# Patent

## Title
Glucose and insulin sensors and methods of use thereof

## Abstract

Described herein are glucose and insulin sensors. The sensors are composed of host cells with DNA specifically designed to produce fluorescence when the cells come into contact with glucose and/or insulin in the sample. Once the fluorescence has been quantified, it can be correlated with the amount of glucose and/or insulin present in the sample.

## Background
CROSS REFERENCE TO RELATED APPLICATIONS
This application claims priority upon U.S. provisional application Ser. No. 61/478,274, filed Apr. 22, 2011. This application is hereby incorporated by reference in its entirety for all of its teachings.


CROSS REFERENCE TO SEQUENCE LISTING
The DNA and RNA described herein are referred to by a sequence identifier number (SEQ ID NO). The SEQ ID NO corresponds numerically to the sequence identifiers <400>1, <400>2, etc. The Sequence Listing, in written computer readable format (CFR), is incorporated by reference in its entirety.
BACKGROUND
Diabetes is a degenerative disease, which is caused by abnormal levels of glucose in the cell. These abnormal levels of glucose are not easily predictable and or measurable. Currently, home use technologies to determine different levels of glucose are not very accurate or are not able to determine lower levels (below 20 mg/dl). Additionally, the abnormal levels of glucose have been correlated with the production of insulin. Type 1 diabetes is where the body is unable to produce insulin. Type 2 diabetes is when insulin is produced but the body destroys the insulin or is unable to recognize it.
Currently, the most used technologies to determine glucose levels involve enzyme reaction methods. These methods determine glucose in whole blood, plasma or serum. The methods include glucose oxidase, hexoquinase, and glucose dehydrogenase enzyme methods. The products of these reactions between the enzyme and blood sugar can be determined with colorimetric and spectrophotometric assays. Alternatively, they can be measured by the electric current produced in the reaction, which is the case for most commercially-available glucose meters. These methods are accurate and are becoming more sensitive, detecting glucose concentrations from 0 to 500 mg/dl for laboratory assays and 20 to 500 mg/dl for home monitoring. However, these methods can give falsely high values of glucose with different environmental or medical treatments. These methods can also provide uncertain values such as the incompatibility of the meters and the strips, which is one of the persistent problems of the methods.
The cost of current methods for measuring blood sugar levels is also an impediment, which ranges from about $0.35 to $1.00 for each strip used in home monitoring methods. Type 1 diabetics may test as often as 4 to 10 times a day. Thus, daily testing can be expensive. Manufacturers often provide meters at no cost to induce the use of the profitable test strips. For clinical laboratories, glucose determinations range from $3 to over $100 in the US and around the world. In the case of insulin analysis, prices range from $25 to $130 USD in the US and around the world. Diabetes diagnostic tests that include specific tests for measuring glucose and insulin levels can cost between $190 to $350, which is very expensive for diabetic patients.
The sensors and methods described herein address the issues of sensitivity and cost that are problems associated with current technologies available on the market.
SUMMARY
Described herein are glucose and insulin sensors. The sensors are composed of host cells such with DNA specifically designed to produce fluorescence when the cells come into contact with glucose and/or insulin in the sample. Once the fluorescence has been quantified, it can be correlated with the amount of glucose and/or insulin present in the sample. The advantages of the invention will be set forth in part in the description which follows, and in part will be obvious from the description, or may be learned by practice of the aspects described below. The advantages described below will be realized and attained by means of the elements and combinations particularly pointed out in the appended claims. It is to be understood that both the foregoing general description and the following detailed description are exemplary and explanatory only and are not restrictive.



BRIEF DESCRIPTION OF THE DRAWINGS
The accompanying drawings, which are incorporated in and constitute a part of this specification, illustrate several aspects described below.
FIG. 1 shows (A) the equivalent proportion correlation of sensor fluorescence with clinical glucose values, demonstrating a direct relation for different patients including uncontrolled diabetic, controlled diabetic, pre-diabetic, non-diabetic and hypoglycemic patients; and (B) the equivalent proportion correlation of the DNA sensor and fluorescence when testing for glucose in different patients including uncontrolled diabetic, controlled diabetic, pre-diabetic, non diabetic and hypoglycemic patients.
FIG. 2 shows (A) the equivalent proportion correlation of sensor fluorescence and clinical insulin values; and (B) the equivalent proportion correlation of the DNA sensor and fluorescence when testing for insulin in different patients including uncontrolled diabetic, controlled diabetic, pre-diabetic, non diabetic and hypoglycemic patients.
FIG. 3 shows the sensibility of a sensor described herein in comparison with conventional methods (differences in the ability to measure clinical glucose, in different diabetic and non-diabetic patients within 24 hours).
FIG. 4 shows a yeast device sensor with colonies fluorescing after exposure to different glucose concentrations in vitro assay.
FIG. 5 shows the electrophoresis bands of a sensor described herein, expressing different fluorescence after exposure to blood samples from different patients. In vivo test. The bans in the gel indicate the following from left to right. Lane 1. Molecular DNA marker (1 Kb). Lane 2. Sensor described herein expressed in normal patient sample. Lane 3. Sensor described herein expressed in Pre-diabetic patient sample. Lane 4. Sensor described herein expressed in controlled diabetic patient sample. Lane 5. Sensor described herein expressed in uncontrolled diabetic patient sample.
FIG. 6 shows steps for preparing blood samples for glucose and or insulin detention after mixed with the sensor described herein indicating the process for preparing the analysis of glucose and or insulin mixed with the sensor for detection. Time course experiments showed no blood alteration after mixing with the sensor.
FIG. 7 shows two dimensional (2D-DIGE) gel showing fluorescence of the proteins produced by the sensor described herein at different intensities. The brightest spots were selected for analysis under HPLC mass spectrometry and laser identification.
FIG. 8 shows different protein spots selected from the brightest protein spot, after using laser beams. The control gel (no transformed yeast) is in the left of the transformed gel. In the control gel, there are down-regulated proteins, and on the right gel the transformed or treated yeast gel the up-regulated proteins. The proteins are expressed by the degree of intensity. Experimental gel (DNA sensor) shows the brightest spots.
FIG. 9 shows a kit composed of a device and a sensor described herein for use at home or a physician's office.



