Centrifugal (CD) Microfluidic Platforms for Nucleic Acid Analysis Jonathan Siegrist1, Guangyao Jia2, Horacio Kido2, Jim Zoval2, Gale Stewart3, Dominic Gagné3, Régis Peytavi3, Ann Huletsky3, Michel Bergeron3, and Marc Madou2 1 Department of Biomedical Engineering, University of California, Irvine, CA 92697 2 Department of Mechanical and Aerospace Engineering, University of California, Irvine, CA 92697 3 Centre de Recherche en Infectiologie de l’Université Laval, Centre Hospitalier Universitaire de Québec (Pavillon CHUL), Sainte-Foy, Québec, Canada, G1V 4G2 ABSTRACT While many diagnostic tools used in hospitals today are able to give results within one hour, the methods currently used for microbial detection and diagnosis take on the order of days to complete. The concept of molecular theranostics involves the rapid completion of these microbiology-based assays so that results can be quickly obtained to give a more immediate and thorough picture of patient conditions, such that therapeutics can accompany diagnostics. Here we report on the development of novel, automated, compact-disc (CD) based platforms designed to quickly diagnose infectious diseases, making molecular theranostics a reality. Using a combination of microfabrication and standard macro-machining processes, microfluidic CD platforms capable of cell lysis and DNA purification, DNA amplification (PCR), and DNA hybridization/detection have been designed, constructed, and tested. Total analysis time has been reduced from days to minutes, and because of the type and amount of materials used, the platforms are also inexpensive. The systems developed meet the demands of rapid theranostics and perform as well as and often faster than many of the tests and assays used today. INTRODUCTION Often upon admission to a hospital, a patient will undergo several tests to help determine their condition. Many biochemistry and hematology-based tests, such as blood oxygen and pH, involve the processing of a sample in an onsite laboratory. Radiology and other imaging techniques require taking the patient to an onsite center. Regardless of the resources and manpower required to perform these diagnostics screenings, almost all of them yield results within 1-2 hours that can be incorporated into the patient’s diagnosis and subsequent treatment. This rapid incorporation of diagnostics and therapeutics, termed theranostics, is vital to quickly treating patients in critical and/or unknown conditions. Medical-based microbiology tests, however, fail to meet these theranostic requirements. When attempting to test for and diagnose infectious diseases, a sample must often times be sent to an offsite facility for screening. The standard tests used today involve growing and screening cell cultures, a process that can take over two days to complete. When dealing with infectious diseases, this extended processing time can literally mean life or death for a patient. Thus, a need exists for an infectious disease diagnostic platform that can perform an entire analysis within one hour, to match the time scales of other diagnostic procedures and make true theranostics a reality. While common infectious disease screening methods involve culturing cell colonies, other methods exist that involve tapping into the genetic makeup of these organisms to more quickly specify the exact disease being dealt with. Because theranostic methods must be rapid, the platform of choice for infectious disease detection should be one that utilizes the genetic material of, for example, a blood-borne microbial organism present in the patient. By analyzing the nucleic acid information, the type of microbe present is quickly determined without the need for cell culture. Typically, a nucleic acid analysis involves the lysing of cells to release the small amount of genetic material (DNA) present in the microbes, amplification of this DNA to a detectable concentration, and detection of the DNA using hybridization methods. These tests can be performed in a well equipped molecular biology lab, but using standard, manual protocols they can require many hours to complete, many skilled technicians to complete them, and can leave behind a large amount of biological waste. By taking these nucleic acid analysis methods down to the micro-domain and placing them on an automated platform, rapid infectious-disease diagnostics can be performed in less time with minimal labor. In addition, the disposables of the system can be inexpensive to make implementation and use economically feasible. The Madou BioMEMS Research Group in collaboration with Génome Canada has chosen compact-disc (CD) based centrifugal microfluidic platforms to meet all of these requirements and achieve true molecular theranostic nucleic acid analysis. Indeed, CD platforms have been used in the past to efficiently automate analysis [1-4]. Using CD technology, rapid, inexpensive, and disposable nucleic acid analysis platforms have been developed, with three separate platforms tackling