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A lab-on-a-chip for preconcentration of bacteria and nucleic acid extraction

To improve detection sensitivity, molecular diagnostics require preconcentration of low concentrated samples followed by rapid nucleic acid extraction. This is usually achieved by multiple centrifugation, lysis and purification steps, for instance, using chemical reagents, spin columns or magnetic beads. These require extensive infrastructure as well as time consuming manual handling steps and are thus not suitable for point of care testing (POCT). To overcome these challenges, we developed a microfluidic chip combining free-flow electrophoretic (FFE) preconcentration (1 ml down to 5 μl) and thermoelectric lysis of bacteria as well as purification of nucleic acids by gel-electrophoresis. The integration of these techniques in a single chip is unique and enables fast, easy and space-saving sample pretreatment without the need for laboratory facilities, making it ideal for the integration into small POCT devices. A preconcentration efficiency of nearly 100% and a lysis/gel-electrophoresis efficiency of about 65% were achieved for the detection of E. coli. The genetic material was analyzed by RT-qPCR targeting the superfolder Green Fluorescent Protein (sfGFP) transcripts to quantify mRNA recovery and qPCR to determine DNA background.


Introduction
The rapid detection of pathogens by nucleic acid amplication techniques (NAT) such as qPCR or isothermal amplication methods is of importance in diverse elds of the life sciences including medicine, veterinary medicine, food and water monitoring as well as the environmental sciences. For samples containing low amounts of the target organism(s), such as body uids or drinking water, 1 a preconcentration step is oen required for successful detection. Consequently, the sample preparation for rapid detection of pathogens by NAT almost always requires a combined approach of sample preconcentration and nucleic acid extraction. This is usually done in four major steps. First, a preconcentration step is performed to reduce the risk of false-negative results in samples with low concentrations of pathogens. In a second step, the pathogens are lysed resulting in the release of their genetic material. Finally, the nucleic acids are puried and detected by amplication of pathogen-specic target sequences. This approach is much faster than conventional methods relying on the cultivation of pathogens, but requires large and thus immobile laboratory facilities as well as trained professionals for handling. To overcome these problems, innovative systems are needed which are not only faster but also smaller and easier to handle and operate. Over the last two decades, considerable efforts have been undertaken to automate and integrate certain laboratory processes into miniaturized, chip-based devices. 2 For preconcentration of bacteria from liquid samples, different approaches have been pursued. Currently used techniques include dielectrophoresis, 3,4 antibody modied surfaces, 5,6 acoustophoresis, 7 micropillar sieving, 8 the use of magnetic beads 9,10 or electrophoretic transport. 11 For the extraction of nucleic acids, usually specic protocols or kits depending on the biological sample and medium are used. The use of magnetic beads, 12,13 membrane based extraction 2,14 or paper-uidics 15 are some examples. In previous works, we have presented on-chip lysis and RNA extraction from bacteria 16,17 as well as FFE preconcentration of viable bacteria from liquid samples. 18,19 Here, we present a lab-on-a-chip system based on these results. The chip includes on-chip FFE preconcentration and thermoelectric lysis of bacteria as well as separation of nucleic acids by on-chip gel-electrophoresis. The combination of these techniques in a single chip is unique and allows for fast, easy and space-saving sample pretreatment without the need for laboratory facilities, making it ideal for the integration into small POCT devices. Due to the exclusion of larger nucleic acid fractions (e.g. gDNA or plasmids) by on-chip gelelectrophoresis, the developed chip is especially suited for highly sensitive RNA based pathogen detection protocols. By simplifying the difficult and error prone extraction of pathogen-specic RNA, the chip enables transcriptome analysis at the point-of-care/need. As RNA transcripts are typically present in much higher copy numbers 20,21 than the singular copy of gDNA in each cell, targeting RNA can lead to powerful increases in detection sensitivity. This is especially important for the detection of clinically signicant low-level infections such as bacteremia or infections of cerebrospinal uid. 22 To demonstrate the functionalities of the chip, uorescent E. coli spiked into LB medium were concentrated from an initial volume of 1 ml down to 5 ml. Preconcentration was directly followed by thermoelectric lysis of the bacteria and gel-electrophoresis of the released genetic material. The extracted nucleic acids were then analyzed by RT-qPCR to detect sfGFP 23 mRNA as a marker and qPCR to determine the residual DNA background.

