Low Detection Limit Research Articles

Ultrasensitive CCL2 Detection in Urine for Diabetic Nephropathy Diagnosis Using a WS2-Based Plasmonic Biosensor.

The accurate diagnosis of diabetic nephropathy relies on achieving ultrasensitive biosensing for biomarker detection. However, existing biosensors face challenges such as poor sensitivity, complexity, time-consuming procedures, and high assay costs. To address these limitations, we report a WS2-based plasmonic biosensor for the ultrasensitive detection of biomarker candidates in clinical human urine samples associated with diabetic nephropathy. Leveraging plasmonic-based electrochemical impedance microscopy (P-EIM) imaging, we observed a remarkable charge sensitivity in monolayer WS2 single crystals. Our biosensor exhibits an exceptionally low detection limit (0.201 ag/mL) and remarkable selectivity in detecting CC chemokine ligand 2 (CCL2) protein biomarkers, outperforming conventional techniques such as ELISA. This work represents a breakthrough in traditional protein sensors, providing a direction and materials foundation for developing ultrasensitive sensors tailored to clinical applications for biomarker sensing.

Aerosol-Synthesized Surfactant-Free Single-Walled Carbon Nanotube-Based NO2 Sensors: Unprecedentedly High Sensitivity and Fast Recovery.

This study pioneers a chemical sensor based on surfactant-free aerosol-synthesized single-walled carbon nanotube (SWCNT) films for detecting nitrogen dioxide (NO2). Unlike conventional CNTs, the SWCNTs used in this study exhibit one of the highest surface-to-volume ratios. They show minimal bundling without the need for surfactants and have the lowest number of defects among reported CNTs. Furthermore, the dry-transferrable and facile one-step lamination resultsin promising industrial viability. When applied to devices, the sensor shows excellent sensitivity (41.6% at 500ppb), rapid response/recovery time (14.2/120.8s), a remarkably low limit of detection (below ≈0.161ppb), minimal noise, repeatability for more than 50 cycles without fluctuation, and long-term stability for longer than 6months. This is the best performance reported for a pure CNT-based sensor. In addition, the aerosol SWCNTs demonstrate consistent gas-sensing performance even after 5000 bending cycles, indicating their suitability for wearable applications. Based on experimental and theoretical analyses, the proposed aerosol CNTs are expected to overcome the limitations associated with conventional CNT-based sensors, thereby offering a promising avenue for various sensor applications.

Flow-S: A Field-Deployable Device with Minimal Hands-On Effort to Concentrate and Quantify Schistosoma Circulating Anodic Antigen (CAA) from Large Urine Volumes

A laboratory-based lateral flow (LF) test that utilizes up-converting reporter particles (UCP) for ultrasensitive quantification of Schistosoma circulating anodic antigen (CAA) in urine is a well-accepted test to identify active infection. However, this UCP-LF CAA test requires sample pre-treatment steps not compatible with field applications. Flow, a new low-cost disposable, allows integration of large-volume pre-concentration of urine analytes and LF detection into a single field-deployable device. We assessed a prototype Flow-Schistosoma (Flow-S) device with an integrated UCP-LF CAA test strip, omitting all laboratory-based steps, to enable diagnosis of active Schistosoma infection in the field using urine. Flow-S is designed for large-volume (5–20 mL) urine, applying passive paper-based filtration and antibody-based CAA concentration. Samples tested for schistosome infection were collected from women of reproductive age living in a Tanzania region where S. haematobium infection is endemic. Fifteen negative and fifteen positive urine samples, selected based on CAA levels quantified in paired serum, were analyzed with the prototype Flow-S. The current Flow-S prototype, with an analytical lower detection limit of 1 pg CAA/mL, produced results correlated with the laboratory-based UCP-LF CAA test. Urine precipitates occurred in frozen banked samples and affected accurate quantification; however, this should not occur in fresh urine. Based on the findings of this study, Flow-S appears suitable to replace the urine pre-treatment required for the laboratory-based UCP-LF CAA test, thus allowing true field-based applications with fresh urine samples. The urine precipitates observed with frozen samples, though less important given the goal of testing fresh urines, warrant additional investigation to evaluate methods for mitigation. Flow-S devices permit testing of pooled urine samples with applications for population stratified testing. A field test with fresh urine samples, a further optimized Flow-S device, and larger statistical power has been scheduled.

