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基于微型化电化学纳米生物传感器和微流控装置的临床相关样本中癌症诊断的范式转变。

Shifting paradigm of cancer diagnoses in clinically relevant samples based on miniaturized electrochemical nanobiosensors and microfluidic devices.

机构信息

Department of Biosciences and Bioengineering, Indian Institute of Technology Guwahati, Guwahati 781039, Assam, India.

Inter-disciplinary Laboratory of Clinical Neuroscience, Department of Psychiatry, Universidade Federal de Sao Paulo-UNIFESP, Sao Paulo, Brazil.

出版信息

Biosens Bioelectron. 2018 Feb 15;100:411-428. doi: 10.1016/j.bios.2017.09.003. Epub 2017 Sep 5.

Abstract

Cancer is one of leading causes of death in the world and occurs in more than two hundred types according to the National Cancer Institute. Its early diagnosis has been remained a prime focus amongst scientists and clinicians since long, not only to understand the complications but also to mitigate its chance of further proliferation. Nowadays, tremendous advances in nanotechnology-empowered diagnostics are serving a substantial input to identify biomarkers associated with various cancers. These biomarkers are found in different forms including overexpressed proteins/surface antigens, metabolites, miRNA, and the entire cell as well. Several approaches have been adopted to detect such cancer biomarkers, where electrochemical sensors have widely been appreciated due to its high sensitivity, selectivity, robustness, and miniaturized point-of-care cancer diagnostics. Due to its immense importance, the present review has been formulated describing classical concepts of cancer biomarker discovery followed by the recent status of electrochemical biosensors for cancer diagnoses. Particularly, we have summarized the state-of-the-art technologies based on potentiometric, impedimetric, amperometric, voltammetric biosensors for the detection of different biomarkers viz. protein, miRNA, whole cell and biomarkers generated by metabolic shift in response to carcinoma population. Apart from these, we have also highlighted different deliverable microfluidics-based approaches and recent prototypes for cancer detection. To put various perceptive insights on the recent advancements in cancer diagnostics, an extended table is incorporated, which includes sensor fabrication strategies, type of biomarkers, detection strategies, and analytical performance of the cancer biosensor since last five years (2013-2017).

摘要

癌症是世界上主要的死亡原因之一,根据美国国家癌症研究所的说法,它有超过 200 种类型。自很久以前以来,癌症的早期诊断一直是科学家和临床医生的主要关注点,不仅要了解其并发症,还要降低其进一步扩散的机会。如今,纳米技术驱动的诊断技术取得了巨大进展,为识别与各种癌症相关的生物标志物提供了实质性的投入。这些生物标志物以不同的形式存在,包括过度表达的蛋白质/表面抗原、代谢物、miRNA 和整个细胞。已经采用了几种方法来检测此类癌症生物标志物,其中电化学传感器由于其高灵敏度、选择性、鲁棒性和小型化的即时癌症诊断而得到广泛认可。由于其重要性,本综述描述了癌症生物标志物发现的经典概念,以及电化学生物传感器在癌症诊断中的最新进展。特别是,我们总结了基于电势、阻抗、电流和伏安生物传感器的最新技术,用于检测不同的生物标志物,如蛋白质、miRNA、整个细胞和代谢物产生的生物标志物,以响应癌群体。除此之外,我们还强调了不同的可交付微流控方法和最近用于癌症检测的原型。为了更全面地了解癌症诊断的最新进展,我们还纳入了一个扩展表,其中包括自 2013 年至 2017 年以来,癌症生物传感器的传感器制造策略、生物标志物类型、检测策略和分析性能。

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