Materials and methods
Bacterial culture XL1-Blue competent E. coli transformed with a expression vector (pMH-33, 5.359 bp) containing the sfGFP gene were used for all experiments. Cells were grown in 5 ml LB-Luria media with 100 mg ml À1 ampicillin in a 15 ml sterile plastic tube. Aer the prepared medium was inoculated with a single colony of the E. coli strain, the tube was placed in an incubator at 37 C and shaken at 200 rpm. Eighteen hours later, the culture was diluted in 50 ml LB-media with 100 mg ml À1 ampicillin in a sterilized 100 ml culture ask. The culture was placed in the incubator at 37 C and shaken at 200 rpm. until the optical density at 600 nm (OD600) had increased from an initial value of 0.1 to a nal value of 0.7. Arabinose was then added at a nal concentration of 0.2% (w/v) to induce sfGFP expression and the culture ask was incubated for an additional three hours. The bacteria were then immediately used for the experiments.

Lab-on-a-chip
The developed chip ( Fig. 1) is made from Pyrex glass substrates and four layers of a dry-lm photoresist (Ordyl SY300, Elga Europe). It combines free-ow electrophoretic preconcentration, thermoelectric lysis as well as on-chip gel-electrophoresis of nucleic acids.

Layout
The chip comprises four chambers separated by three 1 mm wide polyacrylamide gels. Control of wetted areas inside the chip is achieved by patterned hydrodynamic pressure barriers ("phaseguides"). 24 The total dimensions of the chip are 16 mm Â 1.12 mm Â 27 mm (width Â height Â depth). All chambers have a height of 120 mm and a depth of 20 mm. For preconcentration, lysis and electrophoresis two platinum electrodes at a distance of 10 mm are located in the outermost chambers. To reduce the risk of bubble trapping, these chambers have a width of only 1 mm resulting in a volume of 2.4 ml. The elution chamber is twice as wide (4 mm) as the sample chamber and has a volume of 10 ml.

Fabrication process
Two 4 inch Pyrex glass wafers with a thickness of 500 mm are used as the top and bottom substrates of the chip. In a rst step, the electrodes consisting of two layers (50 nm titanium and 120 nm platinum) are patterned on the bottom wafer using a standard li-off process. Then, four layers (30 mm each) of a dry-lm photoresist are laminated onto it, followed by an exposure and development step that patterns the phaseguides and the chamber walls. Aer the inlet holes have been drilled into the top wafer, the wafers are thermally bonded and individual chips are released by dicing. Further details of the fabrication process may be found in Vulto et al. 25

Device operation
The chip has three main functions that are performed consecutively. Prior to an experiment, a 5% polyacrylamide gel (125 ml 40% 29 : 1 acrylamide/bisacrylamide solution, 867.5 ml 1Â TBE, 2 ml TEMED and 5.5 ml 10% ammonium persulfate) is dispensed into the provided chambers. Aer 15 min in a moisturized nitrogen atmosphere, the polymerization of the gel is complete and the chip is ready for use. Fig. 2 illustrates the general process ow: (a) Free-ow electrophoretic preconcentration: the bacteria sample is pumped continuously through the sample chamber whilst a DC voltage (100 V) is applied between the cathode (black) and anode (red). Due to the perpendicular electrical eld, the negatively charged bacteria are deected towards the anode resulting in trapping at the middle gel barrier. To avoid bubble formation, the electrode chambers are rinsed with fresh 1Â TBE at a ow rate of 200 ml min À1 during the complete process. Detailed information about the on-chip FFEpreconcentration can be found in the work of Podszun et al. 19 (b) Lysis: a sinusoidal AC voltage (20 kHz/230 V pp ) is applied to cause lysis of the concentrated bacteria leading to a release of their genetic material. It is performed until the formation of heat induced gas bubbles is observed. Parameters for lysis are  16 The devices used for lysis are a function generator (33120A, Hewlett-Packard) and a voltage amplier (A600, FLC Electronics).
(c) Gel-electrophoresis: nally, the released nucleic acids are transferred through the middle gel into the elution chamber, which is lled with fresh 1Â TBE, by gel-electrophoresis at a DC voltage of 100 V. Larger cell debris is retained in the sample chamber.
All samples and extracts are immediately stored at À20 C. Each experiment is repeated three times. Fig. 3 shows the custom chip holder milled from polyetheretherketone (PEEK). For preconcentration, a disposable poly methyl methacrylate (PMMA) connector is inserted into the chip holder. Two Luer-and four Lee (062 MINSTAC -The Lee Company) connectors as well as two spring probe pins are used for interfacing. Prior to an experiment, the sample is lled inside a 1 ml syringe (B|BRAUN -Omnix®F) and the chip is mounted into the xture. By means of a syringe pump, the sample is pumped through the chip into another 1 ml syringe, which acts as waste reservoir.

RT-qPCR and qPCR
Eluted mRNA (758 bp) and plasmid DNA obtained from uorescent E. coli were quantied using RT-qPCR and qPCR. Fluorescence readout and thermal cycling were performed using the LightCycler®1.5 (Roche). The supplied data analysis soware suite was used to determine the cycle threshold (C t ). All error bars indicate standard deviation.

