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              "
          <a href="#project-design">Inspiration</a>
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            >
<br>
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              RANDLE'S CELL TESTING DEVICE
          <a href="#part-design">Methodology</a>
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            </h1>
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        <div class="intro-body">
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          <div class="overview" id="overview">
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            <h2>OVERVIEW</h2>
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            <img
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            />
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            <br />
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            <h4>Supporting VAD mitigation through testing</h4>
 +
            <p>
 +
              To tackle the lack of data, we devised a diagnostic test to
 +
              indicate vitamin A deficiency. This season, we constructed an
 +
              impedance measurement device, and verified its ability to measure
 +
              impedance, which will be used as the method to quantify levels of
 +
              retinol binding protein in the blood.
 +
            </p>
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          </div>
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          <br />
 +
          <hr />
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          <div class="inspo" id="inspo">
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            <h2>INSPIRATION</h2>
 +
            <br />
 +
            <h4>Why did we do it?</h4>
 +
            <p>
 +
              Talking to researchers and not-for-profit organizations, decision
 +
              makers needed more data to make informed decisions on
 +
              intervention. Inspired by low-cost, electrochemical detection
 +
              circuits, the Randle Cell Circuit was born. To help illuminate the
 +
              true scope of vitamin A deficiency, this attempts to make VAD
 +
              testing more accessible.
 +
            </p>
 +
          </div>
 +
          <br />
 +
          <hr />
 +
          <div class="problem" id="problem">
 +
            <h2>UNDERSTANDING THE PROBLEM</h2>
 +
            <br />
 +
            <p>
 +
              Developing a diagnostic test appeared to be a daunting task… and
 +
              definitely was. We began by investigating current methods used to
 +
              diagnose Vitamin A deficiency. It turned out that it was largely
 +
              based upon clinical signs. In addition, Dr. Sanou Dia, a public
 +
              health nutritionist, explained that much of vitamin A data was
 +
              based upon vitamin A coverage rather than actually testing for it.
 +
              <br /><br />
  
 +
              Diagnostic tests already exist, with varying utility. Taking
 +
              samples of a liver to observe levels of vitamin A are considered
 +
              gold standard but this measure is not feasible for population
 +
              evaluation. Serum retinol and breast milk retinol are also
 +
              indicators of vitamin A deficiency, but fail to consider liver
 +
              reserves of the micronutrient. ( Tanumihardjo, 2012). One of the
 +
              most prevalent methods is the modified relative dose response test
 +
              (MRDR). Since vitamin A is stored in the liver, a single blood
 +
              test is not indicative of vitamin A deficiency. The MRDR attempts
 +
              to bypass this limitation by administering a test dose of a form
 +
              of retinol to elicit a response from the liver. This biological
 +
              response is then compared to the initial test dose by taking a
 +
              blood sample, which can then elucidate the liver reserves of
 +
              Vitamin A, and ultimately, vitamin A deficiency. However, a major
 +
              barrier to making the MRDR more accessible is the need for
 +
              expensive, bulky laboratory equipment to quantify vitamin A. This
 +
              introduces the need for cold chain storage and transportation to
 +
              labs, drastically increasing the cost. This highlighted the need
 +
              for a method that is capable of measuring vitamin A deficiency
 +
              that is both inexpensive and offers rapid results. We consulted
 +
              Banda Ndiaye, the Deputy Regional Director Health, Africa, to see
 +
              what programs were in place to measure VAD, and also determine if
 +
              new methods were needed. He stressed that decision makers needed
 +
              more data to inform intervention. To learn about typical methods
 +
              of vitamin A measurement in Western medicine, we consulted Dr.
 +
              Christopher Naugler, an expert in pathology informatics. He
 +
              informed us that Vitamin A measurement is typically done after a
 +
              10 hour fast using a mass spectroscopy methodology. Ultimately,
 +
              Vitamin A testing is an expensive and long process, requiring cold
 +
              chain storage, especially when the procurement of a blood sample
 +
              is done far from the lab.
  
