Translate this page into:
Intramolecular charge transfer-induced fluorescence enhancement of carbon dots for rapid detection of sugammadex sodium and clinical injection sample analysis
Corresponding authors: E-mail addresses:, wangq@tit.edu.cn (Q. Wang), chinatsyjj@sxmu.edu.cn (S. Tian)
-
Received: ,
Accepted: ,
Abstract
In order to improve the current analytical method for the detection of sugammadex sodium (SUG), the common clinical neuromuscular blockade reversal agent, a carbon dots (CDs) based fluorescent detection method was designed and developed in this work. Nitrogen-doped CDs were selected as the fluorescence nanomaterials considering the unique combination of SUG with amino-steroid drugs. The fluorescence of CDs was efficiently enhanced once interacting with SUG and the underlying mechanism was studied to be the intermolecular charge transfer process between −NH2 in CDs and −COOH in SUG. Therefore, the novel fluorescence detection method was established according to the sensitive response of CDs toward SUG. Under the optimized conditions, the linear ranges of 0.001−0.07 and 0.07−0.5 g/L was achieved with a detection limit of 0.44 mg/L. Furthermore, the method was applied to the clinical injection sample analysis and accurate results with validity was obtained. The fluorescence detection method with sensitivity and selectivity for SUG assay was proposed in this work. Compared to the traditional analytical method for SUG like chromatography and mass spectrometry, the merits of this fluorescence method, quick response and handy operation, made it a powerful assay for pharmaceutical analysis, improving the rapid analysis for SUG pharmaceutical.
Keywords
Carbon dots
Fluorescent detection
Sample analysis
Sugammadex sodium

1. Introduction
Sugammadex sodium (SUG) has been recognized as a neuromuscular blockade reversal agent that was widely used in clinical operations [1-3]. SUG can bind rocuronium or vecuronium selectively to fast and completely reverse deep neuromuscular block without intrinsic negative effects on upper airway dilator activity [4]. Though SUG has been applied extensively in the clinical treatments, adverse effects or pitfalls including rash, hypotension, tachycardia, systemic allergy and cardiovascular diseases that were caused by SUG cannot be ignored [5-7]. Therefore, the precise and convenient detection of SUG in clinical sample as well as pharmaceutical samples is significant in the medication safety of SUG.
Currently, researchers have devoted themselves to exploiting accurate and sensitive methods to quantitatively detect SUG [8]. Taking advantages of the efficient separation and high sensitivity, mass spectrometry and chromatography methods have been established for SUG assay [9-11]. However, these large instruments dependent-methods often require complex processing flows and long-time consumption, which cannot meet the demand for fast and convenient detection of SUG in clinical pharmaceuticals as well as intraoperative samples. To break this dilemma, the fluorescence method with low cost and handy operation becomes the potential competitor for SUG analysis. A Tb3+ based fluorescent method was established for SUG through the Förster resonance energy transfer (FRET) [12]. Though satisfactory performances were obtained, the fluorescent material Tb3+, as one of the lanthanide rare earth metal elements, was expansive, so that restricted its application.
Carbon dots (CDs) as a forceful fluorescent nanomaterial have demonstrated their strong capabilities in the field of analytical science [13-16]. Owing to their negligible cytotoxicity and favorable biocompatibility, CDs have been applied in the field of life sciences, medicine [17-19], and especially, pharmaceutical analysis. Clinical pharmaceuticals like 6-mercaptopurine [20], captopril [21], molnupiravir [22], warfarin [23], ibuprofen [24] as the analytical targets have been successfully quantified through the CDs-based fluorescence method. Notably, the abundant functional groups enable CDs to interact with the specific structure of the drug molecule, making it possible to generate fluorescence responses toward SUG. Our group exploited a dual-emissive CD-based fluorescence sensing toward SUG for the first time, but the after-treatment of the product was complicated [25]. The CDs with preparation simplicity and low cost for fluorescent detection of SUG was still worthy to research.
The aim of the present work is to develop and establish a CDs-based fluorescent method for the rapid and convenient detection of SUG. Considering the unique combi-nation of SUG with amino-steroid drugs, therefore, nitrogen-doped CDs were selected to investigate the performance of detecting SUG. According to the fluorescence response caused by the quantitative amounts of SUG, a novel fluorescent method was established for clinical injection sample assay.
