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in Your Blood?
Anna Stitt
April 2018
Selective 5-HT Detection 2
Selective 5-HT Detection: How Much of the Happy Drug is in Your Blood?
1. Introduction
The fatal consequences and limited treatment options of Alzheimer’s disease plague
society today in a way unlike any other health concern. It is the most common form of senile
and the disruption of synaptic functions in the brain responsible for learning and forming
memories.1 The personal tragedy of this disease simply cannot be quantified by statistics;
imagine the glassy-eyed emptiness in a gaze from your loved one with absolutely no recognition.
Consider the day-in and day-out struggle of being a caregiver to your parent and losing the
relationship of mother and daughter. This emotional torment is not a rarity; according to The
Alzheimer’s Association, Alzheimer’s disease (AD) is the 6th leading cause of death in the
United States, accounting for one in every three senior deaths.2 More than 5 million Americans
live with the disease, and one more individual in the United States develops it every 66 seconds.2
This disease inflicts not only an emotional burden on the patient and their family, but a financial
burden as well. In 2017, Alzheimer’s and other forms of dementia cost the nation $259 billion; it
is estimated that this statistic will increase to $1.1 trillion in 2050.2 What makes AD most
despised is that there is neither a certain way to avoid its onset nor a method to overcome it. In
fact, while deaths from heart disease have decreased by 14% since 2000, the number of deaths
from Alzheimer’s disease has increased by 89%.2 Unfortunately, Alzheimer’s is only one disease
communication between neurons in the brain, which are nerve cells responsible for processing
and transmitting information across varying parts of the brain and to the rest of the nervous
system.3 They complete their job using chemical and electrical signaling because they have a
special ability to fire electrochemical pulses known as action potential.3 Dendrites, the branched
extensions of the nerve cells, play a key role in determining the extent to which action potentials
are produced by the nerve cells.3 Action potentials sent from one neuron travel rapidly down the
long neuron projection, or axon, causing other neurons to fire in response.3 When the action
potential occurs, neurotransmitters in one neuron are released into the synapse, or space between
two neurons.3 From here, the neurotransmitters, which are stored in synaptic vesicles inside of
neurons, can attach to receptors on another neuron.3 In this way, neurotransmitters chemically
link the brain and spinal cord to the rest of our bodies.
depression, and insomnia.3 Serotonin, in particular, is imperative for its control of many
metabolic functions, such as mood, appetite, and sleep.3 Symptoms associated with a deficit of
Selective 5-HT Detection 4
serotonin include anxiety, fatigue, increased forgetfulness, low self-esteem, poor control of
impulses, and loss of pleasure in previously enjoyed activities.3 Beyond these symptoms, a
deficiency of serotonin can have drastic medical effects. According to the world health
organization, approximately 6.7 percent of the U.S. population of adults suffers from
Alzheimer’s.4 It is thus not a rarity for a deficit of serotonin to make an immense impact on our
lives. These affects occur when serotonin levels are below the range of 101-283 ng/ml. However,
beyond this range, other diseases may result, such as carcinoid syndrome, a type of cancer in
which tumors release excess serotonin to the bloodstream and cause symptoms such as rapid
heartbeat and difficulty breathing.5 Acknowledging the plethora of symptoms and disorders that
potentially result from a deficit or excess of serotonin, it is not surprising that a large area of
2. Review of Literature
between the concentration of this form of serotonin and the severity of the depression, meaning
that lower levels of serotonin were related to more severe depression. Today, the most common
medications to treat depression are known as selective serotonin reuptake inhibitors (SSRIs).6
These work by reducing the rate at which serotonin released into the brain is reabsorbed into
cells, increasing the overall level of serotonin in the extracellular space.6 This indicates that
serotonin does indeed play a role in diseases such as depression, but also that there is hope in the
Selective 5-HT Detection 5
form of treatment. This treatment must start at detection. There are numerous researched studies
that report approaches to neurotransmitter detection. While the plan throughout this year
After analyzing the case study by Asberg et al. to develop a deeper understanding of the
implications of a serotonin deficit, several mechanisms for serotonin monitoring were studied in
attempts to ascertain which is most effective in identifying low levels of serotonin. Research by
R. Mark Wightman and Elizabeth S. Buchner focusing on cyclic voltammetry was utilized as a
specific voltages where molecules become oxidized or reduced and thus exchange electrons in
high scan rate to oxidize and reduce the electroactive species at the surface of the electrode. Peak
currents are converted into concentrations using calibration factors from standards of known
concentration. Cyclic voltammetry usually works even to the extent to monitor neurotransmitters
microelectrodes available at Roberts Wesleyan College to first detect serotonin in solution, move
on to lysed cells and test the technique in vitro, and finally perform detection assays in vivo.
