Maha Alafeef1,2,3,4, Parikshit Moitra2, Ketan Dighe2,4, Dipanjan Pan1,2,4. 1. Bioengineering Department, The University of Illinois at Urbana-Champaign, Urbana, Illinois 61801, United States. 2. Departments of Diagnostic Radiology and Nuclear Medicine and Pediatrics, Center for Blood Oxygen Transport and Hemostasis, University of Maryland Baltimore School of Medicine, Health Sciences Research Facility III, 670 W. Baltimore Street, Baltimore, Maryland 21201, United States. 3. Biomedical Engineering Department, Jordan University of Science and Technology, Irbid 22110, Jordan. 4. Department of Chemical, Biochemical and Environmental Engineering, University of Maryland Baltimore County, Interdisciplinary Health Sciences Facility, 1000 Hilltop Circle, Baltimore, Maryland 21250, United States.
Abstract
Efficient monitoring of SARS-CoV-2 outbreak requires the use of a sensitive and rapid diagnostic test. Although SARS-CoV-2 RNA can be detected by RT-qPCR, the molecular-level quantification of the viral load is still challenging, time-consuming, and labor-intensive. Here, we report an ultrasensitive hyperspectral sensor (HyperSENSE) based on hafnium nanoparticles (HfNPs) for specific detection of COVID-19 causative virus, SARS-CoV-2. Density functional theoretical calculations reveal that HfNPs exhibit higher changes in their absorption wavelength and light scattering when bound to their target SARS-CoV-2 RNA sequence relative to the gold nanoparticles. The assay has a turnaround time of a few seconds and has a limit of detection in the yoctomolar range, which is 1 000 000-fold times higher than the currently available COVID-19 tests. We demonstrated in ∼100 COVID-19 clinical samples that the assay is highly sensitive and has a specificity of 100%. We also show that HyperSENSE can rapidly detect other viruses such as influenza A H1N1. The outstanding sensitivity indicates the potential of the current biosensor in detecting the prevailing presymptomatic and asymptomatic COVID-19 cases. Thus, integrating hyperspectral imaging with nanomaterials establishes a diagnostic platform for ultrasensitive detection of COVID-19 that can potentially be applied to any emerging infectious pathogen.
Efficient monitoring of SARS-CoV-2 outbreak requires the use of a sensitive and rapid diagnostic test. Although SARS-CoV-2 RNA can be detected by RT-qPCR, the molecular-level quantification of the viral load is still challenging, time-consuming, and labor-intensive. Here, we report an ultrasensitive hyperspectral sensor (HyperSENSE) based on hafnium nanoparticles (HfNPs) for specific detection of COVID-19 causative virus, SARS-CoV-2. Density functional theoretical calculations reveal that HfNPs exhibit higher changes in their absorption wavelength and light scattering when bound to their target SARS-CoV-2 RNA sequence relative to the gold nanoparticles. The assay has a turnaround time of a few seconds and has a limit of detection in the yoctomolar range, which is 1 000 000-fold times higher than the currently available COVID-19 tests. We demonstrated in ∼100 COVID-19 clinical samples that the assay is highly sensitive and has a specificity of 100%. We also show that HyperSENSE can rapidly detect other viruses such as influenza A H1N1. The outstanding sensitivity indicates the potential of the current biosensor in detecting the prevailing presymptomatic and asymptomatic COVID-19 cases. Thus, integrating hyperspectral imaging with nanomaterials establishes a diagnostic platform for ultrasensitive detection of COVID-19 that can potentially be applied to any emerging infectious pathogen.
Early identification of infectious diseases is critical in alleviating the transmission of
disease by increasing self-isolation and timely care. When COVID-19 exploded onto the global
stage in December 2019, public health authorities first deployed measures that were used to
control severe acute respiratory syndrome (SARS) in 2003, including symptom-based case
identification and eventual isolation and quarantine monitoring.[1−3] This preliminary strategy was justified by several correlations between
SARS-CoV and COVID-19 causative virus SARS-CoV-2, including strong genetic correlation,
transmission mainly by respiratory droplets, and the occurrence of lower respiratory
symptoms including fever, cough, and shortness of breath of both infections emerging within
5 days of exposure.[1,4]
However, amid the deployment of identical control measures, the trajectories of the two
epidemics have shifted drastically in different directions. To date, SARS-CoV-2 has infected
millions of people in one year and continues to spread rapidly across the world.[5] One of the other reasons for the virulent spread of COVID-19 is its closeness
with the influenza virus regarding its clinical presentation, transmission mechanism, and
seasonal coincidence.[6] Since both are respiratory viruses, they can have
a variety of overlapping symptoms. While certain symptoms are slightly more connected with
one virus than the other, a clinical decision cannot be made based on the symptoms to rule
in or out either illness. A biosensor is therefore urgently required to selectively detect
and distinguish COVID-19 and influenza viruses.The crucial factor in the rapid transmission of COVID-19 is the high level of SARS-CoV-2
shedding in the upper respiratory tract, even among both asymptomatic and presymptomatic
patients.[7,8] For
example, SARS-CoV-2 viral load (VL) peaks at 0.7 day before the onset of symptoms,
indicating that transmission occurs early in the process of infection.[9,10] Additionally, the VL kinetics in mild
and severe cases of COVID-19 as well as VL between asymptomatic carriers and symptomatic
COVID-19patients have no reported differences.[11,12] The World Health Organization (WHO) reports that about 16%
of individuals with COVID-19 are asymptomatic and can spread coronavirus, although other
statistics suggest that 40% of SARS-CoV-2 transmission is attributed to carriers with no
signs of the disease.[13] In contrast, people with asymptomatic cases of
influenza typically have lower quantitative VL of secretions from the upper respiratory
tract than from the lower respiratory tract and a shorter length of viral secretion than
those with symptoms.[14−16] Therefore, the
asymptomatic transmission of SARS-CoV-2 is the Achilles’ heel of the currently
deployed public health strategies to mitigate this pandemic, and hence an ultrasensitive
SARS-CoV-2 biosensor is an immediate requirement for the classification among asymptomatic,
presymptomatic, and symptomatic COVID-19patients.[1,17]Currently, most screening techniques require sampling of body fluids such as nasal fluid,
saliva, or blood, followed by nucleic acid-based testing to identify active infections or
blood-based serological identification of past infections. Although they are highly
sensitive, nucleic acid-based diagnostics may require samples gathered several days
postexposure for unambiguous positive detection.[18] For example, in most
individuals with symptomatic COVID-19infection, the most used and reliable test for
diagnosis of COVID-19 has been the reverse transcription-polymerase chain reaction (RT-PCR)
test, where the SARS-CoV-2 viral RNA in the nasopharyngeal swab as measured by the cycle
threshold (Ct) becomes detectable as early as day 1 of symptoms and peaks within the first
week of symptom onset.[18] Moreover, a “positive” PCR outcome
indicates only the identification of viral RNA and does not generally mean that a viable
virus is present.[18] This could potentially lead to missed asymptomatic
cases. Therefore, the ability to perform practical real-time COVID-19 screening is extremely
crucial in assessing the risk and monitoring pathogen presence in the community.Toward this end, we developed a universal platform for pathogen detection. We have utilized
herein a hyperspectral-based nanoimaging technique (HyperSENSE) for rapid multiplex
detection and to distinguish between SARS-CoV-2 and influenza viruses. Hyperspectral imaging
is a technique that has gained a lot of attention in the past decade from both the academic
and industrial world due to its capability of providing spatial and physicochemical
information on the investigated species.[19−23] The
hyperspectral microscopes can capture images that contain one full spectrum of the reflected
light in each pixel of the image, identifying the spectral response of the nanoparticles and
confirming their presence and the way they interact with biological samples. In this study,
we used hyperspectral imaging in combination with microscopy to examine the unique
scattering signature spectra of molecularly targeted nanoprobes. We hypothesized that the
spectra attained from nanoprobes will be highly specific for the metals used for derivation
of the nanoparticles and can be potentially used to indicate hybridization or binding
events. Due to the differences in sample scattering, it will be also feasible to
differentiate the nanoprobes when individual pixels are selected in an area of interest from
pixels where the probes will be interacting with the viral nucleic acid.A class of nanomaterial, hafnium nanoparticles (HfNPs) conjugated to antisense
oligonucleotide (ASO), has been employed herein for sensing purposes. The performance of
HfNPs has also been compared with similar ASO-conjugated gold nanoparticles. The shift in
hyperspectral scattering has also been adequately explained from density functional
theoretical calculations. In this work, a hyperspectral imaging technique based on the
scattering of light was used for the estimation of the viral RNA concentration. The goal of
this study was to propose a hyperspectral imaging-based technique for biosensing. To the
best of our knowledge, this is an unexplored area, and our study established here that a
reflectance scattering-based system can successfully be used for detecting a very low level
of viral nucleic acid in biological samples. Here we introduce a hyperspectral imaging-based
platform that can be used to diagnose a multitude of diseases. The potential for the
development of a point of care (POC)-type device can easily be envisioned; however this was
out of the scope of the current work. Overall, the currently developed technique, because of
its extremely low detection limit, has the potential to differentiate and discriminate among
presymptomatic, asymptomatic, and symptomatic positive COVID-19patients from the negative
ones.
