Li Jiaxuan, Li Zhengkang, Wang Bingjie, Yu Qing, Wu Ting, Wang Chongwen, Gu Bing
Department of Clinical Laboratory Medicine, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, Guangdong, 510000, China.
School of Medicine, South China University of Technology, Guangzhou, 510006, China.
Adv Sci (Weinh). 2025 Mar;12(12):e2412421. doi: 10.1002/advs.202412421. Epub 2025 Jan 13.
Immunochromatographic assays (ICAs) provide simple and rapid strategies for bacterial diagnosis but still suffer from the problems of low sensitivity and high dependency on paired antibodies. Herein, the broad-spectrum capture and detection capability of the antibody-free electropositive nanoprobe are clarified for bacteria for the first time and an ultrasensitive fluorescent ICA platform is constructed for the simultaneous diagnosis of multiple pathogens. A magnetic multilayer quantum dot nanocomposite with an amino-embedded SiO shell (MagMQD@Si) is designed to enrich bacteria from solutions effectively, offer high luminescence, and reduce background signals on test strips, thus greatly improving the sensitivity and stability of ICA technique for pathogen. The superior performance of the MagMQD@Si-based ICA through the multiplex detection of three common pathogens is demonstrated, namely, Pseudomonas aeruginosa, Streptococcus pneumoniae, and Salmonella typhimurium, showing that this ICA possesses high sensitivity (8-40 cells mL), good reproducibility (relative standard deviation <5.4%), and high specificity for the three target bacteria. The clinical utility of the proposed method is verified through the detection of 30 real sputum samples from patients with bacterial respiratory infections, revealing that the MagMQD@Si-based ICA has massive potential as a powerful inspection tool for the rapid, sensitive, and ultrasensitive diagnosis of bacterial infections. [Correction added on 29 January 2025, after first online publication: Streptococcus typhi was corrected to Salmonella typhimurium.].
免疫层析分析(ICAs)为细菌诊断提供了简单快速的策略,但仍存在灵敏度低和对配对抗体高度依赖的问题。在此,首次阐明了无抗体正电纳米探针对细菌具有广谱捕获和检测能力,并构建了一种超灵敏荧光免疫层析分析平台用于同时诊断多种病原体。设计了一种具有氨基嵌入SiO壳层的磁性多层量子点纳米复合材料(MagMQD@Si),以有效从溶液中富集细菌,提供高发光度,并降低试纸条上的背景信号,从而大大提高免疫层析分析技术对病原体检测的灵敏度和稳定性。通过对三种常见病原体,即铜绿假单胞菌、肺炎链球菌和鼠伤寒沙门氏菌进行多重检测,证明了基于MagMQD@Si的免疫层析分析具有卓越性能,表明该免疫层析分析对三种目标细菌具有高灵敏度(8 - 40个细胞/mL)、良好的重现性(相对标准偏差<5.4%)和高特异性。通过对30例细菌性呼吸道感染患者的真实痰液样本进行检测,验证了该方法的临床实用性,表明基于MagMQD@Si的免疫层析分析作为一种用于快速、灵敏和超灵敏诊断细菌感染的强大检测工具具有巨大潜力。[2025年1月29日首次在线发表后添加的更正:伤寒链球菌更正为鼠伤寒沙门氏菌。]