Voltammetry determination of Cd(II) and Pb(II) at TiO2/reduced graphene oxide modified electrodes

AbstractIn this article, a TiO2/reduced graphene oxide (rGO) composite was synthesized from rGO and soluble titanium hydroxide‐peroxide complexes. The obtained materials were characterized by X‐ray diffraction, scanning electron microscopy, nitrogen adsorption/desorption, Raman spectroscopy and energy dispersive X‐ray spectroscopy‐elementary mapping. The TiO2/rGO composite was used as an electrode modifier for developing an electrochemical sensor to simultaneous analysis of Cd(II) and Pb(II) by using differential pulse anodic stripping voltammetry (DP‐ASV). Under optimal conditions, the linear correlation between the stripping peak current and the metal ion concentration is good in the range of 5–100 ppb for both metals (R2 ≥ 0.998), and a low detection limit (3.17 ppb for Cd(II) and 2.42 ppb for Pb(II)) was obtained. The interference study revealed that some metal cations had little influence on the DP‐ASV signals of Cd(II) and Pb(II). In addition, the developed electrode exhibited satisfied reproducibility and repeatability. The TiO2/rGO‐modified electrode was tested toward the detection of Cd(II) and Pb(II) in river waters and the obtained exceptional recoveries and results were further associated with AAS results. This study indicates that the TiO2/rGO composite might be an alternative for practical applications in the electrochemical determination of heavy metal ions in aquatic solutions.

Photonic crystal-coupled enhanced steering emission: A prism-free, objective-free, and metal-free loss-less approach for biosensing

Diagnostic assays utilizing fluorescent reporters in the context of low abundance biomarkers for cancer and infectious disease can reach lower limits of detection through efficient collection of emitted photons into an optical sensor. In this work, we present the rational design, fabrication, and application of one-dimensional photonic crystal (PC) grating interfaces to accomplish a cost-effective prism-free, metal-free, and objective-free platform for augmentation of fluorescence emission collection efficiency. Guided mode resonance (GMR) of the PC is engineered to match the laser excitation (532 nm) and emission maximum (580 nm) of the radiating dipoles to arrive at optimized conditions. The photo-plasmonic hybrid nano-engineering using silver nanoparticles presented >110-fold steering fluorescence enhancement enabling placement of the sample between the excitation source and detector that are in a straight line. From the experimental and simulation inferences, we propose a radiating GMR model by scrutinizing the polarized emission properties of the hybrid substrate, in accordance with the radiating plasmon model. The augmented fluorescence intensity realized here with a simple detection instrument provides sub-nanomolar sensitivity to provide a path toward point-of-care scenarios.

High-sensitivity concentration detection of trace doxycycline in solution by molecular imprinting based on surface plasmon resonance technology

The abuse of doxycycline (DC) will lead to the presence of its residues in animals and water environments, which threatens human health. It is of great significance to detect the micro-content of DC in solution. Based on surface plasmon resonance (SPR) technology, we develop a detection method for trace DC in solution by modifying the SPR sensor chip with a molecular imprinting technique. The results show that the SPR sensor could specifically recognize DC in solution, and the detection limit of this method reaches 10−6µg/mL, which is 100 times lower than that of the ELISA method. The detection signal has good linearity in the concentration range of 10−6−10µg/mL. This method has the advantages of a low detection limit, large linear range, and high specificity for DC detection.

Multicolor-Assay-on-a-Chip Processed by Robotic Operation (MACpro) with Improved Diagnostic Accuracy for Field-Deployable Detection.

