Fluorescein is anorganic compound anddye based on thexanthene tricyclic structural motif, formally belonging totriarylmethine dyes family. It is available as a dark orange/red powder slightly soluble in water and alcohol. It is used as afluorescenttracer in many applications.[1]
The color of its aqueous solutions is green by reflection and orange by transmission (its spectral properties are dependent onpH of the solution),[2] as can be noticed inbubble levels, for example, in which fluorescein is added as acolorant to thealcohol filling the tube in order to increase the visibility of the air bubble contained within. More concentrated solutions of fluorescein can even appear red (because under these conditions nearly all incident emission is re-absorbed by the solution).
Fluorescein sodium, the sodium salt of fluorescein, is used extensively as a diagnostic tool in the field ofophthalmology andoptometry, where topical fluorescein is used in the diagnosis ofglobe rupture,[4]corneal abrasions,corneal ulcers andherpetic corneal infections. It is also used inrigid gas permeable contact lens fitting to evaluate the tear layer under the lens. It is available as sterile single-use sachets containing lint-free paper applicators soaked in fluorescein sodium solution.[5]
The thyroxine ester of fluorescein is used to quantify thethyroxine concentration inblood.[1]
Fluorescein is also known as a color additive (D&C Yellow no. 7). The disodium salt form of fluorescein is known asuranine orD&C Yellow no. 8.
Fluorescein is a precursor to the red dyeeosin Y by bromination.[1]
Intravenous use has the most reported adverse reactions, including sudden death, but this may reflect greater use rather than greater risk. Both oral and topical uses have been reported to cause anaphylaxis,[11][12] including one case of anaphylaxis with cardiac arrest (resuscitated) following topical use in an eye drop.[8] Reported rates of adverse reactions vary from 1% to 6%.[13][14][15][16] The higher rates may reflect study populations that include a higher percentage of persons with prior adverse reactions. The risk of an adverse reaction is 25 times higher if the person has had a prior adverse reaction.[15] The risk can be reduced with prior (prophylactic) use of antihistamines[17] and prompt emergency management of any ensuing anaphylaxis.[18] A simple prick test may help to identify persons at greatest risk of adverse reaction.[16]
Fluorescein underUV illuminationFluorescence excitation and emission spectra of fluorescein
The fluorescence of this molecule is very intense; peak excitation occurs at 495 nm and peak emission at 520 nm. Values for the deprotonated form in basic solution.[citation needed]
Fluorescein has apKa of 6.4,[2] and its ionization equilibrium leads to pH-dependentabsorption andemission over the range of 5 to 9. Also, the fluorescence lifetimes of the protonated and deprotonated forms of fluorescein are approximately 3 and 4 ns, which allows for pH determination from nonintensity based measurements. The lifetimes can be recovered usingtime-correlated single photon counting or phase-modulationfluorimetry. Upon exhaustive irradiation with visible light fluorescein decomposes to releasephthalic andformic acids andcarbon monoxide, effectively acting as a photoCORM. The remainingresorcinol rings react withsinglet oxygen formedin situ to give oxidized,ring-opened products.[19]
Fluorescein isothiocyanate and 6-FAM phosphoramidite
Many derivatives of fluorescein are known. Examples are:
fluorescein isothiocyanate1, often abbreviated as FITC, features anisothiocyanate group (−N=C=S) substituent. FITC reacts with theamine groups of many biologically relevant compounds including intracellular proteins to form a thiourea linkage.
succinimidyl ester modified fluorescein, i.e.NHS-fluorescein, is another common amine-reactive derivative, yielding amide adducts that are more stable than the aforementioned thioureas.
In cellular biology, theisothiocyanate derivative of fluorescein is often used to label and trackcells influorescence microscopy applications (for example,flow cytometry). Additional biologically active molecules (such asantibodies) may also be attached to fluorescein, allowing biologists to target the fluorophore to specific proteins or structures within cells. This application is common inyeast display.
Fluorescein can also be conjugated tonucleoside triphosphates and incorporated into aprobe enzymatically forin situ hybridisation. The use of fluorescein amidite, shown below right, allows one tosynthesize labeledoligonucleotides for the same purpose. Yet another technique termedmolecular beacons makes use of synthetic fluorescein-labeled oligonucleotides. Fluorescein-labelled probes can be imaged usingFISH, or targeted byantibodies usingimmunohistochemistry. The latter is a common alternative todigoxigenin, and the two are used together for labelling two genes in one sample.[24]
Fluorescein drops being instilled for an eye examination
Intravenous or oral fluorescein is used influorescein angiography in research and to diagnose and categorize vascular disorders including retinal disease,macular degeneration,diabetic retinopathy, inflammatory intraocular conditions, and intraoculartumors. It is also being used increasingly during surgery forbrain and spine tumors.[25]
Diluted fluorescein dye has been used to localise multiple muscular ventricular septal defects during open heart surgery and confirm the presence of any residual defects.[26]
TheGemini 4 spacecraft releases dye into the water, to aid location aftersplashdown, June 1965.
