Department of Pathology, The Affiliated Hospital of Yangzhou University, Yangzhou University, Yangzhou, People's Republic of China.
Institute of Translational Medicine, Medical College, Yangzhou University, Yangzhou, People's Republic of China.
Int J Nanomedicine. 2023 Jun 23;18:3429-3442. doi: 10.2147/IJN.S411395. eCollection 2023.
As the most common malignant tumor in the world, the prognosis of patients with advanced lung cancer remains poor even after treatment. There are many prognostic marker assays available, but there is still more room for the development of high-throughput and sensitive detection of circulating tumor DNA (ctDNA). Surface-enhanced Raman spectroscopy (SERS), a spectroscopic detection method that has received wide attention in recent years, can achieve exponential amplification of Raman signals by using different metallic nanomaterials. Integrating SERS with signal amplification strategy into the microfluidic chip and applying it to ctDNA detection is expected to be an effective tool for the prognosis of lung cancer treatment effect in the future.
To construct a high-throughput SERS microfluidic chip integrated with enzyme-assisted signal amplification (EASA) and catalytic hairpin self-assembly (CHA) signal amplification strategies, using hpDNA-functionalized Au nanocone arrays (AuNCAs) as capture substrates and cisplatin-treated lung cancer mice to simulate the detection environment for sensitive detection of ctDNA in serum of lung cancer patients after treatment.
The SERS microfluidic chip constructed by this scheme, with two reaction zones, can simultaneously and sensitively detect the concentrations of four prognostic ctDNAs in the serum of three lung cancer patients with a limit of detection (LOD) as low as the aM level. The results of the ELISA assay are consistent with this scheme, and its accuracy is guaranteed.
This high-throughput SERS microfluidic chip has high sensitivity and specificity in the detection of ctDNA. This could be a potential tool for prognostic assessment of lung cancer treatment efficacy in future clinical applications.
作为世界上最常见的恶性肿瘤,即使经过治疗,晚期肺癌患者的预后仍然较差。有许多预后标志物检测方法,但仍有更多的空间用于开发高通量和敏感的循环肿瘤 DNA(ctDNA)检测。表面增强拉曼光谱(SERS)是近年来受到广泛关注的光谱检测方法,它可以通过使用不同的金属纳米材料实现拉曼信号的指数放大。将 SERS 与信号放大策略集成到微流控芯片中,并将其应用于 ctDNA 检测,有望成为未来肺癌治疗效果预后的有效工具。
构建一种高通量的 SERS 微流控芯片,集成酶辅助信号放大(EASA)和催化发夹自组装(CHA)信号放大策略,使用 hpDNA 功能化的 Au 纳米锥阵列(AuNCAs)作为捕获底物,并用顺铂处理的肺癌小鼠模拟检测环境,用于敏感检测治疗后肺癌患者血清中的 ctDNA。
该方案构建的 SERS 微流控芯片,具有两个反应区,能够同时灵敏地检测三名肺癌患者血清中四种预后 ctDNA 的浓度,检测限(LOD)低至 aM 水平。ELISA 检测结果与该方案一致,保证了其准确性。
这种高通量 SERS 微流控芯片在 ctDNA 检测中具有高灵敏度和特异性。它可能成为未来临床应用中评估肺癌治疗效果预后的潜在工具。