Protocol Citation: Gert Marais, Ziyaad Valley-Omar, Kathleen Bateman, Kate McMullen, Dieter van der Westhuizen, Moepeng Maseko, Suzaan Marais, Diana Hardie, Adrian Brink 2023. Clinical metagenomic sequencing - CSF RNA and DNA Illumina MiSeq. protocols.io https://dx.doi.org/10.17504/protocols.io.j8nlkk7wdl5r/v1
License: This is an open access protocol distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited
Protocol status: Working
We use this protocol and it's working
Created: August 15, 2022
Last Modified: June 07, 2023
Protocol Integer ID: 68673
Keywords: Clinical metagenomics, CSF, central nervous system infections
Funders Acknowledgements:
Oppenheimer Generations Research and Conservation
Grant ID: N/A
Poliomyelitis Research Foundation
Grant ID: 21/68
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Abstract
This protocol was developed to evaluate unbiased cerebrospinal fluid metagenomics at a referral centre in South Africa. Commercial kit protocols are generally used unmodified and limited use of in-house developed methods or reagents is made. This maintains the simplicity and accessibility of the protocol which can serve as a base for evaluation of process improvements.
Guidelines
Please note: This protocol is intended for research use only.
1) This protocol functions optimally with low cell-count CSF specimens with minimal human DNA. High cell-count specimens should ideally be evaluated using sequencing protocols that include general microbiome enrichment or targeted enrichment and/or human DNA depletion.
2) The number of individuals performing the clinical metagenomic sequencing (CMS) protocol and the number of days over which it is performed determines the order of steps.
3) Sodium hypochlorite is the preferred cleaning solution
4) The preferred run size is 10 samples and 2 controls though the cellularity of used CSF may alter the preferred run size due to increased quantity of human DNA. Master mix volumes are calculated and presented here for this run size.
5) The total hands-on time (including incubation and thermocycler time) for the protocol is 14 hours and 11 minutes. This assumes a single operator and 10 samples with 2 controls. The time estimate excludes sequencing time (generally 48-56 hours with the MiSeq v3 600-cycle kits) and bioinformatics time. It is generally advisable to perform the protocol over 2 days.
6) Prior to use samples should be stored at -70 °C and defrosted immediately prior to use.
Remove CSF samples from-70 °C storage and defrost On ice . Label the sample elution tubes (1 for RNA and 1 for total nucleic acids for each sample) and easyMAG lysis buffer tubes while the samples defrost.
15m
Briefly centrifuge the samples.
280 x g, 4°C, 00:00:30
5m
Add 200-1000 µL of sample to a easyMAG lysis buffer tube. Similarly add 200-1000 µL of the positive control to a lysis buffer tube. CAUTION: Avoid sample cross-contamination.
Add 10 µL of internal control to each sample in lysis buffer (including the positive control and negative control lysis buffer tube which contains no sample). CAUTION: Avoid sample cross-contamination.
5m
Incubate at Room temperature for 00:10:00 . Program the sample order on the easyMAG instrument and load the required disposable plastics. Set the elution volume to 35 µL .
10m
Add 50 µL of easyMAG magnetic silica to each sample and internal control containing lysis buffer tube.
5m
Add the contents of the lysis buffer tube to the easyMAG processing wells and start the instrument.
40m
Store 20 µL of extracted total nucleic acids in a labelled tube and store at -20 °C until ready to proceed to library preparation. The remaining 15 µL of extracted total nucleic acids is used generate cDNA from the RNA fraction of extracted total nucleic acids.
5m
cDNA from purified RNA
cDNA from purified RNA
4h 10m
4h 10m
Perform RNA purification from a fraction of the extracted total nucleic acids using the RNA Clean & Concentrator™-5Illumina, Inc.Catalog #R1015
The following consumables are required for this step:
Add 96 mL of 100% ethanol to the 24 mL RNA wash buffer concentrate.
Reconstitute the lyophilised DNAse I with nuclease-free water to a concentration of 1 U/ul or defrost an aliquot of previously reconstituted DNAse I.
1h 10m
Prepare DNAse I master mix as follows:
Component
Volume per sample (ul)
Total volume (ul) (13)
DNA digestion buffer
5
65
DNAse I enzyme (1 U/ul)
5
65
Nuclease-free water
25
325
Total
35
455
Table: DNAse I master mix
5m
Add 35 µL of DNAse I master mix to each sample tube with 15 µL of total nucleic acids and mix my inverting gently.
5m
Incubate at Room temperature for 00:15:00 . Label a Zymo-Spin IC column and an elution tube for each sample and set aside.