Results and Discussion
Design of Antisense Oligonucleotides for Targeting Pathogen’s RNA
To selectively target the pathogen’s RNA, we have chosen to design antisense
oligonucleotides. These ASOs are single-stranded DNA (ssDNA) sequences that can
specifically recognize and bind to their target complementary RNA strands. We designed a
pair of ASOs that is highly specific and sensitive to SARS-CoV-2N-gene
(Supplementary Data 1).[17,23] The methodology behind the design of ASOs has been
mentioned in the Materials and Methods section. Briefly, the
target binding energies and binding disruption energies were carefully compared to select
the ASO sequences specific for the SARS-CoV-2N-gene. Further, to
initiate nanoparticle aggregation in the presence of the target RNA, only the ASOs
targeting closely following regions in their target sequence were selected. Separately, to
expand the applicability of the current HyperSENSE system for the multiplex detection of
SARS-CoV-2 and influenza, we have also utilized two ASOs,[24,25] which target the hemagglutinin (HA) gene of
influenza A H1N1 virus. Table shows the ASO
sequences specific for SARS-CoV-2 or influenza A H1N1 which have been used throughout this
study.
Table 1
Selected ASO Sequences Targeted for the N-Gene of SARS-CoV-2 and HA Gene of
Influenza A H1N1 Virus
target gene
target sequence (5′–3′)
antisense oligonucleotide sequence
(5′–3′)
N gene of SARS-CoV-2
ACACCAAAAGAUCACAUUGG
CCAATGTGATCTTTTGGTGT (ASO1)
CCCGCAAUCCUGCUAACAAU
ATTGTTAGCAGGATTGCGGG (ASO2)
HA gene of influenza A H1N1
CUAGUACUGUGUCUACAGUGUC
GACACTGTAGACACAGTACTAG (ASO3)
ACAGGAAGCAAAGCACAGGG
CCCTGTGCTTTGCTTCCTGT (ASO4)
Design, Synthesis, and Validation of Hyperspectral-Responsive Nanoprobes for the
Selective Detection of Viral RNA
Hyperspectral-based imaging techniques possess the ability to capture spectral
information for multiple wavelengths at each pixel in an image.[23,26,27] This
capability offers the ability to discriminate, with precision, different nanomaterials and
differentiate them from biological materials.[28,29] Nanoparticles are an excellent candidate for sensor
construction due to their photophysical properties.[23,30] Our current sensor platform relies on one such
important parameter, in which the aggregation among nanoparticles will induce a change in
their light scattering. Hyperspectral imaging (HSI) is capable of identifying individual
nanoparticles in pure suspensions and in the presence of biological samples by their
intrinsic scattering spectra without the use of any additional labeling agent. The
technique therefore will be ideal for detecting metallic nanoparticles with unique
spectral scattering signatures and achieve highly sensitive nondestructive molecular
detection. In this study, we investigated two types of nanoparticles for constructing the
biosensor. Hafnium nanoparticles and gold nanoparticles (AuNPs) were synthesized to test
their sensing performance. While AuNPs are widely used for biomedical and biosensing
applications,[17,23,31−33] HfNPs remained unexplored, especially for sensing purposes.Density functional theoretical calculations were judiciously employed first to
investigate the differential interaction of two ASOs conjugating two types of
nanoparticles before and after the hybridization with their target RNA sequence.
Initially, the target RNA sequences, ASO1- and ASO2-conjugated HfNPs and AuNPs, were
energy minimized. The sequences considered for theoretical calculations are represented in
Table S1, and the corresponding energy-minimized structures are shown in
Figure S1. The ASO-conjugated nanoparticles were then docked with their
target RNA sequences in Autodock 4.0 software, and the respective geometries are shown in
Figure S2. It was understood that the ASO1-conjugated nanoparticles
stabilized their target RNA sequences better than the ASO2-conjugated nanoparticles
plausibly due to improved hydrogen bonding among the participating nucleotides. HfNPs
(Figure S3), ASO-conjugated HfNPs (Figure S4), and AuNPs (Figure S5) and the corresponding docked geometries were further considered
for the calculation of HOMO and LUMO surface maps, and the energy gaps between them were
calculated (Figure a–d). From the
comparative HOMO–LUMO surface energies, it has been found that the binding of
ASO-conjugated nanoparticles with their complementary target RNA sequences leads to a
decrease in band gap (Table ), and hence it has
been anticipated that the binding would increase in absorption wavelength (Figure S6), which might be followed by an increase in hyperspectral
scattering.
Figure 1
Selection of nanoparticle probe for HyperSENSE platform construction. Pictorial
diagram of HOMO and LUMO for (a, c) ASO1- and (b, d) ASO2-conjugated (a, b) Hf and (c,
d) Au nanoparticles while bonded in their docked geometry with the target SARS-CoV-2
RNA sequence. Enhanced dark-field hyperspectral imaging (EDF-HSI) for (e)
HfNPs-Pmix, and (f) AuNPs-Pmix, respectively, after the
addition of SARS-CoV-2 RNA. (g) Shift in the hyperspectral signal as obtained from the
AuNPs and HfNPs as a sensing probe (n = 3, P <
0.05).
Table 2
Comparison Table on the Calculation of the Band Gap between the ASO-Conjugated
Gold and Hafnium Nanoparticles with Their Target RNA Docked Geometries
name
ΔELUMO–HOMO in
Hartree
ΔELUMO–HOMO in
eV
AuNPs-ASO1
0.0016
0.044
Au-ASO1-conjugated with target RNA
0.0009
0.024
Au-ASO2
0.0044
0.12
Au-ASO2-conjugated with target RNA
0.0031
0.084
HfNPs
0.0667
1.815
Hf-ASO1
0.0017
0.046
Hf-ASO1-conjugated with target RNA
0.0005
0.014
Hf-ASO2
0.0033
0.09
Hf-ASO2-conjugated with target RNA
0.0004
0.011
Selection of nanoparticle probe for HyperSENSE platform construction. Pictorial
diagram of HOMO and LUMO for (a, c) ASO1- and (b, d) ASO2-conjugated (a, b) Hf and (c,
d) Au nanoparticles while bonded in their docked geometry with the target SARS-CoV-2
RNA sequence. Enhanced dark-field hyperspectral imaging (EDF-HSI) for (e)
HfNPs-Pmix, and (f) AuNPs-Pmix, respectively, after the
addition of SARS-CoV-2 RNA. (g) Shift in the hyperspectral signal as obtained from the
AuNPs and HfNPs as a sensing probe (n = 3, P <
0.05).It was also observed that the comparative band gap was reduced more for HfNPs than for
the AuNPs. This indicated an increased change in absorbance and increased light scattering
in the case of HfNPs compared with AuNPs. It was also understood that there is close
interaction among the target RNA and ASO sequences, leading to the charge transfer
primarily from target RNA to the ASO sequence (Figure a–d). The theoretical results thus reveal that HfNPs-conjugated ASOs
would provide strong light scattering (i.e., better
response in the hyperspectral imaging) upon the hybridization with the target RNA when
compared to the AuNPs.To experimentally validate the findings, HfNPs and AuNPs were
synthesized[17,23,34] and conjugated with ASOs. The ASOs are amino-modified at
the 5′ end in the case of HfNPs, while they are thiol-modified for AuNPs. The
surface chemistry of the nanoparticles was suitably altered for the conjugation with ASOs,
and the detailed protocol has been described in the Methods and
Materials section. The performance of HyperSENSE was first investigated toward
the detection of SARS-CoV-2, and for that, each of the HfNPs and AuNPs was conjugated to
ASOs specific for SARS-CoV-2. Each particle has been conjugated differentially where
AuNPs-P1 and HfNPs-P1 are the nanoparticles conjugated to ASO1 and
AuNPs-P2 and HfNPs-P2 are the nanoparticles conjugated to ASO2,
respectively. Equal amounts of the AuNPs-P1 and AuNPs-P2 were mixed
to form the testing particles, AuNPs-Pmix. The same was carried out to make a
hafnium testing solution, HfNPs-Pmix. The enhanced dark-field hyperspectral
imaging (EDF-HSI) of the HfNPs-Pmix (Figure e) and AuNPs-Pmix (Figure f) after the addition of SARS-CoV-2 viral RNA reveals that HfNPs-Pmix
exhibits higher light scattering when compared to the corresponding AuNP derivative and,
thus, better HSI response. Further, we found that HfNPs-Pmix outperformed
AuNPs-Pmix in terms of the peak shift in the hyperspectral signal associated
with the addition of the SARS-CoV-2 RNA, as shown in Figure g. The significant increase in the shift of the hyperspectral peak
of HfNPs-Pmix compared to AuNPs-Pmix, which significantly
corroborates with the theoretical findings, motivates us to utilize HfNPs as a sensing
probe to construct the sensor platform.
