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Vibrational spectroscopy for rapid profiling of vancomycin susceptibility in Enterococci 肠球菌万古霉素敏感性的振动光谱快速分析
IF 4.2 3区 化学 Q2 CHEMISTRY, ANALYTICAL Pub Date : 2026-01-28 DOI: 10.1039/d5an01068c
Ava Rossetti, xenia kostoulias, Magdalena Giergiel, Jhih-Hang Jiang, Anton Y Peleg, Kamila Kochan
Fast diagnosis of antimicrobial resistance (AMR), especially in high-priority pathogens, is essential to maintain the best-possible patient outcomes. In this communication, we present a new approach for rapid AMR assessment that is able to distinguish between vancomycin-resistant and vancomycin-susceptible enterococci (VRE and VSE, respectively) within 2 hours using ATR-FTIR spectroscopy, chemometrics and chemometrics-based modelling. This study outlined how early spectral markers of effective vancomycin action were used to accurately predict resistance profiles in both known and blinded Enterococcus samples. This paper provides the foundation for a rapid diagnostic tool that enables faster determination of bacterial susceptibility, supporting timely clinical decisions and better patient outcomes.
快速诊断抗菌素耐药性(AMR),特别是在高度优先的病原体中,对于维持最佳患者预后至关重要。在这篇通讯中,我们提出了一种快速AMR评估的新方法,能够在2小时内使用ATR-FTIR光谱,化学计量学和基于化学计量学的建模区分万古霉素耐药和万古霉素敏感肠球菌(分别为VRE和VSE)。本研究概述了如何使用万古霉素有效作用的早期光谱标记来准确预测已知和盲法肠球菌样本的耐药概况。本文为快速诊断工具提供了基础,该工具可以更快地确定细菌敏感性,支持及时的临床决策和更好的患者预后。
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引用次数: 0
Improved NMR-based diffusion measurements for inorganic ions. 改进的基于核磁共振的无机离子扩散测量。
IF 4.2 3区 化学 Q2 CHEMISTRY, ANALYTICAL Pub Date : 2026-01-28 DOI: 10.1039/d5an01232e
Maria Clara D N G Leal,Binhan Yu,Tianzhi Wang,Junji Iwahara
Advances in probe hardware that can produce strong field gradients have expanded the applicability of NMR-based diffusion measurements for various inorganic ions (e.g., Na+, K+, Li+, Mg2+, Cl-, and SO42-), thereby facilitating a wide range of chemical research. However, as we demonstrate in this paper, the commonly used NMR pulse sequences for diffusion measurements are not optimally suited for inorganic ions. For many inorganic ions, their NMR-active nuclei are quadrupolar nuclei with small gyromagnetic ratios and rapid longitudinal relaxation. These properties inherently reduce sensitivity, particularly when magnetization must be stored along the longitudinal axis, as required in stimulated-echo schemes. Strong gradients also demand efficient suppression of eddy current effects. Using 39K and 25Mg diffusion NMR experiments on DNA solutions, we demonstrate that the bipolar-pair (BPP) spin-echo method provides more than a 2-fold improvement in sensitivity compared to the BPP stimulated-echo method. While both methods yield consistent diffusion coefficients and achieve equally effective suppression of eddy currents, the BPP spin-echo method provides notably improved precision due to its higher signal-to-noise ratio in the NMR spectra. When strong gradients are available, the BPP spin-echo method is a more robust and sensitive option for diffusion NMR of inorganic ions, reducing the measurement time by a factor of 4 compared to the stimulated-echo method.