are needed, and our specific instrumentation did not reach these speeds or detection limits,
Aptamer research was modeled after the study titled, “Fast and Selective Plasmonic
This team researched serotonin detection because it is known that the neurotransmitter is linked
to a number of conditions, yet a full understanding of its role in these diseases is lacking
significantly. The development of fast, selective detection methods will provide them the tools to
monitor serotonin in patients both before and after treatment for specific conditions.8 It was their
goal to develop a fast assay for point-of-care and personalized diagnostics applications that
would not be compromised in the presence of biofluids in vivo.8 Many techniques utilized prior
to this study were based upon high-performance liquid chromatography (HPLC) separation of
serotonin present in whole blood coupled to detection methods such as tandem mass
spectrometry (MS-MS).8 While techniques of this nature have indeed provided platforms for
precise and accurate serotonin quantification, they had inherent drawbacks inhibiting the desired
rapid diagnostic ability, requiring specialized instrumentation, and being time-consuming.8 Thus,
a technique to rapidly monitor serotonin levels in whole blood using low volumes of sample and
requiring minimum sample treatment would be of immense clinical value. Through the
combination of gold nanoparticles with aptamers, Chávez et al. were able to design a number of
successful colorimetric sensors for different targets that have revolutionized the field of
diagnostics.8 These assays for serotonin were based on the use of aptamer-gold nanoparticle
conjugates utilizing small sample volumes, short response time, and an easily detectable
colorimetric output capable of being coupled to portable devices such as tablets and smartphones
The second colorimetric technique analyzed was modeled after work by Godoy-Reyes et
al. titled, “Selective and Sensitive Colorimetric Detection of the Neurotransmitter Serotonin
based on the Aggregation of Bifunctionalised Gold Nanoparticles.”9 This article reports a simple,
selective, and sensitive method for colorimetric detection of serotonin in aqueous media using
A colorimetric change from red to blue capable of being observed with the naked eye was
induced due to a double interaction between nanoparticles and the hydroxyl and the amino group
including gamma-aminobutyric acid, glutamic acid, and aspartic acid, as well as common
inorganic species as controls, it was determined that this colorimetric detection method was
selective to 5-HT as other neurotransmitters tested as controls did not illicit a color change. 9
Utilizing UV-vis titrations, a limit of detection of 0.1 µM in buffered water was observed.9
Similarly, when the probe was utilized in simulated blood serum, a limit of detection of 0.12 µM
and a linear response within the 0-3 µM concentration range were observed, notable as these fall
within the range of the 5-HT concentrations of clinical interest.9 Finally, this technique was
tested in real human blood samples and proved to provide a remarkably accurate method to
distinguish between normal 5-HT levels and those indicative of disease.9 Given that this
technique required chemicals already included in Roberts Wesleyan resources without additional
became attractive as a technique to stem from and build upon. Thus this technique was selected
as one to model research after in order to detect serotonin to help elucidate the role played by this
Selective 5-HT Detection 8
colorimetric techniques were analyzed to detect serotonin. Both of these techniques began with
the preparation of gold nanoparticles, or clusters of gold atoms in a spherical crystal structure.
These particles are utilized in an incredibly broad range of applications due to their unique
physical and chemical properties. Some examples include using them for target drug delivery,
for detection of cancer cells, and for genome therapy. When particles are not formed correctly,
they precipitate from solution and remain in clumps on the bottom of the flask. This aggregation
process leaves the color of the solution blue. Gold nanoparticles were made by combing 300 µL
of 10% sodium citrate and 81 µL of 17% gold chloride to 80 mL deionized water that was boiled
and stirred for 10 minutes until the solution changed color from a pale purple to a vivid and deep
ruby. Sodium citrate was utilized to keep the particles suspended in solution. When proper
reactant concentrations were utilized, the particles remained in the solution producing the ruby
color. Through analysis via UV-vis spectroscopy, it was determined that the synthesized gold
nanoparticles had a wavelength at maximum absorbance of 518 nm, which is indicative of a 10-
carbonate, 9.9% gold chloride and water at 4 °C having diameters between 2 and 5 nm, but the
10 nm size were found to be most advantageous and were utilized in most of the studies.