 +
              <br /><br />
 +
              Given the practicality of the MRDR, we based our device on the
 +
              same working principle as the MRDR. We administer a test dosage,
 +
              and then retrieve a blood sample 2-4 hours later. However, to
 +
              bypass the requirement of expensive lab analysis and the cold
 +
              chain storage, the Randle Cell Testing Device uses impedance-based
 +
              analysis.
 +
            </p>
 +
          </div>
 +
          <br />
 +
          <hr />
 +
          <div class="research" id="research">
 +
            <h2>RESEARCH AND IDEATE</h2>
 +
            <br />
 +
            <h4>Coming Up With an Idea</h4>
 +
            <p>
 +
              Through consulting Dr. Colin Dalton, a microfabrication expert, we
 +
              quickly realized that this project’s scope required two years to
 +
              complete. He drove home the need for accuracy, precision and
 +
              reliability, which would require thoroughly vetting a sensor
 +
              design. We looked at different types of biosensors to solve this
 +
              problem. Mechanical cantilever-based sensors appeared attractive
 +
              given their high sensitivity and versatility. However, we focused
 +
              on impedance based biosensors due to their low cost, high
 +
              sensitivity and in some cases high selectivity. Vitamin A has a
 +
              binding protein, known as RBP. Retinol, outside of the liver in
 +
              the blood, is found in a 1:1 complex with RBP (Sommer, 2001). An
 +
              aptamer-based method appeared to be a solution by which we could
 +
              extract retinol binding protein from the blood. Thomas Ljinse, a
 +
              PhD student at the University of Calgary, provided guidance on how
 +
              one can make an aptamer-based test that uses impedance to quantify
 +
              a protein. By using an electrode coated with aptamers, one can
 +
              quantify the amount of protein bound by the aptamers by measuring
 +
              the change in impedance. With a two year timeline, we largely
 +
              focused our efforts this season on developing a circuit capable of
 +
              detecting changes in impedance.
 +
            </p>
 +
            <br />
 +
            <h4>Sensitivity of the Device</h4>
 +
            <p>
 +
              We needed to determine constraints on our design, and
 +
              specifically, how sensitive our diagnostic device had to be. The
 +
              WHO defines vitamin A deficiency (VAD) by serum retinol
 +
              concentrations less than 0.70µmol/L (Whitehead et al., 2015). We
 +
              found that serum retinol is the best established biochemical
 +
              indicator of vitamin A status (De Pee & Dary, 2002). Our first
 +
              motive was to develop a model to calculate how much impedance
 +
              change RBP could cause, and thus indicate how sensitive our
 +
              biosensor had to be. However, speaking with Dr. Colin Dalton, he
 +
              informed us that this was a very complex phenomena to model. We
 +
              were informed that many of these types of biosensor were
 +
              empirically based. Without laboratory access, we relied upon
 +
              literature. Using a similar method of impedance analysis of an
 +
              electrochemical cell, a biosensor for RBP was able to detect
 +
              quantities of RBP as low as 2.5 ag/mL (Şimşek et al., 2014). Using
 +
              values of frequency and input waveforms from this paper, we were
 +
              able to define constraints needed to achieve similar sensitivity.
 +
            </p>
 +
            <br />
 +
            <h4>Selectivity</h4>
 +
            <p>
 +
              Whole blood samples taken from a finger prick were an ideal
 +
              candidate, but this raised questions about how we could separate
 +
              the plasma from serum and quantify levels of RBP. Thus, we
 +
              consulted Sultan Khetani, a PhD student with extensive experience
 +
              in biosensor design. He informed us that depending on how the
 +
              method used to select an aptamer, known as SELEX, was carried out,
 +
              the aptamer could be specific enough to select RBP from whole
 +
              blood samples. In theory, if an aptamer is selective enough, it
 +
              could be used for selecting RBP from whole blood samples. Robert
 +
              Mayall from FREDsense informed us that a common issue with using
 +
              impedance based testing on blood, is fouling of the electrode. We
 +
              were able to find an aptamer sequence in literature that was
 +
              proven to be selective in human serum. Lab data and further
 +
              aptamer research is needed to determine whether or not separation
 +
              of plasma from serum will be necessary.
 +
            </p>
 +
            <br />
 +
            <h4>How it Works</h4>
 +
            <p>
 +
              Impedance is different from resistance in that it describes the
 +
              sum of both the resistance and reactance. Systems, outside of
 +
              conventional circuitry, can be described using combinations of
 +
              impedances. The Randles Circuit is a common equivalent circuit
 +
              used to model electrochemical cells, and is described in Figure
 +
              1.0.
 +
            </p>
 +
            <br />
 +
            <img src="" />
 +
            <br />
 +
            <p style="text-align: center">
 +
              Figure 1.0: Equivalent Randles Circuit of an Electrochemical Cell
 +
            </p>
 +
            <br />
 +
            <p>
 +
              In the diagram above, Zw is a warburg impedance. This models the
 +
              slow diffusion process, something that is difficult to model with
 +
              a simple differential equation. Zw can be modelled as:
 +
            </p>
 +
            <p>Equation 1:</p>
 +
            <img src="" />
 +
            <p>Equation 2:</p>
 +
            <img src="" />
 +
            <p>
 +
              The Cdl is known as the double layer capacitance, and models the
 +
              effect of charges building up in the electrolyte on the electrode
 +
              surface. Rct is the charge transfer resistance, accounting for
 +
              voltage drop over the electrode-electrolyte interface due to a
 +
              load. Lastly, Rs models the electrolyte resistance. Equation 3.0
 +
              is the impedance of a capacitor, and can thus be used to model the
 +
              impedance of the double layer capacitance.
 +
            </p>
 +
            <p>Equation 3:</p>
 +
            <img src="" />
 +
            <p>
 +
              The working principle of the Randle Cell Testing Device is the
 +
              perturbation of the double layer capacitance in Figure 1.0 caused
 +
              by the binding of RBP. This perturbation of Cdl has been known to
 +
              cause significant changes in impedance. This change has been most
 +
              noticeable at lower frequencies, less than 10kHz (Venkatraman et
 +
              al., 2009). In addition, at low frequencies, the warburg impedance
 +
              acts like a resistor (Lim, 2014). Notice that in Equation 2.0, the
 +