the three main steps involved in genetic analysis. Here, a brief description of the CD technology is presented, followed by an overview of the 3 nucleic acid platforms developed. More indepth descriptions of CD technology can be found in the literature [3-7]. CENTRIFUGAL CD TECHNOLOGY OVERVIEW CD Fabrication Before going into the theory behind how microfluidic CDs function, it is best to briefly review basic fabrication processes and materials. Most commonly, the CDs consist of multi-layer structures made of inexpensive polycarbonate plastic and pressure-sensitive adhesives (PSA). Using relatively simple CNC machines, channel widths of down to 1 mm are machined into 1.2 mm or 0.6 mm-thick stock polycarbonate CDs. A computercontrolled cutter-plotter is used to cut channel widths as narrow as 200 µm in thinner materials such as 100 µmthick PSA or thin plastic films. Once the appropriate pieces have been designed and machined, they are aligned centrally and radially and laminated together using the PSA layers. The most simple, standard microfluidic CD consists of no less than 5 layers: 1) top polycarbonate CD with CNC-machined sample loading, sample removal, and air venting holes (sealed using a thin adhesive film during operation), 2) pressure-sensitive adhesive with channel features cut using a plotter, 3) middle polycarbonate CD with CNC channel features, 4) pressure-sensitive adhesive with channel features cut using a plotter, 5) solid bottom polycarbonate CD to seal off the channels (Figure 1). Microfluidic CD platforms can involve more layers to accommodate more complex fluidics. Moreover, different devices and substances can be placed inside the CD during fabrication, such as beads, lyophilized reagents, or filters. The CDs can also be exposed to O2 plasma treatment or Figure 1. Schematic showing the assembly of a typical functionalized with bovine serum albumin 5-layer microfluidic CD. (BSA) to create hydrophilic and hydrophobic surfaces, respectively. The fabrication process usually ends with running the CDs through an industrial press to ensure excellent adhesion and sealing between all CD layers. While the majority of CD platforms developed utilize standard macro-machining processes, microfabrication is easily integrated onto the CD platform. This usually takes the form of creating microfluidic PDMS molds on 6” Si wafers using multi-level, thick-resist lithography (Figure 2). Once created, these soft lithography PDMS molds can be placed on a polycarbonate CD, or in some cases bound to glass slides and secured with a specially designed slide holder CD. Almost all processes and materials used to create the microfluidic CD platforms are relatively inexpensive, with the exception of the initial SU-8 mold needed when incorporating microfabrication. This allows for the mass production of inexpensive parts that can be easily disposed of once contaminated with biological materials. Once a CD platform has been developed, often only a simple motor and spin stand are needed for operation. Using these varied fabrication procedures, a vast array of applications can be adapted onto the CD platform to take advantage of the elegant CD pumping and valving mechanisms. Pumping & Valving When developing fluidic devices of any kind, the main concern is how to get liquids to and from the areas of interest in a controlled manner. This general problem can be filtered down to the need for two technologies: pumps and valves. Indeed, much of the work on microfluidic devices today focuses on the need for effective pumps and valves, and is an ongoing area of research. The centrifugal CD platform provides elegant, simple, and effective modes of pumping and valving. Fluid propulsion on the CD is performed by centrifugally induced pressure on the fluid as the CD spins, and Madou et al. and Duffy et al. have characterized this type of flow [3][4]. The volumetric flow rate, Q , of a fluid element in a CD microchannel can be described by the following: 2 Q = ADb "# 2 r $r /32µL (1) where A is the channel cross-section area, Db is the hydraulic diameter of the channel, " is the liquid density, " is the angular velocity of the spinning!CD, r is the average distance of the liquid element from the CD center, "r is the radial extent of the fluid, µ is the fluid viscosity, ! and L is the length of the liquid ! in the channel (Figure 3A). From ! Equation (1), it can be seen that the speed at which the disc spins, the ! distance from the center of the disc, the channel geometries and the ! fluid ! properties all play a role in how! the fluid will move through the microchannels. By using combinations of different channel geometries ! and spin speeds, flow rates ranging from 5 nL/s up to 0.1 ml/s can be well controlled. Typical fluid-pumping rotation speeds used range from 300 to 2000 RPM. ! Figure 2. An SEM image of a typical 2-level PDMS flow cell structure; the microchannel is 25 µm deep and the chamber is 250 µm deep. Centrifugal pumping forces on the CD provide