An ideal sensor should be user-friendly and inexpensive. It should report the presence of a specific analyte with high accuracy in a simple and straightforward assay.[1] An example of a near-ideal sensor is the home pregnancy test, in which the exposure of an immunochromatographic strip to a urine sample containing a pregnancy marker, human chorionic gonadotropin, develops a colored test line. The important characteristics of the sensor include visual signal output that can be detected by the naked eye, and a simple protocol that does not require user expertise. Tests of this kind of facile format are yet to be developed for the detection of bacterial species. At the same time, straightforward, inexpensive and yet reliable bacteria-specific tests are urgently needed to expedite point-of-care (POC) disease diagnosis and monitor environmental or food contaminations. Here, we make use of recent advantages in functional DNA technology to design an assay that contributes to the development of an ‘ideal sensor’ against pathogenic bacteria. The assay combines binary deoxyribozyme (Dz) technology[2] and a peroxidase-like deoxyribozyme (PDz)[3] in a cascade shown in Figure 1. The binary Dz probe consists of two DNA strands Dza and Dzb (Figure 1A). Each strand contains a fragment complementary to the specific segment of bacterial RNA (analyte-binding arm) and a fragment complementary to the inhibited peroxidase-like deoxyribozyme (IPDz) substrate (IPDz-binding arms). IPDz is a stem-loop folded DNA with ribonucleotides embedded in the loop region (Figure 1A). A 5’-end terminal fragment of IPDz contains the G-rich sequence of PDz.[3] Exposure of the two strands to a sample containing the target bacterial RNA results in the cascade of events as follows. Dza and Dzb strands hybridize to the bacterial RNA and re-form a catalytic Dz core (Figure 1B). The RNA-cleaving Dz cleaves IPDz and releases the G-rich PDz fragment. PDz catalyzes oxidation of a colorless organic substrate, such as 3,3’-diaminobenzidine (DAB), into a colored product in the presence of hemin and hydrogen peroxide, thus changing the color of the solution (Figure 1C). Figure 1 Principle scheme for deoxyribozyme cascade. A) Deoxyribozyme sensor consists of two strands of a split RNA-cleaving deoxyribozyme, Dza and Dzb, and an inhibited peroxidase-like deoxyribozyme (IPDz). B) Binding to bacterial RNA re-forms the catalytic core ... In this proof-of-concept study, we used the sequence of a human pathogen Mycobacterium tuberculosis (Mtb)[4] 16S rRNA as a practically significant analyte and demonstrated that the deoxyribozyme cascade is capable of differentiating the RNA from two closely related mycobacterial species. The sequence of 16S rRNA is 100% conserved among all members of the slow-growing Mycobacterium Tuberculosis Complex (MTC), which includes Mtb and the vaccine strain M. bovis BCG, among other species.[4] In this study we used RNA purified from M. bovis BCG strain as a representative of MTC, called through the text MTC RNA. M. smegmatis is a non-pathogenic mycobacterium whose 16S rRNA is ~95% identical to that of members of the MTC.[4] We designed two Dz cascade sensors specific to a 50-nt fragment (nts 181-231) of 16S rRNA from either MTC (Figure 2A) or M. smegmatis (Figure S1A). Figure 2 Deoxyribozyme cascade for the detection of MTC 16S rRNA. A) Design of MTC-specific deoxyribozyme cascade. Sequences of M. smegmatis and MTC 16S rRNA differ by several nucleotide substitutions. Insertions are indicated by a nucleotide above the sequence ... Dz sensor reported by Mokany et al.[2b] was adapted for the cleavage of IPDz (Figure S2). The design was uniform and straightforward for the two binary Dz probes specific to different analytes: IPDz-binding arms and the binary catalytic core of Dza and Dzb were the same for the two sensors. Only the analyte-binding arms of Dza and Dzb were designed complementary to their specific analytes (Figures 2A and S1A). The presence of multiple single nucleotide substitutions, insertions and deletions in the fragment of M. smegmatis RNA ensured high specificity of recognition of MTC RNA by the anti-MTC sensor. It was demonstrated earlier that structural adjustments of split probes allow differentiation of analytes that differ by a single nucleotide.[2] Therefore, the Dz cascade is potentially applicable for the analysis of single nucleotide polymorphisms and point mutations, which opens a venue toward simple and inexpensive sensors for diagnosing human genetic disorders and drug-resistant bacteria. The performance of the two sensors was initially optimized using synthetic DNA analytes corresponding to the targeted sequence of bacterial 16S rRNAs (Table 1). The LOD values quantified based on light absorbance at 500 nm using spectrophotometer (Figures S3, S4) were determined to be 0.4 nM and 0.6 nM for MTC- and M. smegmatis-specific sensors, respectively (Figures S3a and S4a). This LOD is at least 20 times lower than that reported for PDz-based sensor without the Dz cascade.