DETAILED DESCRIPTION
Before the present compounds, compositions, articles, devices, and/or methods are disclosed and described, it is to be understood that the aspects described below are not limited to specific compounds, synthetic methods, or uses as such may, of course, vary. It is also to be understood that the terminology used herein is for the purpose of describing particular aspects only and is not intended to be limiting.
In this specification and in the claims that follow, reference will be made to a number of terms that shall be defined to have the following meanings:
It must be noted that, as used in the specification and the appended claims, the singular forms “a,” “an” and “the” include plural referents unless the context clearly dictates otherwise. Thus, for example, reference to “a bioactive agent” includes mixtures of two or more such agents, and the like.
“Optional” or “optionally” means that the subsequently described event or circumstance can or cannot occur, and that the description includes instances where the event or circumstance occurs and instances where it does not. For example, the phrase “optionally substituted lower alkyl” means that the lower alkyl group can or can not be substituted and that the description includes both unsubstituted lower alkyl and lower alkyl where there is substitution.
Ranges may be expressed herein as from “about” one particular value, and/or to “about” another particular value. When such a range is expressed, another aspect includes from the one particular value and/or to the other particular value. Similarly, when values are expressed as approximations, by use of the antecedent “about,” it will be understood that the particular value forms another aspect. It will be further understood that the endpoints of each of the ranges are significant both in relation to the other endpoint, and independently of the other endpoint.
References in the specification and concluding claims to parts by weight, of a particular element or component in a composition or article, denotes the weight relationship between the element or component and any other elements or components in the composition or article for which a part by weight is expressed. Thus, in a compound containing 2 parts by weight of component X and 5 parts by weight component Y, X and Y are present at a weight ratio of 2:5, and are present in such ratio regardless of whether additional components are contained in the compound.
A weight percent of a component, unless specifically stated to the contrary, is based on the total weight of the formulation or composition in which the component is included.
Described herein are glucose and insulin sensors. The sensors are composed of host cells incorporated with DNA specifically designed to produce fluorescence when the cells come into contact with glucose and/or insulin in the sample. In one aspect, the sensor comprises a host cell comprising (1) a first DNA, wherein the first DNA comprises the following components in the following sequence: a glucose promoter, a glucose protein receptor, a ribosomal binding site, terminator, and a first reporter protein; (2) a second DNA, wherein the second DNA comprises the following components in the following sequence: an insulin promoter, a human insulin protein, a ribosomal binding site, a terminator, and a second reporter protein, or a combination thereof. In this aspect, the first DNA (referred to herein as “the glucose DNA”) is specific to glucose, and the second DNA (referred to herein as “the insulin DNA”) is specific to insulin. As will be discussed in detail below, the host cell can be transformed with both the glucose and insulin DNA in order to quantify the amount of glucose and insulin in the sample.
The host cells as referred to herein include their progeny, which is any and all subsequent generations formed by cell division. It is understood that all progeny may not be identical due to deliberate or inadvertent mutations. A host cell may be “transfected” or “transformed,” which refers to a process by which exogenous nucleic acid is transferred or introduced into the host cell. A transformed cell includes the primary subject cell and its progeny. The host cells can be naturally occurring cells or “recombinant” cells. Recombinant cells are distinguishable from naturally occurring cells in that they do not contain a recombinantly introduced nucleic acid. In one aspect, the host cell is a prokaryotic cell, such as, for example, E. coli. In other aspects, the host cell is yeast.
In order to effect expression of the glucose and insulin DNA, the DNA must be delivered into the host cell. This delivery may be accomplished in vitro, as in laboratory procedures for transforming cells lines using well developed procedures. Transformation of bacterial cell lines can be achieved using a variety of techniques. One method includes using calcium chloride. The exposure to the calcium ions renders the cells able to take up the DNA, or competent. Another method is electroporation. In this technique, a high-voltage electric field is applied briefly to cells, apparently producing transient holes in the cell membrane through which plasmid DNA enters. Exemplary procedures for transforming yeast with the glucose and insulin DNA are provided in the Examples. The glucose DNA and insulin DNA can be independently incorporated into the host cells (i.e., separate cell lines containing just glucose DNA and insulin DNA). Alternatively, the glucose DNA and insulin DNA can be incorporated into the same cells.
