Exosomal
microRNAs are essential in intercellular communications
and disease progression, yet it remains challenging to quantify the
expression level due to their small size and low abundance in blood.
Here, we report a “sandwich” electrochemical exosomal
microRNA sensor (SEEmiR) to detect target microRNA with high sensitivity
and specificity. In SEEmiR, neutrally charged peptide nucleic acid
(PNA) enables kinetically favorable hybridization with the microRNA
target relative to negatively charged DNA, particularly in a short
sequence (10 nt). More importantly, this property allows PNA to cooperate
with a spherical nucleic acid (SNA) nanoprobe that heavily loads with
oligonucleotide-adsorbed electroactive tags to enhance detection sensitivity
and specificity. Such a PNA–microRNA–SNA sandwich construct
is able to minimize the background noise via PNA, thereby maximizing
the SNA-mediated signal amplification in electrostatic adsorption-based
SEEmiR. The synergy between PNA and SNA makes the SEEmiR sensor able
to achieve a broad dynamic range (from 100 aM to 1 nM) with a detection
limit down to 49 aM (2 orders of magnitude lower than that without
SNA) and capable of distinguishing a single-base mismatch. This ultrasensitive
sensor provides label-free and enzyme-independent microRNA detection
in cell lysates, unpurified tumor exosomal lysates, cancer patients’
blood, and accurately differentiates the patients with breast cancer
from the healthy ones, suggesting its potential as a promising tool
in cancer diagnostics.