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Title:
LIPOTEICHOIC ACID (LTA) APTAMERS AND ASSOCIATED METHODS
Document Type and Number:
WIPO Patent Application WO/2022/169898
Kind Code:
A1
Abstract:
Described are a number of aptamers that are specific to bind with lipoteichoic acid (LTA), and associated methods

Inventors:
JIANG TAO (US)
Application Number:
PCT/US2022/014975
Publication Date:
August 11, 2022
Filing Date:
February 02, 2022
Export Citation:
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Assignee:
FRESENIUS MEDICAL CARE HOLDINGS INC (US)
International Classes:
C12N15/115; G01N33/569
Domestic Patent References:
WO2020160040A12020-08-06
WO2012081908A22012-06-21
Foreign References:
US20090186342A12009-07-23
US20140011200A12014-01-09
KR2011009631W2011-12-14
US20200249228A12020-08-06
Other References:
CHEN HONG-REN: "Development of violet membrane biophotonic chip for detection of adenosine triphosphate, gram-positive bacteria and leukocytes", 2018, XP055909760, Retrieved from the Internet [retrieved on 20220406]
DUA POOJA ET AL: "Cell-SELEX Based Identification of an RNA Aptamer for Escherichia coli and Its Use in Various Detection Formats", MOLECULES AND CELLS, vol. 39, no. 11, 18 November 2016 (2016-11-18), KR, pages 807 - 813, XP055909746, ISSN: 1016-8478, DOI: 10.14348/molcells.2016.0167
KA LOK HONG ET AL: "Single-Stranded DNA Aptamers against Pathogens and Toxins: Identification and Biosensing Applications", BIOMED RESEARCH INTERNATIONAL, vol. 2015, 23 June 2015 (2015-06-23), pages 1 - 31, XP055594008, ISSN: 2314-6133, DOI: 10.1155/2015/419318
SEUNG RYUL HAN ET AL: "In vitro selection of RNA aptamer specific to Staphylococcus aureus", ANNALS OF MICROBIOLOGY, vol. 64, no. 2, 5 October 2013 (2013-10-05), pages 883 - 885, XP055143882, ISSN: 1590-4261, DOI: 10.1007/s13213-013-0720-z
TADLER ET AL.: "Sandwich immunoassay for the detection of lipoteichoic acid", JOURNAL OF CLINICAL LABORATORY ANALYSIS, vol. 3, no. 1, 1989, pages 21 - 25
ELLINGTONSZOSTAK: "In vitro selection of RNA molecules that bind specific ligands", NATURE, vol. 346, 1990, pages 818
GOLD ET AL.: "Aptamers and the RNA world, past and present", COLD SPRING HARB. PERSPECT. BIOL., vol. 4, 2012, pages a003582, XP055118469, DOI: 10.1101/cshperspect.a003582
SCHIITZE ET AL.: "Probing the SELEX Process with Next-Generation Sequencing", PLOS ONE, vol. 6, no. 12, 2011, pages e29604, XP055107341, DOI: 10.1371/journal.pone.0029604
TUERK ET AL.: "Systematic evolution of ligands by exponential enrichment: RNA ligands to bacteriophage t4 DNA polymerase", SCIENCE, vol. 249, 1990, pages 505 - 510, XP000647748, DOI: 10.1126/science.2200121
WANG ET AL.: "Particle Display: A Quantitative Screening Method for Generating High-Affinity Aptamers", ANGEWANDTE COMMUNICATIONS INTERNATIONAL EDITION, vol. 53, 2014, pages 4796 - 4801, XP002760830
ZHUO ET AL.: "Recent Advances in SELEX Technology and Aptamer Applications in Biomedicine", INT. J. MOL. SCI., vol. 18, 2017, pages 2142
M. ZUKER: "Mfold web server for nucleic acid folding and hybridization prediction", NUCLEIC ACIDS RES, vol. 31, no. 13, 2003, pages 3406 - 3415, XP002460708, Retrieved from the Internet DOI: 10.1093/nar/gkg595
Attorney, Agent or Firm:
TURNER, Allen C. et al. (US)
Download PDF:
Claims:
CLAIMS

What is claimed is:

1. A DNA aptamer comprising a polynucleotide of any of the following (a) to (c) and capable of binding to lipoteichoic acid (“LT A”),

(a) a polynucleotide comprising a core sequence set forth in any one of SEQ ID NOs: 11-21,

(b) a polynucleotide comprising a core sequence having the deletion, substitution, insertion and/or addition of one to two bases in the core sequence set forth in any one of SEQ ID NOs: 11-21, and

(c) a polynucleotide comprising a core sequence having a sequence identity of 80% or more to the core sequence set forth in any one of SEQ ID NOs: 11-21, which binds LTA.