many advantages over some of the other pumping methods available, such as syringe, peristaltic and electroosmotic. Current pressure-driven syringe and peristaltic pumps provide very good control over large flow rates, but can be unwieldy when trying to miniaturize and/or multiplex [8]. In addition, the pressures needed to move fluids through microchannels can be very large. This makes implementation into small, high-throughput platforms difficult. Electroosmotic pumping methods overcome these problems, as they can be easily adapted into microchannels using microfabrication. However, these methods are highly dependent on pH and ionic strength of the fluid being pumped [8]. The extremely high-voltage power supplies (>>1 kV) required in these systems make them expensive and unpractical. Centrifugal forces, however, do not need large power supplies (only a small motor) and are not dependent on pH or ion levels of the fluid. They also provide forces across the entire length of a fluid element, providing smooth and controlled flow. In addition, many individual systems can be placed on a single CD, making multiplexing easy. When combined with the simple valving solutions available on the CD, powerful platforms can be developed. Figure 3. Schematic of microchannels on a CD. A) Two reservoirs connected by a single channel, B) Hydrophobic valve made by a channel restriction in hydrophobic material, C) Hydrophobic valve made by functionalization of the channel surface with hydrophobic material, and D) Capillary valve made by channel widening. Valving on the CD is performed using two main valve types: hydrophobic and capillary (Figure 3b-d). Hydrophobic valves can take two different forms: one utilizing changes in channel geometries and the other utilizing surface modification. In Figure 3b, it is shown that when a channel quickly and drastically changes from a wide to narrow dimension, this can block the flow of liquid. In Figure 3c, it is seen that a similar valving scheme can be obtained by functionalizing the channel surface downstream of the fluid with hydrophobic materials. In both cases, the fluid can be forced past the hydrophobic valve by increasing the spin frequency past a critical value. The capillary valve is most commonly used in the CD platforms reported on here, and is a result of the balance between centrifugal and surface tension forces. When fluid being pumped through a narrow channel by centrifugal forces reaches an abrupt widening, as shown in Figure 3d, a large surface tension force develops at that widening. If the surface tension force is greater than that of the centrifugal force, then the fluid flow will stop even though the CD continues to spin. At a certain higher frequency, known as the burst frequency, the centrifugal forces will overcome the surface tension forces and the fluid will continue down the channel. The point at which burst frequency occurs can be described by the following: Pm = "# 2 r $r > 4 % al sin(& c ) /Db = Pcb (2) ! where Pm is the pressure at the meniscus (centrifugal force), " al is the surface energy per unit area of the liquidair interface, " c is the liquid contact angle, Pcb is the capillary barrier pressure (surface tension force), and all other parameters are as!defined in Equation (1). Equation (2) assumes axisymetric channel cross-sections, but can be adopted for different channel geometries and conditions. See Zeng et al. [9] and Duffy et al. [3] for further development of these models. Equation (2) shows ! that by designing microfluidic structures with channels of increasingly smaller capillary valves, control of when a valve “opens” can achieved simply by increasing the ! ! rotational speed of the CD. This has in fact been implemented on the CD platforms presented here to obtain sequential control of valve openings. It is worth noting that none of the CD valving schemes presented act as vapor valves – they perform liquid valving only. Thus, liquid reagents could not be stored for long periods of time as evaporation and cross-chamber contamination could occur. While mixing is another vitally important aspect of microfluidic devices, this topic will not be addressed here, but is reviewed in Madou et al. [5]. CELL LYSIS & DNA PURIFICATION PLATFORM Intro The first step in nucleic acid analysis for infectious disease diagnostics is the extraction of genetic material from the microbes of interest. With microbial analysis, the DNA of interest is located inside the cells, and so the cell membrane must be penetrated while keeping the DNA preserved. Once the cells have been disrupted, other remaining materials such as cell membrane pieces and smaller vesicles must be removed from the lysate. Various forms of cell lysis have been developed and are in use, including enzymatic lysis (cell membrane digestion via enzymes), chemical lysis (cell membrane breakdown via detergents), plasma lysis (cell membrane disruption via electrical charge pulses), and mechanical lysis (cell membrane breakdown via