Multiplex PCR Assay for Tick-Borne Co-Infection Detection

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Solution Overview

Problem

Current diagnostic tests for Lyme disease and other tick-borne illnesses, such as anaplasmosis and babesiosis, are inadequate as they cannot accurately detect early infections, distinguish between active and cured infections, and fail to detect co-infections, leading to a need for a technically simple, rapid, and accurate assay to diagnose these diseases individually or simultaneously.

Innovation Solution

The development of multiplex primer-dependent assays, including PCR methods, that utilize molecular beacon probes to detect specific genetic targets of Borrelia burgdorferi, Babesia microti, and Anaplasma phagocytophilum, allowing for real-time amplification and differentiation of these pathogens in a single assay, with the option to include a human DNA target for control and quality assessment.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Measurement precision

If serological tests are used to diagnose tick-borne diseases, then the tests can detect infections, but they cannot detect early infections before antibodies are produced and cannot distinguish between active and cured infections

Engineering Contradiction:
Improvedetection accuracyVSAvoiddetection timing
Core Design Contradiction:
Measurement precisionVSLoss of time

Solution Approach 1:

The patent replaces serological testing (mechanical/chemical detection of antibodies) with nucleic acid-based detection (molecular-level detection of pathogen DNA/RNA). This substitution enables detection of the actual pathogen rather than the host's immune response, allowing for early detection before antibodies are produced and accurate differentiation between active and cured infections by detecting pathogen genetic material presence or absence.

Inventive Principle:
Principle #28Mechanics substitution (Replace mechanical system)

2Measurement precision

If current nucleic acid-based assays are used, then they can specifically detect the presence of pathogens, but they are insufficiently multiplex to accurately detect co-infections

Engineering Contradiction:
Improvepathogen detection specificityVSAvoidmultiplex capability
Core Design Contradiction:
Measurement precisionVSAdaptability or versatility

Solution Approach 1:

The patent merges multiple nucleic acid detection assays into a single multiplexed platform that can simultaneously detect and differentiate multiple tick-borne pathogens (Borrelia burgdorferi, Anaplasma phagocytophilum, Babesia microti) in one test. This combining of detection capabilities maintains the specificity of nucleic acid-based detection while adding the versatility to handle co-infections, resolving the contradiction between precision and adaptability.

Inventive Principle:
Principle #5Merging (Combining)

3Measurement precision

If individual tests are developed for each pathogen, then accurate diagnosis of each disease is possible, but the complexity and time required for diagnosis increases

Engineering Contradiction:
Improvedisease diagnosis accuracyVSAvoidtest system complexity
Core Design Contradiction:
Measurement precisionVSDevice complexity

Solution Approach 1:

The patent creates a universal nucleic acid detection platform that can test for multiple tick-borne pathogens simultaneously through multiplexing. This single multi-functional assay replaces the need for separate individual tests for each pathogen, maintaining diagnostic accuracy for each disease while reducing overall system complexity and streamlining the diagnostic workflow.

Inventive Principle:
Principle #6Universality (Multi-functionality)

4Ease of operation

If current diagnostic assays are used, then they can provide diagnosis, but they cannot provide accurate information about whether pathogens were introduced by ticks during bloodmeal

Engineering Contradiction:
Improvediagnosis simplicityVSAvoidinfection source information
Core Design Contradiction:
Ease of operationVSLoss of information

Solution Approach 1:

The patent replaces indirect serological detection with direct nucleic acid detection of the pathogen itself, which provides information about active infection status and can indicate recent transmission. By detecting pathogen genetic material rather than host antibodies, the system preserves information about whether the infection is currently active and likely recent, enabling more accurate determination of infection source and timing.

Inventive Principle:
Principle #28Mechanics substitution (Replace mechanical system)

Applied Scientific Principles

This section explains which scientific principles are used to turn an abstract innovation direction into a practical engineering solution.

Function Achieved in This Case

This approach enables sensitive and specific detection of active tick-borne infections, allowing for accurate diagnosis and differentiation of multiple pathogens simultaneously, improving the ability to diagnose co-infections and determine appropriate treatment regimens.

Implementation Method 1

a primer pair and a molecular beacon probe for each intended target, wherein the primer pair defines an amplification product ('amplicon') that is 70-300 base pairs in length, and wherein each different molecular beacon probe is labeled with a spectrally distinguishable fluorescent or luminescent signaling moiety

Methodology Applied
Scientific EffectHybridization:

Implementation Method 2

each different molecular beacon probe is labeled with a spectrally distinguishable fluorescent or luminescent signaling moiety

Methodology Applied
Scientific EffectFluorescence: Fluorescence

Implementation Method 3

Nucleic acid-based assays, on the other hand, are able to specifically detect the presence of the pathogens that cause Lyme disease and other tick-borne diseases

Methodology Applied
Scientific EffectPolymerase Chain Reaction:

Data Source

PatentUS12146197B2Multiplex diagnostic assays for Lyme disease and other tick-borne diseases
Publication Date: 2024.11.19 RUTGERS THE STATE UNIV
  • US12146197B2 patent drawing
  • US12146197B2 patent drawing
  • US12146197B2 patent drawing

AI summary

The present invention provides novel methods of diagnosing and determining treatment strategies for Lyme disease and other tick-borne illnesses.