aptamers, to the gold nanoparticles, it was necessary to experiment with the interactions between
Selective 5-HT Detection 9
polyethylene glycol (PEG) and AuNPs to develop a consistent technique of attaching molecules
to these particles. The form utilized was a thiolated compound with a sulfur group capable of
forming strong interactions with the gold surface. PEG is thus known for its ability to keep
AuNPs from falling out of solution and for enhancing their potential advantages, as explored by
Manson et al.10
The first colorimetric test utilized to quantitatively monitor the presence of serotonin
involved aptamer-conjugated nanoparticles. Aptamers are short DNA sequences with a name
derived from the latin, “aptus,” meaning “to fit,” and the greek, “meros,” meaning, “part.”11
Thus, the name aptamer literally refers to the ability to bind by fitting with a particular part of a
target.11 As part of the first technique to detect serotonin, aptamers were utilized for their binding
abilities to initially bind to one particle and later unfold and bind to another, producing a
conformation change that resulted in a color change. The aptamers were prepared for
experimentation by centrifuging the aptamer tube to ensure the dried pellet was at the bottom of
the container before resuspending it with 1 mL of resuspension buffer. At this point, 1000 µL of
aptamer solution were available for experimentation. For each trial, 50 µL of the aptamer
solution was resuspended in 100 µL of folding buffer and heated for 5 minutes at 95 °C to unfold
the DNA aptamer and allow it to refold properly. Precisely 1000 µL of gold nanoparticles were
added to this solution, and 750 µL aliquots of this final solution were added to each of 4 vials to
in Table 1. Here, it is evident that for each trial, several vials were prepared with increasing
concentrations of serotonin in order to observe a color change with increasing intensity. It should
Selective 5-HT Detection 10
be noted that Vial 2 contained the concentration of serotonin in the range of clinically healthy
serotonin levels.
Table 1: Data table depicting experimental set-up of colorimetric assay with aptamers
Vial: 1 2 3 4
The exceptional advantages of aptamers come in to play as they unfold from their bound
position with the GNPs and refold with serotonin to produce a colorimetric result. Figure 2
shows that as the concentration of serotonin increased, a more distinct change in color was
observed. The wells on the bottom of this plate correspond to gold nanoparticles in solution with
aptamers presented with dopamine instead of serotonin as a control. According to research done
by Chavez et al., when similar aptamers were utilized to detect serotonin, color changes from
purple to pink were observed.8 However, according to this particular figure from my
experimentation, consistent with innumerable other trials, our data indicate that the presence of
serotonin induced a color change directly opposite, from pink to purple with increasing
concentration. Thus, the results of our research with aptamers remained inconclusive.
Selective 5-HT Detection 11
The second colorimetric technique examined to detect serotonin involved a color change
in solution to indicate the presence of the neurotransmitter. DTT is a powerful reducing agent
that reduces disulfide bonds by losing hydrogen atoms to result in its oxidized forms and adding
hydrogen atoms to other compounds to result in their reduced forms. As observed in Figure 3,
DSP has a disulfide bond, which is capable of being reduced by DTT. N-acetyl-L-cysteine
(NALC) is the N-acetyl derivative of the amino acid L-cysteine. As observed in its structure, it
has a sulfhydryl (SH) group that is able to reduce free radicals. This makes it an extremely
popular drug used as a mucolytic agent to relieve coughing and thick phlegm, as well as to
reduce anxiety.12
DTT→ dithiothreitol
NALCàN-acetyl-L-cysteine
To carry out this colorimetric test, NALC and DSP were added to separate vials of gold
nanoparticles. In varying trials, differing concentrations of DSP and cysteine were added to the
gold nanoparticles to ascertain the optimum number of molecules of each necessary to account
for the gold particles present. Finally, aliquots of each separate solution were combined and
presented with serotonin to induce a change in color from pink to blue indicating the presence of
the neurotransmitter. An alternative method that provided more consistent results involved the
production of solutions containing both DSP and NALC bound to the same nanoparticles rather
than being bound to separate solutions and combined after. Specifically, 50 µL of 5 x10-4 M DSP
and NALC were added to each of 4 vials containing 1000 µL of AuNPs as observed in Table 2.
