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Aptamers as Diagnostic and
Therapeutic agent
Dr. Rakhi Gangil
Doctoral Seminar
Introduction
Why aptamers matters?
Aptamer vs Antibody
Types of Aptamers
History
SELEX
Application
Aptamer as Biosensors
Aptamers against pathogens
Advantages and Disadvantages
Conclusion
Outlines
Introduction
 (apto: “to fit”& mer: “smallest unit of repeating structure”).
 Single stranded folded oligonucleotides and peptide
 Structure-based drug design strategies
 Three-dimensional structures – well bind to a wide variety of targets from single
molecules to complex target mixtures or whole organisms
size - 20 to 80 bases (6-
26 kDa).
Why they matter ??
 Short DNA, RNA, or peptide structures
 Synthesized against small molecules toxins, proteins of viruses , bacteria and even
whole cell
 ​unlimited spectrum of molecular targets​, unbound by limitations of immunogenicity.
 Bind with high specificity and affinity
 Used as synthetic antibodies and similar to monoclonal antibodies
 enormous therapeutic potential for which antibodies are not well suited
 Precise control over syntheis, purity and pharmokinetic profile
 Cutting edge therapeutic tools to treat disease into the 21st century.
History
 In 1980s – Concept of joining nucleic acids with proteins
(HIV and adenovirus )
small structured RNAs can bind to cellular proteins with
high affinity and specificity
In 1990 - Larry Gold and Craig Tuerk, developed the SELEX process
– Two sequences isolated from a randomized pool of around
65,500 nucleotide sequences
Nucleic acids could be used to recognize proteins.
Andy Ellington coined the term "aptamer."
Aptamer vs Antibodies
Types of Aptamers
RNA APTAMER DNA APTAMER PEPTIDE APTAMER
Complex secondary and
tertiary structure
Complex secondary and
tertiary structure
Structure constrains by
scaffold
Diverse 3d structure Less diverse 3d structure
than RNA aptamer
3d structure constraints by
scaffold
Bind target with the entire sequence bind target variable region
only
Require reverse
transcription in SELEX
Inherently more
stable, cheaper,
and easier to produce
-
Biosensor, Diagnostic, Therapeutic applications
SELEX
One of the crucial steps of a SELEX process with outstanding importance for the selection of aptamers with high
affinity and specificity is the efficient partitioning between target-binding and non-binding oligonucleotides
(Ellington, A.D & Szostak, J.W., 1990)
Systematic Evolution of Ligands by Exponential Enrichment
Random DNA Oligonucleotide Library
(Stoltenburg et al., 2007)
A general schemes of SELEX method for DNA and
RNA libraries
Steps of SELEX
 Selection
 Amplification
 Conditioning
 Post SELEX modifications
Selection
 Immobilization of the target molecule
on a particular matrix
 Affinity chromatography - Column
material like sepharose or agarose
(conventional method)
 Magnetic beads
Assessment of SELEX procedure
Quantification of the enriched target-binding
oligonucleotides as well as the amount of non-binding
oligonucleotides
Radioactive markers – drawback cost effective
(Beinoraviciute-Kellner et al., 2005)
Fluorescence labels used for quantification
(Stoltenburg et al., 2005)
Amplification
 Only few functional oligonucleotides in result of the selection step
 RNA aptamers
SS RNA RT-PCR cDNA PCR
 DNA aptamers
 PCR with special primers
Conditioning
In vitro transcription (RNA aptamers)
ds DNA RNA oligonucleotide
Purification of single strandard DNA (DNA aptamers)
Single strand separation has to be carried out by using streptavidin/biotin
 dsDNA (only one strand biotinylated) bind to streptavidin surfaces (beads or plates)
and separate the strands after DNA denaturation
(Naimuddin et al., 2007)
Asymmetric PCR which uses only one or a much bigger amount of one primer to obtain
ssDNA products (Wu and Curran, 1999)
Transcription with T7 RNA polymerase
Post SELEX modifications
 RNA aptamers larger variety of secondary structures
 more sensitive to cellular nucleases
 DNA aptamers - more stable and their biological stability can also be improved.
(Breaker, 1997) (Keefe & Cload, 2008).
 Protective chemical modifications becomes necessary.
 To increase the complexity of a library
 To introduce new features like functional groups providing new possibilities for the
interaction with target molecules
 To enhance the stability of oligonucleotide conformations
 To increase the resistance to nucleases
Nucleic acid modifications
Applications
(Breaker, 1997),
Aptamer as biosensor
 Analytical device which converts the
Biological response Electrical signals
 Fast and efficient diagnosis of diseases.
20
A schematically represented biosensor
Transducer RecorderReceptor
Antibody
Enzyme
Aptamer etc.
Bioreceptor Biomarker Protein
DNA
RNA etc,
Why Biosensors important…?
 Small in size
 Fast in measurement
 Preliminary sample preparation are not required
 Target specific
 Electronic device
 high sensitivity and specificity of biomarker detection
Aptamer-Based Sensor
A biosensor that is based on aptamers – Aptasensor
Electrochemical Aptasensor,
Fluorescence-Based Optical Aptasensor
Colorimetric-Based Optical Aptasensor
Electrochemical aptasensor
Hybridized
aptamer with
complementary DNA,
immobilized on the gold
surface.
Aptamer bind with
the target
and decrease the
amount of the
aptamer on the
electrode surface
(a) Electrochemical aptasensor using Fe(CN)6 4−/3−
(b) Electrochemical aptasensor using MB
Aptamer folds into the target-binding three-way
junction, altering the electron transfer (eT) and
increasing the observed reduction peak
(c) electrochemical aptasensor using Fc
aptamer folds into the hairpin structure, results in
increased efficiency of eT between the Fc probe and the
electrode surface
(Song et al 2012)
Fluorescence-Based Optical Aptasensor
a) Quenching aptamer beacon
b) Assembly aptamer beacon
c) Disassembly aptamer beacon
(Stojanovic et al 2001)
Colorimetric-Based Optical Aptasensor
AuNPs or several polymers cause color change - optical detection
technique (colorimetry)
Highly negatively-charged ssDNA
(complementary strand of the aptamer)
Aptamer with targetColor change
(Zhao et al 2006)
Aptamer Based ELISA- ALISA
(a) the ELISA method (b) the ALISA method.
An aptamer-linked immobilized sorbent assay (ALISA)
(Vivekananda et al 2006)
Aptamer based Rapid diagnostic test
(Lateral flow assay)
A schematic illustration of an AuNPs-based strip assay.
(Xu et al., 2009)
Aptamer based western blot analysis
(a) The conventional Western blot analysis (b) The aptamer-based Western blot analysis.
Conjugated RNA aptamer
(Shin et al 2010)
Aptamers against Pathogens
Avian influenza virus (AIV)
 Hemagglutinin (HA) - a surface glycoprotein
 RNA aptamers P30-10-16 and A-20, that specifically bind the type A
and B of HA, respectively
 Able to distinguish influenza type A from type B or even closely related
strains of the same influenza subtype
Binding affinity more than 15-fold higher than anti-HA monoclonal
antibody
(Gopinath et al.)
Method Virus
Isolation
ELISA RT-PCR qRT-PCR SPR Aptasensor
Detection time 120-170 h 3 h 5 h 3 h 1.5 h
Comparison of Avian Influenza Virus detection time
with different time diagnostic methods
Aptamers against Human Immunodeficiency Virus (HIV)
 Aptamers that recognize HIV proteins i.e. Tat and Rev, have
been mainly used in several biosensor systems
 Tombelli et al. generated biosensors (high sensitivity and specificity)
 Surface Plasmon Resonance (SPR)
 quartz crystal microbalance (QCM) techniques.