[1d,3a-d] Since an instrument-free detection format is preferable for the POC diagnostics, we explored TLC plate-based signal visualization. For this purpose, 3 μL of the final samples were spotted on a TLC plate. The intensity of the spots correlated well with the absorbance values (Figure S3). We next performed the assay using total bacterial RNA isolated from either M. smegmatis or M. bovis BCG. The RNA preparations contained approximately equal amounts of 16S rRNA, as verified by electrophoretic analysis (Figure S5). For both MTC- and M. smegmatis-specific sensors, the absorbance of the samples increased as a function of the RNA amount added (Figure 2C and S6). The LOD was found to be 4.4 ng/μl and 4.8 ng/μl for MTC- and M. smegmatis-specific sensors, respectively. TLC-based visualization allowed reliable detection of as low as 12.5 ng of total bacterial RNA in a 3 μl-spot (Figures 2B and S1B). Taking into account that a cell of slow-growing Mtb contains ~ 4,000 ribosomes and that rRNA comprises 83% of total bacterial RNA,[7] we estimate that 12.5 ng of total RNA corresponds to ~106 CFU. Our experimental correlation determined ~107 CFU required for isolation of 12.5 ng of total RNA. Ten milliliters of a typical sputum sample of an Mtb-infected individual contains 106-107 CFU,[8] which can be detected with the current detection limit. The detection limit can be further improved by employing multiple deoxyribozyme probes targeting all hyper-variable fragments of both 16S and 23S rRNAs. Next, we tested the ability of the sensors to differentiate between the RNA of closely related species. Both MTC and M. smegmatis-specific sensors produced significant color change only in the presence of their specific analytes (Figures 3 and S7). Moreover, the signal triggered by the non-specific RNA was only at the background level, thus demonstrating excellent selectivity of the assay. Figure 3 Selectivity of MTC- and M. smegmatis-specific deoxyribozyme sensors. TLC plate-based visualization of the samples containing no RNA or 100 ng total RNA from either M. smegmatis or BCG strain of M. bovis. Table 1 Sequences of the oligonucleotides used in this study. Sensors based on cascades of Dzs for the detection of nucleic acids have been reported earlier.[5,6] The distinguishing features of the assay proposed here include the following. (i) Excellent selectivity. Binary deoxyribozyme probes were found to have exceptional discrimination ability toward nucleotide substitutions in nucleic acids.[1d,2] This is due to the possibility to design one of the two analyte-binding arms to be selective. In the present design, the analyte-binding arm of Dzb strand was chosen to target a hyper-variable fragment of 16S rRNA (Figure 2A). (ii) Signal can be detected by the naked eye. Most of the deoxyribozyme cascades rely on fluorescence detection.[5] Although more sensitive than visual assays, the fluorescent output requires a fluorometer for signal registration and, therefore, is less preferred for low-cost POC diagnostics. Visual assays based on RNA-cleaving deoxyribozymes have been reported earlier for the detection of metal ions[9] and recently for the detection of a model DNA analyte.[10] Together with the approach presented in this study, such assays may create a basis for a new generation of POC detection technologies. (iii) The assay does not require protein enzymes. A number of previously reported cascades rely on protein enzymes for signal production.[6] However, proteins are significantly less stable than DNA under ambient conditions. Therefore, eliminating protein enzymes from a POC test is preferable for robust performance, reproducible results and economic shipment options. (iv) Simplicity of the assay procedure. Both RNA-cleavage and H2O2 decomposition reactions of the cascade operate in the same buffer, which eliminates the need of a buffer exchange between the reaction stages. The assay only requires incubation of a bacterial RNA with the reagents for 1 h at 50 °C and then for 30 min at room temperature followed by detection of a visual signal using TLC plates. The TLC plates can be scanned by a conventional scanner for quantification if needed. The hands-on time of the entire procedure is less than 10 min. (v) The assay was shown to work with real samples of a practically significant pathogen. To the best of our knowledge, there is no PCR-free assay that combines all the above properties essential for POC diagnostics. Our current study is focused on eliminating the RNA isolation step, which will further simplify the assay.