2. The DNA aptamer of claim 1, wherein the aptamer has a loop structure.

3. The DNA aptamer of claim 1, wherein the aptamer has a double-stranded stem structure.

4. The DNA aptamer of claim 1, further comprising at least one labeling substance.

5. The DNA aptamer of claim 4, wherein the labeling substance is an optical label, an electrochemical label, a radioisotope, or a combination thereof.

6. The DNA aptamer of any one of claims 1 to 5, wherein the DNA aptamer has the core sequence of SEQ ID NO: 11.

7. The DNA aptamer of any one of claims 1 to 5, wherein the DNA aptamer has the core sequence of SEQ ID NO: 12.

8. The DNA aptamer of any one of claims 1 to 5, wherein the DNA aptamer has the core sequence of SEQ ID NO: 13. 9. The DNA aptamer of any one of claims 1 to 5, wherein the DNA aptamer has the core sequence of SEQ ID NO: 14.

10. The DNA aptamer of any one of claims 1 to 5, wherein the DNA aptamer has the core sequence of SEQ ID NO: 15.

11. The DNA aptamer of any one of claims 1 to 5, wherein the DNA aptamer has the core sequence of SEQ ID NO: 16.

12. The DNA aptamer of any one of claims 1 to 5, wherein the DNA aptamer has the core sequence of SEQ ID NO: 17.

13. The DNA aptamer of any one of claims 1 to 5, wherein the DNA aptamer has the core sequence of SEQ ID NO: 18.

14. The DNA aptamer of any one of claims 1 to 5, wherein the DNA aptamer has the core sequence of SEQ ID NO: 19.

15. The DNA aptamer of any one of claims 1 to 5, wherein the DNA aptamer has the core sequence of SEQ ID NO: 20.

16. The DNA aptamer of any one of claims 1 to 5, wherein the DNA aptamer has the core sequence of SEQ ID NO: 21.

17. The DNA aptamer of any of the preceding claims, further comprising:

SEQ ID NO: 22 and/or SEQ ID NO: 23.

18. A biosensor for detecting Staphylococcus, the biosensor comprising: the DNA aptamer of any of the foregoing claims, and a substrate to which the DNA aptamer is fixed. 19. The biosensor of claim 18, further comprising: a linker between the substrate and the DNA aptamer.

20. A method of detecting lipoteichoic acid (“LTA”) in a sample, the method comprising: utilizing the DNA aptamer of any one of claims 1 to 17 and/or the biosensor of claim

18 or claim 19 to detect the LTA in the sample.

Description:
LIPOTEICHOIC ACID (LTA) APTAMERS AND ASSOCIATED METHODS

CROSS-REFERENCE TO RELATED APPLICATION

This application claims the benefit under 35 U.S.C. §119(e) of U.S. Provisional Patent Application Serial No. 63/145,632, filed February 4, 2021, the disclosure of which is hereby incorporated herein in its entirety by this reference.

TECHNICAL FIELD

This application relates generally to biochemistry, and more particularly to aptamers that specifically bind to lipoteichoic acid (“LTA”) and associated methods.

BACKGROUND

Teichoic acids are bacterial copolymers of glycerol phosphate or ribitol phosphate and carbohydrates linked via phosphodiester bonds. Teichoic acids are found within the cell wall of most Gram-positive bacteria including Staphylococcus, and appear to extend to the surface of the peptidoglycan layer. Teichoic acids can be covalently linked to N- acetylmuramic acid or a terminal D-alanine in the tetrapeptide cross-linkage between N- acetylmuramic acid units of the peptidoglycan layer, or they can be anchored in the cytoplasmic membrane with a lipid anchor. Teichoic acids that are anchored to the lipid membrane are referred to as “lipoteichoic acids” (or LTAs).