 They introduced aptamers capable of detecting the HIV-1 Tat
protein, using biotin-streptavidin interaction.
(Tombelli et al 2005)
Aptamers against BRSV
 Aptamer based sensor for detection of target mRNA from RSV.
 Oligonucleotide hybridization probes (hairpin shaped molecules) with
a streptavidin binding aptamer sequence was blocked for this assay.
 sensor sensitivity - detect 13 pmol of RSV mRNA in a 4 μL total
volume of a complex biological media.
(Cai et al..,2013)
Aptamers and aptamer-based biosensors in viral diagnostics
Virus Aptamer Type Target Detection technique
Influenza
H5N1
RFA006
RHA0385
DNA Haemagglutinin
Surface Protein
Sandwich ELISA
QCM based biosensor
HIV-1 n/d RNA Tat protein
FET based biosensor
QCM based biosensor
SPR based biosensor
HCV E2-B
E2-D
DNA E2 glycoprotein ALISA
Vaccinia PP3
TV01
DNA hemagglutinin
surface protein
fluorescence microscope using Alexa
Fluor 594-labeled aptamer PP3
flow cytometry assay using Cy5-
labeled aptamer
HPV 13, 14,20,28 DNA Epitope of surface
protein of non infected
cell
Confocal Microscope
Chikungunya,
Dengue,
West Nile
spectrum of selected
aptamers
DNA viral envelope proteins
lateral flow chromatographic test strip
fluorescent aptamer-magnetic bead
sandwich assay
Dengue apt_EcoRI n/d EcoRI enzyme—one of
biosensor modules
modular biosensor detecting the
genetic sequences of Dengue genome
( Wandtke et al., 2015)
Strategies of antiviral therapy with use of
aptamers
 Blocking of Viral Fusion with the
Target Cell
 Inhibition of Proteins and
Enzymes of Viral Replication Cycle
 Inhibition of Nucleic Acid
Sequences Essential for Virus
Replication Cycle
 Delivery of Therapeutic Molecules
to infected Cells
Blocking of Viral Fusion with the Target Cell
 HIV-1 glycoprotein gp120 ligand of T helper cell receptar (CD4) –
RNA aptamer B40 and B40t77 inhibit the binding of gp120 to receptor
(Dey et al, 2005)
 HCV E2 glycoprotein coreceptor for CD81 –
DNA aptamer ZE2 block the E2 glycoprotein (Chen et al 2009)
 Conserved-HA region of Influenza virus –
DNA aptamer A22 bound the HA specific site responsible for
ligation of cell receptor (Jeon et al
2004)
Virus Aptamer Type Target Aptamer application method Inhibitory effect
Influenz
a H5N1
A22 DNA HA Balb/c mice intranasaly inoculated
with A22 solution
>90 % decrease in viral
loads in mice
H9N2 HA12-16 RNA gHA1 MDCK infected culture cells
incubated with aptamer
Efficient suppression of
infection of the cells
HIV B-40, B40t77 RNA Gp120-
ccR5
PBMC culture cells inoculated with
aptamer before infection
Inhibition of viral
infectivity
Ch A-1 (Anti-
gp120
aptamer-
siRNA
chimera)
RNA gp120
(aptamer)
tat/rev (si-
RNA)
RAG-Hu mice were injected with
chimera solution
Reduction in tat/rev
mRNA transcript level in
mice 75%-90%
HCV B2 DNA NSB5 Aptamer added to HCV-NS5B in
vitro reaction
Inhibition of polymerase
activity
HSV Aptamer-1 RNA gpD Virus particle preincubated with
aptamer used in VERO cells
Blockade of viral entry
HBV S9 RNA P Protein HepG2.2.15 cells transfected with
plasmid encoding aptamer
Reduction of replicative
intermediates by 80%
Ebola IGB-14 RNA eVP35 Inhibition of EBOV
polymerase activity and
VP36 nucleoprotein
reaction
Aptamers application: in vitro therapeutic experiments and models in vivo.
( Wandtke et al., 2015)
Aptamer-siRNA chimeras
 Attractive approach to gene silencing with the aid of aptamers
(Zhou et al., 2008)
Aptamer-siRNA chimera targeted at HIV1 gp120 glycoprotein
selectively internalized into HIV-infected cells
Down regulated the tat/rev gene expression
Inhibitory conjugate able to suppress viremia for up to 3 weeks after the final treatment but
also to evade immune response, as no significant elevation in interferon induced genes
Antibacterial aptamers
Certain components of the bacteria as well as whole bacterial cells can be
used as ligands for aptamer selection.
S. enterica serovar Typhi
 RNA aptamer S-PS8.4, which specifically binds type IVB pili
 2.0 mg of S-PS8.4 provided 71% inhibition of the invasion of pili
S. Typhi into human monocytes (THP-1 suspended cell line) due to
specific aptamer binding. (Therapeutic application)
Continue….
 The aptamer S-PS8.4 covalently immobilized on the surface of
carboxylated single-walled carbon nanotubes – Used in detection
system (aptasensor) (Zelada-Guille´n et al., 2009)
 Highly sensitive - detection of a single CFU of target S. enterica in
an assay that was close to real-time.
 Highly specific - as no signal was detected from Escherichia coli
or Lactobacillus containing samples.
Staphylococcus aureus
 62 nt DNA aptamers SA17 and SA61 obtained using whole bacterial
cells as SELEX targets, where every selection round included a negative
selection stage against S. epidermidis.
 Immobilization of these aptamers on the surface of gold nanoparticles
were used for development of detection system
Chang et al. (2013)
Continue….
 DNA aptamers capable of recognizing the alfa-toxin of S.
aureus were selected.
 Aptamers AR-27, AR-33, AR-36, and AR-49 significantly
inhibited a-toxin-mediated cell death in Jurkat T cells. cell
survival rate – 50-60% to 80-90% (Therapeutic drug)
(Vivekananda et al., 2014)
 Enterotoxin B of S. aureus was also used as a ligand for the
selection – Aptamer APTSEB1 (used as aptasensor)
(DeGrasse, 2012).
E. coli
 E. coli O157:H7 strain can cause a wide range of diseases
 Aptamers against E. coli, both whole bacteria and bacterial
components
 A DNA aptamer against lipopolysaccharide of E. coli O111:B4
Aptamer conjugate with C1qrs protein Antibacterial activity
(Bruno et al., 2008b)
 DNA aptamer targeting outer membrane proteins of an E. coli
Crooks strain for the specific FRET detection of bacteria
(Bruno et al., 2010).
Continue…
 DNA aptamer against fimbriae protein of E.coli K88 strain
Li et al. (2011).
 Enteropathogenic E. coli strain K88 was also used for cell-SELEX
of a DNA aptamer. A sandwich-type fluorescent assay was
developed for the detection of E. coli K88 in pure cultures as
well as in spiked biological samples.
(Peng, 2014)
Mycobacterium tuberculosis
Tuberculosis widespread dangerous infection - drug-resistant MTB strains.
DNA Aptamer NK2 - whole living bacteria as SELEX target
NK2 aptamer - inhibit the invasion of MTB into macrophages
0.8µg NK2 aptamer – significantly decrease in mycobacteria
in MTB infected mice
(Chen et al., 2012, 2013)
Continue..