Once the glucose and/or insulin DNA has been incorporated into the host cell, the cells are cultured such that the cells multiply. A satisfactory microbiological culture contains available sources of hydrogen donors and acceptors, carbon, nitrogen, sulfur, phosphorus, inorganic salts, and, in certain cases, vitamins or other growth promoting substances. The addition of peptone provides a readily available source of nitrogen and carbon. Furthermore, different media results in different growth rates and different stationary phase densities. A rich media results in a short doubling time and higher cell density at a stationary phase. Minimal media results in slow growth and low final cell densities. Efficient agitation and aeration increases final cell densities. A skilled artisan will be able to determine which type of media is best suited to culture a specific type of microorganism.
The glucose and insulin DNA referred to herein can be part of a vector that is incorporated into the host cells. In general, plasmid vectors containing replicon and control sequences that are derived from species compatible with the host cell are used in connection with these hosts. The vector ordinarily carries a replication site, as well as marking sequences that are capable of providing phenotypic selection in transformed cells. Plasmid vectors are well known and are commercially available. Such vectors include, but are not limited to, pWLNEO, pSV2CAT, pOG44, PXT1, pSG (Stratagene) pSVK3, pBSK, pBR322, pYES, PBSKII, and pUC vectors.
It is understood that one way to define the variants and derivatives of the glucose and insulin DNA herein is through defining the variants and derivatives in terms of homology/identity to specific known sequences. Those of skill in the art readily understand how to determine the homology of two nucleic acids. For example, the homology can be calculated after aligning the two sequences so that the homology is at its highest level. Another way of calculating homology can be performed by published algorithms (see Zuker, M. Science 244:48-52, 1989, Jaeger et al. Proc. Natl. Acad. Sci. USA 86:7706-7710, 1989, Jaeger et al. Methods Enzymol. 183:281-306, 1989, which are herein incorporated by reference for at least material related to nucleic acid alignment).
It is understood that the description of conservative mutations and homology can be combined together in any combination, such as embodiments that have at least 70%, 75%, 80%, 85%, 90%, 95%, or 99% homology to a particular sequence wherein the variants are conservative mutations. It is understood that any of the sequences described herein can be a variant or derivative having the homology values listed above.
The glucose DNA comprises the following components in the following sequence: a glucose promoter, a glucose protein receptor, a ribosomal binding site, terminator, and a first reporter protein. In certain aspects, the glucose DNA further comprises a ribosomal switch between the glucose protein receptor and the ribosomal binding site that can enhance translation and protein expression.
In one aspect, the glucose promoter in the glucose DNA is an ADH1 glucose promoter having SEQ ID NO. 1 or a derivative or variant thereof. In another aspect, the glucose promoter is SEQ ID NOS. 30-32 or a derivative or variant thereof.
In another aspect, the glucose protein receptor in the glucose DNA comprises a snf3 glucose protein receptor having SEQ ID NO. 2 or a derivative or variant thereof. In another aspect, the glucose protein receptor is SEQ ID NOS. 20-29 or a derivative or variant thereof.
In a further aspect, the ribosomal binding site in the glucose DNA comprises SEQ ID NOS. 4, 35, 36, or a derivative or variant thereof.
In another aspect, the terminator in the glucose DNA comprises SEQ ID NO. 5 or a derivative or variant thereof.
In certain aspects, when the glucose DNA further includes a ribosomal switch, the switch comprises SEQ ID NOS. 4, 34, 35, or a derivative or variant thereof.
In another aspect, the glucose DNA comprises the following components in the following sequence: an ADH1 glucose promoter having SEQ ID NO. 1, a snf3 glucose protein receptor having SEQ ID NO. 2, a ribosomal switch having SEQ ID NO. 3, a ribosomal binding site having SEQ ID NO. 4, a terminator having SEQ ID NO. 5, and a reporter protein.
The insulin DNA comprises the following components in the following sequence: an insulin promoter, a human insulin protein, a ribosomal binding site, a terminator, and a reporter protein. In certain aspects, the insulin DNA further comprises a ribosomal switch between the human insulin protein and the ribosomal binding site that can enhance translation and protein expression. Any of the ribosomal switches, ribosomal binding sites, and terminators described above for the glucose DNA can be used to prepare the insulin DNA.
In one aspect, the insulin promoter in the insulin DNA has SEQ ID NO. 7 or a derivative or variant thereof. In another aspect, the human insulin protein in the insulin DNA has SEQ ID NO. 8 or a derivative or variant thereof.
In another aspect, the insulin DNA comprises the following components in the following sequence: an insulin promoter having SEQ ID NO. 7, a human insulin protein having SEQ ID NO. 8, a ribosomal switch having SEQ ID NO. 3, a ribosomal binding site having SEQ ID NO. 4, a terminator having SEQ ID NO. 5, and a reporter protein.
The glucose and insulin DNA can be synthesized using techniques known in the art (see Sandhu et al., Biotechniques, 12, (1992), 14-16). Primers useful for assembling the glucose and insulin DNA include SEQ ID NOS. 9-19. Overlapping primers are assembled and amplified by PCR to provide the full length sequence of the glucose or insulin DNA. The glucose DNA or insulin DNA is then subsequently cloned into the cloning vector (e.g., pYES, PBSKII). Individual clones are then sequenced and site directed mutagenesis was used to correct mutations in the clones and subsequently sequenced for verification. The amount of glucose DNA and insulin DNA incorporated into the vector can vary. In one aspect, the ratio by volume of glucose DNA or insulin DNA to the vector is from 1:1, 1:2, 1:3 1:4, or 1:5. After the vector comprising the glucose DNA or insulin DNA has been produced, the resulting vector can be incorporated into the host cells using the methods described above.