Methodology of the HSI-Based SARS-CoV-2 Detection Using HyperSENSE
The strategy adopted for highly sensitive detection of SARS-CoV-2 genetic materials using
the HSI chip is depicted in Figure . The chip
consists of HfNPs conjugated to a selective antisense oligonucleotide (ssDNA probes),
which recognizes the target sequence. The hybridization of the ssDNA probes with its
complementary sequence causes the aggregation of the HfNPs, which can be detected by HSI.
HSI is a sensitive technique that analyzes a wide spectrum of light to obtain information
that is not available when imaging with primary colors (red, green, blue). A shift in the
HSI peak can be observed due to the aggregation of nanoparticles and the formation of
large entities of various sizes. Hyperspectral imaging of the HfNPs conjugated to the
ssDNA probes (HfNPs-Pmix) has been recorded instantaneously upon addition of
the test sample in order to obtain the sensor response of the tested sample (Figure a). The use of HfNPs serves the purpose of
amplifying the HSI signal upon the hybridization of the ssDNA with its target. Next, in
order to perform further analysis, the image is divided into numerous regions of interest.
The HSI image of any specific spatial location represents a collection of hundreds of
images at different wavelengths. Thus, each pixel has hundreds of intensities, which can
be seen as a continuous spectrum of light ranging from the visible range to the
near-infrared (NIR). The amount of target RNA present in the sample can be determined
based on the shift in the hyperspectral peak (Figure b). The investigation of the HSI of HfNPs-ssDNA probes may therefore be
beneficial in detecting the DNA/RNA hybridization events.
Figure 2
Schematic diagram on the development of the ultrasensitive SARS-CoV-2 biosensor,
HyperSENSE, and the conjugation of ssDNA probes to the HfNPs and the sensing
mechanism. (a) The sample is added to the HfNPs-Pmix. Upon the
hybridization of RNA with the ssDNA conjugated to HfNPs, the formation of large
entities takes place. This can be detected as a shift in light scattering that can be
detected using HSI to identify the presence of COVID-19. (b) The collected HSI will be
analyzed by first determining the regions of interest (ROI). The hyperspectral signals
will be analyzed to determine the peak wavelength in nm. The shift in the peak of the
sample compared to the reference sample (i.e.,
HfNPs-Pmix alone) is calculated and used for virus identification,
discrimination, and viral load detection. (c) Conjugation chemistry of the ssDNA
probes to the HfNPs. (d) Sensing mechanism of the ssDNA-conjugated HfNPs with the
SARS-CoV-2 genetic material. (e) Peak shift as observed by HSI upon the addition of
97.21 fM SARS-CoV-2 viral RNA for the HfNPs with two different ssDNA conjugation
ratios.
Schematic diagram on the development of the ultrasensitive SARS-CoV-2 biosensor,
HyperSENSE, and the conjugation of ssDNA probes to the HfNPs and the sensing
mechanism. (a) The sample is added to the HfNPs-Pmix. Upon the
hybridization of RNA with the ssDNA conjugated to HfNPs, the formation of large
entities takes place. This can be detected as a shift in light scattering that can be
detected using HSI to identify the presence of COVID-19. (b) The collected HSI will be
analyzed by first determining the regions of interest (ROI). The hyperspectral signals
will be analyzed to determine the peak wavelength in nm. The shift in the peak of the
sample compared to the reference sample (i.e.,
HfNPs-Pmix alone) is calculated and used for virus identification,
discrimination, and viral load detection. (c) Conjugation chemistry of the ssDNA
probes to the HfNPs. (d) Sensing mechanism of the ssDNA-conjugated HfNPs with the
SARS-CoV-2 genetic material. (e) Peak shift as observed by HSI upon the addition of
97.21 fM SARS-CoV-2 viral RNA for the HfNPs with two different ssDNA conjugation
ratios.
Construction of Each Component of the HyperSENSE Platform for SARS-CoV-2
Detection
Once the sensitivity of the HfNP-based probes has been validated, HfNPs were used to
construct the sensor platform. First, we evaluated the stability of the HfNPs using the
dynamic light scattering (DLS) technique under different conditions. Figure S7 depicts the hydrodynamic diameter of HfNPs in phosphate-buffered
saline (PBS), water, and viral transfer media (VTM). In addition to that, the stability of
HfNPs was studied at two temperatures, i.e., 25 and 65
°C. As evident from the results, the size of HfNPs did not significantly change among
the three mediums. This confirms the stability of the HfNPs in different mediums, where no
medium-induced aggregation was observed. Increasing the temperature from 25 °C to 65
°C does not show a significant effect on the size of the HfNPs, confirming the
stability of the particles (Figure S8). Based on our observation, the highest contrast in hyperspectral
imaging is associated with the highest particle concentration. The concentration of 1
mg/mL was found to be the maximum that can be suspended in the solution without the
formation of large aggregates; therefore we utilized this concentration for conducting our
sensing studies. HfNPs were prepared and surface modified to have carboxylic acid moieties
on the surface for their functionalization with ssDNA probes. ssDNA designed for
SARS-CoV-2 detection was then conjugated to surface-modified HfNPs as shown in Figure c and Figure S9, where HfNPs-P1 and HfNPs-P2 are the nanoparticles conjugated to
ASO1 and ASO2, respectively. NMR spectra indicate the presence of pentose sugar
(deoxyribose) protons; this proves the successful conjugation of ASOs with HfNPs
(Figure S10). We hypothesized that in the presence of the target sequence the
hybridization of the ssDNA probes leads to the aggregation of the HfNPs, which can be
detected using HSI (Figure d). The HfNPs/ssDNA
ratio plays a significant role in the sensitivity and the sensor response. Thus, to
evaluate the effect of the ssDNA concentration on the sensor performance and to find the
optimum HfNPs/ssDNA ratio, two different concentrations of the ssDNA probes
(i.e., ASO1 and ASO2) have been investigated,
low-density and high-density probes. Figure e
depicts the shift in the hyperspectral peak of the two HfNP systems upon the addition of
SARS-CoV-2 RNA. Although a high density of ssDNA conjugated to particles means a higher
aggregation response, the shift in the HSI peak does not follow the same trend. We found
that a low ssDNA probe density exhibits the maximum change in the HSI peak, whereas the
particles with a high probe density exhibit the highest scattering intensity. The
nanoparticles with a high probe density exhibit a high light scattering in which the
signal captured using HSI leads to detector saturation and also exhibited a low change in
the hyperspectral peak as a response to the target RNA compared to the low probe density.
Thus, we use the HfNPs with a low density of ssDNA probes to construct the sensor
array.
Computational Analysis
The computational analysis of the captured images involves the following steps as
explained in Figure a–e. First, a
representative spectral library from the collected images was assembled. These images will
comprise a collection of the spectra presented in the captured image. Second, the spectral
angular mapping (SAM) algorithm was applied to generate the hyperspectral mapping image by
assigning each pixel in the image to its reference spectrum. SAM is a powerful algorithm
used to determine the spectral similarity between two spectra and match the pixel to the
reference spectrum. SAM calculates the angle between the two spectra
(i.e., the reference spectrum and the spectrum in a
certain pixel) by treating each of them as a vector. The equation for calculating the
spectral angle is given
bywhere n is the number of bands, t is
the pixel spectrum, and r is the reference spectrum. Thus, it compares
the angle between the reference spectrum vector and the spectrum vector at each pixel in
the image. The closest match to the reference spectrum is associated with the smaller
angle, whereas an angle higher than the set threshold represents an unclassified pixel.
