Overview
        At present, the early diagnosis of metabolic syndrome is very difficult, and many patients with metabolic syndrome often miss the best time for intervention. Therefore, it is urgent to develop and popularize the early diagnosis technology of metabolic syndrome. The first step of the project was to interview relevant experts and the general public. In this way, we defined and verified the problem (see HP). Through multiple design-test-learn cycles, we have managed to develop FAT test (fast amplified trace-RNA test), a detection kit that uses specific miRs as biomarkers for detecting metabolic syndrome at home and assessing the risk of the disease. In this Engineering Success page, we mainly discuss the design-test-learn cycles we went through during the development of the system.
The first cycle: miR detection system based on linear DNA-RNA chimeric probe, DSN and Cas12a

Design

        Our enzymatic reaction system (Fig1) is designed as follows:

Fig1.The first generation system.

        The reaction system consists of two parts, A and B.
        There are two biological elements in the reaction module A. The first one is the DSN enzyme, a nuclease that degrades the DNA strand in DNA-RNA hybrid double strand but has no effect on single-stranded nucleic acid molecules. The enzyme was fixed on a honeycomb bracket at the bottom of tube A by immobilized enzyme technique (see hardware).. The second biological element is a nucleic acid probe that identifies specific microRNAs in the blood. The probe is a linear DNA-RNA chimeric probe (later called probe-α_LP).

Fig2. The structure of probe-α_LP. The blue is ribonucleic acid, the yellow is deoxyribonucleic acid.

        After the target miRNA in the collected blood enters reaction module A, it will bind to the complementary region in the probe and form a locally hybrid double strand of DNA/RNA through base complementary pairing. Subsequently, duplex-specific nuclease (DSN) will cleave DNA in DNA-RNA hybrid duplex, re-releasing the microRNA and a complete sgRNA sequence will be released. The released microRNA can bind to a new probe for a new round of reaction. The released sgRNA sequence then self-folds to form a functional sgRNA, which will enter the reaction module B for the next reaction.
        In reaction module B there are Cas12a protein to be activated, assistant DNA to activate Cas protein and inhibit DNA/sgRNA hybrid double strand, which we call scgRNA-F. There are two small protruded single strands in the DNA that serve as the cleavage site for Cas12a, and fluorescence and fluorescence quenching groups are on both sides of the cleavage site. When the sgRNA in reaction module A enters reaction module B, sgRNA forms a ternary complex with Cas12a and assistant DNA. The complex trans-cleave the inhibit DNA's prominent structure, releasing the sgRNA sequence, while the fluorophore and fluorescence quenching groups separate to emit fluorescence. SgRNA then combines with Cas12a to be activated to carry out a new round of reaction and achieve exponential amplification.

Build and test

        The parts of our system can be roughly divided into two categories: nucleic acids and proteins. The linear fragment of nucleic acid is short and the sequence is known, so it is synthetic. We groped the dosage of enzymes (see experiments & results) and specified the reaction conditions according to the application scenario and the nature of the enzyme. The most difficult part of constructing this system is the design of probe and reaction system composition. After the system is built, 10E-4nM, 10E-2nM, 10E-1nM and 1nM miRNA were added into the reaction system and fully combined with probe- α _ LP, and then sgRNA was released by DSN enzyme cleavage. Cas12a captured the sgRNA signal and conducted the CONAN system reaction to release the fluorescence signal. (Fig3)

Fig3. The concentration of target miR was measured by using the combined system of CONAN system, DSN and ring probe. 50uL reaction system: 100nM Cas12a, 50nM probe-α_LP, 200nM assistant DNA, 1uM scgRNA-F. Add the target miR as shown in the legend. The component differentiation is not good.

Learn

        Unfortunately, the results showed that there is no significant difference in the output signal when the system detects different concentrations of miRNA. The rule is also irregular, and even the curve of low concentration group is above the curve of high concentration group, which means we cannot correctly distinguish different concentrations of input microRNA.
        We analyzed the reason for the poor effect of the first time, and speculated that it’s the functional redundancy of the components of the CONAN system that led to the poor detection effect between groups. In order to change the detection object from DNA to RNA and further optimize the detection threshold, we introduced the DSN enzyme and probe- α. We found that both scgRNA-F and the introduced probe can undertake the task of exponential amplification, and probe- α can also realize the linear amplification, so the existence of scgRNA-F is superfluous. Therefore, we removed the scgRNA-F from the CONAN system and launched our DRJ system.
The second cycle: From CONAN to DIRENJIE

Design

        To address the inherent flaws of the previous generation system, we redesigned the B module. We removed the scgRNA-F from CONAN system and replaced it with our probe. In this new system, when probe is absolutely excessive, it can realize both linear and exponential signal amplification, and give full play to its function as a component. In this way, the signal amplifies linearly and exponentially through probe identification and Cas12a activation. In addition, we added an additional short single-stranded nucleic acid with a fluorescence quenching group and a fluorophore. When Cas12a is activated, the single-stranded nucleic acid will be cleaved and the fluorescence signal will be released. (Fig 4)

Fig4.The second generation system.

