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Nanostructured Electrochemical Biosensors: Towards Point of Care Diagnostics by Brian Lam A thesis submitted in conformity with the requirements for the degree of Doctor of Philosophy Department of Chemistry University of Toronto © Copyright by Brian Lam 2013

Nanostructured Electrochemical Biosensors: …...ii Nanostructured Electrochemical Biosensors: Towards Point of Care Diagnostics Brian Lam Doctor of Philosophy Department of Chemistry

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Nanostructured Electrochemical Biosensors:

Towards Point of Care Diagnostics

by

Brian Lam

A thesis submitted in conformity with the requirements for the degree of Doctor of Philosophy

Department of Chemistry University of Toronto

© Copyright by Brian Lam 2013

ii

Nanostructured Electrochemical Biosensors: Towards Point of

Care Diagnostics

Brian Lam

Doctor of Philosophy

Department of Chemistry

University of Toronto

2013

Abstract

An important research area in medicine is molecular diagnostics of cancers and infectious

diseases, which can be diagnosed, managed and treated more effectively with genetic

information. We have developed an integrated sample to answer bacterial detection platform

combining a simple, universal bacterial lysis approach and sensitive nanomaterial

electrochemical biosensors. Lysis is rapid and effective at releasing intercellular nucleic acid

targets. The platform was directly challenged with unpurified lysates and successful at

determining the presence of clinically relevant concentrations within 30min from sample to

answer.

Another important aspect of biosensor development is the development of cheap and efficient

methods for manufacturing nanostructured microelectrodes. Previously, we have used costly

silicon wafers for fabrication. Here we explored alternate inexpensive materials for fabrication

including printed circuit boards, plastics and glass. We show that plain borosilicate glass is

effective for templated bottom-up fabrication, with comparable performance to expensive silicon

based nanostructured microelectrodes.

iii

Current state-of-the-art readout of many biomarkers is hampered by serially addressing arrays of

low cost biosensors, without the use of high cost active electronics. Here we have developed a

new concept, solution-based electrochemical circuits, which makes highly multiplexed sensing

feasible on the surface of low-cost, glass chips. This method utilizes the idea that physical

separation of liquid on an insulator can result in electrochemical isolation. Using this we can

reduce the number of outputs to 2√n, where n would be the number of serially connected sensors.

We use urinary tract infections as a model system and prove that we can accurately detect

species and antimicrobial resistance in multiplexed formats at clinically relevant concentrations.

iv

Acknowledgments

First I would like to thank Professor Shana O. Kelley for giving me the opportunity to work in

her group and giving me freedom to pursue new ideas. You have always been encouraging with

invaluable suggestions and compliments, in times where sometimes I fail to see the success of

my work. Also you have shown me what it takes to become an exemplary principle investigator.

I would like to thank Professor Edward H. Sargent for advice and challenging me to be a better

scientist and engineer. You have provided me with countless helpful suggestions and many new

and exciting ideas have arisen from our discussions.

I would like to thank my committee members Professor Gilbert Walker for the invaluable advice

and support you have provided me before and throughout my graduate studies, and Professor

Aaron Wheeler for helpful suggestions and support.

I would like to thank Dr. Jagotamoy Das for important contributions with who I collaborated

closely with on many aspects of this work. I would like to thank Dr. Zhichao Fang, Elizaveta

Vasilyeva, Dr. Leyla Solyemani, Dr. Ludovic Live, Andrew Sage, Richard D. Holmes for their

important contributions to this work.

I would like to thank all past and current members of the Kelley group including, Dr. Mark

Pereira for his suggestions and advice with bacteria, Hooman Zamani for his cheerful advice and

support. I would like to thank Justin Besant, Dr. Reza Mohamadi, Mario Moscovici, Rida

Mourtada, Sean Guo, Alexander Zaragoza, Barbara Alexander, Gabriela Kranac for help and

support in and outside the lab.

I would like to thank my mother Dorothy, sister Karen and father Lawrence for their support love

and support throughout my life and graduate career.

Finally I would like to thank Liza for carrying that centrifuge and educating me that bacteria do

not grow properly in a conical tube. Thank you for your love and support in my life and graduate

studies.

v

Table of Contents

Contents

Acknowledgments .......................................................................................................................... iv

Table of Contents ............................................................................................................................ v

List of Figures .............................................................................................................................. viii

List of Abbreviations ..................................................................................................................... xi

1 Medical Diagnostics – Past, Present and Future ........................................................................ 1

1.1 A Brief History of Medical Diagnosis ................................................................................ 1

1.2 Age of Molecular Diagnostics ............................................................................................ 3

1.3 Medical Diagnosis of Cancers and Infectious Disease ....................................................... 4

1.4 Point-of-Care Biosensor Technology ................................................................................. 5

1.5 Scope of Thesis ................................................................................................................... 6

1.6 References ........................................................................................................................... 8

2 Electrochemical Biosensor Methodology and Background ..................................................... 11

2.1 Electrochemical Biosensors .............................................................................................. 11

2.1.1 Electrochemical Techniques ................................................................................. 12

2.1.2 Glucose Biosensors ............................................................................................... 17

2.1.3 Nanostructured Microelectrode Electrochemical Biosensors ............................... 18

2.2 Platform Development Goals ............................................................................................ 23

2.3 References ......................................................................................................................... 25

3 Polymerase Chain Reaction-Free, Sample-to-Answer Bacterial Detection in 30 Minutes

with Integrated Cell Lysis ........................................................................................................ 29

3.1 Abstract ............................................................................................................................. 29

3.2 Introduction ....................................................................................................................... 30

3.3 Methods and Materials ...................................................................................................... 34

vi

3.4 Results and Discussion ..................................................................................................... 36

3.5 Conclusions ....................................................................................................................... 41

3.6 References ......................................................................................................................... 42

4 Optimized templates for bottom-up growth of high-performance integrated biomolecular

detectors ................................................................................................................................... 46

4.1 Abstract ............................................................................................................................. 46

4.2 Introduction ....................................................................................................................... 47

4.3 Materials and Methods ...................................................................................................... 48

4.4 Results and Discussion ..................................................................................................... 51

4.4.1 Baseline performance of sensors fabricated on silicon ......................................... 51

4.4.2 Testing of printed circuit board as a substrate for sensor deposition .................... 53

4.4.3 Testing of plastic as a substrate for sensor deposition .......................................... 55

4.4.4 Testing of glass as a substrate for sensor deposition ............................................ 57

4.4.5 Validation of clinically-relevant sensitivity and specificity using glass chips ..... 58

4.5 Conclusions ....................................................................................................................... 59

4.6 References ......................................................................................................................... 61

5 Solution-based circuits enable rapid and multiplexed pathogen detection .............................. 64

5.1 Abstract ............................................................................................................................. 64

5.2 Introduction ....................................................................................................................... 65

5.3 Methods and Materials ...................................................................................................... 66

5.4 Results ............................................................................................................................... 70

5.4.1 Overview of approach ........................................................................................... 70

5.4.2 Characterization of the SCC ................................................................................. 73

5.4.3 Detection of urinary tract infection pathogens ...................................................... 75

5.4.4 Multiplexed detection of urinary tract infection pathogens .................................. 78

5.5 Discussion ......................................................................................................................... 80

vii

5.6 References ......................................................................................................................... 82

6 Conclusions and Future Directions .......................................................................................... 86

6.1 Thesis Findings ................................................................................................................. 86

6.2 Future Work ...................................................................................................................... 87

7 Publications and Other Contributions ...................................................................................... 89

8 Supplementary Information ..................................................................................................... 90

8.1 Microchannel Electrical Lysis .......................................................................................... 90

8.1.5 Conclusions ......................................................................................................... 103

8.2 Description of Solution Circuit Chip .............................................................................. 104

8.2.1 Description of SCC platform .............................................................................. 104

8.2.2 Interference evaluation ........................................................................................ 107

8.3 References ....................................................................................................................... 111

`

viii

List of Figures

Figure 1.1 – First Medical X-ray. ................................................................................................... 2

Figure 1.2 – Structure of DNA ....................................................................................................... 3

Figure 2.1 – Three electrode electrochemical cell ........................................................................ 13

Figure 2.2 – Cyclic Voltammetry. ................................................................................................ 14

Figure 2.3 – Differential Pulse Voltammetry. .............................................................................. 15

Figure 2.4 – Chronoamperometry. ................................................................................................ 16

Figure 2.5 – Freestyle glucose meter and sensor strips ................................................................ 18

Figure 2.6 – Nanowire polycarbonate template fabrication. ......................................................... 19

Figure 2.7 - NME fabrication process ........................................................................................... 20

Figure 2.8 – Electrode Morphologies. .......................................................................................... 21

Figure 2.9 - Electrocatalytic nucleic acid assay. ........................................................................... 22

Figure 2.10 – NME sensitivity and specificity. ............................................................................ 23

Figure 3.1 - Bacterial detection sensors. ....................................................................................... 31

Figure 3.2 - Integrated sensing system. ........................................................................................ 33

Figure 3.3 - Characterization of electrically lysed bacterial solutions. ......................................... 37

Figure 3.4 - Direct bacterial detection in unpurified lysates ......................................................... 40

Figure 4.1- Silicon-based NME characterization. ......................................................................... 52

Figure 4.2 - PCB-based NME characterization. ........................................................................... 54

Figure 4.3 - Plastic-supported NME characterization. .................................................................. 56

ix

Figure 4.4 - Glass-supported NME characterization. ................................................................... 57

Figure 4.5 - Glass-based NME assay validation. .......................................................................... 59

Figure 5.1 - The solution circuit chip. ........................................................................................... 71

Figure 5.2 - Electrochemical validation of the SCC. .................................................................... 74

Figure 5.3 - Validation of pathogen and antibiotic-resistance probes. ......................................... 76

Figure 5.4 - Multiplexed pathogen and antibiotic-resistance testing on an SCC. ......................... 79

Figure 8.1 – PDMS microchannel electrical lysis. ....................................................................... 91

Figure 8.2 – Microchannel schematic. .......................................................................................... 92

Figure 8.3 - Experimental lysis setup. .......................................................................................... 93

Figure 8.4 - Electrical lysis of Ecoli and Ssap .............................................................................. 94

Figure 8.5 – Bacterial concentration versus electrical lysis. ......................................................... 95

Figure 8.6 – Flow rate versus electrical lysis ................................................................................ 95

Figure 8.7 – Applied voltage versus electrical lysis ..................................................................... 96

Figure 8.8 – Optical images of lysed versus unlysed bacteria ..................................................... 96

Figure 8.9 – Propidium iodide uptake versus microchannel lysis ............................................... 97

Figure 8.10 – Flow cytometry propidium iodide uptake .............................................................. 98

Figure 8.11 – RT-PCR confirmation of mRNA target release on lysed samples ......................... 99

Figure 8.12 - Experimental workflow electrochemical detection from sample to answer ........... 99

Figure 8.13 - Sensor footprint versus accumulation time ........................................................... 100

Figure 8.14 - Electrochemical detection of bacterial lysates for different size sensors. ............. 101

x

Figure 8.15 – Chronic mylegenous leukemia. ............................................................................ 102

Figure 8.16 - Microchannel lysis of K562 cells .......................................................................... 103

Figure 8.17 – Representation of 5x5 array of an SCC chip ........................................................ 104

Figure 8.18 – Cross section schematic of single NME in SCC chip .......................................... 105

Figure 8.19 – SCC chip connected in traditional electrochemical setup .................................... 105

Figure 8.20 – Physical liquid channel separation orthogonal to common WEs. ........................ 106

Figure 8.21 – Illustration of SCC method ................................................................................... 106

Figure 8.22 – SCC interference from sequential addition of Ru/Ferri ....................................... 107

Figure 8.23 – Hypothesis of interference phenomena in SCC chips………………………….. 108

Figure 8.24 - Interference theory experiment. ............................................................................ 109

Figure 8.25 – Elimination of interference. .................................................................................. 110

xi

List of Abbreviations

CA – Chronoamperometry

CE – Counter electrode

cfu – Colony forming units

CML – Chronic myelogenous leukemia

CV – Cyclic voltammetry

DNA – Deoxyribonucleic acid

DPV – Differential pulse voltammetry

FAD – Flavin group

FEP – Fluorinated ethylene polymer

GOx – Glucose oxidase

IPA – Isopropyl alcohol

MB – Methylene blue

mRNA – Messenger ribonucleic acid

NME – Nanostructured microelectrode

PCB – Printed circuit board

PCR – Polymerase chain reaction

PDMS – polydimethylsiloxane

PI – Propidium iodide

PNA – Peptide nucleic acid

RE – Reference electrode

RNA – Ribonucleic acid

rpoβ – RNA polymerase gene

RT-PCR – Reverse transcriptase polymerase chain reaction

SCC – Solution circuit chip

SEM – Scanning electron microscopy

UTI – Urinary tract infection

WE – Working electrode

β-lac - β-lactamase

1

1 Medical Diagnostics – Past, Present and Future

Medical diagnostic technology development is one of most important fields of applied science

since it directly affects the overall health of the general population. Throughout history,

clinicians and scientists have endeavored to develop more effective technologies to rapid and

accurate diagnosis of medical aliments [1].

1.1 A Brief History of Medical Diagnosis

One of the first instances of medical diagnostic device was the stethoscope, which has become

the most widely used diagnostic device by clinicians to date. Prior to its inception in 1816 by

Rene Theophile-Hyacinthe Laennec, since the age of Hippocrates in 400 BC, clinicians placed

their ears directly onto a patient’s chest to investigate cardiovascular health [2]. Laennec also

used this method until one day while listening to a patient’s chest he recalled that he could hear a

pin scraping at one end of a plank while his ear was placed at the other end. He quickly rolled up

a stack of parchment and placed it to the patient’s chest and was surprised that he could hear the

heart more clearly than if he placed his ear to their chest.

Laennec went about manufacturing the first stethoscope which was essentially a simple wooden

monaural tube and has been developed over the past two centuries into a binaural flexible device

with integrated low pass filtration among other numerous advances. The stethoscope provided

valuable information on the internal workings of the human body while still remaining totally

non-invasive. This was the first instance of non-lethal device for exploring internal anatomy and

has shaped the face of the medical profession. It is responsible for the, discovery of new

diseases, the creation of criteria for accurate and rapid diagnosis and the development of many

new treatments. Also it has become the most recognizable symbol of the medical profession [3]

where patients trust doctors more when they are wearing a stethoscope.

The next most important medical tool was the discovery and use of X-Rays by Wilhelm Conrad

Röntgen in 1895 [4]. Röntgen at the time was testing vacuum tubes, provided by Hertz and Tesla

amongst others, as electrical charges discharged through them. Serendipitously, although the

tube was covered by cardboard, a neighboring barium platinocyanide screen emitted a faint

florescence a few feet away. He surmised that a new type of radiation was responsible, which he

2

named ―X-Rays‖. A few weeks after his discovery he took the first medically related X-Ray of

his wife’s hand (Figure 1.1) to which she exclaimed ―I have seen my death!‖ Deservingly

Röntgen won the first Nobel prize in physics in 1901 for his discovery which has affected

countless lives and paved the way for new medical discoveries and diagnostic techniques.

Figure 1.1 – First Medical X-ray. Röntgen’s wife’s hand. [4]

Another very important discovery that had a profound impact on the future of medical

diagnostics was the discovery of the structure of deoxyribonucleic acid (DNA) by James Watson

and Francis Crick in 1953 [5]. DNA was first isolated by Friedrich Miescher in 1869 in the pus

of used surgical bandages. He observed a microscopic substance in the nucleus of cells which he

named ―nuclein‖. Albrecht Kossel was the first to isolate the five primary nucleobases in 1878,

followed by Phoebus Levene who discovered the phosphate, sugar and base unit in 1919.

Interestingly enough the structure of DNA was discovered utilizing the diffraction of X-rays, and

the analysis of a single diffraction image, ―Photo 51‖ (Figure 1.2A) taken by Rosalind Franklin

and Raymond Gosling in 1952. By chance, Watson was shown Photo 51 by Franklin and it

3

convinced him that the structure of DNA must be made up of two intertwining chains in a paired

helix resembling a spiral staircase. Working closely together, Watson and Crick developed a

stick and ball model of the structure of DNA where the sides of the staircase was made of

alternating sugar deoxyribose and phosphate molecules, and the stairs consisted of paired bases.

(Figure 1.2B) Their model was published in Nature in 1953 and essentially gave birth to the field

of molecular biology, and consequently, in 1962 they received the Nobel Prize in

Physiology/Medicine for one of the most important discoveries of humankind.

Figure 1.2 – Structure of DNA (A) Photo 51: X-ray diffraction image of DNA (B) Watson &

Crick ball and stick representation of the double helix structure of DNA [5]

1.2 Age of Molecular Diagnostics

After the discovery of the structure of DNA, much work went into studying its role in all life on

earth. The discovery gave birth to the new age of molecular diagnostics and much effort was

expended to understand DNA’s role in the function of the cell and disease. A host of new

techniques were developed to study the role of nucleic acids and read its sequences. One of the

first sequencing techniques developed was by Fredrick Sanger and coworkers in 1977 [6]. It is a

chain termination method relying on terminating DNA templates with dideoxynucleotides that

4

are fluorescently or radioactively labeled followed by size separation with electrophoresis to read

sequences in order. Following the Sanger method, one of the most important techniques

developed was polymerase chain reaction (PCR), which was developed by Kary Mullins in 1983

[7]. PCR relies on heat cycling to denature double stranded DNA, followed by primers which

specify a region of amplification for a heat stable DNA polymerase which enzymatically

assembles DNA from the base nucleotides. Heat cycling exponentially multiples the amplified

region designated by the primers. Many current nucleic acid diagnostic methods rely on PCR to

essentially amplify trace amounts of nucleic acids present for analysis.

1.3 Medical Diagnosis of Cancers and Infectious Disease

Efficient and rapid genetic analysis of diseases is an important goal, since it can be used to

provide more accurate diagnosis and effective treatment then traditional techniques [8]. Cancer

has become prominent emerging disease over the past half century and is one of the top causes of

death in the world [9]. Cancer is a broad class of various diseases with one commonality,

unregulated growth of cells causing malignant tumors that assail other parts of the body causing

them to malfunction and eventually fail [10]. Another commonality is the fact that growth of

cells is regulated by genes, and mutations in these genes cause malignant growth.

Traditional methods for diagnosis of cancer are from symptoms and/or through screening

techniques followed by a biopsy sample analyzed by a pathologist and other medical tests such

as X-rays, CT scans, endoscopies and blood tests [11]. Cancers are generally classified by the

type of cell the tumor resembles. However, diagnosis is generally made only when the tumor is

large enough to cause symptoms or be seen with radiological techniques. Early detection of

cancers would be of great benefit to the patient, however current screening methods are not

sensitive or efficient enough for early detection of cancers [12]. Also genetic level analysis of

cancers would provide valuable information on the prognosis and effective treatments for

cancers [12], however they are not widely used. Hence there is a need for sensitive, rapid and

inexpensive molecular diagnostic methods for use in early detection and disease state monitoring

of cancer at the genetic level [13].

Infectious diseases are an important area for development of an efficient and rapid molecular

diagnostic test. During 2011-2012 approximately 32 million people died due to infectious

diseases [14] excluding HIV/AIDS related deaths, which is roughly ~0.5% of the world

5

population or approximately 1 in 200 individuals. Infectious diseases can be caused by many

organisms, including viruses, parasites and pathogenic bacteria. The most common diagnostic for

infectious disease is a traditional symptomatic approach, however many infectious diseases share

common symptoms. For infections caused by pathogenic bacteria a symptomatic approach will

not provide any information on antimicrobial resistance in the initial assessment of the patient.

