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CRISPR-Cas12 Application for the Detection of Pneumocystis jirovecii in Immunodepression Patients Through Fluorescent
Daniel Ulloa1, Constanza Núñez2, Romina Matamala2
1Doctoral Program in Sciences, Mention in Applied Cellular and Molecular Biology, Universidad de La Frontera, Francisco Salazar Ave. 01145, Temuco 4811230, Chile.
Abstract:
Pneumonia caused by Pneumocystis jirovecii poses a serious threat, particularly to immunocompromised patients such as those with HIV/AIDS, transplant recipients, or individuals undergoing chemotherapy. Its diagnosis is challenging because current methods, such as microscopy and certain molecular tests, have limitations in sensitivity and specificity, and require specialized equipment, which delays treatment initiation. In this context, CRISPR-Cas12-based methods offer a promising alternative: they are rapid, highly specific, sensitive, and low-cost, enabling more timely and accessible detection, even in resource-limited settings. We developed a simple and rapid detection platform based on the CRISPR-Cas12 coupled with lateral flow strips. A guide RNA was designed against DHPS, β-tubulin, and mtLSU rRNA genes. The guide corresponding to β-tubulin showed high sensitivity in the detection of P. jirovecii to produce a detectable fluorescence signal within the first 20-30 min. In addition, it demonstrated high specificity for P. jirovecii when DNA from other microorganisms was used. When coupled with lateral flow strips, high sensitivity and specificity were also observed for detecting positive samples, without the need for genetic amplification. CRISPR-Cas12 successfully detected P. jirovecii infection in an initial diagnostic application, demonstrating the potential of this method for integration into public health diagnostic systems, particularly in field, due to its adaptability, speed, and ease of use.
Insights
A new CRISPR-Cas12 test rapidly and accurately detects Pneumocystis jirovecii pneumonia (PJP) in immunocompromised patients. This low-cost diagnostic tool offers a promising solution for timely PJP detection, even in resource-limited settings.
Area of Science:
- Molecular Biology
- Infectious Diseases
- Diagnostics
Background:
- Pneumocystis jirovecii pneumonia (PJP) is a severe threat to immunocompromised individuals.
- Current PJP diagnostic methods lack sensitivity, specificity, and accessibility, delaying crucial treatment.
- There is a need for rapid, sensitive, and cost-effective PJP detection methods.
Purpose of the Study:
- To develop and evaluate a CRISPR-Cas12-based platform for rapid and sensitive PJP detection.
- To assess the specificity of the CRISPR-Cas12 method against other microorganisms.
- To demonstrate the potential of this platform for public health diagnostic systems.
Main Methods:
- A CRISPR-Cas12 detection platform was developed using guide RNAs targeting P. jirovecii genes (DHPS, β-tubulin, mtLSU rRNA).
- The system was tested for sensitivity and specificity using fluorescence and lateral flow strips, without prior genetic amplification.
- The platform's performance was evaluated in an initial diagnostic application.
Main Results:
- The CRISPR-Cas12 system, particularly targeting the β-tubulin gene, achieved high sensitivity and specificity for P. jirovecii detection within 20-30 minutes.
- The method showed no cross-reactivity with DNA from other microorganisms.
- Detection using lateral flow strips also demonstrated high sensitivity and specificity without amplification.
Conclusions:
- The developed CRISPR-Cas12 platform provides a rapid, sensitive, and specific method for P. jirovecii detection.
- This technology is suitable for resource-limited settings and field applications due to its speed, adaptability, and ease of use.
- CRISPR-Cas12 holds significant potential for integration into public health diagnostic systems for PJP management.
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