Phan Le Minh Tu, Hoang Thi Xoan, Vo Thuy Anh Thu, Kim Jae Young, Lee Sang-Myung, Cho Won Woo, Kim Young Hyo, Choi Seong Hye, Cho Sungbo
Department of Electronic Engineering, Gachon University, Seongnam-si 13120, Gyeonggi-do, Korea.
School of Medicine and Pharmacy, The University of Danang, Danang 550000, Vietnam.
Diagnostics (Basel). 2020 Nov 8;10(11):913. doi: 10.3390/diagnostics10110913.
Emerging nanomaterials providing benefits in sensitivity, specificity and cost-effectiveness are being widely investigated for biosensors in the application of Alzheimer's disease (AD) diagnosis. Core biomarkers amyloid-beta (Aβ) and Tau have been considered as key neuropathological hallmarks of AD. However, they did not sufficiently reflect clinical severity and therapeutic response, proving the difficulty of the Aβ- and Tau-targeting therapies in clinical trials. In recent years, there has still been a shortage of sensors for non-Aβ-Tau pathophysiological biomarkers that serve as advanced reporters for the early diagnosis of AD, predict AD progression, and monitor the treatment response. Nanomaterial-based sensors measuring multiple non-Aβ-Tau biomarkers could improve the capacity of AD progression characterization and supervised treatment, facilitating the comprehensive management of AD. This is the first review to principally represent current nanobiosensors for non-Aβ-Tau biomarker and that strategically deliberates future perspectives on the merit of non-Aβ-Tau biomarkers, in combination with Aβ and Tau, for the accurate diagnosis and prognosis of AD.
在阿尔茨海默病(AD)诊断应用中,因在灵敏度、特异性和成本效益方面具有优势而正在被广泛研究的新型纳米材料被用于生物传感器。核心生物标志物β-淀粉样蛋白(Aβ)和 Tau 蛋白已被视为 AD 的关键神经病理学特征。然而,它们并未充分反映临床严重程度和治疗反应,这证明了针对 Aβ 和 Tau 的靶向治疗在临床试验中的困难。近年来,仍缺乏用于非 Aβ-Tau 病理生理学生物标志物的传感器,这些生物标志物可作为 AD 早期诊断的先进报告物、预测 AD 进展并监测治疗反应。基于纳米材料的传感器可测量多种非 Aβ-Tau 生物标志物,这可能会提高对 AD 进展特征化和监督治疗的能力,促进 AD 的综合管理。这是第一篇主要介绍用于非 Aβ-Tau 生物标志物的当前纳米生物传感器的综述,并且从战略角度探讨了结合 Aβ 和 Tau 的非 Aβ-Tau 生物标志物在 AD 准确诊断和预后方面的优点的未来前景。