The ability to deploy decentralized laboratories with autonomous and reliable disease diagnosis holds the potential to deliver accessible healthcare services for public safety. While microfluidic technologies provide precise manipulation of small fluid volumes with improved assay performance, their limited automation and versatility confine them to laboratories. Herein, we report the utility of multicolor assay-on-a-chip processed by robotic operation (MACpro), to address this unmet need. The MACpro platform comprises a robot-microfluidic interface and an eye-in-hand module that provides flexible yet stable actions to execute tasks in a programmable manner, such as the precise manipulation of the microfluidic chip along with different paths. Notably, MACpro shows improved detection performance by integrating the microbead-based antibody immobilization with enhanced target recognition and multicolor sensing via Cu2+-catalyzed plasmonic etching of gold nanorods for rapid and sensitive analyte quantification. Using interferon-gamma as an example, we demonstrate that MACpro completes a sample-to-answer immunoassay within 30 min and achieves a 10-fold broader dynamic range and a 10-fold lower detection limit compared to standard enzyme-linked immunosorbent assays (0.66 vs 5.2 pg/mL). MACpro extends the applications beyond traditional laboratories and presents an automated solution to expand diagnostic capacity in diverse settings.

The Development of Aptamer-Based Gold Nanoparticle Lateral Flow Test Strips for the Detection of SARS-CoV-2 S Proteins on the Surface of Cold-Chain Food Packaging

The COVID-19 pandemic over recent years has shown a great need for the rapid, low-cost, and on-site detection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). In this study, an aptamer-based colloidal gold nanoparticle lateral flow test strip was well developed to realize the visual detection of wild-type SARS-CoV-2 spike proteins (SPs) and multiple variants. Under the optimal reaction conditions, a low detection limit of SARS-CoV-2 S proteins of 0.68 nM was acquired, and the actual detection recovery was 83.3% to 108.8% for real-world samples. This suggests a potential tool for the prompt detection of SARS-CoV-2 with good sensitivity and accuracy, and a new method for the development of alternative antibody test strips for the detection of other viral targets.

Visualized Enzyme-Activated Fluorescence Probe for Accurately Detecting β-Gal in Living Cells and BALB/c Nude Mice.

Colorectal cancer was one of the major malignant tumors threatening human health and β-Gal was recognized as a principal biomarker for primary colorectal cancer. Thus, designing specific and efficient quantitative detection methods for measuring β-Gal enzyme activity was of great clinical test significance. Herein, an ultrasensitive detection method based on Turn-on fluorescence probe (CS-βGal) was reported for visualizing the detection of exogenous and endogenous β-galactosidase enzyme activity. The test method possessed a series of excellent performances, such as a significant fluorescence enhancement (about 11.3-fold), high selectivity as well as superior sensitivity. Furthermore, under the optimal experimental conditions, a relatively low limit of detection down to 0.024 U/mL was achieved for fluorescence titration experiment. It was thanks to the better biocompatibility and low cytotoxicity, CS-βGal had been triumphantly employed to visual detect endogenous and exogenous β-Gal concentration variations in living cells with noteworthy anti-interference performance. More biologically significant was the fact that the application of CS-βGal in BALB/c nude mice was also achieved successfully for monitoring endogenous β-Gal enzyme activity.

Single‐Step Laser Irradiation for Synchronous Formation of Graphene‐Platinum Nanohybrids with Tunable Microstructures Toward High‐Performance Enzyme‐Free Glucose Sensors

