Ahmed Alrefaey

Dr. Ahmed Alrefaey


Research Focus & Metrics

Academic Career Length

4Years (2023-Present)

(Calculated once Scilit publication data is synced: current year − year of first publication + 1)

Representative Publications

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4 September 2023 in Harmful Algae
Verified
Journal Article
Open access
JMJonathan S. McQuillan
Jonathan S. McQuillan
AAAhmed Alrefaey
Ahmed Alrefaey
Andrew David TurnerAndrew David Turner
Andrew David Turner
NMNadine Morrell
Nadine Morrell
OSOliver Stoner
Oliver Stoner
TBTimothy Bage
Timothy Bage
Certain species of marine microalgae produce potent biotoxins that pose a risk to human health if contaminated seafood is consumed, particularly filter feeding bivalve shellfish. In regions where this is likely to occur water and seafood produce are regularly monitored for the presence of harmful algal cells and their associated toxins, but the current approach is flawed by a lengthy delay before results are available to local authorities. Quantitative Polymerase Chain Reaction (qPCR) can be used to measure phytoplankton DNA sequences in a shorter timeframe, however it is not currently used in official testing practices. In this study, samples were collected almost weekly over six months from three sites within a known HAB hotspot, St Austell Bay in Cornwall, England. The abundance of algal cells in water was measured using microscopy and qPCR, and lipophilic toxins were quantified in mussel flesh using LC-MS/MS, focusing on the okadaic acid group. An increase in algal cell abundance occurred alongside an increase in the concentration of okadaic acid group toxins in mussel tissue at all three study sites, during September and October 2021. This event corresponded to an increase in the measured levels of Dinophysis accuminata DNA, measured using qPCR. In the following spring, the qPCR detected an increase in D. accuminata DNA levels in water samples, which was not detected by microscopy. Harmful algal species belonging to Alexandrium spp. and Pseudo-nitzschia spp. were also measured using qPCR, finding a similar increase in abundance in Autumn and Spring. The results are discussed with consideration of the potential merits and limitations of the qPCR technique versus conventional microscopy analysis, and its potential future role in phytoplankton surveillance under the Official Controls Regulations pertaining to shellfish.

31 October 2025 in Sensors & Diagnostics
Verified
Journal Article
Open access
PDF file
AAAhmed Alrefaey
Ahmed Alrefaey
JMJonathan S. McQuillan
Jonathan S. McQuillan
ASAllison Schaap
Allison Schaap
FSFabrizio Siracusa
Fabrizio Siracusa
CCChristopher Leonard Cardwell
Christopher Leonard Cardwell
JRJulie C. Robidart
Julie C. Robidart
Microfluidic technology can expedite nucleic acid testing by converting the functions of bulky laboratory instruments and protracted bench methodologies into easy-to-use and inexpensive miniaturised systems without compromising speed and reliability. We developed a lab-on-a-chip (LOC) platform that integrates a dimethyl adipimidate (DMA)-based functionalised silica DNA isolation and pre-concentration method with a rapid and real-time loop-mediated isothermal amplification (LAMP) for detecting domoic acid-producing phytoplankton, Pseudo-nitzschia. An optimised design of a lab on a chip extraction module achieved a maximum DNA capture capacity of 61.73 ± 0.98 ng μL−1. The DMA-based method reduced reagent costs per sample by 97% compared to a commercial nucleic acid isolation kit. A subsequent on-chip LAMP process was capable of sensitively quantifying cytochrome P450 homologous to the dabD gene, coding for a component of the domoic acid toxin production pathway, with a limit-of-detection of 10 cells per mL. LAMP-based detection of the target gene was achieved using dry-preserved reagents with a shelf-life of five months without refrigeration. There was no significant difference in assay performance between the preserved LAMP and freshly prepared LAMP mixtures. The total analysis time at the LOD of 10 cells per mL, from sample to result, was achieved within one hour. Our results demonstrate the long-term stability of assay reagents, rapid turnaround, and cost-effectiveness, offering a simple and economical approach to environmental monitoring and environmental bio-hazard diagnostics.