This hampers effective treatment and amplifies the emerging problem of antibiotic resistance in

pathogenic bacteria due to misuse of antibiotics [15].

Another common diagnostic tool is phenotypic testing [16] which is based on microbial culture,

and utilizes a growth media to amplify and visualize the presence of an infectious disease.

However, this method is not applicable to all infectious diseases, because not all pathogens can

be cultured. Phenotypic testing can be used to determine speciation of pathogenic bacteria since

colonies grown can posses different visual characteristics, however this is not a concrete method.

Also it can be used to determine antibiotic susceptibility, where various antibiotics are inserted

into the growth media, and susceptibility is determined by local growth.

Phenotypic testing can take long periods of time, anywhere from a day to a month for certain

pathogenic bacteria, which limits the effectiveness of phenotypic testing as a diagnostic tool.

Clinicians must provide effective treatment at the point of care within a rapid time frame. With

current clinical methods they must make an educated guess, based upon a symptomatic approach

without evidence of antimicrobial resistance or susceptibility. This leads to ineffective and/or

inaccurate treatments being prescribed for infectious diseases, and the misuse of antibiotics

contributing to the increasing antibiotic resistance of infectious diseases [15]. In theory, all

infectious disease could be diagnosed by molecular diagnostic methods, however this is not the

case since current molecular diagnostic methods are time consuming, require trained technicians

and are expensive. Due to the varied nature of infectious diseases a point of care diagnostic test

that can rapidly and inexpensively determine speciation and antibiotic resistance from numerous

candidates will be a valuable asset in stemming infectious disease related deaths [17].

1.4 Point-of-Care Biosensor Technology

Biosensors are a relatively new class of medical diagnostic tool. Biosensors are essentially made

up of three main components, first is a biological sample; which can include cell cultures, human

(blood, urine, saliva and tissue), animal, food and environmental samples. Second, is the

6

transduction of a specific recognition element of target analyte within the sample of interest. The

transducer method is based on optical, mass or electrochemical measurements. Third, is a

readout method for the transduced signal which can either be optical and/or electronic [18]. Point

of care biosensors have additional required criteria, including ease of use, rapid sample to answer

timeframes and low cost.

The main advantage of point of care optical based biosensors is the direct visual interpretation of

results. However optical methods can suffer from the following drawbacks poor sensitivity, need

for optically transparent samples/materials and expensive auxiliary equipment. . Examples of

notable commercially available optically based point of care biosensors are simple lateral flow

assays such as point of care pregnancy tests [20].

The main advantages of point of care electrochemical based biosensors are high levels of

sensitivity, low cost instrumentation and ease of miniaturization. Some disadvantages of

electrochemical based biosensors are requirement of additional instrumentation for readout,

results of readout are not as easily interpreted and methods are not as well characterized or as

developed as with optical systems. The most notable commercially available electrochemical

biosensors are point of care glucose sensors [21]. Major issues for future development of point of

care biosensors which will need to address speed, ease of use, cost, and multiplexing.

1.5 Scope of Thesis

The scope of this work is to develop new and exciting methods for application to point of care

diagnostics. First, sample handling of biological samples in infectious disease and cancer is

important. We utilize electrical lysis in microfludic chambers and lyse mammalian [22] and

bacterial cells [23] and detect the presence of nucleic acids electrochemically. Our goal in

chapter 3 was to develop new simplified parallel-plate lysis chambers that can operate at lower

voltages, and directly integrate them to our nanostructured microelectrode (NME) platform. With

this new platform, we perform polymerase chain reaction (PCR) free electrochemical detection

of raw bacterial lysates in buffer and urine [24].

In chapter 4 our goal was to investigate new low cost materials which are comparable to silicon

for fabrication of NMEs. High material cost of silicon can be prohibitive to point of care

diagnostic devices. We investigated several materials as alternative inexpensive substrates for

7

growth of NMEs for use in point of care electrochemical biosensors. We evaluated printed

circuit boards (PCB), plastics and glass. With PCBs we found copper problematic as a base

metal for growth of NME structures, since it would spontaneously etch when exposed to our

traditional plating solutions. We were able to resolve these material issues, however we could not

obtain comparable sensitivity to silicon counterparts. Plastics did not have base metal issues,

however we found that plastics were too flexible to obtain reasonable lithographic resolution.

This resulted in poor sensitivity compared to silicon based NMEs. Glass proved to be rigid

enough for good lithographic resolution and had comparable sensitivity to silicon based sensors

[25].

In chapter 5 our goal was to develop a new technique for inexpensive and efficient multiplexing

that does not rely on resource heavy active electronics. A current goal for electrochemical

biosensors is the ever increasing multiplexing of multiple targets. Serial connections are the most

obvious method to increase multiplexing, however electrical output connections become ever

increasingly difficult to perform, since n sensors requires n individual output connections.

Parallel connections are more efficient reducing the minimum number of output connections to

2√n. However, traditional methods require active switching electronics on the surface of the

sensor chip which drastically increases cost and complexity of the device. We developed a new

solution based method that takes advantage of physical separation of liquid on the surface of

electrochemical biosensors to create equivalent parallel connections to active electronic methods,

which we call solution based electrochemical circuits (SCC). We show effective isolation of

sensors connected in parallel and show that they are equivalent to serially connected sensors. In

addition we accurately detected the species and antibiotic resistance of pathogenic bacteria in

multiplexed bacterial lysates [26]. `

8

1.6 References

1. Berger, B. D. A brief history of medical diagnosis and the birth of the clinical laboratory.

Medical Laboratory Observer (1999).

2. Blaufox, M. D. An ear to the chest: An illustrated history of the evolution of the stethoscope.

149p (Parthenon Pub. Group: London: 2002).

3. Rehman, S. U., Nietert, P. J., Cope, D. W. & Kilpatrick, A. O. What to wear today? Effect of

doctor’s attire on the trust and confidence of patients. The American Journal of Medicine

118, 1279–86 (2005).

4. Röntgen, W. On a new kind of rays. Science 3, 227–231 (1896).

5. Watson, J. D. & Crick, F. H. C. Molecular Structure of Nucleic Acids. Nature 171, 737–738

(1953).

6. Sanger, F., Nicklen, S. & Coulson, A. R. DNA sequencing with chain-terminating.

Proceedings of the National Acadamey of Sciences 74, 5463–5467 (1977).

7. Saiki, R. K., Scharf, S., Faloona, F., Mullis, K. B., Horn, G. T., Erlich, H. A., & Arnheim, N.

Enzymatic amplification of beta-globin genomic sequences and restriction site analysis for

diagnosis of sickle cell anemia. Science 230, 1350–1354 (1985).

8. Grody, W. W. Molecular diagnostics: Techniques and applications for the clinical

laboratory. 484p (Elsevier/Academic Press: 2010).

9. Siegel, R., Naishadham, D. & Jemal, A. Cancer Statistics , 2012. CA: A Cancer Journal for

Clinicians 62, 10–29 (2012).

10. Weinberg, R. A. The Biology of Cancer. (Garland Science: New York, 2007).

11. Nakamura, R. M. Cancer Diagnostics: Current and Future Trends. (Humana Press: Totowa,

N.J, 2004).

12.Jorde, L. B., Carey, J.C., M. J. B. Medical Genetics. (Mosby/Elsevier: Philadelphia, 2010).

9

13. Offit, K. Personalized medicine: new genomics, old lessons. Human genetics 130, 3–14

(2011).

14. World Health Organization. World Health Statistics 2013. (2013).

15. Levy, S. B. & Marshall, B. Antibacterial resistance worldwide: causes, challenges and

responses. Nature Medicine 10, S122–S129 (2004).

16. Bochner, B. R. Global phenotypic characterization of bacteria. FEMS Microbiology reviews

33, 191–205 (2009).

17. Niemz, A., Ferguson, T. M. & Boyle, D. S. Point-of-care nucleic acid testing for infectious

diseases. Trends in biotechnology 29, 240–50 (2011).

18. Jonathan M. Cooper, A. E. G. C. Biosensors : a practical approach. 251p (Oxford University

Press: New York, 2004).

19. Issadore, D. I. & Westervielt, R.M. Point-of-care diagnostics on a chip. (Springer: New

York, 2013).

20. Williams, L. Home and Point-of-Care Pregnancy Tests : A Review of the Technology.

Epidemiology 13, 14–18 (2013).

21. Newman, J. D. & Turner, A. P. F. Home blood glucose biosensors: a commercial

perspective. Biosensors & bioelectronics 20, 2435–53 (2005).

22. Vasilyeva, E., Lam, B., Fang, Z., Minden, M. D., Sargent, E. H., & Kelley, S. O. Direct

genetic analysis of ten cancer cells: tuning sensor structure and molecular probe design for

efficient mRNA capture. Angewandte Chemie (International ed. in English) 50, 4137–41

(2011).

23. Soleymani, L., Fang, Z., Lam, B., Bin, X., Vasilyeva, E., Ross, A. J., Sargent, E. H., &

Kelley, S. O. Hierarchical nanotextured microelectrodes overcome the molecular transport

barrier to achieve rapid, direct bacterial detection. ACS nano 5, 3360–6 (2011).

10

24. Lam, B., Fang, Z., Sargent, E. H. & Kelley, S. O. Polymerase Chain Reaction-Free, Sample-

to-Answer Bacterial Detection in 30 Minutes with Integrated Cell Lysis. Analytical

Chemistry 84, 21-25 (2012).

25. Lam, B., Holmes, R. D., Das, J., Poudineh, M., Sargent, E. H., & Kelley, S. O. Optimized

Templates for Bottom-Up Growth of High-Performance Integrated Biomolecular

Detectors. Lab on a Chip 13, 2569-75 (2013)

26. Lam, B., Das, J., Holmes, R. D., Live, L., Sage, A., Sargent, E. H., & Kelley, S. O. Solution-

based circuits enable rapid and multiplexed pathogen detection. Nature Communications

4, 1–8 (2013).

11

2 Electrochemical Biosensor Methodology and Background

Various types of biosensors are currently being developed and many are commercially

available. Generally there are only two readout methods employed, optical or electrical.

Biosensor developments contained herein are electrochemical based and therefore a brief

overview of electrochemical techniques [1] and electrochemical biosensors follows.

2.1 Electrochemical Biosensors

The field of electrochemistry was born in 1791 by Luigi Galvani when he established a

connection between chemical reactions and electricity with his famous frog leg experiment.

Galvani was a biologist and was one day performing an experiment on frog legs, and accidently

touched an exposed nerve with a statically charged metal scalpel. He observed electrical

discharges along with a kicking motion of the frog legs and realized there was a connection

between electricity and life [2]. Sparked by Galvani’s discoveries Alessandro Volta in 1800

invented the voltaic pile, the first electrical battery, one of the most important inventions in

electrochemistry. One of the first electrochemical sensing methods measured pH utilizing a glass

electrode which was developed in the early 1900s. The first commercial pH meter was developed

by Arnold Beckman in 1936. This was followed by the development of the first electrochemical

biosensor in 1962 by Leland Clark with the first glucose oxidase enzyme electrode [3]. The first

commercial glucose meters were available by the 1970s and have become the gold standard of

the biosensor field [4].

These developments have made electrochemical biosensors one of the most important fields in

applied science. The main advantages of electrochemical biosensors are ease of miniaturization,

low cost instrumentation, robustness, good detection limits, small sample volumes, and ability to

work in turbid optically absorbing samples. The potential low cost of electrochemical biosensors

combined with ease of miniaturization is the definitive advantage when used for point of care

biosensors. The main drawbacks are direct visual observation of detection is usually not possible

and multiplexing is less viable compared to optical methods [5].

Electrochemical based biosensors are invaluable medical diagnostic tools and are a capable

method for detection of medically related analytes [6]. Many electrochemical biosensor

12

techniques have been developed to detect nucleic acids [7-12], proteins [13-16], and small

molecules [17-19]. Studies have shown that electrochemical methods are robust and can

accurately detect biomarkers in complex unpurified heterogeneous biological samples [18].

Electrochemical biosensors have been applied to many cancer [13, 20, 21] and infectious disease

[22-24] biomarkers which have illustrated the utility of electrochemical biosensors for future

medical diagnostic applications. Electrochemical techniques are the foundation of

electrochemical biosensors [1], and a short review of common electrochemical techniques

follows.

2.1.1 Electrochemical Techniques

Electrochemical biosensors can be classified into three main types; potentiometric, impedimetric

and amperometric. Potentiometric devices measure the charge/potential collected at a given

sensor surface with respect to a reference when no current flows and provides information on ion

activity. Impedimetric devices measure impedance change; generally change of resistance or

capacitance, at the sensor surface. All devices developed in this work are amperometric which

measure current generated at the sensor surface, usually in response to an applied potential. In

general most amperometric electrochemical biosensors are three electrode systems comprised of

a working (WE), auxiliary/counter (CE) and reference electrode (RE) (Figure 2.1). The WE can

be considered the most important electrode because electrochemical reactions of interest occur

on the surface. In terms of electrochemical biosensing these reactions can be the direct

reduction/oxidation of a biological analyte of interest or indicative of a biomolecular recognition

event such as the complementary binding of DNA or antibody/antigen binding events. The WE

is fragile, since in many applications the surface is coated with a sensitive biological probe or

enzyme which can be easily fouled or stripped if handled incorrectly.

13

Figure 2.1 – Three electrode electrochemical cell

The purpose of the CE is to complete the circuit to measure current and handle any variance

potential that could damage the sensitive surface of the WE. The CE is generally made of an

inert and strong material, which is usually platinum or carbon. The reference electrode is used to

provide a stable potential reference point for which potential is applied against to drive redox

reactions of interest at the surface of the WE. The most common reference electrode is

silver/silver chloride (Ag/AgCl), since it is easy to construct, inexpensive and non-toxic. The

potential of the electrode depends on the activity of chloride ions which is held constant by a

saturated KCl or NaCl solution and is physically separated from the sample using a porous

bridge while remaining in electrical contact. The potentiostat applies and measures signals to and

between the electrodes. In most electrochemical techniques it applies a voltage to the working

electrode with respect to the reference electrode, and measures current flowing from the working

electrode. We will briefly overview the electrochemical techniques herein which include cyclic

voltammetry (CV), differential pulse voltammetry (DPV), chronoamperometry (CA).

Cyclic voltammetry is one of the most common used techniques, and involves the application of

a linear sweep voltage to the WE with respect to the RE, as depicted in Figure 2.2A. In this

example, the electro active species is Fe(CN)63-

. The resultant current is measured and plotted

versus the applied voltage as depicted in Figure 2.2B. At point (a) the potential is not sufficient

to reduce Fe(CN)63-

, the potential is forward scanned (negatively increased in this case), at (b)

the potential is now sufficient to begin reducing Fe(CN)63-

+ e- Fe(CN)64-

generating a small

cathodic current. This cathodic current increases rapidly between (b-d) quickly consuming

14

Fe(CN)63-

in the diffusive region near the WE. The cathodic current then decreases (d-f) where

all the Fe(CN)63-

is consumed in the diffusive region and current will be limited by transport of

new Fe(CN)63-

into the diffusive region. The reverse scan is now performed (f-g) in this region

the potential is still sufficient to reduce Fe(CN)63-

. At point (h) the potential of the WE has

decreased so that it can now oxidize the Fe(CN)64-

that was generated in the forward scan. The

anodic current quickly increases between (h-j) quickly consuming and depleting Fe(CN)64-

in the

diffusive region near the WE. The anodic current then decreases between (j-f) consuming the

remaining Fe(CN)64-

in the diffusive layer.

Figure 2.2 – Cyclic Voltammetry. Demonstration of typical CV measurement utilizing

K3Fe(CN)6 [25]

Cyclic voltammetry can provide many insights on the analytes present in the sample and help

characterize the WE in the system of interest. Information about the concentration of

electroactive moieties can be obtained from peak current and width when compared to reference

samples. Cyclic voltammetry can also be used to determine the electroactive area of the WE and

the ease of electron transport to the electroactive moieties, , allowing the effectiveness of

different WEs to be compared. In addition, CV provides information on the electrochemical

15

reversibility of the reaction of interest, where irreversibility is easily determined through the

disappearance of the reverse scan peak.

Differential pulse voltammetry is a similar technique to CV, where a small pulse is superimposed

onto a single linear forward scan, with no reverse scan as shown in Figure 2.3A. The current is

measured just before each pulse (ia) and just before the end (ib) of each pulse and the resultant

difference in current (ib-ia) is plotted versus the linear sweep voltage. An example of DPV for the

reduction of Ru(NH3)63+

/Ru(NH3)62+

is shown in red (Figure 2.3B) and the corresponding CV is

shown in blue. DPV can be loosely thought of as the differential of the forward scan of the

corresponding CV. Again the peak current will be proportional to the concentration of the

electroactive moieties of interest, but we can no longer determine if the system is reversible. The

main advantage of using DPV is the elimination of background charging currents, resulting in

generally higher sensitivity and better peak resolutions then CV.

Figure 2.3 – Differential Pulse Voltammetry. Example of applied and measured DPV signals.

In chronoamperometry (CA), the applied signals are similar, as depicted in Figure 2.4A. Initially

the potential is held at a value for which no redox reaction occurs (E1) then the potential is

stepped to a value (E2) at which the oxidation/reduction of the analyte of interest may occur. In

CA the resultant current versus time is measured, an example is plotted in Figure 2.4B for short

time periods, and can be modelled using the Cotrell equation,

16

(1)

where n is the number of electrons, F is Faraday’s constant, C is concentration, D is the diffusion

constant and t is time. This technique can be used measure the electroactive area of your

electrode and the diffusion constant of your electroactive species. Another common use of CA is

the real-time monitoring of systems, where the potential is held at the redox potential of a

electroactive moiety until steady state value is reached. Any addition or generation of that

electroacitive moiety will cause a proportional response in current, where an increasing value

would represent oxidation and decreasing reduction (Figure 2.4B). Subsequent addition or

generation of that moiety will produce further response and a staircase like signal. Another

common use of CA is to electroplate surfaces, which is commonly done by immersing surface in

an metal salt plating solution, holding the surface above the reduction potential reducing the

metal onto the surface.

Figure 2.4 – Chronoamperometry. (A) Typical applied signal (B) measured current

Chronoamperometry is the most common electrochemical technique utilized since the results are

easy to interpret and the technique requires minimal instrumentation to implement. CA is utilized

by the most successful electrochemical biosensor, the blood glucose meter.

17

2.1.2 Glucose Biosensors

Regardless of many advances in biosensor technologies, glucose biosensors still dominate the

commercial biosensor market, accounting for approximately 85% of an estimated 5 billion dollar

market [4]. One could consider the electrochemical glucose sensor the original biosensor, and it

was first conceived by Clark and Lyons in 1962 [3]. Other technologies to measure glucose were

developed during that time such as the Ames Reflectance Meter invented by Anton Clemens in

1971 [4]. The reflectance meter was not as readily adopted due to the fact that it was large and

heavy ~1kg, expensive and required a prescription. The electrochemical glucose sensor has

dominated the market since they have offered acceptable sensitivity & reproducibility, and can

be manufactured in high volumes at low cost.

The most common enzyme utilized for electrochemical glucose detection is glucose oxidase

(GOx). This enzyme changes the redox state of glucose and produces products that can be

detected electrochemically. The mechanism is generally as follows, (1)

Glucose + O2 gluconic acid + H2O2 (1)

O2 + 4H+ + 4e

- 2H2O (2)

H2O2 O2 + 2H+ + 2e

- (3)

Glucose oxidation is performed by GOx and molecular oxygen producing gluconolactone and

hydrogen peroxide. Originally Clark & Lyons monitored the consumption of O2 over an oxygen

electrode through a dialysis membrane (2), where a negative potential was applied to a platinum

cathode. Further developments relied on the direct oxidation of hydrogen peroxide formation (3).

