An ultra-sensitive suboptimal protospacer adjacent motif enhanced rolling circle amplification assay based on

Zhiquan Lu1, Shijing Wang2,3, Ping Li2

  • 1Precision Medicine and Healthcare Research Center, Tsinghua-Berkeley Shenzhen Institute (TBSI), Tsinghua Shenzhen International Graduate School, University Town of Shenzhen, Shenzhen, China.

Abstract

Insights

This study presents a novel CRISPR/Cas12a assay for sensitive Diabetic Retinopathy (DR) diagnosis. The enhanced assay achieves ultra-high sensitivity and specificity for microRNA detection in clinical samples.

Area of Science:

  • Biochemistry
  • Molecular Biology
  • Biotechnology

Background:

  • MicroRNAs (miRNAs) are upregulated in Diabetic Retinopathy (DR), making them potential diagnostic biomarkers.
  • Current miRNA assays lack the sensitivity and speed required for rapid clinical diagnosis of DR.

Purpose of the Study:

  • To develop a highly sensitive and specific assay for Diabetic Retinopathy (DR) diagnosis.
  • To improve upon existing CRISPR/Cas12a assays for miRNA detection.

Main Methods:

  • An enhanced CRISPR/Cas12a assay was developed using suboptimal Protospacer Adjacent Motif (sPAM)-mediated Cas12a trans-cleavage.
  • Rolling Circle Amplification (RCA) was integrated with the CRISPR/Cas12a system.
  • Reaction parameters were optimized for enhanced sensitivity and specificity.

Main Results:

  • The sPAM-enhanced CRISPR/Cas12a assay demonstrated superior sensitivity compared to canonical PAM (cPAM) for single-stranded DNA (ssDNA) detection at low concentrations.
  • The assay achieved an ultra-high sensitivity for miR-183 detection, with a limit of detection of 0.40 attomolar (aM) within 25 minutes.
  • Exceptional specificity was observed in detecting miR-183 from other miRNAs, and the assay's applicability was validated in clinical serum samples.

Conclusions:

  • The modified CRISPR/Cas12a assay offers a groundbreaking solution for sensitive and rapid DR diagnosis.
  • This enhanced assay addresses current diagnostic challenges and opens new avenues for clinical applications in DR.
  • The study highlights the potential of sPAM-mediated Cas12a trans-cleavage combined with RCA for sensitive biomarker detection.

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