可以产生强场梯度的探针硬件的进步扩大了基于核磁共振的扩散测量对各种无机离子(例如Na+, K+, Li+, Mg2+, Cl-和SO42-)的适用性,从而促进了广泛的化学研究。然而,正如我们在本文中所证明的那样,用于扩散测量的常用核磁共振脉冲序列并不最适合无机离子。对于许多无机离子,它们的核磁共振活性核是四极核,具有小的回旋磁比和快速的纵向弛豫。这些特性固有地降低了灵敏度,特别是当磁化必须沿着纵轴存储时,如刺激回波方案所要求的那样。强梯度还要求有效地抑制涡流效应。通过对DNA溶液进行39K和25Mg扩散核磁共振实验,我们证明了双极对(BPP)自旋回波方法与BPP刺激回波方法相比,灵敏度提高了2倍以上。虽然两种方法都能产生一致的扩散系数,并同样有效地抑制涡流,但BPP自旋回波方法由于在核磁共振光谱中具有更高的信噪比,可以显著提高精度。当有强梯度可用时,BPP自旋回波法是无机离子扩散核磁共振的一种更鲁棒和敏感的选择,与受激回波法相比,测量时间减少了4倍。
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引用次数: 0
MXene-based fluorescent aptasensors: advances and prospects in diagnostics and environmental monitoring. 基于mxeni的荧光感应传感器:诊断和环境监测的进展与展望。
IF 4.2 3区 化学 Q2 CHEMISTRY, ANALYTICAL Pub Date : 2026-01-28 DOI: 10.1039/d5an00945f
Rajapriya Govindaraju,Jongsung Kim
MXene-based fluorescent aptasensors leverage the synergistic integration of the intrinsic physicochemical properties of MXenes, including tunable surface chemistry, broad-spectrum optical absorption, and superior fluorescence quenching efficiency, with the molecular recognition capabilities and strong binding affinity of aptamers. These two-dimensional transition metal carbides and nitrides efficiently suppress background fluorescence in dye-labeled aptamer systems through electrostatic interactions and π-π stacking. In the absence of the target analyte, the aptamers adsorb onto the MXene surface, facilitating non-radiative energy transfer and thereby suppressing the signal. Upon specific target recognition, a conformational rearrangement of the aptamer reduces its surface affinity, leading to desorption and subsequent fluorescence recovery via a target-induced "signal-on" mechanism. Such platforms demonstrate ultra-low detection limits, excellent selectivity, and modular adaptability for the detection of a broad spectrum of analytes, including clinical biomarkers, pathogenic microorganisms, environmental toxins, and heavy metal ions. This comprehensive review systematically summarises the mechanistic foundations of MXene-aptamer interactions, recent advancements in analytical applications, and emerging directions for translational development in biomedical diagnostics and environmental monitoring.
基于MXenes的荧光适体传感器利用了MXenes固有的物理化学特性(包括可调的表面化学、广谱光学吸收和优越的荧光猝灭效率)与适配体的分子识别能力和强结合亲和力的协同整合。这些二维过渡金属碳化物和氮化物通过静电相互作用和π-π堆叠有效地抑制染料标记适配体体系中的背景荧光。在没有目标分析物的情况下,适体吸附在MXene表面,促进非辐射能量转移,从而抑制信号。在特定的靶标识别后,适体的构象重排降低了其表面亲和力,通过靶标诱导的“信号开启”机制导致解吸和随后的荧光恢复。该平台具有超低检出限、优异的选择性和模块化适应性,可检测广泛的分析物,包括临床生物标志物、病原微生物、环境毒素和重金属离子。这篇综合综述系统地总结了mxene -适配体相互作用的机制基础,分析应用的最新进展,以及生物医学诊断和环境监测中转化发展的新兴方向。
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引用次数: 0
Interrogating the existing analytical palette deployed for Leptospirosis detection and diagnostics 询问用于钩端螺旋体病检测和诊断的现有分析调色板
IF 4.2 3区 化学 Q2 CHEMISTRY, ANALYTICAL Pub Date : 2026-01-28 DOI: 10.1039/d6an00005c
Prasanna Kannan Embar, Prasanth Venkatachalam, Judy Gopal, Nazim Hasan, Manikandan Muthu
Though not very popularly recognised as a pathogenic disease, yet each year silently the morbidity and mortality of Leptospirosis has rapidly increased up to 1.03 million and 58,900 respectively. The zoonotic property of Leptospirosis further escalates concerns regarding the stability of human and one health. Hence, early and specific detection for the prompt initiation of treatment becomes exceedingly imperative. In the present article, various conventional and molecular methods including microscopic agglutination test (MAT), enzyme linked immunosorbent assays (ELISA), polymerase chain reaction (PCR), loop mediated isothermal amplification (LAMP), Mass spectrometry (MS) and rapid diagnostic tests have been comprehensively and critically reviewed for the detection of Leptospirosis based on the available literatures. This review is the first of its kind in consolidating the mass spectrometric methods that have been employed and the limitations and achievements of these sophistications have also been highlighted. The review disclosed that analytical expertise available has not been fully utilized in case of Leptospira detection. Future directions and recommendations have been put forth for rapid, simple, sensitive, accurate and early detection of Leptospira.
