Shalizi, Aryaman, et al. Plos one 15.6 (2020): e0234542.
Bloodstream infections caused by Staphylococcus aureus, which can progress to life-threatening sepsis, require rapid diagnosis for effective treatment. This study developed a "Click-to-Capture" workflow based on bio-orthogonal chemistry. The core of this strategy was the use of L-Azidohomoalanine (LAHA), a synthetic amino acid analog bearing an azide group. This compound is metabolically incorporated by bacteria into newly synthesized cell surface proteins, thereby displaying bio-orthogonal azide handles on the outer surface of the bacterial cells.
Methodology: In this method, a sample containing S. aureus is incubated with LAHA for a short duration. The bacteria metabolically incorporate LAHA into their surface proteins. Subsequently, a cyclooctyne-biotin reagent is added, which rapidly and selectively "clicks" with the azide groups presented on the bacterial surface via a copper-free cycloaddition reaction. The biotinylated bacteria are then efficiently captured using streptavidin-coated beads, enabling their purification from the sample matrix.
Key Results: The use of LAHA proved highly effective for rapid labeling. The entire enrichment workflow, from the crude sample to captured bacteria, was completed within one hour. Bacteria enriched using this LAHA-based method remained viable and were suitable for subsequent culture or molecular assays. The study demonstrated successful capture of S. aureus across a clinically relevant concentration range (50-10^4 CFU/mL). Furthermore, the method was shown to be significantly faster than existing bio-orthogonal approaches that require hours of labeling time and is applicable to Gram-positive organisms like S. aureus.