physical means). Chemical and enzymatic lysis methods leave behind Figure 4. Schematic of a single cell lysis and purification residual substances that can be hard to mechanism. remove or filter out, while plasma lysis can cause damage to cellular structures. Of these methods, mechanical cell disruption is the most effective at breaking down cells that have thick cell membranes (Gram-positive) and successfully extracting intact DNA, with the added benefit of leaving behind no residual substances [10][11]. Indeed, mechanical disruption is commonly used and comes in many different forms, such as homogenization, French-press, and bead beating, to name a few. Almost all mechanical cell disruption methods rely on breakdown of the cell membranes through shear forces. Bead beating is the most efficient method in this respect, and functions by combining cells with an agitated mixture of milling beads [12][13]. As the solution is mixed, cell membranes are disrupted by shear-forces developed when passing between beads as well as direct collisions. This method can be easily controlled by altering the bead size and extent of agitation. A bead-beating cell lysis platform has been implemented on a microfluidic CD platform. It utilizes small magnetic disks placed inside each lysing chamber that oscillate while spinning by interaction with stationary magnets on the static CD platform. This oscillation causes shear forces which result in lysis. Once lysed, solids are concentrated by centrifugation, and the supernatant (containing DNA) is extracted using a unique siphon valve. The platform is capable of lysing cells with thick membranes while preserving the extracted DNA. Moreover, the platform utilizes small volumes and inexpensive disposables. Materials & Methods The cell lysis CDs were constructed using a similar 5-layer structure as described above (Figure 1). The center disc thickness was 1.2 mm while the top and bottom discs were 0.6 mm-thick. The same 100 µm-thick PSA was used. Six individual lysing mechanisms were placed on each CD, with each mechanism consisting of a lysis chamber with ferromagnetic disk and milling beads, a siphon valve, and a collection chamber (Figure 4). The ferromagnetic disks (V&P Scientific) used were 5.08 mm in diameter and 0.635 mm thick. The milling bead mixture volume was 50 µL per chamber and consisted of a 4:1 slurry of 100 µm glass beads (Biospec) in a 1% solution of polyvinylpyrrolidone in water. Midway through fabrication, the discs were subjected to O2 plasma treatment to make the polycarbonate surfaces hydrophilic, and then the magnetic disks and slurry solution were placed inside the CD. After finishing assembly, the CDs were run through an industrial press, and remaining water was evaporated using a vacuum overnight. The lysis CD spin-stand platform consisted of a servo motor, a driver, and ToolPAC control software (Pacific Scientific). This platform included permanent magnets (McMaster-Carr) fixed just below the CD surface to move the in-CD magnetic disks during spinning (Figure 5). The placement of these magnets was optimized using simulation and empirical observation to ensure that the magnetic disk was drawn completely through the lysis chamber during each pass. To validate the system, E. coli cells (known to be relatively easy to lyse) were incubated overnight at 37° C in LB medium (Q-Biogene/MP Biomedicals) to an optical density of 0.98 (OD 600 nm). In addition, yeast cells were also tested, as they are far more difficult to lyse [10]. Dehydrated S. cerevisiae, Type II, were resuspended in 0.8% dextran in sterile water (Sigma-Aldrich). The samples were loaded, and tests were run at 30, 60, Figure 5. Schematic showing 120, 240 and 480 seconds at rotation speeds of 50, 200, 800, and 2000 the mechanism behind RPM (n = 20). After lysing, the CDs were spun at 6000 RPM until all liquid ferromagnetic disk movement. was moved into the clarification chambers, and the residual cell debris was pelleted at the bottom of the chambers (~1-2 mins). The CD was stopped to allow the siphon valves to prime automatically due to hydrophilic capillary wicking, and then spun at 1500 RPM for 10 s to collect the supernatant (containing DNA) in the collection chamber. To further purify the DNA sample from the lysis CD for quantitative testing, a FastDNA Spin kit (Q-Biogene/MP Biomedicals) was used according to the manufacturers protocol. DNA quantification was performed by taking 150 microliters of eluted, purified DNA and transferring it to individual wells of a Corning Half-Area 96-Well Clear FlatBottom UV-Transparent Microplate. Sample absorbencies were determined at 260 nm in a BioTek Synergy plate reader (each plate contained an 8-well titration of bacteriophage lambda DNA (Promega) of defined concentration). Unknown sample concentrations were extrapolated from a linear regression analysis of the lambda DNA standard curve. Sample concentrations were confirmed by spot-checking random sample 260 nm absorbencies in a Beckman