identifying Streptococcus species?
What limitation does 16S RNA sequencing have in identifying Streptococcus species?
What are the consequences of autosomal trisomy?
What are the consequences of autosomal trisomy?
Why is autosomal monosomy generally incompatible with life?
Why is autosomal monosomy generally incompatible with life?
Why is molecular-based assays preferred over traditional methods in identifying respiratory tract pathogens?
Why is molecular-based assays preferred over traditional methods in identifying respiratory tract pathogens?
What type of specimens are commonly used for testing respiratory tract pathogens?
What type of specimens are commonly used for testing respiratory tract pathogens?
How does antibiotic exposure impact mutation and selection processes in bacteria?
How does antibiotic exposure impact mutation and selection processes in bacteria?
What role does the mecA gene play in methicillin-resistant S. aureus (MRSA)?
What role does the mecA gene play in methicillin-resistant S. aureus (MRSA)?
How is Bordetella pertussis primarily transmitted?
How is Bordetella pertussis primarily transmitted?
What distinguishes mosaicism from chimerism?
What distinguishes mosaicism from chimerism?
What is the significance of karyotyping for chromosome mutations?
What is the significance of karyotyping for chromosome mutations?
Why is sex chromosome aneuploidy more frequently tolerated than autosomal aneuploidy?
Why is sex chromosome aneuploidy more frequently tolerated than autosomal aneuploidy?
What is the result of having a heterozygous specimen for the + /m genotype?
What is the result of having a heterozygous specimen for the + /m genotype?
What is the primary consequence of mutations in the MTHFR gene?
What is the primary consequence of mutations in the MTHFR gene?
Which genes are associated with hemochromatosis and what is their role?
Which genes are associated with hemochromatosis and what is their role?
What mutation is most commonly observed in patients with hemochromatosis?
What mutation is most commonly observed in patients with hemochromatosis?
How can mutations related to hemochromatosis be identified?
How can mutations related to hemochromatosis be identified?
What are the health implications of untreated hemochromatosis?
What are the health implications of untreated hemochromatosis?
What initial test is typically performed to detect lysosomal storage diseases?
What initial test is typically performed to detect lysosomal storage diseases?
What is the underlying defect in cystic fibrosis?
What is the underlying defect in cystic fibrosis?
Flashcards
Molecular Detection of Microorganisms
Molecular Detection of Microorganisms
Analysis of DNA or RNA to identify the presence of specific microorganisms.
Application of Molecular Based Tests
Application of Molecular Based Tests
Using molecular techniques like PCR to diagnose infections.
Selection of Sequence Targets
Selection of Sequence Targets
Choosing specific DNA or RNA sequences to target in a test.
Molecular Detection of Bacteria
Molecular Detection of Bacteria
Signup and view all the flashcards
Molecular Detection of Viruses
Molecular Detection of Viruses
Signup and view all the flashcards
Molecular Detection of Parasites
Molecular Detection of Parasites
Signup and view all the flashcards
Molecular Detection of Fungi
Molecular Detection of Fungi
Signup and view all the flashcards
Molecular Detection of Inherited Diseases
Molecular Detection of Inherited Diseases
Signup and view all the flashcards
Agarose Gel Electrophoresis
Agarose Gel Electrophoresis
Signup and view all the flashcards
Amplification Methods
Amplification Methods
Signup and view all the flashcards
Molecular Detection for Diagnosing Viral Infections
Molecular Detection for Diagnosing Viral Infections
Signup and view all the flashcards
Molecular Basis of Single-Gene Disorder
Molecular Basis of Single-Gene Disorder
Signup and view all the flashcards
ELISA (Enzyme-linked Immunosorbent Assay)
ELISA (Enzyme-linked Immunosorbent Assay)
Signup and view all the flashcards
Western Blot
Western Blot
Signup and view all the flashcards
Genes Conferring Resistance to Antimicrobial Agents
Genes Conferring Resistance to Antimicrobial Agents
Signup and view all the flashcards
What is Bordetella pertussis?
What is Bordetella pertussis?
Signup and view all the flashcards
Where does Bordetella pertussis infect?
Where does Bordetella pertussis infect?
