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ChemComm
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DOI: 10.1039/C8CC06300A
COMMUNICATION
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Table 1 Diagnostic results obtained by BVBlue test and acids. TPE4S exhibited good hydrophilicity and adequate
investigated TPE4S fluorescence test.
Determined by TPE4S fluorescence test
sensitivity towards sialidase, and the maximum fluorescence
enhancement was ~40 folds when sialidase triggered the
deglycosylation. Determination of KM constant, ESI-MS and DLS
experiments confirmed that TPE4S could be hydrolyzed by
sialidase to release hydrophobic TPE4A to undergo rapid
accumulation to report sialidase activity under physiological
conditions. The very low KM value (24.8-77.5 μM) of TPE4S in
the sialidase-catalyzed reaction indicated an increased affinity
of TPE4S with sialidase compared with the previous
monosaccharide derived chromogenic substrate. Most
importantly, TPE4S was utilized for the screening of sialidase
inhibitors successfully and also turned out to be a potential
and promising diagnostic agent for the bacterial vaginosis
caused by sialidase-producing anaerobic bacteria.
No. (%) of samples
Weak
Determined by
BVBlue test (No. of
samples)
Strong
Positive
(I/I0 > 10)
3 (2.7)
Normal
positive
(5< I/I0 ≤ 10)
(0< I/I0 ≤ 5)
Normala(110)
101(91.8)
3 (7.5)
6(5.5)
BV (40)
7 (17.5)
30 (75.0)
a Cleaning degree of vagina: I and II.
BVBlue test for diagnosis of BV, which was based on the
detection of elevated sialidase produced by anaerobic
pathogens in vaginal fluid samples qualitatively, has been
found to be reliable compared with the conventional methods
such as Amsel criteria and Nugent scoring system.5 As the
presence of sialidase is currently considered as a key indicator
of BV in the clinical examination, TPE4S was then investigated
to show the feasibility as a powerful diagnostic tool for the
high throughput fluorescence-guided diagnosis of BV.
The project was financially supported by the National
Natural Science Foundation of China (21272027).
Conflicts of interest
There are no conflicts to declare.
A total of 150 reproductive-aged women presented in
gynaecological clinics were recruited into the study, which
were divided into two groups according to the diagnosis
results by BVBlue test and microscopic observations for vaginal
cleanliness determinations (healthy group: 110; BV group: 40).
The vaginal fluid specimens collected from each patient were
also diagnosed by incubation with TPE4S at 37°C. Based on the
relative fluorescence intensities (I/I0) monitored at 510 nm of
experimental groups (I) and control group (I0) in which only 20
μM TPE4S was added, we graded the samples as normal (grade
1, 0< I/I0 ≤ 5), sialidase weak positive (grade 2, 5< I/I0 ≤ 10), and
sialidase strong positive (grade 3, I/I0 > 10). The results
obtained by both the BVBlue test and our TPE4S method are
shown in Table 1. 91.8% of participants having negative
BVBlue tests result showed no positive reaction with our
TPE4S fluorescence test, and only three (2.7%) samples from
this group were strong positive by our method. Besides, the
sialidase-positive samples determined by BVBlue test also
demonstrated a high proportion of weak/strong positive
results (92.5%), with three of forty patients (7.5%) being in the
normal grade by our test. The sensitivity and specificity of our
fluorescence-guided method compared with the diagnosis
results by BVBlue test were found to be 92.5% and 91.8%
respectively. In addition, leukocyte esterase, another routine
examination item in gynecological examination, could not lead
to the changes of the fluorescence intensity of TPE4S (Fig.
S10). Meanwhile, the kappa coefficient (0.805, P<0.001)
indicates good agreement between our new method and the
Notes and references
1
2
3
Y.-j. Wang and G.-w. Xing, Chin. J. Org. Chem., 2011, 1157.
T. Corfield, Glycobiology, 1992, , 509.
(a) R. Wagner, M. Matrosovich and H.-D. Klenk, Rev. Med.