DU-640 spectrophotometer. Experimental Results The CD lysis platform was successful in extracting intact DNA from both bacteria and yeast cells. The permanent magnet placement allowed for optimal movement of the ferromagnetic disks, resulting in shear forces high enough to lyse the thick-walled yeast cells while leaving genomic DNA in tact. The restriction channel dimensions between the lysing and clarification chambers were ideal, such that liquid could be pumped without clogging while leaving the milling beads behind. The siphon valve, used to draw off the supernatant, worked as expected. When liquid enters the clarification chamber, wicking action due to the hydrophilic surface (recall the plasma treatment during CD construction) draws liquid into the siphon valve up to a height equal to that of the liquid in the clarification chamber. Centrifugal forces keep the liquid from wicking up and over the siphon valve channel. Once the CD stops, the centrifugal forces are no longer present, and so the liquid can wick the rest of the way down the channel until it reaches the capillary valve at a height lower than the bottom of the clarification chamber. At this point, the siphon has been primed. Spinning the CD again causes the liquid to be pumped into the collection chamber. Because the siphon channel begins at a point higher than the pellet mass, only the supernatant is siphoned into the collection chamber. The entire cell disruption process takes less than 5 minutes. Figure 6 shows DNA yields for the two different samples (bacteria and yeast) as a function of rotation time and speed. As can be seen, DNA yields comparable to those of commercial bead beating mechanical cell lysis systems were obtained [14][15]. While it is clear that the system must be tested and optimized for the particular type of cell being lysed (as is true with any similar system), the cell lysis CD is capable of lysing cells that have both thin and thick cell membranes. Moreover, the DNA extracted from the cell lysis CD is of high quality. Relatively simple equipment is needed to run the system, and the CDs are inexpensive allowing them to be disposable. The cell lysis CD platform is perfect for quickly creating near PCR-ready DNA samples from original cell sources. Further details on the cell lysis platform can be found in previous Madou et al. publications [16][17]. Figure 6. Surface plots showing dependence of DNA yield on time and speed of lysis rotation for bacteria cells (left) and yeast cells (right). DNA AMPLIFICATION (PCR) PLATFORM Intro Extracting genetic material from a sample is only the first step in nucleic acid analysis. Because the diagnosis of infectious diseases involves human samples, a cocktail will be obtained of genetic material from the patient, the microbe(s) of interest, and any other microbes or viruses that might be present. In addition, the DNA of interest will exist in very minute concentrations compared to that of the “background” DNA, and so the microbes’ DNA must be isolated and amplified. Polymerase Chain Reaction (PCR) is the process most commonly chosen to perform selective DNA amplification, and relies on thermocycling of a sample. A typical PCR thermocycling run involves 30-40 cycles, with each cycle consisting of temperature changes from 95° C (denaturation) to 60 °C (primer annealing) to 72 °C (extension). PCR efficiency is most commonly evaluated in terms of temperature transition times and thermal homogeneity of the sample, as these dictate whether or not a high-quality PCR product can be obtained in a small amount of time [18]. Current bench-top PCR systems can take on the order of hours to complete a single run, significantly hindering the speed of nucleic acid analysis. Microfluidics and microfabrication have been previously utilized to create more efficient PCR systems [19-22], but many of these involve expensive fabrication processes and materials, making disposable devices uneconomical. Here, a rapid, disposable-card based microfluidic PCR system has been developed that has a small thermal mass resulting in rapid heating/cooling and excellent thermal homogeneity. In addition, the materials and processes used to make the PCR cards are inexpensive. 30 cycles can be completed within 10 mins, and the resulting PCR product is of a detectable concentration. Although no CD technologies are required for the PCR system, the same fabrication processes have been used to facilitate future incorporation onto the CD. Materials & Methods Disposable PCR cards were created using inexpensive thin polycarbonate and adhesive materials. Using a plotter-cutter, channel structures were cut in 250 µm-thick polycarbonate films that served as the middle layer of the card. Sample loading/removal holes were cut in 127 µm-thick polypropylene PCR adhesive films (Excel Scientific) to serve as the top layer, and the bottom card layer consisted of 70 µm-thick aluminum PCR adhesive films (Excel Scientific). The 3-layer cards were aligned using a