INDUCTIVELY COUPLED CAPACITOR WIRELESS SENSOR SYSTEM FOR RAPID ANTIMICROBIAL SUSCEPTIBILITY TESTING
20230137251 · 2023-05-04
Assignee
Inventors
Cpc classification
C12Q1/18
CHEMISTRY; METALLURGY
C12M1/34
CHEMISTRY; METALLURGY
G01N35/028
PHYSICS
International classification
Abstract
An electrochemical biosensor based on magnetically coupled LC sensors for the rapid detection of microbial growth and sensitivity to microbials. The engineered LC sensors can be placed in 96 well plates and communicate the reading remotely with a receiver coil for signal analysis. The sensors were validated by testing the growth of Escherichia. coli, Staphylococcus. aureus, and Pseudomonas aeruginosa in the presence and absence of different antibiotics. Drug-resistant strains were used as controls. Bacterial growth was detected within 30 mins of culture inoculation, allowing rapid determination of antibiotic susceptibility at the phenotypic level. The pattern shown in the LC sensor AST is consistent with results collected with traditional optical density (OD) 600 nm measurement, additional validation was also performed with lysogeny broth (LB) dosed with fetal bovine serum (FBS). With the compatibility with 96-well plates, this rapid AST may be used for low-cost, point-of-care applications.
Claims
1. A system for performing a rapid antimicrobial susceptibility test, comprising: a well including a cavity for receiving a sample containing a microbial population and an antimicrobial; a sensor having a set of defined parameters positioned vertically in the well so that the sensor will contact the sample; a receiver positioned under the well and wirelessly coupled to the sensor; and an impedance analyzer connected to the receiver and configured to identify a resonance frequency of the sensor and the receiver, to record the resonance frequency over a predetermined set of first time periods, to calculate the permittivity of the sample based on the resonance frequency and the defined parameters of the sensor, and to track the permittivity over a second predetermined time period.
2. The system of claim 1, wherein the sensor comprises an interdigitated capacitor.
3. The system of claim 2, wherein the defined parameters comprise a number of digits, a length of each digit, a distance of a gap between each digit, and a width of each digit.
4. The system of claim 3, wherein the receiver comprises a detection coil and an electro impedance spectrometer.
5. The system of claim 4, wherein each first time period of the predetermined set of first time periods comprises five minutes.
6. The system of claim 5, wherein the second predetermined time period is thirty minutes.
7. The system of claim 6, further comprising a well plate including the well.
8. The system of claim 7, wherein the well plate includes a plurality of additional wells, wherein each additional well include an additional sensor positioned vertically in the additional well that is wirelessly coupled to an additional receiver positioned under the additional well.
9. The system of claim 1, wherein the microbial population in a bacterial population and the antimicrobial is an antibiotic.
10. A method of performing an antimicrobial susceptibility test, comprising the steps of: providing a well including a cavity, a sensor having a set of defined parameters positioned in the well, and a receiver positioned under the well and wirelessly coupled to the sensor; adding a sample containing a microbial population and an antimicrobial to the well so that the sample contacts the sensors; using an impedance analyzer connected to the receiver to identify a resonance frequency of the sensor and the receiver; recording the resonance frequency over a predetermined set of first time periods; calculating the permittivity of the sample based on the resonance frequency and the defined parameters of the sensor; and tracking the calculated permittivity over a second predetermined time period.
11. The method of claim 10, further comprising the step of plotting the calculated permittivity over the second time period.
12. The method of claim 11, further comprising the step of determining whether the bacterial population is susceptible to the antibiotic based on the slope of the plotted permittivity over the second time period.
13. The method of claim 12, wherein the sensor comprises an interdigitated capacitor.
14. The method of claim 13, wherein the step of calculating the permittivity of the sample uses the resonance frequency and the defined parameters of the sensor.
15. The method of claim 14, wherein the defined parameters comprise a number of digits, a length of each digit, a distance of a gap between each digit, and a width of each digit.
16. The method of claim 15, wherein the receiver comprises a detection coil and an electro impedance spectrometer.
17. The method of claim 16, wherein each first time period of the predetermined set of first time periods comprises five minutes.
18. The method of claim 17, wherein the second predetermined time period is thirty minutes.
19. The method of claim 18, wherein the step of providing a well includes providing a well plate including the well and a plurality of additional wells, wherein each additional well includes an additional sensor positioned in the additional well that is wireless coupled to an additional receiver positioned under the additional well.
20. The method of claim 10, wherein the microbial population in a bacterial population and the antimicrobial is an antibiotic.