In Tadler et al. “Sandwich immunoassay for the detection of lipoteichoic acid” Journal of Clinical Laboratory Analysis. 3(1): 21-25 (1989) a sandwich immunoassay is described for detecting lipoteichoic acid. Monoclonal antibodies were produced to purified LTA from Streptococcus mutans (strain BHT) and were further characterized for crossreactivity with Gram-positive and negative bacteria and for reactivity to substituted and unsubstituted LTA. Eight monoclonal antibodies were identified that reacted exclusively with Gram-positive bacteria. Antibodies that were able to capture H-LTA were chosen to develop a sandwich immunoassay, which was described as having a sensitivity of 0.2 ng LTA/mL in PBS, 0.5 ng/mL in whole blood, and 2.0 ng/mL in processed whole blood. A goal was to develop this assay for the rapid detection of LTA from body fluids.

Aptamers are short strands of oligonucleotides that form a three-dimensional structure able to bind a target material with high affinity and specificity. Aptamers can, for example, be used as elements of biosensors that can recognize molecules in detection and analysis systems, similar to antibodies.

Oligonucleotide-based aptamers have several advantages over protein-based antibodies. First, the aptamer can be synthesized in vitro, second, various organic and inorganic materials including toxins can be used as aptamer targets, and third, aptamers are more stable at various temperatures than protein antibodies.

Once aptamers have been identified and obtained, they can be reproduced with relatively low cost and high batch-consistency by automated oligomer synthesis. Further, aptamers can relatively easily be modified to introduce useful functional groups, such as fluorescent molecules or photoreactive groups.

PCT International Application PCT/KR2011/009631 (corresponding to WO 2012081908), published June 21, 2012, the contents of which are incorporated herein by this reference, describes an RNA aptamer for “teiocoic” acid in Staphylococcus aureus, and more particularly, to an RNA aptamer that specifically binds the acid in 5. aureus, which is useful for detecting the acid in 5. aureus, a cause of, for example, food poisoning.

RNA aptamers are somewhat less stable than their DNA counterparts. Also, RNA aptamers are less tolerant of variations in solution chemistry (pH, salts, etc.) than DNA aptamers and are more prone to lose binding affinity as the RNA aptamer’s tertiary structure is affected by these variations.

DISCLOSURE

Described herein are DNA aptamers to LTA.

In certain embodiments, such an aptamer has a loop structure. In certain embodiments, such an aptamer has a double-stranded stem structure. In certain embodiments, such an aptamer further comprises at least one labeling substance such as an optical label, an electrochemical label, a radioisotope, or a combination thereof.

Specifically described are the exemplary DNA aptamers of SEQ ID NOs: 1 - 11.

(5’->3’) (SEQ ID NO: 1): CGA GGC TCT CGG GAC GAC CTG TCG TCA GGA AAA ACG AAA ACC CTA AGG GTC GTC CCG CCT TTA GGA TTT ACA G;

(5’->3’) (SEQ ID NO: 2): CGA GGC TCT CGG GAC GAC CAG TCG GCC CGA AAA CAA TAT AAA TCC GAG GTC GTC CCG CCT TTA GGA TTT ACA G;

(5 ’->3’) (SEQ ID NO: 3): CGA GGC TCT CGG GAC GAC GTA GTC GTC ACA CAA GCT GGT TAT CCA AAA GTC GTC CCG CCT TTA GGA TTT ACA G;

(5’->3’) (SEQ ID NO: 4): CGA GGC TCT CGG GAC GAC GAA GTC GCC ACG TAA ACC GAC GAC CGT CAG GTC GTC CCG CCT TTA GGA TTT ACA G;

(5 ’->3’) (SEQ ID NO: 5): CGA GGC TCT CGG GAC GAC GTG GCG GCC CGA AAA CAG ATA AAT CAT AAA GTC GTC CCG CCT TTA GGA TTT ACA G;

(5’->3’) (SEQ ID NO: 6): CGA GGC TCT CGG GAC GAC AAA GGA GTC ACG AAA ACA ATA AAG ACT AAA GTC GTC CCG CCT TTA GGA TTT ACA G;

(5’->3’): (SEQ ID NO 7): CGA GGC TCT CGG GAC GAC GTC GTC GAC CCA AGA ACA ATA AAG CTT AAA GTC GTC CCG CCT TTA GGA TTT ACA G;

(5’->3’) (SEQ ID NO: 8): CGA GGC TCT CGG GAC GAC GAG ACA CGC TAG TAT CGA AGC GGC CCA AAA GTC GTC CCG CCT TTA GGA TTT ACA G;

(5’->3’) (SEQ ID NO: 9): CGA GGC TCT CGG GAC GAC TTG TCG GAC CGA CTG GTG ATA AAC CCT ATG GTC GTC CCG CCT TTA GGA TTT ACA G; and

(5’->3’) (SEQ ID NO: 10): CGA GGC TCT CGG GAC GAC AAT ACC CGA AGG GCA TTG CCG CCT CCA AAA GTC GTC CCG CCT TTA GGA TTT ACA G.