              magnitude of the warburg impedance is directly proportional to the
 +
              inverse of the square root of frequency. Therefore, as frequency
 +
              approaches 0, the warburg impedance becomes infinite, analogous to
 +
              an open circuit. For this reason, we simplified our model of our
 +
              randle cell by assuming Zw to be an open circuit when operating at
 +
              frequencies less than 10kHz.
 +
            </p>
 +
            <br />
 +
            <p>
 +
              As a result, we are left with a series circuit of Rs and Cdl,
 +
              where we assume that Rs remains constant at lower frequencies.
 +
            </p>
 +
            <img src="" />
 +
            <p>Figure 2.0: Simplification of the Randles Circuit</p>
 +
            <br />
 +
            <p>
 +
              In this simplified circuit, changes in the cells impedance can be
 +
              largely attributed to the change in double layer capacitance, as
 +
              long as Rs remain constant. This is because at low frequency
 +
              (~10kHz), capacitance becomes large, seen by the inverse relation
 +
              between ZC and frequency in Equation 3.0.
 +
            </p>
 +
            <h4>Selecting an Impedance Measurement Technique</h4>
 +
            <p>
 +
              We selected electrochemical impedance spectroscopy (EIS) , as it
 +
              is a technique capable of measuring impedance across an
 +
              electrochemical cell as a function of frequency. EIS is an AC
 +
              technique, meaning it uses an alternating signal. This allows us
 +
              to directly measure capacitance, by measuring impedance at a given
 +
              frequency. Capacitance can be calculated by modifying Equation
 +
              3.0. We selected the AD5933 by Analog Devices due to its small
 +
              size and high accuracy. This is a small integrated circuit that
 +
              has the ability to run EIS.
 +
            </p>
 +
            <br />
 +
            <h4>The Electrodes</h4>
 +
            <p>
 +
              In an effort to make our design cheap and robust, we selected
 +
              gold-plated interdigitated electrodes due to their ease of
 +
              fabrication, high sensitivity and inexpensiveness (Mazlan, 2017).
 +
              To ensure high sensitivity of the Randles Cell Circuit, the
 +
              distance from the aptamer to the electrode surface needs to be as
 +
              small as possible. We have talked to both Robert Mayall of
 +
              FREDsense, as well as Sultan Khetani who have listed several
 +
              options to immobilize aptamers to our electrode. The exact method
 +
              is a question that will be addressed in future directions.
 +
            </p>
 +
            <br />
 +
            <h4>The Current Design</h4>
 +
            <p>
 +
              An electrochemical cell, featuring interdigitated electrodes.
 +
              These electrodes are coated with aptamers found through the SELEX
 +
              process, that have high specificity towards RBP (Lee et al.,
 +
              2008). These electrodes are connected to the AD5933 embedded on
 +
              the Pmod IA board through electrical leads. The Pmod IA board
 +
              allows the AD9533 to interface with the Arduino Uno. All
 +
              components were sourced commercially. Note that in Figure 3.0 and
 +
              4.0 we have not included the final electrode design.
 +
            </p>
 +
            <img src="" />
 +
            <p style="text-align: center">
 +
              Figure 3.0: Impedance Analysis Circuit Measuring a 1nF Capacitive
 +
              Load Featuring the Arduino Uno, and AD9533 on the Pmod IA
 +
            </p>
 +
            <img src="" />
 +
            <p style="text-align: center">
 +
              Figure 4.0: The Randles Cell Testing Device measuring Impedance of
 +
              an Aqueous Solution
 +
            </p>
 +
            <h4>Software</h4>
 +
            <p>
 +
              The AD5933 was calibrated and programmed using the popular Arduino
 +
              IDE. The code was created following the AD5933 datasheet to ensure
 +
              proper calibration and operation. Commands are written from the
 +
              Arduino Uno, to the AD5933. Through the popularity of the Arduino
 +
              IDE and our extensive documentation, we hope to ease the burden of
 +
              datasheet synthesis and understanding of the AD5933 for future
 +
              users.
 +
            </p>
 +
          </div>
 +
          <br />
 +
          <hr />
 +
          <div class="results" id="results">
 +
            <h2>RESULTS AND CHALLENGES</h2>
 +
            <br />
 +
            <p>
 +
              We were able to construct an impedance testing circuit for $86 CAD
 +
              using electrical components and parts sourced from major
 +
              distributors operating at locations around the globe. Notably, we
 +
              were able to measure the impedance of an aqueous solution,
 +
              indicating the viability of our impedance circuit in monitoring
 +
              electrochemical cells.
 +
            </p>
 +
            <img src="" />
 +
            <p style="text-align: center">
 +
              Table 1.0: Cost of Randles Cell Testing Device
 +
            </p>
 +
            <p>
 +
              We were able to measure the impedance across a capacitive load to
 +
              a high degree of accuracy. Measuring a known load, we were able to
 +
              make impedance measurements within 0.02% error, operating in our
 +
              target 10 kHz range.
 +
            </p>
 +
            <br />
 +
            <p>
 +
              Figure 5.0 is frequency sweep data we collected using the AD9533,
 +
              and makes apparent the inverse relation between frequency and
 +
              capacitance.
 +
            </p>
 +
            <img src="" />
 +
            <p>
 +
              As with the majority of integrated circuits, they come with
 +
              extensive data sheets and require the user to have a thorough
 +
              understanding of it’s function. Oftentimes, programming the IC
 +
              requires a user to learn a coding language specifically made by
 +
              the manufacturer. The process of reading through the datasheet and
 +
              learning how to program the AD5933 was a significant challenge.
 +
              This ended up taking much longer than we anticipated.
 +
            </p>
 +
          </div>
 +
          <br />
 +
          <hr />
 +
          <div class="impact" id="impact">
 +
            <h2>IMPACT</h2>
 +
            <br />
 +
            <p>
 +
              Impedance is ubiquitous, and its importance as a measurement
 +
              technique spans many different fields and technologies. Although
 +
              we fell short of our goals, we hope that our research can provide
 +
              a basis for future teams to use when developing impedance-based
 +
              tests. Through thorough documentation of our hardware and software
 +
              suites, we hope that this expedites the speed of future projects
 +
              with the AD5933 by Analog Devices. This work brings us a step
 +
              closer to accessibly identifying VAD.
 +
            </p>
 +
            <br />
 +
            <p>
 +
              Future Directions: <br />
  