 Aptamer G9 - bacterial enzyme polyphosphate kinase 2 (PPK2)
 PPK2- synthesis of mycolic acid and other surface
polysaccharides
 High binding affinity and inhibited the activity of the enzyme up
to 50% (therapeutic use)
Shum et al. (2011).
Continue….
 Aptamer as MTB detection system
 A sandwich-type system - detection of MPT64 antigen
which is expressed during an active bacterial cell division
 L64QA - Immobilized to capture the analyte molecule
 M64RA - Reporter component.
(Qin et al., 2009)
Target Aptamer
type
Application
Salmonella
Pilin structural protein of
S. Typhi
Mixture of OMPs of
S. typhimurium
S. typhimurium whole
live cells
RNA
DNA
DNA
Inhibition of the invasion of pil+ S. Typhi into human monocytes
Potentiometric aptasensor based on single-walled carbon nanotubes.
LOD is 0.2 CFU/ml in bacterial suspension.
Aptamers, immobilized on magnetic beads, were applied for the
capturing of the pathogen in biological samples with subsequent PCR
detection. LOD is 10 CFU/g in biological samples.
Sandwich-type system with fluorescent detection.
LOD is 25 CFU/ml in bacterial suspension.
S. aureus
Whole live cells
alpha-Toxin
DNA
DNA
Single cell detection in bacterial suspension.
Inhibition of a-toxin-mediated cell death in Jurkat T cells
Escherichia coli
OMPs of Crooks strain
Fimbriae protein of K88
strain
DNA
DNA
FRET detection in bacterial suspension
Sandwich-type fluorescent assay
LOD is 2.1103 CFU/ml in biological samples
M. tuberculosis
Whole live cells
MPT64 protein
CFP-10.ESAT-6 protein
DNA
DNA
DNA
Decrease of the amount of mycobacteria in MTB-infected mice,
Sandwich-type system
Detection in clinical samples
Antibacterial aptamers and their application
(Davydova et al., 2015)
Advantages
 Produced chemically in a readily scalable process
 Not prone to viral or bacterial contamination
 Non-immunogenic
 more efficient entry into biological compartments
 Able to select for and against specific targets
 Can usually be reversible if denatured
 Dyes or functional groups can be readily introduced during
synthesis
Disadvantage
 Pharmacokinetic and other systemic properties are variable and
often hard to predict
 Small size makes them susceptible to renal filtration - shorter
half-life
 Unmodified aptamers are highly susceptible to serum
degradation
Strategies to Overcome aptamer limitations
 Aptamers can be optimized for activity and persistence under
physiological conditions during selection or during structure–activity
relationship and medicinal chemistry studies conducted after discovery
(Guo et al., 2008)
 Addition of conjugation partners such as polyethylene glycol or
cholesterol can increase circulating half-life
(Healy et al., 2004)
 Chemical modifications incorporated into the sugars or internucleotide
phosphodiester linkages enhance nuclease resistance
(Burmeister et al., 2006)
Conclusions and future perspective
 Aptamers provide opportunities for structure-based drug design strategies
relevant to therapeutic intervention
 Recent advances in the chemical modifications of nucleic acid suggest
stability,
 The high affinity and specificity of aptamers rival antibodies and make
them a promising tool in diagnostic and therapeutic application
 We should expect more aptamers to be isolated in the near future
against livestock pathogens increasing repertoire of targets,
 Aptamers are poised to successfully compete with monoclonal Abs in
diagnosis, therapeutics and drug development within the next few
decades
Thank
You....

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Aptamers

  • 1. Aptamers as Diagnostic and Therapeutic agent Dr. Rakhi Gangil Doctoral Seminar
  • 2. Introduction Why aptamers matters? Aptamer vs Antibody Types of Aptamers History SELEX Application Aptamer as Biosensors Aptamers against pathogens Advantages and Disadvantages Conclusion Outlines
  • 3. Introduction  (apto: “to fit”& mer: “smallest unit of repeating structure”).  Single stranded folded oligonucleotides and peptide  Structure-based drug design strategies  Three-dimensional structures – well bind to a wide variety of targets from single molecules to complex target mixtures or whole organisms size - 20 to 80 bases (6- 26 kDa).
  • 4. Why they matter ??  Short DNA, RNA, or peptide structures  Synthesized against small molecules toxins, proteins of viruses , bacteria and even whole cell  ​unlimited spectrum of molecular targets​, unbound by limitations of immunogenicity.  Bind with high specificity and affinity  Used as synthetic antibodies and similar to monoclonal antibodies  enormous therapeutic potential for which antibodies are not well suited  Precise control over syntheis, purity and pharmokinetic profile  Cutting edge therapeutic tools to treat disease into the 21st century.
  • 5. History  In 1980s – Concept of joining nucleic acids with proteins (HIV and adenovirus ) small structured RNAs can bind to cellular proteins with high affinity and specificity In 1990 - Larry Gold and Craig Tuerk, developed the SELEX process – Two sequences isolated from a randomized pool of around 65,500 nucleotide sequences Nucleic acids could be used to recognize proteins. Andy Ellington coined the term "aptamer."
  • 7. Types of Aptamers RNA APTAMER DNA APTAMER PEPTIDE APTAMER Complex secondary and tertiary structure Complex secondary and tertiary structure Structure constrains by scaffold Diverse 3d structure Less diverse 3d structure than RNA aptamer 3d structure constraints by scaffold Bind target with the entire sequence bind target variable region only Require reverse transcription in SELEX Inherently more stable, cheaper, and easier to produce - Biosensor, Diagnostic, Therapeutic applications
  • 8. SELEX One of the crucial steps of a SELEX process with outstanding importance for the selection of aptamers with high affinity and specificity is the efficient partitioning between target-binding and non-binding oligonucleotides (Ellington, A.D & Szostak, J.W., 1990) Systematic Evolution of Ligands by Exponential Enrichment
  • 9. Random DNA Oligonucleotide Library (Stoltenburg et al., 2007)
  • 10. A general schemes of SELEX method for DNA and RNA libraries
  • 11. Steps of SELEX  Selection  Amplification  Conditioning  Post SELEX modifications
  • 12. Selection  Immobilization of the target molecule on a particular matrix  Affinity chromatography - Column material like sepharose or agarose (conventional method)  Magnetic beads
  • 13. Assessment of SELEX procedure Quantification of the enriched target-binding oligonucleotides as well as the amount of non-binding oligonucleotides Radioactive markers – drawback cost effective (Beinoraviciute-Kellner et al., 2005) Fluorescence labels used for quantification (Stoltenburg et al., 2005)
  • 14. Amplification  Only few functional oligonucleotides in result of the selection step  RNA aptamers SS RNA RT-PCR cDNA PCR  DNA aptamers  PCR with special primers
  • 15. Conditioning In vitro transcription (RNA aptamers) ds DNA RNA oligonucleotide Purification of single strandard DNA (DNA aptamers) Single strand separation has to be carried out by using streptavidin/biotin  dsDNA (only one strand biotinylated) bind to streptavidin surfaces (beads or plates) and separate the strands after DNA denaturation (Naimuddin et al., 2007) Asymmetric PCR which uses only one or a much bigger amount of one primer to obtain ssDNA products (Wu and Curran, 1999) Transcription with T7 RNA polymerase
  • 16. Post SELEX modifications  RNA aptamers larger variety of secondary structures  more sensitive to cellular nucleases  DNA aptamers - more stable and their biological stability can also be improved. (Breaker, 1997) (Keefe & Cload, 2008).  Protective chemical modifications becomes necessary.  To increase the complexity of a library  To introduce new features like functional groups providing new possibilities for the interaction with target molecules  To enhance the stability of oligonucleotide conformations  To increase the resistance to nucleases
  • 19. Aptamer as biosensor  Analytical device which converts the Biological response Electrical signals  Fast and efficient diagnosis of diseases.