Description
BRIEF DESCRIPTION OF THE SEVERAL VIEWS OF THE DRAWING(S)
[0007] The present invention will be more fully understood and appreciated by reading the following Detailed Description in conjunction with the accompanying drawings, in which:
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DETAILED DESCRIPTION OF THE INVENTION
[0030] Referring to the drawings, wherein like numeral refer to like parts throughout, there is seen in
Example
[0031] Bacterial Media, Reagents and Materials
[0032] Low salt LB medium was prepared using 0.5 g/L NaCl, 10 g/L Tryptone, 5 g/L Yeast Extract, with additions of Fetal Bovine Serum. Antibiotics tested include ampicillin, ofloxacin, ciprofloxacin, vancomycin, and tobramycin. The sensors and the receiver plate were fabricated on a flexible Polyimide Flex circuit board (Custom ordered from PCBWay Prototype to volume production Factories, Shenzhen, China). Oil-based polyurethane protective spray coating was obtained from MINWAX. Permittivity data was measured using an impedance analyzer (E4990A-20 Keysight, Santa Rosa, Calif.).
[0033] Bacteria Samples Preparation
[0034] Overnight bacterial cultures were grown in 25 mL low salt LB medium and incubated at 37° C. for 16 hours with shaking at 200 rpm. To test antibiotic susceptibility, overnight cultures were used to inoculate in a low salt LB medium with starting OD.sub.600 of 0.001. Three hundred μL of the inoculant was then aliquoted to a 96 well plate with LC sensor inserts and quickly transferred to a 30° C. culture room for growth tracking.
[0035] In order to calculate the complex permittivity of the bacterial culture, an equation can be derived from parameters of the LC sensor and the resonant frequencies collected from the impedance analyzer.sup.19-21:
[0036] In which k is the cell constant of the IDC.sup.22 defined by:
[0037] All parameters needed to calculate k can be found illustrated in
[0038] Signal Processing
[0039] The resonant circuit consists of two sides, including a circuit with a coil and an interdigitated capacitor (IDC) on the sensor side and a detection coil and a signal generator/analyzer on the scanner side, as seen in
[0040] In this equation, Z.sub.int is considered as background impedance of the system and is subtracted using the built-in function of the EIS, and Z.sub.sensor can be represented using the frequency domain as:
[0041] Substituting equation (4) into equation (3), and combining with the subtraction of background noise mentioned above, the representation of total impedance on the scanner side becomes:
[0042] It is important to note that in this equation, ω (frequency), M (mutual inductance), and L.sub.2 (inductance of sensor coil) are all known parameters and can be controlled either by changing the input or the design of the IDC. This means only two parameters, the R.sub.1 and C.sub.1 are unknown and can be solved by using equation 5 after setting the imaginary part of the impedance to 0 at the zero-reactance frequency (Eq. 6) and taking the derivative of the real part of the equation (3) to set ω to resonant frequency (Eq. 7).
[0043] With these two frequencies calculated, the complex permittivity of the IDC can be calculated with the two equations mentioned above (Eq. 1 & 2).
[0044] Electromagnetic Coupling Analysis of the Sensor
[0045] Two identical coils both with 0.016 mm wire thickness, 0.016 mm wire gap, 50 turns with 25 turns on each side of the polyimide flex PCB were brought together within 1.2 mm distance separated by a 0.9 mm thick polystyrene plastic well bottom of a standard 96 well plate. Power was supplied to the receiver coil by the impedance analyzer at 50 μA current level at frequencies ranging from 1 MHz to 12 MHz.
[0046] Construction of the Sensor System
[0047] Bacterial cultures were diluted and aliquoted into a standard 96 well plate with a sensor inserted in each well. A receiver coil connected to a Keysight E4990A-20 impedance analyzer on the bottom of the 96 well plates wirelessly communicate with the sensor and scans a spectrum of electrical wavelength to identify the resonance frequency between the sensor and the receiver coil. The resonance frequency of the system was recorded every 5 mins, combined with the parameter of the sensor to calculate the permittivity of the bacterial culture. The permittivity readout is plotted as a time series, and the slope of the curve over the initial 30 mins was used to access the sensitivity score of bacteria to each tested antibiotic. The baseline of the sensitivity score is determined by acquiring the time sequence slope in sterile LB medium without treatment and known sensitive strain.