custom-made alignment assembly and bound using the adhesives on the polypropylene and aluminum sealing films. Each card contained 4 separate PCR chambers, with a single chamber volume of 25 µL (Figure 7). The card dimensions were optimized using computer-based modeling of heat transfer. Peltier thermoelectric devices (Ferrotec) were chosen to perform active heating and cooling of the PCR cards. A copper sheet 0.44 mm-thick was placed across the surface of each Peltier device to increase spatial thermal homogeneity. T-type thermocouples (Omega) were imbedded inside the copper sheet to provide feedback to a custom multi-level PID control system implemented using National Instrument’s LabVIEW. Both the copper sheets and T-type thermocouples were secured using thermally-conductive adhesive compounds (Artic). Programmable power supplies with polarity-switching capabilities (Agilent Technologies) were used to power the system and interface with the LabVIEW control program. The entire platform was designed such that two PCR cards could be accommodated, for a total throughout of 8 independent PCR reactions (Figure 8). A custom-made clamp was used to ensure good thermal contact between the cards and thermoelectric devices. Thermal behavior of the entire system was characterized in-situ using thin-film T-type thermocouples (RdF Corporation) inserted into the reaction chambers in between the PCR card layers. Keeping future CD integration in mind, it was realized that not only will a liquid valve need to be incorporated, but a vapor valve will be required during thermocycling as well. Thermocycling causes vapors to accumulate as the liquids come close to boiling temperature. Large pressures will build up as a result causing the samples to expand, and so the entire chamber needs to be sealed and isolated. With Peltier devices already integrated onto the PCR platform, a novel ice-valve scheme was chosen. Using Peltier devices, a small plug of liquid can be frozen on each end of the reaction chamber, thus preventing the movement of both liquid and vapor during thermocycling. This idea was integrated onto the PCR platform as well. Finally, validation of the system’s PCR abilities was performed. Briefly, amplification of a 210 base pair region of the E. coli tuf gene was performed at three concentrations of purified DNA ranging from 10 to 1000 E. coli ATCC 35401 genomic copies. Teco553 and Teco754 forward and reverse oligo primers were used, respectively. Taq TM polymerase (Promega) and TaqStart antibody (Clontech) were used in 10X PCR buffer (Promega). The PCR mixture and a negative control (without a DNA template) were loaded into separate reaction chambers on a card TM using a pipette. Hot start was achieved through denaturation of the TaqStart antibody at 95º C for 1 minute. A 40-cycle amplification was conducted using a temperature profile of 7s, 15s, and 15s (ramping times included) at 95º C, 60º C and 72º C, respectively. After cycling, the samples were unloaded from the chambers and 1.0 µL of sample was injected into an Agilent BioAnalyser 2100 cartridge (Agilent Technologies) for verification via gel electrophoresis. Figure 7. A) Layout of PCR card channels, B) Schematic of PCR card assembly made of 1-top polypropylene film w/access holes, 2-polycabonate machined layers, 3-aluminum bottom film, and 4,5-thermocouples. Figure 8. A) PCR platform consisting of Peltier devices for heating/cooling (H1, H2) and icevalving (C1-C4); inset shows thermocouples imbedded in Peltier device, B) Thermocycler with 2 PCR cards loaded and ready. Experimental Results The PCR platform achieved very rapid heating and cooling ramping speeds of up to 10° C/s. Because the Peltier devices allow active heating and cooling based on the polarity of voltage used, shorter thermocycling times were achieved as compared to standard PCR systems that rely on active heating only with passive cooling. A single cycle time of 20 s was achieved, resulting in a total time for a 40-cycle run of 10 mins (Figure 9). The card was designed such that the thermal mass of the liquid being heated would be very low and the surface-area-to-volume ratio would be very high. This resulted in a very good thermal homogeneity throughout the liquid sample, as measured by the thin-film thermocouples. At the 60° C and 72° C temperatures, the thermal gradient measured from bottom to top of the liquid sample was as little as 0.2° C. However, at 95° C the thermal gradient measured was almost 2° C. The reason for this is the higher temperature difference between the surrounding air and the PCR card, resulting in disequilibrium on the time scales involved in PCR. It was observed that the same 0.2° C gradient resulted when the system was allowed to reach equilibrium at 95° C. However, the desired temperature range for DNA denaturation is from 91°-97° C, so the large temperature gradient should not affect the PCR product. Figure 9. Typical PCR cycling profile. thermo- ! Figure 10. Electrophoresis gel: 1,6 ladder