15m
Add 100 µL RNA binding buffer to each sample
5m
Add 150 µL of 100% ethanol to each sample and mix by inverting
5m
Transfer the sample to its labelled Zymo-Spin IC column in a collection tube and centrifuge. Discard the flow-through.
10000-16000 x g, 00:00:30
5m
Add 400 µL RNA Prep Buffer to each column and centrifuge. Discard the flow-through.
10000-16000 x g, 00:00:30
5m
Add 700 µL RNA Wash Buffer to each column and centrifuge. Discard the flow-through.
10000-16000 x g, 00:00:30
5m
Add 400 µL RNA Wash Buffer to each column and centrifuge. Transfer the column to a labelled elution tube.
10000-16000 x g, 00:01:00
10m
Add 12 µL of DNAse/RNAse-Free Water directly to the column matrix and centrifuge.
10000-16000 x g, 00:01:00
10m
Perform first-strand synthesis on the purified RNA using the SuperScript™ IV First-Strand Synthesis SystemThermo Fisher ScientificCatalog #18091050kit.
The following consumables are required for this step:
96 well LoBind PCR plates Semi-skirtedEppendorfCatalog #0030129504
The following equipment is required for this step:
Bring the Agencourt AMPure XPBeckman CoulterCatalog #A63880 beads to Room temperature and resuspend by vortexing.
45m
Add 180 µL (1.8X) of Agencourt AMPure XPIllumina, Inc.Catalog #A63880 to 100 µL of 2nd strand synthesis product from 4.4 and mix well by pipetting up and down 10 times.
5m
Incubate for 00:05:00 at Room temperature
5m
Place the sample plate on a magnetic stand and allow the solution to clear (00:05:00 )
5m
Discard the supernatant without disturbing the beads
2m
Add 200 µL of 80% ethanol to each well with the sample plate on the magnetic stand and incubate at room temperature for 00:00:30 .
2m
Discard the supernatant without disturbing the beads
2m
Repeat the wash steps once. Use a P20 pipette to remove residual ethanol from each well
5m
Air dry the beads (±00:02:00) but do not allow the surface to crack.
2m
Remove the plate from the magnetic rack. Elute the DNA from the beads by adding 25 µL nuclease-free water to the beads. Mix well by pipetting up and down 10 times.
5m
Incubate for 00:02:00 at Room temperature
2m
Place the sample plate on a magnetic stand and allow the solution to clear (00:05:00 )
5m
Remove 22 µL of the supernatant and transfer to a clean nuclease-free tube
5m
Pre-Sequencing QC PCR
Pre-Sequencing QC PCR
40m
40m
Perform a QC real-time PCR using the iTaq Universal SYBR® Green One-step kitIllumina, Inc.Catalog #1725150 kit. The primers should be specific to the internal control used. This protocol used Tobacco Mild Green Mosaic virus as an internal control with the following primers diluted as per the iTaq kit package insert:
Primer
Sequence
Forward
5'-GGATATGTCTAAGTCTGTTGC-3'
Reverse
5'-CAGACAACTCGGGTGCG-3'
Ellis MD, Hoak JM, Ellis BW, Brown JA, Sit TL, Wilkinson CA, Reed TD, Welbaum GE. Quantitative real-time PCR analysis of individual flue-cured tobacco seeds and seedlings reveals seed transmission of tobacco mosaic virus. Phytopathology. 2020 Jan 19;110(1):194-205.
The following consumables are required for this step:
96 well LoBind PCR plates Semi-skirtedIllumina, Inc.Catalog #0030129504
The following equipment is required for this step:
Table: Spiked internal control PCR master mix. Sample volume per reaction is 5ul
5m
Add 5 µL of post 2nd strand synthesis clean-up product to 15 µL of master mix
5m
Run the following PCR program on a qPCR machine reading the SYBR green fluorophore
Temperature (degrees Celsius)
Time (seconds)
Cycles
95
60
1
95
10
40
58
20 (+Read)
Table: Spiked internal control PCR thermocycler parameters. The internal control spike-in should be to a target Ct value of 30±2. The kit reverse transcriptase step is skipped.
30m
Library Preparation
Library Preparation
6h 40m
6h 40m
Prepare the tagmentation reaction from theIllumina DNA Prep (M) Tagmentation (24 Samples)Illumina, Inc.Catalog #20018704 kit.
