RAPID
DIAGNOSTIC TECHNIQUES
These include:
1.
Electron microscopy
2.
Viral nucleic acid detection
3.
Serology/detection of viral antigen and antibody
1. Electron microscopy
This is used to
demonstrate the presence of virus in clinical specimens and to study the
morphology or
symmetry of the virus. With electron microscopy, it is possible to
recognized mixed
viral infection. It is also used for detection of non-viable viruses and
those that cannot be
grown in vitro. However, equipment required for the procedure is
rather expensive.
Besides, large number of viral particles in excess of 106/ml
must be
present in the sample
before they can be detected. It is difficult to differentiate viruses
with similar
morphology especially those from the same family with electron
microscopy.
Method:
Homogenize sample.
Centrifuge at low speed to remove large particulate
debris.
Ultracentrifugation to sediment available virus particles.
Negative staining with heavy metal compound such as
phosphotungstic acid or uranyl
acetate.
(negative staining stains the background to increase contrast so that bright
virion
stand out against a dark background).
Addition of immune serum (immunoelectron microscopy) to
increase sensitivity by
clumping/agglutinating
virus particles and enhance recovery following centrifugation).
Observe at X13,000-100,000 magnification.
2. Detection of viral nucleic acid:
Oligonucleotide
probes are used for the detection of viral DNA or RNA. Insufficient viral
nucleic acid in
sample is increased by amplification using polymerase chain reaction.
Probes anneal to the
targeted viral nucleic acid sequence which can be the whole genome,
specific gene or
nucleic acid segment. Variable or conserved sequence can be targeted.
Double stranded
genomes are first separated by heating. Oligonucleotide probes are
labeled with
radioactive isotopes such as 32P or 35S to
allow viewing. Non-radioactive
labels such as
alkaline phosphatase fluorescein and horse radish peroxidase can be used
for direct viewing
whilebiotin and digoxigenin are used for indirect viewing.
I. Dot-blot hybridization
Nucleic acid, usually DNA is extracted from sample
Extracted nucleic acid is spotted directly onto charged
nylon or nitrocellulose membrane
Nucleic acid binds firmly onto membrane after baking
Fluorescent dye- or radioisotope- labeled probe is added
The membrane is washed to remove unbound materials
Binding of probe to targeted nucleic acid is detected by
autoradiography or by colour
precipitation
II. In-situ hybridization
Viral nucleic as is
detected in frozen section of infected cells with the aid of labeled
oligonucleotide
probes. Intracellular location of viral nucleic acid is revealed by
autoradiography or
immunoperoxidase cytochemistry
III. Southern blot hybridization
Restriction
enzymes are used to cleave DNA into short oligonucleotides
Oligonucleotides
are separated by agarose electrophoresis or acrylamide gel
electrophoresis
Separated
oligonucleotides are transferred by blotting onto nitrocellulose
membrane
or nylon
Probes
are added and reaction detected by autoradiography or by colour
development
IV. Northern blot hybridization
RNA hybridization
similar to southern blot
V.
Western blot
Application to
protein identification
VI. Polymerase chain reaction
Extraction
of DNA or RNA nucleic acid from sample
Amplification
of the extracted nucleic acid in a series of repeated cycles of denaturation,
primer
annealing and polymerization using heat-resistant Taq (Thermus aquaticus)
polymerase.
Specific primers recognize and bind to the targeted gene to initiate the
amplification
reaction.
Amplified
sequences are stained with ethidium bromide and separated by
electrophoresis
The
separated sequence is viewed under ultraviolet transillumination.
This
procedure is very specific and highly sensitive
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