<div class="main">
+
              Although we have found an aptamer sequence specific to our needs,
      <!-- HEADER/BANNER -->
+
              we are in the midst of legal consultation to determine the
      <div class="banner-image">
+
              aptamers surrounding patents. Once an aptamer has been selected,
        <div class="banner-text resp">
+
              we need to verify its selectivity to RBP in blood samples. We then
          <h1 style="font-family: 'Public Sans', sans-serif; font-weight: 600; font-size: 10vh !important;">RANDLE'S CELL TESTING DEVICE</h1>
+
              plan on investigating and testing the methods of immobilizing
                
+
               aptamers onto electrodes.
        </div>
+
            </p>
      </div>
+
          </div>
     
+
          <br />
      <!-- BODY -->
+
          <hr />
      <div class="intro-body">
+
          <div class="references" id="references">
<div class = "project-design" id="title-one">
+
            <h2>REFERENCES</h2>
        <h2>OVERVIEW</h2>
+
            <br />
<img class="img-fluid"style="width:100%;"src="https://static.igem.org/mediawiki/2020/6/69/T--Calgary--randycellpipeline.png" />
+
            <p>
<br>
+
              Tanumihardjo SA. Biomarkers of vitamin A status: what do they
        <h4>Supporting VAD mitigation through testing </h4>
+
              mean? In: World Health Organization. Report: Priorities in the
        <p>
+
              assessment of vitamin A and iron status in populations, Panama
Add stuff here </p>
+
              City, Panama, 15–17 September 2010. Geneva, World Health
 +
              Organization, 2012.<br /><br />
  
 +
              Whitehead, R., Jr., Jr., Perrine, C., Mebrahtu, S., Dahal, P.,
 +
              Subedi, G.R. and Jefferds, M.E. (2015), Defining a vitamin A
 +
              deficiency cut‐off for retinol binding protein in Nepal children
 +
              6‐23 mo of age. The FASEB Journal, 29: 729.5.
 +
              doi:10.1096/fasebj.29.1_supplement.729.5 <br /><br />
  
</div>
+
              Mahmood, K., Samo, A. H., Jairamani, K. L., Ali, G., Talib, A., &
<br>
+
              Qazmi, W. (2008). Serum retinol binding protein as an indicator of
<hr>
+
              vitamin A status in cirrhotic patients with night blindness. Saudi
<div class = "project-design" id="INSPIRATION">
+
              journal of gastroenterology : official journal of the Saudi
        <h2>INSPIRATION</h2>
+
              Gastroenterology Association, 14(1), 7–11.
        <h4>Why did we do it? </h4>
+
              https://doi.org/10.4103/1319-3767.37794 <br /><br />
        <p>
+
          With Oviita beginning to form a congruent project, we began to look for real communities that might benefit from its implementation. However, talking to researchers and not-for-profit organizations, it became apparent that there was a lack of community specific data on vitamin A deficiency. Decision makers needed more data to make informed decisions on intervention. Inspired by low-cost, electrochemical detection circuits, the Randle Cell Circuit was born. To help illuminate the true scope of vitamin A deficiency, we decided to develop a point-of-care diagnostic test for Vitamin A deficiency.  
+
  
        </p>
+
              Şimşek, Ç.S., Teke, M. and Sezgintürk, M.K. (2014), An ITO Based
<img class="img-fluid"src="https://static.igem.org/mediawiki/2019/4/48/T--Calgary--6GIXgel.jpeg">
+
              Disposable Biosensor for Ultrasensitive Analysis of Retinol
<br>
+
              Binding Protein. Electroanalysis, 26: 328-339.
<p>
+
              doi:10.1002/elan.201300443 <br /><br />
          In order to provide a sustainable, community-based solution, we plan
+
          to genetically modify <i>Rhodosporidium toruloides</i>, an oleaginous
+
          yeast that naturally produces beta-carotene and lipids, to be more
+
          robust and resource-efficient. By modifying the yeast to produce
+
          cellulase, it can then use common agricultural waste products as an
+
          energy source for synthesizing its oil. It can then be eaten as a
+
          vitamin A supplement. The yeast strain, while naturally safe and
+
          non-pathogenic, will also be genetically modified to include a kill
+
          switch for bio-containment, and optimized for oil production.
+
        </p>
+
  
 +
              Sommer, A. (2001). Vitamin A Deficiency. In eLS, (Ed.).
 +
              doi:10.1038/npg.els.0002106 <br /><br />
  
