Selective mycobacterial capture with ultraviolet-polymerized poly-dimethyldiallyl chloride functionalized surfaces

Abstract Tuberculosis (TB) is the top cause of death from a single infectious pathogen after COVID-19. Despite molecular diagnostic advances, two-thirds of the 10 million annual TB cases are still diagnosed using direct smear microscopy which has ~50% sensitivity. To increase the analytical performa...

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Main Authors: Xuesong Jiang, Bonolo S. P. Mathekga, Digvijay Singh, Devin Coon, Anjana Sinha, Derek Armstrong, Soumyadipta Acharya, Hai-Quan Mao, Yukari C. Manabe
Format: Article
Language:English
Published: Springer 2024-09-01
Series:Journal of Materials Science: Materials in Medicine
Online Access:https://doi.org/10.1007/s10856-024-06829-4
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author Xuesong Jiang
Bonolo S. P. Mathekga
Digvijay Singh
Devin Coon
Anjana Sinha
Derek Armstrong
Soumyadipta Acharya
Hai-Quan Mao
Yukari C. Manabe
author_facet Xuesong Jiang
Bonolo S. P. Mathekga
Digvijay Singh
Devin Coon
Anjana Sinha
Derek Armstrong
Soumyadipta Acharya
Hai-Quan Mao
Yukari C. Manabe
author_sort Xuesong Jiang
collection DOAJ
description Abstract Tuberculosis (TB) is the top cause of death from a single infectious pathogen after COVID-19. Despite molecular diagnostic advances, two-thirds of the 10 million annual TB cases are still diagnosed using direct smear microscopy which has ~50% sensitivity. To increase the analytical performance of smear microscopy, we developed and characterized a novel polymer (Polydiallyldimethylammonium chloride [PDADMAC]) engraftment on inexpensive polystyrene (PS) specifically functionalized for mycobacterial capture. Engraftment is achieved via UV photopolymerization of DADMAC monomer on plasma-activated PS. The platform was tested on sputum from presumptive TB cases in Kampala, Uganda (n = 50), with an increased overall sensitivity of 81.8% (27/33) vs. fluorescent smear microscopy 57% (19/33) compared to a molecular (Cepheid GeneXpert MTB/RIF) gold standard. Frugal smear diagnostic innovation that is rapid and does not require dedicated instrumentation may offer an important solution to bridge the TB diagnostic gap. Graphical Abstract
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institution Kabale University
issn 1573-4838
language English
publishDate 2024-09-01
publisher Springer
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series Journal of Materials Science: Materials in Medicine
spelling doaj-art-eef7d32b7f814a7d9b74afd873befc612024-12-22T12:10:50ZengSpringerJournal of Materials Science: Materials in Medicine1573-48382024-09-0135111010.1007/s10856-024-06829-4Selective mycobacterial capture with ultraviolet-polymerized poly-dimethyldiallyl chloride functionalized surfacesXuesong Jiang0Bonolo S. P. Mathekga1Digvijay Singh2Devin Coon3Anjana Sinha4Derek Armstrong5Soumyadipta Acharya6Hai-Quan Mao7Yukari C. Manabe8Department of Materials Science and Engineering, Whiting School of Engineering, Johns Hopkins UniversityCenter for Bioengineering Innovation and Design, Johns Hopkins UniversityCenter for Bioengineering Innovation and Design, Johns Hopkins UniversityDepartments of Plastic and Reconstructive Surgery, School of Medicine, Johns Hopkins UniversityCenter for Bioengineering Innovation and Design, Johns Hopkins UniversityDivision of Infectious Diseases, Department of Medicine, Johns Hopkins University School of MedicineCenter for Bioengineering Innovation and Design, Johns Hopkins UniversityDepartment of Materials Science and Engineering, Whiting School of Engineering, Johns Hopkins UniversityDivision of Infectious Diseases, Department of Medicine, Johns Hopkins University School of MedicineAbstract Tuberculosis (TB) is the top cause of death from a single infectious pathogen after COVID-19. Despite molecular diagnostic advances, two-thirds of the 10 million annual TB cases are still diagnosed using direct smear microscopy which has ~50% sensitivity. To increase the analytical performance of smear microscopy, we developed and characterized a novel polymer (Polydiallyldimethylammonium chloride [PDADMAC]) engraftment on inexpensive polystyrene (PS) specifically functionalized for mycobacterial capture. Engraftment is achieved via UV photopolymerization of DADMAC monomer on plasma-activated PS. The platform was tested on sputum from presumptive TB cases in Kampala, Uganda (n = 50), with an increased overall sensitivity of 81.8% (27/33) vs. fluorescent smear microscopy 57% (19/33) compared to a molecular (Cepheid GeneXpert MTB/RIF) gold standard. Frugal smear diagnostic innovation that is rapid and does not require dedicated instrumentation may offer an important solution to bridge the TB diagnostic gap. Graphical Abstracthttps://doi.org/10.1007/s10856-024-06829-4
spellingShingle Xuesong Jiang
Bonolo S. P. Mathekga
Digvijay Singh
Devin Coon
Anjana Sinha
Derek Armstrong
Soumyadipta Acharya
Hai-Quan Mao
Yukari C. Manabe
Selective mycobacterial capture with ultraviolet-polymerized poly-dimethyldiallyl chloride functionalized surfaces
Journal of Materials Science: Materials in Medicine
title Selective mycobacterial capture with ultraviolet-polymerized poly-dimethyldiallyl chloride functionalized surfaces
title_full Selective mycobacterial capture with ultraviolet-polymerized poly-dimethyldiallyl chloride functionalized surfaces
title_fullStr Selective mycobacterial capture with ultraviolet-polymerized poly-dimethyldiallyl chloride functionalized surfaces
title_full_unstemmed Selective mycobacterial capture with ultraviolet-polymerized poly-dimethyldiallyl chloride functionalized surfaces
title_short Selective mycobacterial capture with ultraviolet-polymerized poly-dimethyldiallyl chloride functionalized surfaces
title_sort selective mycobacterial capture with ultraviolet polymerized poly dimethyldiallyl chloride functionalized surfaces
url https://doi.org/10.1007/s10856-024-06829-4
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