First generation devices relied on the use of flavin group (FAD) as an oxygen co-substrate,

which is reduced by glucose to FADH2 (4). This is followed by the subsequent oxidation by O2

cycling back to the oxidized form and hydrogen peroxide (5).

GOx(FAD) + glucose GOx(FADH2) + gluconolactone (4)

GOx(FADH2) + O2 GOx(FAD) + H2O2 (5)

18

The peroxide formation was measured directly utilizing (3) and simple CA. Further

developments of glucose biosensors eliminated the need for molecular oxygen and introduced

mediators that facilitate the transfer of electrons between GOx and the WE surface [16]. Most

modern glucose meters utilize these developments combined with cheap screen printing

techniques to create cheap disposable glucose sensing strips to be used as consumables.

Combining consumable test strips with miniaturized cheap amperometric meters, which are

usually given away for free, the modern glucose meter (Figure 2.5) can rapidly and accurately

determine glucose concentration from a small droplet of blood.

Figure 2.5 – Freestyle glucose meter and sensor strips

Glucose biosensors have become the gold standard of the biosensor field. However, the glucose

sensor platform is not suited to molecular diagnostics, since it is an enzymatic approach with

moderate sensitivity. Development of new electrochemical techniques and platforms with high

sensitivities for point of care molecular diagnostics is an important goal. Nanostructuring is an

effective method to improve sensitivities by enhancing surface properties of sensing WEs.

2.1.3 Nanostructured Microelectrode Electrochemical Biosensors

A important goal in electrochemical biosensor development is to miniaturize the size of the WE

to achieve better signal to noise ratios and lower detection limits [27]. Nanostructuring the

surface of WEs can increase sensitivity due to increasing surface to volume ratios, and more

favorable biorecognition element orientation with respect to binding target analytes [28].

19

However the extent to which the WE can be miniaturized reaches a limit. If the WE is too small

such that the interactions between the surface of the WE and the desired target analytes are

minimized, at low concentrations detection cannot occur within a reasonable time frame because

of the lack of collisions/interactions with the WE surface.

A past goal within the Kelley laboratories was to increase electrochemical assay sensitivities by

utilizing nanostructured working electrodes. Initial work toward this goal, in the Kelley lab was

to use templated gold nanowires as nanostructured microelectrodes [29]. The nanowires were

fabricated by electroless deposition of gold onto a polycarbonate membrane (Figure – 2.6) which

was followed by reactive ion etching to expose the gold nanowires.

Figure 2.6 – Nanowire polycarbonate template fabrication. [29]

A complementary electrocatalytic nucleic acid detection method was developed around the same

period [30]. The Kelley group was able achieve good detection limits with this platform, down to

1pM of synthetic oligonucleotides. The major issue was the difficult fabrication process for

nanowires which would be difficult to scale up for manufacturing. The Kelley lab wanted to

develop a more manufacturable streamlined platform, which could rely on traditional

lithographic techniques for fabrication.

20

One of the first efforts toward this goal was made by Yang et al [31]. The foundation of this

platform was to utilize a rigid microfabricated template made from silicon for directed bottom up

electroplating of NME. The fabrication method is outlined in Figure 2.7.

Figure 2.7 - NME fabrication process (A) silicon base substrate passivated with SiO2 followed

by Au electrode structure and top SiO2 passivation layer (B) small apertures etched into top

passivating layer (C) nanostructured microelectrode electroplated within small apertures

Starting with a base silicon wafer that is first passivated by a thick layer of thermal oxide

(~2µm), standard gold electrode leads are patterned utilizing standard metal lift-off techniques.

This is followed by the deposition of a top oxide passivating layer utilizing plasma enhanced

chemical vapor deposition. Small apertures are etched above the ends of the gold electrode leads

and a metal salt is electroplated into the apertures to fabricate NMEs. Numerous structures can

be fabricated utilizing this method (Figure 2.8), by simply varying plating conditions, aperture

size and/or plating solutions.

21

Figure 2.8 – Electrode Morphologies. (A – C) Many types of gold morphologies can be

fabricated utilizing different plating potentials and (D) hierarchal structures can be fabricated by

subsequent plating using different metals and/or plating conditions such as palladium

We combined NMEs with the electrocatalyic nucleic acid detection method [30] outlined in

Figure 2.9. Bare NMEs are first functionalized with target specific peptide nucleic acid (PNA) or

deoxyribonucleic acid (DNA) probe molecule. PNA probes bind to complementary strands with

higher affinity and selectivity than their DNA analogue mainly due to the uncharged backbone of

PNA[32]. The electrocatalytic reporter pair consists of Ru(NH3)63+

and Fe(CN)63-

. Ru(NH3)63+

is

electrostatically attracted to any nucleic acids present on the surface of the NME. Hence,

Ru(NH3)63+

will be strongly attracted to the NME surface if the complementary nucleic acid

target is bound to the PNA probe. Using DPV, the surface of the NME is scanned over a

specified potential window before (Figure 2.9B) and after sample incubation (Figure 2.9C).

Reduction of Ru(NH3)63+

to Ru(NH3)62+

occurs near the surface when we hit the reduction

potential. Fe(CN)63-

present at higher concentration is reduced to Fe(CN)64-

by oxidizing

Ru(NH3)62+

back to Ru(NH3)63+

near the surface, generating an electrocatalytic current. Typical

positive and negative DPV are shown at the end of Figure 2.9B & D.

22

Figure 2.9 - Electrocatalytic nucleic acid assay. (A) functionalization of NME with probe

molecule followed by (B) background scan in electrocatalyic solution. (C) After hybridization

with target sample and subsequent (D) after hybridization scan. Shown are typical negative and

positive scan results.

In the Kelley laboratories we have shown the NME platform to be highly sensitive [33] with

detection limits for synthetic oligonucleotides down to 10 aM . In addition by tuning the degree

of nanostructing on the surface of the sensors, we can tune their dynamic sensing range (Figure

2.10A) over six orders of magnitude; from 10 aM for a finely nanostructured sensor, 10 fM for a

moderately nanostructured sensor and 100fM for an unstructured WE surface. Tuning of surface

nanostructure is performed by simply adjusting plating parameters and solution properties. We

have also shown that the NME platform is highly selective and able to determine specific

prostate cancer gene fusions (Figure 2.10B) [34] in different prostate cancer cell lines and patient

samples.

23

Figure 2.10 – NME sensitivity and specificity. (A) Tuning dynamic range of NME sensors by

varying levels of surface nanotexture; highly nanostructured (blue) moderately nanostructured

(red) smooth (black) [33] (B) selective detection of prostate cancer fusions in cell lines and

patient samples [34]

2.2 Platform Development Goals

At the time I joined the Kelley laboratory, our goal was to drive towards point-of-care devices

utilizing the NME platform. This would require the streamlined analysis of real world samples,

therefore sample processing and integration became one of the major goals. The chip-based

approach senses intercellular molecules (mRNA targets) within mammalian or bacterial cells and

therefore, an effective method to lyse and release these intercellular contents was needed. We

first utilized a simple microchannel electrical lysis method for release of intercellular mRNA

targets, and integrated this approach with our NME platform for rapid detection of CML and

pathogenic bacteria (Supplementary Information 8.1). In chapter 3 our first goal was to develop a

simplified parallel plate lysis method which could operate at lower voltages and could be easily

integrated with our NME platform.

In chapter 4 our second goal was to reduce the cost of fabricated devices and explore new

material paradigms since silicon is a rather expensive substrate. We explored new more

manufacturable materials for bottom up template fabrication of NMEs. We tried various

materials and settled on glass as an optimal substrate.

24

In chapter 5 our third goal was to develop highly multiplexed electrochemical biosensors, which

is an important goal of diagnostics so that large panels of biomarkers can be analyzed. An issue

for increased multiplexing in electrochemical systems is if n sensors need to be addressed, n

electrical output contacts are needed, which becomes increasingly unmanageable for high levels

of multiplexing. To reduce output contacts using existing approaches requires active switching

electronics on each chip, driving up cost and complexity. We developed a passive solution based

electrochemical method to replace resource heavy active electronics.

25

2.3 References

1. Bard, A. J. Electrochemical methods: Fundamentals and applications. (Wiley: New York,

2001).

2. Ostwald, W. Electrochemistry: History and theory. (Amerind Pub. Co.: New Delhi, 1980).

3. Clark, L. C. & Lyons., C. Electrode systems for continuous monitoring in cardiovascular

surgery. Annals of the New York Academy of Sciences 102, 29–45 (1962).

4. Newman, J. D. & Turner, A. P. F. Home blood glucose biosensors: a commercial

perspective. Biosensors & bioelectronics 20, 2435–53 (2005).

5. Zhang, X., Ju, H. & Wang, J. Electrochemical sensors, biosensors, and their biomedical

applications. (Academic Press: Amsterdam, 2008).

6. Ronkainen, N. J., Halsall, H. B. & Heineman, W. R. Electrochemical biosensors.

Chemical Society Reviews 39, 1747–63 (2010).

7. Palec, E. & Bartos, M. Electrochemistry of Nucleic Acids. Chemical Reviews, 112 (6),

3427-81 (2012).

8. Palecek, E. Fifty Years of Nucleic Acid Electrochemistry. Electroanalysis 21, 239–251

(2009).

9. Wang, J. Electrochemical nucleic acid biosensors. Analytica Chimica Acta 469, 63–71

(2002).

10. Drummond, T. G., Hill, M. G. & Barton, J. K. Electrochemical DNA sensors. Nat.

Biotechnol. 21, 1192–1199 (2003).

11. Venkatesan, B. M. & Bashir, R. Nanopore sensors for nucleic acid analysis. Nature

nanotechnology 6, 615–24 (2011).

12. Wanunu, M., Dadosh, T., Ray, V., Jin, J., McReynolds, L. & Drndic, M. . Rapid electronic

detection of probe-specific microRNAs using thin nanopore sensors. Nature

nanotechnology 5, 807–14 (2010).

26

13. Zheng, G., Patolsky, F., Cui, Y., Wang, W. U. & Lieber, C. M. Multiplexed electrical

detection of cancer markers with nanowire sensor arrays. Nat. Biotechnol. 23, 1294–1301

(2005).

14. Das, J. & Kelley, S. O. Protein detection using arrayed microsensor chips: tuning sensor

footprint to achieve ultrasensitive readout of CA-125 in serum and whole blood. Anal.

Chem. 83, 1167–1172 (2011).

15. Malhotra, R., Patel, V., Vaqué, J. P., Gutkind, J. S. & Rusling, J. F. Ultrasensitive

electrochemical immunosensor for oral cancer biomarker IL-6 using carbon nanotube

forest electrodes and multilabel amplification. Analytical chemistry 82, 3118–23 (2010).

16. Tang, D., Yuan, R. & Chai, Y. Ultrasensitive electrochemical immunosensor for clinical

immunoassay using thionine-doped magnetic gold nanospheres as labels and horseradish

peroxidase as enhancer. Anal. Chem. 80, 1582–1588 (2008).

17. Zuo, X., Xiao, Y. & Plaxco, K. W. High specificity, electrochemical sandwich assays

based on single aptamer sequences and suitable for the direct detection of small-molecule

targets in blood and other complex matrices. Journal of the American Chemical Society

131, 6944–5 (2009).

18. Swensen, J. S. Continuous, real-time monitoring of cocaine in undiluted blood serum via a

microfluidic, electrochemical aptamer-based sensor. Journal of the American Chemical

Society 131, 4262–4266 (2009).

19. Liu, H., Xiang, Y., Lu, Y. & Crooks, R. M. Aptamer-based origami paper analytical

device for electrochemical detection of adenosine. Angew. Chem. Int. Ed. 51, 6925–6928

(2012).

20. Feng, L., Chen, Y., Ren, J. & Qu, X. A graphene functionalized electrochemical

aptasensor for selective label-free detection of cancer cells. Biomaterials 32, 2930–7

(2011).

27

21. Malhotra, R., Patel, V., Vaqué, J. P., Gutkind, J. S. & Rusling, J. F. Ultrasensitive

electrochemical immunosensor for oral cancer biomarker IL-6 using carbon nanotube

forest electrodes and multilabel amplification. Anal. Chem. 82, 3118–3123 (2010).

22. Mannoor, M. S., Zhang, S., Link, A. J. & McAlpine, M. C. Electrical detection of

pathogenic bacteria via immobilized antimicrobial peptides. Proceedings of the National

Academy of Sciences of the United States of America 107, 19207–12 (2010).

23. Liao, J.C., Mastali, M., Li, Y., Gau, V., Suchard, M.A., Babbitt, J., Gornbein, J., Landaw,

E.M., McCabe, E.R., Churchill, B.M., Haake, D.A..Development of an advanced

electrochemical DNA biosensor for bacterial pathogen detection. The Journal of

molecular diagnostics 9, 158–68 (2007).

24. Mannoor, M. S., Zhang, S., Link, A. J. & McAlpine, M. C. Electrical detection of

pathogenic bacteria via immobilized antimicrobial peptides. Proc. Natl Acad. Sci. USA

107, 19207–19212 (2010).

25. Kissinger, P. T., Lafayette, W. & Heineman, W. R. Cyclic voltammetry. Journal of

Chemical Education 60, 702–706 (1983).

26. Wang, J. Electrochemical glucose biosensors. Chemical reviews 108, 814–25 (2008).

27. Watkins, J. J., Zhang, B. & White, H. S. Chemistry at the Nanometer Scale

Electrochemistry at Nanometer-Scaled Electrodes. Journal of Chemical Education 82, 712

(2005).

28. Bin, X., Sargent, E. H. & Kelley, S. O. Nanostructuring of Sensors Determines the

Efficiency of Biomolecular Capture. Analytical Chemistry 82, 5928–5931 (2010).

29. Gasparac, R. et al. Ultrasensitive electrocatalytic DNA detection at two- and three-

dimensional nanoelectrodes. Journal of the American Chemical Society 126, 12270–1

(2004).

30. Lapierre, M. a, O’Keefe, M., Taft, B. J. & Kelley, S. O. Electrocatalytic detection of

pathogenic DNA sequences and antibiotic resistance markers. Analytical chemistry 75,

6327–33 (2003).

28

31. Yang, H.; Hui, A.; Pampalakis, G.; Soleymani, L.; Liu, F.-F.; Sargent, E. H.; Kelley, S. O.

Direct, electronic microRNA detection for the rapid determination of differential

expression profiles. Angew. Chem. Int. Ed. 48, 8461–8464 (2009).

32. Nielsen, P. E. Peptide Nucleic Acid. A Molecule with Two Identities. Accounts of

Chemical Research 32, 624–630 (1999).

33. Soleymani, L., Fang, Z., Sargent, E. H. & Kelley, S. O. Programming the detection limits

of biosensors through controlled nanostructuring. Nature nanotechnology 4, 844–8 (2009).

34. Fang, Z., Soleymani, L., Pampalakis, G., Yoshimoto, M., Squire, J.A., Sargent,

E.H., Kelley, S.O. Direct Profiling of Cancer Biomarkers in Tumor Tissue Using a

Multiplexed Nanostructured Microelectrode Integrated Circuit. ACS nano 3, 3207–3213

(2009).

29

3 Polymerase Chain Reaction-Free, Sample-to-Answer Bacterial Detection in 30 Minutes with Integrated Cell Lysis

Our goal was to perform efficient and simple processing for direct detection of cancer and

pathogenic bacteria with our nanostructured microelectrode platform. Prior to my first

manuscript we utilized a microfluidic electrical lysis platform for lysis of bacteria [22] and

cancer cells [23] additional details of the microfluidic approach can be found in the

supplementary information. We followed this work by developing a simple parallel plate

electrical lysis chamber and directly integrated it with our NME detection platform.

Disclosure of work within this manuscript; B.L., E.H.S and S.O.K developed parallel plate lysis

chambers, B.L. fabricated, tested and characterized parallel plate lysis chambers, B.L. and Z.F.

performed bacterial lysate detection. B.L., E.H.S. and S.O.K. wrote the manuscript.

Lam, B., Fang, Z., Sargent, E. H. & Kelley, S. O. ―Polymerase Chain Reaction-Free, Sample-to-

Answer Bacterial Detection in 30 Minutes with Integrated Cell Lysis.‖ Analytical

Chemistry 84, 21-25 (2012).

3.1 Abstract

An important goal for improved diagnosis and management of infectious disease is the

development of rapid and accurate technologies for the decentralized detection of bacterial

pathogens. Most current clinical methods that identify bacterial strains require time-consuming

culture of the sample or procedures involving the polymerase chain reaction [1-3]. Neither of

these approaches has enabled testing at the point-of-need because of the requirement for skilled

technicians and laboratory facilities. Here, we demonstrate the performance of an effective,

integrated platform for the rapid detection of bacteria that combines a universal bacterial lysis

approach and a sensitive nanostructured electrochemical biosensor. The lysis is rapid, is effective

at releasing intercellular RNA from bacterial samples, and can be performed in a simple, cost-

effective device integrated with an analysis chip. The platform was directly challenged with

these unpurified lysates in buffer and urine. We successfully detected the presence of bacteria

with high sensitivity and specificity and achieved a sample-to-answer turnaround time of 30 min.

We have met the clinically relevant detection limit of 1 cfu/μL, indicating that uncultured

30

samples can be analyzed. This advance will greatly reduce time to successful detection from

days to minutes.

3.2 Introduction

The effective management of infectious disease caused by bacterial pathogens is a major

problem in clinical medicine that is hampered by the lack of rapid diagnostic methods [1-4]

Approaches currently used for correct diagnosis of infectious bacterial strains include phenotypic

testing and assays that rely on the polymerase chain reaction (PCR) [3,5,6]. Many methods

require a time-consuming culture step that takes days to weeks depending on the strain of

bacteria, and phenotypic testing to confirm antibiotic resistance can double the diagnosis time.

To speed analysis, PCR may also be performed on cultured samples or in some cases uncultured

samples; however, this approach typically requires stringent purification of nucleic acids. The

delays in the availability of diagnostic information limits the effectiveness of treatment. Hence,

there is need for a rapid platform that can classify bacterial species.

A great deal of effort has gone into the development of point-of-need methods to meet the

challenge of rapid bacterial identification;[7-10] most of the methods developed rely on PCR and

face inherent limitations because of the requirement for enzymatic components and thermal

control. In addition, methods based on surface plasmon resonance,[11-13] quartz crystal

microbalance,[14,15] and fluorescence[16,17] have been reported with good detection limits.

However, many of these are immunological[11,12,14,16] and are ineffective at providing

genetic-level information required for strain typing. Furthermore, these methods can require

labeled markers[13,15] and additional optical[11-13, 16, 17] and/or fluid handling systems,[7-10,

12, 13, 15] which adds to their complexity, cost, and lack of applicability to point-of-care testing.

Work in our laboratories has focused on developing an electrochemical strategy that combines

ultrasensitive detection, straightforward sample processing, and inexpensive components that can

be integrated into a cost-effective, user-friendly device. Our detection platform combines an

electrochemical reporter system and nanostructured microelectrodes (NMEs) (Figure 3.1A,B) to

detect specific nucleic acid sequences that hybridize to probe molecules immobilized on the

sensors. We have previously shown that the NME platform is highly sensitive, with a tunable

degree of sensitivity,[18, 19] and highly selective.[20, 21] Moreover, it is multiplexed and

scalable, with straightforward photolithography used for fabrication that is highly versatile.