2
Virol., 2002, 12, 159; (b) J. Magano, Chem. Rev. , 2009, 109
4398.
,
4
5
J. E. Galen, J. M. Ketley, A. Fasano, S. H. Richardson, S. S.
Wasserman and J. B. Kaper, Infect. Immun., 1992, 60, 406.
(a) R. Wiggins, T. Crowley, P. J. Horner, P. W. Soothill, M. R.
Millar and A. P. Corfield, J. Clin. Microbiol., 2000, 38, 3096;
(b) L. Myziuk, B. Romanowski and S. C. Johnson, J. Clin.
Microbiol., 2003, 41, 1925.
6
(a) M. Potier, L. Mameli, M. Bélisle, L. Dallaire and S. B.
Melançon, Anal. Biochem., 1979, 94, 287; (b) I. Fujii, Y.
Iwabuchi, T. Teshima, T. Shiba and M. Kikuchi, Bioorg. Med.
Chem., 1993, 1, 147.
Y.-j. Wang, Z.-y. Gu and G.-w. Xing, Chem. Asian J., 2012, 7,
489.
(a) G.-J. Liu, Z. Long, H.-j. Lv, C.-y. Li and G.-w. Xing, Chem.
Commun., 2016, 52, 10233; (b) X. Dong, G. Zhang, J. Shi, Y.
Wang, M. Wang, Q. Peng and D. Zhang, Chem. Commun.,
2017, 53, 11654; (c) H. Fang, G. Cai, Y. Hu and J. Zhang,
Chem. Commun., 2018, 54, 3045; (d) J. Wang, Q. Chen, N.
Bian, F. Yang, J. Sun, A. Qi, C. Yan, B. Han, Org. Biomol.
7
8
Chem., 2011, 9, 2219.
9
(a) Y. Hong, J. W. Y. Lam and B. Z. Tang, Chem. Commun.,
2009, 4332; (b) D. Lou, X. Lu, M. Zhang, M. Bai and J. Jiang,
Chem. Commun., 2018, 54, 6987.
10 (a) G.-J. Liu, C.-Y. Li, X.-T. Zhang, W. Du, Z.-Y. Gu and G.-W.
Xing, Chin. Chem. Lett., 2018, 29, 1; (b)G.-j. Liu, X.-t. Zhang
and G.-w. Xing, Chem. Commun., 2015, 51, 12803.
BVBlue test. Notably, compared with qualitative BVBlue test, 11 (a) M. J. Todd and J. Gomez, Anal. Biochem., 2001, 296, 179;
(b) H. J. Wiggers, J. Cheleski, A. Zottis, G. Oliva, A. D.
Andricopulo and C. A. Montanari, Anal. Biochem., 2007, 370
107; (c) J. Cheleski, H. J. Wiggers, A. P. Citadini, A. J. da Costa
Filho, M. C. Nonato and C. A. Montanari, Anal. Biochem.,
2010, 399, 13.
our method should give more accurate classification and
quantification of the severity of BV based on the relative
fluorescence intensity (I/I0), indicating the enormous clinical
potential of TPE4S as a new simple diagnostic tool for facile
diagnosis of BV.
,
12 M. Richter, L. Schumann, E. Walther, A. Hoffmann, H. Braun,
U. Grienke, J. M. Rollinger, S. von Grafenstein, K. R. Liedl, J.
Kirchmair, P. Wutzler, A. Sauerbrei and M. Schmidtke, Future
Virol., 2015, 10, 77.
13 M. Weïwer, C.-C. Chen, M. M. Kemp and R. J. Linhardt, Eur. J.
Org. Chem. , 2009, 2009, 2611.
In summary, we have developed a “smart” sugar–coated
turn-on AIEgen (TPE4S) with multivalency of sialic acids.
Dendrimer TPE4S was equipped via “click” coupling reaction
between an alkynyl terminated TPE and azide-annexed sialic
4 | J. Name., 2012, 00, 1-3
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