虽然钩端螺旋体病不被普遍认为是一种致病疾病,但每年发病率和死亡率都在悄悄地迅速增加,分别达到103万和58,900人。钩端螺旋体病的人畜共患特性进一步加剧了对人类健康稳定的关注。因此,早期和具体的检测,迅速开始治疗变得非常必要。本文在现有文献的基础上,对包括显微凝集试验(MAT)、酶联免疫吸附试验(ELISA)、聚合酶链反应(PCR)、环介导等温扩增(LAMP)、质谱法(MS)和快速诊断试验在内的各种常规和分子检测方法进行了全面和批判性的综述。本文首次对现有的质谱分析方法进行了综述,并指出了这些方法的局限性和取得的成就。审查表明,在钩端螺旋体检测的情况下,现有的分析专业知识没有得到充分利用。提出了快速、简便、灵敏、准确、早期检测钩端螺旋体的方向和建议。
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引用次数: 0
Untargeted Mass Spectrometry to Investigate Ocean Acidification in Cancer borealis Using Optimized Metabolite Extraction methods 利用优化代谢物提取方法的非靶向质谱法研究北方癌症的海洋酸化
IF 4.2 3区 化学 Q2 CHEMISTRY, ANALYTICAL Pub Date : 2026-01-28 DOI: 10.1039/d5an00788g
Yunxiao Yao, Olga Riusech, Shuling XU, Lingjun Li
Ocean acidification (OA) refers to the ongoing decline in ocean pH caused by the cascading effects of increased atmospheric CO2, which has significant negative impacts on various marine organisms, particularly crustaceans with calcified shells. However, research on the metabolic responses of crustaceans remains limited. In this study, we performed untargeted metabolomics on hemolymph samples from Cancer borealis (Jonah crab), a crustacean species well known for its tolerance to temperature and pH changes, to investigate its metabolic responses to OA. Two extraction methods—isopropanol (IPA) and acidified methanol (AcMeOH)—were employed to capture a broad range of metabolites and small peptides. Both methods enabled comprehensive detection; however, IPA yielded more consistent and extensive metabolite coverage, identifying 43 lipids compared to only 15 with AcMeOH. We identified 15 metabolites that responded significantly to OA. Several metabolites, including the potential neuropeptide cycloprolylglycine and the exogenous compound curcumin, exhibited concentration changes under OA exposure, suggesting their potential relevance in stress response pathways triggered by environmental stress. Overall, we highlight IPA as a more effective extraction method for untargeted metabolomics in crustacean hemolymph. Our study elucidates metabolic dynamics that enhance our understanding of the physiological adaptability of marine crustaceans under environmental stress and provides a comprehensive dataset that for future OA research.