Results and discussion
To demonstrate the operation of the system, uorescent E. coli were preconcentrated from an initial volume of 1 ml down to 5 ml. Preconcentration was followed by thermoelectric lysis and on-chip gel-electrophoresis of released nucleic acids to remove larger fractions (e.g. gDNA or plasmids) and residual cell debris.

Induction controls
To verify the induction of sfGFP in the presence of arabinose, direct (RT)-qPCR of samples with and without added arabinose was performed omitting any preconcentration ( Table 1).
The C t -values of the qPCR are constant for both experimental conditions, indicating a stable concentration of plasmid DNA. Interestingly, the RT-qPCR C t -value of the uninduced (E. coliara.) culture is in the same range (slightly higher C t -value) as the one obtained by qPCR, indicating that the RT-qPCR signal is predominantly due to the presence of the plasmid DNA background. The C t -values of the induced and uninduced samples show a difference of 4.04 AE 0.51, which corresponds to an about 16-fold increase in target copy number indicating successful sfGFP induction by arabinose. A C t -difference of 5.1 AE 0.38 was observed for E. coli (+ara.) when measured by RT-qPCR and qPCR, showing that sfGFP mRNA is present at about 34-fold higher levels than the plasmid DNA aer arabinose induction.

Free-ow electrophoretic preconcentration of bacteria
The deection of the bacteria towards the anode and successful trapping at the middle gel barrier (Fig. 2, step a) highly depends on the strength of the applied electric eld. Therefore, the voltage should be as high as possible to achieve a high preconcentration efficiency. However, the higher the voltage, the more heat induced gas bubbles were formed by resistive heating, interfering with the FFE inside the chip. Previous observations showed that a maximum DC voltage of 100 V could be applied to guarantee process stability. This means that electrolytic gas was removed efficiently from the electrode chambers and no formation of heat induced gas bubbles inside the chip was observed during the whole process duration. With a xed voltage of 100 V, the highest ow rate that achieved successful trapping of bacteria had to be determined. For this, a bacteria suspension was continuously pumped through the chip at different ow rates, whilst observing the chip under a uorescence microscope. Fig. 4 shows the sample chamber of the chip at three different ow rates and a constant DC voltage of 100 V.
The inlet is on the right side. The bright green lines are bacteria, which were previously collected at the gel front. The red line highlights the deection of the bacteria caused by the applied electric eld. At a ow rate of 10 ml min À1 and 20 ml min À1 hardly any loss of visible bacteria was observed. At 30 ml min À1 there was a substantial number of bacteria observed exiting the ow channel. Thus, a DC voltage of 100 V and a sample ow rate of 20 ml min À1 were chosen for all further experiments. To determine the preconcentration efficiency, suspensions of E. coli sfGFP (500 ml and 1000 ml) were reduced to a volume of 5 ml (sample chamber volume) inside the chip (Fig. 2, step a), resulting in a 100-or 200-fold reduction of the sample volume. Aer preconcentration, the outow (waste) as well as the initial sample were analyzed by direct RT-qPCR for the presence of sfGFP mRNA as well as for the presence of viable bacteria by the plate count method. Preconcentration efficiencies were then calculated according eqn (1) and eqn (2) for the plate-count method and for RT-qPCR, respectively.
(2) Table 2 shows the results for the plate-count method and Table 3 for RT-qPCR. Table 1 Verification of sfGFP induction by arabinose. Lower C t -values indicate significant mRNA production with added arabinose (E. coli (+ara.)) in comparison to samples without added arabinose during RT-qPCR (E. coli (Àara.)). The plasmid DNA content measured by qPCR remains constant for both experimental conditions. n ¼ 3   Both analysis methods showed that more than 99% of all detectable bacteria were successfully captured inside the chip at a ow rate of 20 ml min À1 and a DC voltage of 100 V.

Lysis
Bacteria were thermoelectrically lysed by applying a sinusoidal voltage to the coplanar electrodes (Fig. 2, step b). The applied voltage and frequency were the same as shown by Vulto et al. 16 to be effective for the lysis of E. coli (230 V pp /20 kHz). Lysis duration was limited by the formation of heat induced gas bubbles inside the microuidic chambers. A duration of 60 s was found to be the longest possible time before unacceptable levels of bubbles occurred that pushed uid out of the lling ports.

