Distinguishing a target DNA from a counterpart that has a single base mismatch provides critical information for disease diagnosis, personalized medicine, and basic biochemical research. [1][2][3] In traditional, fluorescence-based detection, samples are placed in a cuvette, and a DNA probe is used to hybridize with the target DNA and generate a fluorescent signal. However, because of the small difference in the binding affinity for the DNA probe between the target and the strand with a single base mismatch, the discrimination ratio between the resulting fluorescence is almost unity, [4][5][6][7][8] which makes it difficult to directly and selectively detect the target DNA from a pool of mismatched DNA strands. [9,10] Herein, we describe a system for the highly specific intracavity detection of DNA that uses an optofluidic laser. This type of laser is an emerging technology that synergistically integrates a dye laser and microfluidics for miniaturized laser sources, easy sample delivery, and extremely small sample volumes. [11][12][13] In our detection system, DNA samples and probes are incorporated as part of the laser gain medium. Stimulated laser emission, rather than fluorescence (that is, spontaneous emission), is employed as the sensing signal to achieve conversion that is similar to analog-to-digital, which significantly amplifies the small intrinsic thermodynamic difference between the target and its single base mismatched counterpart. A perfectly matched (PM) DNA, a single base mismatched (SM) DNA, and a molecular beacon (MB) probe were used as a model system. A theoretical analysis was performed to elucidate the underlying intracavity detection principle. Then, a discrimination ratio (that is, R = I PM /I SM , where I PM and I SM is the light intensity generated by PM DNA and SM DNA, respectively) of 240:1 was achieved experimentally between PM DNA and SM DNA, which is an increase of over two orders of magnitude relative to the fluorescence-based method. The selective detection of PM DNA from a pool of SM DNA at a concentration ratio of 1:50 is presented. This system can also distinguish more complicated DNA sequences, such as a breast cancer sequence from a corresponding sequence that contains a single point mutation, in both buffer and serum.An MB is a DNA probe with a stem-loop structure and a dye as well as a quencher attached to each end of the sequence (Figure 1 a). [10,[14][15][16][17] Both PM DNA and SM DNA are able to hybridize with the MB. Consequently, a fraction of MBs open and generate fluorescence. This fluorescencebased detection (see the detailed analysis in Section I A in the Supporting Information) can be regarded as "analog" detection, in which a small thermodynamic difference between PM DNA and SM DNA results in a small difference in the fluorescence signal. Figure S1 in the Supporting Information shows an example of the fluorescence from PM DNA and SM DNA, which has a low discrimination ratio.In our intracavity DNA detection system, an optofluidic ring resonator (OFRR) is used as th...