The host cells comprising the glucose and/or insulin DNA described herein are useful as sensors for quantifying the amount of glucose and insulin in a subject. For example, when the host cell comprising the glucose DNA comes into contact with glucose present in a sample, the host cells will produce fluorescent light in an amount proportional to the amount of glucose present. The same principle applies to the insulin sensor (i.e., host cells comprising insulin DNA). The sample to be evaluated can be any biological material that contains glucose or insulin including, but not limited to, blood, serum, plasma, saliva, and urine. Exemplary procedures for contacting the host cells composed of glucose and insulin DNA described herein are provided in the Examples.
The selection of the reporter protein can vary in the glucose and insulin DNA. For example, the reporter protein can be a yellow fluorescent protein, red fluorescent protein, a green fluorescent protein, and a cyan fluorescent protein. In one aspect, the reporter protein has SEQ ID NO. 6. In the case when host cells contain both the glucose DNA and the insulin DNA, the reporter protein is different for each DNA such that the fluorescence that is produced is different and easily detectable. For example, the glucose DNA can have a reporter protein that produces green fluorescent protein when the host cell comes into contact with glucose, and the insulin DNA can have a reporter protein that produces yellow fluorescent protein when the host cell comes into contact with insulin. Here is possible to detect and quantify the amount of green and yellow fluorescence that is produced, which is ultimately used to calculate the amount of glucose and insulin present in the sample. This embodiment is convenient and cost effective, as only one group of host cells and sample are required to measure both glucose and insulin levels.
The fluorescence produced by the host cells can be detected and quantified using techniques known in the art. For example, spectrophotometers are typically used to measure fluorescence. The Examples provide exemplary procedures for measuring the amount of fluorescence as a result of the expression of the glucose DNA or insulin DNA. After the fluorescence has been quantified, the value is correlated in order to provide a glucose or insulin concentration in the sample. In one aspect, the fluorescence value can be directly correlated with the corresponding glucose or insulin results from clinical data. Thus, a chart or computer program can be used to correlate different fluorescence values to different glucose and insulin concentrations. The Examples provide exemplary methods for correlating fluorescence values with clinical data.
The glucose and insulin sensors described herein have numerous clinical applications. For example, they can be used in analytical labs where it is desirable to test many samples. Alternatively, the sensors can be used in the physician's office or at the subject's home in order to evaluate glucose and insulin levels. In one aspect, described herein is a kit comprising (1) a slide comprising the host cells having the glucose and/or insulin DNA for receiving a sample of blood from a subject, and (2) a device for receiving the slide, wherein the device (i) measures the amount of fluorescence produced when the sample comes into contact with the slide and (ii) correlates the amount of glucose and/or insulin present in the sample.
FIG. 9 depicts an exemplary kit described herein. Slide 1 has on one surface the glucose and/or insulin sensor 2. In one aspect, slide 1 is a disposable concave slide capable of receiving a sample of blood. After a sample of blood is applied to the slide, the slide is placed in a device 3 in sample site 11 that measures the amount of fluorescence produced from the sample on the slide and converts the fluorescence value to a glucose and/or insulin value. Referring to FIG. 9, the lid of the box 4 is fitted with a light source 5 and filter and detector 6 to read fluorescence. A transducer 7 converts the fluorescence values to a digital glucose and/or insulin value that is displayed on screen 8. The device can be fitted with a vibrator 9 in order to ensure that the sample is adequately mixed with the sensor on slide 1. The device can be battery operated for convenience (10 in FIG. 9).
The sensors and methods described herein possess numerous advantages over current glucose and insulin meters. The sensors described herein are able to determine lower levels of glucose (below (<20 mg/dl) than the levels detected by conventional clinical and/or commercial methods. The sensors can measure higher levels of glucose in blood (up to 500 mg/dl), which is comparable to conventional technologies. The sensors can detect a wide range of insulin levels as well (0 to 250 or more μIU/ml). In addition to sensitivity, the sensors described herein can accurately detect different levels of glucose and insulin in blood quicker than current meters available to the public.
The manufacture and use of the sensors is low cost and easy to apply. The sensors are versatile in that they can determine both glucose and insulin in blood simultaneously. This is not the case with technologies, where to different samples and tests are required. The sensors also require a small drop of about 3 μl for analysis. Thus, the sensor can be reused for a longer period of time, which extends the use of the sensor and ultimately reducing costs to the subject.
Due to the higher sensitivity of the sensors, it is possible to differentiate between different stages of diabetes in patients earlier when compared to using conventional methods and technologies. The sensors are designed to be used by physicians and non-physicians in the office or at home with no training involved.