31

Figure 3.1 - Bacterial detection sensors. (A) The NME platform consisting of Si chip with

patterned Au working, reference, and auxiliary electrodes. The working electrode surface is

passivated with SiO2, and 5 μm apertures are etched at the tip of each electrode. NMEs are

electroplated within each aperture, with a typical size of 100 μm. (B) Electrochemical detection

scheme for nucleic acids utilizing Ru3+

and Fe3+

electrocatalytic reporter pair.

While prior efforts to exploit this platform for RNA detection showed that very high levels of

performance could be achieved both with bacterial and mammalian targets,[22, 23] integrated

sample processing, an essential feature for a point-of-care diagnostic device, had not yet been

addressed. We therefore explored a processing approach that would be complementary to our

electronic readout strategy: electrical cell lysis. Alternative methods that could be used for this

purpose include chemical, physical,[24, 25] and thermal lysis methods.[26] However, the

addition of chemical agents, complicated device geometries, or thermal elements are undesirable

given that they can introduce interfering agents or increase the complexity of the device.

Electrical lysis of bacterial cells has been well studied in the past.[27-30] The major drawback is

that high electric field requirements, greater than 10 kV/cm, are required to lyse bacterial cells,

which has limited its use for inline sensing. Prior work in our laboratories utilized microfludic

32

lysis chambers[31, 32] which take advantage of geometrical field effects to lower applied

voltages. However, voltage requirements were still high (1000 V). In addition, this and other

systems[33] require fluidics that can only analyze small sample volumes and increase processing

times.

To address these issues, we hypothesized that, by assembling a chamber composed of two

conductive gold electrodes with a very thin spacer (500 μm), we could lyse bacteria introduced

to the electrodes with an applied potential. If this type of sample processing module was coupled

with a NME chip (Figure 3.2A), it could be used to achieve rapid sample-to-answer bacterial

detection with minimal intervention by the user (Figure 3.2B). The workflow used here involved:

(1) a solution being introduced into the chamber with a syringe, (2) lysis being induced with an

applied field, (3) the sample being moved to the chip with an injection of air, (4) mixing with

reporter groups, and (5) readout. This workflow can be completed in less than 30 min and

permits bacterial identification and classification.

33

Figure 3.2 - Integrated sensing system. (A) Schematic of cartridge integrating lysis chamber,

NME chip, and connector to analyzer. (B) Overview of detection scheme; injection, lysis,

delivery, and readout in 30 min. (C) Typical differential pulse voltammograms of positive (left)

and negative (right) samples where the dotted line is the background and the solid line is the

readout.

34

3.3 Methods and Materials

Chip Fabrication

Detection chips were fabricated using 6 in. thin silicon wafers passivated with a thick thermally

grown silicon oxide layer. First, a positive photoresist was patterned to the desired electrical

contact and lead structure using standard photolithographic methods. Subsequently, a 500 nm

gold layer was deposited using electron-beam assisted gold evaporation, and a standard lift off

process was used to expose the desired contact and lead structure. Next, a second layer of 500

nm silicon dioxide was deposited to passivate the lead structure using chemical vapor deposition.

Finally, 5 μm apertures were etched into the second passivating silicon dioxide layer, exposing

the gold layer at the end of each lead structure.

Nanostructured Microelectrode (NME) Fabrication

Chips were cleaned by sonicating in acetone for 1 min and rinsing with isopropanol and

deionized water for 30 s. NMEs were electroplated using a standard 3 electrode system featuring

a Ag/AgCl reference, platinum auxiliary electrode and the 5 μm gold aperture as the working

electrode. An electroplating solution of 20 mM HAuCl4 in 0.5 M HCl was used. The

substructures of NMEs were plated by holding each electrode at 0 mV for 250 s. Finally, a

nanostructured overlayer was plated by holding the electrode at −700 mV for 10 s.

Synthesis and Purification of Peptide Nucleic Acid Probes

PNA probes were synthesized in house using a Protein Technologies Prelude peptide

synthesizer. The following probe sequences specific to the rpoβ mRNA were utilized for

detection of unpurified lysates: NH2-Cys-Gly-Asp-ATC TGC TCT GTG GTG TAG TT-Asp-

CONH2 (E. coli) and NH2-Cys-Gly-Asp-AAG TAA GAC ATT GAT GCA AT-Asp-CONH2 (S.

saprophyticus). All probes were stringently purified by reverse phase high performance liquid

chromatography. Probe sequences were quantified by measuring absorbance at 260 nm, and

excitation coefficients were obtained from http://www.panagene.com

Modification of NMEs with PNA probes

35

A solution of 1 μM purified thiolated PNA probe in 25 mM NaCl was deposited onto the surface

of an NME chip in a dark humidity chamber overnight at room temperature. A dam constructed

from adhesive silicone spacers was used to deposit two different probes on each NME chip.

Bacterial Samples

Escherichia coli was obtained from Invitrogen (18265-017). Staphylococcus saprophyticus,

methicillin-resistant Staphylococcus aureus, and methicillin-susceptible Staphylococcus

aureuswas obtained from ATCC (ATCC 15305, BAA-1720, 29213). All strains were grown in

the appropriate growth media in an incubating shaker at 37 °C. After growth to the desired

population, the growth media was replaced with 1× PBS.

Lysis Chamber Fabrication and Operation

Lysis chambers were fabricated using adhesive silicone hybridization spacers (0.5 × 25 × 25

mm) obtained from Grace Biolabs and gold coated slides (25 × 25 mm) obtained from EMF

Corporation. Chambers were constructed by first cutting a narrow channel 1 mm wide into the

spacer, which was then sandwiched between two gold slides. To lyse the bacterial samples, a 200

μL suspension was loaded into the chamber using a syringe and 100 V, 10 ms DC pulses were

applied to the sample at a frequency of 1 Hz for 20 s.

Hybridization Protocol and Electrochemical Measurements

Electrochemical measurements were made using a PalmSens EmStat embedded potentiostat.

After modification of NMEs with PNA probes, a background signal was scanned in

electrocatalyic buffer containing 10 μM Ru(NH3)63+

and 1 mM Fe(CN)63–

in 0.1× PBS.

Immediately after lysis, NMEs were incubated with unpurified lysates for 20 min at 37 °C. After

hybridization, chips were washed twice in 0.1× PBS. We subsequently scanned the hybridization

signal after incubation in the same electrocatalytic buffer.

Reverse-Transcriptase Polymerase Chain Reaction

Primer sequences specific to a 185 bp region of the E. coli rpoβ mRNA were synthesized. A

Qiagen one-step RT-PCR kit (210210) was used to perform RT-PCR on lysates. After lysis,

samples were centrifuged at 10 000 rpm to remove intact bacterial cells that would generate a

36

positive signal. RT-PCR was then performed on the supernatant. The products were visualized

using agarose gel electrophoresis and ethidium bromide fluorescent stain.

Flow Cytometry

Flow cytometry measurements were made utilizing a BD FACS Canto Instrument. After lysis,

samples were incubated in propidium iodide in the dark at room temperature at a concentration

of 25 μg/mL for 30 min before injection into the flow cytometer. Counts versus fluorescence

intensity measurements were made in the red channel of the flow cytometer.

3.4 Results and Discussion

To validate our lysis approach, we examined samples of two model organisms, Escherichia

coli(EC) and Staphylococcus saprophyticus (SS). Bacterial samples suspended in buffered

solution were introduced into the lysis chamber and lysed with varying voltages (0–100 V) and

pulse widths (0–10 ms). A small amount of bubbling was observed, but the escape of these

bubbles could be controlled by minimizing the width of the exit port on the lysis chamber. To

assess lysis efficiency, we first looked at cell viability after lysis by monitoring growth on agar

plates. With applied voltages as low as 2 V, all of the bacteria in processed samples were killed

(data not shown). This loss in viability, however, cannot be used as an unequivocal test for cell

lysis, as it does not indicate whether the bacterial cell walls were compromised prior to cell

death. Therefore, to confirm that the applied electrical fields did cause irreversible cell rupture,

we analyzed propidium iodide (PI) uptake using flow cytometry. PI fluoresces only when

intercalated with DNA and does not cross uncompromised cell walls and, therefore, can be used

as an indicator of cell lysis. After incubation in PI, samples were analyzed using flow cytometry

and histograms of counts versus fluorescence intensity were plotted versus different pulse widths

(Figure 3.3A) and applied voltages (Figure 3.3B).

37

Figure 3.3 - Characterization of electrically lysed bacterial solutions. (A) Flow cytometry

histograms of propidium iodide uptake versus pulse width (100 V, 1 Hz, 20 s) collected with E.

coli. Increasing the pulse duration decreases the number of unlysed cells. (B) Flow cytometry

measurements of S. saprophyticus lysed at different voltages (10 ms, 1 Hz, 20 s) showing

effective lysis down to 5 V. (C) RT-PCR measurements on E. coli. The PCR targeted a 185 bp

region within the rpoB mRNA. Pulse durations were 1 ms, 5 ms, and 10 ms. A negative (no

applied potential) and positive control (isopropanol-based lysis) were also run. Relative PCR

efficiency was established by comparison with a postive control sample that was lysed with

isopropanol (lane next to DNA ladder). (D) Flow cytometry measurements from lysis of E.

coli, S. saprophyticus, MRSA, and MSSA. The red trace represents the unlysed control, and blue

is the lysed sample (100 V, 10 ms, 1 Hz, 20 s).

Interestingly, when the lysis of SS was monitored, it was observed that larger voltages were

required to trigger PI uptake relative to those needed to cause cell death as observed on a culture

plate. This indicates that cellular death alone is not proof of cellular lysis. Another interesting

observation that emerged from these studies was that lower voltages caused PI uptake in EC

38

relative to SS, indicating that voltages must be tailored for gram-negative bacteria versus gram-

positive bacteria and that tailored pulse structures could potentially be used for selective lysis.

We also explored the feasibility of lysing Staphylococcus aureus (SA) and methicillin-resistant

SA and observed successful cell rupture for these organisms (Figure 3.3C). These results verify

that the approach is generally applicable to bacterial organisms.

To confirm that the PI uptake monitored in the experiments described above corresponded to the

release of nucleic acids, we used the reverse-transcriptase polymerase chain reaction (RT-PCR)

to confirm the release of intercellular RNA targets from EC. Shown in Figure 3.3D are RT-PCR

measurements that were performed on the supernatant of lysed and unlysed samples in

Figure3.3B. A positive control lysed with isopropanol was used for the calculation of relative

PCR efficiency. The 180 bp RT-PCR products were visualized on an agarose gel where the

correct primer specific products were verified. The intensity of the product bands observed was

directly proportional to the pulse width and correlated well with the amount of PI uptake

observed.

To validate that this sample processing approach could be used with our NME detection

platform, we directly challenged our sensors with unpurified lysates generated using our lysis

chamber. Our NME detectors are fabricated on the surface of silicon wafers using traditional

photolithographic methods[19] (Figure 3.1A). This NME sensor chip includes 20 working

electrodes and on-board auxiliary and reference electrodes. Gold NMEs are electroplated into 5

μm apertures at the surface of each working electrode using a gold salt plating solution. The size

and morphology of structures can be controlled through varying applied voltage and plating

solution as previously described.[19] NME structures used for this study were 100 μm in

diameter.

Detection of nucleic acids was achieved using an electrocatalytic method developed in our

laboratory.[34, 35] The method is depicted in Figure 3.1B, where the bare NMEs are first

functionalized with target specific peptide nucleic acid (PNA) probe molecule. PNA probes,

possessing a neutral backbone, bind to complementary strands with higher affinity and

selectivity than their DNA analogues.[36] The electrocatalytic reporter pair consists of

Ru(NH3)63+

and Fe(CN)63–

. Ru(NH3)63+

is electrostatically attracted to anionic nucleic acids that

accumulate on the surface of the NME. Ru(NH3)63+

is therefore accumulated at the NME surface

39

if the complementary nucleic acid target is bound to the PNA probe. Using differential pulse

voltammetry (DPV), the surface of the NME is scanned over a specified potential window before

and after hybridization. Reduction of Ru(NH3)63+

to Ru(NH3)62+

occurs near the surface when the

Ru(III) reduction potential is reached. Fe(CN)63–

then oxidizes Ru(NH3)62+

back to Ru(NH3)63+

,

generating an electrocatalytic current. Typical positive and negative DPV are shown in

Figure 3.2C.

The use of this method with unpurified lysates of EC and SS generated using electrical lysis is

demonstrated in Figure 3.4A,B. NME sensors were modified with probes corresponding to the

sequence of the RNA polymerase β mRNA found in EC or SS. The lysed bacteria were

introduced, and electrochemical signals were obtained within 30 min. Typical background

subtracted DPV measurements obtained at NME sensors are shown in Figure 3.4C. Evaluation of

limits of detection (Figure 3.4B) verify that this approach is successful with as few as 1 bacterial

cell per microliter, a concentration that corresponds to the levels of bacteria found in many types

of clinical samples. A limited dynamic range was explored in this study, but if analysis of a

larger range of concentrations was desired, prior work on the use of sensor nanostructuring[19]

and size[20] could be leveraged to widen dynamic range.

40

Figure 3.4 - Direct bacterial detection in unpurified lysates (A) Representative background-

subtracted electrochemical differential pulse voltammograms used for study of sensitivity and

specificity. The data shown was collected with the SS probe directly challenged with the

corresponding unpurified lysates. (B) Background-subtracted peak currents of sensors challenged

with unpurified lysates demonstrating sensitivity and specificity. Values shown represent

averages of >6 trials; coefficient of variation was <20%. (C) Direct detection of E. coli and S.

saprophyticus in urine samples. Sensors were challenged directly with unpurified lysates of

spiked urine samples for 30 min prior to electrochemical analysis. A control probe was used in

each trial to assess background signals. A current value was collected for each trial and was

plotted individually. (D) Real-time analysis of a 100 cfu/uL E.coli lysate spiked with the

electrocatalytic reporter groups. A differential pulse voltammogram was measured at each time

point for both complementary and noncomplementary sensors, and peak currents were plotted as

41

a function of time. (Bacterial lysis and sample preparation: Brian Lam, Electrochemical

measurements: Zhichao Fang)

To validate applicability of our integrated platform to samples resembling those relevant for

clinical analysis, we challenged it with samples of urine spiked with both EC and SS. This

analysis simulates real-world urinary tract infections where the relevant threshold is 100

cfu/μL.[37] After crude urine samples were lysed, they were directly applied to NME sensors

specific to EC and SS. Successful detection of both EC and SS was achieved even in the

presence of this complex biological background (Figure 3.4C).

The adaptation of this approach to real-time detection was investigated, with signals being

collected during hybridization of NME sensors with an unpurified lysate. This analysis was done

in ―one-pot‖, with reporter groups present during hybridization. Specific detection of EC could

be achieved using this approach, with very rapid readout achieved within minutes at a

concentration of this pathogen that corresponds to its levels in samples collected from patients

with a urinary tract infection (Figure 3.4D). This indicates that a positive result could be obtained

from this type of sample within 2 min, a significant improvement over the culture-based methods

typically employed for this type of analysis.

3.5 Conclusions

The advances reported here demonstrate the first PCR-free, chip-based sensing system to provide

sample-to-answer sensing of bacterial pathogens at clinically relevant levels. A simple lysis

chamber was used to trigger electrical rupture of bacteria, and these crude lysates, generated in

buffer or urine, were directly analyzed with an ultrasensitive microchip featuring nanostructured

microsensors. Real-time analysis is also enabled by the robust sensors that are resistant to fouling

by cellular contents.

42

3.6 References

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Infectious Disease 144, 380–385 (1981).

2. Optimal DNA Isolation Method for Detection of Bacteria in Clinical Specimens by Broad-

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3. Tang, Y. W. & Stratton, C. W. Advanced techniques in diagnostic microbiology. (Springer:

New York: 2006).

4. Levy, S. B. & Marshall, B. Antibacterial resistance worldwide: causes, challenges and

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amplification, and DNA microarray detection. Analytical chemistry 76, 1824–31 (2004).

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(2010).

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34, e118 (2006).

11. Surface plasmon resonance immunosensor for the detection of Salmonella typhimurium.

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12. A mixed self-assembled monolayer-based surface plasmon immunosensor for detection of E.

coli O157:H7. Biosensors & bioelectronics 21, 998–1006 (2006).

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13. Colloidal Au-Enhanced Surface Plasmon Resonance for Ultrasensitive Detection of DNA

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14. Su, X.-L. & Li, Y. A self-assembled monolayer-based piezoelectric immunosensor for rapid

detection of Escherichia coli O157:H7. Biosensors and Bioelectronics 19, 563–574

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19. Soleymani, L., Fang, Z., Sargent, E. H. & Kelley, S. O. Programming the detection limits of

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23. Vasilyeva, E. et al. Direct genetic analysis of ten cancer cells: tuning sensor structure and

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diaphragm. Electrophoresis 28, 4748–57 (2007).

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in microchannels for sample preparation. Lab on a chip 3, 287–91 (2003).

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throughput electrical lysis of bacterial cells based on continuous dc voltage. Biosensors &

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cells. Applied Physics Letters 92, 214103 (2008).

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34. Gasparac, R. et al. Ultrasensitive electrocatalytic DNA detection at two- and three-

dimensional nanoelectrodes. Journal of the American Chemical Society 126, 12270–1

(2004).

35. Lapierre, M. A., O’Keefe, M., Taft, B. J. & Kelley, S. O. Electrocatalytic detection of

pathogenic DNA sequences and antibiotic resistance markers. Anal. Chem. 75, 6327–6333

(2003).

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Research 32, 624–630 (1999).

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46

4 Optimized templates for bottom-up growth of high-performance integrated biomolecular detectors

Another important aspect of biosensors is consideration of the materials and techniques utilized

in fabrication. Since the materials a detection platform is restricted by can determine if the

platform will rise or fall on the open market. The goal of my second manuscript was to address

these material issues by testing various material platforms including printed circuit boards,

plastics and glass, as suitable material platforms for the growth of nanostructured

microelectrodes.

Disclosure of work within this manuscript; B.L. designed and manufactured alternate materials

test platforms, B.L. and R.D.H. tested and characterized different platforms, B.L. and J.D.

performed electrochemical detection assay on platforms, M. P. designed and tested various size

templates on glass. B.L., R.D.H., J.D., E.H.S. and S.O.K. wrote the manuscript with

contributions from all of the other authors.

Lam, B., Holmes, R. D., Das, J., Poudineh, M., Sargent, E. H., & Kelley, S. O. ―Optimized

Templates for Bottom-Up Growth of High-Performance Integrated Biomolecular

Detectors.‖ Lab on a Chip 13, 2569-75 (2013)

4.1 Abstract

Electrochemical deposition of metals represents an important approach in the bottom-up

fabrication of nanostructures and microstructures. We have used this approach to generate high-

performance chip-based biosensors using silicon as a platform for the generation of sensor

arrays. Here, we explore the applicability of different materials to support the electrodeposition

and identify the parameters that are essential for robust sensor growth. We show that inexpensive

materials can be used as templates for electrodeposition, and demonstrate that these low-cost

sensors exhibit clinically-relevant levels of sensitivity and specificity. In particular, we prove

herein that the glass-based sensors successfully detect E. coli in urine, when present at the 100

cfu μL−1

levels found typically in samples of patients with urinary tract infections.

