Nucleic
acids, including circulating tumor DNA (ctDNA), microRNA,
and virus DNA/RNA, have been widely applied as potential disease biomarkers
for early clinical diagnosis. In this study, we present a concept
of DNA nanostructures transitions for the construction of DNA bipedal
walking nanomachine, which integrates dual signal amplification for
direct nucleic acid assay. DNA hairpins transition is developed to
facilitate the generation of multiple target sequences; meanwhile,
the subsequent DNA dumbbell-wheel transition is controlled to achieve
the bipedal walker, which cleaves multiple tracks around electrode
surface. Through combination of strand displacement reaction and digestion
cycles, DNA monolayer at the electrode interface could be engineered
and target-induced signal variation is realized. In addition, pH-assisted
detachable intermolecular DNA triplex design is utilized for the regeneration
of electrochemical biosensor. The high consistency between this work
and standard quantitative polymerase chain reaction is validated.
Moreover, the feasibilities of this biosensor to detect ctDNA and
SARS-CoV-2 RNA in clinical samples are demonstrated with satisfactory
accuracy and reliability. Therefore, the proposed approach has great
potential applications for nucleic acid based clinical diagnostics.