Short-Wave Infrared Fluorescence Chemical Sensor for Detection of Otitis Media.
Short-Wave Infrared Fluorescence Chemical Sensor for Detection of Otitis Media.
复制标题
用于检测中耳炎的短波红外荧光化学传感器。
DOI：
10.1021/acssensors.0c01272
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发表时间：
2020
期刊：
影响因子：
8.9
通讯作者：
Valdez,TulioA
中科院分区：
文献类型：
--
作者：
Yim,JoshuaJ;Singh,SuryaPratap;Xia,Anping;Kashfi-Sadabad,Raana;Tholen,Martina;Huland,DavidM;Zarabanda,David;Cao,Zhixin;Solis-Pazmino,Paola;Bogyo,Matthew;Valdez,TulioA
Otitis media (OM) or middle ear infection is one of the most common diseases in young children around the world. The diagnosis of OM is currently performed using an otoscope to detect middle ear fluid and inflammatory changes manifested in the tympanic membrane. However, conventional otoscopy cannot visualize across the tympanic membrane or sample middle ear fluid. This can lead to low diagnostic certainty and overdiagnoses of OM. To improve the diagnosis of OM, we have developed a short-wave infrared (SWIR) otoscope in combination with a protease-cleavable biosensor,6QC-ICG, which can facilitate the detection of inflammatory proteases in the middle ear with an increase in contrast.6QC-ICGis a fluorescently quenched probe, which is activated in the presence of cysteine cathepsin proteases that are up-regulated in inflammatory immune cells. Using a preclinical model and custom-built SWIR otomicroscope in this proof-of-concept study, we successfully demonstrated the feasibility of robustly distinguishing inflamed ears from controls (p= 0.0006). The inflamed ears showed an overall signal-to-background ratio of 2.0 with a mean fluorescence of 81 ± 17 AU, while the control ear exhibited a mean fluorescence of 41 ± 11 AU. We envision that these fluorescently quenched probes in conjunction with SWIR imaging tools have the potential to be used as an alternate/adjunct tool for objective diagnosis of OM.