  • 20. 20 A schematically represented biosensor Transducer RecorderReceptor Antibody Enzyme Aptamer etc. Bioreceptor Biomarker Protein DNA RNA etc,
  • 21. Why Biosensors important…?  Small in size  Fast in measurement  Preliminary sample preparation are not required  Target specific  Electronic device  high sensitivity and specificity of biomarker detection
  • 22. Aptamer-Based Sensor A biosensor that is based on aptamers – Aptasensor Electrochemical Aptasensor, Fluorescence-Based Optical Aptasensor Colorimetric-Based Optical Aptasensor
  • 23. Electrochemical aptasensor Hybridized aptamer with complementary DNA, immobilized on the gold surface. Aptamer bind with the target and decrease the amount of the aptamer on the electrode surface (a) Electrochemical aptasensor using Fe(CN)6 4−/3− (b) Electrochemical aptasensor using MB Aptamer folds into the target-binding three-way junction, altering the electron transfer (eT) and increasing the observed reduction peak (c) electrochemical aptasensor using Fc aptamer folds into the hairpin structure, results in increased efficiency of eT between the Fc probe and the electrode surface (Song et al 2012)
  • 24. Fluorescence-Based Optical Aptasensor a) Quenching aptamer beacon b) Assembly aptamer beacon c) Disassembly aptamer beacon (Stojanovic et al 2001)
  • 25. Colorimetric-Based Optical Aptasensor AuNPs or several polymers cause color change - optical detection technique (colorimetry) Highly negatively-charged ssDNA (complementary strand of the aptamer) Aptamer with targetColor change (Zhao et al 2006)
  • 26. Aptamer Based ELISA- ALISA (a) the ELISA method (b) the ALISA method. An aptamer-linked immobilized sorbent assay (ALISA) (Vivekananda et al 2006)
  • 27. Aptamer based Rapid diagnostic test (Lateral flow assay) A schematic illustration of an AuNPs-based strip assay. (Xu et al., 2009)
  • 28. Aptamer based western blot analysis (a) The conventional Western blot analysis (b) The aptamer-based Western blot analysis. Conjugated RNA aptamer (Shin et al 2010)
  • 30. Avian influenza virus (AIV)  Hemagglutinin (HA) - a surface glycoprotein  RNA aptamers P30-10-16 and A-20, that specifically bind the type A and B of HA, respectively  Able to distinguish influenza type A from type B or even closely related strains of the same influenza subtype Binding affinity more than 15-fold higher than anti-HA monoclonal antibody (Gopinath et al.) Method Virus Isolation ELISA RT-PCR qRT-PCR SPR Aptasensor Detection time 120-170 h 3 h 5 h 3 h 1.5 h Comparison of Avian Influenza Virus detection time with different time diagnostic methods
  • 31. Aptamers against Human Immunodeficiency Virus (HIV)  Aptamers that recognize HIV proteins i.e. Tat and Rev, have been mainly used in several biosensor systems  Tombelli et al. generated biosensors (high sensitivity and specificity)  Surface Plasmon Resonance (SPR)  quartz crystal microbalance (QCM) techniques.  They introduced aptamers capable of detecting the HIV-1 Tat protein, using biotin-streptavidin interaction. (Tombelli et al 2005)
  • 32. Aptamers against BRSV  Aptamer based sensor for detection of target mRNA from RSV.  Oligonucleotide hybridization probes (hairpin shaped molecules) with a streptavidin binding aptamer sequence was blocked for this assay.  sensor sensitivity - detect 13 pmol of RSV mRNA in a 4 μL total volume of a complex biological media. (Cai et al..,2013)
  • 33. Aptamers and aptamer-based biosensors in viral diagnostics Virus Aptamer Type Target Detection technique Influenza H5N1 RFA006 RHA0385 DNA Haemagglutinin Surface Protein Sandwich ELISA QCM based biosensor HIV-1 n/d RNA Tat protein FET based biosensor QCM based biosensor SPR based biosensor HCV E2-B E2-D DNA E2 glycoprotein ALISA Vaccinia PP3 TV01 DNA hemagglutinin surface protein fluorescence microscope using Alexa Fluor 594-labeled aptamer PP3 flow cytometry assay using Cy5- labeled aptamer HPV 13, 14,20,28 DNA Epitope of surface protein of non infected cell Confocal Microscope Chikungunya, Dengue, West Nile spectrum of selected aptamers DNA viral envelope proteins lateral flow chromatographic test strip fluorescent aptamer-magnetic bead sandwich assay Dengue apt_EcoRI n/d EcoRI enzyme—one of biosensor modules modular biosensor detecting the genetic sequences of Dengue genome ( Wandtke et al., 2015)
  • 34. Strategies of antiviral therapy with use of aptamers  Blocking of Viral Fusion with the Target Cell  Inhibition of Proteins and Enzymes of Viral Replication Cycle  Inhibition of Nucleic Acid Sequences Essential for Virus Replication Cycle  Delivery of Therapeutic Molecules to infected Cells
  • 35. Blocking of Viral Fusion with the Target Cell  HIV-1 glycoprotein gp120 ligand of T helper cell receptar (CD4) – RNA aptamer B40 and B40t77 inhibit the binding of gp120 to receptor (Dey et al, 2005)  HCV E2 glycoprotein coreceptor for CD81 – DNA aptamer ZE2 block the E2 glycoprotein (Chen et al 2009)  Conserved-HA region of Influenza virus – DNA aptamer A22 bound the HA specific site responsible for ligation of cell receptor (Jeon et al 2004)
  • 36. Virus Aptamer Type Target Aptamer application method Inhibitory effect Influenz a H5N1 A22 DNA HA Balb/c mice intranasaly inoculated with A22 solution >90 % decrease in viral loads in mice H9N2 HA12-16 RNA gHA1 MDCK infected culture cells incubated with aptamer Efficient suppression of infection of the cells HIV B-40, B40t77 RNA Gp120- ccR5 PBMC culture cells inoculated with aptamer before infection Inhibition of viral infectivity Ch A-1 (Anti- gp120 aptamer- siRNA chimera) RNA gp120 (aptamer) tat/rev (si- RNA) RAG-Hu mice were injected with chimera solution Reduction in tat/rev mRNA transcript level in mice 75%-90% HCV B2 DNA NSB5 Aptamer added to HCV-NS5B in vitro reaction Inhibition of polymerase activity HSV Aptamer-1 RNA gpD Virus particle preincubated with aptamer used in VERO cells Blockade of viral entry HBV S9 RNA P Protein HepG2.2.15 cells transfected with plasmid encoding aptamer Reduction of replicative intermediates by 80% Ebola IGB-14 RNA eVP35 Inhibition of EBOV polymerase activity and VP36 nucleoprotein reaction Aptamers application: in vitro therapeutic experiments and models in vivo. ( Wandtke et al., 2015)
  • 37. Aptamer-siRNA chimeras  Attractive approach to gene silencing with the aid of aptamers (Zhou et al., 2008) Aptamer-siRNA chimera targeted at HIV1 gp120 glycoprotein selectively internalized into HIV-infected cells Down regulated the tat/rev gene expression Inhibitory conjugate able to suppress viremia for up to 3 weeks after the final treatment but also to evade immune response, as no significant elevation in interferon induced genes
  • 38. Antibacterial aptamers Certain components of the bacteria as well as whole bacterial cells can be used as ligands for aptamer selection. S. enterica serovar Typhi  RNA aptamer S-PS8.4, which specifically binds type IVB pili  2.0 mg of S-PS8.4 provided 71% inhibition of the invasion of pili S. Typhi into human monocytes (THP-1 suspended cell line) due to specific aptamer binding. (Therapeutic application)
  • 39. Continue….  The aptamer S-PS8.4 covalently immobilized on the surface of carboxylated single-walled carbon nanotubes – Used in detection system (aptasensor) (Zelada-Guille´n et al., 2009)  Highly sensitive - detection of a single CFU of target S. enterica in an assay that was close to real-time.  Highly specific - as no signal was detected from Escherichia coli or Lactobacillus containing samples.
