Department of Analytical Chemistry, Faculty of Chemical Sciences, Complutense University of Madrid, Madrid, 28040, Spain.
Chronic Disease Programme, UFIEC, Carlos III Health Institute, Majadahonda, Madrid, 28220, Spain.
J Pharm Biomed Anal. 2020 Sep 10;189:113437. doi: 10.1016/j.jpba.2020.113437. Epub 2020 Jun 21.
Neurodegenerative disorders (NDD), and particularly Alzheimer's disease (AD), are one of the greatest challenges facing our current medicine and society because of its increasing incidence and the high burden imposed both on patients' families and health systems. Despite this, their accurate diagnosis, mostly conducted by cerebrospinal fluid (CSF) analysis or neuroimaging techniques, costly, time-consuming, and unaffordable for most of the population, remains a complex task. In this situation, electrochemical biosensors are flourishing as promising alternative tools for the simple, fast, and low-cost diagnosis of NDD/AD. This review article provides the relevant clinical details of NDD/AD along with the closely related genetic (genetic mutations, polymorphisms of ApoE and specific miRNAs) and proteomic (amyloid-β peptides, total and phosphorylated tau protein) biomarkers circulating mostly in CSF. In addition, the article systematically enlightens a general view of the electrochemical affinity biosensors (mostly aptasensors and immunosensors) reported in the past two years for the determination of such biomarkers. The different developed strategies, analytical performances and applications are comprehensively discussed. Recent advancements in signal amplification methodologies involving smart designs and the use of nanomaterials and rational surface chemistries, as well as the challenges that must be struggled and the prospects in electrochemical affinity biosensing to bring more accessibility to NDD/AD diagnosis, prognosis, and follow-up, are also pointed out.
神经退行性疾病(NDD),尤其是阿尔茨海默病(AD),是当前医学和社会面临的最大挑战之一,因为其发病率不断增加,给患者家庭和医疗系统带来了沉重负担。尽管如此,其准确诊断——主要通过脑脊液(CSF)分析或神经影像学技术进行——仍然是一项复杂的任务,因为这些方法既昂贵又耗时,且大多数人无法负担。在这种情况下,电化学生物传感器作为一种简单、快速、低成本的 NDD/AD 诊断替代工具蓬勃发展。本文综述了 NDD/AD 的相关临床细节,以及与之密切相关的遗传(基因突变、ApoE 多态性和特定 miRNA)和蛋白质组(淀粉样β肽、总tau 蛋白和磷酸化 tau 蛋白)生物标志物,这些标志物主要在 CSF 中循环。此外,本文还系统地介绍了过去两年中用于测定这些生物标志物的电化学亲和生物传感器(主要是适体传感器和免疫传感器)的一般情况。全面讨论了不同的开发策略、分析性能和应用。还指出了电化学亲和生物传感在信号放大方法方面的最新进展,包括智能设计以及纳米材料和合理表面化学的应用,以及在实现 NDD/AD 诊断、预后和随访的更便捷性方面必须克服的挑战和前景。