EXAMPLES
The following examples are put forth so as to provide those of ordinary skill in the art with a complete disclosure and description of how the compounds, compositions, and methods described and claimed herein are made and evaluated, and are intended to be purely exemplary and are not intended to limit the scope of what the inventors regard as their invention. Efforts have been made to ensure accuracy with respect to numbers (e.g., amounts, temperature, etc.) but some errors and deviations should be accounted for. Unless indicated otherwise, parts are parts by weight, temperature is in ° C. or is at ambient temperature, and pressure is at or near atmospheric. There are numerous variations and combinations of reaction conditions, e.g., component concentrations, desired solvents, solvent mixtures, temperatures, pressures and other reaction ranges and conditions that can be used to optimize the product purity and yield obtained from the described process. Only reasonable and routine experimentation will be required to optimize such process conditions.
Materials and Methods
Blood Samples. Samples were taken at different volumes (5,000, 3,000, 1,500, 1,000, 100 and 3 μl) from different individuals, including diabetes, pre-diabetes, and non-diabetic patients. These samples were used immediately and or kept in the refrigerator few minutes until use. Aliquots of 2 ml (amount of blood used) were used for analysis, each time.
Construction of DNA Sensor. Yeast cells (Saccharomyces cerevisiae ATCC 200892) were transformed to be able to hold the new synthesized DNA genetic parts assembled in plasmid vectors (genetic parts sequences such as glucose ADH1 promoter, snf3 glucose receptor, insulin promoter, insulin protein, riboswitch tc aptamer, and different reporter protein such as cyanin, Red and yellow Fluorescent proteins to produce differential fluorescent gene expression based on glucose and insulin concentrations, and also to ensure assembly, and pYES plasmid as backbone or vector). The methods disclosed in Leonard G. Davis, Michael Kuehl, James F. Battey. 1995. Basic Methods In Molecular Biology. McGraw-Hill Professional; 2nd edition, and Gietz, R. D. and R. H. Schiestl. 2007. Nature Protocols. Quick and easy yeast transformation using the LiAc/SS carrier DNA/PEG method. Vol 2. 35-37. doi:10.1038/nprot.2007.14 were used to transform the yeast with the DNA.
Two different types of sensors, one for glucose and one for insulin in blood, were constructed, as follows:
Sensor for Insulin in Blood. The sensor for detection of insulin in blood, was constructed by assembling plasmid including parts sequences of Insulin promoter (401 bps), Human insulin protein (333 bps) and ribosomal switch (76 bps), Ribosomal Biding Site (RBS, 29 bps), Terminator (129 bps) and reporter protein (979 bps) that produces fluorescence.
Sensor for Glucose in Blood. The sensor was constructed to determine the concentration of glucose in blood. Different gene parts and proteins, include plasmid (pBSKII), sequences of ADH1 glucose promoter (1445 bps), snf3 glucose protein receptor (2244 bps) and ribosomal switch (76 bps), Ribosomal Biding Site (RBS, 29 bps), Terminator (129 bps) and reporter protein (979 bps) that produce fluorescence.
Two different transformed yeast cells (i.e., DNA sensors) were obtained. Different types of reporter fluorescent proteins were used (yellow fluorescent protein, red Fluorescent protein, green fluorescent protein and cyan fluorescent protein) for all transformed yeast cells or devices. However, the cyan fluorescent protein was the best to express the fluorescence (mostly green or light blue in color). When no reporter fluorescent protein was assembled no fluorescence was observed. (Tables 1 and 2).
In this protocol, PCR was used to enhance DNA concentration using standard 5332 eppendorf thermocycler (Eppendorf North America. 102 Motor Parkway, Hauppauge, N.Y. 11788) with specific sequence primers (SEQ ID NOS. 9-19), and the standard method for amplification (Sambrook et. al, 1989); digestion and ligation were used to ensure assembly of DNA synthesized parts using promega restriction enzymes and reagents (promega PCR master mix, restriction enzymes: XhoI, KpnI, XbaI EcoRI, BamHI and HindIII, Alakaline Phosphatase and quick ligation kit among others). DNA was quantified using a nano view spectrophotometer GE nanospectrophotometer (GE Healthcare Biosciences P.O. Box 643065 Pittsburgh, Pa. 15264-3065), and also regular standard UV/visual spectrophotometer within a 260/280 wavelength (GE Healthcare Biosciences P.O. Box 643065 Pittsburgh, Pa. 15264-3065), to verify final ligations. DNA was visualized and purified with electrophoresis using standard Thermo EC (EC-150) electrophoresis equipment.
DNA expression was determined by fluorescence of the transformed cells expressed in Florescent units (FSUs) according the company protocol using the promega 20/20 illuminometer, with the blue fluorescence module within the 450/600 wave length. The DNA sensor was only fluorescent in blood when the transformed yeast cells or device contained the denoted parts and plasmids that were specific for glucose or insulin, as compared to control non-transformed yeast cells that do not contain the glucose or insulin DNA (Tables 1 and 2 and FIG. 5). The direct relationship between sensitivity of the DNA sensor and fluorescence with glucose or insulin concentrations was also demonstrated (FIGS. 1B and 2B). The efficacy of the sensor was assayed in vitro in an agar plate and liquid broth where the transformed yeast cells were growing (FIG. 4) and in vivo, using blood drop and other volume samples, in which the fluorescence was determined based on the concentration of glucose and insulin (FIGS. 1 and 2).







