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Second antibody
for the Ag,
labelled with
enzyme
Molecular Diagnostics
► Hybridisation of a characterised nucleic acid probe
(primer, oligonucleotides) to a specific nucleic acid
sequence in a test specimen followed by detection
of the paired hybrid.
► The nucleic acid probe typically is labeled with
enzymes, antigenic substrates, chemiluminescent
molecules or radioisotopes to facilitate detection of
the hybridisation product.
Molecular Diagnosis
► A. Identifying bacteria using 16S rRNA
► The 16S rRNA has conserved portions of the sequence.
► Labeled probe specific for the 16S rRNA of a species are
added and then measured. This allows the identification of
Mycobacterium sp., Coccidioides immitis, Histoplasma
capsulatum.
► Portions of the 16S rRNA are conserved across many
species and its amplification using primers allows isolation
and sequencing of the variable regions of the molecules.
These genus- or species-specific allows the identification of
pathogens that are impossible or difficult to culture. Eg.
Tropheryma whipplei the cause of Whipple’s disease.
Molecular Diagnosis
► B. Target amplification systems
► The polymerase chain reaction (PCR) is used to amplify
extremely small amounts of specific DNA.
► This technique uses DNA polymerases through alternate
changes in temperature to initiate replication in either the
3’ or 5’ direction. The specificity is provided by primers that
recognise a pair of unique sites on the chromosome so that
the DNA between them can be replicated.
► PCR can also be performed on RNA targets, which is called
reverse transcriptase PCR. The rev transcriptase is use to
transcribe RNA into complimentary DNA for amplification.
► PCR assays available commercially for Chlamydia
trachomatis, Neisseria gonorrhoeae, Mycobacterium
tuberculosis, cytomegalovirus and enteroviruses.