In this paper, an on-line aptamer affinity solid-phase extraction capillary electrophoresis-mass spectrometry method is described for the purification, preconcentration, separation, and characterization of α-synuclein (α-syn) in blood at the intact protein level. A single-stranded DNA aptamer is used to bind with high affinity and selectivity α-syn, which is a major component of Lewy bodies, the typical aggregated protein deposits found in Parkinson's disease (PD). Under the conditions optimized with recombinant α-syn, repeatability (2.1 and 5.4% percent relative standard deviation for migration times and peak areas, respectively) and microcartridge lifetime (around 20 analyses/microcartridge) were good, the method was linear between 0.5 and 10 µg•mL -1 and limit of detection was 0.2 µg•mL -1 (100 times lower than by CE-MS, 20 µg•mL -1 ). The method was subsequently applied to the analysis of endogenous α-syn from red blood cells lysate of healthy controls and PD patients.Capillary electrophoresis-mass spectrometry (CE-MS) is regarded nowadays as a powerful technique for the highly efficient separation and characterization of biomolecules, including peptides, protein isoforms and post-translational modifications (PTMs) or protein complexes [1][2][3][4] . However, as in many other microscale separation techniques, the small sample volume injected for optimum separation (typically 1-2% of the capillary volume) compromises the concentration sensitivity for most analytes and is very often a limitation that hinders a more widespread application [5][6][7][8][9] . To improve the limits of detection (LODs), the use of more selective and sensitive mass spectrometers is in many cases not satisfactory enough. Therefore, for the on-line preconcentration of the target analytes after the injection of a large volume of sample, CE-MS has been often combined with different electrophoretic 5,6 and chromatographic 6-9 techniques.Within the chromatographic preconcentration techniques, on-line solid-phase extraction capillary electrophoresis (SPE-CE) is widely recognized as an excellent option to preconcentrate and clean up the target analytes, minimizing sample handling and increasing analysis throughput. In the most widely used SPE-CE configuration, a microcartridge with an appropriate sorbent to selectively retain the target analyte is integrated in-line near the entrance of the separation capillary and no valves are necessary for the operation. After loading a large volume of sample (∼50-100 μL), the capillary is rinsed to eliminate non-retained molecules and filled with background electrolyte (BGE). Then, the analyte is eluted and preconcentrated in a small volume of an appropriate solution (~25-50 nL) before the separation and the detection 8,9 .Nowadays, the availability of a wide variety of commercial or lab-made sorbents has broadened the applicability of SPE-CE. SPE-CE has been explored using conventional chromatographic sorbents (e.g. C18 or HLB) 7-9 , but there is an urgent need of high selective affinity sorbents to anal...