TABLE 1







Differential DNA sensor fluorescence and DNA determinations


based on clinical glucose concentration for different types


of diabetic patients. Uncontrolled diabetic, controlled diabetic,


pre-diabetic, non-diabetic and hypoglycemic patients.











Fluorescence
Glucose
DNA


Patient
(FSUs)
(mg/dl)
(ng/μl)





Uncontrolled diabetic
 180117 ± 2069.5
 411 ± 3.5
 85 ± 4.8


Uncontrolled diabetic
0
 387 ± 2.9
25 ± 0


control*





Uncontrolled diabetic
90647 ± 542
 411 ± 3.5
30.7 ± 1.3


plasma





Controlled diabetic
174512.8 ± 3532.5
185.7 ± 1.9
 77 ± 1.1


Controlled diabetic
0
178.2 ± 2.5
11.5 ± 2.3


control*





Controlled diabetic
 88135 ± 1204
185.7 ± 1.9
23.7 ± 2.4


plasma





Pre-diabetic
144492.4 ± 709  
135.9 ± 5.1
52.5 ± 2.6


Pre-diabetic control*
0
122.4 ± 2.1
 23 ± 1.6


Pre-diabetic plasma
76328 ± 784
135.9 ± 5.1
16.15 ± 1.5 


Non diabetic
115409.4 ± 540.7 
107.1 ± 5.3
 47 ± 0.6


Non diabetic control*
0
100.2 ± 3.1
18.5 ± 0.6


Non diabetic plasma
 58439 ± 2131
107.1 ± 5.3
14.5 ± 1 


Hypoglicemic
  79917 ± 3066.3
 12.5 ± 3.1
 39 ± 7.1


Hypoglicemic control*
0
<20 ± 0
15.4 ± 3.1


Hypoglycemic plasma
37194 ± 341
 12.5 ± 3.1
 12 ± 0.7





*Control: patient sample with no sensor device (water instead) or no fluorescent reporter protein assembled to it.













TABLE 2







Differential DNA sensor fluorescence and DNA determinations


based on clinical Insulin concentration for different types


of diabetic patients. Uncontrolled diabetic, controlled diabetic,


pre-diabetic, non-diabetic and hypoglycemic patients.











Fluorescence
Insulin
DNA


Patient
(FSUs)
(μIU/ml)
(ng/μl)





Uncontrolled diabetic
334121.6 ± 3811.9
48.03 ± 1.4
 85 ± 4.8


Uncontrolled diabetic
0
48.03 ± 1.4
25 ± 0


control*





Uncontrolled diabetic
 85371 ± 1532
48.03 ± 1.4
36.5 ± 2 


plasma





Controlled diabetic
 378019 ± 3981.6
152.8 ± 0.3
 77 ± 1.1


Controlled diabetic
0
152.8 ± 0.3
11.5 ± 2.3


control*





Controlled diabetic
97328 ± 903
152.8 ± 0.3
27.3 ± 0.8


plasma





Pre-diabetic
337661.8 ± 4711.1
113.4 ± 0.1
52.5 ± 2.6


Pre-diabetic control*
0
113.4 ± 0.1
 23 ± 1.6


Pre-diabetic plasma
 92186 ± 1137
113.4 ± 0.1
18.9 ± 1.2


Non diabetic
210546.7 ± 2093.7
 3.3 ± 1.2
 47 ± 0.6


Non diabetic control*
0
 3.3 ± 1.2
18.5 ± 0.6


Non diabetic plasma
 27328 ± 2231
 3.3 ± 1.2
15.2 ± 1.3


Hypoglicemic
 275659 ± 629.8
 13.2 ± 0.4
 39 ± 7.1


Hypoglicemic control*
0
 13.2 ± 0.4
15.4 ± 3.1


Hypoglycemic plasma
60397 ± 395
 13.2 ± 0.4
11.3 ± 0.3





*Control: patient sample with no sensor device (water instead) or no fluorescent reporter protein assembled to it.