Signup and view all the flashcards
How is Bordetella pertussis detected?
How is Bordetella pertussis detected?
Signup and view all the flashcards
What is the specimen of choice for detecting Bordetella pertussis?
What is the specimen of choice for detecting Bordetella pertussis?
Signup and view all the flashcards
What is Streptococcus pneumoniae?
What is Streptococcus pneumoniae?
Signup and view all the flashcards
How is Streptococcus pneumoniae detected?
How is Streptococcus pneumoniae detected?
Signup and view all the flashcards
What is the specimen of choice for detecting Streptococcus pneumoniae?
What is the specimen of choice for detecting Streptococcus pneumoniae?
Signup and view all the flashcards
What must be differentiated when detecting Streptococcus pneumoniae using PCR?
What must be differentiated when detecting Streptococcus pneumoniae using PCR?
Signup and view all the flashcards
Antimicrobial Resistance
Antimicrobial Resistance
Signup and view all the flashcards
Multiplex PCR
Multiplex PCR
Signup and view all the flashcards
Enzyme Inactivation
Enzyme Inactivation
Signup and view all the flashcards
β-Lactamase
β-Lactamase
Signup and view all the flashcards
Altered Target Binding
Altered Target Binding
Signup and view all the flashcards
Active Extrusion
Active Extrusion
Signup and view all the flashcards
Inaccessibility of the Drug
Inaccessibility of the Drug
Signup and view all the flashcards
Microbial Enzyme Inactivation
Microbial Enzyme Inactivation
Signup and view all the flashcards
Aneuploidy
Aneuploidy
Signup and view all the flashcards
Chromosomal Non-Disjunction
Chromosomal Non-Disjunction
Signup and view all the flashcards
Trisomy/Monosomy
Trisomy/Monosomy
Signup and view all the flashcards
Mosaicism
Mosaicism
Signup and view all the flashcards
Mutation & Selection
Mutation & Selection
Signup and view all the flashcards
Antibiotic Resistance
Antibiotic Resistance
Signup and view all the flashcards
Methicillin Resistance
Methicillin Resistance
Signup and view all the flashcards
Penicillin-binding Protein (PBP)
Penicillin-binding Protein (PBP)
Signup and view all the flashcards
Hemochromatosis
Hemochromatosis
Signup and view all the flashcards
MTHFR Deficiency
MTHFR Deficiency
Signup and view all the flashcards
Loss-of-Function Mutation
Loss-of-Function Mutation
Signup and view all the flashcards
Autosomal Recessive Condition
Autosomal Recessive Condition
Signup and view all the flashcards
Hemochromatosis (caused by HFE gene mutation)
Hemochromatosis (caused by HFE gene mutation)
Signup and view all the flashcards
Lysosomal Storage Diseases
Lysosomal Storage Diseases
Signup and view all the flashcards
Cystic Fibrosis
Cystic Fibrosis
Signup and view all the flashcards
PCR-RFLP
PCR-RFLP
Signup and view all the flashcards
Study Notes
Molecular Detection of Microorganisms
- Molecular methods are used to detect and identify organisms that are difficult to isolate, hazardous to handle, or require high throughput.
- Nucleic acid-based hybridization and amplification procedures are used to detect microorganisms.
- Examples include PCR, TMA, and LAMP.
- Real-time PCR (qPCR) is frequently used for infectious agents due to its sensitivity, safety, closed-tube format, and quantitative information.
- Sequencing is used to identify new organism variants.
- Immunoassays are used for rapid testing of microorganisms
- Hybridization techniques such as Southern and Northern blots detect protein and nucleic acid particles, respectively.
- Mass spectrometry determines amino acid sequences of proteins from microorganisms or cells within a disease.
Selection of Sequence Targets
- Sequence targets for microorganisms are available from the NCBI or published literature.
- Primer or probe specificity depends on target genome location.
- Sequences are often shared between microorganisms, especially in closely related species.
- Choosing specific sequences allows for the detection of particular strains/variants instead of general microbial identification.
- Targeting conserved genes in microorganisms, such as HIV, is useful for identifying sequences for nucleic acid tests.