As can be seen, the “core sequences” of these aptamers are, respectively, SEQ ID NOs: 11 - 20:

(SEQ ID NO: 11): CTG TCG TCA GGA AAA ACG AAA ACC CTA AGG;

(SEQ ID NO: 12): CAG TCG GCC CGA AAA CAA TAT AAA TCC GAG;

(SEQ ID NO: 13): GTA GTC GTC ACA CAA GCT GGT TAT CCA AAA;

(SEQ ID NO: 14): GAA GTC GCC ACG TAA ACC GAC GAC CGT CAG;

(SEQ ID NO: 15): GTG GCG GCC CGA AAA CAG ATA AAT CAT AAA;

(SEQ ID NO: 16): AAA GGA GTC ACG AAA ACA ATA AAG ACT AAA;

(SEQ ID NO: 17): GTC GTC GAC CCA AGA ACA ATA AAG CTT AAA;

(SEQ ID NO: 18): GAG ACA CGC TAG TAT CGA AGC GGC CCA AAA;

(SEQ ID NO: 19): TTG TCG GAC CGA CTG GTG ATA AAC CCT ATG; and

(SEQ ID NO: 20): AAT ACC CGA AGG GCA TTG CCG CCT CCA AAA.

In certain embodiments, the DNA aptamer core sequence is (SEQ ID NO: 21):

RWV GBV GHC MSR ARA MMR ATA AAK MHT AAA - wherein A, C, G, and T have their customary meaning, wherein R is A or G; wherein W is A or T; wherein V is A, C, or G; wherein B is C, G, or T; wherein H is A, C, or T; wherein M is A or C; wherein S is C or G; wherein K is G or T.

The aptamers of SEQ ID NOs: 1-10 also include PCR primer annealing regions (or “primer sequences”) (5’- CGA GGC TCT CGG GAC GAC (SEQ ID NO:22) - [core sequence] - GTC GTC CCG CCT TTA GGA TTT ACA G -3’ (SEQ ID NO:23)), although other PCR primer annealing regions may be used so long as they do not interfere with the binding of the aptamer to LTA.

Thus, described is a DNA aptamer comprising a polynucleotide of any of the following (a) to (c) and capable of binding to lipoteichoic acid (“LTA”): (a) a polynucleotide comprising a core sequence set forth in any one of SEQ ID NOs: 11-21, (b) a polynucleotide comprising a core sequence having the deletion, substitution, insertion and/or addition of one to two bases in the core sequence set forth in any one of SEQ ID NOs: 11-21, and (c) a polynucleotide comprising a core sequence having a sequence identity of 80% or more to the core sequence set forth in any one of SEQ ID NOs: 11-21.

In certain embodiments, provided is a method for detecting LTA, including binding an aptamer as described herein to LTA to thereby detect the LTA.

Thus, further described herein are the DNA aptamers and their use for detecting LTA.

BRIEF DESCRIPTION OF THE DRAWINGS

FIG. 1 shows the predicted secondary structures of the DNA aptamers of SEQ ID NOs: 1-5 (from left to right, respectively).

FIG. 2 shows the predicted secondary structures of the DNA aptamers of SEQ ID NOs: 6-10 (from left to right, respectively).

MODE(S) FOR CARRYING OUT THE INVENTION

The term "base pairing", as used herein, refers to base pairing formed of a pair of complementary synthetic bases, such as adenine and thymine or guanine and cytosine.

The term "DNA aptamer", as used herein, refers to an aptamer sequence composed of DNA molecules. A DNA aptamer is a ligand molecule that firmly and specifically binds to a target molecule through a conformational structure formed based upon a secondary and a tertiary structure of a single-stranded nucleic acid molecule via hydrogen bonding or other interactions.

The term "target molecule", as used herein, refers to a substance to which the DNA aptamer can bind. For instance, a target molecule is LTA.

