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Compositions and methods for determining the presence of active leukocyte cells using an electrochemical assay

a technology of leukocyte esterase and electrochemical assay, which is applied in the field of new application of electrochemical assay, can solve the problems of poor reliability of inter-rater and even intra-rater classification of color increments, difficult resolution of differences in leukocyte esterase concentration, and inability to detect the presence of active leukocyte esterase, etc., to achieve the effect of preventing undesirable chemicals

Pending Publication Date: 2021-12-02
CLEU DIAGNOSTICS LLC
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Benefits of technology

The electrochemical assays using these substrates offer rapid, reliable, and quantitative detection of leukocyte enzymes, enhancing the ability to diagnose infections like UTI, PJI, and SBP with improved accuracy and point-of-care potential.

Problems solved by technology

However, there are clear disadvantages to a colorimetric assay.
With only 3-4 available color intensity increments, resolution of differences in leukocyte esterase concentration may be quite difficult.
In addition, inter-rater and even intra-rater reliability in classifying such color increments may be poor.
This is especially true for instances in which dipstick results are less definitive (trace or 1+); test results, in such cases, may be too unreliable for making treatment decisions.
Thus, the utility of dipstick results is limited to cases in which leukocyte esterase activity is exceedingly high.
While results have been quite promising for the diagnosis of periprosthetic joint infection (PJI), a colorimetric test is rendered impractical in as many as 17-29% of samples due to the presence of blood or debris.
The same would be true for other body cavities, for which aspiration often does not yet often always yield clear fluid.
Further, a colorimetric leukocyte esterase test cannot be attempted on serum samples.
However, such an assay has limited utility in bloody or turbid fluid conditions and would require expensive optical sensors to provide a precise, quantitative measurement.

Method used

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  • Compositions and methods for determining the presence of active leukocyte cells using an electrochemical assay
  • Compositions and methods for determining the presence of active leukocyte cells using an electrochemical assay
  • Compositions and methods for determining the presence of active leukocyte cells using an electrochemical assay

Examples

Experimental program
Comparison scheme
Effect test

example 2a

[0107]4-Hydroxyphenyl (N-(3-(methoxycarbonyl)pyridine-5-sulfonyl)-L-alaninate (Monoester) can be prepared by partial hydrolysis of 1,4-Phenylene bis(N-(3-(methoxycarbonyl)pyridine-5-sulfonyl)-L-alanininate (synthesized by a modification of the procedure for Compound III described in Hanson et al., Chembiochem 2018, 19, https: / / www.ncbi.nlm.nih.gov / pubmed / 29679431). Suitable bases include alkali hydroxides, alkaline earth hydroxides, ammonia, amines, etc.

example 2b

[0108]Hydrolysis with NaOH. 1,4-Phenylene bis(N-(3-(methoxycarbonyl)pyridine-5-sulfonyl)-L-alanininate (21 mg, 0.032 mmol) was dissolved in THF and treated with 1M NaOH (0.045 mL, 139 mol %), at 30° C. for 4 days. The solvent was evaporated, the residue was dissolved in dichloromethane, rinsed with 1M HCl, and dried over MgSO4 to give the product as a colorless glass.

example 2c

[0109]Hydrolysis with triethylamine. 1,4-Phenylene bis(N-(3-(methoxycarbonyl)pyridine-5-sulfonyl)-L-alanininate (98 mg, 0.151 mmol) was dissolved in dichloromethane (2 mL) and triethylamine (28 mg, 0.277 mmol, 184 mol %). Water (62 mg) was added and the heterogeneous mixture was stirred at 30° C. for 3 days. 1M HCl was added to pH 1. The layers were separated, and the aqueous layer was extracted twice with dichloromethane. The combined organic extracts were dried over MgSO4 and evaporated to give a pink foam. Chromatography on silica gel with dichloromethane-ethyl acetate (70:30) afforded 4-Hydroxyphenyl (N-(3-(methoxycarbonyl)pyridine-5-sulfonyl)-L-alaninate (36 mg, 63% yield) as a white crystalline solid, mp 113-116° C. NMR (DMSO-d6) δ 1.37 (3H, d), 3.91 (3H, s), 4.31 (1H, q), 6.68 (4H, Abq),8.59 (1H, t), 8.96 (1H, br), 9.18 (1H, d), 9.22 (1H, d), 9.47 (1H, s); ms+ 381 (M+H)+; ms− 379 (M−H)−.

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Abstract

The present disclosure relates to compositions, methods and test devices for determining the presence of active leukocyte cells, for example, by using novel LE and / or HNE substrates in an electrochemical assay.

Description

I. CROSS-REFERENCE TO RELATED APPLICATIONS[0001]This application is a continuation of U.S. application Ser. No. 16 / 145,014, filed Sep. 27, 2018, which is a continuation-in-part of application Ser. No. 16 / 087411, filed Sep. 21, 2018, a national stage application of International Application Number PCT / US2017 / 022976, which claims priority to U.S. Provisional Patent Application Ser. No. 62 / 311,405, filed Mar. 22, 2016, and to U.S. Provisional Patent Application Ser. No. 62 / 352,560, filed Jun. 21, 2016. The disclosure of each of the applications identified above are hereby incorporated by reference in their entirety.II. FIELD OF THE INVENTION[0002]The present disclosure relates to a novel application of an electrochemical assay for the determination of the activity of leukocyte cells within a test sample. More particularly, the present disclosure relates to novel methods and kits for determining the activity of enzymes released by active leukocyte cells, especially leukocyte esterase an...

Claims

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Application Information

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Patent Type & Authority Applications(United States)
IPC IPC(8): C12Q1/44C07D213/79G01N33/487
CPCC12Q1/44C07D213/79G01N2800/50G01N2800/26G01N33/48721G01N27/3275C12Q1/005G01N2800/24C07D213/80
Inventor FLEISCHMAN, ANDREW NEILPARVIZI, JAVADBIHOVSKY, RON H.
Owner CLEU DIAGNOSTICS LLC