An Amperometric Biosensor for the Determination of Bacterial Sepsis Biomarker, Secretory Phospholipase Group 2-IIA Using a Tri-Enzyme System

A tri-enzyme system consisting of choline kinase/choline oxidase/horseradish peroxidase was used in the rapid and specific determination of the biomarker for bacterial sepsis infection, secretory phospholipase Group 2-IIA (sPLA2-IIA). These enzymes were individually immobilized onto the acrylic microspheres via succinimide groups for the preparation of an electrochemical biosensor. The reaction of sPLA2-IIA with its substrate initiated a cascading enzymatic reaction in the tri-enzyme system that led to the final production of hydrogen peroxide, which presence was indicated by the redox characteristics of potassium ferricyanide, K3Fe(CN)6. An amperometric biosensor based on enzyme conjugated acrylic microspheres and gold nanoparticles composite coated onto a carbon-paste screen printed electrode (SPE) was fabricated and the current measurement was performed at a low potential of 0.20 V. This enzymatic biosensor gave a linear range 0.01–100 ng/mL (R2 = 0.98304) with a detection limit recorded at 5 × 10−3 ng/mL towards sPLA2-IIA. Moreover, the biosensor showed good reproducibility (relative standard deviation (RSD) of 3.04% (n = 5). The biosensor response was reliable up to 25 days of storage at 4 °C. Analysis of human serum samples for sPLA2-IIA indicated that the biosensor has potential for rapid bacterial sepsis diagnosis in hospital emergency department.

[1]  Mervyn Singer,et al.  Biomarkers in sepsis , 2013, Current Opinion in Pulmonary Medicine.

[2]  T. Yan,et al.  Applying the Quartz Crystal Microbalance Technique to Detect the Epithelial Cell Tight Junction Integrality of Caco-2 Cells , 2010 .

[3]  W. Knaus,et al.  Definitions for sepsis and organ failure and guidelines for the use of innovative therapies in sepsis. The ACCP/SCCM Consensus Conference Committee. American College of Chest Physicians/Society of Critical Care Medicine. 1992. , 2009, Chest.

[4]  A. N. Díaz,et al.  Sol-gel horseradish peroxidase biosensor for hydrogen peroxide detection by chemiluminescence , 1998 .

[5]  Yu Yang,et al.  Preparation and characterization of magnetic polymer nanospheres with high protein binding capacity , 2005 .

[6]  R. Blasi,et al.  Evaluation of Neutrophil CD64 Expression and Procalcitonin as Useful Markers in Early Diagnosis of Sepsis , 2008, International journal of immunopathology and pharmacology.

[7]  Ahmad Musa,et al.  A Biosensor for Urea from Succinimide-Modified Acrylic Microspheres Based on Reflectance Transduction , 2011, Sensors.

[8]  T. L. Tan,et al.  The role of group IIA secretory phospholipase A2 (sPLA2-IIA) as a biomarker for the diagnosis of sepsis and bacterial infection in adults—A systematic review , 2017, PloS one.

[9]  J. Nuutila,et al.  Simultaneous quantitative analysis of FcgammaRI (CD64) expression on neutrophils and monocytes: a new, improved way to detect infections. , 2007, Journal of immunological methods.

[10]  M. Büchler,et al.  Serum phospholipase A2 in patients with multiple organ failure. , 1996, The Journal of surgical research.

[11]  K. Pulkki,et al.  Endotoxin, interleukin-6 and phospholipase-A2 as markers of sepsis in patients with hematological malignancies. , 1995, Scandinavian journal of infectious diseases.

[12]  T. Nevalainen,et al.  Early identification of bacteremia by biochemical markers of systemic inflammation , 2001, Scandinavian journal of clinical and laboratory investigation.

[13]  D. Jayne,et al.  An amperometric lactate biosensor using H2O2 reduction via a Prussian Blue impregnated poly(ethyleneimine) surface on screen printed carbon electrodes to detect anastomotic leak and sepsis , 2013 .

[14]  G. Béréziat,et al.  Secretory non-pancreatic phopholipase A2 in severe sepsis: Relation to endotoxin, cytokines and thromboxane B2 , 1996, Infection.

[15]  P. Puolakkainen,et al.  Extracellular phospholipases A2 in relation to systemic inflammatory response syndrome (SIRS) and systemic complications in severe acute pancreatitis. , 1999, Pancreas.

[16]  M. Gelb,et al.  Time-resolved fluoroimmunoassays of the complete set of secreted phospholipases A2 in human serum. , 2005, Biochimica et biophysica acta.

[17]  Yan Mi,et al.  Amperometric Hydrogen Peroxide Biosensor Based on Immobilization of Hemoglobin on a Glassy Carbon Electrode Modified with Fe3O4/Chitosan Core-Shell Microspheres , 2009, Sensors.

[18]  Minakshi,et al.  Fabrication of an Amperometric Triglyceride Biosensor based on PVC Membrane , 2009 .

[19]  Ida Zarina Zaini,et al.  CD64 and Group II Secretory Phospholipase A2 (sPLA2-IIA) as Biomarkers for Distinguishing Adult Sepsis and Bacterial Infections in the Emergency Department , 2016, PloS one.

[20]  J. Vincent,et al.  Sepsis biomarkers: a review , 2010, Critical care.

[21]  Lee Yook Heng,et al.  A Potentiometric Formaldehyde Biosensor Based on Immobilization of Alcohol Oxidase on Acryloxysuccinimide-modified Acrylic Microspheres , 2010, Sensors.

[22]  B. Davis Improved diagnostic approaches to infection/sepsis detection , 2005, Expert review of molecular diagnostics.

[23]  T. Nevalainen,et al.  Group II phospholipase A2 in sera of febrile patients with microbiologically or clinically documented infections. , 1993, Clinical infectious diseases : an official publication of the Infectious Diseases Society of America.

[24]  Dong-Yun Lee,et al.  A hydrogen peroxide biosensor based on peroxidase activity of hemoglobin in polymeric film. , 2007, Journal of nanoscience and nanotechnology.

[25]  Musa Ahmad,et al.  Amperometric capsaicin biosensor based on covalent immobilization of horseradish peroxidase (HRP) on acrylic microspheres for chilli hotness determination , 2017 .

[26]  T. Ling,et al.  A regenerable screen-printed DNA biosensor based on acrylic microsphere–gold nanoparticle composite for genetically modified soybean determination , 2014 .