Each color represents one spectrum, and pixels with the same color have the same spectrum
or their spectra are closely matching (Figure S11). Next, the dominant spectrum that has the highest distribution
percentage among the image pixels will be selected. The distribution percentage of each
spectrum can be computed by calculating the number of pixels that have the same spectrum
divided by the total number of pixels in the image. Finally, the output of the HyperSENSE
sensor is calculated by measuring the shift in the peak of the dominant spectrum with
respect to the spectrum of HfNPs-Pmix alone in the absence of the biological
target.
Figure 3
Computational analysis of HyperSENSE to find the predominant spectral signature and
its workflow. (a) The hyperspectral imaging will be captured of the sample mixed with
HfNPs-Pmix. (b) Region of interest (ROI) including the particle clusters
will be used to generate the spectral library. (c) Spectral angular mapping (SAM)
algorithm will be used to map the spectral library and define the spectral signature
location using a color code. (d) Zoomed-in image of (c) where the spectral signature
represented by the green color is predominant in this image. Thus, the ROI (containing
the green color) will be used to obtain the HyperSENSE spectral output. (e) The
obtained hyperspectral image from the selected region of the predominant color. The
peak shift with respect to the HfNPs-Pmix spectrum will be used for
COVID-19 diagnosis and viral load detection. (f) Hyperspectral mapping image of the
spectral component of the image superimposed on the enhanced dark-field image of a
COVID-19 positive sample (Ct number = 18.9). (g) Zoomed-in image of mapping in (f).
(h) Hyperspectral mapping image of the spectral component of the image superimposed on
the enhanced dark-field image of the COVID-19 negative sample. Formation of large
clusters can be observed where the spectral signature annotated by the green color is
predominant in the COVID-19 sample. (i) Zoomed-in image of (h) where the brown color
is predominant in the image. (j) Predominant spectral signature in both positive
(green) and negative (brown) samples. The positive sample showed a significant peak
shift when compared with the negative sample.
Computational analysis of HyperSENSE to find the predominant spectral signature and
its workflow. (a) The hyperspectral imaging will be captured of the sample mixed with
HfNPs-Pmix. (b) Region of interest (ROI) including the particle clusters
will be used to generate the spectral library. (c) Spectral angular mapping (SAM)
algorithm will be used to map the spectral library and define the spectral signature
location using a color code. (d) Zoomed-in image of (c) where the spectral signature
represented by the green color is predominant in this image. Thus, the ROI (containing
the green color) will be used to obtain the HyperSENSE spectral output. (e) The
obtained hyperspectral image from the selected region of the predominant color. The
peak shift with respect to the HfNPs-Pmix spectrum will be used for
COVID-19 diagnosis and viral load detection. (f) Hyperspectral mapping image of the
spectral component of the image superimposed on the enhanced dark-field image of a
COVID-19 positive sample (Ct number = 18.9). (g) Zoomed-in image of mapping in (f).
(h) Hyperspectral mapping image of the spectral component of the image superimposed on
the enhanced dark-field image of the COVID-19 negative sample. Formation of large
clusters can be observed where the spectral signature annotated by the green color is
predominant in the COVID-19 sample. (i) Zoomed-in image of (h) where the brown color
is predominant in the image. (j) Predominant spectral signature in both positive
(green) and negative (brown) samples. The positive sample showed a significant peak
shift when compared with the negative sample.Figure f depicts the mapping image of the
COVID-19 positive sample confirmed using RT-qPCR (Ct number 18.9). Each color represents
one spectrum, and pixels with the same color have the same spectrum or their spectra are
closely matching (Figure S11). Figure S11a showed a representative hyperspectral mapping image of the
COVID-19 positive sample. Figure S11b depicts a zoom-in image of the hyperspectral mapping, where each
color in the image is labeling each pixel with the reference spectrum that matches its
recorded spectrum using the SAM algorithm. The reference spectra used as input for the SAM
algorithm are shown in Figure S11c. The color codes are shown in Figure S11d. The variation in the spectrum found in the image during the
mapping presumably is attributed to the heterogeneity of formed clusters when bonded to
the target RNA. Several clusters with various sizes and nanoparticulate contents may form
because the ASOs are covering the surface of the HfNPs, and this may lead to variation in
the hyperspectral signal. However, this variation will not affect the sensor sensitivity
and specificity as demonstrated by the functional performance of HyperSENSE with clinical
samples. This is attributed to the robust computational workflow used in the data
analysis. Our computational algorithm compensates for the limitation that may arise due to
the variation in the hyperspectral signals by considering the dominant spectrum and use it
for further analysis. It is worth mentioning that the system has 60× and 100×
magnification capabilities. The hyperspectral imaging was recorded at a 1.5 nm spectral
resolution in the visible to NIR wavelength range from 400 to 1000 nm to allow the
detection of minute pixel-to-pixel spectral differences in a hyperspectral image. A quartz
halogenaluminum reflector lamp with 75% power was used as illumination source. The
hyperspectral image was captured using a CCD camera, and the data were processed using
ENVI software. Figure h illustrates the mapping
of the negative COVID-19 sample using the spectral library collected from the assigned
ROI. Figure g shows that the spectral signature
with a peak at ∼632 nm (represented by the green color) is predominant in the HSI
of the COVID-19 positive sample. However, the negative sample has a predominant spectral
signature with a peak of ∼553 nm (represented by brown color) (Figure i). The spectral signatures from both positive and
negative COVID-19 samples are shown in Figure j.
These spectra represent the output of the HyperSENSE sensor and can be further used to
diagnose COVID-19 and quantify the viral load in the test sample. It is worth mentioning
that the saturated pixels were eliminated and were not included during the analysis. This
was achieved by excluding the pixels with any saturation or peak clipped signal.
Therefore, any pixel that contains a saturated signal will be labeled as an unclassified
pixel. The image analysis involved in HyperSENSE was done computationally starting from
the spectral library mapping to the selection of the dominant spectrum and finally to the
calculation of the peak shift with an estimated time of only a few minutes.
SARS-CoV-2 Sensing Performance of HyperSENSE
We used the HyperSENSE sensor and recorded its response at a very low concentration of
SARS-CoV-2 RNA, by measuring the shift in the HSI signal. The EDF-HSI before and after the
addition of SARS-CoV-2 RNA to HfNPs-Pmix has been displayed in Figure . The data show a prominent shift in the HSI signal
upon the addition of RNA, revealing the aggregation of the HfNPs conjugated to ssDNA
probes. The addition of SARS-CoV-2 RNA at different concentrations leads to the formation
of HfNPs of various sizes. Figure a–c
depict the EDF-HSI of the SARS-CoV-2 RNA ranging from 0.09721 yM to 97.21 fM. This
hybridization of the ssDNA probes with the SARS-CoV-2 RNA resulted in an obvious red-shift
in the HSI signal even at a low concentration of 0.09721 yoctomolar (yM). The EDF-HSI
before and after the addition of SARS-CoV-2 RNA with 0.09721 yM to HfNPs-Pmix
is displayed in Figure e,f. Using the same
procedure with the unmodified HfNPs, the shift in the HSI signal is barely detectable at
the same copy numbers. The calibration curve of the HyperSENSE (0.09721 yM to 97.21 fM)
showed the shift in HSI signal to be linearly proportional to the log10 (RNA
copy number) with R2 = 0.884, Figure g. Although nonlinear regression provides more flexibility in terms
of the curve shape, linear fitting is preferred to generate a standard
curve.[35,36] It is
simpler to implement the linear curve in the final prototype with low computational cost
and can be generated using a smaller number of points. A linear standard curve is also
better in the long run when developing a prototype from the HyperSENSE technology. This
can be attributed to the simplicity of back calculating the concentration of an unknown
sample using the linear equation when compared to another formula, e.g.,
quadratic. Linear fitting of the standard curve was performed on the HyperSENSE response
toward serially diluted SARS-CoV-2 genomic RNA samples. The limit of detection (LOD) was
found to be 0.09721 yM. Based on the IUPAC guidance of a 3:1 signal-to-noise ratio, the
limit of detection of the HfNPs-Pmixsystem was determined to be 0.09721
(∼0.1) yM. The LOD of the sensor has been calculated using the formula LOD =
3.3SY/slope, where
S is the standard deviation of the
response. Linear fitting of the standard curve was performed on the HyperSENSE response
toward serially diluted SARS-CoV-2 genomic RNA samples. Figure h depicts the hyperspectral signal in the absence and the presence
of SARS-CoV-2 RNA at 0.09721 yM.
Figure 4
Sensitivity of the developed HyperSENSE platform in detecting SARS-CoV-2 presence.
EDF-HSI of the ssDNA conjugated to HfNPs (HfNPs-Pmix) in the presence of
SARS-CoV-2 RNA with concentrations of (a) 97.2 fM, (b) 97.21 zM, and (c) 0.09721 yM.
