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Results and Discussion


Senior High School
University of Santo Tomas

In Partial Fulfillment
Of the Requirements for
Practical Research 2

by

JUAN CARLOS DE BOURBON


JUAN CARLOS DE LA BOURBON
JUAN DE LA CRUZ
JUAN DELA PAZ
JUAN MIGUEL CRUZ
JUANITA JUANITO
CARLITO CARLOS

MARCH 22, 2019

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ABSTRACT

Early monitoring strategies for diseases is an integral part in shrimp farm


management, particularly for pathogens like the White Spot Syndrome Virus.
However current molecular diagnostic tools such as the conventional one-step PCR
is too expensive and laborious for shrimp farmers to perform. To address the
problem, a loop-mediated isothermal amplification (LAMP)–based kit specific for
WSSV was developed. The kit contains specially designed DNA extraction
procedures and primers suitable for LAMP detection of WSSV. A locally fabricated
heat block with fitted black light was also designed to satisfy LAMP reaction
conditions. The protocol and components of the kit makes it simple, affordable and
time efficient, capable of DNA extraction and amplification without a high level of
expertise. The kit’s DNA extraction procedure is almost two (2) times cheaper than
the existing commercial extraction kit. Comparison of the kit with the conventional
one-step PCR showed that the LAMP-based kit was faster and at the same time
more sensitive than its counterpart having a detection limit of 1.363pg of DNA
whereas PCR having only 13.63pg of DNA. Using the kit, WSSV screening was
performed on samples coming from eight (8) different sites across the Philippines.
The DNA samples were extracted from the shrimp samples and tested for WSSV
using the kit then compared to conventional one-step PCR. The results showed that
the developed kit detected 66.47% of the total collected samples with WSSV while
only 29.41% was detected by PCR demonstrating the sensitivity of kit. Initial field
test results have also shown that the heat block’s fitted black light allowed for
convenient visualization of LAMP products on-site. The future commercialization of
the kit would greatly help in improving farm management practices and reduce the
country’s dependence on expensive and imported diagnostic kits.

Keywords: Shrimp farm management, DNA extraction, WSSV, LAMP

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CHAPTER 4

RESULTS AND DISCUSSION

4.1 Results

4.1.1 Evaluation of DNA extraction method effectivity and requirements

To properly compare the applicability of the developed DNA

extraction method of the diagnostic kit with the commercially existing kit ZR

Tissue & Insect DNA MicroPrep™ (Zymo Research, USA), there were a

number of metrices analyzed. Generated DNA from both protocols had

varying yield and purity but with comparable applicability to PCR and LAMP.

Both protocols also had different equipment and time completion

requirements. For the developed DNA extraction protocol, cost per reaction

was determined by estimating theoretical labor costs and actual supplies and

materials cost (See Appendix II). Summarized in Table 3 is the direct

comparison of the metrics of both protocols.

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Table 4. Comparison of DNA extraction methods

(See Appendix III for costing breakdown)

4.1.2 Analytical specificity

The generated DNA from both the developed DNA extraction

protocol and the commercial kit were subjected to analytical specificity in

PCR and LAMP and tested against non-target Taura Syndrome Virus positive

cDNA template. Results from the test proved the PCR and the LAMP

primers’ specificity to WSSV. No amplification was seen in the non-target

Taura Syndrome Virus positive cDNA template (Unpublished data, 2013)

(Figure 3). It likewise provided evidence that the generated DNA from the

developed protocol can be subjected to PCR and LAMP same with the

commercial kit.

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Figure 3. Analytical specificity. A.) Analytical Specificity of PCR primers viewed in 1% A.G.E. B.)
Analytical Specificity of LAMP primers viewed under 2% A.G.E. C.) Analytical Specificity of LAMP
primers viewed using sybr safe stain. (1) DNA from developed DNA extraction protocol, (2) DNA
from commercial kit, (3) Taura Syndrome Virus template and (N) No template control.

4.1.3 Analytical sensitivity and detection limit

Having been shown that the DNA from the developed protocol

applicable for amplification reactions, it was tested for analytical sensitivity.

The starting DNA product from the developed DNA extraction protocol with

1.363ug/ul concentration was serially diluted ten (10) times and used as

template for the test of analytical sensitivity. For the computation of the

detection limit, the undiluted starting DNA template (10 0 or 1.363ug/ul) was

divided by the dilution factor from the lane where the product can be

visually seen (Highlighted in red boxes – Fig.4A,B,C). For the developed kit,
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results showed that LAMP having a detection limit of 1.363pg/ul or 10 -6

dilution (0.0001363ng/ul) of viral DNA was ten (10) times more sensitive

than conventional PCR with only 13.63pg/ul or 10 -5 dilution (0.001363ng/ul)

of viral DNA detection limit (Fig. 4A and 4B). Additionally, LAMP products

were visualized via sybr safe staining until 10-6 dilution of viral DNA (Fig.4C).

