Tuberculosis Elimination Strategy

ICMR develops CRISPR Cas-based TB Detection Kit

Note4Students

From UPSC perspective, the following things are important :

Prelims level: TB, CRISPR Cas-based TB Detection Kit

Why in the News?

The Indian Council of Medical Research (ICMR) Regional Medical Research Centre for North East has developed the “world’s cheapest CRISPR Cas-based TB testing system”.

Back2Basics: CRISPR-Cas9 Technology

  • CRISPR-Cas9 stands for Clustered Regularly Interspaced Short Palindromic Repeats and CRISPR-associated protein 9.
  • It is a technology that allows geneticists and researchers to edit parts of the genome by altering sections of the DNA sequence.
  • Emmanuelle Charpentier and Jennifer Doudna’s work on CRISPR-Cas9 as a ‘molecular scissor’ earned them the 2020 Nobel Prize in chemistry.
  • The system consists of two key components:
  1. Cas9: This is the enzyme that acts like a pair of molecular scissors. It is responsible for cutting the DNA strand at a specific location, allowing for the removal, addition, or alteration of DNA at that site.
  2. Guide RNA (gRNA): This is a piece of RNA that is designed to find and bind to a specific sequence of DNA that matches its code. The gRNA guides the Cas9 enzyme to the exact spot in the genome where an edit is desired.
  • Mechanism:
    • The process begins with the design of a gRNA that matches the DNA sequence where an edit is needed.
    • Once inside the cell, the Cas9 enzyme and the gRNA form a complex that can identify and bind to the target DNA sequence.
    • The Cas9 then cuts the DNA at this location.
    • After the DNA is cut, the cell’s natural repair mechanisms can be harnessed to add or remove genetic material, or to make specific changes to the DNA.
  • Applications: Used for gene editing to correct genetic disorders, develop targeted cancer therapies, enhance diagnostics for infectious diseases, and create personalized medicine approaches.

About the New TB Detection System

  • The system can detect TB bacteria using DNA from a patient’s saliva at a very low cost.
    • Specific DNA sequences unique to Mycobacterium tuberculosis (the bacteria causing TB) are identified.
  • It can identify the bacteria in preliminary stages and test over 1,500 samples simultaneously within approximately two hours.
  • The technology is simple enough to be used in primary health centres in villages.

TB Situation in India:

  • TB kills an estimated 480,000 Indians annually, or over 1,400 patients every day.
  • India has more than a million ‘missing’ TB cases each year, which remain undiagnosed or inadequately diagnosed and treated in the private sector.

National Goals for Elimination of TB: 

  • Pradhan Mantri TB Mukt Bharat Abhiyan (2022): It is stipulated to meet the goal of ending the TB epidemic by 2025 from the country, five years ahead of the Sustainable Development Goals (SDG) for 2030.
  • Nikshay Poshan Yojana (2018): Launched in 2018, this scheme provides nutritional support to TB patients. Under this scheme, TB patients receive a direct benefit transfer (DBT) of Rs. 500 per month to purchase food.

PYQ:

[2019] What is Cas9 Protein that is often mentioned in news?

(a) A molecular scissors used in targeted gene editing

(b) A biosensor used in the accurate detection of pathogens in patients

(c) A gene that makes plants pest-resistant

(d) A herbicidal substance synthesized in genetically modified crops

[2014] Can overuse and free availability of antibiotics without Doctor’s prescription, be contributors to the emergence of drug-resistant diseases in India? What are the available mechanisms for monitoring and control? Critically discuss the various issues involved.

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