The presence of SARS-CoV-2 RNA leads to the aggregation of HfNPs to form large
entities. (e) EDF-HSI of the ssDNA conjugated to HfNPs (HfNPs-Pmix) in the
absence of the target and (f) in the presence of SARS-CoV-2 RNA at very low
concentration, ∼0.1 yM. 4×: amplification of four times of a 100× oil
objective. HyperSENSE enables the detection of SARS-CoV-2 RNA at a very low
concentration of ∼0.1 yM. (g) Standard curve of HyperSENSE, which shows that
the SARS-CoV-2 log10(RNA) is linearly proportional to the peak shift;
Pearson’s correlation = 0.94, R2 = 0.88. (h)
Hyperspectral signal of the HfNPs-Pmix in the absence and presence of SARS-CoV-2 RNA
(0.09721 yM). A significant shift in the signal peak can be observed after the
addition of a sample containing SARS-CoV-2 genetic material. The experiments were
performed with experimental repeats of n = 8.
Sensitivity of the developed HyperSENSE platform in detecting SARS-CoV-2 presence.
EDF-HSI of the ssDNA conjugated to HfNPs (HfNPs-Pmix) in the presence of
SARS-CoV-2 RNA with concentrations of (a) 97.2 fM, (b) 97.21 zM, and (c) 0.09721 yM.
The presence of SARS-CoV-2 RNA leads to the aggregation of HfNPs to form large
entities. (e) EDF-HSI of the ssDNA conjugated to HfNPs (HfNPs-Pmix) in the
absence of the target and (f) in the presence of SARS-CoV-2 RNA at very low
concentration, ∼0.1 yM. 4×: amplification of four times of a 100× oil
objective. HyperSENSE enables the detection of SARS-CoV-2 RNA at a very low
concentration of ∼0.1 yM. (g) Standard curve of HyperSENSE, which shows that
the SARS-CoV-2 log10(RNA) is linearly proportional to the peak shift;
Pearson’s correlation = 0.94, R2 = 0.88. (h)
Hyperspectral signal of the HfNPs-Pmix in the absence and presence of SARS-CoV-2 RNA
(0.09721 yM). A significant shift in the signal peak can be observed after the
addition of a sample containing SARS-CoV-2 genetic material. The experiments were
performed with experimental repeats of n = 8.The aggregation of the HfNPs due to the hybridization of the ssDNA with their target RNA
leads to the formation of large entities, which explains the shift in the hyperspectral
peak. The formation of large entities and HfNP clusters has also been shown by ZetaView,
transmission electron microscopy (TEM), and EDF-HSI measurements as shown in Figure . The hydrodynamic diameter measurement
(Figure a) indicates that the hydrodynamic
size increases significantly with the addition of RNA from COVID-19 positive samples
(confirmed by RT-qPCR with a Ct number of 22.1), while no substantial difference in
hydrodynamic size was found after the addition of MERS-CoV viral RNA. EDF-HSI further
supports these findings of the formation of large entities upon the addition of SARS-CoV-2
genomic RNA as shown in Figure b. TEM images of
the HfNPs-Pmix in the absence (Figure c) as well as in the presence of SARS-CoV-2 RNA (Figure d,e) also support our hypothesis regarding the formation of HfNP
clusters due to the recognition of the target RNA. When the system was tested using
SARS-CoV, influenza A H1N1, and MERS viruses, no significant shift in the HSI signal has
been observed and no large entities were formed, as shown in Figure f–h, when compared to clinical SARS-CoV-2 RNA (Figure i), indicating good selectivity. Our
technology does not rely on the size or the shape to estimate the concentration of the
virus RNA. Instead, we are relying on reflectance-based spectral signatures to measure the
viral RNA concentration. HfNPs were found to have an anhydrous diameter of ∼5 nm
when observed under TEM. If few particles of the individual particles are close to each
other, they will appear as one cluster under the light microscope due to its low
resolution, even though in reality they are apart. Therefore, we did not rely on the
particle size as a parameter, but instead, we relied on the spectrum obtained from each
sample to estimate the viral genetic material concentration. Utilizing the reflectance
spectral signature addresses the limitation that may arise due to the poor resolution of
the light microscope when investigating nanoparticles.
Figure 5
Aggregation of the HfNPs is shown using ZetaView, TEM, and EDF-HSI. (a) Hydrodynamic
diameters of the HfNPs-Pmix in the presence of SARS-CoV-2 and MERS-CoV RNA
(n = 4, P < 0.001). (b) EDF-HSI of the
HfNPs-Pmix in the presence of SARS-CoV-2 genomic RNA. TEM images of (c)
HfNPs-Pmix and (d, e) in the presence of SARS-CoV-2 RNA. EDF-HSI of the
HfNPs-Pmix in the presence of (f) MERS-CoV, (g) SARS-CoV, (h) influenza A
H1N1, and (i) SARS-CoV-2 RNA from COVID-19 confirmed clinical samples. The
HfNPs-Pmix shows a significant aggregation in the presence of SARS-CoV-2
RNA, whereas no obvious formation of large entities was observed as a response to
MERS-CoV, SARS-CoV, and influenza A H1N1.
Aggregation of the HfNPs is shown using ZetaView, TEM, and EDF-HSI. (a) Hydrodynamic
diameters of the HfNPs-Pmix in the presence of SARS-CoV-2 and MERS-CoV RNA
(n = 4, P < 0.001). (b) EDF-HSI of the
HfNPs-Pmix in the presence of SARS-CoV-2 genomic RNA. TEM images of (c)
HfNPs-Pmix and (d, e) in the presence of SARS-CoV-2 RNA. EDF-HSI of the
HfNPs-Pmix in the presence of (f) MERS-CoV, (g) SARS-CoV, (h) influenza A
H1N1, and (i) SARS-CoV-2 RNA from COVID-19 confirmed clinical samples. The
HfNPs-Pmix shows a significant aggregation in the presence of SARS-CoV-2
RNA, whereas no obvious formation of large entities was observed as a response to
MERS-CoV, SARS-CoV, and influenza A H1N1.
Clinical Evaluation of the HyperSENSE Sensor Performance
To further evaluate the clinical performance of the developed HyperSENSE kit, a blinded
study was performed using 66 clinical nasopharyngeal swab samples (48 COVID-19 positive
and 18 negative samples), and the results were benchmarked with an FDA-approved COVID-19
RT-qPCR kit. The RT-qPCR detection kit we employed in this study is FDA-approved LABGUN
and Applied Biosystems TaqPath COVID-19 Combo kit. These are designed as three target kits
(ORF, N1, N2) to confirm the COVID-19 diagnosis. Figure a,b show the representative hyperspectral imaging of the HfNPs-Pmix
after the addition of confirmed positive and negative COVID-19 clinical samples. The
confirmed COVID-19 positive samples induce the aggregation of the HfNPs due to the
specificity of the conjugated ssDNA, which can be seen as a bright large entity shown in
Figure b, whereas no significant aggregation
was observed upon the addition of the negative COVID-19 samples, as shown in Figure a. Upon observing the hyperspectra of the
large entities’ spatial location, the positive sample exhibits a significant peak
shift, compared to the negative samples (Figure c). Figure d illustrates the individual
values of the hyperspectral peak shift obtained from the system as a response to the 66
clinical samples with their corresponding Ct values. The HyperSENSE output was found to be
linearly proportional with the Ct number, where the curve X intercept is >40 Ct number,
confirming the test sensitivity. The shift obtained in the case of the negative sample is
significantly low, and thus the positive COVID-19 cases can easily be distinguished from
the negative ones with high accuracy (Figure e).
The confusion matrix of the classification of the clinical samples as compared to the gold
standard methods is shown in Figure f.
Figure 6
Evaluation of the HyperSENSE platform using clinical samples. EDF-HSI of the
HfNPs-Pmix after the addition of (a) a confirmed COVID-19 negative sample
and (b) a confirmed COVID-19 positive sample. The presence of SARS-CoV-2 genetic
material leads to the formation of large entities. (c) Hyperspectral signal of the
HyperSENSE as a response to positive or negative COVID-19 samples as marked with
boxes. A significant shift in the peak wavelength was observed after the addition of
the confirmed COVID-19 positive sample. (d) Individual values of the hyperspectral
peak shift obtained from the system as a response to the 66 clinical samples with
their cycle threshold number (Ct number) obtained from RT-PCR. The peak shift of the
positive samples is linearly inversely proportional to the sample’s Ct number,
Pearson’s correlation = −0.8928, R2 = 0.86,
X intercept > 40 Ct number, indicating its sensitivity. (e) Column plot of the peak
shift in nm of the HyperSENSE as a response to 66 COVID-19 clinical samples. (f)
Confusion matrix comparing the classification results of HperSENSE as benchmarked to
the gold standard RT-PCR. (g) Comparison of the limit of detection obtained using
HyperSENSE and other available COVID-19 tests. EUA: emergency used authorization from
the Food and Drug Administration. The experiments were performed with experimental
repeats of n = 8.
