Molecular detection of Gram-positive bacteria in the human lung through an optical fiber–based endoscope

  • Bethany Mills (Lead / Corresponding author)
  • , Alicia Megia-Fernandez
  • , Dominic Norberg
  • , Sheelagh Duncan
  • , Adam Marshall
  • , Ahsan R. Akram
  • , Thomas Quinn
  • , Irene Young
  • , Annya M. Bruce
  • , Emma Scholefield
  • , Gareth O.S. Williams
  • , Nikola Krstajić
  • , Tushar R. Choudhary
  • , Helen E. Parker
  • , Michael G. Tanner
  • , Kerrianne Harrington
  • , Harry A.C. Wood
  • , Timothy A. Birks
  • , Jonathan C. Knight
  • , Christopher Haslett
  • Kevin Dhaliwal, Mark Bradley (Lead / Corresponding author), Muhammed Ucuncu (Lead / Corresponding author), James M. Stone (Lead / Corresponding author)

Research output: Contribution to journalArticlepeer-review

24 Citations (Scopus)
152 Downloads (Pure)

Abstract

Purpose: The relentless rise in antimicrobial resistance is a major societal challenge and requires, as part of its solution, a better understanding of bacterial colonization and infection. To facilitate this, we developed a highly efficient no-wash red optical molecular imaging agent that enables the rapid, selective, and specific visualization of Gram-positive bacteria through a bespoke optical fiber–based delivery/imaging endoscopic device. 


Methods: We rationally designed a no-wash, red, Gram-positive-specific molecular imaging agent (Merocy-Van) based on vancomycin and an environmental merocyanine dye. We demonstrated the specificity and utility of the imaging agent in escalating in vitro and ex vivo whole human lung models (n = 3), utilizing a bespoke fiber–based delivery and imaging device, coupled to a wide-field, two-color endomicroscopy system. 


Results: The imaging agent (Merocy-Van) was specific to Gram-positive bacteria and enabled no-wash imaging of S. aureus within the alveolar space of whole ex vivo human lungs within 60 s of delivery into the field-of-view, using the novel imaging/delivery endomicroscopy device. 


Conclusion: This platform enables the rapid and specific detection of Gram-positive bacteria in the human lung.

Original languageEnglish
Pages (from-to)800-807
Number of pages8
JournalEuropean Journal of Nuclear Medicine and Molecular Imaging
Volume48
Issue number3
Early online date11 Sept 2020
DOIs
Publication statusPublished - Mar 2021

Keywords

  • Bacteria
  • Fluorescence
  • Gram-positive
  • Lung
  • Optical endomicroscopy
  • Optical imaging

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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