Detection of Bacteria
- Bacteria causing respiratory tract infections, such as Bordetella, Legionella, Mycobacteria, Chlamydia, and Streptococcus species, are frequently tested for.
- Non-molecular methods are often less sensitive.
- Molecular-based assays allow direct detection and identification in respiratory specimens.
- Individual diagnostic tests are available for various bacterial pathogens, such as Bordetella pertussis.
- Legionella pneumophila and Mycobacterium tuberculosis detection utilize specific PCR assays targeting unique regions of their genomes.
- Mycoplasma pneumoniae, Chlamydophila pneumoniae, and Streptococcus pneumoniae testing often uses PCR, sequencing or MALDI technologies.
Detection of Viruses
- Using molecular methods helps diagnose or monitor viral infections.
- Target amplification assays such as PCR, RT-PCR, qPCR, and TMA, as well as signal amplification assays like bDNA amplification and hybrid capture are used for viral infections.
- Viruses that exhibit rapid mutation are better diagnosed/monitored with nucleic acid amplification assays.
- Nucleic Acid Amplification assays are essential for clinical virology labs.
- Identifying specific sequences for viruses using RT-PCR facilitates detection/characterization.
Human Immunodeficiency Virus (HIV)
- HIV infection is diagnosed using antibodies, western blots, and nucleic acid amplification assays (PCR, NASBA, bDNA).
- Viral load is measured to evaluate treatment effectiveness and guide therapeutic management.
Herpes Viruses
- Herpes simplex virus (HSV), cytomegalovirus (CMV), Epstein-Barr virus (EBV), and varicella-zoster virus (VZV) are targeted for diagnosis using PCR tests.
- Viral culture, antigen tests, and antibody tests are used in some cases, especially if reactivation is suspected.
Hepatitis C Virus (HCV)
- Diagnosis and monitoring of HCV involves antibody testing followed by nucleic acid amplification assays like RT-PCR, TMA, and bDNA.
- HCV genotyping is carried out using PCR-RFLP, reverse hybridization, DNA sequencing, or PCR-MCA.
Human Papilloma Virus (HPV)
- HPV is diagnosed using hybridization and amplification methods.
- Certain HPV types are associated with cancer, and vaccination plays an important role in prevention.
Respiratory Syncytial Virus (RSV)
- Molecular assays for RSV A and B, influenza A and B, and parainfluenza viruses are used for the detection and characterization of respiratory tract infections.
BK and JC Viruses
- BK and JC viruses, which are human polyomaviruses, are detected with PCR tests.
Mycology
- Molecular-based methods allow for more sensitive and specific detection and identification of fungi.
- Broad-range PCR and subsequent analysis are used for clinical analysis.
Parasites
- Molecular tests targeting specific parasites like Trypanosomes, Plasmodia, Toxoplasma, Entamoebae, and Cryptosporidium are useful for diagnosis.
- These tests allow for quick and sensitive identification from various specimen sources.
Resistance to Antimicrobial Agents
- Microorganisms develop resistance through enzyme production, target alterations, or changes in drug transport.
- Examples include beta-lactamases and altered penicillin-binding proteins.
Inherited Diseases: Chromosome Abnormalities
- Karyotyping, flow cytometry, and FISH (fluorescence in situ hybridization) are used.
- Structural mutations, like deletions, duplications, inversions, and translocations that are >4 million base pairs (bp) in size are identifiable through karyotyping.
Inherited Diseases: Single-Gene Disorders
- Penetrance and expressivity variability are characteristic of these disorders.
- Genes for structural, receptor, regulatory, and enzymatic proteins are affected.
Inherited Disease: Mitochondrial Disorders
- Mutations in mitochondrial DNA are maternally inherited.
- Techniques like Southern blot and PCR-RFLP are employed.
- Disorders include subacute necrotizing encephalomyelopathy, Leigh syndrome, etc.
Inherited Diseases: Nucleotide Repeat Expansion Disorders
- Nucleotide repeats, including triplet repeats, can cause genetic diseases.
- Fragile X syndrome and Huntington's disease are examples.
- PCR is used to detect repeat expansions in affected individuals and carriers.
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.