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Figure 4. Analytical Sensitivity from DNA isolated using developed kit. (A) PCR, (B)
LAMP, (C) LAMP visualized using SYBR-safe stain, (A2) Image J Fluorescence PCR,
(B2) Image J Fluorescence LAMP, (C2) Image J Fluorescence LAMP visualized using
SYBR-safe stain.

Using Image J analysis, fluorescence signal values from PCR gel

bands, LAMP gel product and LAMP products visualized via SYBR safe stain

dye were obtained and plotted against their respective DNA concentrations

(Fig. 4A2, 4B2 and 4C2).


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Regression analysis (MS Excel 2013 Data Analysis Toolpak) at 95%

confidence interval (Appendix VI) has shown that there is a linear

relationship between the DNA concentration (ng/ul) and the Fluorescence

signals obtained from the PCR bands. Likewise, fluorescence signals from

LAMP gel product and LAMP products visualized via SYBR safe stain dye

produced similar trends in relation to DNA concentration (ng/ul) (Appendix

VI).

4.1.4 Comparative WSSV Screening using LAMP and conventional PCR

Having established that the DNA from the developed DNA

extraction protocol is applicable for PCR and LAMP with sufficient specificity

to WSSV, it was utilized in the screening of selected shrimp farms in the

Philippines. As shown in Figure 5, Utilizing PCR, WSSV infection was

detected from Bulacan (80.00%), Bataan (64.00%), Cebu (25.00%), Roxas

(20.00%), Davao (20.00%) and Zamboanga (45.00%) while shrimp samples

from Iloilo and General Santos city all tested negative. For LAMP, infection

was detected in all selected sites; Bulacan (93.00%), Bataan (84.00%), Cebu

(62.50%), Iloilo (64.00%), Roxas (72.00%), Davao (50.00%), General Santos

(73.00%) and Zamboanga (45.00%). In summary, from the total one hundred

seventy (170) samples, LAMP was able to detect a total of 66.47% of the

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samples positive for WSSV, while conventional PCR was only able to detect

29.41%.

Figure 5. Prevalence of WSSV infection in eight (8) selected Philippine sampling sites detected
using laboratory PCR and LAMP screening. Total number of samples: 170.

McNemar's Test of paired matched data (MS Excel 2013 - PHStat2

Add-in) at 95% Confidence interval reveals that the proportion of samples

diagnosed positive for WSSV is significantly different for PCR and LAMP

(Appendix VII).

In a selected area in Orani, Bataan, DNA was isolated on-field using

the developed DNA extraction procedure. Generated DNA templates were

then amplified via LAMP using the locally fabricated heatblock (UST

Electrical Engineering Department). LAMP products were viewed using a

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visualization dye and a fitted portable black light provided with the

heatblock. LAMP was able to diagnose 90% of the samples positive for

WSSV on site (Figure 6). This demonstrates the field applicability of the

diagnostic kit in WSSV screening.

Figure 6. On- field LAMP screening of WSSV viewed using a visual dye and a black light. (P) WSSV
positive control. (N) negative control. Sample 1 – negative for WSSV, Samples 2-10 Positive for
WSSV.

4.2 Discussion

Prior to downstream amplification reactions in diagnostics, it is a prerequisite

of any diagnostic kit to provide DNA with sufficient purity and yield (Abd El-Aal et al.

2010). Leninger’s principles in biochemistry (Leninger et al., 1975) indicate that the

generally accepted absorbance ratio (A260/280) for DNA with ample purity is ≥ 1.8

with a maximum of 2.0. The developed protocol produced a higher concentration of

DNA and optimal purity in comparison with the DNA template produced by the

commercial kit (Table 3). The acquired DNA from the developed protocol had an

absorbance reading of 1.846 (A260/280) indicating that it was indeed sufficiently

pure (Table 3).