海洋酸化(Ocean acidification, OA)是指由于大气中二氧化碳增加的级联效应导致海洋pH值持续下降,这对各种海洋生物,特别是具有钙化壳的甲壳类动物产生了显著的负面影响。然而,对甲壳类动物代谢反应的研究仍然有限。在这项研究中,我们对北方巨蟹(约拿蟹)的血淋巴样本进行了非靶向代谢组学研究,以研究其对OA的代谢反应。北方巨蟹是一种甲壳类动物,以耐温度和pH变化而闻名。两种提取方法-异丙醇(IPA)和酸化甲醇(AcMeOH) -被用来捕获广泛的代谢物和小肽。两种方法都能进行全面检测;然而,IPA获得了更一致和广泛的代谢物覆盖范围,鉴定了43种脂质,而AcMeOH仅鉴定了15种。我们确定了15种代谢物对OA有显著反应。几种代谢物,包括潜在神经肽环丙氨酸和外源性化合物姜黄素,在OA暴露下表现出浓度变化,表明它们可能与环境应激触发的应激反应途径相关。总之,我们强调IPA是甲壳类动物血淋巴中非靶向代谢组学的一种更有效的提取方法。我们的研究阐明了海洋甲壳类动物在环境胁迫下的代谢动力学,增强了我们对海洋甲壳类动物生理适应性的理解,并为未来的OA研究提供了一个全面的数据集。
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引用次数: 0
Ambient ionization strategies for the characterization of microbial systems via mass spectrometry 环境电离策略表征微生物系统通过质谱
IF 4.2 3区 化学 Q2 CHEMISTRY, ANALYTICAL Pub Date : 2026-01-27 DOI: 10.1039/d5an01214g
Hawkins S. Shepard, Jody C. May, John A. McLean
Ambient ionization sources enable analysis via mass spectrometry (MS) with minimal sample handling and without vacuum-based ionization/sampling. The versatile nature of ambient ionization techniques makes them well suited for both high-throughput analyses and in situ spatial characterization. Ambient MS platforms such as desorption electrospray ionization (DESI-MS), direct analysis in real time (DART-MS), paper spray (PS-MS), and secondary electrospray ionization (SESI-MS) are particularly amenable for microbial analysis and have recently been utilized for rapid profiling of microorganisms and imaging of fragile substrates with complex biochemistries. This minireview aims to provide an overview of contemporary ambient ionization technologies coupled with MS and summarize the recent application areas of these strategies in the characterization of microbial systems via mass spectrometry over the past five years.
环境电离源可以通过质谱(MS)进行分析,只需最少的样品处理,无需真空电离/采样。环境电离技术的通用性使它们非常适合于高通量分析和原位空间表征。环境质谱平台,如脱附电喷雾电离(DESI-MS)、直接实时分析(DART-MS)、纸喷雾(PS-MS)和二次电喷雾电离(SESI-MS)特别适合微生物分析,最近被用于微生物的快速分析和具有复杂生物化学的脆弱底物的成像。本文旨在概述当代环境电离技术与质谱技术的结合,并总结这些技术在过去五年中通过质谱技术表征微生物系统中的最新应用领域。
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引用次数: 0
Thermodynamic and Modeling Insights of DNA Molecular Beacons with Dual Target Binding to Design for Tunable Fluorescent Outputs 热力学和建模洞察DNA分子信标与双目标结合设计可调荧光输出
IF 4.2 3区 化学 Q2 CHEMISTRY, ANALYTICAL Pub Date : 2026-01-27 DOI: 10.1039/d5an01208b
Esther Emelia Stopps, Stephanie Ellen McCalla
Molecular beacons offer a versatile platform for detecting specific nucleic acid targets based on the relative proximity of fluorophore and quencher molecules. Conventional beacons contain a single target-binding site in the loop, and hybridization has been modeled based on three specific phases: closed hairpin, random coil, and target-bound. The target-beacon interactions can be tuned by stem length and target site location, while multi-site beacons introduce allosteric effects that modulate affinity and produce steeper, switch-like responses. Despite available thermodynamic models, current in silico methods do not adequately predict complex sensor outputs, especially for multi-site interactions. We present a new mathematical framework for calculating the thermodynamic parameters of beacons with two target binding sites. Our model additionally accounts for non-saturating target concentrations and target dimerization, extending its application to more complex reactions. We used three novel beacon designs to validate the model, comparing single-and dual-target interactions and assessing temperature-dependent effects. Our approach captures both occupancy and temperature dependent complex behavior of multi-site and single-site beacons, revealing how a second binding event can enhance affinity and tune the dynamic range. Full derivations and design recommendations are provided, offering a predictive tool to guide the rational design of multi-site molecular beacons with controlled thermodynamics and fluorescent responses.