In one aspect, described is an agent for detecting LTA, the agent comprising the DNA aptamer as described herein. In certain embodiments, the agent for detecting LTA is an agent that is used for detecting LTA in vitro utilizing the ability of a described DNA aptamer to bind to LTA. For example, the DNA aptamer is labeled with a fluorescence reagent beforehand, and the labeled DNA aptamer is admixed with a sample.

In one aspect, described is a composition for detecting LTA, the composition comprising a DNA aptamer as described herein.

In principle, the composition may be prepared in accordance with a method known in the art. For example, see the method described in Remington's Pharmaceutical Sciences (Merck Publishing Co., Easton, Pa.).

For example, preparations can be prepared by a method generally used in the art, comprising dissolving at least one DNA aptamer hereof in, for example, a pharmaceutically acceptable solvent and adding, for example, a pharmaceutically acceptable carrier thereto, if needed.

Examples of "pharmaceutically acceptable solvent(s)" include water, ethanol, propylene glycol, ethoxylated isostearyl alcohol, polyoxylated isostearyl alcohol, and a polyoxyethylene sorbitan fatty acid ester.

In one aspect, the disclosure relates to a kit for detecting LTA or for more generally detecting Gram positive bacteria is a sample, the kit comprising the DNA aptamer as described herein. In addition to the DNA aptamer as described herein, the kit as described herein may comprise, for example, a buffer, a label reagent, and/or instructions.

In certain embodiments, the aptamer is labeled with a labeling substance, and detection of the LTA may occur by detecting the labeling substance. Examples of labeling substances include a dye, a fluorescent dye, a radioisotope, an antibody, an antigen, and an enzyme. Examples of the fluorescent dye include FITC. Such labels may be attached to a specific base or a specific structure of the aptamer, for example, a specific site of a hairpinloop structure or a 3' or 5' terminus of an aptamer.

An optical label may be exemplified by a fluorescent material. For example, the fluorescent material may be selected from among fluorescein, 6-FAM, rhodamine, Texas Red, tetramethyl rhodamine, carboxyl rhodamine, carboxyl rhodamine 6G, carboxyl rhodol, carboxyl rhodamine 110, Cascade Blue, Cascade Yellow, coumarin, Cy2 (cyanine 2), Cy3, Cy3.5, Cy5, Cy5.5, Cy-chromium, phycoerythrin, PerCP (peridinin chlorophyll-a protein), PerCP-Cy5.5, JOE (6-carboxy-4',5'-dichloro-2',7'-dimethoxyfluorescin), NED, ROX (5- (and-6)-carboxy-X-rhodamine), HEX, Lucifer Yellow, Marina Blue, Oregon Green 488, Oregon Green 500, Oregon Green 514, Alexa Fluor, 7-amino-4-methylcoumarin-3 -acetic acid, BODIPY FL, BODIPY FL-Br 2, BODIPY 530/550, conjugations thereof, and combinations thereof. The optical label may be an enzyme, suitable for use in enzyme-linked immunosorbent assay (“ELISA”). The enzyme used for ELISA may include alkaline phosphatase, horseradish peroxidase, luciferase, or glucose oxidase. When the enzyme is used as the optical label, a chemiluminescent material may be employed in order to induce a chemiluminescent reaction, the chemiluminescent material being selected from among luminol, isoluminol, luciferin, lucigenin, 3-(2'-spiroadamantane)-4-methoxy-4-(3"- phosphoryloxy)phenyl-l,2-dioxetan- e (AMPPD), and disodium 3-(4-methoxyspiro {1,2- dioxetane-3,2'-(5'-chloro)tricyclo[3.3.1.13,7]decan}-4-yl)ph enyl phosphate (CSPD). In addition thereto, any material appropriately selected by those skilled in the art is useful.

An optical label may be a fluorescence resonance energy transfer (“FRET”) pair, which includes a donor fluorophore and an acceptor fluorophore spaced apart from each other by an appropriate distance and in which the fluorescence emission of the donor is suppressed or quenched by the acceptor. The donor fluorophore may include FAM, TAMRA, VIC, JOE, Cy3, Cy5 and Texas Red. The acceptor fluorophore may be selected so as to overlap its excitation spectrum with the emission spectrum of the donor. The acceptor may be a non-fluorescence acceptor for quenching a wide range of donor.