Build and test

        We replaced scgRNA-F with probe-α_LP and built a new system. We used this system to detect different concentrations of miRNA. MiRNA with the concentration of 10nM, 1nM and 10E-1nM was added into the system respectively and fully combined with probe-α_LP, and then sgRNA was released by DSN enzyme cleavage. Cas12a captured the sgRNA signal and conducted the DRJ system reaction to release the fluorescence signal(Fig5).

Fig5. The DRJ system is used for exponential amplification. 50uL reaction system: 100nM Cas12a, 50nM probe-α_ LP, 200nM assistant DNA, 400nM scgRNA-F. There was no significant difference between different gradients when miR was injected according to the concentration in the illustration.

Learn

        Unfortunately, there was no significant difference between different gradients, and the system still didn’t not correctly reflect the amount of miRNA input. We analyzed the results and doubted the effect of sgRNA with DNA tail, so we decided to use pure RNA sgRNA in the new round of project.
The third cycle: Optimization of probe sequence

Design

        In the third iteration, we adjust the sgRNA sequence in the probe and change the length of the sgRNA to 41nt.(This probe will be called probe-β_LP in the following.)

Fig6. The structure of probe-β_LP. The blue is ribonucleic acid, the yellow is deoxyribonucleic acid.

Build and test

        After synthesizing the new probe, we used this system to detect different concentrations of miRNA. MiRNA with the concentration of 10nM, 1nM and 10E-1nM was added into the system respectively and fully combined with probe- β _ LP, and then sgRNA was released by DSN enzyme cleavage. Cas12a captured the sgRNA signal and conducted the DRJ system reaction to release the fluorescence signal.(Fig7)

Fig7. The DRJ system is used for exponential amplification. 50uL reaction system: 100nM Cas12a, 50nM probe-β_LP, 200nM assistant DNA, 400nM scgRNA-F. The miR was injected according to the concentration of the legend, and the rule between the groups was irregular.

Learn

        The results showed that the difference between groups was more obvious than before, and there was no overlap between groups, indicating that the sgRNA provided by probe- β was better than that of probe- α. However, the rules between groups are irregular, which provoked our reflective thoughts. It occurred to us that the sequence of sgRNA will self-fold. It means that the linear probe- β with complete sgRNA sequence cannot maintain the linear state in space, but will perform base pairing, self-folding to form a more mature sgRNA, and then bind and activate Cas12a, which leads to the generation of this inexplicable curve. In order to solve the problem of probe- β _ LP self-folding, we decided to cyclize it in the next round of engineering iteration.
The fourth cycle: Optimization of probe structure - probe cyclization

Design

        In this iteration, we cycled the probe. If the microRNA target is present, it hybridizes to the probe. And duplex-specific nuclease (DSN) will cleave DNA in DNA-RNA hybrid duplexes, re-releasing the microRNA to achieve linear signal amplification. At the same time, rest probe sequences (the RNA strand in thesingle-stranded circular DNA-RNA chimeric probe) will fold into sgRNA. After the completion of the first reaction, the reaction liquid enters the second reaction. SgRNA will form a ternary complex with Cas12a and assistant DNA, activating Cas12a's trans cleavage activity. Actived Cas12a will cleave single strand DNA in the probes to release new sgRNA and achieve exponential amplification of the signal.There are also aggregated colloidal gold particles (aggregated through ssDNA connections) in the reaction solution, which can also be cleaved by activated Cas12a to release the visible signal. (Fig8)

Fig8. The fourth generation system.

Build and test

        After literature review and experimental investigation, T4 DNA ligase was chosen and a sequence specific primer was introduced to cyclize the circular DNA-RNA chimeric probe. Result display that we btained the purified circular product (Fig9).

Fig9. Denaturing PAGE. The bands shift upward after probe circularization. Arrow denotes circular DNA-RNA chimeric probe.

        We used this system to detect different concentrations of miRNA. MiRNA with the concentration of 100nM, 1nM and 10E-2nM was added into the system respectively and fully combined with probe- β _ LP, and then sgRNA was released by DSN enzyme cleavage. Cas12a captured the sgRNA signal and conducted the DRJ system reaction to release the fluorescence signal.(Fig10)
        It can be seen from the diagram that the system can correctly reflect the correct relationship of different input concentrations of miRNA, and has a better improvement than the previous three iterations, which indirectly showed that circular probe improves the work efficiency of DSN. At the same time, we found that there is still a large gap in the curves between 10E-2nM miRNA and 0Nm miRNA, indicating that under our laboratory conditions, the theoretical threshold of this system is lower than that of 10E-2nM, which is an exciting progress compared with the initial threshold of 10E-1nM.

Fig10. The DRJ system is used for exponential amplification. 50uL reaction system: 100nM Cas12a, 50nM probe-β_CP, 200nM assistant DNA, 400nM scgRNA-F. Input miR according to the concentration of illustration can better distinguish the target miR of different concentration.

At this point, we have successfully constructed a system that can detect specific miRs. The detection system uses fluorescence as the output signal and can also work outside the laboratory with the corresponding hardware. In the next step, we hope to use color changes visible to the naked eye as the output signal and have made efforts to this end. (see experiments & results and Proposed implementation