AbstractManufacturing of metal‐decorated carbon electrodes as a critical component of enzyme‐free glucose sensors has become an advanced strategy for fast and accurate glucose monitoring. By selectively irradiating the pre‐prepared chloroplatinic acid/polyimide (H2PtCl6/PI) precursor with photothermal energy, a creatively synchronized laser processing protocol is developed for assembling integrated three‐electrode system with platinum nanoparticle decorated laser‐induced graphene (PtNP‐LIG). In addition to the swift manufacturing of designable structures, laser power and raw‐material dosage are systematically explored as two key parameters to understand the process‐regulated microstructure and electro‐catalytic performance. Notably, by discovering the tuning mechanism for optimizing laser power‐dependent specific surface area of graphene backbone from 81.61 to 197.53 m2 g−1 and for enhancing H2PtCl6 concentration dependent Pt content from 0.75% to 4.16%, the sensitivity of PtNP‐LIG sensors to glucose oxidation has dramatically improved from 203.14 to 959.07 µA mM−1 cm−2, following closely the adjustable discipline of electrochemically active surface area (ECSA) from 37.75 to 104.19 mm2. Along with rapid response time, low limit of detection, and broad linear range, the proposed protocol is highly beneficial for designing and manufacturing next‐generation wearable human‐health related devices.

Wearable Piezoelectric Sensors Based on BaTiO3 Films for Sarcopenia Recognition

AbstractSarcopenia recognition is very crucial in the early diagnosis of sarcopenia. However, the commonly used screening methods are limited by real‐time property, portability, and convenient usability at home. Herein, an electrospun BaTiO3 film is proposed and a piezoelectric sensor with silver electrodes and polyimide substrates is fabricated. The sensor exhibits high piezoelectricity (74.2 pC N−1), sensitivity, linearity, low detection limit (0.2 mN), and significant bending ability (bending angle can exceed 90°), maintaining stable output after more than 20 000 cycles during a week. Due to its excellent performance, the piezoelectric sensor to the recognition of sarcopenia is applied and a wearable system to collect piezoelectric signals from the lower limb movements of the elderly is developed. By selecting features from these signals, eight kinds of machine learning models are employed and their performances in recognizing sarcopenia are compared in both male and female groups. The results indicate that the artificial neural network (ANN) model has the highest performance, with accuracies of 92.9% in males and 98.1% in females. This piezoelectric sensor, combined with a wireless communication module, is expected to provide crucial evidence for sarcopenia detection, offering a new, convenient, and household screening solution for early diagnosis and prevention of sarcopenia.

A Breathable, Stretchable, and Self‐Calibrated Multimodal Electronic Skin Based on Hydrogel Microstructures for Wireless Wearables

AbstractBiomimetic electronic skins (e‐skins) are widely used in wearables, smart prosthesis and soft robotics. However, multimodal e‐skins, especially those based on hydrogels, face multiple challenges for practical applications, involving multi‐sensing signal mutual interference, low breathability and stretchability. Here, a breathable and stretchable multimodal e‐skin with a multilayer film microstructure is developed to achieve self‐calibrated sensing of any two of three stimuli: strain, temperature, and humidity, with minimal crosstalk. Hydrogel fibers with different shapes are designed for strain and temperature sensing modules, and the hydrogel film is developed as a humidity sensing module. The multimodal e‐skin exhibits impressive sensing performance, including a low strain detection limit (0.03%), strain linearity (R2 = 0.990), high‐temperature sensitivity (1.77%/°C), and a wide humidity detection range (33–98% RH). Interestingly, due to the directional anisotropy in strain sensitivity of different shaped fibers, the e‐skin realizes self‐calibrated detection of strain and temperature in different directions. By introducing porous elastomer encapsulation membranes, the breathability and wearing comfort of the e‐skin are attained, while the high stretchability (100% strain) is maintained. Furthermore, a personalized human‐machine interaction system is created by integrating the e‐skin with a wireless circuit to realize real‐time and wireless gesture recognition, physiological signals monitoring, and smart prosthesis.