  • 40. Staphylococcus aureus  62 nt DNA aptamers SA17 and SA61 obtained using whole bacterial cells as SELEX targets, where every selection round included a negative selection stage against S. epidermidis.  Immobilization of these aptamers on the surface of gold nanoparticles were used for development of detection system Chang et al. (2013)
  • 41. Continue….  DNA aptamers capable of recognizing the alfa-toxin of S. aureus were selected.  Aptamers AR-27, AR-33, AR-36, and AR-49 significantly inhibited a-toxin-mediated cell death in Jurkat T cells. cell survival rate – 50-60% to 80-90% (Therapeutic drug) (Vivekananda et al., 2014)  Enterotoxin B of S. aureus was also used as a ligand for the selection – Aptamer APTSEB1 (used as aptasensor) (DeGrasse, 2012).
  • 42. E. coli  E. coli O157:H7 strain can cause a wide range of diseases  Aptamers against E. coli, both whole bacteria and bacterial components  A DNA aptamer against lipopolysaccharide of E. coli O111:B4 Aptamer conjugate with C1qrs protein Antibacterial activity (Bruno et al., 2008b)  DNA aptamer targeting outer membrane proteins of an E. coli Crooks strain for the specific FRET detection of bacteria (Bruno et al., 2010).
  • 43. Continue…  DNA aptamer against fimbriae protein of E.coli K88 strain Li et al. (2011).  Enteropathogenic E. coli strain K88 was also used for cell-SELEX of a DNA aptamer. A sandwich-type fluorescent assay was developed for the detection of E. coli K88 in pure cultures as well as in spiked biological samples. (Peng, 2014)
  • 44. Mycobacterium tuberculosis Tuberculosis widespread dangerous infection - drug-resistant MTB strains. DNA Aptamer NK2 - whole living bacteria as SELEX target NK2 aptamer - inhibit the invasion of MTB into macrophages 0.8µg NK2 aptamer – significantly decrease in mycobacteria in MTB infected mice (Chen et al., 2012, 2013)
  • 45. Continue..  Aptamer G9 - bacterial enzyme polyphosphate kinase 2 (PPK2)  PPK2- synthesis of mycolic acid and other surface polysaccharides  High binding affinity and inhibited the activity of the enzyme up to 50% (therapeutic use) Shum et al. (2011).
  • 46. Continue….  Aptamer as MTB detection system  A sandwich-type system - detection of MPT64 antigen which is expressed during an active bacterial cell division  L64QA - Immobilized to capture the analyte molecule  M64RA - Reporter component. (Qin et al., 2009)
  • 47. Target Aptamer type Application Salmonella Pilin structural protein of S. Typhi Mixture of OMPs of S. typhimurium S. typhimurium whole live cells RNA DNA DNA Inhibition of the invasion of pil+ S. Typhi into human monocytes Potentiometric aptasensor based on single-walled carbon nanotubes. LOD is 0.2 CFU/ml in bacterial suspension. Aptamers, immobilized on magnetic beads, were applied for the capturing of the pathogen in biological samples with subsequent PCR detection. LOD is 10 CFU/g in biological samples. Sandwich-type system with fluorescent detection. LOD is 25 CFU/ml in bacterial suspension. S. aureus Whole live cells alpha-Toxin DNA DNA Single cell detection in bacterial suspension. Inhibition of a-toxin-mediated cell death in Jurkat T cells Escherichia coli OMPs of Crooks strain Fimbriae protein of K88 strain DNA DNA FRET detection in bacterial suspension Sandwich-type fluorescent assay LOD is 2.1103 CFU/ml in biological samples M. tuberculosis Whole live cells MPT64 protein CFP-10.ESAT-6 protein DNA DNA DNA Decrease of the amount of mycobacteria in MTB-infected mice, Sandwich-type system Detection in clinical samples Antibacterial aptamers and their application (Davydova et al., 2015)
  • 48. Advantages  Produced chemically in a readily scalable process  Not prone to viral or bacterial contamination  Non-immunogenic  more efficient entry into biological compartments  Able to select for and against specific targets  Can usually be reversible if denatured  Dyes or functional groups can be readily introduced during synthesis
  • 49. Disadvantage  Pharmacokinetic and other systemic properties are variable and often hard to predict  Small size makes them susceptible to renal filtration - shorter half-life  Unmodified aptamers are highly susceptible to serum degradation
  • 50. Strategies to Overcome aptamer limitations  Aptamers can be optimized for activity and persistence under physiological conditions during selection or during structure–activity relationship and medicinal chemistry studies conducted after discovery (Guo et al., 2008)  Addition of conjugation partners such as polyethylene glycol or cholesterol can increase circulating half-life (Healy et al., 2004)  Chemical modifications incorporated into the sugars or internucleotide phosphodiester linkages enhance nuclease resistance (Burmeister et al., 2006)
  • 51. Conclusions and future perspective  Aptamers provide opportunities for structure-based drug design strategies relevant to therapeutic intervention  Recent advances in the chemical modifications of nucleic acid suggest stability,  The high affinity and specificity of aptamers rival antibodies and make them a promising tool in diagnostic and therapeutic application  We should expect more aptamers to be isolated in the near future against livestock pathogens increasing repertoire of targets,  Aptamers are poised to successfully compete with monoclonal Abs in diagnosis, therapeutics and drug development within the next few decades

Editor's Notes

  1. Aptamer (aptus: “to fit”& mer: “smallest unit of repeating structure”). Single stranded folded oligonucleotides and peptide that bind to molecular (protein) targets with high affinity and specificity. They are similar to monoclonal antibodies. Provide opportunities for structure-based drug design strategies relevant to therapeutic intervention. Based on their three-dimensional structures, Aptamers can well-fittingly bind to a wide variety of targets from single molecules to complex target mixtures or whole organisms They range in size from 20 to 80 bases (6-26 kDa).
  2. Aptamers are short DNA, RNA, or peptide structures Aptamers recognize virtually an ​unlimited spectrum of molecular targets​, They can be synthesized against small molecules, toxins, peptides, proteins, viruses, bacteria, and even whole cells. unbound by limitations of immunogenicity Low or non immunogenic and non toxic molecules. Bind with high specificity and affinity. These structures can be used as synthetic antibodies and act as supplements to reach previously untouched areas of therapeutics. That have enormous therapeutic potential, because they possess the ability to ​target molecules and proteins for which antibodies are not well suited. Because aptamers are generated chemically,  precise control can be exercised over their synthesis, purity and pharmokinetic profile. These combined properties enable aptamers to be rightfully named as cutting edge therapeutic tools to treat disease into the 21st century.​​ RNA/ DNA or protein oligonucleotide molecule They can be synthesized against small molecules, toxins, peptides, proteins, viruses, bacteria, and even whole cells. Usually very small in size but can easily distinguish between very closely related protein also Aptamers bind with high specificity and affinity - meaning that they discriminate for their specific targets with high precision - once they have determined their target, they then bind to it with a strong bond. they structurally conform to bind to their targets, this gives aptamers a wider range of possible targets when compared with antibodies, which require antigens and epitopes along with an immune response for their targets.