Evaluation of the HyperSENSE platform using clinical samples. EDF-HSI of the
HfNPs-Pmix after the addition of (a) a confirmed COVID-19 negative sample
and (b) a confirmed COVID-19 positive sample. The presence of SARS-CoV-2 genetic
material leads to the formation of large entities. (c) Hyperspectral signal of the
HyperSENSE as a response to positive or negative COVID-19 samples as marked with
boxes. A significant shift in the peak wavelength was observed after the addition of
the confirmed COVID-19 positive sample. (d) Individual values of the hyperspectral
peak shift obtained from the system as a response to the 66 clinical samples with
their cycle threshold number (Ct number) obtained from RT-PCR. The peak shift of the
positive samples is linearly inversely proportional to the sample’s Ct number,
Pearson’s correlation = −0.8928, R2 = 0.86,
X intercept > 40 Ct number, indicating its sensitivity. (e) Column plot of the peak
shift in nm of the HyperSENSE as a response to 66 COVID-19 clinical samples. (f)
Confusion matrix comparing the classification results of HperSENSE as benchmarked to
the gold standard RT-PCR. (g) Comparison of the limit of detection obtained using
HyperSENSE and other available COVID-19 tests. EUA: emergency used authorization from
the Food and Drug Administration. The experiments were performed with experimental
repeats of n = 8.To further demonstrate the selectivity and sensitivity of the HyperSENSE sensor, we
compared our results with previously reported SARS-CoV-2 biosensors, as shown in Figure g. Our HyperSENSE-based sensor outperforms
all the other conventional biosensors developed for COVID-19 diagnosis. In particular, our
sensor can detect as low as 0.09721 yM, indicating the great potential of the nanomaterial
when combined with the hyperspectral imaging system in applications such as biosensing,
environmental applications, single-molecule biological imaging, and clinical
diagnosis.
Broad Adaptability of the HyperSENSE Sensor for the Detection of Other
Pathogens
The sensing platform we are proposing in this study can be easily and quickly adapted to
detect other pathogens. To do so, we only need to redesign ssDNA probes specific to the
target pathogen. As a proof of concept, we utilized the HyperSENSE sensor to detect
seasonal influenza A H1N1. The antisense oligonucleotides specific for seasonal influenza
A, H1N1, have been conjugated on the surface of HfNPs to develop the HyperSENSE influenza
sensor.A schematic illustration of the workflow of HyperSENSE for influenza detection is shown
in Figure a. Figure b depicts the EDF-HSI of the conjugated HfNPs in the absence of the
target. However, upon the addition of the influenza A H1N1 sample, large aggregates have
been observed (Figure c). The cross-reactivity
of the HyperSENSE sensor has been tested using H1N1 B, H1N1MD (Maryland strain), SARS-CoV,
and SARS-CoV-2 viral strains, as illustrated in the schematic representation in Figure d. In terms of the shift in the HSI signal,
the maximum shift was observed in the case of H1N1 A, confirming the specificity of the
developed test (Figure e). Figure S12 shows the spectra of the unbound HfNPs functionalized with ASOs
specific to the influenza A H1N1 genetic materials and the hyperspectral signal associated
with the H1N1 A, H1N1 B, H1N1 MD, SARS-CoV, and SARS-CoV-2 biological sample. The data
show a significant right shift in the reflectance hyperspectral signal in the presence of
its target (i.e., H1N1 A), whereas no obvious shift in
the spectra was observed in the case of the off-target viruses including SARS-CoV, H1N1MD,
and SARS-CoV-2, whereas the H1N1 B spectrum exhibits a shift from the unbound one to the
left, which can be easily distinguishable from H1N1 A. This can be eliminated by removing
the values below zero by applying a thresholding technique to the sensor data. This will
also help in discriminating H1N1 A from H1N1 B samples. This confirms that the test does
not have any cross-reactivity toward other viruses. Specificity describes a
biosensor’s ability to differentiate between target and nontargeted biological
entities in a sample. Therefore, the specificity of the HyperSENSE was found to be 100%.
Minimal aggregations were observed in the case of H1N1 B, whereas no significant
aggregation was observed in the case of other samples, as shown in Figure
f–i.
Figure 7
Performance of the HyperSENSE platform toward the detection of the influenza A H1N1
virus and the sensor cross-reactivity. (a) Schematic representation of the HyperSENSE
to test influenza A H1N1 samples. EDF-HSI of the HfNPs-Pmix (b) in the absence of
samples and (c) after the addition of the influenza A H1N1 sample. (d) Schematic
representation of the HyperSENSE to test samples lacking influenza A H1N1 RNA. (e)
Peak shift in nm after the addition of SARS-CoV-2, H11N1 A, H1N1 B, H1N1MD, and
SARS-CoV viruses, respectively. (f) EDF-HSI after the addition of an influenza B H1N1
sample, (g) an influenza MD H1N1 (Maryland strain) sample, (h) a SARS-CoV sample, and
(i) a SARS-CoV-2 sample. The experiments were performed with experimental repeats of
n = 8.
Performance of the HyperSENSE platform toward the detection of the influenza A H1N1
virus and the sensor cross-reactivity. (a) Schematic representation of the HyperSENSE
to test influenza A H1N1 samples. EDF-HSI of the HfNPs-Pmix (b) in the absence of
samples and (c) after the addition of the influenza A H1N1 sample. (d) Schematic
representation of the HyperSENSE to test samples lacking influenza A H1N1 RNA. (e)
Peak shift in nm after the addition of SARS-CoV-2, H11N1 A, H1N1 B, H1N1MD, and
SARS-CoV viruses, respectively. (f) EDF-HSI after the addition of an influenza B H1N1
sample, (g) an influenza MD H1N1 (Maryland strain) sample, (h) a SARS-CoV sample, and
(i) a SARS-CoV-2 sample. The experiments were performed with experimental repeats of
n = 8.Our data obtained from the HyperSENSE platform confirmed the excellent sensitivity and
specificity of the biosensor toward COVID-19 detection even at a very low concentration.
But we realized that the RNA extraction step can add an extra burden toward the real-time
detection of the pathogens, as it can be a time-consuming and laborious process.
Therefore, we have modified the HyperSENSE workflow to compromise the RNA extraction step.
The updated HyperSENSE workflow for SARS-CoV-2 detection using direct clinical samples is
shown in Figure a. The sample will be collected
from the patient in VTM and then passed through the NAP-10 column for RNA extraction. This
process takes around 2 min only. Next, the extract will be mixed with
HfNPs-Pmix and imaged using the hyperspectral imaging system. The data will
be further analyzed to identify the shift in the light scattering to assign the sample as
either positive or negative COVID-19. The updated HyperSENSE workflow has been validated
using 33 clinical samples obtained from patients with confirmed COVID-19 in the state of
Maryland and Florida as diagnosed by RT-qPCR. The 33 samples were processed as shown in
Figure a, where the as-collected
nasopharyngeal swab samples in VTM passed through the NAP-10 column and mixed directly
with the HfNPs-Pmix and were imaged using the HSI system. The positive
predictive agreement and negative predictive agreement of the HyperSENSE assay are
∼100% (33 out of 33) relative to the RT-qPCR results (Figure b). The threshold of the peak shift value has been selected to
maximize the two-class separation as shown in Figure S13. The peak shifts obtained from the 33 clinical samples tested
using HyperSENSE of the two groups (positive and negative COVID-19) were found to be
significantly different (Figure c), and
representative images of EDF-HSI of both confirmed positive and negative cases are shown
in Figure d,e. Figure f shows the individual outputs of HyperSENSE from 99 samples tested
using two protocols of sample prepreparation (RNA extraction, direct sample). The
confusion matrix of COVID-19 diagnosis using HyperSENSE of all the tested clinical samples
is shown in Figure g. The test achieves 100%
sensitivity, specificity, and accuracy while providing low LOD.
