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Updated: Jul 31, 2026

Biosensor for Detection of Antibiotic Resistant Staphylococcus Bacteria
Published on: May 8, 2013
A fluorogenic micrococcal nuclease-based probe for fast detection and optical imaging of Staphylococcus aureus in
Jorrit W A Schoenmakers1,2, Marina López-Álvarez1, Frank F A IJpma3
1Department of Medical Microbiology and Infection Prevention, University of Groningen, University Medical Center Groningen (UMCG), Hanzeplein 1, 9700RB, Groningen, The Netherlands.
Purpose:
Staphylococcus aureus is the most common and impactful multi-drug resistant pathogen implicated in (periprosthetic) joint infections (PJI) and fracture-related infections (FRI). Therefore, the present proof-of-principle study was aimed at the rapid detection of S. aureus in synovial fluids and biofilms on extracted osteosynthesis materials through bacteria-targeted fluorescence imaging with the 'smart-activatable' DNA-based AttoPolyT probe. This fluorogenic oligonucleotide probe yields large fluorescence increases upon cleavage by micrococcal nuclease, an enzyme secreted by S. aureus.
Methods:
Synovial fluids from patients with suspected PJI and extracted osteosynthesis materials from trauma patients with suspected FRI were inspected for S. aureus nuclease activity with the AttoPolyT probe. Biofilms on osteosynthesis materials were imaged with the AttoPolyT probe and a vancomycin-IRDye800CW conjugate (vanco-800CW) specific for Gram-positive bacteria.
Results:
38 synovial fluid samples were collected and analyzed. Significantly higher fluorescence levels were measured for S. aureus-positive samples compared to, respectively, other Gram-positive bacterial pathogens (p < 0.0001), Gram-negative bacterial pathogens (p = 0.0038) and non-infected samples (p = 0.0030), allowing a diagnosis of S. aureus-associated PJI within 2 h. Importantly, S. aureus-associated biofilms on extracted osteosynthesis materials from patients with FRI were accurately imaged with the AttoPolyT probe, allowing their correct distinction from biofilms formed by other Gram-positive bacteria detected with vanco-800CW within 15 min.
Conclusion:
The present study highlights the potential clinical value of the AttoPolyT probe for fast and accurate detection of S. aureus infection in synovial fluids and biofilms on extracted osteosynthesis materials.
Insights
A novel DNA-based probe, AttoPolyT, rapidly detects Staphylococcus aureus infections in joint fluid and biofilms. This smart-activatable probe offers a fast and accurate diagnostic tool for periprosthetic joint infections and fracture-related infections.
Area of Science:
- Microbiology
- Molecular Biology
- Biotechnology
Background:
- Staphylococcus aureus is a leading cause of multidrug-resistant infections, particularly in periprosthetic joint infections (PJI) and fracture-related infections (FRI).
- Current diagnostic methods for S. aureus can be time-consuming, delaying appropriate treatment for these serious conditions.
Purpose of the Study:
- To evaluate the efficacy of a novel 'smart-activatable' DNA-based probe, AttoPolyT, for the rapid detection of S. aureus.
- To assess the probe's utility in identifying S. aureus in synovial fluids and biofilms on osteosynthesis materials.
Main Methods:
- The AttoPolyT probe was used to detect micrococcal nuclease activity, an enzyme secreted by S. aureus, in synovial fluid samples and biofilms.
- Fluorescence imaging was employed to visualize S. aureus-specific signals, with comparisons made to other bacterial pathogens and non-infected samples.
- A vancomycin-IRDye800CW conjugate (vanco-800CW) was used to identify Gram-positive bacteria in biofilms.
Main Results:
- The AttoPolyT probe demonstrated significantly higher fluorescence in S. aureus-positive samples compared to other bacterial pathogens and non-infected samples.
- Diagnosis of S. aureus-associated PJI was achieved within 2 hours using synovial fluid analysis.
- S. aureus biofilms on osteosynthesis materials were accurately imaged within 15 minutes, distinguishing them from other Gram-positive bacterial biofilms.
Conclusions:
- The AttoPolyT probe shows significant potential for the rapid and accurate detection of S. aureus infections.
- This technology could expedite the diagnosis of PJI and FRI, leading to improved patient outcomes.
- The probe's ability to differentiate S. aureus in biofilms is crucial for managing implant-associated infections.
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