Monday, May 4, 2020

Covid-19 RT-PCR Test


Covid-19 RT-PCR Test

Ø Covid-19 most common symptoms are-

·         Fever
·         Cough
·         Shortness of breath
Ø  To the started test sample are collected to person Nasopharyngeal Swab or Oropharyngeal Swab.
Nasopharyngeal Swab



Ø  The Collected sample swab placed immediately in Viral transport medium.

Viral transport medium.


Ø  The standard method for the Covid-19 test sample is PCR (polymerase chain reaction).

Ø  PCR is technology, generates sufficient quantities of DNA by increasing the number of copies of the specific target region of DNA.
PCR CYCLES




Ø  Coronavirus is contain extra-ordinary single standard RNA genes, to take this single RNA in PCR must be converted complementary strands.

RNA IN PCR



Ø  Then the newly synthesize DNA can be amplified in PCR that called RT-PCR (Reverse transcriptase polymerase chain reaction).


To Performed RT-PCR:

Ø  The collected sample in viral transport medium transfer to the micro-centrifuge tube with the help of the micropippet.
 micropippet.


Ø  Then the mixed Lysis buffer in the centrifuge tube. This buffer is highly denaturing nad usually phenol and guanidine isothiocyanate.

Ø  Once the buffer added mixed with vortaxt machine.

vortaxt machine.

Ø  Incubate at room temperature.
Ø  Then the virus is highly denaturing conditions by Lysis buffer.
Ø  Once the virus is denaturing using the spin columns, sample are loaded in the spin columns and centrifuge.
Ø  Which the stationary phase columns are made with silica matrix and salt or pH condition.
silica matrix

Ø  In this process RNA binds to the silica gel and protein or other contaminant remove to the columns.


 RNA binds to the silica gel and protein or other contaminant remove to the columns

Ø  After the centrifuge spin columns are placed into clean columns and filtred are dicarded.
olumns are placed into clean columns and filtred are dicarded.

Ø  Then the wash buffer was added and the columns are placed in centrifugation.
Ø  Wash buffer can remove the any other impurity to columns that RNA only can bind to the silica gel.

Ø  Again columns placed clean microcentrifuge tube and Elution buffer added.

Ø  Placed centrifugation machine and centrifuge.
 centrifugation machine and centrifuge

Ø  Elution buffer can remove the RNA in the columns.

Next steps Reaction mixture preparation:

Ø  In this steps the master mix the sample RNA.
Ø  In the master mixer contain Reverse transcriptase(RT), dNTPs, Reverse primer, forward primer, TaqMan probe and DNA polymerase.

master mixer contain Reverse transcriptase(RT), dNTPs, Reverse primer, forward primer, TaqMan probe and DNA polymerase.

Ø  Finally, the complete the reaction mixture sample are added into the master mix.

Ø  The tube is mixed with the vortex machine properly.

Ø  After the mixture loaded in PCR plate.

mixture loaded in PCR plate

Ø  Next the plate is placed PCR machine which is thermal circular.

Ø  Then the PCR is detected the Covid-19 RNA by amplification of the target sequences of target sequences RdRP gene, E gene and N gene.

PCR is detected the Covid-19 RNA by amplification of the target sequences of target sequences RdRP gene, E gene and N gene.

Ø  Choose the gene depends on the primers of the probe sequences.


The first step RT-PCR is reverse transcription:

Ø Complementary DNA synthesis prime with PCR reverse primer which hybridization with complementary Virus RNA and added to nucleotide to 5’ to 3’ ends.
Ø  Temperature depends on the primers target RNA and Reverse RNA are used.
Temperature depends on the primers target RNA and Reverse RNA are used.

Initial Denaturation:

Ø  The denaturation step is requires 950C temperature for denaturing cDNA strands.
Ø  They can remove the double stranded cDNA to single stranded.
remove the double stranded cDNA to single stranded.


Annealing:
Ø  Allowing to temperature at 580C.
Ø  In this process attached to the forward primer to complementary part of the strands.

ANNEALING

Extension:
Ø  The temperature requires 580C.
Ø  DNA polymerase enzymes synthesis to adding nucleotide to the complementary strands to 5’ to 3’ ends.


EXTENSION



Ø  After the first cycle again denaturation process to the DNA strands.
Ø  The next step annealing the temp. lower to the 580C.
Ø  The allowing the synthesis of the single stranded DNA strands.
Ø  Taq. Probe attached to the target DNA sequence Genes.

Taq. Probe attached to the target DNA sequence Genes.

Ø  Extention to new synthesized of the new DNA.
Ø  After the many cycles are run to PCR Machine.
Ø  Number of double stranded DNA sequence is allowing after the many cycle of PCR.
Ø  The result are show to the help of the Tungsten Halogen lamp in the RT-PCR detections.

Tungsten Halogen lamp in the RT-PCR detections.




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