PMID- 34741182 OWN - NLM STAT- MEDLINE DCOM- 20220330 LR - 20220402 IS - 1618-2650 (Electronic) IS - 1618-2642 (Print) IS - 1618-2642 (Linking) VI - 414 IP - 10 DP - 2022 Apr TI - Point-of-care human milk testing for maternal secretor status. PG - 3187-3196 LID - 10.1007/s00216-021-03697-7 [doi] AB - We present an electrochemical impedimetric-based biosensor for monitoring the variation in human milk oligosaccharide (HMO) composition. 2'-Fucosyllactose (2'FL) is an HMO associated with infant growth, cognitive development, and protection from infectious diarrhea, one of the major causes of infant death worldwide. Due to genetic variation, the milk of some women (non-secretors) contains no or very little 2'FL with potential implications for infant health and development. However, there is currently no technology to analyze the presence and concentration of HMOs in human milk at the point-of-care (POC). The lack of such technology represents a major impediment to advancing human milk research and improving maternal-infant health. Towards this unmet need, we report an impedimetric assay for HMOs with an alpha-1,2 linkage, the most abundant of which is 2'FL. The sensor uses a lectin for affinity, specifically Ulex europaeus agglutinin I (UEA), with electrochemical readout. In spiked studies, the sensor exhibited a high degree of linearity (R(2) = 0.991) over 0.5 to 3.0 muM with a 330-nM detection limit. The sensor performance was clinically validated using banked human milk samples and correctly identified all secretor vs. non-secretor samples. Furthermore, despite the short 35-min assay time and low sample volume (25 muL), the assay was highly correlated with HPLC measurements. This bedside human milk testing assay enables POC, "sample-to-answer" quantitative HMO measurement, and will be a valuable tool to assess milk composition. CI - (c) 2021. The Author(s). FAU - Chung, Saeromi AU - Chung S AUID- ORCID: 0000-0002-6389-9709 AD - Department of Electrical and Computer Engineering, University of California San Diego, La Jolla, CA, 92093, USA. FAU - Bode, Lars AU - Bode L AUID- ORCID: 0000-0002-9914-9571 AD - Department of Pediatrics, University of California San Diego, La Jolla, CA, 92093, USA. AD - Mother-Milk-Infant Center of Research Excellence (MOMI CORE), University of California San Diego, La Jolla, CA, 92093, USA. FAU - Hall, Drew A AU - Hall DA AUID- ORCID: 0000-0003-0674-074X AD - Department of Electrical and Computer Engineering, University of California San Diego, La Jolla, CA, 92093, USA. drewhall@ucsd.edu. AD - Department of Bioengineering, University of California San Diego, La Jolla, CA, 92093, USA. drewhall@ucsd.edu. LA - eng GR - UL1 TR001442/TR/NCATS NIH HHS/United States GR - UL1TR0001442-06/TR/NCATS NIH HHS/United States GR - UL1TR0001442-06/TR/NCATS NIH HHS/United States PT - Journal Article DEP - 20211105 PL - Germany TA - Anal Bioanal Chem JT - Analytical and bioanalytical chemistry JID - 101134327 RN - 0 (Oligosaccharides) SB - IM MH - Chromatography, High Pressure Liquid MH - Female MH - Humans MH - Infant MH - *Milk, Human/chemistry MH - Oligosaccharides/chemistry MH - *Point-of-Care Systems PMC - PMC8956550 MID - NIHMS1763872 OTO - NOTNLM OT - 2'-Fucosyllactose OT - Human milk OT - Human milk oligosaccharides OT - Impedance sensor OT - Milk analyzer COIS- The authors declare no competing interests. EDAT- 2021/11/07 06:00 MHDA- 2022/03/31 06:00 PMCR- 2021/11/05 CRDT- 2021/11/06 06:12 PHST- 2021/08/30 00:00 [received] PHST- 2021/09/24 00:00 [accepted] PHST- 2021/09/21 00:00 [revised] PHST- 2021/11/07 06:00 [pubmed] PHST- 2022/03/31 06:00 [medline] PHST- 2021/11/06 06:12 [entrez] PHST- 2021/11/05 00:00 [pmc-release] AID - 10.1007/s00216-021-03697-7 [pii] AID - 3697 [pii] AID - 10.1007/s00216-021-03697-7 [doi] PST - ppublish SO - Anal Bioanal Chem. 2022 Apr;414(10):3187-3196. doi: 10.1007/s00216-021-03697-7. Epub 2021 Nov 5.