47

4.2 Introduction

Chip-based biosensors are an important class of tools for integrated biomolecular detection

devices, and enable specific identification of clinically-relevant biomarkers [1-8]. Sensors that

read out protein, nucleic acid or small molecular biomarkers can be used to classify disease states

or monitor progression. A variety of readout methods have been used in conjunction with chip-

based sensors, including colorimetric [7,9], fluorescence [3,10], electronic [8,11] and

electrochemical approaches [4, 12-17].

A key limitation of chip-based sensors relates to efficient capture of molecular analytes [18-20].

Generating a detectable signal requires a collision between a molecule of interest and a sensor

that is able to capture and detect the molecule. Unfortunately, collisional frequencies achieved

with planar sensors can be low. We recently reported a solution to this limitation, one that relies

on the fabrication of microscale three-dimensional electrodeposited structures sensors that enable

efficient capture and readout of slow-moving mRNA molecules [21]. Electrodeposition is one of

the few approaches available that permits the production of large (>50 micron) structures that are

three-dimensional, and has the added advantage of producing tunable surface morphology at the

nanoscale [22-23]. We have used these features of nanostructured microelectrodes (NMEs) to

control dynamic range, and have also shown that a combination of structural features on the

nano- and microscale are essential for attaining clinically-relevant levels of sensitivity [21,22].

Templated electrodeposition is widely used in the generation of nanostructured surfaces,

nanowires, and nanoparticles, and its tunability has been exploited to tailor the sizes and shapes

of these nanomaterials [24-29]. Less work has been done, however, on the growth of three-

dimensional microscale structures that are produced using this technique. The properties of the

base substrate, the material used for templating, and the size and shape of the aperture used as a

template could all have an effect on the resultant structure and its performance. Our previous

work leveraged electrodeposition to produce nanostructured microelectrodes-structures

composed of gold or palladium that were coated with a nanostructured layer of palladium. In

prior studies, we explored how nanostructuring and sensor size affect sensor performance, but

did not investigate the tolerance of the approach to different chip structures and substrates [16,

21-23]. Here, we investigate a variety of materials – including glass, plastic and printed circuit

board as substrates – and evaluate their performance. We identify the critical features that a

48

material must have to support the electrodeposition of microscale structures. Using low-cost-

substrates identified during this study, we demonstrate that high levels of sensitivity and

specificity are maintained by the sensors, and we explore the relationship between template

properties and sensor morphology.

4.3 Materials and Methods

Silicon chip fabrication

Chips were fabricated by Advanced Micro Sensors (Shrewsbury, MA) on the surface of 6′′

diameter 300 μm thick prime silicon wafers obtained from Silicon Valley Microelectronics

(Santa Clara, CA). Wafers were first passivated with a 1 μm layer of thermal SiO2 to isolate the

sensing electrodes. Using positive photoresist a lift-off layer was patterned on the surface of the

oxide. A metal layer consisting of 5 nm Ti followed by 50 nm Au was evaporated onto the

surface, followed by lift-off to create the sensing electrode layer. A SiO2 passivating layer was

deposited on the surface using Plasma Enhanced Chemical Vapor Deposition. Using positive

photoresist an aperture etch mask was patterned on the surface and 5 μm apertures were etched

into the SiO2 layer using hydrofluoric acid. Fabrication of nanostructured microelectrodes

(NMEs) on the surface was done by electroplating in a solution of 20 mM HAuCl4 and 0.5 M

HCl at a constant potential of 0 mV for 90 s. A finely nanostructured Pd coating was

electroplated by using a solution of 5 mM PdCl2 and 0.5 M HClO4 at a constant potential of

−250 mV for 10 s.

Printed circuit board chip and nme fabrication

PCB chips were fabricated by Omega Circuits (Toronto, ON) on the surface of standard FR-4

fiberglass board. Boards were pre-coated with copper foil. A shadowmask is first laminated onto

the surface of the board and patterned in similar fashion to positive photolithography, but

achieving less fine resolution (e.g. typical critical dimensions on the 10–20 μm lengthscale).

Boards are immersed in a copper etchant to create the sensing electrode layer. Soldermask is

applied to the surface of the board, and acts as an aperture layer similar to the silicon chips. The

soldermask is patterned in a similar fashion to negative photoresist and apertures 40 μm in

diameter were created in the aperture layer. Individual PCB chips are machined from the board

using an auto router. Corrosion of the Cu layer immediately occurs in above plating solution. An

49

alternative plating method utilizes a Ni protection layer from electroplating in 200 mM

NiSO4 and 0.5 M HBO3 at −850 mV for 1 h followed by an Au electrode layer from

electroplating in 20 mM HAuCl4 and 0.5 M NaOH at −400 mV for 60 s. A second alternative

method utilized a Au sulfite protection layer by electroplating in a gold sulfite solution obtained

from Transene Inc (Danvers, MA) at −500 mV for 1 h followed by an Au electrode layer from

electroplating in 20 mM HAuCl4 and 0.5 M HCl at 0 mV for 90 s.

Plastic chip and nme fabrication

Plastic chips were fabricated by MiniFAB (Scoresby, AUS) on the surface of fluorinated

eythlene polymer (FEP) film. Sensing electrodes were printed on the surface of the film using a

colloidal gold ink. Chips were made on flexible FEP film which is not suitable for spin coating,

hence we first adhered them to glass to act as a rigid substrate. We spun a negative photoresist

SU-8 3005 (3000 rpm, 30 s) to create the aperture layer, which is patterned using contact

lithography to create apertures 40 μm in diameter. Better resolution was not achievable because

the substrate is not perfectly rigid and the contact of the mask to the surface is not optimal.

Fabrication of NMEs on the surface was done by electroplating in a solution of 20 mM

HAuCl4 and 0.5 M HCl at a constant potential of 0 mV for 90 s.

Glass chip fabrication

Glass chips were fabricated in-house utilizing substrates obtained from Telic Company

(Valencia, CA) that were pre-coated with 5 nm Cr – 50 nm Au and AZ1600 positive photoresist.

Sensing electrodes were patterned using standard contact lithography and etched using Au and

Cr wet etchants followed by removal of the positive photoresist etchant mask. We spin-coated a

negative photoresist SU-8 2002 (5000 rpm, 30 s) to create the aperture layer, and is patterned

using contact lithography to create apertures 5 μm in diameter. Shipley 1811 positive photoresist

was spun on the surface and patterned to create the plasma etch well layer. Chips were diced in

house using a standard glass cutter. Fabrication of NMEs on the surface was done by

electroplating in a solution of 20 mM HAuCl4 and 0.5 M HCl at a constant potential of 0 mV for

90 s. A fine nanostructured Pd coating was electroplated by using a solution of 5 mM PdCl2 and

0.5 M HClO4 at a constant potential of −250 mV for 10 s.

Synthesis and purification of peptide nucleic acid

50

In-house synthesis of peptide nucleic acid (PNA) probes was carried out using a Protein

Technologies Prelude peptide synthesizer. The following probe sequences specific to mRNA

targets were utilized for detection: NH2-Cys-Gly-Asp-ATC TGC TCT GTG GTG TAG TT-Asp-

CONH2 (E. coli), NH2-Cys-Gly-Asp-CCC GGG GAT TTC ACA TCC AAC TT-Asp-CONH2 (P.

aergugin.), NH2-Cys-Gly-Asp-CGA CAC CCG AAA GCG CC TTT-Asp-CONH2 (E. faecalis.)

and NH2-Cys-Gly-Asp-CCA CAC ATC TTA TCA CCA AC-Asp-CONH2 (S. aureus). All probes

were stringently purified by reverse phase high performance liquid chromatography. Probe

sequences were quantified by measuring absorbance at 260 nm with a NanoDrop and excitation

coefficients were calculated from http://www.panagene.com

Bacterial samples and lysis

Escherichia coli was acquired from Invitrogen (18265-017). E. coli was grown in LB-Broth

medium in an incubating shaker at 37 °C. After growth to the desired population the growth

media was replaced with 1× PBS. Total RNA was extracted utilizing an Invitrogen Purelink

Total RNA Extraction Kit (12183020) and quantified with the NanoDrop. Lysis of bacteria was

performed utilizing a Claremont BioSolutions OmniLyse rapid cell lysis kit. Human urine

samples were obtained from Bioreclamation (Westbury, NY) and were spiked with E. coli prior

to lysis.

G. Electrochemical measurements

Electrochemical measurements were performed using a BASi EC Epsilon potentiostat in a

standard 3-electrode configuration with a Ag/AgCl reference and Pt counter electrode. Acid etch

scans were performed in 50 mM H2SO4 in H2O. Electrocatalytic solutions contained 10μM

Ru(NH3)63+

and 4 mM Fe(CN)63-

in a 0.1× PBS buffer solution. Electrocatalytic solutions were

purged with N2 gas for 5 min prior to electrochemical scans. Differential pulse voltammetry

(DPV) was utilized to scan before and after hybridization signals.

Functionalization and hybridization protocol

Electrodes were functionalized with 100 nM of the designated probe and 900 nM

mercaptohexanol for 30 min at room temperature. Chips were washed 2 × 5min with 0.1× PBS

buffer after probe deposition and sample hybridization. After washing DPV measurements were

51

performed following probe deposition and sample hybridization in the above electrocatalytic

solution. Chips were hybridized with synthetic DNA, E. colitotal RNA, E. coli lysate or E.

coli urine lysate samples for 30 min at 37 °C.

4.4 Results and Discussion

4.4.1 Baseline performance of sensors fabricated on silicon

Silicon is a widely used material for photolithographic patterning and the development of high-

performance devices. The ability to print multiple chips on a silicon wafer that can then be

segmented into individual devices allows highly parallelized fabrication, and the ability to access

this material in a form that is very flat at the nanoscale allows the generation of very intricate

circuits.

Our devices are generated with a set of gold leads first being adhered and patterned onto silicon,

with a passivation layer of silicon oxide or nitride then being introduced as a dielectric (Figure

4.1). Apertures with diameters of 5 microns are then introduced on the tips of the leads, and it is

in these openings that the electrodeposition of gold is catalyzed by an applied potential. The

plated metal fills the aperture, and then forms needles that grow anisotropically. The resultant

structures can be characterized by SEM and optical microscopy. Electrochemical analysis can

also be useful to analyze the integrity of the gold plated within the microstructure. Scanning a

sensor in 50 mM H2SO4 produces a characteristic cyclic voltammogram that features the

production of gold oxide at +1.2 V and its removal at +0.8 V vs. Ag/AgCl (Figure 4.1D)

52

Figure 4.1- Silicon-based NME characterization. (A) Silicon-based NME sensor chip. (B&C)

SEM and optical image of aperture before (B) and after (C) HAuCl4 plating. (A) Inset cross

section schematic from bottom to top; Si wafer base, thermal SiO2, Ti–Au electrode,

SiO2 insulating layer with aperture and electroplated NME. (D) Acid scan of typical Si NME in

50 mM H2SO4. (E) Electrochemical nucleic acid detection scheme PNA probe deposition and

pre-scan (left), sample hybridized and post-scan (right). (F) Electrochemical current changes

observed when sensors coated with the same probe were incubated with 1 fM complementary (+)

53

and 100 nM non-complementary (−) DNA sequences. (F – Silicon performance evaluated by

Jagotamoy Das)

Nanostructured microelectrodes produced using these chips have been studied previously [21-

23], and shown to be effective in the specific detection of nucleic acids at femtomolar levels,

even when present in unpurified crude lysates. Nucleic acid probes that are designed to be

complementary of a gene of interest are designed, synthesized, and attached to the sensors via a

thiolate linker similar as described previously [21,30]. The reporter system used for readout

leverages the electrostatic attraction between anionic nucleic acids analytes and a cationic

electron acceptor Ru(NH3)63+

to generate an electrochemical response [31]. This response is

amplified with the inclusion of Fe(CN)63−

, a more easily reduced anionic electron acceptor that

efficiently reoxidizes Ru(II) and allows it to be available for further redox cycles (Figure 4.1E).

This reporter system allows ultrasensitive detection of nucleic acids without the need for

enzymatic amplification. Figure 4.1F shows representative data obtained when these sensors are

exposed to solutions containing either 1 fM of a complementary sequence, or 100 nM of a non-

complementary sequence. A large positive current change is observed with the complement,

while a negative current change is observed with a non-complement. The latter effect is expected

to arise because non-specifically bound probe is washed away during hybridization and lowers

the overall background signal.

4.4.2 Testing of printed circuit board as a substrate for sensor deposition

While impressive performance and femtomolar detection limits were achieved with

electrodeposited gold sensors fabricated on silicon, it was unclear whether such a refined

material was required. We hypothesize that the impressive performance of Si based sensors is

dependent only on the morphology and composition of the electrodeposited sensor itself and not

on the base substrate. Given the need to keep materials costs at a minimum for eventual clinical

use of the sensor system, an exploration of other substrates was merited. Printed circuit boards,

which can be rapidly fabricated without the need for expensive masks, were an excellent

candidate for testing. Electrode arrays of recessed apertures could be straightforwardly and

rapidly produced, and with an inherent cost much lower than silicon.

Printed circuit board based sensor chips were made that featured apertures created in the

soldermask layer that could be used to template NME growth. In order to prevent corrosion of

54

Cu during electroplating (Figure 4.2C), it was necessary to produce an initial protection layer of

NiSO4 (Figure 4.2D) or AuSO3 (Figure 4.2F). To create extruded electrodes for electrochemical

sensing the protection layer was followed by electroplating Au(OH)2 (Figure 4.2E) or

HAuCl4 (Figure 4.2G). Electrodes fabricated in this fashion exhibit increased growth at the

aperture edges as compared with the recessed centre. This is a direct result of a loss in aperture

resolution (40 μm), compared to Si (5 μm) and the thickness of soldermask layer (50 μm)

compared the Si passivating layer (<1 μm). The recessed center of the aperture would

experiences much slower diffusion of the plating reagents, and this would worsen as the edges of

the aperture are plated.

Figure 4.2 - PCB-based NME characterization. (A) Image of PCB NME sensor chip. (B)

SEM and optical image of aperture before plating. Immersing in HAuCl4 causes corrosion of

copper layer (C). To prevent corrosion, PCBs were plated first with NiSO4 (D) or with

AuSO3 (F) and subsequently plated with HAuCl4 shown respectively in (E) and (G). Cross

section schematic (H) from bottom to top; FR-4 PCB fiberglass base, Cu electrode layer,

55

soldermask insulating layer with aperture filled by plating with (D) or (F), electroplated NME.

(I) Acid scan of typical PCB NME from (G) in 50 mM H2SO4.

Electrochemical analysis was performed to interrogate the integrity of the gold plated in PCB

NMEs (Figure 4.2I). The characteristic gold oxidative peak at 1.2 V and reductive peak at 0.8

V vs. Ag/AgCl is observed similar to Si. However, an auxiliary peak appears at 0.3 V which is

likely due to Cu impurities from the underlying Cu layer given the ability of this element to

migrate through Au.

The performance of electrochemical sensors generated with PCB as a base was poor and

inconsistent when compared to Si NMEs. When the DNA detection experiment described above

was used to benchmark performance, large background currents were observed leading to poor

signal to noise, and the Cu impurities in the Au NMEs made the quantitation of signals due to

DNA binding difficult to monitor (data not shown).

4.4.3 Testing of plastic as a substrate for sensor deposition

Given the incompatibility of metal-containing materials for NME fabrication, we focused on

more inert substrates that might be better suited for producing robust structures. We tested

fluorinated ethylene polymer (FEP) a common flexible printed circuit material as a substrate for

NME growth. A printed Au ink was used to generate the Au leads, and an insulating SU-8

aperture layer was added using traditional cleanroom techniques. The flexibility of FEP posed a

challenge, as it was difficult to process reliably, since both spin coating SU-8 and contact mask

lithography is difficult and unreliable, and produces apertures with poor resolution that can't be

made smaller than 40 μm.

Electroplating of the FEP-based NMEs (Figure 4.3C) was straightforward and used the same

plating method as with Si NMEs. The structures obtained again featured recessed sections in the

center of the aperture, indicating that this effect does arise because of the large size of the

aperture. Electrochemical analysis was again performed to interrogate the integrity of the gold

electroplated in FEP-based NMEs (Figure 4.3E). The cyclic voltammograms of these structures

did not contain any peaks except those characteristic of gold. However, performance of

electrochemical DNA sensing with the FEP-based NMEs was poor (100 nM limit of detection)

and inconsistent as compared with Si NMEs. The inability to generate a structure that features

56

the same verticality of the silicon-based NMEs likely affects sensitivity, and limits the

participation of the entire structure in productive collisions with target molecules.

Figure 4.3 - Plastic-supported NME characterization. (A) Image of plastic NME sensor chip.

(B&C) SEM and optical image of aperture before (B) and after plating (C) in HAuCl4. (D)

Cross-section schematic from bottom to top; plastic base, Au electrode layer, SU-8 insulating

layer with aperture, electroplated NME. (E) Acid scan of typical plastic-supported NME in 50

mM H2SO4.

57

4.4.4 Testing of glass as a substrate for sensor deposition

We also tested borosilicate glass as potential substrate to evaluate whether it possessed better

features for NME growth. The rigidity and inertness of this material makes it a good substitute

for silicon, but it is much more cost-effective alternative. Glass-based NME structures were

fabricated on the surface of plain borosilicate glass (Figure 4.4). Glass slides were coated with an

Au gold layer and positive photoresist, and SU-8 and contact mask lithography were used to

generate aperture patterns. The aperture sizes generated were comparable to those obtained with

silicon (Figure 4.4B) and were highly reproducible.

Figure 4.4 - Glass-supported NME characterization. (A) Image of a glass NME sensor chip.

(B&C) SEM and optical image of aperture before (B) and after plating (C) in HAuCl4. (D) Cross

section schematic from bottom to top; glass base, Cr–Au electrode layer, SU-8 insulating layer

with aperture, electroplated NME. (E) Acid scan of typical glass NME in 50 mM H2SO4. (F, G,

H) Electrodeposition within 100, 25, and 5 micron square apertures, respectively. (I, J, K)

Electrodeposition within 100, 25, and 5 micron circular apertures, respectively. (L)

Electrodeposition in an aperture 100 microns by 5 microns. (F – G aperture variations performed

by Mahla Poudineh)

58

Electroplating of glass-based NMEs (Figure 4.4C) was performed using the same protocol

needed to produce Si-based NMEs, and structures were produced that exhibited similar sizes and

morphologies. Electrochemistry was again used to investigate the integrity of the Au

electroplated in glass NMEs (Figure 4.4E), and the expected scans were obtained reflecting pure

Au NMEs.

We also investigated the role of aperture size and shape on the morphology of glass NME

structures (Figure 4.4F–4.4L). We observed that structures with larger aperture size 25 μm or

greater exhibit edge effects and recessed interiors, regardless if the aperture is square or circular

(Figure 4.4F, 4.4G, 4.4I, 4.4J). As aperture size is decreased to 5 μm (Figure 4.4H, 4.4K), edge

effects are no longer an issue and structures protrude in a more uniform fashion without apparent

recessed areas. Restriction to 5 μm in one-dimension only (Figure 4.4L) is sufficient to eliminate

the edge effect, where electrodes protrude in a uniform fashion along the lateral direction.

4.4.5 Validation of clinically-relevant sensitivity and specificity using glass chips

Given that glass appeared to support the growth of structures that were physically and

electrochemically indistinguishable from those made on silicon, we evaluated the performance of

the NMEs when challenged with synthetic oligonucleotides, and crude E. coli lysates in buffer

and urine. These experiments were performed with different types of sensors that target different

bacterial organisms: E. coli, E. faecalis, S. aureus, or P. aeruginosa. In any given trial, E.

coli sensors were tested alongside two types of non-target sensors in order to assess specificity

(Figure 4.5). Excellent sensitivity and specificity was observed, indicating that the glass-based

sensors are comparable to those originally generated on silicon.