2. Materials and Methods
2.1. Materials and instrumentations
Further details can be found in the Supplementary Material.
2.2. Preparation of CDs
CDs were acquired according to a reported work [20]. 0.1000 g PEI and 0.0100 g BPB were mixed and dissolved into 20 mL and placed in a 50 mL hydrothermal reactor after being mixed well. Then, the mixture was heated at 180°C for 12 h to obtain yellow solution. The product was dialyzed against to water through dialysis (molecular weight cut off of 3500 Da) for 24 h. The resulting product was stored at 4°C until further use.
2.3. Detection procedure of SUG
The fluorescent assay of SUG was carried out in a PBS system (pH 7.0). Firstly, 10 μL of CDs solutions were mixed with 170 μL of the above PBS solutions. Then, 20 μL of SUG solutions with a certain concentration was added. After 5 min, the fluorescence spectrum of the mixture was collected and relevant intensity at 460 nm was screened. The instrument conditions were set as 365 nm for excitation, 5 nm for both excitation and emission slit. All the tests were carried out in three independent replicates.
2.4. Clinical sample assay
The pharmaceutical SUG injection as the real sample was selected for the practical application. The pharmaceutical was diluted for 100 times before processing. 20 μL of real sample solutions or sample with standard SUG solutions (0.15, 0.25, 0.30 g/L) were added into PBS solutions (pH 7.0) containing 10 μL of CDs. The fluorescence spectrum of the system was collected and relevant intensity at 460 nm was screened. The content of SUG in sample solutions and in the SUG injection as well as the detection recoveries were calculated accordingly.
3. Results and Discussion
3.1. Characterization of CDs
In order to establish SUG-sensitive fluorescence response, nitrogen-doped CDs were synthesized from polyethyleneimine (PEI) and bromophenol blue (BPB). Figure 1(a) showed the TEM pattern of CDs in which nanodots with diameters below 5 nm were observed. Figure 1(b) recorded the size distribution of CDs and the diameter ranging from 1.74 to 4.85 nm and the average size of 2.48 nm were concluded. Figure 1(c) displayed the X-ray diffraction (XRD) profile of CDs, in which a wide peak ranging from 20° to 30° was observed. The characteristic diffraction represented the (002) plane of graphite with a certain degree of deviation due to the doping of heteroatoms [26]. Figure 1(d) recorded the FT-IR spectrum of CDs to specify the functional groups. The broad peak centered at 3420 cm-1 was from the O−H. The sharp absorption at 1630 cm-1 represented the C=O or C−Br. The absorption at 1515 and 1175 cm-1 came from the C=C and C−O/C−N, respectively. Furthermore, the chemical compositions of CDs were tested through XPS in Figure 2. As shown in the XPS spectrum (Figure 2a), elements C, O, N, S, and Br were detected. The high-resolution spectra of C 1s, O 1s, N 1s, S 2p, and Br 3d of CDs have been listed in Figures 2(b-f), respectively, and the corresponding binding forms have been exhibited in Table S1 in detail. The results demonstrate the morphology, structure, and composition of CDs.

- The morphology and structural characterization of CDs. (a) TEM pattern; (b) size distribution histogram; (c) XRD profile; (d) the FT-IR spectrum.

- The chemical constitution of CDs. The XPS (a) full scan spectrum, and partial spectra from (b) C 1s, (c) O 1s, (d) N 1s, (e) S 2p and (f) Br 3d of CDs.
3.2. Spectral response of SUG
Figure 3(a) compared the fluorescence emission spectra of CDs before and after adding SUG. The CDs displayed a maximal emission at 460 nm (black line) and it was proved that the emission intensity at 460 nm was assuredly improved by SUG (blue line). The insets showed the practical photos of CDs and CDs+SUG under UV light illumination. The blue fluorescence of CDs turned brighter after adding SUG, visually proving the fluorescence enhancement. The ultraviolet visible (UV-Vis) absorption variations of CDs before and after introducing SUG were presented in Figure 3(b). The results showed that the absorbance of CDs before 250 nm increased in the present of SUG at a certain degree. It was reported that interaction between substances enhanced the rigidity of the molecular skeleton [27] and therefore, increased the spectral absorbance [28], which proving an interaction between CDs and SUG.

