Vairaperumal Tharmaraj, Liu Ping-Yen
Institute of Clinical Medicine, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
Division of Cardiology, Department of Internal Medicine, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
Kaohsiung J Med Sci. 2025 Mar;41(3):e12932. doi: 10.1002/kjm2.12932. Epub 2025 Jan 3.
Acute myocardial infarction (AMI) represents a critical health challenge characterized by a significant reduction in blood flow to the heart, leading to high rates of mortality and morbidity. Cardiac troponins, specifically cardiac troponin I and cardiac troponin T, are essential proteins involved in cardiac muscle contraction and serve as vital biomarkers for the diagnosis of AMI. Aptasensors utilize synthetic aptamers or peptides with high affinity for specific biomarkers and offer a promising approach for integration into portable, user-friendly point-of-care (POC) applications. This review explores recent advances in POC aptasensor-based platforms for the rapid detection of cardiac troponin biomarkers. Furthermore, this review addresses current challenges and potential future directions in the development of aptasensor. Also, it highlights their potential to improve timely and accurate diagnosis in clinical and emergency settings.
急性心肌梗死(AMI)是一项严峻的健康挑战,其特征是心脏血流显著减少,导致高死亡率和高发病率。心肌肌钙蛋白,特别是心肌肌钙蛋白I和心肌肌钙蛋白T,是参与心肌收缩的重要蛋白质,也是诊断AMI的重要生物标志物。适配体传感器利用对特定生物标志物具有高亲和力的合成适配体或肽,为集成到便携式、用户友好的即时检测(POC)应用中提供了一种很有前景的方法。本综述探讨了基于POC适配体传感器平台在快速检测心肌肌钙蛋白生物标志物方面的最新进展。此外,本综述还讨论了适配体传感器开发中当前面临的挑战和未来潜在的发展方向。同时,强调了它们在临床和急诊环境中改善及时准确诊断的潜力。