A fluorescence turn-on
probe, an azide-masked and trehalose-derivatized
carbazole (Tre-Cz), was developed to image mycobacteria.
The fluorescence turn-on is achieved by photoactivation of the azide,
which generates a fluorescent product through an efficient intramolecular
C–H insertion reaction. The probe is highly specific for mycobacteria
and could image mycobacteria in the presence of other Gram-positive
and Gram-negative bacteria. Both the photoactivation and detection
can be accomplished using a handheld UV lamp, giving a limit of detection
of 103 CFU/mL, which can be visualized by the naked eye.
The probe was also able to image mycobacteria spiked in sputum samples,
although the detection sensitivity was lower. Studies using heat-killed,
stationary-phase, and isoniazid-treated mycobacteria showed that metabolically
active bacteria are required for the uptake of Tre-Cz. The uptake decreased in the presence of trehalose in a concentration-dependent
manner, indicating that Tre-Cz hijacked the trehalose
uptake pathway. Mechanistic studies demonstrated that the trehalose
transporter LpqY-SugABC was the primary pathway for the uptake of Tre-Cz. The uptake decreased in the LpqY-SugABC deletion mutants
ΔlpqY, ΔsugA, ΔsugB, and ΔsugC and fully recovered
in the complemented strain of ΔsugC. For the
mycolyl transferase antigen 85 complex (Ag85), however, only a slight
reduction of uptake was observed in the Ag85 deletion mutant ΔAg85C, and no incorporation of Tre-Cz into
the outer membrane was observed. The unique intracellular incorporation
mechanism of Tre-Cz through the LpqY-SugABC transporter,
which differs from other trehalose-based fluorescence probes, unlocks
potential opportunities to bring molecular cargoes to mycobacteria
for both fundamental studies and theranostic applications.