- The fluorescence and UV-Vis spectral response to SUG. (a) The fluorescence emission spectra of CDs with or without SUG. Insets are the photos of (i) CDs and (ii) CDs + SUG under UV light, respectively. (b) The UV-Vis absorption spectra of CDs with or without SUG.
3.3. Fluorescence sensing mechanism
To reveal the specific form of action between CDs and SUG, molecules representing the partial structure of SUG were proposed to compare their effect on the fluorescence of CDs. As shown in Figure 4(a), ethylene diamine tetraacetic acid (EDTA, standing for carboxyl), γ-cyclodextrin (standing for the main molecular skeleton), 2-thiapropane (standing for thioether), and glucose (standing for hydroxy) with equivalent molar quantities to the representative structures in SUG were carried out. It turned out that only EDTA (yellow line) showed the same fluorescence enhancement behavior as SUG. The result demonstrated that carboxyl played a key role during the fluorescence improvement of CDs.

- The fluorescence sensing mechanism study. (a) The fluorescence discrepancy of CDs with molecules representing the partial structure of SUG. (b) The time-resolved fluorescence decay of CDs before and after reacting with SUG.
To further explore the essence of the fluorescence enhancement, the Zeta potential of CDs before and after introducing SUG was tested in Figure S1. It was proved that CDs displayed a positive potential of +3.85 mV because of the protonation of N atoms in CDs. However, SUG containing abundant carboxyl and hydroxy (whose structure was listed in Figure S2) bonded with CDs through electrostatic interaction, which led to a sharp drop in Zeta potential (-11.60 mV after adding SUG). Figure 4(b) recorded the fluorescence decay spectra at 460 nm of CDs with or without SUG. The relevant fitting data have been shown in Table S2. The fluorescence lifetime of CDs and CDs+SUG was computed to be 5.60 and 6.12 ns, respectively. The stable lifetimes suggested a static effect for the interaction between CDs and SUG. Combining with the UV-Vis spectra, functional groups identification, Zeta potential, and fluorescence lifetime results (Figure 3b, Figures 4(a,b), and Figure S1), -NH2 in CDs interacted with -COOH in SUG was proved. Further, an abundant amount of literature has reported that the intermolecular charge transfer (ICT) occurred with the interaction between the amino and carboxyl groups, which improved the fluorescence [25,29-32]. Therefore, ICT activated by -NH2 in CDs and -COOH in SUG took responsibility for the fluorescence enhancement. This was consistent with the conclusion that carboxyl-containing EDTA can enhance the fluorescence of CDs.
3.4. Optimization of analytical parameters
As an established fluorescent assay for SUG, the optimal detection parameters, like pH and time, were investigated. Figure S3 investigated SUG-triggered fluorescence change of CDs in PBS under various pH conditions. Figure 5(a) presents the fluorescence enhancement efficiency (F/F0) of the CDs upon reacting with SUG, where F0 and F were defined as the initial fluorescence intensity of the mixture and the one after reacting with SUG, respectively. The results showed the homogeneous fluorescence enhancement efficiencies at pH from 4 to 10, proving the universality of this method. Furthermore, a comparison of the fluorescence of CDs with and without SUG over time has been provided in Figure S4, and their fluorescence enhancement efficiency has been summarized in Figure 5(b). Time-stable fluorescence enhancement phenomenon was obtained, providing a handy operation for detection. For convenience, further detection was performed under PBS with pH 7.0 after mixing CDs with SUG for 5 min.

- The optimization of analytical parameters. (a) The fluorescence enhancement efficiency under different pH values. (b) The fluorescence enhancement efficiency at different time intervals.