Also described herein is an aptamer-immobilized carrier in which the aptamer for detecting LTA (or a multi-structure aptamer thereof) is immobilized on the surface of a solid phase carrier. As the solid phase carrier, it is possible to employ carriers of various shapes such as sheet-like, plate-like, cylindrical, and spherical carriers. As the material for a carrier, a plastic, metal, glass, or the like may be used. Typically, any material may be used so long as it is a material able to have an aptamer immobilized thereto, for example for use with a lateral flow assay device. (See, e.g., United States Patent Application 20200249228 Al to Jiang et al. (Aug. 6, 2020) for “Rapid Diagnosis of Peritonitis in Peritoneal Dialysis Patients”, the contents of which are incorporated herein by this reference.) For example, an aptamer-immobilized carrier may be a carrier in which the aptamer is immobilized on the surface of a sheet-like solid phase carrier.

The invention is further described with the aid of the following illustrative Examples.

EXAMPLES

EXAMPLE I

After screening a nucleic acid library over several generations against the target lipoteichoic acid (LTA) for specificity over counter-targets, for example, lipopolysaccharides (LPS), peptidoglycans, the enriched library was processed to identify aptamer candidates. Libraries produced by initial screening were sequenced for used in the differential analysis and identification of the most promising aptamer sequences in terms of binding performance. These candidates were qualitatively assessed for response to LTA in IX SELEX buffer before the best candidates were characterized.

As will be appreciated by those of skill in the art, SELEX begins with the synthesis of a very large oligonucleotide library consisting of randomly generated sequences of fixed length flanked by constant 5' and 3' ends that serve as primers. For a randomly generated region of length n, the number of possible sequences in the library is 4n (n positions with four possibilities (A, T, C, or G) at each position). The sequences in the library are exposed to the target ligand - which may be a protein or a small organic compound - and those that do not bind the target are removed, usually by affinity chromatography or target capture on paramagnetic beads. The bound sequences are eluted and amplified by PCR to prepare for subsequent rounds of selection in which the stringency of the elution conditions can be increased to identify the tightest-binding sequences.

Sequencing: The initial library was subjected to nine rounds of Melting-Off selection followed by parallel assessment. The SELEX process enriches for sequences over multiple rounds of selection that bind to LTA, and remove sequences that respond to components of IX SELEX buffer or LPS. As a result, the population to be sequenced should contain multiple copies of potential aptamer candidates.

An Illumina (San Diego, CA, US) MiniSeq™ system was used to sequence the aptamer libraries after the post-parallel selection using a single-end read technique. Deep sequencing and subsequent data analysis simplifies the traditional approach of performing a large number of screening rounds (Schiitze et al., 2011). Numerous sequences were analyzed from the parallel-exposed final libraries. From these sets of data, the library sequence families were constructed at 90% homology (sequence similarity considering mutations, deletions, and insertions).

Bioinformatics and Aptamer Candidate Selection: An individual sequence’s frequency in the positive target population was factored in, but the degree of variation between similar sequences was also important, with 90% homology being the minimum requirement (100% match over the entire sequence is not necessary to join a family; up to 2 bases can be mismatched, inserted, or deleted).

One factor is the presence of a sequence in the non-positive-target-exposed populations. Four libraries were collected for sequencing: the post-parallel assessment library that had been recovered from incubation with a positive target in IX SELEX buffer; post-parallel assessment library recovered after incubation with LPS in IX SELEX buffer; post-parallel assessment library recovered after incubation with IX SELEX buffer only; and the parallel assessment library recovered from incubation with LTA in IX SELEX buffer. The positive population was compared against the counter population to identify sequences that were not removed during the counter selection steps, but which still had affinity for both LTA and LPS. A candidate’s rate of enrichment was also considered (see, e.g., Wang et al., 2014). 200 candidates were chosen for microarray synthesis and high throughput assessment.

From these 200 aptamer candidates, SEQ ID NOs:l-5 were specifically identified as examples of the selection process (FIG. 1). The most prevalent family in the population is also highly present in the counter population. However, this sequence (and similar sequences) appeared at high enough frequencies in the positive populations to be still worth investigating in a high-throughput analysis. SEQ ID NOs: 1-5 were selected on the basis of greater proportional representation in the positive population over the counter population and/or negative population.

Finally, all candidate sequences exhibited sufficient stability based upon mfold secondary structure prediction to be considered candidates (FIG. 1).