</div>
+
              De Pee, S., & Dary, O. (2002, September 01). Biochemical
<br>
+
              Indicators of Vitamin A Deficiency: Serum Retinol and Serum
<hr>
+
              Retinol Binding Protein. Retrieved October 24, 2020, from
<div class = "part-design" id="METHODOLOGY">
+
              https://academic.oup.com/jn/article/132/9/2895S/4687694
        <h2>METHODOLOGY</h2>
+
              <br /><br />
        <h4>How did we do it?</h4>
+
              Lee, S. J., Youn, B., Park, J. W., Niazi, J. H., Kim, Y. S., & Gu,
        <p>
+
              M. B. (2008). SsDNA Aptamer-Based Surface Plasmon Resonance
        Developing a diagnostic test appeared to be a daunting task… and definitely was. We began by investigating current methods used to diagnose Vitamin A deficiency. It turned out that it was largely based upon clinical signs.  
+
              Biosensor for the Detection of Retinol Binding Protein 4 for the
<br>
+
              Early Diagnosis of Type 2 Diabetes. Analytical Chemistry, 80(8),
</p>
+
              2867-2873. doi:10.1021/ac800050a <br /><br />
<p>Some diagnostic tests existed, but had serious limitations. One of the most prevalent methods is the modified relative dose response test (MRDR). Since vitamin A is stored in the liver, a single blood test is not indicative of vitamin A deficiency. The MRDR attempts to bypass this limitation by administering a test dose to elicit a response from the liver. This biological response is then compared to the initial test dose by taking a blood sample, which can then elucidate the liver reserves of Vitamin A, and ultimately, vitamin A deficiency.  
+
              Mazlan, N. S., Ramli, M. M., Abdullah, M. M., Halin, D. S., Isa,
<br>
+
              S. S., Talip, L. F., . . . Murad, S. A. (n.d.). Interdigitated
</p>
+
              electrodes as impedance and capacitance biosensors: A review
<p>
+
              [Abstract]. AIP Conference Proceedings 1885, 020276 (2017).
The Randle cell intends to operate on the same working principle as the MRDR. However, to bypass the requirement of expensive lab analysis, the Randle Cell Testing Device uses impedance-based analysis.  
+
              doi:https://doi.org/10.1063/1.5002470 <br /><br />
<br>
+
  
        </p>
+
              Venkatraman, V. L., Reddy, R. K., Zhang, F., Evans, D., Ulrich,
</div>
+
              B., & Prasad, S. (2009, April 1). Iridium oxide nanomonitors:
<br>
+
              Clinical diagnostic devices for health monitoring systems.
<hr>
+
              Retrieved from https://doi.org/10.1016/j.bios.2009.03.029
<div class = "experimental-design" id="experimental-design">
+
              <br /><br />
        <h2>EXPERIMENTAL DESIGN</h2> </div>
+
        <h4>Thoughtful design of experiments</h4>
+
        <p>
+
          In order to provide a sustainable, community-based solution, we plan
+
          to genetically modify <i>Rhodosporidium toruloides</i>, an oleaginous
+
          yeast that naturally produces beta-carotene and lipids, to be more
+
          robust and resource-efficient. By modifying the yeast to produce
+
          cellulase, it can then use common agricultural waste products as an
+
          energy source for synthesizing its oil. It can then be eaten as a
+
          vitamin A supplement. The yeast strain, while naturally safe and
+
          non-pathogenic, will also be genetically modified to include a kill
+
          switch for bio-containment, and optimized for oil production.
+
        </p>
+
<!--ACCORDION -->
+
  
<div class="accordion" id="accordionExample">
+
              Lim, C. (2014, April). Lecture 20: Warburg Impedance. Retrieved
  <div class="card">
+
              from
    <div class="card-header" id="headingOne">
+
              https://ocw.mit.edu/courses/chemical-engineering/10-626-electrochemical-energy-systems-spring-2014/lecture-notes/MIT10_626S14_S11lec20.pdf
      <h2 class="mb-0">
+
              <br /><br />
        <button class="btn btn-link" type="button" data-toggle="collapse" data-target="#collapseOne" aria-expanded="true" aria-controls="collapseOne">
+
            </p>
          Experiment 1
+
          </div>
        </button>
+
          <br />
      </h2>
+
           <hr />
    </div>
+
         </div>
 
+
        <!-- BODY END -->
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+
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+
        Anim pariatur cliche reprehenderit, enim eiusmod high life accusamus terry richardson ad squid. 3 wolf moon officia aute, non cupidatat skateboard dolor brunch. Food truck quinoa nesciunt laborum eiusmod. Brunch 3 wolf moon tempor, sunt aliqua put a bird on it squid single-origin coffee nulla assumenda shoreditch et. Nihil anim keffiyeh helvetica, craft beer labore wes anderson cred nesciunt sapiente ea proident. Ad vegan excepteur butcher vice lomo. Leggings occaecat craft beer farm-to-table, raw denim aesthetic synth nesciunt you probably haven't heard of them accusamus labore sustainable VHS.
+
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+
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+
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+
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+
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+
          Experiment 2
+
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+
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+
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+
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        Anim pariatur cliche reprehenderit, enim eiusmod high life accusamus terry richardson ad squid. 3 wolf moon officia aute, non cupidatat skateboard dolor brunch. Food truck quinoa nesciunt laborum eiusmod. Brunch 3 wolf moon tempor, sunt aliqua put a bird on it squid single-origin coffee nulla assumenda shoreditch et. Nihil anim keffiyeh helvetica, craft beer labore wes anderson cred nesciunt sapiente ea proident. Ad vegan excepteur butcher vice lomo. Leggings occaecat craft beer farm-to-table, raw denim aesthetic synth nesciunt you probably haven't heard of them accusamus labore sustainable VHS.
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+
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+
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+
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        <button class="btn btn-link collapsed" type="button" data-toggle="collapse" data-target="#collapseThree" aria-expanded="false" aria-controls="collapseThree">
+
          Experiment 3
+
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+
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+
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+
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+
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+
 