  3. In 1980s - concept of joining nucleic acids with proteins emerged in the 1980s from research on human immunodeficiency virus (HIV) and adenoviruses. This research showed that small structured RNAs are encoded by these viruses to bind to cellular proteins with high affinity and specificity  In 1990 - Larry Gold and Craig Tuerk, developed the SELEX process A randomized pool of around 65,500 nucleotide sequences underwent the process, and two of these sequences were isolated. The experiment's results led to the concept that nucleic acids could be used to recognize proteins. Andy Ellington and Jack Szostak, working independently and Ellington coined the term "aptamer."
  4. Deoxyribonucleic acid (DNA) and ribonucleic acid (RNA) aptamers are the most common type of aptamers. They are chosen from a pool of random nucleic acid sequences and put through several cycles for optimization in a process called SELEX. These aptamers are single stranded and  typically around 15-60 nucleotide bases in length - the longest sequences have been selected at 220 nucleotides. DNA and RNA aptamers are functionally similar but have several differences. DNA aptamers are inherentlymore stable, cheaper, and easier to produce. RNA also requires reverse transcription, in which RNA must be converted base-for-base into DNA - whereas DNA does not require this extra stage in the SELEX process. DNA and RNA aptamers can also differ in sequence and folding pattern even when selected for the same target. Peptide aptamers are small, simple peptides only bind to their targets with this variable loop region. This contrasts to DNA and RNA aptamers which bind using their entire sequence. Being tied to this loop regionreduces the flexibility of peptide aptamers, and thus effectiveness. Peptide aptamers display high specificity properties.
  5. Schematic representation of the cell-based aptamer selection. Briefly, the ssDNA pool was incubated with (target cells). After washing, the bound DNAs were eluted by heating to 95°C. The eluted DNAs were then incubated with Ramos cells (negative cells) for counterselection. After centrifugation, the supernatant was collected and the selected DNA was amplified by PCR. The PCR products were separated into ssDNA for next-round selection or cloned and sequenced for aptamer identification in the last-round selection.
  6. A general SELEX scheme includes three major stages: incubation of the library with the target, separation of aptamer-target complexes from unbound oligonucleotides, and the amplification of bound molecules (Figure 1A). RNA SELEX includes additional steps for in vitro transcription to obtain a RNA library, and the reverse transcription of bound RNA molecules to obtain cDNA and its subsequent amplification (Figure 1B).
  7. One of the crucial steps of a SELEX process with outstanding importance for the selection of aptamers with high affinity and specificity is the efficient partitioning between target-binding and non-binding oligonucleotides. The immobilization of the target molecule on a particular matrix material allows an effective separation. In this case, the oligonucleotide library is incubated for binding with the immobilized target. The use of affinity chromatography with immobilization of target on column material like sepharose or agarose is a conventional method for this separation step (Liu and Stormo, 2005; Tombelli et al., 2005a). However, substantial amounts of target are necessary to obtain a high efficient loading of the column. The use of magnetic beads offers another possibility for target immobilization
  8. For assessment of the SELEX procedure, quantification of the enriched target-binding oligonucleotides as well as the amount of non-binding oligonucleotides of each selection round have to be determined. Mostly radioactive markers are used for the quantification during a SELEX process (Beinoraviciute-Kellner et al., 2005; Ellington and Szostak, 1990; Shi et al., 2002). This is a very sensitive method enabling the detection of slightest amounts of nucleic acids. A drawback of the technology is the necessity to manage the whole process in an isotope laboratory, which is very cost-intensive. Moreover, the use of radioactive material is not environmentally compatible and holds a health risk for employees. Alternatively, fluorescence labels may be used for quantification (Stoltenburg et al., 2005; Davis et al., 1997; Rhie et al., 2003).
  9. The conditioning step is necessary to prepare the amplified oligonucleotide pool After the preceding PCR the enriched pool is available as dsDNA. A transcription with T7 RNA polymerase has to follow in case of RNA aptamers. The resulting RNA molecules are used as input in the following SELEX round. ssDNA aptamers, single strand separation has to be carried out use the streptavidin/biotin. the dsDNA (only one strand biotinylated) bind to streptavidin surfaces (beads or plates) and separate the strands after DNA denaturation. Perform an asymmetric PCR which uses only one or a much bigger amount of one primer to obtain ssDNA products
  10. RNA aptamers could potentially form much larger variety of secondary structures then DNA aptamers. However, RNA aptamers are more sensitive to cellular nucleases; thus, the introduction of protective chemical modifications becomes necessary (see Keefe & Cload, 2008). DNA aptamers are more stable under a large range of conditions (Breaker, 1997), but their biological stability can also be improved. ; thus, the introduction of protective chemical modifications becomes necessary.
  11. The introduction of different substituents at the 20 position of ribose and modifications of phosphate/ribose backbone are the most commonly used chemical modifications of aptamers (Figure 2). 20-Fluoro- and 20-amino ribonucleoside substitutions could be introduced into initial libraries due to their compatibility with enzymatic reactions during SELEX protocol.
  12. Biosensors are analytical device which converts the biological response into a electrical signals These are the attractive solutions for fast and efficient infectious diagnosis of diseases. A sensor that integrates a biological element with a physiochemical transducer to produce an electronic signal proportional to a single analyte which is then conveyed to a detector.
  13. A biosensor that is based on aptamers as a recognition element is called an aptasensor [38]. These aptasensors can be constructed through a variety of methodologies, including electrochemical biosensors, optical biosensors, and mass-sensitive biosensors.
  14. An electrochemical analysis is an attractive platform, because it offers high sensitivity, compatibility with novel microfabrication technologies, inherent miniaturization, and low cost. To enhance the sensitivity, an AuNRs- or AuNPs-modified conducting polymer was used as a material for immobilizing on the electrode. Additionally, electroactive reporters, such as methylene blue (MB), ferrocence, ferrocence-bearing polymers, ruthenium complexes, and Fe(CN)6 4−/3−, are used for signal transduction A schematic representation of the electrochemical aptasensor using Fe(CN)6 4−/3−. Part of the aptamer was a hybridized aptamer with complementary DNA, which was immobilized on the gold surface. In the presence of the target, the aptamer was followed by binding with the target, to decrease the amount of the aptamer on the electrode surface; (b) A schematic representation of the electrochemical aptasensor using MB. In the presence of the target, the aptamer folds into the target-binding three-way junction, altering the electron transfer (eT) and increasing the observed reduction peak; (c) A schematic representation of the electrochemical aptasensorusing Fc. In the presence of the target, the aptamer folds into the restricted hairpinstructure, and this conformational change results in increased efficiency of eT between the Fc probe and the electrode surface.