Fluorescein is used as a rather conservativeflow tracer in hydrologicaltracer tests to help in understanding of water flow of bothsurface waters andgroundwater. The dye can also be added torainwater in environmental testing simulations to aid in locating and analyzing any water leaks, and in Australia and New Zealand as amethylated spirit dye.
As fluorescein solution changes its color depending on concentration,[27] it has been used as a tracer in evaporation experiments.
One of its more recognizable uses was in theChicago River, where fluorescein was the first substance used to dye the river green onSt. Patrick's Day in 1962. In 1966, environmentalists forced a change to a vegetable-based dye to protect local wildlife.[28]
Fluorescein dye solutions, typically 15% active, are commonly used as an aid to leak detection duringhydrostatic testing ofsubseaoil and gaspipelines and other subsea infrastructure. Leaks can be detected by divers orROVs carrying an ultraviolet light.
Fluorescein has often been used to track water movement ingroundwater to study water flow and observe areas of contamination or obstruction in these systems. Thefluorescence that is created by the dye makes problem areas more visible and easily identified. A similar concept can be applied to plants because the dye can make problems in plant vasculature more visible. Inplant science, fluorescein, and other fluorescent dyes, have been used to monitor and studyplant vasculature, particularly thexylem, which is the main water transportation pathway in plants. This is because fluorescein is xylem-mobile and unable to crossplasma membranes, making it particularly useful in tracking water movement through the xylem.[29] Fluorescein can be introduced to a plant's veins through the roots or a cut stem. The dye is able to be taken up into the plant the same way as water and moves from the roots to the top of the plant due to a transpirational pull.[30] The fluorescein that has been taken up into the plant can be visualized under afluorescent microscope.
^World Health Organization (2019).World Health Organization model list of essential medicines: 21st list 2019. Geneva: World Health Organization.hdl:10665/325771. WHO/MVP/EMP/IAU/2019.06. License: CC BY-NC-SA 3.0 IGO.
^abEl Harrar, N; Idali, B; Moutaouakkil, S; El Belhadji, M; Zaghloul, K; Amraoui, A; Benaguida, M (1996). "Anaphylactic shock caused by application of fluorescein on the ocular conjunctiva".Presse Médicale.25 (32):1546–7.PMID8952662.
^Fineschi V, Monasterolo G, Rosi R, Turillazzi E (1999). "Fatal anaphylactic shock during a fluorescein angiography".Forensic Sci. Int.100 (1–2):137–42.doi:10.1016/S0379-0738(98)00205-9.PMID10356782.
^Hitosugi M, Omura K, Yokoyama T, Kawato H, Motozawa Y, Nagai T, Tokudome S (2004). "An autopsy case of fatal anaphylactic shock following fluorescein angiography: a case report".Med Sci Law.44 (3):264–5.doi:10.1258/rsmmsl.44.3.264.PMID15296251.S2CID71681503.
^Gómez-Ulla F, Gutiérrez C, Seoane I (1991). "Severe anaphylactic reaction to orally administered fluorescein".Am. J. Ophthalmol.112 (1): 94.doi:10.1016/s0002-9394(14)76222-1.PMID1882930.
^Kwan AS, Barry C, McAllister IL, Constable I (2006). "Fluorescein angiography and adverse drug reactions revisited: the Lions Eye experience".Clin. Experiment. Ophthalmol.34 (1):33–8.doi:10.1111/j.1442-9071.2006.01136.x.PMID16451256.S2CID32809716.
^Jennings BJ, Mathews DE (1994). "Adverse reactions during retinal fluorescein angiography".J Am Optom Assoc.65 (7):465–71.PMID7930354.
^abMatsuura M, Ando F, Fukumoto K, Kyogane I, Torii Y, Matsuura M (1996). "[Usefulness of the prick test for anaphylactoid reaction in intravenous fluorescein administration]".Nippon Ganka Gakkai Zasshi (in Japanese).100 (4):313–7.PMID8644545.
^Sun, W. C.; Gee, K. R.; Klaubert, D. H.; Haugland, R. P. (1997). "Synthesis of Fluorinated Fluoresceins".The Journal of Organic Chemistry.62 (19):6469–6475.doi:10.1021/jo9706178.
^Burgess, Kevin; Ueno, Yuichiro; Jiao, Guan-Sheng (2004). "Preparation of 5- and 6-Carboxyfluorescein".Synthesis.2004 (15):2591–2593.doi:10.1055/s-2004-829194.