分子信标为检测基于荧光团和猝灭分子的相对接近性的特定核酸靶标提供了一个通用的平台。传统的信标在环中包含一个单一的目标结合位点,杂交已经基于三个特定的阶段建模:闭合发夹,随机线圈和目标结合。靶标-信标的相互作用可以通过茎的长度和靶点的位置来调节,而多位点信标引入变构效应,调节亲和性,产生更陡峭的、类似开关的响应。尽管有可用的热力学模型,电流硅方法不能充分预测复杂的传感器输出,特别是对于多位点的相互作用。我们提出了一个新的数学框架来计算具有两个目标结合位点的信标的热力学参数。我们的模型还考虑了非饱和目标浓度和目标二聚化,将其应用于更复杂的反应。我们使用了三种新型信标设计来验证模型,比较了单目标和双目标相互作用,并评估了温度依赖效应。我们的方法捕获了多位点和单位点信标的占用和温度依赖的复杂行为,揭示了第二个结合事件如何增强亲和力和调整动态范围。提供了完整的推导和设计建议,为指导合理设计具有可控热力学和荧光响应的多位点分子信标提供了预测工具。
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引用次数: 0
CRISPR/Cas13a-Induced Self-Priming Cyclic Amplification Enables Liquid Biopsy of Exosomal Circular RNA in Non-small Cell Lung Cancer CRISPR/ cas13a诱导的自引循环扩增实现了非小细胞肺癌外泌体环状RNA的液体活检
IF 4.2 3区 化学 Q2 CHEMISTRY, ANALYTICAL Pub Date : 2026-01-27 DOI: 10.1039/d5an01345c
Xiaodan Zhu, Guomin Gu, Yanli Shen, Mihray Abdurazik, Gang Sun
The precise and reliable identification of circular RNA (circRNA) is essential for both biological studies and clinical diagnostics of non-small cell lung cancer (NSCLC), especially the exosomal circRNA. In this study, we utilize the CRISPR/Cas13a system to specifically recognize the unique back-splice junction of target circRNA and develop a novel detection platform termed CRISPR/Cas13a-induced self-priming cyclic amplification. This method enables highly sensitive and specific circRNA detection. A pair of stem-loop DNA primers was carefully designed, each incorporating complementary single-stranded DNA sequences and five ribouridine (rU) residues at the 3′ end serving as an overhang. When Cas13a binds to the target circRNA, its trans-cleavage activity is activated, leading to the cleavage of the rU residues. This cleavage permits the 3’ ends of the stem-loop primers to extend along one another, generating multiple double stem-loop DNA structures that initiate successive cycles of self-priming chain elongation. By leveraging the sustained trans-cleavage activity of Cas13a and the high amplification efficiency of the self-priming cyclic reaction, the assay achieves sensitive detection of circRNA at concentrations as low as 564 aM within 90 min. In addition, the proposed method has been successfully applied for the analysis of exosomal hsa_circ_0003026 expression level in normal samples and NSCLC samples and demonstrated the potential of exosomal hsa_circ_0003026 in regulating the pathological progression. Owing to the high specificity of Cas13a, the proposed method can be directly applied to detect circRNA in complex biological samples without prior isolation of corresponding linear RNAs.