59

Figure 4.5 - Glass-based NME assay validation. All chips were coated with specific pathogen

probes and challenged with (A) total E. coli RNA extract (1 ng μL−1

) (B) E. coli lysate (100 cfu

μL−1

) and (C) urine samples spiked with 100 cfu μL−1

E. coli and subsequently lysed. (Probe

molecules and bacterial lysis: Davis Holmes, Electrochemical measurements: Jagotamoy Das)

4.5 Conclusions

Here we have investigated various materials that possess desirable manufacturing qualities

including low-cost and quick design to prototype cycles. Printed circuit board is one of the

lowest cost materials, with well-established quick and cheap manufacturability. However, issues

arose with Cu compatibility and large background currents due to loss in aperture resolution,

which led to poor assay performance. A plastic was also tested that appeared to be an ideal low

60

cost material, but due to the flexible nature of the material lithographic processing is difficult and

produces apertures with low resolution, resulting in large background currents and poor

electrochemical assay performance.

Our investigation of standard borosilicate glass as a substrate for NME growth revealed that this

is the best substrate for NME growth. We found that glass has sufficient rigidity and flatness for

lithographic techniques required for small aperture sizes, yet it is widely available and low-cost.

We found that aperture size is the main factor in eliminating predominate edge growth effects,

which would cause recessed electrodes that are undesirable for electrochemical sensing. These

results are generally applicable to the electrodeposition of any type of microscale structured

template for growth.

61

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5 Solution-based circuits enable rapid and multiplexed pathogen detection

An important goal for biosensors is the multiplexed analysis of samples with a single device. For

many applications highly multiplexed analysis would provide valuable utility providing accurate

analysis on a panel of relevant biomarkers. An issue with highly multiplexed electrochemical

sensors is the need for electrical connections to each sensor element. In a serial connection

approach this requires n electrical output connections for n number of sensors. In a parallel

connection approach the number of electrical output connections can be reduced to 2√n, however

this requires the on chip integration of active switching electronics. The goal of my third

manuscript was to develop a passive switching method that is equivalent to resource heavy active

switching electronics. A more in depth description of the method and illustration of the crosstalk

issue is given in the supplementary information.

Disclosure of work within this manuscript; B.L., J.D., R.D.H., L.L., A.S., E.H.S. and S.O.K.

developed the concepts described and designed the experiments; B.L. designed and fabricated

multiplexed chips, B.L. performed electrochemical crosstalk experiments; R.D.H. developed

probes for analysis, R.D.H., L.L. and A.S. validated probes, B.L. and J.D. performed multiplexed

lysate experiments, B.L., J.D., E.H.S. and S.O.K. wrote the manuscript with contributions from

all of the other authors.

Lam, B., Das, J., Holmes, R. D., Live, L., Sage, A., Sargent, E. H., & Kelley, S. O. ―Solution-

Based Circuits Enable Multiplexed, Rapid Pathogen Detection.‖ Nature Communications

4, 2001 (2013)

5.1 Abstract

Electronic readout of markers of disease provides compelling simplicity, sensitivity and

specificity in the detection of small panels of biomarkers in clinical samples; however, the most

important emerging tests for disease, such as infectious disease speciation and antibiotic-

resistance profiling, will need to interrogate samples for many dozens of biomarkers. Electronic

readout of large panels of markers has been hampered by the difficulty of addressing large arrays

of electrode-based sensors on inexpensive platforms. Here we report a new concept—solution-

based circuits formed on chip—that makes highly multiplexed electrochemical sensing feasible

65

on passive chips. The solution-based circuits switch the information-carrying signal readout

channels and eliminate all measurable crosstalk from adjacent, biomolecule-specific

microsensors. We build chips that feature this advance and prove that they analyse unpurified

samples successfully, and accurately classify pathogens at clinically relevant concentrations. We

also show that signature molecules can be accurately read 2 minutes after sample introduction.

5.2 Introduction

Electronic readout of the presence of specific biological molecules in solution represents a

powerful means to detect disease-related markers [1-4]. In particular, highly sensitive and

specific methods have been developed to detect nucleic acids [5-13], proteins [14-18] and small

molecules [19-22], using electrochemical readout, and it has been shown that the robustness of

electrochemistry allows accurate detection to be done in the presence of heterogeneous,

unpurified samples [20, 23-25]. Numerous studies documenting the application of

electrochemical sensing to cancer [17, 23, 26, 27] and infectious disease [25, 28] markers have

illustrated the promise of this strategy for future clinical diagnostics, and the cost-effectiveness

of the simple instrumentation needed for analysis further enhances the appeal of electrochemical

detection for further development [1].

Arrays of serially addressed biosensors can be fabricated to work in conjunction with

electrochemical reporter systems, enabling multiplexing and detection of several analytes

simultaneously [29]. However, the need for independently addressed electrical contacts

corresponding to each sensor, as well as reference and counter electrodes, requires that highly

multiplexed arrays employ an active multiplexing strategy. The additional complexity of

integrated active electronics explains why, before this work, electrochemical biodetection reports

describe studies that employ very low levels of multiplexing [5-29].

Here we create distinct columns of connected biosensors, perpendicular to which we array

distinct rows of electrochemical solution. Using this two-dimensional array of electrodes, we

programme transient, solution-based circuits that permit individual analysis of sensors using

shared contacts. This approach allows a much higher level of multiplexing than was attainable

previously using a small set of contacts. We apply this advance towards the detection of panels

of pathogenic bacteria and antibiotic-resistance markers.

66

5.3 Methods and Materials

Multiplexed chip fabrication

Multiplexed chips were fabricated in house on plain glass substrates obtained from Telic

Company (Valencia, CA). The substrates are precoated with 5 nm Cr followed by 50 nm Au and

positive photoresist (AZ1600). The common WEs were imaged using standard contact

lithography and etched using Au and Cr wet etchants, followed by removal of the positive

photoresist. A negative photoresist SU-8 2002 was spin coated at 5,000 r.p.m. for 30 s and the

aperture layer was imaged into the surface. A positive photoresist S1811 was spin coated on the

surface and imaged to act as a lift-off layer. The AUX/REF electrodes (5 nm Cr–50 nm Au) were

fabricated onto the surface using standard e-beam evaporation followed by lift-off by sonication

in acetone. The probe well layer was created using SU-8 2002 spin coated at 3,000 r.p.m. for

30 s. A thicker liquid channel layer was fabricated with SU-8 3025 at 2,000 r.p.m. for 30 s. A

plasma etch mask layer with openings defined for the probe wells was patterned on the surface

using SPR 7.0 at 2,000 r.p.m. for 30 s. Chips were diced in house using a standard straight edge

scriber. Before electroplating, chips were O2 plasma etched in a Samco-RIE-1C reactive ion

etcher at 15 W for 15 s to create a hydrophilic probe well area. The core structure of the

nanostructured microelectrodes was fabricated by electroplating chips in a solution of 50 mM

HAuCl4 and 0.5 M HCl at 0 mV for 100 s. The nanostructured surface of the nanostructured

microelectrodes was generated by electrodeposition of a Pd coating in a solution of 5 mM PdCl2

and 0.5 HClO4 at −250 mV for 10 s.

Electrochemical chip characterization

Ferricyanide was used to evaluate the electrochemical characteristics of the multiplexed chip.

Standard cyclic voltammetry in 2 mM Fe(CN)63−

in 0.1 × PBS scanned from 50 mV to −300 mV

at 100 mV s−1 versus on-chip Au AUX/REF was performed on the surface of chips of similar

layout that have WEs that are individually addressed versus the multiplexed chips with solution

circuits. In addition, ferricyanide crosstalk was evaluated by filling a single channel with 2 mM

Fe(CN)63−

in 0.1 × PBS and adjacent channels with 0.1 × PBS. Differential pulse voltammetry

from 50 mV to −300 mV was performed in the ferricyanide-containing channel and adjacent

channels without ferricyanide.

67

Spectroscopic chip characterization

The methylene blue crosstalk experiment was performed on the surface of SCCs by first loading

each liquid channel with a solution of 100 μM MB and 50 mM NaCl. Chips were placed in a

humidity chamber where the middle lane WEs and AUX/REF was held under bias for 1 h at

−650 mV, which is a sufficient potential for reduction of MB. The MB in each channel was then

diluted by a factor of 10 and the corresponding absorbance was measured with a ultraviolet–

visible spectrophotometer.

Electrochemical assay crosstalk evaluation

Probe wells on the surface of multiplexed chips were used to functionalize with target-specific

PNA probes. Each well was filled with 1.5 μl of complementary or non-complementary probe

solution initially heated to 60 °C for 5 min, containing 100 nM probe and 900 nM

mercaptohexanol, and was incubated directly on chip for 30 min at room temperature. Chips

were washed with 0.1 × PBS twice for 5 min after probe deposition, and an initial DPV

background scan in electrocatalytic solution (10 μM Ru(NH3)63+

and 4 mM Fe(CN)63−

in a 0.1 ×

PBS) was performed. Chips were then hybridized with 10 nM complementary target in 1 × PBS

for 30 min at 37 °C. Chips were washed with 0.1 × PBS twice for 5 min after target hybridization

and differential pulse voltammetry hybridization scan in electrocatalytic solution was performed.

Identification of pathogen-specific probes

A list of potential probes based on the rpoβ gene sequences of the bacteria under study was first

generated. All sequences were obtained from the NCBI Nucleotide Database. For a given

bacterial sequence, a BLAST search was performed to identify the rpoβ sequence of the most

similar bacterial species that could potentially cross-hybridize. This sequence was retrieved and

aligned with the targeted bacterial sequence using CLUSTALW2. A computer script was used to

identify regions of greatest variability, as they can be used to best differentiate the target species

from non-target species. Potential rpoβ probes that could cross-hybridize with non-target

molecules in patient samples were eliminated first. Other probe characteristics, such as

secondary structure melting temperature, were also analysed to ensure optimal specificity. If

68

suitable probes could not be identified targeting the rpoβ mRNA, then the 16S rRNA

(Morganella morganii, Pseudomonas aeruginosa, Enterobacteria family and universal probe) or

the 28S rRNA (Candida albicans) was used as a target instead.

Synthesis of probes

Synthesis of PNA probes was performed in house using a Protein Technologies Prelude peptide

synthesizer. The following pathogen probe sequences (NH2-Cys-Gly-Asp SEQUENCE Asp-

CONH2) that are specific to mRNA targets were synthesized: E. coli, 5′-ATC-TGC-TCT-GTG-

GTG-TAG-TT-3′; Proteus mirabilis, 5′-AAG-CGA-GCT-AAC-ACA-TCT-AA-3′; S.

saprophyticus, 5′-AAG-TAA-GAC-ATT-GAT-GCA-AT-3′; S. aureus, 5′-CCA-CAC-ATC-

TTA-TCA-CCA-AC-3′; Klebsiella pneumoniae, 5′-GTT-TAG-CCA-CGG-CAG-TAA-CA-3′;

M. morganii, 5′-CGC-TTT-GGT-CCG-AAG-ACA-TTA-T-3′; P. aeruginosa, 5′-CCC-GGG-

GAT-TTC-ACA-TCC-AAC-TT-3′; K. oxytoca, 5′-CCA-GTA-GAT-TCG-TCA-ACA-TA-3′;

Serratia marescens, 5′-TGC-GAG-TAA-CGT-CAA-TTG-ATG-A-3′; Enterococcus faecalis, 5′-

CGA-CAC-CCG-AAA-GCG-CCT-TT-3′; Acinetobacter baumannii, 5′-CGT-CAA-GTC-AGC-

ACG-TAA-TG-3′; Streptococcus pyogenes, 5′-TCT-TGA-CGA-CGG-ATT-TCC-AC-3′;

Streptococcus agalactiae, 5′-GTT-CAG-TAA-CTA-CAG-CAT-AA-3′; Staphylococcus

epidermidis, 5′-AAA-TAA-CTC-ATT-GAG-GCA-AC-3′; Enterobacter cloacae, 5′-TCA-ACG-

TAA-TCT-TTC-GCG-GC-3′; Streptococcus pneumoniae, 5′-GTT-ACG-ACG-CGA-TCT-GGA-

TC-3′; Providencia stuartii, 5′-GCC-AAG-TGC-CAA-TTC-ACC-TAG-3′; C. albicans, 5′-GCT-

ATA-ACA-CAC-AGC-AGA-AG-3′; Chlamydia trachomatis, 5′-TGC-ATT-TGC-CGT-CAA-

CTG-3′; Enterobacteriaceae, 5′-ACT-TTA-TGA-GGT-CCG-CTT-GCT-CT-3′; and Universal

bacteria probe, 5′-GGT-TAC-CTT-GTT-ACG-ACT-T-3′. After synthesis, all probes were

stringently purified using reverse-phase HPLC. Excitation coefficients were calculated from

http://www.panagene.com and concentrations of probe molecules were determined by measuring

absorbance at 260 nm with a NanoDrop spectrophotometer.

Preparation of bacterial samples and lysis

The following bacterial strains were used in this study: K. pneumoniae ATCC 27799, E. coli

K12 ATCC 33876, E. coli Invitrogen 18265-017, S. saprophyticus ATCC 15305, P. aeruginosa

PAO1, E. faecalis ATCC 29212, S. aureus, C. trachomatis and C. albicans. All bacteria were

grown in the appropriate growth media and conditions. Approximate quantification of bacteria

69

was performed by measuring the optical density at 600 nm with an Agilent 8453 ultraviolet–

visible spectrometer. After the desired population was reached, the growth media was replaced

with 1 × PBS. Lysis of bacteria was performed utilizing the Claremont BioSolutions OmniLyse

rapid cell lysis kit.

Probe validation

Probe solutions were initially heated to 60 °C for 5 min before deposition, and contained 100 nM

probe and 900 nM mercaptohexanol. Deposition was carried out for 30 min at room temperature.

Chips were washed with 0.1 × PBS twice for 5 min after probe deposition and chips were then

challenged with a non-complementary oligomer at 100 nM in 1 × PBS for 30 min. Chips were

washed with 0.1 × PBS twice for 5 min, and then an initial non-complementary DPV background

scan was performed in electrocatalytic solution (10 Ru(NH3)63+

and 4 mM Fe(CN)63−

in a 0.1 ×

PBS). Chips were then hybridized with 1 nM complementary target in 1 × PBS for 30 min at

37 °C. Chips were washed with 0.1 × PBS twice for 5 min after target hybridization and a DPV

in electrocatalytic solution was then performed. A similar protocol was followed for lysate

testing. Chips were hybridized with lysates in 1 × PBS for 30 min at 37 °C. Chips were washed

with 0.1 × PBS twice for 5 min after target hybridization and DPV hybridization scan in

electrocatalytic solution was performed.

Multiplexed bacterial lysate experiments

Multiplexed chips for bacterial lysate testing were functionalized with nine probes using nine

probe wells. Probe solutions were initially heated to 60 °C for 5 min, and contained 100 nM

probe and 900 nM mercaptohexanol that was incubated directly on chip for 30 min at room

temperature. Chips were washed with 0.1 × PBS twice for 5 min after probe deposition and an

initial DPV background scan was collected in electrocatalytic solution. Multiplexed chips were

then hybridized with individual and mixed lysates at 100 cells per μl in 1 × PBS for 30 min at

37 °C in a 200-μl volume.

70

5.4 Results

5.4.1 Overview of approach

The solution circuit chip (SCC) is depicted in Figure 5.1. It consisted of 100 working electrodes

(WEs) with 30 off-chip contacts. It included 20 common WEs and 5 counter/reference (CE/RE)

electrode pairs, with 25 probe wells to facilitate manual probe deposition and 5 separate liquid

channels (Figure 5.1a). We defined templates for the sensing regions of the WEs by opening

5 μm apertures (Figure 5.1c) in the top passivation layer. By restricting growth within these

apertures, we then grew micron-sized tree-like electrodes via electrodeposition, resulting in

nanostructured microelectrodes that protrude from the surface and reach into solution. It was

previously shown that the micron-sized scale of the protruding electrodes increases the cross-

section for interaction with analyte molecules [30], whereas the nanostructuring maximizes

sensitivity by enhancing hybridization efficiency between tethered probe and the analyte in

solution [31]. Here these structures are being used to enable the creation of layered, insulated

electrode arrays (Figure 5.1d).

71

Figure 5.1 - The solution circuit chip. (a) An SCC featuring 5 liquid channels containing 20

sensors each. (b) An SCC featuring common WEs, and counter and reference electrode pairs (CE

and RE) that can be activated in sets to form solution-based circuits (red). (c) Optical image of

72

single probe well with 4 WEs. Inset: a scanning electron microscopy(SEM) image of a

nanostructured microelectrode. Scale bar, 50 μm. (d) Cross-section looking down liquid channel

of a sensor on a SCC: glass substrate (light grey), common WE (yellow), SU-8

passivation/aperture layer (dark grey), CE/RE (red), SU-8 probe wells (green) and SU-8 liquid

channel barrier (blue). (e) Sensor-to-sensor comparison of SEM images and acid stripping scans

for 20 sensors. Although morphological differences may exist, the surface areas of the sensors

are highly consistent, as evidenced by the low levels of s.e. (blue error bars) observed for scans

of the 20 sensors conducted in acidic solution. Gold oxide is formed at 1.05 V–1.3 V and reduced

at 0.85 V. (f) Electrochemical nucleic acid assay scheme. PNA probes are immobilized on

microsensors, and in the presence of a complementary target the electrostatic charge on the

sensors is increased. This charge change is read out in the presence

of Ru(NH3)63+

and Fe(CN)63−

, a mixture that yields currents that report on the amount of nucleic

acid bound to the sensor.

By patterning channels on the SCC, we created separate liquid compartments (Figure 5.1a). WEs

are multiplexed on common leads such that they are physically isolated because of the air/water

interface in liquid channels separating them. Reference and counter electrodes are routed along

the liquid channels. The electrical isolation of the reference and counter layers from the WEs

within the SCC, and the ability to bring the electrodes into contact at specific positions using the

liquid channels, are the essential elements that allow solution-based circuits to be formed. The

contacts made through the conductive solution allow transient circuits to be formed and allow

individual contacts to address many sensors in series.

The patterned microsensors are functionalized with peptide nucleic acid (PNA) probes specific to

regions of targeted pathogens (Figure 5.1f). Electrodes are exposed to samples of interest and

binding occurs if a target nucleic acid is present. To detect positive target binding we use an

electrocatalytic reporter pair [32] comprising Ru(NH3)63+

and Fe(CN)63−

. Ru(NH3)63+

is

electrostatically attracted to the phosphate backbone of nucleic acids bound near the surface of

electrodes by probe molecules and is reduced to Ru(NH3)62+

when the electrode is biased at the

reduction potential. The Fe(CN)63−

present in solution auto-oxidizes Ru(NH3)62+

back

to Ru(NH3)63+

, which allows for multiple turnovers of Ru(NH3)63+

and generates an

electrocatalytic current. The difference between pre-hybridization and post-hybridization

currents are used as a metric to determine positive target binding.

73

5.4.2 Characterization of the SCC

The SCC was fabricated using a series of simple lithographic steps followed by the

electrodeposition of three-dimensional microsensors. The electrodeposition process produces

sensors with somewhat variable nanoscopic morphologies, but as it is programmed to deposit the

same number of gold atoms in each structure, it produces sensors with surface areas that vary by

less than 10% (Figure 5.1e).

