Abstract
This work presents a method to unequivocally detect urine sample tampering in cases where integrity of the sample needs to be verified prior to urinalysis. The technique involves the detection of distinct patterns of a triplex short tandem repeats system in DNA extracted from human urine. The analysis is realized with single-dye fluorescence detection and using a regular smartphone camera. The experimental results had demonstrated the efficacy of the analytical approach to obtaining distinct profiles of amplicons in urine from different sample providers. Reproducibility tests with fresh and stored urine have revealed a maximum variation in the profiles within an interval of 5 to 9%. Cases of urine sample tampering via mixture were simulated in the study, and the experiments have identified patterns of mixed genotypes from dual mixtures of urine samples. Moreover, sample adulteration by mixing a non-human fluid with urine in a volume ratio over 25% can be detected. The low cost of the approach is accompanied by the compatibility of the technique to use with different DNA sample preparation protocols and PCR instrumentation. Furthermore, the possibility of realizing the method in an integrated microchip system open great perspectives to conducting sample integrity tests at the site of urine sample reception and/or at resource-limited settings.
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Acknowledgments
The authors acknowledge the funds from the National Natural Science Foundation of China (Grant Nos. 61650410655 and 61550110253). Furthermore, the work is also a major result of the research efforts conducted in the NFR-FORNY SENS-U project (Proj. No. 268481), with the aim to develop smartphone-based methods and devices for personalized urinalysis. Chongqing Xiji Hospital is acknowledged for the support to the experiments. The authors would like to specially thank Zhongqiang Li for his prodigious work on previous INNOMED URUS project report, served as part of the basis to new FORNY SENS-U project. Design and experimental concepts were partially motivated from the aforementioned report prepared by Zhongqiang Li to whom we are heartily thankful. Thanks are also given to lab assistance and discussions from Luis F.B.A. da Silva and Birgitte Hønsvall. The support from RFF Oslofjordfondet (Proj. No. 285575), Science and Technology Research Program of Chongqing Education Commission (Grant No. KJZD-K201800802) and Chongqing Research Program of Basic Research and Frontier Technology (Proj. Nos. cstc2017jcyjA1842, cstc2018jcyjA4046) are also acknowledged.
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Pires, N.M.M., Dong, T., Yang, Z. et al. A Fluorescence Sensing Method with Reduced DNA Typing and Low-Cost Instrumentation for Detection of Sample Tampering Cases in Urinalysis. Ann Biomed Eng 48, 644–654 (2020). https://doi.org/10.1007/s10439-019-02386-y
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DOI: https://doi.org/10.1007/s10439-019-02386-y