3.5. Fluorescent detection of SUG
Under the above detection conditions, the calibration curve was constructed by plotting the fluorescence enhancement efficiency versus the concentration of SUG. Figure 6(a) illustrates the evolution of the fluorescence spectra of the CDs upon the addition of increasing concentrations of SUG, in which the gradually improved spectra were observed. Figure 6(b) displayed two linear ranges of 0.001-0.07 and 0.07-0.5 g/L with equations of F/F0=1.0538+4.8116C (R2=0.9907) and F/F0=1.3455+0.7941C (R2=0.9988), respectively. The limit of detection (LOD) was determined to be 0.44 mg/L (3σ). Besides, the effect of possible coexisting interferences on fluorescence response was investigated in Figure 6(c). Except for SUG, other species, including Na+, Zn2+, NH4+, proline, aspartic acid, threonine, leucine, glycine, lysine, methionine, tryptophan, glutamic acid, arginine, serine, cysteine, alanine, histidine, uric acid, urea, BSA, glucose, and dopamine, showed no response to CDs. The corresponding spectra have been recorded in Figure 6(d). The phenomenon demonstrating fluorescence enhancement of CDs by only SUGs was observed. The results confirmed that the CDs exhibited satisfactory selectivity for SUG detection. The comparison of analytical performances of this work with other reported methods have been detailed in Table S3. It was concluded that this method possessed a satisfactory linear range and LOD. Moreover, the fluorescent assay with short response time and CDs with preparation simplicity and low cost in this work made it a promising method for SUG detection.

- The fluorescent detection of SUG based on CDs. (a) The evolution of the fluorescence spectra of the CDs upon increasing concentrations of SUG. (b) The linear calibration curve for SUG detection through fluorescent enhancement. (c) Selectivity of CDs for SUG detection via fluorescence enhancement and (d) the corresponding spectra of CDs system with coexisting compounds equivalent with SUG (species number 1-23 stood for SUG, Na+, Zn2+, NH4+, proline, aspartic acid, threonine, leucine, glycine, lysine, methionine, tryptophan, glutamic acid, arginine, serine, cysteine, alanine, histidine, uric acid, urea, BSA, glucose, and dopamine, respectively.)
The SUG injection for practical analysis was carried out. The detection results have been displayed in Table 1. Quantitative analysis showed that the amount of SUG in the target was 0.1055 g/L, and the recovery covered 94.95-100.35%. According to the dilution ratio, the content in the original pharmaceutical was 105 g/L, which was close to the marked content (200 mg/2mL). These results demonstrated the high accuracy and reliability of the proposed method.
| Found in the sample (g/L) |
Added (g/L) |
Total found (g/L) |
Recovery (%, n=3) |
Relative standard deviation (%, n=3) |
|---|---|---|---|---|
| 0.1055 | 0.1500 | 0.2542 | 99.13 | 8.41 |
| 0.2500 | 0.3564 | 100.35 | 2.01 | |
| 0.3000 | 0.3903 | 94.95 | 1.54 |
4. Conclusions
In conclusion, the N-doped CDs-based fluorescence enhancement method was established for SUG detection. The intermolecular charge transfer process activated between the amino in CDs and the carboxyl in SUG improved the fluorescence intensity. The method demonstrated excellent analytical performance, with a wide linear range and a low LOD, and was successfully validated by detecting a real clinical injection sample. The merits of quick response and handy operation of this fluorescence method made it a powerful assay for pharmaceutical analysis, filling the gap of rapid analysis for SUG pharmaceuticals.
Acknowledgment
Authors thank the financial support of the Fundamental Research Program of Shanxi Province (No. 202303021221188).
CRediT authorship contribution statement
Ziye Jing: Writing - original draft, Investigation, Conceptualization. Ying Cheng: Writing - original draft, Investigation, Formal analysis. Liyuan Jiao, Shengling Li, Na Sun, Shuwei Luan: Investigation, Software. Yanqing Zhang: Conceptualization. Qi Wang: Writing - review & editing, Supervision, Project administration, Funding acquisition. Shouyuan Tian: Supervision, Project administration, Funding acquisition.
Declaration of competing interest
There are no conflicts of interest.
Declaration of generative AI and AI-assisted technologies in the writing process
The authors confirm that there was no use of artificial intelligence AI-assisted technology for assisting in the writing of the manuscript and no images were manipulated using AI.
Supplementary data
Supplementary material to this article can be found online at https://dx.doi.org/10.25259/AJC_433_2025.
