Nanomechanical detection to empower robust monitoring of sepsis and microbial adaptive immune system-mediated proinflammatory disease

Abstract The correlation between circulating microbes and sepsis as well as proinflammatory diseases is increasingly gaining recognition. However, the detection of microbes’ cell-free DNA (cfDNA), which exist at concentrations of a billion times lower than blood proteins, poses a significant challen...

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Main Authors: Kessarin Thanapirom, Walid Al-Akkad, Aylin Pelut, Zahra Sadouki, Jemima B. Finkel, Stefan Nardi-Hiebl, Wieland Vogt, Benjamin Vojnar, Hinnerk Wulf, Leopold Eberhart, Timothy D McHugh, Krista Rombouts, Massimo Pinzani, Emmanouil Tsochatzis, Joseph W. Ndieyira
Format: Article
Language:English
Published: Nature Portfolio 2024-12-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-024-80126-6
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author Kessarin Thanapirom
Walid Al-Akkad
Aylin Pelut
Zahra Sadouki
Jemima B. Finkel
Stefan Nardi-Hiebl
Wieland Vogt
Benjamin Vojnar
Hinnerk Wulf
Leopold Eberhart
Timothy D McHugh
Krista Rombouts
Massimo Pinzani
Emmanouil Tsochatzis
Joseph W. Ndieyira
author_facet Kessarin Thanapirom
Walid Al-Akkad
Aylin Pelut
Zahra Sadouki
Jemima B. Finkel
Stefan Nardi-Hiebl
Wieland Vogt
Benjamin Vojnar
Hinnerk Wulf
Leopold Eberhart
Timothy D McHugh
Krista Rombouts
Massimo Pinzani
Emmanouil Tsochatzis
Joseph W. Ndieyira
author_sort Kessarin Thanapirom
collection DOAJ
description Abstract The correlation between circulating microbes and sepsis as well as proinflammatory diseases is increasingly gaining recognition. However, the detection of microbes’ cell-free DNA (cfDNA), which exist at concentrations of a billion times lower than blood proteins, poses a significant challenge for early disease detection. Here, we present Nano mechanics combined with highly sensitive readout sequences to address the challenges of ultralow counts of disease biomarkers, thus enabling robust quantitative monitoring of chronic medical conditions at different stages of human disease progression. To showcase the effectiveness of our approach, we employ fragments of cfDNA and human cell secretory proteins as models with predictive capabilities for human diseases. Notably, our method reveals a reliable representation over an impressive three to four orders of magnitude in the detection limit and dynamic range, surpassing commercially available quantitative polymerase chain reaction (qPCR) commonly used in routine clinical practice. This concept underpins a highly sensitive and selective medical device designed for the early detection of circulating microbes in patients undergoing intensive cancer therapy. This will help pinpoint individuals at risk of complications, including damage to the intestinal barrier and development of neutropenic fever/Sirsa/Sepsis. Moreover, this approach introduces new avenues for stratifying antibiotic prophylaxis in proinflammatory diseases.
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spelling doaj-art-c31cbbd3f65d4a53a33cf63e989bc2172024-12-08T12:28:53ZengNature PortfolioScientific Reports2045-23222024-12-0114112010.1038/s41598-024-80126-6Nanomechanical detection to empower robust monitoring of sepsis and microbial adaptive immune system-mediated proinflammatory diseaseKessarin Thanapirom0Walid Al-Akkad1Aylin Pelut2Zahra Sadouki3Jemima B. Finkel4Stefan Nardi-Hiebl5Wieland Vogt6Benjamin Vojnar7Hinnerk Wulf8Leopold Eberhart9Timothy D McHugh10Krista Rombouts11Massimo Pinzani12Emmanouil Tsochatzis13Joseph W. Ndieyira14Division of Medicine, University College LondonDivision of Medicine, University College LondonDivision of Medicine, University College LondonUCL Centre for Clinical Microbiology, Division of Infection and Immunity, University College LondonDivision of Medicine, University College LondonDepartment of Anaesthesia and Intensive Care, University Hospital of the Philipps-University of Marburg BaldingerstrasseMedical Innovations and Management, Steinbeis UniversityDepartment of Anaesthesia and Intensive Care, University Hospital of the Philipps-University of Marburg BaldingerstrasseDepartment of Anaesthesia and Intensive Care, University Hospital of the Philipps-University of Marburg BaldingerstrasseDepartment of Anaesthesia and Intensive Care, University Hospital of the Philipps-University of Marburg BaldingerstrasseUCL Centre for Clinical Microbiology, Division of Infection and Immunity, University College LondonDivision of Medicine, University College LondonDivision of Medicine, University College LondonDivision of Medicine, University College LondonDivision of Medicine, University College LondonAbstract The correlation between circulating microbes and sepsis as well as proinflammatory diseases is increasingly gaining recognition. However, the detection of microbes’ cell-free DNA (cfDNA), which exist at concentrations of a billion times lower than blood proteins, poses a significant challenge for early disease detection. Here, we present Nano mechanics combined with highly sensitive readout sequences to address the challenges of ultralow counts of disease biomarkers, thus enabling robust quantitative monitoring of chronic medical conditions at different stages of human disease progression. To showcase the effectiveness of our approach, we employ fragments of cfDNA and human cell secretory proteins as models with predictive capabilities for human diseases. Notably, our method reveals a reliable representation over an impressive three to four orders of magnitude in the detection limit and dynamic range, surpassing commercially available quantitative polymerase chain reaction (qPCR) commonly used in routine clinical practice. This concept underpins a highly sensitive and selective medical device designed for the early detection of circulating microbes in patients undergoing intensive cancer therapy. This will help pinpoint individuals at risk of complications, including damage to the intestinal barrier and development of neutropenic fever/Sirsa/Sepsis. Moreover, this approach introduces new avenues for stratifying antibiotic prophylaxis in proinflammatory diseases.https://doi.org/10.1038/s41598-024-80126-6
spellingShingle Kessarin Thanapirom
Walid Al-Akkad
Aylin Pelut
Zahra Sadouki
Jemima B. Finkel
Stefan Nardi-Hiebl
Wieland Vogt
Benjamin Vojnar
Hinnerk Wulf
Leopold Eberhart
Timothy D McHugh
Krista Rombouts
Massimo Pinzani
Emmanouil Tsochatzis
Joseph W. Ndieyira
Nanomechanical detection to empower robust monitoring of sepsis and microbial adaptive immune system-mediated proinflammatory disease
Scientific Reports
title Nanomechanical detection to empower robust monitoring of sepsis and microbial adaptive immune system-mediated proinflammatory disease
title_full Nanomechanical detection to empower robust monitoring of sepsis and microbial adaptive immune system-mediated proinflammatory disease
title_fullStr Nanomechanical detection to empower robust monitoring of sepsis and microbial adaptive immune system-mediated proinflammatory disease
title_full_unstemmed Nanomechanical detection to empower robust monitoring of sepsis and microbial adaptive immune system-mediated proinflammatory disease
title_short Nanomechanical detection to empower robust monitoring of sepsis and microbial adaptive immune system-mediated proinflammatory disease
title_sort nanomechanical detection to empower robust monitoring of sepsis and microbial adaptive immune system mediated proinflammatory disease
url https://doi.org/10.1038/s41598-024-80126-6
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