standards, 2 negative control, 3-5 amplified products starting with 10, 100, and 100 genome copies, respectively. The copper sheets applied to the Peltier device surface reduced the spatial thermal differences to less than 0.2° C, and temperature control of ± 1° C was obtained using the multi-level PID feedback control system. The ice valves performed flawlessly. No leaks were observed, and the liquid plugs froze within 15 seconds. A disadvantage of the ice-valves is that part of the sample is prohibited from being thermocycled, resulting in a dead volume. In this case, however, the dead volume per reaction chamber was only 2 µL, or 8% of the total chamber volume. From the PCR validation experiments, it was observed that as few as 10 copies of the E. coli tuf gene could be successfully amplified to a detectable amount (Figure 10). The results show not only that amplification was successful, but also that the specificity was excellent, as no other bands appeared on the electrophoresis gel. In addition, a 27minute unoptimized thermocycling profile was used for this test. Thus, a microfluidic PCR system capable of producing high quality products in a small amount of time was implemented using inexpensive, disposable parts. DNA ARRAY HYBRIDIZATION PLATFORM Intro The final step in nucleic acid analysis is detection of the DNA of interest, most often performed using hybridization methods. Specifically, DNA hybridization microarrays can be used when attempting to detect multiple sequences, as when screening for many infectious diseases. Briefly, custom-made oligonucleotide capture probes (specific to the microbe of interest) can be immobilized on a solid support. This can be done, for example, by using amineterminated probes reacting with functionalized glass slides or thiol-terminated probes reacting with gold surfaces [23]. Once an array of different capture probes has been immobilized on a surface, the sample DNA can be washed across the array. If a complementary sequence exists, hybridization will occur, and transduction of the hybridization signal can be performed using optical or electrochemical means. The rate-limiting step when performing analysis with DNA microarrays is the time for hybridization to occur, which can take upwards of 18-24 hours [24-26]. Enough time must be given to the DNA of interest to passively diffuse through the entire solution and be exposed to every capture probe on the surface. By using narrow, microfluidic chambers, hybridization time can be significantly reduced by making the diffusion distances much smaller. Moreover, by incorporating active flow, mass-transport of sample DNA to the capture probes can be increased further. Finally, by automating the entire process, these tests can be performed quickly without the need of expensive, skilled labor. Using microfabrication, a PDMS microfluidic device for DNA microarray assays has been developed, and this device has been incorporated onto the CD for a rapid, flow-through hybridization assay. Optical signal transduction was implemented by the use of fluorescently tagged DNA. The system showed strong fluorescent hybridization signal within a short 15 min assay time. Materials & Methods The microfluidic devices were made of PDMS using a two-level SU-8 mold. A 6” Si wafer was patterned with 25 µm-thick microchannels using SU-8 25 (Microchem), and reagent chambers 250 µm-thick were patterned using SU-8 100 (Microchem). PDMS base and curing agent (Dow Corning) were mixed in a 10:1 ratio by weight, and poured on the SU-8 mold. After degassing, the PDMS was cured on a hotplate at 100° C for 10 mins. Once cured, the PDMS pieces were peeled off, cut out, and access holes for reagent loading were punched through. Functionalized glass slides were used as the substrate for capture probe immobilization, allowing for easy fluorescence scanning using a commercial slide reader. The glass slides were modified with amine groups following work from Joos et al. [27]. Once functionalized, 4 different types of 25-mer capture probes were arrayed onto the slides using a spotter. The captures probes corresponded to 4 different bacteria of interest, namely Staphylococcus aureus, S. epidermidis, S. haemolyticus, and S. saprophyticus. The captures probes were synthesized with a 5’ amine modification (Biosearch Technologies) to allow covalent bonding to the functionalized slides. The microarrays were fabricated following work from Shena et al. [28]. 