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+
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+
<div class = "Future Directions" id="future-directions">
+
        <h2>FUTURE DIRECTIONS</h2>
+
        <h4>Next Steps</h4>
+
        <p>
+
           In order to provide a sustainable, community-based solution, we plan
+
          to genetically modify <i>Rhodosporidium toruloides</i>, an oleaginous
+
          yeast that naturally produces beta-carotene and lipids, to be more
+
          robust and resource-efficient. By modifying the yeast to produce
+
          cellulase, it can then use common agricultural waste products as an
+
          energy source for synthesizing its oil. It can then be eaten as a
+
          vitamin A supplement. The yeast strain, while naturally safe and
+
          non-pathogenic, will also be genetically modified to include a kill
+
          switch for bio-containment, and optimized for oil production.
+
         </p>
+
</div>
+
<br>
+
<hr>
+
 
+
 
+
 
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+
 
       </div>
 
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     </div>
 
     </div>

Revision as of 17:37, 25 October 2020



OVERVIEW


Supporting VAD mitigation through testing

To tackle the lack of data, we devised a diagnostic test to indicate vitamin A deficiency. This season, we constructed an impedance measurement device, and verified its ability to measure impedance, which will be used as the method to quantify levels of retinol binding protein in the blood.



INSPIRATION


Why did we do it?

Talking to researchers and not-for-profit organizations, decision makers needed more data to make informed decisions on intervention. Inspired by low-cost, electrochemical detection circuits, the Randle Cell Circuit was born. To help illuminate the true scope of vitamin A deficiency, this attempts to make VAD testing more accessible.



UNDERSTANDING THE PROBLEM


Developing a diagnostic test appeared to be a daunting task… and definitely was. We began by investigating current methods used to diagnose Vitamin A deficiency. It turned out that it was largely based upon clinical signs. In addition, Dr. Sanou Dia, a public health nutritionist, explained that much of vitamin A data was based upon vitamin A coverage rather than actually testing for it.

Diagnostic tests already exist, with varying utility. Taking samples of a liver to observe levels of vitamin A are considered gold standard but this measure is not feasible for population evaluation. Serum retinol and breast milk retinol are also indicators of vitamin A deficiency, but fail to consider liver reserves of the micronutrient. ( Tanumihardjo, 2012). One of the most prevalent methods is the modified relative dose response test (MRDR). Since vitamin A is stored in the liver, a single blood test is not indicative of vitamin A deficiency. The MRDR attempts to bypass this limitation by administering a test dose of a form of retinol to elicit a response from the liver. This biological response is then compared to the initial test dose by taking a blood sample, which can then elucidate the liver reserves of Vitamin A, and ultimately, vitamin A deficiency. However, a major barrier to making the MRDR more accessible is the need for expensive, bulky laboratory equipment to quantify vitamin A. This introduces the need for cold chain storage and transportation to labs, drastically increasing the cost. This highlighted the need for a method that is capable of measuring vitamin A deficiency that is both inexpensive and offers rapid results. We consulted Banda Ndiaye, the Deputy Regional Director Health, Africa, to see what programs were in place to measure VAD, and also determine if new methods were needed. He stressed that decision makers needed more data to inform intervention. To learn about typical methods of vitamin A measurement in Western medicine, we consulted Dr. Christopher Naugler, an expert in pathology informatics. He informed us that Vitamin A measurement is typically done after a 10 hour fast using a mass spectroscopy methodology. Ultimately, Vitamin A testing is an expensive and long process, requiring cold chain storage, especially when the procurement of a blood sample is done far from the lab.

Given the practicality of the MRDR, we based our device on the same working principle as the MRDR. We administer a test dosage, and then retrieve a blood sample 2-4 hours later. However, to bypass the requirement of expensive lab analysis and the cold chain storage, the Randle Cell Testing Device uses impedance-based analysis.



RESEARCH AND IDEATE


Coming Up With an Idea

Through consulting Dr. Colin Dalton, a microfabrication expert, we quickly realized that this project’s scope required two years to complete. He drove home the need for accuracy, precision and reliability, which would require thoroughly vetting a sensor design. We looked at different types of biosensors to solve this problem. Mechanical cantilever-based sensors appeared attractive given their high sensitivity and versatility. However, we focused on impedance based biosensors due to their low cost, high sensitivity and in some cases high selectivity. Vitamin A has a binding protein, known as RBP. Retinol, outside of the liver in the blood, is found in a 1:1 complex with RBP (Sommer, 2001). An aptamer-based method appeared to be a solution by which we could extract retinol binding protein from the blood. Thomas Ljinse, a PhD student at the University of Calgary, provided guidance on how one can make an aptamer-based test that uses impedance to quantify a protein. By using an electrode coated with aptamers, one can quantify the amount of protein bound by the aptamers by measuring the change in impedance. With a two year timeline, we largely focused our efforts this season on developing a circuit capable of detecting changes in impedance.