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Aside from isolation of DNA with excellent yield and purity, one of the most

important goals of DNA extraction according to Boesenberg-Smith et al. (2012) was

the isolation of ample DNA amount suitable for downstream applications such as

nucleic acid amplifications. The developed DNA extraction kit and procedure

provided sufficient quality DNA suitable for PCR and LAMP (Figure 3A and 3B

respectively) at a much faster completion time than the commercially existing kit

(Figure 1). It likewise proved to be simple in terms of equipment requirement and

complexity (Table 3) requiring only a table top centrifuge (≤ 6000rpm) which is

usually readily on stock in reputable suppliers within the Philippines. The commercial

kit on the other hand, required a high speed centrifuge with more than 10,000rpm

as well as an automatic cell lysis machine in the form of Disruptor Genie TM (Zymo

Research, USA) or a standard bench top vortex; these types of machines usually

require time to purchase due to their high complexity with exception of the bench

top vortex (Table 3).

Focusing on practicality and applicability, the developed DNA extraction

protocol proved to be relatively affordable having a cost per reaction almost two (2)

times cheaper than the commercially existing kit (Table 3). In the study of Cuveliers

et al. (2009), he indicated that a commercial kit's cost per reaction is similarly as

important as its produced DNA purity and yield since it is also a limiting factor in the

user’s preference. Raw materials and supplies utilized in the formulation of the

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extraction protocol's stock reagents and buffers were readily available in

manufacturers and distributors within the country. The reagent and packaging

preparation of the kit theoretically requires only less than 3 hours as well as minimal

technical skill adding convenience to its reproducibility as reference to prospective

future manufacturers (See Appendix II).

Both the developed DNA extraction protocol together with the commercially

existing kit were based on the concept of solid-phase extraction involving mainly key

four steps such as cell lysis, nucleic acid binding, washing and elution of DNA (Kojima

and Ozawa, 2002). The work of Vandeventer et al. 2012 explained that solid-phase

extraction mainly takes advantage of the binding of DNA and silica surfaces in

different conformations; the use of chaotropic salts (e.g. Guanidium thiocyanate)

plus ethanol can effectively create DNA-accessible silica surface pK a values. These

surfaces display –OH groups where DNA bases can bind forming hydrophobic

bonding. Although the developed protocol was an adaptation from the method of

Boom et al. (1990), it was mainly chosen due to its minimal reagent requirement and

few limitations similar to other solid-phase extraction based protocols. Other

methods of DNA isolation relying mainly on the concepts of organic extraction or

chelex extraction present limitations such as toxic and amplification inhibiting

reagents, time-consuming protocols, and complex machinery requirement (Alonso,

2013) which limit it to laboratory use.

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Moreover, the DNA generated from the developed kit encompasses the

values of the commercial kit from a previous study which utilized the same set of

LAMP primers in WSSV detection (Nicolasora et al., 2014). The commercial kit used

by the mentioned study was the WizardTM Genomic DNA Purification kit (Promega,

USA) (Promega Corporation, 2014) which was able to produce detection limit values

of 8.2ng/ul for LAMP and 84.6 ng/ul for PCR, values that were relatively lower than

the values produced by the developed DNA extraction procedure with 1.363pg/ul

and 13.63pg/ul for LAMP and PCR respectively. Furthermore, the mentioned study

provided sufficient DNA to be able to diagnose asymptomatic shrimp WSSV carriers

in selected Philippine sites (Nicolasora et al., 2014) suggesting that the developed

procedure’s higher detection limits would make it sufficiently capable of producing

reliable results.

In addition, it is important to highlight that the results obtained from the

developed diagnostic kit (Figure 4A and 4B) not only agree with the studies

performed within the country (Caipang et al., 2012 and Nicolasora et al., 2014) but

also with the studies from other countries (Kono et al., 2004, Sun et al., 2006,

Nimitphak et al., 2008) which all confirm that LAMP is ten (10) times more sensitive

than conventional PCR.

Even more, the Image J generated fluorescence signals from the analytical

sensitivity tests summarized in Figures 4A2 have shown that in PCR analytical

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sensitivity, the decreasing concentration of serially diluted DNA corresponded to

decreasing fluorescence signals. However, for LAMP analytical sensitivity in A.G.E.

(Figure 4B.2) and LAMP visualized using SYBR safe stain (Figure 4C.2), a different

trend was observed. LAMP viewed in A.G.E. had an increasing signal from the

undiluted template (100 or 1363ng/ul DNA) to the first dilution (10 -1 or 13.63ng/ul

DNA) then had peak fluorescence signal at the second dilution (10 -2 or 1.363ng/ul

DNA) and decreased in the succeeding dilutions before reaching its detection limit