The following consumables are required for this step:
96 well LoBind PCR plates Semi-skirtedIllumina, Inc.Catalog #0030129504
The following equipment is required for this step:
Bring the bead-linked transposomes (BLT), tagmentation buffer 1 (TB1), tagmentation stop buffer (TSB) and tangent wash buffer (TWB) to Room temperature and vortex to mix
1h 17m
Pool 15 µL of extracted total nucleic acids (from initial nucleic acid purification step) and 15 µL of purified cDNA (prepared from purified and isolated RNA) in a 96 well LoBind PCR plates Semi-skirtedEppendorfCatalog #0030129504
5m
Prepare the tagmentation master mix as follows:
Component
Volume per sample (ul)
Total (ul) (12)
Bead-linked transposomes (BLT)
11
132
Tagmentation buffer 1 (TB1)
11
132
Total
22
264
Table: Tagmentation master mix. Vortex to mix.
5m
Add 20 µL of master mix to 30 µL of pooled DNA and mix by pipetting up and down 10 times
5m
Run the following program on a thermocycler with the lid set to 100 °C
Step
Temperature (degrees Celsius)
Time (minutes)
Tagmentation
55
15
Hold
10
Hold
Table: Tagmentation thermocycler parameters.
15m
Add 10 µL of tagmentation stop buffer to each reaction and pipette up and down slowly to resuspend
5m
Run the following program on a thermocycler with the lid set to 100 °C
Step
Temperature (degrees Celsius)
Time (minutes)
Incubation
37
15
Hold
10
Hold
Table: Tagmentation stop thermocycler parameters.
15m
Place the sample plate on a magnetic stand and allow it to clear 00:03:00
3m
Remove and discard the supernatant
2m
Wash by removing the plate from the magnetic stand and adding 100 µL of tagment wash buffer directly onto the beads, pipetting up and down slowly to resuspend
5m
Place the plate on the magnetic stand and wait for the solution to clear 00:03:00
3m
Remove and discard the supernatant
2m
Repeat the wash step
10m
Remove the plate from the magnetic stand and add 100 µL of tagment wash buffer directly onto the beads and resuspend. Cover the plate and place on the magnetic stand until the amplification step.
2m
Amplify the tagmented DNA using the Illumina Nextera DNA CD indexes (24 indexes) Illumina, Inc. and theIllumina DNA Prep (M) Tagmentation (24 Samples)Illumina, Inc.Catalog #20018704 kit.
The following consumables are required for this step and steps immediately following:
Prior to starting this step and and steps immediately following:
Thaw and bring to Room temperature the index adaptors. Thaw the Enhanced PCR mix On ice .
Bring the sample purification beads (SPB) to Room temperature
Thaw the resuspension buffer (RSB) and allow it to come to Room temperature
Prepare 80% ethanol
Sample identifier
Sample indexes
Positive control
Negative control
Table: Sample identifier and barcoding details.
2h 31m
Prepare amplification master mix as follows:
Component
Volume (ul)
Total (ul) (12)
Enhanced PCR mix (EPM)
22
264
Nuclease-free water
22
264
Total
44
528
Table: Amplification master mix.
5m
Vortex and centrifuge 280 x g, 00:00:10
1m
With the plate/tube from the post-tagmentation clean-up, discard the supernatant and remove from the magnetic stand
2m
Add 40 µL of PCR master mix directly onto the beads of each sample and pipette up and down to ensure the beads are fully suspended before sealing the plate and centrifuge 280 x g, 00:00:10
5m
Add adaptors to each sample – 5 µL i7 adaptor and 5 µL i5 adaptor and record the used combination – and mix by pipetting up and down 10 times and centrifuge 280 x g, 00:00:10
10m
Run the following PCR program with the lid set to 100 °C
Temperature (degrees Celsius)
Time (seconds)
Cycles
68
180
1
98
180
1
98
45
12
62
30
68
120
68
60
1
10
Hold
Hold
Table: Amplification thermocycler parameters. The cycle number can be adjusted based on input DNA.
50m
Centrifuge the samples 280 x g, 00:01:00
1m
Place the plate on a magnetic stand and allow the liquid to clear00:05:00
5m
Transfer 45 µL supernatant from each well into a new plate
2m
Vortex the sample purification beads and add 81 µL to each well containing supernatant and pipette 10 times to mix
5m
Incubate the plate for 00:05:00 at Room temperature
5m
Place plate on a magnetic stand and wait for the liquid to clear 00:05:00
5m
Remove and discard the supernatant
2m
Wash by adding 200 µL of freshly prepared 80% ethanol to each well without mixing
5m
Incubate for 00:00:30
30s
Remove and discard the supernatant
5m
Repeat the wash step once
10m 30s
Use a small volume pipettor remove residual ethanol
2m
Air-dry for up to 00:01:00 but do not let the beads crack
1m
Add 32 µL of resuspension buffer (RSB) to the beads and resuspend
5m
Incubate at room temperature for 00:02:00
2m
Place on a magnetic stand and allow the liquid to clear (00:02:00 )
2m
Transfer 30 µL of supernatant to a new plate
5m
Quantify the libraries using a Qubit fluorometer using:
Table: Sample identifier and library concentration after clean-up 1.