We employed electrochemical analysis to determine whether SCCs provided the necessary level

of electrochemical isolation. We also devised a spectroscopic approach to confirm the isolation

analysis. Cyclic voltammetry of ferrocyanide was used to evaluate electrochemical

characteristics of SCCs versus standard serially connected chips (Figure 5.2a). We observed that

SCCs have nearly identical electrochemical signals to serially wired chips. It is noteworthy that

grounding of all other unbiased counter, reference and working electrodes is required to

eliminate crosstalk, as evidenced by the differential pulse voltammetry scans

of ferrocyanide with and without the grounding of these electrodes (Figure 5.2b). To further

investigate whether signals from adjacent liquid channels were picked up by individual sensors,

we added ferrocyanide adjacent to channels and monitored the effect on the signals obtained

(Figure 5.2c). It was observed that when ferrocyanide is added to an adjacent channel, there is

minimal perturbation of the signal of ferrocyanide within the channel of interest. The effects of

repeated scanning were also explored and were found to be minimal (data not shown).

74

Figure 5.2 - Electrochemical validation of the SCC. (a) Cyclic voltammograms collected with

standard chips with individually addressable electrodes and SCC electrodes in

2 mM ferrocyanide. (b) Differential pulse voltammetry of biased WE and CE+RE solution

circuit in 2 mM ferrocyanide when unbiased CE, RE and WEs are ungrounded (red) and

grounded (green) versus standard serially connected WE (dotted gray). (c) Differential pulse

voltammetry of 2 mM ferrocyanide within liquid channel (green) and on adjacent liquid channels

(red) of interest. (d) Evaluation of cross-talk by monitoring MB electrochemical bleaching.

Middle channel was activated. (e) MB absorbance measurements for middle and adjacent lanes

of SCC. (f) Analysis of signals obtained when sensors that are positive or (g) negative for a

target sequence are surrounded by sensors yielding the opposite result. (f – g analysis performed

by Jagotamoy Das)

75

A non-electrochemical strategy was also pursued to verify independently that the solution

circuits were formed as desired, and to study any evolving leakage over longer time periods. To

investigate electrochemical isolation using a spectroscopic approach we utilized methylene

blue (MB), which can be electrochemically reduced to a colourless form (Figure. 5.2d). MB was

loaded into all liquid channels, and WEs within the middle channel of the chip were held at the

reduction potential of MB for 1 h. Visual evidence of the reduction of MB was observed

exclusively in the selected channel, providing a qualitative measure of electrical isolation.

Measurements of the absorbance (Figure 5.2e) of each channel quantitatively confirmed that the

significant loss in MB absorbance is detected in the middle lane only.

To investigate whether signals from adjacent channels would interfere with our electrochemical

nucleic acid assay, we investigated different orientations of sensors that would yield positive and

negative electrochemical responses in the presence of a target DNA sequence. A small area of

sensors was functionalized with a PNA probe sequence that would not bind a specific target

DNA sequence, and this area was surrounded by sensors functionalized with a PNA probe that

would bind the DNA target (Figure 5.2f). On this chip, a large positive signal change was

obtained with the positive sensors, and a small negative signal change was observed on the much

smaller number of negative sensors. This indicates that with the nanoampere levels of current

generated during sequence analysis, crosstalk between sensors does not influence the results

obtained. When trials were conducted that reversed the positions of the positive and negative

sensors, the expected reversed results were obtained (Figure 5.2g). These results indicate that the

solution-based circuits are indeed suitable for multiplexed sequence detection.

5.4.3 Detection of urinary tract infection pathogens

A compelling application for electrochemical analysis is the identification and classification of

pathogens. Infectious disease can be difficult to diagnose accurately, because symptoms caused

by different pathogens can be quite similar. However, it is important that a causative organism is

identified correctly before a treatment is selected. We therefore elected to adapt the multiplexing

capabilities of our chips to look for many different types of pathogens, and to also probe for

antibiotic resistance. A set of PNA probes were designed, synthesized and tested, and validated

for sensitivity and specificity (Figure 5.3). It is these probes that make individual sensors specific

for pathogens, as they are targeted to unique sequences within the genomes of the organisms.

76

The probe set developed covered 90% of the common urinary tract pathogens33

and many of the

major types of drug resistance that are encountered in the clinic34

.

Figure 5.3 - Validation of pathogen and antibiotic-resistance probes. (a) Background-

corrected post-current values for pathogen probe set. Sensors were challenged with 1 nM of a

synthetic DNA complement and the signal generated was compared with that obtained with a

100-nM solution of a non-complementary DNA sequence to obtain the background-corrected

value. (b) Background-corrected post-current values for antibiotic-resistance probe set. Sensors

were challenged with 1 nM of a synthetic DNA complement, and these signals were compared

with those obtained with a 100-nM solution of a non-complementary DNA sequence to obtain

the background-corrected value. (c) Pathogen probes validated versus bacterial lysates (EC, E.

coli; SS, S. saprophyticus; SA, S. aureus;. CT,C. trachomatis; MM, M. morganii; PA, P.

aeruginosa; PM, P. mirabilis; KO, K. oxytoca; EF, E. faecalis; SP, S. pneumonia; AB, A.

baumannii; Sag, S. agalactiae; SE, S. epidermis; CA, C. albicans; KP, K. pneumonia; SP, S.

pyogenes; Spy, S. pyogenes; SM, S. marescens; ECl, E. cloacae; EN, enterobactergenus; UN,

77

universal bacteria probe). Error bars reflect s.d. collected from data sets obtained with >3

independent chips. (d) Representative differential pulse voltammograms (DPVs) obtained for a

control sample (Ctrl), a lysate containing 1 cfu μl−1

, and a lysate containing 100 cfu μl−1

.(Probe

design and bacterial lysis: Davis Holmes, Probe validation: Ludovic Live & Andrew Sage,

Lysate measurements: Jagotamoy Das)

We used our multiplexed chips to achieve the parallelized assessment of 30 probes for pathogens

and antibiotic-resistance markers (Figure 5.3a). The pathogen probes were targeted against either

the RNA polymerase β mRNA (rpoβ), or a ribosomal RNA, and the antibiotic-resistance probes

were targeted against known sequences correlated with drug deactivation. To screen sequences

for specificity, we compared the response obtained from a solution containing a 1-nM

concentration of a complementary target with the response from a solution containing a 100-nM

concentration of a non-complementary target. The background-subtracted current generated was

then analysed, and for the large majority of the probes that were tested the current obtained was

greater than baseline by three standard deviations. However, it is noteworthy that the amount of

current generated with each probe varies for the different probes. Nonetheless, the magnitude of

current generated for each probe was highly reproducible and hence, despite this effect, the

approach can be used for specific pathogen detection.

The sensitivity of sensors modified with these probes was then tested against a panel of

pathogens amenable to culture (Figure 5.3c). Unpurified bacterial lysates containing

1 cfu μl−1

and 100 cfu μl−1

were incubated with the sensors, and electrochemical signals were

compared with those obtained when the same sensor type was exposed to 100 cfu μl−1

of non-

target bacteria (Escherichia coli for each trial, except for those testing the sensitivity of the E.

coli probes, where Staphylococcus saprophyticus was used). The signals obtained for each

pathogen differed, which likely reflects idiosyncratic nucleic acid structures, but in each case

excellent sensitivity and specificity were obtained using samples that have undergone minimal

processing. In each case, the signals obtained with solutions containing 1 cfu μl−1

were greater by

a factor of at least three standard deviations relative to background signals, indicating that the

limits of detection reside at or below this concentration.

The detection limit obtained here of 1 cfu μl−1

is clinically significant. Many applications in

infectious disease testing—including testing of swab samples for health-care-associated

78

infections or sexually transmitted infections, or the testing of urine for infectious pathogens—

yield samples that contain concentrations higher than 1 cfu μl−1

. This detection and speed

combination also approaches the diffusional limits for large molecules in static solutions30

.

5.4.4 Multiplexed detection of urinary tract infection pathogens

The SCC was then put to the ultimate test: the analysis of samples containing clinically relevant

concentrations of pathogens for panels of markers. SCCs were functionalized simultaneously

using nine different probes (Figure 5.4a) and were challenged with bacterial lysates at

100 cfu μl−1

. Chips were first challenged with lysates of E. coli, the most common urinary tract

infection-causing pathogen (Figure 5.4b). The response of sensors modified with the E.

coli probe targeted against the RNA polymerase gene (rpoβ) was significant, whereas no other

probes showed significant response to the lysate. We also challenged chips prepared with the

same sensors and probes with a form of antibiotic-resistant E. coli that contains the β-

lactamase (β-lac) gene (Figure 5.4c). With this sample, only EC and β-lactamase sensors

exhibited a significant response, indicating that the SCC can classify pathogens and detect

antibiotic resistance simultaneously. SCCs were also challenged with lysates of Staphylococcus

aureus to confirm successful detection of Gram-positive pathogens (Figure 5.4d). Only

electrodes functionalized with SA probe showed a significant electrochemical response. In

addition, we challenged chips with a mixture of S. aureus and antibiotic-resistant E. coli (+β-lac)

to evaluate the performance of chips brought into contact with several analytes producing a

positive response (Figure 5.4e). Only electrodes functionalized with matching probes exhibited

significant electrochemical responses to the mixed lysed sample. These results illustrate that the

multiplexing provided by solution-based circuits enables the parallelized detection of multiple

analytes at clinically relevant levels.

79

Figure 5.4 - Multiplexed pathogen and antibiotic-resistance testing on an SCC. (a)

Arrangement of sensors on a 100-plexed SCC. (b) Response of SCC challenged with

100 cfu μl−1

E. coli. (−β-lac). (c) Response of SCC challenged with 100 cfu μl−1

E. coli. (+β-lac).

(d) Response of SCC challenged with 100 cfu μl−1

S. aureus. (e) Response of SCC challenged

80

with 100 cfu μl−1

S. aureus+E. coli (+β-lac) bacterial lysate. (f) Response of SCC at 2 min and

5 min challenged with E. coli lysates at 100 cfu μl−1

. (Bacterial lysis: Brian Lam, Electrochemical

measurements: Jagotamoy Das)

As a final test of the utility of the SCC, we investigated whether very short hybridization times

could be used to enable very rapid bacterial detection (Figure 5.4f). We investigated the

evolution of signals that could be detected on chip with a 2- and 5-min hybridization, and

determined that a pathogen-specific response could be obtained even with the shortest time

studied. These results indicate that SCCs can be used for highly multiplexed pathogen detection,

and can also be used to deliver the very rapid results needed to make diagnostic information

clinically actionable.

5.5 Discussion

Using the simple idea that solution-based circuits could be harnessed on chip to enhance the

level of multiplexing that could be achieved on a passive chip, we created a new method for

electrochemical multiplexing. Compared with complicated and expensive active electronics on

the surface of silicon, this approach has significant advantages for the development of low-cost

diagnostic tools. A simple six-step fabrication approach, where most of the steps were performed

using transparency masks and low-grade glass was used as a substrate, is advantageous over

more involved protocols used to create active silicon electronics. The approach reported herein is

scalable in that it could be deployed to produce chips with higher levels of multiplexing than

shown here. Given the current capabilities of photolithography and technologies that can be used

to deliver probe molecules to high-density arrays, thousands of sensors could be addressed using

the solution circuit strategy. The development of strategies to maintain the large number of liquid

channels would represent the greatest challenge in realizing this level of multiplexing.

The sensor technology used here, which relies on the electrodeposition of microscale, three-

dimensional sensors, is a powerful tool in the analysis of complex samples. It has been shown to

perform well in the presence of blood [23] and urine [25], and can also discriminate single base

changes in sequence [35]. As demonstrated here, it is compatible with unpurified bacterial

lysates and, therefore, is easily integrated for sample-to-answer testing. These features provide a

significant advantage over gold standard molecular testing methods, such as the PCR, which

typically requires sample clean-up and the use of costly enzymatic reagents. It is also compatible

81

with samples ranging from microlitres to millilitres, which broadens the potential clinical utility.

Here we have demonstrated that in addition to possessing these features, it can also be used with

a highly multiplexed format if the solution circuit approach is used to contact the sensors. The

solution-based circuit chip, as it yields rapid and accurate information on the identity and

antibiotic resistance of pathogens, represents a significant advance in the field of biomolecular

sensing.

82

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6 Conclusions and Future Directions

6.1 Thesis Findings

The goal of this work was to develop new effective methods for nanomaterial point-of-care

electrochemical biosensors. Sample handling and process is an important aspect of any point of

care diagnostic technique and must be simple, rapid and effective. High applied voltages,

external pump requirements and difficult direct intergration with our NME platform were distinct

drawbacks of microchannel electrical lysis (supplementary information). In chapter 3 we

developed simple parallel plate lysis chambers that could operate at lower voltages, did not need

external pumps and could be directly coupled to our NME chips. We showed these chambers are

effective at lysing pathogenic bacteria, releasing intercellular genetic targets. We were able to

detect intercellular genetic markers of bacteria and cancer cells by combining our parallel plate

lysis platform with our NME detection platform. Remarkably we were able to perform detection

at clinically relevant concentrations in crude lysates in buffer and urine without any purification.

In chapter 4 we evaluated various materials that possessed desirable manufacturing qualities,

such as low cost and quick prototype turnaround times. PCB is one of the cheapest materials

with simple and rapid prototyping cycles. However, we ran into many material compatibility

issues since copper is the only widely available base metal material and other materials would be

costly. Impurities in PCB NME and large background produced poor sensitivities when PCB

NMEs were used in our electrocatalyic nucleic acid assay. We also tried FEP, a common plastic

used in the electronics industry for manufacturing FPCs. Plastics are cheap materials, however

we needed to post process manufactured devices to fabricate a passivating aperture layer for

template electrodeposition of NMEs. Flexibility of FEP was an issue and lead to poor aperture

resolutions when compared to silicon devices along with poor assay sensitivities due to high

background currents.

Net we evaluated plain borosilicate glass since it is a cheap and rigid material. We fabricated

similar chips to our silicon based devices with similar aperture resolutions and NMEs fabricated

on glass were of comparable morphology and electrochemical character to silicon based NMEs.

We tested our electrocatalyic nucleic acid assay on glass and found comparable sensitivities to

silicon. In addition we challenged our glass platform with bacterial lysates and found we could

detect clinically relevant concentrations similar to the silicon platform.

87

An important goal for future medical diagnostic technologies is the highly multiplexed analysis

of multiple biomarkers. For electrochemical biosensors the most common multiplexing method

is the implementation of active switching electronics. However, active electronics are complex

and costly to develop and manufacture limiting their practicality for use in consumable

biosensors. In chapter 5 we developed a simple passive method for electrochemical multiplexing

using simple physical separation of liquid to create SCCs. We characterize this method and show

that interference between channels is not significant when non-biased NMEs are held at a fixed

potential such as ground. We demonstrate the utility of this method in the successful multiplexed

analysis of bacterial lysates at clinically relevant concentrations.

6.2 Future Work

We showed that parallel plate lysis chambers were rapid, effective and could be directly coupled

to our NME detection platform. Further development of parallel lysis chambers should include

indepth analysis of the mechanism of lysis since it is unclear if bacteria are lysed

electrochemically and/or electrically. In future developments we intend to design electrical lysis

areas directly on chip in cost effective and efficient manner. To aid in the ease of use in the

system a method spontaneous fluid flow should be developed to reduce operator involvement in

detection of infectious diseases and/or cancers. A mobile integrated measurement system should

be developed since testing in developing countries will become an important goal for our

platform.

From a materials and manufacturing standpoint it would be invaluable to develop non-

lithographic methods for fabrication of glass based NME chips which will be instrumental in

reducing costs. Fabrication of NMEs on flexible materials is an interesting avenue to pursue,

which could used in biosensors directly applied to the skin or used in other applications where

rigid materials would not be suitable.

The liquid channel multiplexing platform is still in prototyping stages and better liquid channel

methods should be investigated. Currently manual filling of liquid channels is not optimal and

spontaneous filling methods should be investigated. Another issue with the liquid channel system

is the time required to scan an entire chip, since we utilize a single potentiostat and scan each

working electrode individually. For high levels of multiplexing this scanning time would become

prohibitive, for example if it takes 2 sec per scan, and there are 1000 electrodes it would take

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over 30 min to scan all sensors on a single chip. Therefore it would be invaluable to develop a

method that could scan working electrodes in parallel. A possible method is to scan working

electrodes in parallel where a single working electrode within each liquid channel is scanned

simultaneously with different potentiostats. This would reduce scan times by the root factor of

the number of electrodes which would increase the viability of this platform to highly

multiplexed systems in point of care settings.

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7 Publications and Other Contributions

1. Lam, B., Das, J., Holmes, R. D., Live, L., Sage, A., Sargent, E. H., & Kelley, S. O.

―Solution-Based Circuits Enable Multiplexed, Rapid Pathogen Detection.‖ Nature

Communications 4, 2001 (2013)

2. Lam, B., Holmes, R. D., Das, J., Poudineh, M., Sargent, E. H., & Kelley, S. O. ―Optimized

Templates for Bottom-Up Growth of High-Performance Integrated Biomolecular

Detectors.‖ Lab on a Chip 13, 2569-75 (2013)

3. Kelley, S.O., Lam, B. & Sargent, E. H. ―Electrochemical Multiplexer.‖ U.S. Patent

61/651132 (2012)

4. Lam, B., Fang, Z., Sargent, E. H. & Kelley, S. O. ―Polymerase Chain Reaction-Free,

Sample-to-Answer Bacterial Detection in 30 Minutes with Integrated Cell Lysis.‖

Analytical Chemistry 84, 21-25 (2012).

5. Vasilyeva, E., Lam, B., Fang, Z., Minden, M. D., Sargent, E. H., & Kelley, S. O. ―Direct

genetic analysis of ten cancer cells: tuning sensor structure and molecular probe design

for efficient mRNA capture.‖ Angewandte Chemie (International ed. in English) 50,

4137–41 (2011).

6. Soleymani, L. Fang, Z., Lam, B., Bin, X., Vasilyeva, E., Ross, A. J., Sargent, E. H., &

Kelley, S. O. ―Hierarchical nanotextured microelectrodes overcome the molecular

transport barrier to achieve rapid, direct bacterial detection.‖ ACS nano 5, 3360–6 (2011).

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8 Supplementary Information

8.1 Microchannel Electrical Lysis

Our goal at the beginning of my studies was to perform efficient and simple processing for direct

detection of cancer and pathogenic bacteria with our nanostructured microelectrode platform. We

first utilized a microchannel electrical lysis platform for lysis of bacteria and cancer cells. We

were able to accurately detect the presence of pathogenic bacteria [1] and cancer [2] in

unpurified lysates samples.

8.1.1 Platform Description

Traditional electrical lysis methods required extremely high voltages greater than 10kV [3-4] to

generate high enough electrical fields required for electrical lysis of bacteria. Wang, et al [5]

developed a microchannel lysis method which reduces required voltages by roughly an order of

magnitude to ~1000V. We first utilized a microchannel lysis method developed in their group

(Figure 8.1) [5]. The microchannels are made using traditional soft lithographic techniques,

utilizing the casting of polydimethylsiloxane (PDMS) over physical master molds which were

microfabricated in house. The PDMS microchannels consist of two reservoirs connected by a

channel consisting of narrow section in the middle and wide sections connecting the narrow

section to the reservoirs (Figure 8.1A). Electrical contact to the microchannel is made by piecing

the PDMS with Pt wire, such that the wires make contact with the interior of the reservoirs

(Figure 8.1B).