Ferrous Ions Modulated Copper Nanocluster as a Fluorescent and Colorimetric Switch for the Detection of L–DOPA

AbstractL‐3,4‐dihydroxyphenylalanine (levodopa or L–DOPA) a precursor of neurotransmitter dopamine, has been universally prescribed as a gold standard for treatment of Parkinson's Disease (PD). However, direct administration of L–DOPA has risky adverse effects which makes it challenging in the treatment of PD. Hence developing simple detection platform for sensing of L–DOPA is significant. In this work, we have developed cysteine stabilized copper nanocluster quenched with Fe2+ (Fe2+@cys@CuNC) and used as both fluorescent and colorimetric probe for detection of L–DOPA. L–DOPA attributed a fluorescence quenching effect on developed probe. Fe2+@cys@CuNC detected L–DOPA within a linear range from 0.06 mM to 1.31 mM with a low limit of detection (LoD) of 6.57 nM. The probe also exhibited high selectivity for L–DOPA over other biomolecules and neurotransmitters. Furthermore, the capability of this probe was validated by sensing L–DOPA from human serum with excellent recovery rates of 85.75 % to 115.07 %. A low‐cost paper strip‐based portable detection platform was also developed for visual detection of L–DOPA.

Diphenolic acid/furfurylamine‐based, semi‐biopolyamide/cyclophosphazene covalent composite: Preparation and application in Pb(II) probing and dye adsorption

AbstractDiphenolic acid/furfurylamine‐based bio‐benzoxazine (DPA‐fa‐Boz) was selected here as the starting material to prepare a phenol hydroxyl‐containing polyamide (PA) derivative, PA‐DFB, via sustainable benzoxazine‐isocyanide mechanochemistry (BIC‐MC). Further, a type of PA/phosphazene‐based, organic–inorganic covalent hybrid (PD‐HCCP), which comprises various N/P/O‐containing substructures (NP ring, amide, carboxylic acid, and tertiary amine), was successfully prepared by the condensation between PA‐DFB and hexachlorocyclotriphosphazene (HCCP). The presence of heteroatoms‐containing segments endows PD‐HCCP with specific affinity for some cationic agents. PD‐HCCP's binding capability for Pb(II) can be feasibly utilized for the detection of this heavy metal. The downstream application investigation of PD‐HCCP revealed that it can be used as an enrichment‐type Pb(II) electrochemical probe, characterizing a wide detection range (1–40 μM) and a low detection limit (0.0245 μM). Meanwhile, PD‐HCCP also showed the selective binding for cationic dye, methylene blue (MB), providing a maximum adsorption capacity of ~424.97 mg/g and a high adsorption rate (with 98% removal efficiency at 6 min), with the pseudo‐second‐order rate constant up to 0.0325 g mg−1 min−1.

Novel Covalent Bonds and Hydrogen Bonds Linked Porous Organic Frameworks as Chemosensor for Detecting 2,4,6-Trinitrophenol in Water and Soil Samples.

A novel and unconventional structural porous organic framework combined through the synergistic effect of covalent bonds and hydrogen bonds was prepared with the combination of 4,4',4″,4‴-(pyrene-1,3,6,8-tetrayl)tetraaniline (Py) and 5-hydroxyisophthalaldehyde (HP). It was the second example of CHOF until now and had been designated as Py-HP CHOF. The suspension of Py-HP CHOF in various solvents, such as ethanol, CH3CN, and methanol, exhibited a remarkably selective and sensitive "on-off" fluorescence response toward 2,4,6-trinitrophenol (TNP) compared with other explosives, with exceptionally low detection limits. The X-ray diffraction (XRD) spectra confirmed that the framework of Py-HP CHOF collapsed after interaction with TNP and acid, further indicating the existence of hydrogen bonds in the framework of Py-HP CHOF. The fluorescence quenching can be ascribed to the photoinduced electron transfer and the absorption competition quenching, as supported by XRD, X-ray photoelectron spectroscopy results, UV-vis absorption spectra, and density functional theory calculations. Fluorescence channels can be utilized by Py-HP CHOF to function as chemosensor, enabling the identification and detection of TNP in water and soil, and Py-HP CHOF is also the second CHOF example of sensing TNP reported to date. The application of this technique exhibits considerable potential in the analysis and detection of environmental pollutants, thereby presenting substantial practical implications.

