Al Abdullah Saqer, Najm Lubna, Ladouceur Liane, Ebrahimi Farbod, Shakeri Amid, Al-Jabouri Nadine, Didar Tohid F, Dellinger Kristen
Department of Nanoengineering, Joint School of Nanoscience and Nanoengineering, North Carolina A&T State University, 2907 East Gate City Boulevard, Greensboro, NC 27401, USA.
School of Biomedical Engineering, McMaster University, 1280 Main Street West, Hamilton, ON L8S 4L8, Canada.
Adv Funct Mater. 2023 Sep 12;33(37). doi: 10.1002/adfm.202302673. Epub 2023 May 24.
Alzheimer's disease (AD) is one of the main causes of dementia worldwide, whereby neuronal death or malfunction leads to cognitive impairment in the elderly population. AD is highly prevalent, with increased projections over the next few decades. Yet current diagnostic methods for AD occur only after the presentation of clinical symptoms. Evidence in the literature points to potential mechanisms of AD induction beginning before clinical symptoms start to present, such as the formation of amyloid beta (A) extracellular plaques and neurofibrillary tangles (NFTs). Biomarkers of AD, including A , A , and tau protein, amongst others, show promise for early AD diagnosis. Additional progress is made in the application of biosensing modalities to measure and detect significant changes in these AD biomarkers within patient samples, such as cerebral spinal fluid (CSF) and blood, serum, or plasma. Herein, a comprehensive review of the emerging nano-biomaterial approaches to develop biosensors for AD biomarkers' detection is provided. Advances, challenges, and potential of electrochemical, optical, and colorimetric biosensors, focusing on nanoparticle-based (metallic, magnetic, quantum dots) and nanostructure-based biomaterials are discussed. Finally, the criteria for incorporating these emerging nano-biomaterials in clinical settings are presented and assessed, as they hold great potential for enhancing early-onset AD diagnostics.
阿尔茨海默病(AD)是全球痴呆症的主要病因之一,神经元死亡或功能障碍会导致老年人群认知功能受损。AD极为常见,预计在未来几十年内其发病率还会上升。然而,目前AD的诊断方法仅在出现临床症状后才进行。文献证据表明,AD诱导的潜在机制在临床症状出现之前就已开始,例如β淀粉样蛋白(Aβ)细胞外斑块和神经原纤维缠结(NFTs)的形成。AD的生物标志物,包括Aβ、Aβ和tau蛋白等,有望用于AD的早期诊断。在应用生物传感方式来测量和检测患者样本(如脑脊液(CSF)、血液、血清或血浆)中这些AD生物标志物的显著变化方面也取得了进一步进展。本文全面综述了用于开发检测AD生物标志物的生物传感器的新兴纳米生物材料方法。讨论了电化学、光学和比色生物传感器的进展、挑战和潜力,重点关注基于纳米颗粒(金属、磁性、量子点)和基于纳米结构的生物材料。最后,提出并评估了将这些新兴纳米生物材料应用于临床的标准,因为它们在增强早发性AD诊断方面具有巨大潜力。