Figure 8
SARS-CoV-2 detection from direct clinical samples using HyperSENSE. (a) Clinical
samples in VTM were passed through the NAP-10 column and mixed directly with the
HfNPs-Pmix. A total of 33 samples (16 positives and 17 negatives;
confirmed by RT-qPCR) were tested using HyperSENSE. (b) Peak shift in the HSI signal
as a response to 33 COVID-19 clinical samples as a function of their Ct value as
obtained from RT-PCR. Pearson’s correlation was found to be −0.8. The
positive and negative COVID-19 samples were correctly distinguished from each other
(threshold = 11). (c) Column plot of the peak shift in nm obtained from HyperSENSE as
a response to two groups, positive and negative COVID-19 samples. (d) EDF-HSI of the
COVID-19 positive and (e) negative samples. Large entities were formed when a positive
sample was tested using HyperSENSE. (f) Column plot of the peak shift in nm as
obtained from 99 clinical samples tested using HyperSENSE using both protocols for
sample preparation. (g) Confusion matrix comparing the classification results of
HyperSENSE as benchmarked to the gold standard RT-PCR of all the tested clinical
samples. The experiments were performed with experimental repeats of
n = 8.
SARS-CoV-2 detection from direct clinical samples using HyperSENSE. (a) Clinical
samples in VTM were passed through the NAP-10 column and mixed directly with the
HfNPs-Pmix. A total of 33 samples (16 positives and 17 negatives;
confirmed by RT-qPCR) were tested using HyperSENSE. (b) Peak shift in the HSI signal
as a response to 33 COVID-19 clinical samples as a function of their Ct value as
obtained from RT-PCR. Pearson’s correlation was found to be −0.8. The
positive and negative COVID-19 samples were correctly distinguished from each other
(threshold = 11). (c) Column plot of the peak shift in nm obtained from HyperSENSE as
a response to two groups, positive and negative COVID-19 samples. (d) EDF-HSI of the
COVID-19 positive and (e) negative samples. Large entities were formed when a positive
sample was tested using HyperSENSE. (f) Column plot of the peak shift in nm as
obtained from 99 clinical samples tested using HyperSENSE using both protocols for
sample preparation. (g) Confusion matrix comparing the classification results of
HyperSENSE as benchmarked to the gold standard RT-PCR of all the tested clinical
samples. The experiments were performed with experimental repeats of
n = 8.Apart from the strong interaction between the HfNP-Pmix and the target RNA,
the HfNPs being a strong light-scattering agent also contributes to the high sensitivity
of the HSI. It was observed that the HyperSENSE sensor has a limit of detection of 0.06
copy/liter, i.e., 0.09 yM, representing the highest
sensitivity described so far for SARS-CoV-2 RNA detection.To control the rapid spread of SARS-CoV-2 requires simple, rapid, and sensitive
diagnostic tests.[37−42] However, conventional approaches have their
inherent limitations. For example, culture-based approaches are time-consuming (more than
24 h), whereas PCR-based methods including real-time PCR require complex equipment,
trained staff, and expensive reagents in addition to being a time-consuming process.
Several isothermal amplification methods have been proposed for SARS-CoV-2
detection.[43−46] However, spurious byproducts are an inherent limitation
that leads to high false positives. Nucleic acid amplification-free approaches, on the
other hand, provide advantages for rapid tests at the patient’s point of care. In
this scenario, hyperspectral-based imaging provides a wealth of information that has been
used to detect SARS-CoV-2. In contrast, the HSI diagnostic framework meets all of the
desirable criteria for an on-site diagnosis of COVID-19, including a faster turnover
period (∼few minutes), a low detection limit (∼0.06 copy/L), and low-cost
reagents that can be easily adapted to detect other pathogens.The HyperSENSE platform can be translated into a POC system by utilizing a portable
hyperspectral scanner for output readout.[47] HyperSENSE combines all
components into a single pot, where the readings can be read instantaneously using
specially developed probes. Also, with the robustness of the probes, the architecture is
comprehensive and straightforward, allowing the platform to be flexible. Thus, the
applicability of the HyperSENSE platform can also be applied to evolving pathogens, as
exemplified by the successful design of the SARS-CoV-2 and influenzaH1N1 A virus
detection platform.The ssDNA for the detection of SARS-CoV-2 is designed to target multiple locations of the
target gene simultaneously.[17,23] This allows the aggregation of nanoparticles through the hybridization
of the probe with the target RNA. The antisense oligonucleotide sequences have been
carefully designed to minimize any secondary structure formation on their own and that
maximizes RNA–DNA hybridization by considering their target binding energy and
binding disruption energy.[17,23] The strong hybridization between the ssDNA and target RNA enabled high
sensitivity and selectivity, whereas HSI further allows achieving a LOD lower than yM
concentration of the RNA.We expect HyperSENSE to have a broad range of applications for pathogen detection ranging
from clinical diagnosis to environmental applications.[17,23,27,48]
First, HyperSENSE can be effectively deployed in the initial mass surveillance of
infectious diseases in high clustered areas. With a short processing time, easy
components, and the potential to automate the whole procedure, HyperSENSE is an ideal
candidate for a fast and cost-effective diagnostic test that can be run by people with
limited experience. On the basis of our study data, we found that the accuracy,
sensitivity, and specificity of the sensor are fully dependent on the spectral information
and not on the size or shape observation. Therefore, the use of a microscopy system is not
a necessity when a point-of-care platform is envisioned. We anticipate that a hand-held
hyperspectral scanner that can record the reflectance spectrum from the sample can be used
to propose a HyperSENSE POC prototype system. We may also envision a
“snapshot”-type (nonscanning) hyperspectral method for capturing spectral
images during a single integration time of a detector array, which may simplify the data
processing and improve the image processing time.Thus, HyperSENSE can be implemented in laboratories for mass screening as well as a
field-deployable system using a portable hand-held hyperspectral scanner. Due to the
versatility of the test operation principle and the availability of a portable
hyperspectral scanner, the test can be built into a paper-based or lateral flow-based
disposable platform.[49−51] Moreover, the test has
the potential to expand its applicability to cover emerging pathogens due to the
simplicity of designing the target ssDNA probes and integrating them with the reporter
nanoparticles (HfNPs), which confirms the wide adaptability of the HyperSENSE
platform.It is worth mentioning that the hyperspectral scans demand large data storage due to
capturing a full light spectrum ranging from visible to near-infrared at each pixel. This
provides a multidimensional data set with a size that may exceed a few megabytes.
Moreover, fast computational units and sensitive detectors are required to efficiently
analyze hyperspectral data. These factors may increase the cost for both storing and
analysis of the hyperspectral data. Therefore, innovative approaches such as advanced
programming skills and computational algorithms for processing and analyzing hyperspectral
data are required to address these limitations. COVID-19 is a deadly and complex
disease.[33,52,53] A major challenge in managing the progression of COVID-19 is a lack of
consistent monitoring of the time-dependent inflammatory response and the interconnected
thrombotic response.[54,55] More than 30% of patients suffering from COVID-19 will develop
secondary complications.[56,57] Multiple studies have shown that these complications peak weeks after
peak COVID-19 activity in a region.[58] At least half of these patients
are RT-PCR negative, and many patients with a clear epidemiologic link to COVID-19 are
both RT-PCR and antibody negative.[59] Patients who were recently
infected with SARS-CoV-2 have detectable viral particles upon sensitive testing.[60] However, the current clinical testing is set to high specificity,
excluding many samples that have trace quantities of virus.[61] Sensitive
viral testing may identify recent active respiratory infection with SARS-CoV-2.[62] Thus, HyperSENSE provides a solution to diagnose COVID-19 at its earliest
by addressing the limitation associated with other available tests.
Conclusion
In this work, we demonstrated the successful application of HyperSENSE to two viruses,
using minimal modification. From a theoretical perspective, HyperSENSE can be designed to
detect any pathogen as long as we know the sequence of the target nucleic acid. By this,
HyperSENSE outperforms the antigen-based tests in rapidly responding to an outbreak of
infectious diseases. Further, the synthesis of ssDNA is low cost and scalable when compared
to animal antibody production. Therefore, the HyperSENSE scalability and mass production is
much easier when compared to antibody-based diagnostic kits. In this work, we demonstrate
the successful development of a powerful diagnostic technology for RNA detection with a very
high sensitivity up to ∼0.1 yM. The technology offers short turn-around time, high
sensitivity, specificity, and ease-of-use, with the possibility for detecting other types of
pathogens. Thus, the design of HyperSENSE can be simple and can be quickly redesigned to
target any emerging infectious diseases.