15m
Additional clean-up: Libraries quantified as >10ng/ul will undergo a double-sided clean-up
27m
Add 25 µL of cleaned library to a new plate (double-sided clean-up plate 1)
5m
Add 60 µL of nuclease-free water
5m
Add 45 µL of SPB
5m
Incubate at Room temperature for 00:05:00
5m
Place the plate on a magnetic stand and allow the liquid to clear. During this time, to a second plate (double-sided clean-up plate 2) add 15 µL of undiluted SPB to each well to be used.
5m
Transfer 125 µL of supernatant from double-sided clean-up plate 1 to the predispensed 15 µL of SPB in double-sided clean-up plate 2. Discard double-sided clean-up plate 1.
2m
Additional clean-up: Libraries quantified as <10ng/ul will undergo a single-sided clean-up
15m
Add 25 µL of libary to a new plate (corresponding wells in the double-sided clean-up plate 2 from may be used)
5m
Add 60 µL of nuclease-free water
5m
Add 60 µL of SPB
5m
Finalisation of libraries
50m
Incubate the plate(s) (double-sided clean-up plate 2 ) at Room temperature for 00:05:00
5m
Place on a magnetic stand and wait for the liquid to clear (00:02:00 )
2m
Remove and discard the supernatant
5m
Wash by adding 200 µL of freshly prepared 80% ethanol to each well without mixing
5m
Incubate for 00:00:30
30s
Remove and discard the supernatant
5m
Repeat the wash step once
10m 30s
Using a small volume pipettor remove residual ethanol
2m
Air-dry for up to 00:01:00 but do not let the beads crack
1m
Add 30 µL of resuspension buffer (RSB) to the beads and resuspend
5m
Incubate at room temperature for 00:02:00
2m
Place the plate on a magnetic stand and wait for the liquid to clear (00:02:00 )
2m
Transfer 28 µL of supernatant to a nuclease-free tube
5m
Quantification and QC of libraries
1h 20m
Quantify the libraries using a Qubit fluorometer using:
Prior to starting this step and and steps immediately following:
Defrost the PhiX control
Ensure the MiSeq instrument doesn't require maintenance or a weekly wash
Remove the Illumina Miseq v3 reagent cartridge from -20 °C storage and defrost in a water bath approximately 01:00:00 before its intended use. Alternatively place it at 4 °C overnight prior to its intended use
Defrost buffer HT-1 On ice and keep at 4 °C until use
Prepare a fresh solution of 0.2 Molar NaOH
Create the sample sheet using the appropriate software that will be used for the MiSeq sequencing run (this will indicate the number of cycles, the library preparation parameters and the sample names and indexes for use by the instrument to set the run parameters and demultiplex the output data)
2d 9h 6m
Dilute the prepared libraries to 4 nanomolar (nM) using nuclease-free water and pool them in a single LoBind Eppendorf tube
10m
Combine the diluted library and 0.2 Molar NaOH solution in a LoBind Eppendorf tube to denature the libraries as follows:
Component
Volume (ul)
4nM pooled libraries
5
0.2M NaOH
5
Total volume
10
Table: Library denaturation.
2m
Vortex briefly and spin-down the denaturing libraries and incubate for 00:05:00 at Room temperature
5m
Stop the reaction by adding 990 µL of chilled HT-1 buffer
2m
Invert several times and spin-down the solution
2m
Repeat the denaturation and stopping of a 4 nanomolar (nM) PhiX library
21m
The denatured library concentration is 20 picomolar (pM) . Remove 100 µL from the library and add 100 µL of the 20 picomolar (pM) denatured and stopped PhiX library
2m
Further dilute the library (with added PhiX) to a 10 picomolar (pM) concentration and keep the reaction On ice until the library is loaded into the MiSeq reagent cartridge
2m
Follow the prompts on the MiSeq screen to load the flow cell, wash buffer and reagent cartridge and load 600 µL of 10 picomolar (pM) pooled libary solution (with PhiX) prior to loading the cartridge.
20m
Start the sequencer
2d 8h
Bioinformatics
Bioinformatics
The bioinformatics tools needed to perform the complete analysis are available at: https://github.com/RuanMarais/UCT_metagenomics. Alternatively, basic analysis can be performed as described below.
The analysis described below was performed on a computer with a 32-core Intel(R) Xeon(R) CPU and 124Gb of RAM. Analysis was done locally and the computer was running Linux (Ubuntu distribution).