Sensitivity of the Device

We needed to determine constraints on our design, and specifically, how sensitive our diagnostic device had to be. The WHO defines vitamin A deficiency (VAD) by serum retinol concentrations less than 0.70µmol/L (Whitehead et al., 2015). We found that serum retinol is the best established biochemical indicator of vitamin A status (De Pee & Dary, 2002). Our first motive was to develop a model to calculate how much impedance change RBP could cause, and thus indicate how sensitive our biosensor had to be. However, speaking with Dr. Colin Dalton, he informed us that this was a very complex phenomena to model. We were informed that many of these types of biosensor were empirically based. Without laboratory access, we relied upon literature. Using a similar method of impedance analysis of an electrochemical cell, a biosensor for RBP was able to detect quantities of RBP as low as 2.5 ag/mL (Şimşek et al., 2014). Using values of frequency and input waveforms from this paper, we were able to define constraints needed to achieve similar sensitivity.


Selectivity

Whole blood samples taken from a finger prick were an ideal candidate, but this raised questions about how we could separate the plasma from serum and quantify levels of RBP. Thus, we consulted Sultan Khetani, a PhD student with extensive experience in biosensor design. He informed us that depending on how the method used to select an aptamer, known as SELEX, was carried out, the aptamer could be specific enough to select RBP from whole blood samples. In theory, if an aptamer is selective enough, it could be used for selecting RBP from whole blood samples. Robert Mayall from FREDsense informed us that a common issue with using impedance based testing on blood, is fouling of the electrode. We were able to find an aptamer sequence in literature that was proven to be selective in human serum. Lab data and further aptamer research is needed to determine whether or not separation of plasma from serum will be necessary.


How it Works

Impedance is different from resistance in that it describes the sum of both the resistance and reactance. Systems, outside of conventional circuitry, can be described using combinations of impedances. The Randles Circuit is a common equivalent circuit used to model electrochemical cells, and is described in Figure 1.0.



Figure 1.0: Equivalent Randles Circuit of an Electrochemical Cell


In the diagram above, Zw is a warburg impedance. This models the slow diffusion process, something that is difficult to model with a simple differential equation. Zw can be modelled as:

Equation 1:

Equation 2:

The Cdl is known as the double layer capacitance, and models the effect of charges building up in the electrolyte on the electrode surface. Rct is the charge transfer resistance, accounting for voltage drop over the electrode-electrolyte interface due to a load. Lastly, Rs models the electrolyte resistance. Equation 3.0 is the impedance of a capacitor, and can thus be used to model the impedance of the double layer capacitance.

Equation 3:

The working principle of the Randle Cell Testing Device is the perturbation of the double layer capacitance in Figure 1.0 caused by the binding of RBP. This perturbation of Cdl has been known to cause significant changes in impedance. This change has been most noticeable at lower frequencies, less than 10kHz (Venkatraman et al., 2009). In addition, at low frequencies, the warburg impedance acts like a resistor (Lim, 2014). Notice that in Equation 2.0, the magnitude of the warburg impedance is directly proportional to the inverse of the square root of frequency. Therefore, as frequency approaches 0, the warburg impedance becomes infinite, analogous to an open circuit. For this reason, we simplified our model of our randle cell by assuming Zw to be an open circuit when operating at frequencies less than 10kHz.


As a result, we are left with a series circuit of Rs and Cdl, where we assume that Rs remains constant at lower frequencies.

Figure 2.0: Simplification of the Randles Circuit


In this simplified circuit, changes in the cells impedance can be largely attributed to the change in double layer capacitance, as long as Rs remain constant. This is because at low frequency (~10kHz), capacitance becomes large, seen by the inverse relation between ZC and frequency in Equation 3.0.

Selecting an Impedance Measurement Technique

We selected electrochemical impedance spectroscopy (EIS) , as it is a technique capable of measuring impedance across an electrochemical cell as a function of frequency. EIS is an AC technique, meaning it uses an alternating signal. This allows us to directly measure capacitance, by measuring impedance at a given frequency. Capacitance can be calculated by modifying Equation 3.0. We selected the AD5933 by Analog Devices due to its small size and high accuracy. This is a small integrated circuit that has the ability to run EIS.


The Electrodes

In an effort to make our design cheap and robust, we selected gold-plated interdigitated electrodes due to their ease of fabrication, high sensitivity and inexpensiveness (Mazlan, 2017). To ensure high sensitivity of the Randles Cell Circuit, the distance from the aptamer to the electrode surface needs to be as small as possible. We have talked to both Robert Mayall of FREDsense, as well as Sultan Khetani who have listed several options to immobilize aptamers to our electrode. The exact method is a question that will be addressed in future directions.


The Current Design

An electrochemical cell, featuring interdigitated electrodes. These electrodes are coated with aptamers found through the SELEX process, that have high specificity towards RBP (Lee et al., 2008). These electrodes are connected to the AD5933 embedded on the Pmod IA board through electrical leads. The Pmod IA board allows the AD9533 to interface with the Arduino Uno. All components were sourced commercially. Note that in Figure 3.0 and 4.0 we have not included the final electrode design.