10 µM capture probe solutions in TE buffer were diluted 2-fold in Array-it Microspotting Solution Plus (Telechem International). Using a Virtek SDDC-2 arrayer (Bio-Rad Laboratories) equipped with SMP2 pins (Telechem International), spots of 0.6 nL volume and 60-80 µm diameter were placed on the glass slides. Duplicates of each of the 4 capture probes were spotted. The PDMS parts were then placed on the glass slides, using visual, manual alignment to ensure the hybridization chambers lined up with the capture probe spots. No O2 plasma treatment was used to bond the PDMS to the glass - the passive sealing properties of PDMS on glass were enough for this application. The slides were then placed into a specially designed slide holder CD to accommodate 5 slides and placed on the same spin-stand set-up as used for the cell lysis CD (Pacific Scientific). Figure 11 shows a schematic of the entire DNA microarray CD platform. The test sample solutions were created using PCR in the presence of fluorescently-tagged nucleotides, specifically Cy-5 dCTP nucleotides. This work was done according to previously established methods [29][30]. Four different solutions were created to correspond to the 4 different capture probes. Finally, hybridization tests were performed using the flow-through CD platform. The capture probe spots were exposed to target sample solution (10 nM), a wash buffer (2X SSPE + 0.1% SDS) and then a rinse buffer (2X SSPE). The CD platform spin speeds used were 375 RPM, 850 RPM, and 1175 RPM to release the 2-µL target sample, the 10 µL wash buffer, and then the 10 µL rinse buffer solutions, respectively. After spinning, the PDMS channels were removed, and then the slides were dried and read using a ScanArray 4000XL (Packard Bioscience Biochip Technologies). Figure 11. Schematic of the entire DNA microarray CD platform. A) The microfluidic PDMS device, with 1-hybridization chambers with spotted capture probes, 2-target sample chamber, 3-wash buffer chambers, 4-rinse buffer chambers, 5-flow channel. B) Close up of A-1, showing the capture probe spots (units in microns). C) The entire CD with 5 PDMSslide devices. Experimental Results It was found that the CD DNA array platform could perform an entire flow-through experiment in less than 15 minutes. The PDMS device worked as desired, and by controlling the channel geometries and spin speeds, ideal flow rates were obtained, from 0.38 to 3.75 µL/min. This allowed for slow flow of the target sample across the capture probes to allow efficient mass transport, followed by rapid flow of the rinse and wash solutions to remove the non-specifically bound DNA probes with higher pressures. The burst frequencies for the different capillary valves used were consistent across all PDMS pieces used (data not shown), and the sealing of the PDMS on glass allowed adequate containment of the fluid during flow through while still allowing the pieces to be removed for fluorescence scanning in the commercial slide reader. The system was able to detect the differences between the 4 different bacteria of interest, and the specificity was high (Figure 12). Moreover, the signal intensities were high, verifying that efficient hybridization did occur due to the gains in mass transport from a microfluidic flow-through system. Again, this was obtained using a hybridization time of less than 15 minutes, as opposed to the hour time scales normally required of many passive hybridization systems. The materials needed were relatively inexpensive, allowing for disposal of both the slides and PDMS devices. In addition, the entire assay was automated. Further details on the DNA array CD platform can be found in previous Madou et al. publications [31-34]. Figure 12. Fluorescent scanning results of the 4 different capture probes, showing good specificity and signal strength. CONCLUSIONS There is a huge need for more rapid microbial detection and analysis such that theranostics can become a reality for use in hospitals and clinics. Here, we have reported on three platforms that allow for rapid nucleic acid analysis. Using microfluidic CD technology, platforms for cell lysis and DNA purification, PCR, and DNA array detection have been developed. The cell lysis platform allows for rapid (5 min) mechanical cell disruption using bead-beating methods, and has proven to lyse thick-membrane yeast cells in a very short time. The PCR platform allows rapid (10 min) thermocycling and can perform successful amplification starting with only 10 genomic copies. The DNA array platform can perform flow-through hybridization is less than 15 minutes with resulting strong and specific optical signals. Moreover, all of the platforms developed utilize inexpensive and easy-tomanufacture materials and methods, such that the devices can be disposed of after use. The platforms themselves use simple motors, drivers, power supplies, and PC computers for automated control, thus reducing the labor needed to perform these assays. It has been shown that automated, rapid, and inexpensive nucleic acid analysis is possible and feasible. The next steps will be to incorporate the three individual platforms already developed into a single, automated CD-based platform. At this point, much of the science has been addressed, and now engineering must be used to put the platforms together. Towards making the CD platforms a single product, reagents will need to be stored on the CD, such that the only labor needed is the loading of the CD with a sample. 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