Abstract:We developed a new plasmonic nanostripe microcone array
(PNMA)
substrate-integrated microfluidic chip for the simultaneous surface-enhanced
Raman scattering (SERS)-based immunoassay of the creatine kinase MB
isoenzyme (CK-MB) and cardiac troponin (cTnI) cardiac markers. The
conventional immunoassay usually employs a microtiter plate as the
solid capture plate to form the immunocomplexes. However, the two-dimensional
(2D) surface of the microtiter plate limits the capture efficiency
of the target antigens due t… Show more
“…Multiple detection platforms for cardiac enzymes are developed using a single chip with a mixture of independent CK-MB and cTnI, unlike previous complex detection platforms. [11][12][13] Multiple SERS response characteristics of CK-MB and cTnI (Figure 4C), depending on their concentrations within the clinically relevant range, were simultaneously determined for each unique non-interfering peak. Moreover, at this point, the relative concentrations were fixed at the cutoff levels of 5 ng mL −1 for CK-MB and 0.8 ng mL −1 for cTnI, [5] corresponding to the T1 value in the typical time course of CK-MB and cTnI elevations after the occurrence of an AMI event.…”
Section: Sers Immunoassaymentioning
confidence: 99%
“…Acute myocardial infarction (AMI), associated with high mortality worldwide, is a type of myocardial necrosis caused by acute rapid AMI diagnosis. [7][8][9][10][11][12][13][14] Furthermore, the detection of these biomarkers can be used to trace the cause of death and disease stages in forensic science. [15][16][17] Most studies on fluorescencebased biomarker detection or electrochemical techniques have focused on improving AMI diagnosis accuracy and speed.…”
Section: Introductionmentioning
confidence: 99%
“…Recent SERS biosensing studies have focused on improving diagnostic accuracy through multiple detections of biomarkers instead of a single detection. [11,12,14] However, these studies showed multiple detection results through increased simultaneous detections by increasing the number of paths branched in a microfluidic platform. The quantification of various biomarkers and the design of uncomplicated platforms are critical factors in determining a rapid and precise AMI diagnosis.…”
Rapid and precise acute myocardial infarction (AMI) diagnosis is essential for preventing patient death. In addition, the complementary roles of creatine kinase muscle brain (CK‐MB) and cardiac troponin I (cTnI) cardiac biomarkers in the early and late stages of AMI demand their simultaneous detection, which is difficult to implement using conventional fluorescence and electrochemical technologies. Here, a nanotechnology‐based one‐stop immuno‐surface‐enhanced Raman scattering (SERS) detection platform is reported for multiple cardiac indicators for the rapid screening and progressive tracing of AMI events. Optimal SERS is achieved using optical property‐based, excitation wavelength‐optimized, and high‐yield anisotropic plasmonic gold nanocubes. Optimal immunoassay reaction efficiencies are achieved by increasing immobilized antibodies. Multiple simultaneous detection strategies are implemented by incorporating two different Raman reports with narrow wavenumbers corresponding to two indicators and by establishing a computational SERS mapping process to accurately detect their concentrations, irrespective of multiple enzymes in the human serum. The SERS platform precisely estimated AMI onset and progressive timing in human serum and made rapid AMI identification feasible using a portable Raman spectrometer. This integrated platform is hypothesized to significantly contribute to emergency medicine and forensic science by providing timely treatment and observation.
“…Multiple detection platforms for cardiac enzymes are developed using a single chip with a mixture of independent CK-MB and cTnI, unlike previous complex detection platforms. [11][12][13] Multiple SERS response characteristics of CK-MB and cTnI (Figure 4C), depending on their concentrations within the clinically relevant range, were simultaneously determined for each unique non-interfering peak. Moreover, at this point, the relative concentrations were fixed at the cutoff levels of 5 ng mL −1 for CK-MB and 0.8 ng mL −1 for cTnI, [5] corresponding to the T1 value in the typical time course of CK-MB and cTnI elevations after the occurrence of an AMI event.…”
Section: Sers Immunoassaymentioning
confidence: 99%
“…Acute myocardial infarction (AMI), associated with high mortality worldwide, is a type of myocardial necrosis caused by acute rapid AMI diagnosis. [7][8][9][10][11][12][13][14] Furthermore, the detection of these biomarkers can be used to trace the cause of death and disease stages in forensic science. [15][16][17] Most studies on fluorescencebased biomarker detection or electrochemical techniques have focused on improving AMI diagnosis accuracy and speed.…”
Section: Introductionmentioning
confidence: 99%
“…Recent SERS biosensing studies have focused on improving diagnostic accuracy through multiple detections of biomarkers instead of a single detection. [11,12,14] However, these studies showed multiple detection results through increased simultaneous detections by increasing the number of paths branched in a microfluidic platform. The quantification of various biomarkers and the design of uncomplicated platforms are critical factors in determining a rapid and precise AMI diagnosis.…”
Rapid and precise acute myocardial infarction (AMI) diagnosis is essential for preventing patient death. In addition, the complementary roles of creatine kinase muscle brain (CK‐MB) and cardiac troponin I (cTnI) cardiac biomarkers in the early and late stages of AMI demand their simultaneous detection, which is difficult to implement using conventional fluorescence and electrochemical technologies. Here, a nanotechnology‐based one‐stop immuno‐surface‐enhanced Raman scattering (SERS) detection platform is reported for multiple cardiac indicators for the rapid screening and progressive tracing of AMI events. Optimal SERS is achieved using optical property‐based, excitation wavelength‐optimized, and high‐yield anisotropic plasmonic gold nanocubes. Optimal immunoassay reaction efficiencies are achieved by increasing immobilized antibodies. Multiple simultaneous detection strategies are implemented by incorporating two different Raman reports with narrow wavenumbers corresponding to two indicators and by establishing a computational SERS mapping process to accurately detect their concentrations, irrespective of multiple enzymes in the human serum. The SERS platform precisely estimated AMI onset and progressive timing in human serum and made rapid AMI identification feasible using a portable Raman spectrometer. This integrated platform is hypothesized to significantly contribute to emergency medicine and forensic science by providing timely treatment and observation.