On-site detection of infectious disease based on CaCO3-based magnetic micromotor integrated with graphene field effect transistor.

Anew detection platform based on CaCO3-based magnetic micromotor (CaCO3@Fe3O4) integrated with graphene field effect transistor (GFET) was construct and used for on-site SARS-CoV-2 coronavirus pathogen detection. The CaCO3@Fe3O4 micromotor, which was modified with anti-SARS-CoV-2 (labelled antibody, AntiE1), can self-moved in the solution containing hydrochloric acid (HCl) and effective to capture the SARS-CoV-2 coronavirus pathogens. After magnetic field separation, the capture micromotor was detected by GFET, exhibiting a good linear relationship within the range of 1 ag/mL to 100ng/mL and low detection limit (0.39ag/mL). Furthermore, the detection platform wasalso successfully applied to detection of SARS-CoV-2 coronavirus pathogens in soil solution, indicating the potential use in on-site application.

Comparison of targeted next-generation sequencing and the Xpert MTB/RIF assay for detection of Mycobacterium tuberculosis in clinical isolates and sputum specimens.

Targeted next-generation sequencing (tNGS) can be used to perform Mycobacterium tuberculosis (MTB) complex-specific amplification or target capture directly from sputum samples, yielding simultaneous coverage of many genes and DNA regions associated with antimicrobial resistance (AMR). Performance comparisons of tNGS and another molecular testing tool, Xpert MTB/rifampicin (RIF), have been empirical. Here, using a dilution series of a RIF-resistant clinical isolate of MTB, we found that tNGS had a slightly lower limit of bacterial detection (102 CFU/mL) compared with Xpert MTB/RIF (103 CFU/mL) in culture medium. However, the minimum detection limit of the rpoB S450L mutation in this isolate was significantly lower with tNGS (102 CFU/mL) than with Xpert MTB/RIF (106 CFU/mL). Sputum samples collected from 129 suspected pulmonary tuberculosis patients were also prospectively studied with the clinical diagnosis as a reference, revealing that the sensitivity of tNGS (48.6%) was higher than those of culture (46.8%), Xpert MTB/RIF (39.4%), and smear microscopy (34.9%) testing. Notably, AMR analysis of 56 MTB-positive samples as determined by tNGS revealed high mutation frequencies of 96.4%, 35.7%, 26.8%, and 19.6% in the following AMR-associated genes: rrs, rpoB, katG, and pncA, respectively. The findings of this study provide theoretical support for the differential clinical application of tNGS and Xpert MTB/RIF and suggest that tNGS has greater application value in tuberculosis drug resistance monitoring and prevention.IMPORTANCETargeted next-generation sequencing (tNGS) can be used to perform Mycobacterium tuberculosis (MTB) complex-specific amplification or target capture directly from sputum samples, yielding simultaneous coverage of genes and DNA regions associated with antimicrobial resistance (AMR). Performance comparisons of tNGS and Xpert MTB/rifampicin (RIF) have been empirical. The Xpert MTB/RIF assay is a commercial system that uses the nucleic acid amplification detection method for rapid (2 hours) diagnosis of tuberculosis (TB). The cost of the tNGS and Xpert MTB/RIF assays in this study was similar, at USD 98 and USD 70-104 per sample, respectively, but the time required for tNGS (3 days) was much longer than that required for the Xpert MTB/RIF assay. However, tNGS yielded more accurate results and a larger number of AMR-associated gene mutations, which compensated for the extra time and highlighted the greater application value of tNGS in TB drug resistance monitoring and prevention.

Silver Nanoparticles In Situ Enhanced Electrochemiluminescence of the Porphyrin Organic Matrix for Highly Sensitive and Rapid Monitoring of Tetracycline Residues.

