To measure creatinine, electrochemical techniques have been coupled with a range of biological recognition elements in a variety of sensor configurations. (To listen to a podcast about this feature, please go to the Analytical Chemistry website at pubs.acs.org/ac.The measurement of creatinine levels in human blood or urine is clinically essential because the levels partially reflect the state of renal and muscle function. Creatinine is naturally produced by the body and is filtered from the bloodstream by the kidneys in relatively constant amounts every day. The normal physiological concentration is 40-150 µM, but it can exceed 1000 µM in certain pathological conditions. Blood levels >150 µM indicate the need to perform tests such as creatinine clearance. Values >500 µM indicate severe renal impairment, ultimately leading to dialysis or transplantation; 1 levels <40 µM indicate decreased muscle mass.The methods most often used for the clinical determination of creatinine are based on colorimetry. 2 However, the methods are affected by numerous metabolites and drugs found in biological samples, such as glucose, fructose, ketone bodies, ascorbic acid, and cephalosporins. 3,4 Introducing enzymes has increased specificity, but the methods also became complicated and less reliable. Large and expensive benchtop analyzers incorporating a number of electrochemical electrodes have been used in central clinical laboratories. Portable and handheld devices incorporating a single-use creatinine biosensor cartridge also have been used.The goal of biosensor engineering in the clinical laboratory setting is to reduce cost, time, and complexity of routine analysis of biological fluids; to enable near-patient testing of blood, urine, and saliva in medical centers; and ultimately to enable home testing by individuals. 5 This article looks at the developments in electrochemical creatinine biosensor research in terms of sensor design and analytical performance on the basis of the recognition element and the nature of transducer. Parameters and specific performance characteristics to consider include cost (<$10/ sensing strip), response time (<1.5 minutes [min]), detection limit (e10 µM), linear range (10-1000 µM), and lifetime (>1 year).
An amperometric glucose enzyme electrode was developed by the immobilization of glucose oxidase (GOD) in a composite material based on polyvinyl alcohol (PVA) and partially prehydrolyzed tetraethyl orthosilicate (pphTEOS) on the surface of "in-house" fabricated graphite electrodes. For comparison, silver and gold nanoparticles (Ag/AuNPs) embedded in the PVA-pphTEOS matrix was prepared through a novel method via sol-gel process based on the in situ chemical reduction of Ag or Au ions using PVA as a reducing agent and stabilizer. The successful incorporation of Ag and AuNPs ranging from 5 to 7.5 and 4.5-11 nm, respectively, in the PVA-pphTEOS matrix was confirmed by UV-Vis spectroscopy, TEM, and EDX analysis. The PVA-TEOS matrix was also characterized by FTIR spectroscopy. The analytical performance of the enzyme electrodes were studied in terms of linear ranges, sensitivities, response times, limits of detection, reproducibility and stability.
The amperometric response of sarcosine was measured in aqueous media containing ferrocene monocarboxylic acid using the redox enzyme sarcosine oxidase (SOD) immobilized in a composite material based on polyvinyl alcohol (PVA) and partially prehydrolyzed tetraethyl orthosilicate (pphTEOS) at the surface of-graphite electrodes. For comparison, separate electrodes consisting of silver and gold nanoparticles (Ag/AuNPs) embedded in the PVA-pphTEOS matrix was prepared employing a novel solgel process based on the in situ chemical reduction of Ag or Au ions using PVA both, as a reducing agent and stabilizer. The analytical performance of the enzyme electrodes was studied in terms of linear ranges, sensitivities, response times, limits of detection, reproducibility and stability.
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