  15. Schematic illustrations of optical aptasensors using fluorescence. (a) The simplest format of a quenching aptamer beacon. The binding of the target stabilizes the stem and brings the quencher and fluorophore in close proximity, resulting in fluorescence decrease; (b) Assembly aptamer beacon. The binding of the target brings the oligomers together and leads to ternary complex stabilization; (c) Disassembly aptamer beacon. The target binding induces an antisense displacement and results in a fluorescence increase.
  16. AuNPs or several polymers that cause color changes, can be applied as novel reagents for the optical detection technique called colorimetry. The highly negatively-charged ssDNA (complementary strand of the aptamer), which is separated from the aptamer by interaction between the aptamer and the target, is stabilized against aggregation, and a color change occurs in conjunction with this phenomenon
  17. ELISA, one of the major clinical diagnostic tests available, is a versatile technique to detect almost any protein or peptide with high sensitivity. One version of ELISA, commonly referred to as sandwich ELISA, involves the simultaneous use of two antibodies or analyte-binding receptor proteins to capture the analyte or target and to report the target detection (Figure 9(a)). An aptamer-linked immobilized sorbent assay (ALISA) was introduced by Kiel’s group. They demonstrated the feasibility of this method via a comparative study with ELISA using an antibody (Figure 9(b)). It is important to note that aptamers have an unlimited potential to circumvent the limitations associated with antibodies [76].
  18. In addition to ELISA, another common tool for clinical diagnosis is RDT, which is a rapid and simple method for point-of-care testing (POCT). RDTs for the diagnosis of infectious diseases, such as malaria and influenza, are already in use as commercially available tests. Because of the high sensitivity of the aptamer, several aptamer-based RDT methods, for many biomarkers related to diseases, have been introduced for use in early diagnosis. Liu’s group has developed a dry-reagent strip biosensor based on aptamers and functionalized AuNPs for use in thrombin analysis (Figure 10). In this study, the sensor is subject to visual detection of protein within minutes, with sensitivity and specificity that are superior to those of the antibody-based strip sensor [77]. The target interacts with the AuNP-primary aptamer conjugate, while the sample solution containing the target migrates onto each pad. Then, the target-aptamer-AuNP complexes are captured by the secondary aptamer that is immobilized in the test zone. Finally, a red band can be observed on the test zone due to the accumulation of AuNPs.
  19. A Western blot analysis is an analytical technique routinely used to quantify specific proteins (Figure 12(a)). The procedure includes complicated and elaborate steps and requires many reagents, such as two types of antibodies. There are now many reagent companies that specialize in providing antibodies against tens of thousands of different proteins. Hah’s group published a new aptamer-based Western blot strategy that has reduced the procedure to one step, and easily detects the target protein using only one aptamer (Figure 12(b)). Instead of two types of antibodies, the QD-conjugated RNA aptamer specific for the His-tag was employed. This method has the advantages of requiring less time, not requiring antibodies or 32P, and introducing the possibility of multiplexing detection [95].
  20. Appropriate diagnosis is the key factor for treatment of viral diseases [21]. Nevertheless, viral infections are difficult to distinguish, especially at the onset. Time is the most important factor in rapidly developing and epidemiologically dangerous diseases, It has been more than twenty years since aptamers were constructed [2,3 They have been mostly focused on the well-known viruses, such as HIV-1, HCV, HBV (Hepatitis B Virus), HPV (Human Papilloma Virus), SARS and influenza [22–28]. A particular attention was focused on influenza diagnosis, due to high risk of infection and remarkable frequency of mutations, resulting in a cyclical appearance of new viral strains with epidemic or even pandemic danger. Hemagglutinin (HA), a well-known influenza protein, is a glycoprotein expressed in high amounts on the viral surface. It is responsible for fusion of virus with the host cell. There are at least 18 different HA antigens, therefore, it could serve not only for infection diagnosis, but also to distinguish current influenza types and subtypes. Gopinath et al. constructed two RNA aptamers, P30-10-16 and A-20, that specifically bind the type A and B of HA, respectively. Aptamers are able to distinguish then influenza type A from type B or even closely related strains of the same influenza subtype [34,35]. It should be emphasized that P30-10-16 binds target molecule (H3N2 of virus A) with more than 15-fold higher affinity, as compared to conventional anti-HA monoclonal antibody [35].
  21. Human immunodeficiency virus is a lentivirus (a subgroup of retrovirus) that causes AIDS Aptamers that recognize HIV proteins, like Tat and Rev, have been mainly used in several biosensor systems Tombelli et al. generated biosensors based on Surface Plasmon Resonance (SPR) and quartz crystal microbalance (QCM) techniques. They introduced aptamers capable of detecting the HIV-1 Tat protein, using biotin-streptavidin interaction. These “apta-biosensors” have high sensibility and specificity but the devices are complex and expensive.
  22. Bovine respiratory syncytial virus (BRSV) is spread worldwide and represents a major contributor of respiratorydisease in cattle, Aptamer based label-free electrochemical biosensor – detection of target mRNA from RSV. Oligonucleotide hybridization probes (hairpin shaped molecules) with a streptavidin binding aptamer sequence was blocked for this assay. Upon hybridization of the probes with specific nucleic acid sequence, the hairpin opens to allow binding to streptavidin-HRP protein complex. The hybridization event can be quantified by the enzymatic reaction using a HRP substrate, tetramethylbenzidine (TMB). The sensor was shown to detect 13 pmol of RSV mRNA in a 4 μL total volume of a complex biologicalmedia. The high specificity and selectivity of the device was demonstrated as sensor detected specific RSV mRNA
  23. Aptamers are promising solution in viral diseases, if presently used drugs and vaccines are not effective enough. Aptamers can target any element of the virus-infected host cell complex.  Possible strategies of aptamer application in the treatment of viral diseases include: o blockade of the virion penetration into the cells; o inhibition of enzymes responsible for viral replication and other crucial processes; o conjugation and delivery of therapeutic molecules to virus-infected cells; o prevention of infection; and o selective activation of the immune system
  24. One of the most obvious and frequently studied therapeutic strategies is an inhibition of the viral fusion with the target cell. Viruses penetrate into the cells, using specific surface proteins, which serve as ligands for superficial human molecules. HIV-1 glycoprotein gp120, the ligand of T helper cell receptor, CD4, was inhibited by Dey et al. who used RNA aptamer B40, and its shorter variant, B40t77. Moreover, they blocked gp120 binding by its T cell co-receptor, CCR5 (C-C Chemokine Receptor type 5). They observed decrease in concentration of p24 HIV-1 antigen in supernatants from virus-infected cultures of human PBMCs (Peripheral Blood Mononuclear Cell), as measured by ELISA assay [79,97] In HCV infection, E2 glycoprotein was a potential target for aptamer approach. E2 is a co-receptor of human CD81, presented on hepatocytes and B lymphocytes. Chen et al. constructed DNA aptamer, assigned as ZE2, competitively blocking E2 in majority of HCV serotypes. Its usefulness was proved in Huh7.5.1, human established cell line of hepatocellular carcinoma. The decrease of both: viral RNA levels in the qRT-PCR (reverse transcription–qPCR) analysis and E2 protein concentrations in the Western blot assay were demonstrated [26]. Another application relates to conserved-HA regions of influenza virus. Jeon et al. selected A22 DNA aptamer that bound HA specific site, responsible for ligation of human cell receptor. The aptamer-dependent prevention the viral fusion to the target cells was confirmed by in vitro cultures in established Madin-Darby Canine Kidney (MDCK) cell line, by measuring the viability of cells after exposure to influenza virus (A/Port Chalmers/1/73).