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Figure 8.1 – PDMS microchannel electrical lysis. (A) microchannels with two reservoirs

connected by microfluidic channel (b) image of actual microchannels, electrical connections are

made with Pt wires piercing the PDMS making contact with the reservoirs (C) microscope image

of channels

This method utilizes a geometrical field advantage to reduce applied voltages (Figure 8.2). A

short derivation of the field advantage is given, where the electric fields are given by (1). Using a

voltage divider argument the voltage drop over each region is given by (2). Substituting into (1)

we get the following expressions for the electrical fields (3). The ratio of the fields is given by

(4). Therefore the ratio of the wide to narrow channels widths is equal to field advantage gained

within the narrow region of the channels. Hence for channels used in this study the field

advantage in the narrow section in comparison to the wide sections is roughly a factor of 6.

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Figure 8.2 – Microchannel schematic. Layout and dimensions for derivation of geometric field

advantage.

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Figure 8.3 - Experimental lysis setup. (A) Syringe pump (left) microchannel (center) and

voltage supply (right) (B) syringe pump sample to microchannel using thin tubing, pipette tip

used as sample collector and electrical connection to channels with Pt wire

The experimental setup for electrical microchannel lysis is shown in Figure 8.3. The setup

consists of a syringe pump and voltage power supply. The sample to be lysed is loaded into a

syringe and placed within the syringe pump. The syringe is connected to the microchannel using

thin tubing that is inserted into the inlet reservoir of the microchannel. Electrical connection is

made to the channel with Pt wire connected to the voltage supply. As sample flows through the

microchannel at a given rate, a potential is applied to the channel with the voltage supply. The

lysed samples are collected with a pipette tip at the outlet for direct analysis.

8.1.2 Microchannel lysis of bacteria

Bacterial samples used in these studies were Escherichia Coli (Ecoli) a standard gram negative

strain and Staph Saprophyticus (Ssap) a gram positive strain, which is in general more difficult to

lyse due to a thicker cell wall. Bacterial growth is performed in the appropriate media and a

serial dilution method and ultraviolet-visible absorbance is used to determine concentrations of

bacteria in the units of colony forming units (cfu). Initially to determine if lysis was occurring,

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we performed a simple viability test. If cells do not grow on growth media plates they are dead

which we used this as an initial indicator for lysis.

Our first tests with were under the following conditions, utilizing a concentration of 108 cfu/mL

Ecoli and Ssap, we flowed these samples through microchannels at a rate of 15µL/min and

applied 500V to the channel. We show that Ecoli and Ssap bacteria are non-viable after this

treatment (Figure 8.4)

Figure 8.4 - Electrical lysis of Ecoli and Ssap at 15µL/min flow rate with 500V applied voltage

across the microchannel

To further study electrical lysis of bacterial cells in microchannels we investigated how

concentration, flow rate and applied voltage would affect the lysis efficiency. Initial tests of

electrical lysis were at saturated bacterial populations of ~108 cfu/mL. As is expected lysis of

Ecoli utilizing the same conditions as above also occurs completely for lower concentrations

(Figure 8.5)

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Figure 8.5 – Bacterial concentration versus electrical lysis.

To investigate the effect of flow rate we varied the flow from 2µL/min up to 45µL/min while

keeping voltage fixed at 500V (Figure 8.6). We found that flow rate has no observable influence

on lysis efficiency, all bacteria lyse equally well at all flow rates. We could not go to higher flow

rates since channels would burst at flow rates above 50µL/min.

Figure 8.6 – Flow rate versus electrical lysis

Next we investigated the effect of varying voltage on lysis efficiency at a fixed flow rate of

10µL/min (Figure 8.7). We found that lysis efficiency drops off around 100V for this fixed flow

rate, hence we can reduce the applied voltage to around 200V to obtain full lysis of bacteria.

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Figure 8.7 – Applied voltage versus electrical lysis

We knew that we were killing bacteria with microchannel electrical lysis, from the simple

bacterial growth tests. However, we are interested in the release of intercellular mRNA that we

target with our NME nucleic acid assay. Observing unlysed and lysed samples of bacteria under

a microscope (Figure 8.8), it is difficult to optically determine the lysed sample or that cell walls

have been breached and intercellular contents have diffused out from the cell wall. The cell looks

like it remains intact and no distinct visual changes can be observed between the unlysed and

lysed samples. Hence we needed an auxiliary method to determine intercellular mRNA targets

were being released.

Figure 8.8 – Optical images of lysed versus unlysed bacteria

A common method to determine if the cell has been breached is to observe uptake of propidium

iodide (PI) an intercalating and fluorescent molecule which intercalates with DNA. The uptake

of PI only occurs if cell walls have been breached. We incubated unlysed, isopropyl alcohol

(IPA) lysed and microchannel electrically lysed samples with PI at 25 µg/mL for 1 hr and

observed them under the microscope (Figure 8.9). We can observe for the unlysed sample that

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there is no uptake of PI. For the positive control, IPA lysed, we can observe strong emission of

fluorescence from the cytoplasm of bacteria, indicating that the cell wall has been breached. For

the microchannel lysed samples we can also observe good uptake of PI again indicating that the

cell wall has been breached.

Figure 8.9 – Propidium iodide uptake versus microchannel lysis

A more quantitative method to determine the degree of PI uptake is to use flow cytometry. Flow

cytometry is essentially a highly quantitative high throughput method to count and

simultaneously measure optical properties of individual cells. We utilize this method to count

individual bacterial cells and determine the degree of PI uptake in the sample. Measurements are

plotted as a histogram versus fluorescence intensity. Shown in Figure 3.10 are samples analyzed

by flow cytometry and confirm no PI uptake for unlysed samples and good PI uptake for

microchannel and IPA lysed bacterial samples.

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Figure 8.10 – Flow cytometry propidium iodide uptake

Although PI uptake is a good indicator to determine if bacterial cell walls have been breached it

does not technically indicate if intercellular mRNA we are interested has been released. PI

uptake indicates that DNA has not been released from the cytoplasm hence the question remains

if mRNA has been released. To confirm that mRNA has been released from the cell we utilize

reverse transcriptase polymerase chain reaction (RT-PCR). Briefly RT-PCR can essentially

amplify a specific region of RNA within a given sample which can be visualized using standard

gel electrophoresis. We performed RT-PCR on supernatants of unlysed and lysed samples

(Figure 8.11). Centrifuging samples and performing RT-PCR on supernatants is necessary since

cells are lysed in the thermal cycles of RT-PCR and will produce a positive signal regardless of

microchannel electrical lysis. With RT-PCR we have confirmed good release of targeted mRNA

with microchannel electrical lysis (Figure 8.11) with no apparent difference from increased lysis

voltages (Figure 3.14A & B) or unlysed uncentrifuged samples (Figure 3.14D).

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Figure 8.11 – RT-PCR confirmation of mRNA target release on lysed samples

8.1.3 Detection of Bacterial Lysates

After confirming release of mRNA targets we integrated the microchannel electrical lysis

method with our NME detection platform. The process workflow is shown in Figure 8.12. First

we scan a pre-hybridization background signal in electrocatalytic buffer. Followed by

microchannel electrical lysis of bacterial samples at 500V and 15µL/min. We collected ~50µL of

lysates and directly hybridized these unpurified lysates on chip for 30min, followed by two 5min

buffer washing steps. Finally we scanned the post-hybridization signal in electrocatalytic buffer

and compared post and pre hybridization signals to determine the change in current (ΔI). The

change in current with respect to negative controls determines if successful detection of bacteria

has occurred. The entire assay is rapid enough to be performed from sample to answer within a

1hr timeframe.

Figure 8.12 - Experimental workflow for electrochemical detection from sample to answer

Electrochemical measurements of bacterial lysates were performed by Zhichao Fang [1].

Utilizing the microchannel lysis platform Fang showed that we could accurately determine the

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species of bacteria from raw unpurified lysates at clinically relevant concentrations with our

NME platform.

An important issue for nanomaterial sensors is the size of the sensor footprint has to be

sufficiently large to interact/capture large targets like mRNA within a reasonable timeframe

(Figure 8.13). Using a simple diffusion model towards a hemispherical sensor the accumulation

time based upon the diffusion of the molecule can be calculated [1]. For small nucleic acid

molecules, ~20 base pairs in length at 2fM, a clinically relevant concentration, accumulation

times are reasonable down to 1µm sized sensors. However for larger molecules, ~4000 base pairs

which diffuse much slower, accumulation times are only reasonable for sensors with footprints

larger than 100µm [1].

Figure 8.13 - Sensor footprint versus accumulation time for 20-mer and 4000-mer nucleic

acid molecule at 2fM. [1]

To test our accumulation times we fabricated NME with of three different sizes (10, 30, and

100µm) shown in Figure 3.17 to show that 100µm sensors are necessary to detect Ecoli lysates at

clinically relevant concentrations of 1.5cfu/µL which corresponds to approximately 2fM.

Following the detection protocol outlined in Figure 8.12 with a hybridization time of 30min we

found that 100µm footprint sensors were the only sensors capable of detecting 1.5cfu/µL of

Ecoli lysate (Figure 8.14C). Smaller footprint sensors (30 and 10µm) are too small to interact

with large mRNA target molecules, and hence unsuccessful at 1.5cfu/µL, but capable of

detecting samples at 100 fold higher concentration with the same hybridization time.

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Figure 8.14 - Electrochemical detection of bacterial lysates for different footprint sensors.

(A-B) SEM images of small to large NME sensors utilized (C) measurement results for low and

high bacterial loading [1] (Bacterial lysis and sample preparation: Brian Lam, SEM analysis:

Leyla Soleymani, Electrochemical measurements: Leyla Soleymani and Zhichao Fang)

8.1.4 Microchannel electrical lysis of leukemia cells

In parallel to the bacterial detection project we were to developing a detection method for

chronic myelogenous leukemia (CML), a specific cancer of white blood cells. CML is

characterized by a specific gene fusion between chromosome 9 and 22 in the ABL and BCR

regions and is named the Philadelphia chromosome (Figure 8.15). This specific BCR:ABL gene

fusion was our target molecule in our NME nucleic acid assay. Again for real samples we

needed a simple streamlined method to release this intercellular target. To prove the multiple

utility of the microchannel electrical lysis platform we proceeded to lyse CML positive cells for

analysis with our NME detection platform.

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Figure 8.15 – Chronic mylegenous leukemia. Characterized by a specific gene fusion between

BCR:ABL.

Initial testing was with the K562 cell line which is positive for CML and the BCR:ABL gene

fusion. Initial lysis testing with K562 cells is shown in Figure 8.16. Samples of K562 cells

containing 105 cells/mL in PBS buffer were loaded into syringes and placed in the syringe pump

as in Figure 3.4. Control samples were flowed through the microchannel at a rate of 20µL/min

with 0V applied to the channel (Figure 8.16A) where no observable lysis occurs. When a

potential of 500V is applied, we observe total lysis of cells (Figure 8.16B) with no intact cells

and only cell debris visible in the collected lysate. Following the same experimental workflow as

shown in Figure 8.12 we analyzed K562 lysates using our NME platform. Electrochemical

detection of K562 lysates in buffer is shown in Figure 8.16C. We show that we can detect down

to 10 cells and up to 1000 cells in a sample volume of 30µL versus negative control probes. We

were also successful in using this method to lyse samples of blood spiked with K562 and positive

CML leukocyte patient samples, and accurately determine the presence of the BCR:ABL gene

fusion with our NME detection platform [2]

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Figure 8.16 - Microchannel lysis of K562 cells a positive BCR:ABL gene fusion cell line. (A)

K562 cells through at 0V and (B) 500V. (C) Electrochemical detection of K562 lysates

(Elizaveta Vasilyeva) with NME platform [2] (Electrochemical measurements: Elizaveta

Vasilyeva)

8.1.5 Conclusions

Sample handling and process is an important aspect of any point of care diagnostic technique and

must be simple, rapid and effective. We showed that the microchannel lysis platform was a

versatile, rapid and effective platform for lysis of bacteria cells and mammalian cells. We were

able to detect intercellular genetic markers of bacteria and cancer cells by combining

microchannel lysis with our NME detection platform. Remarkably we were able to perform

detection in crude lysates without any purification.

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8.2 Description of Solution Circuit Chip

An important goal for biosensors is the multiplexed analysis of samples with a single device. For

many applications highly multiplexed analysis would provide valuable utility providing accurate

analysis on a panel of relevant biomarkers. We developed a solution circuit chip (SCC) which

relies on physical separation of liquid to create electrochemical isolation. A description of the

SCC platform and further characterization of interference is given.

8.2.1 Description of SCC platform

The core of the SCC method utilizes an array format addressing for working, counter and

reference electrodes. An illustration of this format is shown in Figure 8.17 with a 5x5 SCC array.

The array consists of 5 common WEs with 5 NMEs addressed in parallel on each common WE.

Orthogonal to the common working electrodes are 5 RE and CE pairs deposited on the surface of

the aperture passivating layer. A cross section for the configuration near a single NME looking

down the RE/CE pairs is shown in Figure 8.18. This illustrates the underlying common WE,

passivating SU-8 aperture layer, NME and surface RE/CE pairs.

Figure 8.17 – Representation of 5x5 array of an SCC chip

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Figure 8.18 – Cross section schematic of single NME in SCC chip

If the common WEs were connected in a traditional electrochemical setup where the entire SCC

chip was immersed in an electrochemical solution, represented in Figure 8.19, the connected

NMEs would act as a single WE. Hence if the common WE was placed under bias we would be

interrogating the 5 connected NMEs at the same time without the ability to address individual

NME on the same common WE.

Figure 8.19 – SCC chip connected in traditional electrochemical setup where all NMEs are

immersed in the same electrochemical solution.

The core of our SCC technique takes advantage of the simple fact the physical separation of

liquid can result in electrochemical isolation. Therefore, the concept is to physically separate the

electrochemical solution into defined liquid channels orthogonal to the common WEs, which is

illustrated in Figure 8.20. These liquid channels are defined along the RE/CE surface pair

electrodes. With this configuration we now have electrochemical isolation between NMEs

fabricated on the same common WE.

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Figure 8.20 – Physical liquid channel separation orthogonal to common WEs.

An illustration of the addressing approach is given in Figure 8.21. To address a given NME

within the SCC chip we bias the desired liquid channel RE/CE pair and the corresponding WE of

interest. For example if we bias the first RE/CE row and second common WE, we will only

interrogate the NME located on the first row and second column (Figure 8.21A). Switching the

array to another NME can easily be done by biasing the appropriate RE/CE row and common

WE. For instance if we would like to switch to interrogate the NME located on the third row and

fourth column (Figure 8.21B) we would simply bias the third RE/CE pair and fourth common

WE.

Figure 8.21 – Illustration of SCC method (A) interrogation of single NME on first row second

column (B) interrogation of NME on third row fourth column

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8.2.2 Interference evaluation

It is important to evaluate of electrochemical interference between liquid channels since

interference could affect the outcome. We performed similar sequential addition of

electrochemical reagents (Ru/Ferri) to wells while measuring the same NMEs after each

sequential addition. Initially Ru/Ferri is loaded into the first liquid channel (Figure 8.22A),

followed by a DPV scans on NMEs within the first channel. Second, Ru/Ferri is added to the

second liquid channel (Figure 8.22B), followed by a DPV scans on NMEs within the first

channel. This sequence is repeated until all liquid channels have been filled with Ru/Ferri. The

resultant DPVs are plotted in Figure 8.22C. We observe significant crosstalk from the sequential

addition of Ru/Ferri. We surmised that the increased level of interference may be due to the

increased number of liquid channels and NMEs compared to the initial parallel test chips.

Figure 8.22 – SCC interference from sequential addition of Ru/Ferri (A) addition of Ru/Ferri to

first channel (B) subsequent addition of Ru/Ferri (C) DPV scans of same NME after sequential

additions of Ru/Ferri

Our hypothesis was that the NMEs that we were not interested in on the common WE under bias

were shorting through adjacent NMEs back to the liquid channel of interest. To illustrate our

hypothesis a schematic of our theory is shown in Figure 8.23. For this example we are trying to

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select the NME in the third row and second column highlighted by a red star. Therefore we place

the second column WE and third row RE/CE pair under bias. The second column WE under bias

has multiple NMEs connected which we theorize are shorted through the solution, with a

solution resistance Rs, to adjacent neighboring NMEs in liquid channels not under bias. In turn

these neighboring NMEs are shorted through the common WE to the NME within the liquid

channel of interest (green arrows). Hence we surmise neighboring NMEs in liquid channels not

under bias act as pseudo RE/CE electrodes which results in interference from NMEs we are not

interested in.

Figure 8.23 – Hypothesis of interference phenomena in SCC chips. NMEs we are not

interested in on common WE under bias short circuit through solution (Rs) to adjacent NMEs

which act as pseudo RE/CE since adjacent NMEs are shorted to an NME within liquid channel

under bias

To test our interference theory we performed sequential addition of Ru/Ferri combined with a

sequential plating of adjacent NMEs outlined in Figure 8.24. A first sequential addition

experiment was performed with only a single common WE electroplated with NMEs. DPV

measurements were made on the single NME (red star) for each sequential addition of Ru/Ferri

and plotted in Figure 8.24B. There is no significant interference when only a single common WE

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is plated with NMEs, which suggests that adjacent NMEs are responsible for measured

interference. To further confirm this finding we plate a second row of NMEs and perform the

same sequential addition experiment where DPV measurements made on the same NME are

plotted in Figure 8.24C. After plating a second WE we now observe interference arising in

scanned DPV signals. The trend of increasing interference continues as a third (Figure 8.24D)

and fourth (Figure 8.24E) WE are plated and DPV measurements are made. This confirms that

interference is due to adjacent NMEs that are not under bias as our theory predicts.

Figure 8.24 - Interference theory experiment. (A) Subsequent addition experiment perform

after subsequent plating of additional WE (B – E) DPV measurements for subsequent addition

experiments after plating 1-4 WEs.

Following these findings we explored if it was possible to eliminate the significant interference

arising from adjacent NMEs. One such theory was if an electrode was held at a fixed potential,

such as ground, where no electrochemical reactions occur, no interfering signals could travel

through the electrode. To test this theory we performed the same sequential addition experiment

comparing non-grounded versus grounded adjacent NMEs (Figure 8.25). All significant

interference is eliminated when adjacent NMEs are grounded (Figure 8.25C). This confirms that

holding adjacent NMEs at fixed potentials eliminate any significant channel to channel

interference. Here we showed that crosstalk between channels can be eliminated by holding all

other WEs, that are not of interest at a fixed ground potential.

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Figure 8.25 – Elimination of interference (A) Schematic of sequential addition experiment

with grounded adjacent NMEs. Sequential addition experiment with (A) non-grounded and (B)

grounded adjacent NMEs.

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8.3 References

1. Soleymani, L. et al. Hierarchical nanotextured microelectrodes overcome the molecular

transport barrier to achieve rapid, direct bacterial detection. ACS nano 5, 3360–6 (2011).

2. Vasilyeva, E. et al. Direct genetic analysis of ten cancer cells: tuning sensor structure and

molecular probe design for efficient mRNA capture. Angewandtbe Chemie (International

ed. in English) 50, 4137–41 (2011).

3. Sale, A. J. H. . H. Effects of high electric field on microorganisms I. Killing of bacteria and

yeasts. Biochim. Biophys. Acta 148, 781–788 (1967).

4. Hamilton, W. A.; Sale, A. J. H. Effects of high electric fields on microorganisms: II.

Mechanism of action of lethal effect. Biochim. Biophys. Acta 48, 789–800 (1967).

5. Wang, H.-Y., Bhunia, A. K. & Lu, C. A microfluidic flow-through device for high

throughput electrical lysis of bacterial cells based on continuous dc voltage. Biosensors &

bioelectronics 22, 582–8 (2006).