Figure 3.0: Impedance Analysis Circuit Measuring a 1nF Capacitive Load Featuring the Arduino Uno, and AD9533 on the Pmod IA

Figure 4.0: The Randles Cell Testing Device measuring Impedance of an Aqueous Solution

Software

The AD5933 was calibrated and programmed using the popular Arduino IDE. The code was created following the AD5933 datasheet to ensure proper calibration and operation. Commands are written from the Arduino Uno, to the AD5933. Through the popularity of the Arduino IDE and our extensive documentation, we hope to ease the burden of datasheet synthesis and understanding of the AD5933 for future users.



RESULTS AND CHALLENGES


We were able to construct an impedance testing circuit for $86 CAD using electrical components and parts sourced from major distributors operating at locations around the globe. Notably, we were able to measure the impedance of an aqueous solution, indicating the viability of our impedance circuit in monitoring electrochemical cells.

Table 1.0: Cost of Randles Cell Testing Device

We were able to measure the impedance across a capacitive load to a high degree of accuracy. Measuring a known load, we were able to make impedance measurements within 0.02% error, operating in our target 10 kHz range.


Figure 5.0 is frequency sweep data we collected using the AD9533, and makes apparent the inverse relation between frequency and capacitance.

As with the majority of integrated circuits, they come with extensive data sheets and require the user to have a thorough understanding of it’s function. Oftentimes, programming the IC requires a user to learn a coding language specifically made by the manufacturer. The process of reading through the datasheet and learning how to program the AD5933 was a significant challenge. This ended up taking much longer than we anticipated.



IMPACT


Impedance is ubiquitous, and its importance as a measurement technique spans many different fields and technologies. Although we fell short of our goals, we hope that our research can provide a basis for future teams to use when developing impedance-based tests. Through thorough documentation of our hardware and software suites, we hope that this expedites the speed of future projects with the AD5933 by Analog Devices. This work brings us a step closer to accessibly identifying VAD.


Future Directions:
Although we have found an aptamer sequence specific to our needs, we are in the midst of legal consultation to determine the aptamers surrounding patents. Once an aptamer has been selected, we need to verify its selectivity to RBP in blood samples. We then plan on investigating and testing the methods of immobilizing aptamers onto electrodes.



REFERENCES


Tanumihardjo SA. Biomarkers of vitamin A status: what do they mean? In: World Health Organization. Report: Priorities in the assessment of vitamin A and iron status in populations, Panama City, Panama, 15–17 September 2010. Geneva, World Health Organization, 2012.

Whitehead, R., Jr., Jr., Perrine, C., Mebrahtu, S., Dahal, P., Subedi, G.R. and Jefferds, M.E. (2015), Defining a vitamin A deficiency cut‐off for retinol binding protein in Nepal children 6‐23 mo of age. The FASEB Journal, 29: 729.5. doi:10.1096/fasebj.29.1_supplement.729.5

Mahmood, K., Samo, A. H., Jairamani, K. L., Ali, G., Talib, A., & Qazmi, W. (2008). Serum retinol binding protein as an indicator of vitamin A status in cirrhotic patients with night blindness. Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association, 14(1), 7–11. https://doi.org/10.4103/1319-3767.37794

Şimşek, Ç.S., Teke, M. and Sezgintürk, M.K. (2014), An ITO Based Disposable Biosensor for Ultrasensitive Analysis of Retinol Binding Protein. Electroanalysis, 26: 328-339. doi:10.1002/elan.201300443

Sommer, A. (2001). Vitamin A Deficiency. In eLS, (Ed.). doi:10.1038/npg.els.0002106

De Pee, S., & Dary, O. (2002, September 01). Biochemical Indicators of Vitamin A Deficiency: Serum Retinol and Serum Retinol Binding Protein. Retrieved October 24, 2020, from https://academic.oup.com/jn/article/132/9/2895S/4687694

Lee, S. J., Youn, B., Park, J. W., Niazi, J. H., Kim, Y. S., & Gu, M. B. (2008). SsDNA Aptamer-Based Surface Plasmon Resonance Biosensor for the Detection of Retinol Binding Protein 4 for the Early Diagnosis of Type 2 Diabetes. Analytical Chemistry, 80(8), 2867-2873. doi:10.1021/ac800050a

Mazlan, N. S., Ramli, M. M., Abdullah, M. M., Halin, D. S., Isa, S. S., Talip, L. F., . . . Murad, S. A. (n.d.). Interdigitated electrodes as impedance and capacitance biosensors: A review [Abstract]. AIP Conference Proceedings 1885, 020276 (2017). doi:https://doi.org/10.1063/1.5002470

Venkatraman, V. L., Reddy, R. K., Zhang, F., Evans, D., Ulrich, B., & Prasad, S. (2009, April 1). Iridium oxide nanomonitors: Clinical diagnostic devices for health monitoring systems. Retrieved from https://doi.org/10.1016/j.bios.2009.03.029

Lim, C. (2014, April). Lecture 20: Warburg Impedance. Retrieved from https://ocw.mit.edu/courses/chemical-engineering/10-626-electrochemical-energy-systems-spring-2014/lecture-notes/MIT10_626S14_S11lec20.pdf