(10-6 or 0.0001363ng/ul). A similar trend can be observed for the LAMP products

viewed using SYBR safe stain (Figure 4C.2). The LAMP reaction has been known to

produce large amounts of amplified DNA LAMP products as auto-cycling proceeds

(Notomi et al., 2000). A previous study (Altshuler L. 2006) has shown that the

confinement of too much DNA in the reaction vessel may lead poor DNA synthesis

due to hindered diffusion of large polymerase molecules. Additionally, the ratio of

lesser of target DNA to non-target molecules within the reaction can likewise lead to

inefficient amplification. Unlike PCR which produces same copies of the same gene

region of interest (Alshuler L., 2006), LAMP initially uses the region of interest from

the starting DNA material and produces unique products with varying long DNA

fragments with looping structures (Notomi et al. 2000). The dilution of DNA allowed

for a smaller starting DNA material and a decreased amount of generated LAMP

products in turn giving the BST large fragment DNA polymerase more space for

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diffusion. LAMP from A.G.E. visualization have shown that optimal DNA

concentration at the second dilution harboring the highest fluorescence score. On

the other hand, LAMP from SYBR safe stain visualization, optimal DNA concentration

was at the latter third and fourth dilution.

It was also necessary to assess the kit’s performance in shrimp farm screening

to further evaluate its readiness for field setting. The developed kit was again

compared to conventional PCR this time in WSSV screening of farms. WSSV

diagnostic procedures using the PCR technology have been widely practiced in

screening of Philippine farms (Caipang & Aquana, 2010; Maralit et al., 2011;

Magbanua et al., 2000) making it an ideal standard for comparison.

From Figure 5, it can be observed that for all selected sites: Bulacan, Bataan,

Cebu, Roxas, Davao, and Zamboanga, LAMP significantly diagnosed more positive

samples than PCR. Even more, areas that were diagnosed as WSSV negative by

conventional PCR, Iloilo and General Santos city were tested positive in LAMP. In

summary, LAMP was able to diagnose 66.47% of the total collected samples in

comparison to PCR which only diagnosed 29.41% of the samples. This only shows

that the higher analytical sensitivity of LAMP over PCR translates to its sensitivity in

the screening of shrimp farms for WSSV. This notable higher sensitivity can be

explained by the pioneering work of Notomi et al. (2000). It was his work which

indicated that the LAMP technology uses four (4) distinct primers to target six (6)

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regions of the desired gene sequence purposely making it more sensitive than

conventional PCR which only uses two (2) primers that target only two (2) end

regions. Additionally, LAMP is able to produce high DNA copy within less than an

hour of amplification at an isothermal temperature in contrast with PCR with takes

two (2) to three (3) hours to complete relying on the three (3) cycling temperatures

(Notomi et al., 2000).

Furthermore, statistical analysis via McNemar’s test at 95% confidence

interval that there is a significant difference between the proportion of samples

diagnosed WSSV positive by PCR and LAMP. The statistical tool is commonly utilized

in the comparison of paired matched data comparing the control and the

experimental test. The test was utilized to effectively compare the standard protocol

PCR (control) and the developed LAMP kit (experimental test) (Lowry R., 2016)

(Appendix VI).

The specialized Bst DNA polymerase in LAMP makes it possible to facilitate

amplification via auto-cycling strand displacement DNA synthesis. Auto-cycling allows

the DNA amplification process to proceed at an isothermal temperature (Notomi et

al., 2000) for a short amount of time. This minimal requirement allows the

technology to be achievable with the use of a simple waterbath or a heatblock which

normally maintains one temperature at a time contrary to PCR which requires an

expensive thermalcycler to proceed (Chen et al., 2010).

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Collaborators from the UST Electrical Engineering department took advantage

of LAMP’s minimal requirements by locally fabricating a heat source for the

developed kit’s LAMP assay (See Appendix I). In an initial field test experiment in

Bataan, results have revealed that the developed kit utilizing the heat block was

capable of producing results on field with high specificity diagnosing 90% (9/10) of

the samples with no false-positives via dye visualization (Figure 6). This only

demonstrates the robustness of the developed kit and heat block as it can produce

results in laboratory (Figure 5) and field settings (Figure 6). It’s also important to note

that a portable black light was fitted with the heat block for convenient and safe

visualization of results (Figure 6). This provides an inexpensive alternative to A.G.E.

which often requires an electrophoresis apparatus as well as an UV-light enabled

viewer in results viewing in PCR (Altshuler, 2006) as well as in LAMP (Caipang et al.,

2012; Kono et al., 2004; Maralit et al., 2012 and Nicolasora et al., 2014).

