DNA thermo-protection facilitates whole genome sequencing of Mycobacteria direct from clinical samples

<p><em>Mycobacterium tuberculosis</em>&nbsp;(MTB) is the leading cause of death from bacterial infection. Improved rapid diagnosis and antimicrobial resistance determination, such as by whole genome sequencing, are required. Our aim was to develop a simple, low-cost method of p...

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Main Authors: George, S, Xu, Y, Rodger, G, Morgan, M, Sanderson, N, Hoosdally, SJ, Thulborn, S, Robinson, E, Rathod, P, Walker, AS, Peto, TEA, Crook, DW, Dingle, K
Format: Journal article
Language:English
Published: American Society for Microbiology 2020
_version_ 1797051230608949248
author George, S
Xu, Y
Rodger, G
Morgan, M
Sanderson, N
Hoosdally, SJ
Thulborn, S
Robinson, E
Rathod, P
Walker, AS
Peto, TEA
Crook, DW
Dingle, K
author_facet George, S
Xu, Y
Rodger, G
Morgan, M
Sanderson, N
Hoosdally, SJ
Thulborn, S
Robinson, E
Rathod, P
Walker, AS
Peto, TEA
Crook, DW
Dingle, K
author_sort George, S
collection OXFORD
description <p><em>Mycobacterium tuberculosis</em>&nbsp;(MTB) is the leading cause of death from bacterial infection. Improved rapid diagnosis and antimicrobial resistance determination, such as by whole genome sequencing, are required. Our aim was to develop a simple, low-cost method of preparing DNA for sequencing direct from MTB positive clinical samples (without culture). Simultaneous sputum liquefaction, bacteria heat-inactivation (99&deg;C/30min) and enrichment for Mycobacteria DNA was achieved using an equal volume of thermo-protection buffer (4M KCl, 0.05M HEPES buffer pH7.5, 0.1% DTT). The buffer emulated intracellular conditions found in hyperthermophiles, thus protecting DNA from rapid thermo-degradation, which renders it a poor template for sequencing. Initial validation experiments employed Mycobacteria DNA, either extracted or intracellular. Next, mock clinical samples (infection-negative human sputum spiked 0-10<sup>5</sup>&nbsp;BCG cells/ml) underwent liquefaction in thermo-protection buffer and heat-inactivation. DNA was extracted and sequenced. Human DNA degraded faster than Mycobacteria DNA, resulting in target enrichment. Four replicate experiments achieved MTB detection at 10<sup>1</sup>&nbsp;BCG cells/ml, with 31-59 MTB complex reads. Maximal genome coverage (&gt;97% at 5x-depth) occurred at 10<sup>4</sup>&nbsp;BCG cells/ml; &gt;91% coverage (1x depth) at 10<sup>3</sup>&nbsp;BCG cells/ml. Final validation employed MTB positive clinical samples (n=20), revealing initial sample volumes &ge;1ml typically yielded higher mean depth of MTB genome coverage, the overall range 0.55-81.02. A mean depth of 3 gave &gt;96% one-fold TB genome coverage (in 15/20 clinical samples). A mean depth of 15 achieved &gt;99% five-fold genome coverage (in 9/20 clinical samples). In summary, direct-from-sample sequencing of MTB genomes was facilitated by a low cost thermo-protection buffer.</p>
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spelling oxford-uuid:04f2ff2f-f90b-48a9-90cc-aef9827638102022-03-26T08:54:33ZDNA thermo-protection facilitates whole genome sequencing of Mycobacteria direct from clinical samplesJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:04f2ff2f-f90b-48a9-90cc-aef982763810EnglishSymplectic ElementsAmerican Society for Microbiology2020George, SXu, YRodger, GMorgan, MSanderson, NHoosdally, SJThulborn, SRobinson, ERathod, PWalker, ASPeto, TEACrook, DWDingle, K<p><em>Mycobacterium tuberculosis</em>&nbsp;(MTB) is the leading cause of death from bacterial infection. Improved rapid diagnosis and antimicrobial resistance determination, such as by whole genome sequencing, are required. Our aim was to develop a simple, low-cost method of preparing DNA for sequencing direct from MTB positive clinical samples (without culture). Simultaneous sputum liquefaction, bacteria heat-inactivation (99&deg;C/30min) and enrichment for Mycobacteria DNA was achieved using an equal volume of thermo-protection buffer (4M KCl, 0.05M HEPES buffer pH7.5, 0.1% DTT). The buffer emulated intracellular conditions found in hyperthermophiles, thus protecting DNA from rapid thermo-degradation, which renders it a poor template for sequencing. Initial validation experiments employed Mycobacteria DNA, either extracted or intracellular. Next, mock clinical samples (infection-negative human sputum spiked 0-10<sup>5</sup>&nbsp;BCG cells/ml) underwent liquefaction in thermo-protection buffer and heat-inactivation. DNA was extracted and sequenced. Human DNA degraded faster than Mycobacteria DNA, resulting in target enrichment. Four replicate experiments achieved MTB detection at 10<sup>1</sup>&nbsp;BCG cells/ml, with 31-59 MTB complex reads. Maximal genome coverage (&gt;97% at 5x-depth) occurred at 10<sup>4</sup>&nbsp;BCG cells/ml; &gt;91% coverage (1x depth) at 10<sup>3</sup>&nbsp;BCG cells/ml. Final validation employed MTB positive clinical samples (n=20), revealing initial sample volumes &ge;1ml typically yielded higher mean depth of MTB genome coverage, the overall range 0.55-81.02. A mean depth of 3 gave &gt;96% one-fold TB genome coverage (in 15/20 clinical samples). A mean depth of 15 achieved &gt;99% five-fold genome coverage (in 9/20 clinical samples). In summary, direct-from-sample sequencing of MTB genomes was facilitated by a low cost thermo-protection buffer.</p>
spellingShingle George, S
Xu, Y
Rodger, G
Morgan, M
Sanderson, N
Hoosdally, SJ
Thulborn, S
Robinson, E
Rathod, P
Walker, AS
Peto, TEA
Crook, DW
Dingle, K
DNA thermo-protection facilitates whole genome sequencing of Mycobacteria direct from clinical samples
title DNA thermo-protection facilitates whole genome sequencing of Mycobacteria direct from clinical samples
title_full DNA thermo-protection facilitates whole genome sequencing of Mycobacteria direct from clinical samples
title_fullStr DNA thermo-protection facilitates whole genome sequencing of Mycobacteria direct from clinical samples
title_full_unstemmed DNA thermo-protection facilitates whole genome sequencing of Mycobacteria direct from clinical samples
title_short DNA thermo-protection facilitates whole genome sequencing of Mycobacteria direct from clinical samples
title_sort dna thermo protection facilitates whole genome sequencing of mycobacteria direct from clinical samples
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