References
- The use of sugammadex in critical events in anaesthesia: A retrospective review of the webAIRS database. Anaesthesia and Intensive Care. 2022;50:220-226. https://doi.org/10.1177/0310057X211039859
- [Google Scholar]
- Sugammadex versus neostigmine for reversal of neuromuscular blockade and postoperative pulmonary complications (STRONGER): A multicenter matched cohort analysis. Anesthesiology. 2020;132:1371-1381. https://doi.org/10.1097/ALN.0000000000003256
- [Google Scholar]
- Sugammadex for reversal of neuromuscular blockade in pediatric patients: Results from a phase IV randomized study. Paediatric Anaesthesia. 2022;32:436-445. https://doi.org/10.1111/pan.14370
- [Google Scholar]
- The effect of sugammadex on patient morbidity and quality of recovery after general anaesthesia: A systematic review and meta-analysis. British Journal of Anaesthesia. 2024;132:107-115. https://doi.org/10.1016/j.bja.2023.10.032
- [Google Scholar]
- Advantages and pitfalls of clinical application of sugammadex. Anesthesia and Pain Medicine. 2020;15:259-268. https://doi.org/10.17085/apm.19099
- [Google Scholar]
- Adverse effects of sugammadex on the cardiovascular system. Cureus. 2023;15:e34728. https://doi.org/10.7759/cureus.34728
- [Google Scholar]
- Sugammadex hypersensitivity and underlying mechanisms: A randomised study of healthy non-anaesthetised volunteers. British Journal of Anaesthesia. 2018;121:758-767. https://doi.org/10.1016/j.bja.2018.05.057
- [Google Scholar]
- The electrochemical quantitation method for sugammadex via a molecularly imprinted polymer-based sensor. Analytical Methods : Advancing Methods and Applications. 2023;15:2309-2317. https://doi.org/10.1039/d3ay00452j
- [Google Scholar]
- Determination of sugammadex in human plasma, urine, and dialysate using a high-performance liquid chromatography/tandem mass spectrometry assay. Journal of Chromatography. B, Analytical Technologies in the Biomedical and Life Sciences. 2011;879:1573-1586. https://doi.org/10.1016/j.jchromb.2011.03.050
- [Google Scholar]
- Evaluation of the sensitivity of miniaturized liquid chromatography-electrospray ionization-mass spectrometry for pharmaceutical analysis. Journal of Separation Science. 2005;28:1796-1802. https://doi.org/10.1002/jssc.200500203
- [Google Scholar]
- Development and validation of stability indicating RP-HPLC method for the determination of process and degradation-related impurities in sugammadex sodium drug substance. Chromatographia. 2022;85:405-419. https://doi.org/10.1007/s10337-022-04146-y
- [Google Scholar]
- Tuning energy transfer in Sugammadex-Tb3+ complex: Towards highly sensitive chemosensor for Sugammadex in pharmaceutical formulation. Journal of Photochemistry and Photobiology A: Chemistry. 2024;456:115840. https://doi.org/10.1016/j.jphotochem.2024.115840
- [Google Scholar]
- Carbon dots-doped melamine-formaldehyde microsphere as a dual functional material for sensing and adsorption of oxytetracycline. Arabian Journal of Chemistry. 2024;17:105972. https://doi.org/10.1016/j.arabjc.2024.105972
- [Google Scholar]
- Fluorescent sensing of rutin by carbon dots derived from the heart of cumin seeds. Arabian Journal of Chemistry. 2024;17:105888. https://doi.org/10.1016/j.arabjc.2024.105888
- [Google Scholar]
- Elucidating the formation mechanism of gardenia blue pigment from amino acid and genipin. Arabian Journal of Chemistry. 2025;18:106048. https://doi.org/10.1016/j.arabjc.2024.106048
- [Google Scholar]
- Dual color carbon dots for simultaneous dynamic fluorescence tracking of mitochondria and lysosomes. Sensors and Actuators B: Chemical. 2025;422:136678. https://doi.org/10.1016/j.snb.2024.136678
- [Google Scholar]
- Novel nitrogen-doped carbon dots with triple targetability as a fluorescent probe for bioimaging of living cells. Analytica Chimica Acta. 2025;1342:343625. https://doi.org/10.1016/j.aca.2025.343625
