Department of Bio-convergence Engineering, Korea University, Seoul, 02841, Republic of Korea.
Interdisciplinary Program in Precision Public Health, Korea University, Seoul, 02841, Republic of Korea.
Small. 2024 Nov;20(47):e2402919. doi: 10.1002/smll.202402919. Epub 2024 Sep 2.
Multi-biomarker analysis can enhance the accuracy of the single-biomarker analysis by reducing the errors caused by genetic and environmental differences. For this reason, multi-biomarker analysis shows higher accuracy in early and precision diagnosis. However, conventional analysis methods have limitations for multi-biomarker analysis because of their long pre-processing times, inconsistent results, and large sample requirements. To solve these, a fast and accurate precision diagnostic method is introduced for lung cancer by multi-biomarker profiling using a single drop of blood. For this, surface-enhanced Raman spectroscopic immunoassay (SERSIA) is employed for the accurate, quick, and reliable quantification of biomarkers. Then, it is checked the statistical relation of the multi-biomarkers to differentiate between healthy controls and lung cancer patients. This approach has proven effective; with 20 µL of blood serum, lung cancer is diagnosed with 92% accuracy. It also accurately identifies the type and stage of cancer with 87% and 85%, respectively. These results show the importance of multi-biomarker analysis in overcoming the challenges posed by single-biomarker diagnostics. Furthermore, it markedly improves multi-biomarker-based analysis methods, illustrating its important impact on clinical diagnostics.
多生物标志物分析可以通过减少遗传和环境差异引起的误差来提高单生物标志物分析的准确性。出于这个原因,多生物标志物分析在早期和精准诊断中显示出更高的准确性。然而,由于预处理时间长、结果不一致和对大样本的需求,传统的分析方法在多生物标志物分析方面存在局限性。为了解决这些问题,我们引入了一种使用单滴血进行多生物标志物分析的快速、准确的肺癌精准诊断方法。为此,采用表面增强拉曼光谱免疫分析(SERSIA)来准确、快速、可靠地定量生物标志物。然后,检查多生物标志物的统计关系,以区分健康对照组和肺癌患者。该方法已被证明是有效的;使用 20µL 的血清,可以以 92%的准确率诊断肺癌。它还可以分别以 87%和 85%的准确率准确识别癌症的类型和阶段。这些结果表明,多生物标志物分析在克服单生物标志物诊断带来的挑战方面具有重要意义。此外,它显著改善了基于多生物标志物的分析方法,表明其对临床诊断具有重要影响。