In Vitro Yeast Growth and DNA Detection of Glucose and Insulin in Culture Media. Yeast cells were grown in YPD commercial media from 8 to 18 hours until they reached an OD of 1. They were sub-cultured in sterile-deionized water in different glucose blood equivalent concentrations (from 0 to 500 mg/dl) and or different proportion of insulin (1:1, 1:2, 1:3, 1:4, 0:1) during different time intervals ranging from 1 hour to 48 hours. Fluorescence and DNA were determined for all samples and correlated with glucose and insulin concentrations (FIGS. 1B and 2B). The fluorescence is provided in FSUs according to the protocol of the company 20/20 promega fluorometer.
The In Vivo Determinations of Glucose and Insulin. Blood samples obtained from patients as described above were mixed with the glucose or insulin DNA sensor with an initial concentration of 10*3 cells (Optical Density: 0.09). The mixture was mixed and vortexed very lightly (15 rpm) for different times in order to ensure full mixture (FIG. 6). Different levels of fluorescence were produced from this mixture depending on the concentration of glucose and insulin (e.g. from 12 to 450 mg/dl for glucose and from 3 to 150 μIU/ml for insulin, Tables 1 and 2), at different times (30, 5, 3 and 1 minutes and 24, 12, 7, 5, 3, 1 hours), with 1 minute was the preferred time. This fluorescence is provided in FSUs according to the protocol of the company 20/20 promega fluorometer.
The results are presented by the mean with the respective standard deviation, 4 replicates of blood sample for each treatment were used each time in order to have reliable statistical analysis. The statistical analysis was based on the program SigmaPlot-Scientific Data Analysis and Graphing Software. The results are expressed as mean and standard deviation and difference within treatments, and with an α of 0.005.
Glucose and insulin values for all samples were determined by glucose oxidation method and electrochemiluminescence, respectively. The blood samples for insulin detection by the DNA sensor were also subjected to clinical analysis in the Hormonal Research Laboratory in Bogota, Colombia. The concentration of insulin obtained from this laboratory was compared to the concentration of insulin obtained from the fluorescence of the yeast DNA sensor mixed with the blood samples. Blood samples not mixed with the DNA sensor were the control. Other controls included the DNA sensor mixed with sterile-deionized water or with blood plasma. There was no fluorescence in the mixture of the DNA sensor with water. Some fluorescence, approximately half of the produced in blood or pure solutions of glucose and insulin was observed, which showed similar proportions in the mixture of the DNA sensor and the plasma (Figures and Tables 1 and 2). The fluorescence units were directly correlated with the corresponding glucose or insulin results from the clinical data. It represents the expression of the reporter protein assembled in the different plasmid parts of the DNA sensor.
Analysis of Protein Expression in Yeast.
The difference in expression can be seen in the 2D DIGE gels shown in FIG. 7. Six spots of each representing increased or decreased amount of protein from the gels were analyzed and identified. Eight of the identified proteins are shown in a Table 3. It was observed that nucleotides and amino acids were synthesized. Proteins were regulated and expressed in higher concentrations of glucose and insulin.







TABLE 3







List of main proteins produced by the Sensor devices after MALDI, LASER and HPLC mass


spectrometry analysis. Identification of protein spots showing changes in protein expression.


Production of the proteins confirmed that the transformed sensor device was prepared properly,


and the assemblage of the different genetic components occurred effectively.
















Volume



Spot

Accession

ratio



No.
Name
No.
Change
(fold)
Description















1225
S-adenosylmethionine
P19358.3
Increased
3
Catalyzes the formation of S-



synthase 2



adenosylmethionine from methionine







and ATP. Amynoacid byosinthesys.







Glucose and insulin increased cellular







homocysteine production primarily by







its inhibition of transsulfuration


1061
Pyruvate kinase 1
P00549.2
Increased
3
Involved in glycolysis. It catalyzes the







transfer of a phosphate group from







phosphoenolpyruvate (PEP) to ADP,







yielding one molecule of pyruvate and







one molecule of ATP


1843
Phosphomanno-
P07283.1
Increased
3
Transfer of phosphate groups within a



mutase



molecule. D-glucose 1,6-bisphosphate







cofactor dependent.







Phosphoglucomutase activity in some







tissues


1568
Protein disulfide
P17505.2
Increased
2
Catalyzes the formation and breakage of



isomerase



disulfide bonds between cysteine







residues within proteins as they fold.