精确、可靠地鉴定环状RNA (circRNA)对于非小细胞肺癌(NSCLC)的生物学研究和临床诊断至关重要,尤其是外泌体环状RNA。在本研究中,我们利用CRISPR/Cas13a系统特异性识别目标circRNA独特的后剪接连接,并开发了一种新的检测平台,称为CRISPR/Cas13a诱导的自引循环扩增。这种方法能够实现高灵敏度和特异性的circRNA检测。精心设计了一对茎环DNA引物,每个引物都包含互补的单链DNA序列和在3 '端作为悬垂的五个核糖啶(rU)残基。当Cas13a与目标环状rna结合时,其反式切割活性被激活,导致rU残基的切割。这种切割允许茎环引物的3 '端彼此延伸,产生多个双茎环DNA结构,启动自引链延伸的连续循环。利用Cas13a持续的反式切割活性和自引循环反应的高扩增效率,该方法在低至564 aM的浓度下,在90分钟内实现了对circRNA的灵敏检测。此外,该方法已成功应用于正常样本和非小细胞肺癌样本中外泌体hsa_circ_0003026表达水平的分析,证实了外泌体hsa_circ_0003026在调节病理进展中的潜力。由于Cas13a的高特异性,该方法可以直接用于检测复杂生物样品中的circRNA,而无需事先分离相应的线性rna。
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引用次数: 0
Quantification of buparlisib in human liver microsomes employing an ultra-fast, sensitive UPLC-MS/MS method: in vitro and in silico metabolic stability evaluation 采用超快速、灵敏的UPLC-MS/MS方法定量人肝微粒体中的布帕利西布:体外和体内代谢稳定性评价
IF 4.2 3区 化学 Q2 CHEMISTRY, ANALYTICAL Pub Date : 2026-01-27 DOI: 10.1039/d5an01155h
Mohamed W. Attwa, Haitham AlRabiah, Ali S. Abdelhameed, Adnan A. Kadi
Buparlisib (BLB) is an oral pan-phosphoinositide 3 kinase (PI3K) inhibitor that selectively targets all class I PI3K isoforms. No prior UPLC-MS/MS method with combined in silico metabolism analysis and green metrics for BLB has been reported, so this research sought to establish a precise, ultra-fast, sustainable, and dependable UPLC-MS/MS approach for estimating BLB in the matrix of human liver microsomes (HLMs), which is employed for determining the metabolic stability of BLB. The UPLC-MS/MS method exhibited a good degree of greenness as approved by the ComplexMoGAPI (69.0) and the AGREEprep tool score (0.68). Ripretinib (RPB) was selected as an internal standard (IS) for BLB quantification in the HLMs matrix. The validated method exhibited a linearity over an extensive concentration span of 1 to 4000 ng mL−1. The accuracy and precision of interday and intraday measurements varied from −2.92% and 10.11% and 3.11 and 9.78%, respectively. The MS/MS analysis was performed by employing the positive ESI ionization mode, and chromatography using an Eclipse Plus C8 column with a run time of one minute. BLB had a moderate extraction ratio, with a clearance rate (Clint) of 25.15 mL min−1 kg−1 and an in vitro half-life (t1/2) of 32.24 min. In silico assessments (P450 and DEREK modules) indicate that minor structural changes in the 2-aminopyridine moiety (lability: 58%) and morpholine groups (lability: 42%) during drug design could increase the metabolic stability and safety profile of BLB. The integrated in vitro technique (metabolic incubation) and in silico tools (ADME, DEREK and WhichP450) provide a resource-effective strategy for preliminary metabolic screening and advancing new therapeutic development aimed at enhancing metabolic stability of new BLB derivatives.
buparisib (BLB)是一种口服泛磷酸肌肽3激酶(PI3K)抑制剂,选择性靶向所有I类PI3K亚型。由于目前还没有将有机代谢分析与绿色指标相结合的UPLC-MS/MS方法报道,因此本研究试图建立一种精确、超快速、可持续、可靠的UPLC-MS/MS方法来估计人肝微粒体(HLMs)基质中的BLB,并用于确定BLB的代谢稳定性。通过ComplexMoGAPI(69.0)和AGREEprep工具评分(0.68),UPLC-MS/MS方法具有良好的绿色度。选择利普雷替尼(RPB)作为hms矩阵中BLB定量的内标(IS)。经过验证的方法在1至4000 ng mL−1的广泛浓度范围内呈现线性。日间和日间测量的准确度和精密度分别为- 2.92%和10.11%,3.11%和9.78%。MS/MS分析采用ESI正电离模式,色谱柱为Eclipse Plus C8,运行时间为1分钟。BLB提取率适中,清除率(Clint)为25.15 mL min−1 kg−1,体外半衰期(t1/2)为32.24 min。硅评估(P450和DEREK模块)表明,在药物设计过程中,2-氨基吡啶部分(不稳定性:58%)和morpholine基团(不稳定性:42%)的微小结构变化可以提高BLB的代谢稳定性和安全性。综合体外技术(代谢孵育)和计算机工具(ADME, DEREK和p450)为初步代谢筛选和推进新的治疗开发提供了一种资源有效的策略,旨在提高新的BLB衍生物的代谢稳定性。