Accurate monitoring of tetracycline (TC) residues in the environment is crucial for avoiding contaminant risk. Herein, a novel TC biosensor was facilely designed by integrating silver nanoparticles (Ag NPs) into the porphyrin metal-organic matrix (Ag@AgPOM) as a bifunctional electrochemiluminescence (ECL) probe. Different from the step-by-step synthesis of the co-reaction accelerator and ECL emitter, the co-reaction accelerators Ag NPs were in situ-grown on the surface of 5,10,15,20-tetrakis (4-carboxyphenyl) porphyrin (TCPP) via a simple one-pot approach. Symbiotic Ag NPs on Ag@AgPOM formed an intimate interface and increased the collision efficiency of the ECL reaction, achieving the ECL enhancement of TCPP. Under the optimized conditions, the ternary ECL biosensor showed a wide linear detection range toward TC with a low detection limit of 0.14 fmol L-1. Compared with the traditional HPLC and ELISA methods, satisfied analytical adaptability made this sensing strategy feasible to monitor TC in complex environmental samples.

Development of a Rapid Detection Method to Prorocentrum lima by Loop-Mediated Isothermal Amplification with Hydroxy Naphthol Blue.

Prorocentrum lima, a widely distributed dinoflagellate known for its production of harmful biotoxins, poses a significant threat to humans, aquaculture, and marine ecosystems. As a result, the detection of this toxic alga in coastal waters has become an urgent research focus. In this study, a rapid, sensitive, and cost-effective detection method based on loop-mediated isothermal amplification (LAMP) was developed to identify P. lima. In this method, cell extracts of P. lima were diluted and used directly as templates for amplification, eliminating the need for nucleic acid purification and simplifying the detection process. Hydroxy naphthol blue (HNB) was incorporated into the reaction mix to facilitate result interpretation, enabling visual determination of the amplification outcome with the naked eye. The entire detection process, from DNA extraction to template amplification and product detection, could be completed within 80min using a simple constant temperature-control device. This LAMP-based detection method demonstrated excellent reliability, specificity, and a low detection limit of 5.87 cells/mL for DNA crude extract. The assay offered an efficient alternative to PCR for rapid detection of P. lima. By streamlining the detection process and offering a visual readout, this technique holds promise for efficient and routine monitoring of harmful algal species, benefitting both research efforts and environmental management strategies.

Optimization and Testing of a Commercial Viability PCR Protocol to Detect Escherichia coli in Whole Blood

Bacteremia, specifically if progressed to sepsis, poses a time-sensitive threat to human and animal health. Escherichia coli is a main causative agent of sepsis in humans. The objective was to evaluate a propidium monoazide (PMA)-based viability PCR (vPCR) protocol to detect and quantify live E. coli from whole blood. We optimized the protocol by adding a eukaryotic-specific lysis step prior to PMA exposure, then used spiking experiments to determine the lower limit of detection (LOD) and linear range of quantification. We also compared the vPCR quantification method to standard colony count of spiked inoculum. Lastly, we calculated percent viability in spiked samples containing 50% live cells or 0% live cells. The LOD was 102 CFU/mL for samples containing live cells only and samples with mixed live and heat-killed cells. The linear range of quantification was 102 CFU/mL to 108 CFU/mL (R2 of 0.997) in samples containing only live cells and 103 CFU/mL to 108 CFU/mL (R2 of 0.998) in samples containing live plus heat-killed cells. A Bland–Altman analysis showed that vPCR quantification overestimates compared to standard plate count of the spiked inoculum, with an average bias of 1.85 Log10 CFU/mL across the linear range when only live cells were present in the sample and 1.98 Log10 CFU/mL when live plus heat-killed cells were present. Lastly, percent viability calculations showed an average 89.5% viable cells for samples containing 50% live cells and an average 19.3% for samples containing 0% live cells. In summary, this optimized protocol can detect and quantify viable E. coli in blood in the presence of heat-killed cells. Additionally, the data presented here provide the groundwork for further development of vPCR to detect and quantify live bacteria in blood in clinical settings.