Focusing on LAMP naked eye result visualization, other previous studies

involving WSSV detection of Philippine shrimp samples (Caipang et al., 2012, Maralit

et al., 2012, and Nicolasora et al. 2014) have either utilized white precipitate

formation or use of DNA-intercalating dyes viewed under UV illumination as an

alternative to agarose gel electrophoresis (A.G.E.). According to Mori et al. (2001),

the polymerization of DNA by Bst Polymerase enables the release of pyrophosphate

ions from deoxyribonucleotide triphosphates (dNTPS) as a by-product. These in turn

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bind to the magnesium ions from the reaction buffers to form a white precipitate

(Abdul-Ghani et al., 2012; Tanner and Evans, 2014; Mori and Notomi, 2009 and Mori

et al.,2001) that cause the solution to become turbid prior to centrifugation (Le Roux

et al., 2009). Although the method does not require any additional dye or reagent to

complete and can prevent cross-contamination with the elimination of reagent

transfer, the turbidity and white precipitate formation can remain stable only for a

short period of time (Almasi et al., 2013).

On the other hand, the method of fluorescent DNA-intercalating dye usage

shows increased sensitivity values when compared with turbidity measurements

(Soli et al., 2013). However, it often requires the usage of UV light illumination which

can be harmful with direct or indirect exposure (Katoch, 2011). Since the maximum

exposure limit of the human eye is 280nm, UV light’s mid-range (280-315 nm) or far

(200-280 nm) UV wavelength can already cause retinal damage to its user (Katoch,

2011). The study’s utilization of a black light instead of a UV light, makes it ideal for

safe application in routine farm diagnostics since black light’s 400nm wavelength

borders near UV and visible light making it basically safe for the human eye (United

Nuclear Scientific, 2016).

Finally, this is the first study to utilize a Philippine made heat block together

with the developed LAMP-based diagnostic kit for detection of WSSV. The developed

diagnostic kit’s low cost per sample DNA extraction together with its quick and

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simple procedure make it a potentially marketable product. The safe result

visualization in the initial field testing showcases the developed kit’s field

applicability in routine shrimp farm diagnostics. Once commercialized, the developed

kit’s low price would compete with existing commercial diagnostic kits lowering the

price of diagnostics in the Philippines. This would in turn aid the regulating and

monitoring agencies in promoting cheaper and more effective routine diagnostics for

the industry thereby preventing uncontrolled disease outbreaks.

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CHAPTER 5

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SUMMARY AND CONCLUSION

The developed DNA extraction protocol’s low equipment requirement,

minimal protocol complexity and time completion proved to be advantageous over

the commercially existing kit producing DNA that was usable for downstream

amplification reactions. Likewise, the protocol’s production cost and time provided a

cost per reaction value significantly lower than the commercial kit. In addition, the

developed diagnostic kit as a whole validates previous LAMP studies in achieving

analytical sensitivity values 10 times more than conventional PCR. Furthermore,

WSSV screening results showed that sensitivity values translated into screening

efficiency with LAMP detecting 66.47% and PCR detecting only 29.41% of the

samples. Additionally, preliminary field test result also suggested that the kit can be

successfully applied in field settings with the use of safe and sustainable black light

results visualization.

To conclude, the study was able to develop a LAMP-based diagnostic kit

from cheap and readily available reagents providing a DNA extraction protocol

suitable for PCR and LAMP. The developed kit’s performance was sufficiently

comparable with the commercially kit not only in shrimp farm screening but also in

terms of practicality, time-efficiency and convenience in usage. The developed kit

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was also proven to be more sensitive than conventional one-step PCR diagnosing

significantly more samples.

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BIBLIOGRAPHY

Arrange all literature actually cited in chapters 2, arrange them ALPHABETICALLY


(NOT NUMBERED) and strictly use APA style entries. Sample entries for books,
journals, book edition and internet source are shown below in that order;
(Single Spacing, Include proper indention and spacing per entry)

Baxter, C. (1997). Race Equality in Health Care and Education. Philadelphia:


Ballière Tindall.

Gaudio, J. L., & Snowdon, C. T. (2008). Spatial Cues More Salient Than Color Cues
in Cotton-Top Tamarins (Saguinus oedipus) reversal learning. Journal of
Comparative Psychology, 122, 441-444. doi:10.1037/0735-7036.122.4.441

Hyde, J. S.,& Delamater, J. (2008). Human Sexuality (10th ed.) New York:
McGraw-Hill.

Research Initiatives. (n.d.). Retrieved January 11, 2007, from MIT, Comparative
Media Studies website, http://cms.mit.edu/research/index.php

OTHER EXAMPLES ARE SHOWN BELOW:


Alternatively, you may use the internet source format from examples both from
above and below. Example only! Make sure all literature cited in text from
the Results and Discussion are reflected here in your Bibliography. There
should be no cited references in Conclusion (this should come solely from
your group).

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