Verified
Journal Article
Open access
PDF file
AAAhmed Alrefaey
Ahmed Alrefaey
EVElena Vladimirovna Vorobeva
Elena Vladimirovna Vorobeva
JJJamil Jubrail
Jamil Jubrail
IOIbemusu Michael Otele
Ibemusu Michael Otele
Mikaela LeeMikaela Lee
Mikaela Lee
Mohammed Aref KyyalyMohammed Aref Kyyaly
Mohammed Aref Kyyaly
Background: MicroRNAs (miRNAs) are stable, small non-coding RNAs involved in asthma-related pathways and are promising diagnostic biomarkers and therapeutic targets in childhood asthma. Objective: To identify miRNAs differentially expressed in preschool wheezing and childhood asthma, evaluate their association with asthma diagnosis and severity-related phenotypes, and explore their potential translational relevance through exploratory bioinformatic analyses. Methods: A systematic search of Medline, Embase, SCOPUS, PubMed, CINAHL, and Web of Science was conducted for English-language articles published up to March 19, 2025. Eligible human studies reported that miRNAs were differentially expressed in children with wheeze or asthma versus healthy controls (p < 0.05, fold change ≥ 1.5). Bioinformatic analysis identified hub genes, constructed protein–protein interaction networks, and predicted drug–gene interactions. Results: Forty-seven studies met the inclusion criteria, yielding 58 differentially expressed miRNAs (31 up, 27 down). Recurrently reported miRNAs included miR-497, let-7e, miR-98, miR-21, miR-126a, miR-196a2, miR-1, miR-146a-5p, miR-210-3p, miR-145-5p, and miR-200c-3p across blood, nasal swabs, BALF, and exhaled breath condensate. miR-26a showed strong diagnostic performance (sensitivity 83%, specificity 93%; p < 0.002, 95% CI 0.831–0.987). Functional enrichment implicated 56 differentially expressed genes in metabolic and immune processes. Ten hub genes (including TNF, IL5, IL13, TLR4) were linked to 339 potential therapeutic agents; the exploratory network analysis highlighted overlap between predicted miRNA-regulated hub genes and existing asthma-relevant drug targets, including approved biologics. Conclusions: Our review findings suggest that several miRNAs are promising candidate biomarkers for childhood asthma phenotyping and severity assessment; however, their diagnostic utility remains exploratory and requires rigorous external validation and standardisation before clinical application.

9 September 2025 in Methods and Protocols
Verified
Journal Article
Open access
PDF file
PBPax Bosner
Pax Bosner
ESEmily Smith
Emily Smith
VCVictoria Cappleman
Victoria Cappleman
ATAlka Tomicic
Alka Tomicic
AAAhmed Alrefaey
Ahmed Alrefaey
JJJamil Jubrail
Jamil Jubrail
Human rhinovirus (RV) is the most frequent cause of the common cold, as well as severe exacerbations of chronic obstructive pulmonary disease (COPD) and asthma. Currently, there are no effective and accurate diagnostic tools or antiviral therapies. MicroRNAs (miRNAs) are small, non-coding sections of RNA involved in the regulation of gene expression and have been shown to be associated with different pathologies. However, the precise role of miRNAs in RV infection is not yet well established. Also, no unified computational framework exists to specifically link miRNA expression with functional gene targets during RV infection. This study aimed to first analyse the impact of RV16 on miRNA expression across the viral life cycle to identify a small panel with altered expression. We then developed a novel bioinformatics pipeline that integrated time-resolved miRNA profiling with multi-database gene-phenotype mapping to identify diagnostic biomarkers and their regulatory networks. Our in-house Python-based tool, combining mirDIP, miRDB and VarElect APIs, predicted seven genes (EZH2, RARG, PTPN13, OLFML3, STAG2, SMARCA2 and CD40LG) implicated in antiviral responses and specifically targeted by RV16 and regulated by our miRNAs. This method therefore offers a scalable approach to interrogate miRNA-gene interactions for viral infections, with potential applications in rapid diagnostics and therapeutic target discovery.

19 August 2025 in Research Square
Verified
Preprint
Open access
PDF file
AAAhmed Alrefaey
Ahmed Alrefaey
Microfluidic technology can expedite nucleic acid testing by converting the functions of bulky laboratory instruments and protracted bench methodologies into easy-to-use and inexpensive miniaturised systems without compromising speed and reliability. Few systems exist, however, that integrate DNA purification with downstream diagnostic analysis. To address this, we developed a lab-on-a-chip (LOC) platform that integrates a dimethyl adipimidate (DMA)-based functionalised silica DNA isolation and pre-concentration method with a rapid and real-time loop-mediated isothermal amplification (LAMP) for detecting domoic acid-producing phytoplankton, Pseudo-nitzschia. An optimised design of a Lab on a Chip extraction module achieved a maximum DNA capture capacity of 61.73 ± 0.98 ng/µL. The DMA-based method reduced reagent costs per sample by 97% compared to a commercial nucleic acid isolation kit. A subsequent on-chip LAMP process was capable of sensitively quantifying cytochrome P450 homologous to the dabDgene, coding for a component of the domoic acid toxin production pathway, with a limit-of-detection of 10 cells/mL. LAMP-based detection of the target gene was achieved using dry-preserved reagents with a shelf-life of five months without refrigeration. There was no significant difference in assay performance between the preserved LAMP and freshly prepared LAMP mixtures. The total analysis time at the LOD of 10 cells/mL, from sample to result, was achieved within one hour. Our results demonstrate the long-term stability of assay reagents, rapid turnaround, and cost-effectiveness, offering a simple and economical approach to environmental monitoring and environmental bio-hazard diagnostics.