On-chip gel-electrophoresis and detection of nucleic acids
The electrophoretic migration time depends on the size of the desired nucleic acid fraction, the applied voltage as well as the composition and width of the polyacrylamide gel inside the chip. In order to determine the migration time of the nucleic acids from the sample into the elution chamber, a time series was performed. For this, a DC voltage (100 V) was applied to the electrodes (Fig. 2, step c). Eluted nucleic acids (10 ml) were removed from the elution chamber and replaced with fresh 1Â TBE-buffer every 30 seconds up to a maximum of 240 seconds using a pipette. The extracts were then analyzed for the presence of sfGFP transcripts and its DNA coding region by RT-qPCR and qPCR. Fig. 5 shows the C t -values (le axis) of the extracts from the elution chamber (30 s -240 s) obtained by qPCR (gray, dashed) and RT-qPCR (blue, dashed). The green line depicts the difference (DC t , right axis) of the qPCR and RT-qPCR results. The amount of extracted DNA remained almost constant over the complete time series, whereas the amount of extracted mRNA decreased sharply aer 60 s. The difference of the detected mRNA and DNA levels (green line, right axis) also decreased sharply aer the 60 s fraction. As the goal was the reliable detection of the target sequence (mRNA) with a low background (DNA), a duration of 60 s was used for gelelectrophoresis for all further experiments as mRNA was detected at an about 855-fold (DC t ¼ 9.74 AE 0.2) higher level than DNA.

Combined operation for signal enhancement
To demonstrate the full functionality of the microuidic chip, a bacteria suspension was diluted 200-fold and sfGFP mRNA was extracted by on-chip lysis and gel-electrophoresis with and without FFE preconcentration. First, mRNA was extracted from 5 ml of the diluted bacteria suspension by on-chip lysis and gelelectrophoresis (Fig. 2, steps b and c). Next, 1000 ml of the same diluted sample were preconcentrated by on-chip FFE within the sample chamber (5 ml) and mRNA was extracted from the collected bacteria (Fig. 2, steps a, b and c). Table 4 shows the experimental results.
The mRNA extracted without preconcentration was detected at C t ¼ 24.97 AE 0.98 and with preconcentration at C t ¼ 17.88 AE 1.65. The threshold-cycle difference of the two experiments (DC t ¼ 7.09) corresponds to a 136-fold increase in mRNA concentration aer preconcentration. The overall detection of bacteria is thus enhanced 136-fold by the addition of the FFE preconcentration step. Assuming a preconcentration efficiency of >99%, a 200-fold increase in the amount of eluted mRNA is expected when comparing the mRNA amounts resulting from the experiments with and without FFE preconcentration. Considering the RT-qPCR results of the diluted (C t ¼ 23.14 AE 0.87) and undiluted (C t ¼ 15.44 AE 0.95) sample material which were dispensed into the sample chamber, the expected amount of mRNA concentration increases up to 208-fold (DC t ¼ 7.70 AE 0.77). This allows for the calculation of the combined lysis/ electrophoresis efficiency of the chip system as  with D being the dilution factor of the sample. With DC t ¼ 7.09 and D ¼ 208.14 the combined lysis/electrophoresis efficiency equals EF L/E ¼ 65.57% at the previously stated operating parameters for lysis and on-chip electrophoresis.

Conclusions and outlook
We have developed an lab-on-a-chip that combines highly efficient FFE preconcentration of bacteria with nucleic acid extraction for efficient detection of bacteria from dilute aqueous samples by organism specic mRNA. To demonstrate the full functionality of the chip, 1 ml of a dilute bacteria sample was preconcentrated down to a volume of 5 ml. This step was followed by on-chip thermo-electric lysis and on-chip gelelectrophoresis of released mRNAs. All processing steps were completed in less than one hour with minimal hands-on time.
Specic mRNA was then quantied in the extracts by RT-qPCR.
The system showed an efficiency of nearly 100% for preconcentration and about 65% for on-chip lysis and gelelectrophoresis. Overall, a 136-fold signal improvement was achieved for the detection of bacteria by addition of the FFE preconcentration step. The unique combination of these techniques in a single chip allows for easy, fast and space-saving sample pretreatment making it ideal for the integration into small POCT devices. Furthermore, it reduces the risk of crosscontamination and the loss of sample material by additional pipetting steps.
To enable eld deployment capability, we have developed a compact power supply using a boost converter for high-voltage generation and high-voltage operational ampliers for ampli-cation of the waveforms necessary for on-chip lysis. By optimizing the mRNA/DNA-separation, the developed chip system could be a very useful device for both gene expression studies and further RNA-based measurements such as RNAsequencing. For example, analysis of the bacterial transcriptome allows for more accurate determination of antimicrobial resistances at the point-of-care, as the sole presence of the resistance gene is oen not directly related to the observed resistance phenotype(s). 21,26 Furthermore, the system may be suitable for the detection of viruses from dilute clinical samples such as those arising from e.g. bronchoalveolar lavage.

Conflicts of interest
There are no conicts to declare.