  25. Small interfering RNA (siRNA) and microRNA (miRNA)  Alone -their lack of cell/tissue specificity during in vivo delivery.  when covalently conjugated with aptamers to form aptamersiRNA or aptamer-miRNA chimeras.  Using siRNA/miRNA technology + aptamers-acheives selective gene targeting with high efficiency. HIV research: siRNA aptamer against gp120 was covalently conjugated with a tat/rev siRNA.Anti-gp120 aptamer-siRNA chimera inhibited HIV replication and host-to-host spread.
  26. Salmonella enterica is a dangerous pathogen that can be transmitted through contaminated food and water. Certain components of the bacteria as well as whole bacterial cells can be used as ligands for aptamer selection. The RNA aptamer S-PS8.4, which specifically binds type IVB pili of S. enterica serovar Typhi, was acquired using a pilin structural protein as a selection target (Pan et al., 2005). It was shown that the S-PS8.4 aptamer forms a tight complex with the target protein (Kd¼8.56 nM). Just 2.0 mg of S-PS8.4 provided 71% inhibition of the invasion of pil+S. Typhi into human monocytes (THP-1 suspended cell line) due to specific aptamer binding. It was proposed that this aptamer can potentially be applied as an alternative to antibiotic-based therapy.
  27. The aptamer S-PS8.4 covalently immobilized on the surface of carboxylated single-walled carbon nanotubes was used as a recognizing element of a potentiometric biosensor for bacteria detection in solution (Zelada-Guille´n et al., 2009). This aptasensor allowed the detection of a single CFU of target S. enterica in an assay that was close to real-time. The authors suggested that this aptasensor could be used for a very rapid and reliable detection of pathogens in samples without any kind of pretreatment. The aptasensor was also shown to be specific, as no signal was detected from Escherichia coli or Lactobacillus casei containing samples.
  28. Staphylococcus aureus is a pathogenic Gram-positive bacterium which can cause a wide spectrum of diseases from mild infections to life-threatening diseases such as pneumonia, endocarditis, septicemia, and toxic shock syndrome. To date, two studies have been published relating to the selection of DNA aptamers against S. aureus. Chang et al. (2013) used whole bacterial cells as SELEX targets, where every selection round included a negative selection stage against S. epidermidis. The 62 nt aptamers SA17 and SA61 obtained possessed high binding affinity and specificity as compared with a number of other bacteria such as Bacillus subtilis, Citrobacter freundii, E. coli, Klebsiella pneumoniae, Listeria. Interestingly, the immobilization of aptamers SA17 and SA61 on the surface of gold nanoparticles led to the increase in target binding affinity. Conjugates of the aptamers with gold nanoparticles were applied for the development of a detection system that would be sensitive enough to detect a single bacterial cell. Five different 88 nt DNA aptamers were obtained by Cao et al. (2009) using whole cell SELEX procedure with counterselection against streptococcus (A5005) or S. epidermidis to reduce the amount of non-specific sequences. Each of the selected aptamers demonstrated high affinity and selectivity of binding of S. aureus; however, using a mixture of all five aptamers for the detection of bacterial targets in a number of biological samples was found to be even more effective. One of the aptamers obtained by Cao et al. was further used in the construction of a potentiometric aptasensor for S. aureus detection in skin.
  29. Aptamers selected against bacterial toxins are of a particular interest. To develop potential drugs against staphylococcal infections, DNA aptamers capable of recognizing the a-toxin of S. aureus were selected (Vivekananda et al., 2014). Aptamers AR-27, AR-33, AR-36, and AR-49 significantly inhibited a-toxin-mediated cell death in Jurkat T cells. For example, in the presence of one of the aptamers, the cell survival rate increased from 50–60% to 85–90%. Enterotoxin B of S. aureus was also used as a ligand for the selection (DeGrasse, 2012). The resulting aptamer APTSEB1 possessed a selectivity sufficient for a specific detection of enterotoxin B in the mixture of several homologous staphylococcal enterotoxins as well as in toxin reach culture medium after the cultivation of four different strains of S. aureus. It was suggested that this aptamer can be applied in the development of pathogen detection systems in biological samples of different nature.
  30. Escherichia coli is one of the most common and normally harmless bacteria found in the intestinal tract of warm blooded animals. However, some virulent strains of E. coli are dangerous food-borne pathogens. For instance, E. coliO157:H7 strain can cause a wide range of diseases such as hemorrhagic and non-hemorrhagic diarrhea, occasional kidney failure or hemolytic uremic syndrome. A DNA aptamer against lipopolysaccharide of E. coliO111:B4 was selected (Bruno et al., 2008b) and applied as a basis for a conjugate with human C1qrs protein which activates the complement system responsible for non-specific resistance to bacteria. The resultant conjugate demonstrated an antibacterial activity in the presence of complement proteins, and could be considered as a prospective antibacterial drug. The same group of authors selected another DNA aptamer targeting outer membrane proteins of an E. coli Crooks strain for the specific FRET detection of bacteria (Bruno et al., 2010).
  31. The DNA aptamer binding the fimbriae protein of enteropathogenic E. coli strain K88 was obtained by Li et al. (2011). Since that strain is the only one with fimbriae, the acquired aptamer could be applied for the specific pathogen detection. Enteropathogenic E. coli strain K88 was also used for cell-SELEX of a DNA aptamer (Peng, 2014). A sandwich-type fluorescent assay was developed for the detection of E. coli K88 in pure cultures as well as in spiked biological samples.
  32. Tuberculosis caused by M. tuberculosis (MTB) still remains a widespread dangerous infection, in particular because of the existence of a large number of drug-resistant MTB strains. The development of conceptually new therapeutic agents would enable improvements in this field. Chen et al. (2007) selected DNA aptamers using whole living bacteria as SELEX target. A single injection of 0.8 mg of NK2 aptamer decreased the amount of mycobacteria in MTB-infected mice, alleviated disease manifestations and prolonged the survival rate. Further studies revealed that all the aptamers obtained (Chen et al., 2007) possess high binding affinity, with the NK2 aptamer being found to be the most effective binder (Kd¼31 nM) and being able to inhibit the invasion of MTB into macrophages (Chen et al., 2012, 2013). These aptamers are considered promising therapeutic agents and are also of interest for the development of molecular probes to study the mechanisms of bacterial invasion into cells.
  33. mechanisms of bacterial invasion into cells. Another approach for obtaining anti-tuberculosis aptamers was developed by Shum et al. (2011). The bacterial enzyme polyphosphate kinase 2 (PPK2) was used as a SELEX target. PPK2 is a polyphosphate-dependent nucleotide diphosphate kinase that plays an important role in the synthesis of mycolic acid and other surface polysaccharides critical for bacterial survival during active growth. The aptamer G9 inhibited the activity of the enzyme to 50% at concentration of 39.3 nM. This aptamer could be a potential therapeutic agent as soon as an efficient system for its cell delivery can be developed.
  34. Aptamers can also be applied as a basis for a new MTB detection system. For example, a sandwich-type system was developed for the detection of MPT64 antigen which is expressed during an active bacterial cell division (Qin et al., 2009). The aptamer L64QA selected in this work was immobilized on the surface of a polystyrol microplate for the capture of analyte molecules, and another aptamer, M64RA, was used as a reporter component
  35. molecular mass cutoff for the renal glomerulus is 30–50 kDa  Aptamers: 5–15 kDa  Methods to avoid renal filteration Conjugation to polymers  Cholesterol conjugation  PEG conjugation  May lead to reduction of activity