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引用次数: 0
Integrated microfluidic device for rapid and accurate point-of-care detection of high-risk HPV16 and HPV18. 集成微流控装置快速和准确的点护理检测高危HPV16和HPV18。
IF 3.3 3区 化学 Q2 CHEMISTRY, ANALYTICAL Pub Date : 2026-01-27 DOI: 10.1039/d5an01244a
Natish Kumar, Monika Kumari, Devtulya Chander, Sandeep Dogra, Asha Chaubey, Ravi Kumar Arun

Human papillomavirus (HPV), particularly high-risk genotypes HPV16 and HPV18, is a leading cause of cervical cancer, contributing to significant global morbidity and mortality, especially in low-resource settings. Current diagnostic methods, such as PCR and cytology-based Pap tests, are limited by high costs, complex infrastructure requirements, and variable sensitivity, hindering their accessibility in low- and middle-income countries. To address these challenges, an integrated microfluidic platform was developed for rapid, sensitive, and point-of-care (POC) detection of HPV16 and HPV18 DNA. This platform combines loop-mediated isothermal amplification (LAMP) with lateral flow assay (LFA) detection, enabling a streamlined "sample-in-answer-out" workflow. The cartridge integrates nucleic acid (NA) extraction, isothermal amplification at 65 °C, and visual detection within 45 minutes, utilizing a lysis buffer optimized for sample preparation and genotype-specific primers targeting the E6 genes of HPV16 and HPV18. The microfluidic design leverages the Zweifach-Fung bifurcation principle for efficient NA separation, eliminating the need for centrifugation or external equipment. Analytical validation using spiked clinical samples demonstrated a limit of detection of 10 copies per µL, with T/C ratio-based quantification showing strong linearity (R2 > 0.98) over a dynamic range of 108 to 1 copy per µL. A clinical evaluation of 50 cervical swab samples yielded a sensitivity of 96.8% and a specificity of 100% compared to qPCR, with positive and negative predictive values of 100% and 94.7%, respectively. The platform's portability, low cost, and minimal user intervention make it an ideal solution for decentralized settings, offering a transformative approach to early HPV screening and cervical cancer prevention in resource-limited environments.

人乳头瘤病毒(HPV),特别是高危基因型HPV16和HPV18,是宫颈癌的主要病因,在全球造成重大发病率和死亡率,特别是在资源匮乏地区。目前的诊断方法,如聚合酶链反应和基于细胞学的巴氏试验,受到成本高、基础设施要求复杂和敏感性多变的限制,阻碍了低收入和中等收入国家获得这些方法。为了解决这些挑战,我们开发了一个集成的微流控平台,用于快速、敏感和即时检测HPV16和HPV18 DNA。该平台结合了环介导的等温扩增(LAMP)和横向流动分析(LFA)检测,实现了简化的“样品-样品-样品-输出”工作流程。该试剂盒集核酸(NA)提取、65°C等温扩增和45分钟内的目视检测于一体,利用针对HPV16和HPV18 E6基因的基因型特异性引物和优化的样品制备裂解缓冲液。微流控设计利用茨威法赫-冯分岔原理进行高效NA分离,无需离心或外部设备。使用加标临床样品的分析验证表明,检测限为每μ L 10个拷贝,基于T/C比的定量在每μ L 108至1个拷贝的动态范围内显示出很强的线性(R2 > 0.98)。与qPCR相比,对50份宫颈拭子样本的临床评估结果显示,该方法的敏感性为96.8%,特异性为100%,阳性预测值为100%,阴性预测值为94.7%。该平台的便携性、低成本和最少的用户干预使其成为分散环境的理想解决方案,在资源有限的环境中为早期HPV筛查和宫颈癌预防提供了一种变革性方法。
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引用次数: 0
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