“…23 To our knowledge, there were only a few microfluidic devices developed for cTnI SERS detection, for example the use of plasmonic nanostrip microcone arrays has shown promising results. 24 Additionally, AuNPs coupled with magnetic beads were successfully implemented as signal transducers for LSPR detection. 25 Furthermore, the first approaches to exploit the heat generated by gold nanoparticles for biomedical applications emerged in the early 2000s, 26,27 thus becoming the foundation of the rapidly growing and promising field called thermoplasmonics.…”
Acute myocardial infarction is one of the most serious cardiovascular pathologies, impacting patients’ long-term outcomes and health systems worldwide. Significant effort is directed to the development of biosensing technologies, which...
“…The clinical diagnosis for AMI is conducted using electrocardiography (ECG), coronary angiography, and assessment of biomarker levels. In contrast to the low accuracy of ECG, with 57% of patients diagnosed correctly, and utilizing the contrast agent in coronary angiography, which made this method invasive and time-consuming, the cTnI blood biomarker has been established as an extremely specific and sensitive measurement for a precise assessment of the progression of AMI disease. − As a result, a sensitive and simple method for detecting cTnI is extremely valuable for AMI patients’ early detection and critical treatment. − Nowadays, the primary method for detecting cTnI is based on the antigen–antibody interaction as an immunosensor − or DNA binding as an aptasensor. − Despite their high sensitivity and selectivity, immunosensors have several limitations, including low stability at high temperatures, a long period of the immune reaction, high antibody production costs, and the difficulty of chemically modifying antibodies for biological detection. − Target-binding aptamers with resistance to harsh conditions, ease of chemical synthesis, and high specific affinity for fast-capturing cTnI have been developed as alternatives to antibodies. , By using the systematic evolution of ligands by exponential enrichment (SELEX) technique, Ban and colleagues developed extremely sensitive and selective single-stranded DNA aptamers against cTnI . Studies revealed that compared to the anti-cTnI antibody, Tro4 and Tro6 aptamers exhibited superior binding abilities to cTnI, and their dissociation constants were lower than those of the anti-cTnI antibody .…”
Accurate detection of irreversible acute myocardial infarction (AMI) is always a challenge in clinical emergencies, and its early diagnosis can increase the patient's chance of surviving. Herein, an electrochemical aptasensor with excellent sensitivity and accuracy was developed for the detection of cardiac troponin I (cTnI). This aptasensor is prepared using sandwiching the cTnI biomarker between the magnetic nanoparticles/Tro6 aptamer (MNPs/Tro6) and multifunctional catechol-(CC)-loaded Tro4/ Au/MIL-53(Fe)-based nanocomposite [Tro4/CC/Au/MIL-53(Fe)]. The CC/Au/MIL-53(Fe) provides high electrocatalysis toward electro-oxidation of hydrazine, numerous active sites as the signal amplifier and Tro4 aptamer carrier, on the one hand, and the MNPs, which provide the high complex media's signal-to-noise ratio (S/N), on the other hand. Analysis of the electrochemical impedance spectroscopy data revealed that the double layer capacitance (surface roughness effect) contributed to the CC/Au/MIL-53(Fe)'s increased activity in part but that the intrinsic activity was mostly responsible (synergistic effect). The optimized sandwich-type aptasensor by a face-centered central composite design allows for the detection of cTnI (0.5 pg mL −1 ) with a broad dynamic range (2 pg mL −1 to 150 ng mL −1 ), addressing the clinical necessity of AMI diagnosis as well as exceptional selectivity among different biomarkers. The recommended method was effectively used to assess cTnI in AMI patient plasma, above 90% clinical sensitivity, highlighting the capability of the platform for bioanalysis in real-world samples.
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