Glucose regulated proteins


1126
Hexokinase 1
P04806.2
Increased
7
phosphorylates a six-carbon sugar, to a







hexose phosphate. Glucose is the most







important substrate of hexokinases, and







glucose-6-phosphate is the product


1923
Translationally-
P3569.1
Increased
8
Anti-apoptotic protein. May contribute



controlled tumor



to explain the different effects exerted



protein analog



by palmitate and oleate on β-cell



(TCTP



function. Inhibiting down-regulation of







enzymes of glycolysis


803
Glutamate synthase
Q12680.2
Decreased
14
Participates in glutamate metabolism







and nitrogen metabolism. In







S. cerevisiae. Glucose exerts strong







catabolite repression on the enzymes







required for respiration and on the







enzymes of the tricarboxylic acid cycle







beyond those required for the synthesis







of 2-ketoglutarate. It occurs in bacteria







and plants but not animals


575
Glycinamide
P07244.1
Decreased
9.05
De novo purIn biosynthesis. Inhibited



ribonucleotide



when high levels of adoMet are present



synthetase



possibly due to phosphate produced







during enzyme reaction.









Analysis Cost Estimation. Cost per sample was estimated, including depreciated value of equipment, cost of materials required to take the sample, and price of reagents in the sensor. The cost per sample is based on statistical values of 700 samples monthly for glucose and 500 for insulin including measurement of reference and standards daily, downtime and equipment capacity.
Both apparatuses in the case of the glucose sensor are considered manual. In both cases, one can afford on semi and automated equipment, which is more expensive but can create more capacity for sampling and lowering the price per sample. The biggest difference for glucose analysis is in the use of two apparatuses for the conventional method and material costs required to take and store the sample (Table 4). In the case of the insulin cost analysis, the cost of reagents makes a big difference in determining price per sample (Table 5).







TABLE 4







Cost of glucose analysis without utility using the glucose


sensor in comparison to existing technology in the market.











Cost analysis/



Cost analysis/
sample/person in



sample/person in
personal or home



clinical laboratories
monitoring methods





DNA sensor
$0.5 USD
$0.5 USD


Conventional analysis
$1.3 USD
$0.4-1 USD  
















TABLE 5







Cost of insulin analysis without utility using the insulin


sensor in comparison to existing technology in the market.











Cost analysis/



Cost analysis/
sample/person in



sample/person in
personal or home



clinical laboratories
monitoring methods





DNA sensor
 $0.5 USD
$0.5 USD


Conventional analysis
$11.15 USD
N.A*





*Not available. No knowledge of its existence






Throughout this application, various publications are referenced. The disclosures of these publications in their entireties are hereby incorporated by reference into this application in order to more fully describe the compounds, compositions and methods described herein.
Various modifications and variations can be made to the compounds, compositions and methods described herein. Other aspects of the compounds, compositions and methods described herein will be apparent from consideration of the specification and practice of the compounds, compositions and methods disclosed herein. It is intended that the specification and examples be considered as exemplary.

## Claims

1. A sensor comprising a host cell comprising (1) a first DNA, wherein the first DNA comprises the following components in the following sequence: a glucose promoter that has at least 95% homology to SEQ ID NOS: 1 and 30-32, a glucose protein receptor that has at least 95% homology to SEQ ID NOS: 2 and 20-29, a ribosomal binding site, terminator, and a first fluorescence reporter protein; and (2) a second DNA, wherein the second DNA comprises the following components in the following sequence: an insulin promoter that has at least 95% homology to SEQ ID NOT: 7, a human insulin protein that has at least 95% homology to SEQ ID NO: 8, a ribosomal binding site, a terminator, and a second fluorescence reporter protein.

2. The sensor of claim 1, wherein the first DNA further comprises a ribosomal switch between the glucose protein receptor and the ribosomal binding site.

3. The sensor of claim 1, wherein the second DNA further comprises a ribosomal switch between the human insulin protein and the ribosomal binding site.

4. The sensor of claim 1, wherein the host cell comprises yeast or E. coli.

5. The sensor of claim 1, wherein the first and second DNA comprises a vector.

6. The sensor of claim 1, wherein the first and second DNA comprises a plasmid.

7. The sensor of claim 2, wherein the first DNA comprises a glucose promoter having SEQ ID NO: 1, a glucose protein receptor having SEQ ID NO: 2, a ribosomal switch having SEQ ID NO: 3, a ribosomal binding site having SEQ ID NO: 4, a terminator having SEQ ID NO 5, and a first fluorescence reporter protein having SEQ ID NO: 6.

8. The sensor of claim 3, wherein the second DNA comprises an insulin promoter having SEQ ID NO: 7, a human insulin protein having SEQ ID NO: 8, a ribosomal switch having SEQ ID NO: 3, a ribosomal binding site having SEQ ID NO: 4, a terminator having SEQ ID NO: 5, and a second fluorescence reporter protein having SEQ ID NO: 6.

9. A method for quantifying the amount of glucose and insulin in a subject, the method comprising:
(a)obtaining a sample from the subject;
(b) contacting the sample with a host cell of claim 1
(c) measuring the first fluorescence and second fluorescence produced by the host cell.

10. A kit comprising (1) a slide comprising the host cell of claim 1 for receiving a sample of blood from a subject, and (2) a device for receiving the slide, wherein the device measures the amount of fluorescence produced when the sample comes into contact with the slide.