Materials and Methods
Synthesis of HfNPs-COOH
The confined sol–gel method has been carried out in microemulsion to synthesize
the HfNPs based on the previously published protocol from our group.[34]
First, 17.25 g of IGEPAL CO-520 was added to 150 mL of cyclohexane. Next, 5.625 mL
of ethanol and 1.875 mL of sodium hydroxide (75 mM) were added to the
mixture. The mixture was stirred at 65 °C for approximately 10 min
until it is homogeneous. Next, 375 μL of water was added dropwise to form the
microemulsion. Finally, 0.8071 g of hafnium ethoxide was added, and the reaction
was allowed to run to completion overnight. The particles were washed three times with
methanol and dried in a vacuum oven to be used for the next step. To tune the
HfNPs’ surface functionality, 250 mg of HfNPs was reacted with
3-(aminopropyl)triethoxysilane in 35 mL of toluene at 110 °C. The reaction was run
for 12 h under reflux with N2 conditions. The particles were then washed three
times with toluene and dried for the next step. Next, 100 mg of the HfNPs-NH2
particles was reacted with succinic anhydride in 11 mL of dimethylformamide (DMF) for 24 h
at room temperature (25 °C). The particles were then washed and dried properly to be
used in the conjugation step.
Design of Antisense Oligonucleotides
The target N-gene sequence of SARS-CoV-2, as mentioned in the Supporting Information, was supplied to software, Soligo,[63] for statistical folding of nucleic acids and studies of regulatory RNAs. The ASOs were
predicted to maintain the folding temperature as 37 °C and ionic conditions of 1 M
sodium chloride for a preferred length of ASO as 20 nucleotide bases. The filter criteria
were set as follows: (1) The GC% will be within 40% to 60%; (2) the target sequences with
GGGG will be eliminated; (3) the average unpaired probability of the ASOs should be within
≥0.5 for target site nucleotides; (4) among sites satisfying criteria 1–3,
the top 20 will be considered with the highest average unpaired probability. In order to
reduce the number of reported sites, the average unpaired probability was also used in
filter criteria 3 and 4. The disruption energy calculation in the Web servers was also
optimized accordingly. Finally, the binding energies of the ASOs were also compared with
the target sequence to decide on the sequences.
Conjugation of ASO to the HfNPs
The EDC/NHS coupling reaction has been used to functionalize the HfNPs-COOH to
ASO-NH2. In a typical reaction, either 2.5 or 5 μL of
ASO-NH2 (200 μM in Tris buffer) was added to 1 mL of HfNPs-COOH (20
mg/mL) to form the 0.5 μM HfNPs-ASO (low probe density) or 1 μM HfNPs-ASO
(high probe density), respectively. The reaction takes place overnight under stirring
conditions at room temperature (25 ± 1 °C). Next, the solution was centrifuged
at 12 000 rcf for 20 min, and the supernatant was discarded to remove any unreacted
EDC/NHS. Finally, the particles conjugated to ASO1 and ASO2 were mixed in equal amounts to
form HfNPs-Pmix and sonicated for homogenization. The particle mixture was
diluted to a final concentration of 1 mg/mL and stored at 4 °C for further use. The
particles were vortexed and sonicated adequately before each use.
HyperSENSE Sample Preparation, Data Recording, and Processing
Briefly, the test sample were mixed with the HfNPs-Pmix in 1:1 ratio, and 5
μL of the mixture was drop cast onto a glass slide and covered by a coverslip. The
sample was then imaged instantaneously. An enhanced dark-field illumination system
(CytoViva, Auburn, AL, USA) has been used to capture the HSI images throughout this work.
The tungsten–halogen light source is used as an illumination system, which has been
attached to an Olympus microscope for image capturing. The scattering light was
consolidated with either a 60× or a 100× oil immersion Olympus objective. For
the hyperspectral imaging method, the scattering signal was transferred by a narrow slit
and was then separated by the gratings into the spectrograph and collected by a CCD
(PIXIS-400BR, Princeton Instruments). Based on the hyperspectral data set, the spectrum of
scattering at each pixel can be obtained using the CytoViva software program (ENVI 4.8).
Collecting a spectrum from a particular area involves two main processes. First,
identifying the region of interest (ROI) and building the hyperspectral image by
normalizing the hyperspectral signal to the dark current image. Second, the 1D
hyperspectral signals were collected from the HSI at certain ROIs and stored to form a
spectral library. The SAM algorithm is used to generate mapping images to determine the
predominant spectral signature. The spectra of the predominant region were then further
analyzed to identify the peak value. Next, the peak shift of the sample with respect to
the signal from bare HfNPs-Pmix will be identified as an output parameter.
Spectral data were analyzed using Origin software to identify the peak and the peak shift
in the case of each sample. Around 16 ROIs have been processed for each sample.
Physicochemical Characterizations
To visualize the morphology of the NPs, the hydrodynamic diameters of the individually
ASO-capped nanoparticles and the composite nanoparticles were monitored on a particle
tracking analyzer (Zetaview Particle Metrix). The chamber of the machine was properly
cleaned prior to each measurement. Further, the as-synthesized nanoparticles before and
after the addition of RNA were investigated under the transmission electron microscope
(FEI Tecnai T12). The tungsten filament was used as the electron optics, and the voltage
was kept constant at 80 kV. A sample droplet was spotted onto a carbon-coated copper grid
(400 mesh) and allowed to stay there for about 10 min before being removed.
Isolation of RNA
Severe acute respiratory syndrome-related coronavirus (SARS-CoV-2), isolate USA-WA1/2020,
was isolated from an oropharyngeal swab of a patient with a respiratory illness. The
sample, NR-52287, as obtained from BEI Resources, NIAID, NIH, consists of a crude
preparation of cell lysate and supernatant from Cercopithecus aethiops
kidney epithelial cells (Vero E6; ATCC CRL-1586) infected with SARS-CoV-2, isolate
USA-WA1/2020, that was gamma-irradiated (5 × 106 rad) on dry ice. The
sample, NR-50549, as obtained from BEI Resources, NIAID, NIH, consists of a
gamma-irradiated cell lysate and supernatant from Vero cells infected with MERS-CoV,
EMC/2012. The total RNA was then extracted and purified for the viral RNA from the
cellular lysate with a commercially available kit. The following reagents were also
obtained through BEI Resources, NIAID, NIH: (i) swineinfluenza A (H1N1) real-Time RT-PCR
assay, NR-15577; (ii) genomic RNA from influenza A virus, A/gull/Maryland/704/1977
(H13N6), NR-43019; (iii) genomic RNA from influenza B virus, B/Ohio/01/2005 (Victoria
lineage), NR-43753; and (iv) quantitative PCR (qPCR) control RNA from inactivated SARS
coronavirus, Urbani, NR-52346.
Preparation of Clinical Samples
The clinical samples tested in this work were collected as part of the registered
protocols approved by the Institutional Review Board of the University of Maryland,
Baltimore. Samples of nasopharyngeal swabs were stored in viral transfer media, and then
the samples were stored at −80 °C for future use. The total RNA was then
extracted and purified for the viral RNA from the cellular lysate with a commercially
available kit.
Direct Clinical Sample Testing
A NAP-10 column was equilibrated as per the manufacturer’s protocol. A 40 μL
amount of the nasopharyngeal swab sample in VTM was mixed with 20 μL of guanidine
isothiocyanate containing lysis buffer and added to the NAP-10 column. A 1 mL amount of
RNase-free water was added to the column, and the eluted liquid containing the RNA was
collected. Next, 5 μL of the eluted liquid was mixed with 5 μL of
HfNPs-Pmix; then 5 μL was deposited on a glass slide with a coverslip
for HSI imaging.
Docking Studies
The chemical structures were first energy minimized using a general ab
initio quantum chemistry package, the General Atomic and Molecular Electronic
Structure System (GAMESS) program.[64] We used the MINI functional as
Huzinaga’s 3 Gaussian minimal basis set with Pople N31 for the polar groups while
performing the density functional theory calculations. These energy-minimized structures
were then undertaken for docking studies using AutoDock 4.0 software.[65−67]
Density Functional Theory Calculations
The chemical structures were initially energy-optimized, and the HOMO–LUMO
surfaces were then calculated from their energy-minimized geometries using a general
ab initio quantum chemistry package (GAMESS) as described
above.[27,64] The
highest occupied molecular orbital energy (EHOMO), the lowest
unoccupied molecular orbital energy (ELUMO), and the energy
gap between ELUMO and EHOMO were
calculated and represented as ΔELUMO–HOMO.
Authors: Garrett M Morris; Ruth Huey; William Lindstrom; Michel F Sanner; Richard K Belew; David S Goodsell; Arthur J Olson Journal: J Comput Chem Date: 2009-12 Impact factor: 3.376
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