Increasing concentrations of 5-HT were added to observe a colorimetric change upon the
aggregation of serotonin. Also of note, the concentration range of serotonin present in clinically
healthy blood levels was included. Control experiments also included combining unmodified
Selective 5-HT Detection 13
AuNPs with serotonin without DSP and NALC and combing AuNPs, DSP, NALC, and D.I. H2O
without 5-HT.
Table 2: Data table depicting experimental set-up of colorimetric assay with DSP and NALC
Vial: 1 2 3 4
(ng/mL) 0
AuNPs, NALC, and DSP combine to create a colorimetric test to detect serotonin as seen in
Figure 4. When DTT is in solution with DSP, it reduces DSP’s disulfide bonds to produce the
reduced form having a sulfhydryl group. Gold nanoparticles form strong interactions with sulfur
groups, explaining the binding of the reduced form of DSP and N-acetyl-L-cysteine to the gold
nanoparticles. When DSP and Cysteine are both in solution with gold nanoparticles, the solution
is initially pink/red. When the original pink solution comes contact with serotonin, hydrogen
bonds form between serotonin and the cysteine molecules bound to the gold nanoparticles, and
covalent bonds form between DSP molecules and serotonin. This is possible because serotonin
contains a terminal amine and hydroxyl group, and the nitrogen, oxygen, and hydrogen atoms
Selective 5-HT Detection 14
will hydrogen bond with cysteine. This produces a blue color in the solution due to the
Figure 4: Chemical reaction in which the presence of serotonin induces the formation of
hydrogen bonds between N-acetyl-L-cysteine and serotonin to produce a color-changing
aggregation.9
Once DSP, cysteine, and gold nanoparticles were in solution together, the result was
centrifuged, or spun extremely rapidly, to reveal a clear/red liquid above a deep ruby soft pellet,
as pictured in Figure 5. This purification procedure was necessary to remove excess reagents.
When the top layer was removed, the pellet was resuspended into a buffer solution and serotonin
was added in varying amounts. As pictured, it is upon the addition of serotonin that a color
change from red to blue is observed, indicating the presence of serotonin. Figure 5 depicts the
process of change in color from when gold nanoparticles, DSP, and NALC are initially in
solution, to when they have been centrifuged so that only a pellet containing nanoparticles bound
with DSP and NALC remains, to the pink color of this pellet when brought back into solution
with a buffer to finally the purple tint when serotonin is introduced to the particles. The control
Selective 5-HT Detection 15
experiment combining solely AuNPs with serotonin without DSP and NALC ultimately
aggregated with the AuNPs which fell out of solution and that combing AuNPs, DSP, NALC,
GNP/DSP/NALC
Pellet and Pellet
Pellet aggregation
excess resuspension with 5-HT
GNP/DSP/NALC
DSP/NALC
Figure 5: Photographic evidence of the purification process (top) and increasing concentrations
of serotonin with color change of increasing intensity
onto a grating and being separated into its component wavelengths. Each single wavelength
Selective 5-HT Detection 16
beam passes through small containers of a sample, and the intensity of the light is measured both
before entering and after exiting the sample. The difference in intensity of light is indicative of
how much light was absorbed by the sample and what particular wavelengths were absorbed.13
When gold nanoparticles are in solution with DSP and cysteine, a peak is observed around 525
nm as shown in Figure 6, characteristic of the specific surface plasmon band formed when
surface electrons on particles are excited by UV light.9 Specifically, peaks arise in UV-vis
absorption spectras when electrons from the highest occupied molecular orbital (HOMO) level
absorb appropriate energy in the form of UV-vis light satisfying selection rules and are excited to
a higher unfilled shell. When serotonin is present, the process of aggregation occurs, shifting the
location of the plasmon band to 610 nm. This shift occurs from a shorter (525nm) to longer (610
nm) wavelength because when serotonin binds to the particles, a larger (longer) aggregate is
formed. Figure 6 depicts the UV-vis spectra produced after analyzing a series of five
intensity of the peak at 525 nm and an increase in intensity of the peak at 610 nm is observed.