- [Google Scholar]
- Fluorescent carbon dots for discriminating cell types: A review. Analytical and Bioanalytical Chemistry. 2024;416:3945-3962. https://doi.org/10.1007/s00216-024-05328-3
- [Google Scholar]
- Synthesis, properties and biomedical applications of carbon-based quantum dots: An updated review. Biomedicine & Pharmacotherapy = Biomedecine & Pharmacotherapie. 2017;87:209-222. https://doi.org/10.1016/j.biopha.2016.12.108
- [Google Scholar]
- N, S, Br co-doped carbon dots: One-step synthesis and fluorescent detection of 6-mercaptopurine in tablet. Journal of Pharmaceutical Analysis. 2024;14:291-293. https://doi.org/10.1016/j.jpha.2023.11.001
- [Google Scholar]
- Multiple fluorescence quenching effects mediated fluorescent sensing of captopril based on amino acids-derivative carbon nanodots. Spectrochimica Acta. Part A, Molecular and Biomolecular Spectroscopy. 2022;269:120742. https://doi.org/10.1016/j.saa.2021.120742
- [Google Scholar]
- Sustainable synthesis of Cu-doped carbon dots from biomass waste for sensitive molnupiravir analysis in pharmaceutical capsules. Microchemical Journal. 2025;210:113003. https://doi.org/10.1016/j.microc.2025.113003
- [Google Scholar]
- Machine learning-assisted biomass-derived carbon dots as fluorescent sensor array for discrimination of warfarin and its metabolites. Langmuir : The ACS Journal of Surfaces and Colloids. 2025;41:1694-1702. https://doi.org/10.1021/acs.langmuir.4c03945
- [Google Scholar]
- Blending polydopamine-derived imprinted polymers with rice straw-based fluorescent carbon dots for selective detection and adsorptive removal of ibuprofen. International Journal of Biological Macromolecules. 2024;269:131765. https://doi.org/10.1016/j.ijbiomac.2024.131765
- [Google Scholar]
- The luminescence mechanism assigned opposite responses of dual emissive carbon dots and fluorescence sensing of sugammadex sodium. Sensors and Actuators B: Chemical. 2025;444:138434. https://doi.org/10.1016/j.snb.2025.138434
- [Google Scholar]
- Chinese food seasoning derived carbon dots for highly selective detection of Fe3+ and smartphone-based dual-color fluorescence ratiometric visualization sensing. Journal of Molecular Structure. 2024;1318:139209. https://doi.org/10.1016/j.molstruc.2024.139209
- [Google Scholar]
- A new optical sensor for Al3+/Fe3+ based on PET and chelation-enhanced fluorescence. Research on Chemical Intermediates. 2015;41:9673-9685. https://doi.org/10.1007/s11164-015-1956-y
- [Google Scholar]
- A highly sensitive coumarin-based fluorescent probe for visual detection of Cu2+ in aqueous solution and its bioimaging in living cells. Journal of Molecular Structure. 2023;1281:135062. https://doi.org/10.1016/j.molstruc.2023.135062
- [Google Scholar]
- Rapid colorimetric and ratiometric fluorescence method for on-site detection and visualization of phosgene by amino-functionalized carbon dot-based portable droplet system. Chemical Engineering Journal. 2023;452:139173. https://doi.org/10.1016/j.cej.2022.139173
- [Google Scholar]
- Construction of carbon dots having aggregation-induced emission and intramolecular charge transfer properties. Dyes and Pigments. 2023;212:111092. https://doi.org/10.1016/j.dyepig.2023.111092
- [Google Scholar]
- Construction of carbon dots with color-tunable aggregation-induced emission by nitrogen-induced intramolecular charge transfer. Advanced Materials (Deerfield Beach, Fla.). 2021;33:e2104872. https://doi.org/10.1002/adma.202104872
- [Google Scholar]
- Bridging biological and food monitoring: A colorimetric and fluorescent dual-mode sensor based on N-doped carbon dots for detection of pH and histamine. Journal of Hazardous Materials. 2024;470:134271. https://doi.org/10.1016/j.jhazmat.2024.134271
- [Google Scholar]
