Standard protocols
for the analysis of circulating tumor DNA (ctDNA)
include the isolation of DNA from the patient’s plasma and
its amplification and analysis in buffered solutions. The application
of such protocols is hampered by several factors, including the complexity
and time-constrained preanalytical procedures, risks for sample contamination,
extended analysis time, and assay costs. A recently introduced nanoparticle-enhanced
surface plasmon resonance imaging-based assay has been shown to simplify
procedures for the direct detection of tumor DNA in the patient’s
plasma, greatly simplifying the cumbersome preanalytical phase. To
further simplify the protocol, a new dual-functional low-fouling poly-
l
-lysine (PLL)-based surface layer has been introduced that
is described herein. The new PLL-based layer includes a densely immobilized
CEEEEE oligopeptide to create a charge-balanced system preventing
the nonspecific adsorption of plasma components on the sensor surface.
The layer also comprises sparsely attached peptide nucleic acid probes
complementary to the sequence of circulating DNA, e.g., the analyte
that has to be captured in the plasma from cancer patients. We thoroughly
investigated the contribution of each component of the dual-functional
polymer to the antifouling properties of the surface layer. The low-fouling
property of the new surface layer allowed us to detect wild-type and
KRAS p.G12D-mutated DNA in human plasma at the attomolar level (∼2.5
aM) and KRAS p.G13D-mutated tumor DNA in liquid biopsy from a cancer
patient with almost no preanalytical treatment of the patient’s
plasma, no need to isolate DNA from plasma, and without PCR amplification
of the target sequence.