Most notably, this method was tested utilizing a concentration of serotonin within the range of
normal levels in the blood, at 200 ng/mL, graphically depicted by a purple line in Figure 6.
Because this low concentration of serotonin was still detectable using this method, we are
confident that this technique could accurately be applied to cell samples in vivo. Through
experimentation with the goal of obtaining the minimum detection limit, serotonin was detected
at concentrations of above 120 ng/mL. It should be noted that an ideal UV-vis spectra produced
from analysis of these samples should depict a complete shift with the disappearance of the peak
at 525 nm and the appearance of the peak at 610 nm, indicating that further optimization
Figure 6: UV-vis Spectra indicating the shift in the surface plasmon band indicating the presence
of serotonin
4. Conclusions
The development of a viable technique to monitor serotonin and the verification of its
efficacy in various laboratory settings including in stock solutions, in vitro, and in vivo, is
undoubtedly a process requiring extensive time and resources. Over the course of approximately
one year of research, it was possible to analyze an array of current research to perform
with this specific research. After discerning that colorimetric tests were viable with Roberts
Wesleyan College resources, two discrete techniques were analyzed in parallel to discern which
provided most consistent results. The chosen technique involved the production of gold
Selective 5-HT Detection 18
nanoparticles and the interactions between these particles with DSP and NALC to produce
molecules capable of forming hydrogen bonds with serotonin and aggregating to indicate its
presence. After optimizing this technique, consecutively lower concentrations of serotonin were
detected to ascertain the detection limit of the method. Ultimately, this method was effective in
Once an optimized technique has been developed to monitor serotonin within this
concentration range, a mast cell line may be produced in which cells will be lysed, or flushed
with solution so that osmosis occurs to destroy the cell membrane to reveal the contents.
Specifically, the resources at Roberts allow for HaCat cells to be utilized and lysed. HaCat cells
are utilized because they are an immortal cell line that can replicate infinitely and are known for
being robust.14 When 5-HT is added to the contents, the selected detection technique will be
utilized to confirm its ability to detect in cells as opposed to in solution. Beyond in vitro
research, future work includes the creation of a laboratory for mice to be able to monitor
serotonin in vivo by extracting cells in the least invasive ways to assert the NALC method is
viable in vivo. From this point, it would be possible to experiment with a variety of physiological
tests applied to mice to see exactly what increases and decreases the levels of serotonin.
In addition to moving forward with the experimentation to detect serotonin in vivo, future
work also includes optimization studies to produce more favorable results. For example, the
detection method utilizing aptamers could be significantly improved with the use of thiolated
titled, “Citrate-capped Silver Nanoparticles as a Probe for Sensitive and Selective Colorimetric
and Spectrophotometric Sensing of Creatinine in Human Urine,” Alula et al. demonstrate that
silver nanoparticles show promise in obtaining lower detection limits than gold nanoparticles.16
Selective 5-HT Detection 19
This means that if utilized in the cysteine method, serotonin could be detected when present in
even smaller concentrations. Ideally, the lowest detectable concentration of serotonin should be
below that found in normal blood. Thus, with these advancements, it should be possible to
accurately and reliably detect the lowest concentrations of serotonin found in blood. It has been
able to effectively monitor its current level in the body and knowing how to regulate it is of the
utmost importance.
.
Selective 5-HT Detection 20
References
1. Mukherjee, S., Seal, M. & Dey, S.G. Kinetics of serotonin oxidation by heme–Aβ relevant to
Alzheimer’s disease. Journal of Biological Inorganic Chemistry. 2014, 19, 1355-1365.
10. Manson J, Kumar D, Meenan B, Dixon D. Erratum to: Polyethylene glycol functionalized
gold nanoparticles: the influence of capping density on stability in various media. Gold Bulletin.;
2011;44:195-196.
14.Seo M, Kang T, Lee C et al. HaCaT Keratinocytes and Primary Epidermal Keratinocytes
Have Different Transcriptional Profiles of Cornified Envelope-Associated Genes to T Helper
Cell Cytokines. Biomolecules and Therapeutics; 2012;20:171-176.
15. Jeong S, Kim C, Yang J. Comparison of the sensitivity of thiolated aptamer based biosensor
according to the condition of electrode substrates. BioChip Journal; 2010;4:141-147.