[0048] All experiments were performed with cultures incubated at 30° C. and inoculation OD.sub.600 of 0.001 unless noted otherwise. The positive and negative ends of the receiver coil situated in a die-cast aluminum electromagnetic insulated box is connected to the Impedance Analyzer via a pair of twisted and insulated stranded copper wire. The sensor was first mounted onto double-sided adhesive sheet and had the single layer protective polyurethane spray coating applied. The entire sheet of coated sensors was then left in a desiccator for 48 hours to ensure complete evaporation of solvent and curing of the coating material. Individual sensors were then removed from the sheet with adhesive backing, in turn rolled up as cup sleeves and placed inside of the wells, to avoid interference from protein and bacteria settling effect in a static culture environment, the sensing component of the sensor is placed vertical to the bottom of the well lining the wall of the well. Finally, the entire 96 well plate was placed in a UV Clave ultraviolet sterilization chamber for a 1-hour sterilization cycle. Three sensors were randomly selected to establish a baseline for each batch of sensors to ensure successful coating. On the Impedance Analyzer platform, a MATLAB program is used to trigger the equipment every 5 mins for a 35 mins duration, the program then takes the readout, search for the resonance frequency, and saved as time series for further analysis. The file triggered by the MATLAB program is written in VBScript to interface with the Impedance Analyzer to perform a preset 1600 points sweep within a 1 MHz range near the initial resonance frequency.
[0049] Sensor Design
[0050] Initial iteration of the sensor design composed of a fiber glass printed circuit board with 5 turns of coil on both sides of the PCB with 11 0.5 mm digits spaced 0.5 mm apart. The sensor was placed inside of a upside down 50 ml conical tubing with 20 mL of LB inoculated with 0.0001 OD600 E. coli MG1655 ASV. The assembly is then placed on a shaker set to 200 rpm overnight in a 37° C. culture room. The growth curve against background curve obtained from the system is shown in
[0051] After performing analysis of the equation with method of Morris sensitivity analysis in SALib (Sensitivity Analysis Library in Python), it was revealed that the number of turns in the coil had the largest influence on the permittivity value, followed by the outer diameter of the coil and the distance D between the digits as seen in
[0052] Bacterial Growth Monitoring and ASTs
[0053] To ensure the conductive nature of the media doesn't interfere with the sensor, low salt LB was selected as the medium for bacterial growth in this study. Growth curves for both regular LB and low salt LB were recorded with traditional OD600 measurement over a period of 12 hours (
[0054] To determine if this sensor can be used for AST, an ampicillin sensitive strain E. coli MG1655 and ampicillin resistant strain E. coli MG1655 ASV were compared for growth in the absence and presence of ampicillin. Both strains were dosed with 100 μg/mL ampicillin at the time of inoculation and cultured for 4 hours, which is known to induce cell lysis in sensitive E. coli strains. As
[0055] Subsequent experiments were performed on more antibiotics and all three previously tested bacterial species, with the detection window of sensitivity to antibiotics within 30 mins. In order to create a more uniform test time towards the goal of creating a standard method, the test time was set universally at 30 mins with 5 mins read interval, since most growth curves shows initial signs of resistance or growth in that time frame, as seen in
[0056] Performance in the Presence of Host Proteins
[0057] Samples collected in a clinical setting is often complex. Whole blood, plasma, serum, urine, or other liquid from the human body contains significantly more types and larger amounts of proteins and cells compared to a laboratory culture media. Thus, it is necessary to test the sensor system with the addition of complex components in order to determine the feasibility of implementing this system in clinical setting where sample preparation beyond dilution and centrifugation is seldom performed. For the above reasons, fetal bovine serum was selected to mimic human serum and added to low salt LB at different percentages. The response of the sensor system is shown in
[0058] With thicker free space for sensing, the system can be further optimized to capture more complex samples, and longer-term growth pattern.
[0059] This study demonstrated that the feasibility of rapid AST using LC sensor in a 96 well plate format. To our best knowledge, this is the fastest AST test at the phenotype level without using complex equipment. Compared to genotypic ASTs, this system only requires simple sample preparation (dilution only) and can be fitted into an automated workflow for high-throughput detection. The system can generate reports with little computational power without needing an advanced data analyst or the capability of handling massive data sets (e.g., those required by MALDI-TOF). The system is also not limited to the use of specific cartridges for a limited selection of strains, instead uses a reference library for identifying MIC of antibiotics of interest. Compared with other existing automated phenotypical approaches, this method achieves AST with significantly shorter detection time (˜30 mins). The system can be optimized in the future by employing high-throughput method in which the whole 96 well-plate can be processed in a relatively short amount of time, enabling a more comprehensive assay. This is part of our ongoing work. The coating material and coating thickness of the chips can also be optimized to achieve higher accuracy and tolerance to fouling from the growth media or cellular products. The results of 2% FBS demonstrates the possibility to test clinical samples after simple dilution of patient sample. To handle even higher serum percentage, the IDE design could be adjusted to increase the saturation thickness ergo increase the upper concentration limit of FBS content. It has been reported that the saturation thickness can be described by Eq. 8-10, where a1 and a2 are both functions of digit width W and gap width D.
[0060] With thicker free space for sensing, the system can be further optimized to capture more complex samples, and longer-term growth pattern. The design of the LC sensor too, can be modified and optimized to fit into various format. For example, lithography could be used to fit the system into smaller format or microfluidic devices.