Microarray Synthesis and Semi-Quantitative Assessment

Microarray Methods: A Cy5-labeled reporter oligonucleotide complimentary to a constant region of the library (5’-GTC GTC CCG AGA GCC TCG/3Cy5Sp/-3’ (SEQ ID NO:24)) was synthesized. SEQ ID NO:24 would be displaced during target binding. Oligonucleotides underwent desalting purification.

Data analysis was conducted as follows. The mean background fluorescence value was subtracted from the mean fluorescence value of each candidate prior to the addition of sample as well as each candidate after the addition of sample.

Microarray Results: Candidates were first tested against 100 ng/mL target LTA sample. The result of blocking candidates with Reporter oligonucleotide was imaged. Based upon the image, most candidates interacted well with the Reporter. After this reading was taken, candidates were incubated with target sample overnight at 23°C. The solution at the inlet of the peristaltic pump was then replaced with IX SELEX buffer to displace the target sample in the microarray. The same processes were used to analyze candidate response to 1 pg/mL of counter target LPS sample, of which the second run data is presented.

Candidate percent responses to target sample and counter target sample were calculated as the mean of 18 replicate positions. The percent responses themselves were compared to determine candidates that specifically responded to the target. Candidates were ranked according to the ratio of signal loss to the target condition against the signal loss to the counter condition. The greater this score, the more response to the target condition relative to the response to the counter condition. The aptamer candidates with the top five scores (SEQ ID NOs. 6-10) were then synthesized for qualitative assessment.

Monoclonal Synthesis and Qualitative Validation:

Assessment Methods: SEQ ID NOs.: 6-10 were synthesized and purified by desalting. Assessment followed a method similar to that used in the previously described SELEX.

Assessment Results: Initial assessment was carried out with SEQ ID NOs.: 6-10 against just target LTA in IX SELEX Buffer to determine which candidates demonstrated noticeable response. Differences in the intensity of material present in the candidate lanes represented different amounts of candidate released from magnetic beads as a result of incubation with, and binding to, target LTA. Based upon these results, candidates SEQ ID NO:6, SEQ ID NO:8, and SEQ ID NOV were selected for additional assessment against counter-target LPS.

The chosen candidates were re-assessed against both target and counter-target in the presence of patient samples. Candidate SEQ ID NO:6 ran in a pattern similar to other samples that were known to have had a high concentration of sugar. SEQ ID NOV showed stronger response to target over counter-target.

EXAMPLE II

An aptamer comprising a core sequence selected from the group consisting of SEQ ID NOs: 11-21 is appropriately labeled with quenching labels and used in an assay to detect LTA in a medical sample taken from a patient (e.g., peritoneal dialysis fluid). The assay is thus used to detect the presence of Gram positive bacteria in the medical sample so as to diagnose an infection in the subject for treatment with an appropriate antibiotic. REFERENCES

(the contents of the entirety of each of which is incorporated herein by this reference):

[0001] Ellington and Szostak “In vitro selection of RNA molecules that bind specific ligands.” Nature 1990, 346, 818.

[0002] Gold et al. “Aptamers and the RNA world, past and present.” Cold Spring Harb. Perspect. Biol. 2012, 4, a003582.

[0003] Schiitze et al. “Probing the SELEX Process with Next-Generation Sequencing” PLoS ONE 6(12): e29604 (2011). DOI: 10.1371/joumal.pone.0029604.

[0004] Tuerk et al. “Systematic evolution of ligands by exponential enrichment: RNA ligands to bacteriophage t4 DNA polymerase.” Science 1990, 249, 505-510.

[0005] Wang et al. “Particle Display: A Quantitative Screening Method for Generating High-Affinity Aptamers” Angewandte Communications International Edition 53: 4796-4801 (2014). DOI: 10.1002/anie.201309334.

[0006] Zhuo et al. “Recent Advances in SELEX Technology and Aptamer Applications in Biomedicine” Int. J. Mol. Sci. 2017, 18, 2142; doi:10.3390/ijmsl8102142.

[0007] M. Zuker “Mfold web server for nucleic acid folding and hybridization prediction.” Nucleic Acids Res. 31(13): 3406-3415 (2003). http ://mfold. ma. albany . edu/? q=DINAMelt/ Quickfold

[0008] US Patent Application Publication 20200249228 Al to Jiang et al. (Aug. 6, 2020) for “Rapid Diagnosis of Peritonitis in Peritoneal Dialysis Patients”.