Sep 2026· Clinica chimica acta; international journal of clinical chemistry· pp.
121332
· 0 citations· 61 references
Medicine
TL;DR
Phage-based biosensors have great potential for use in the early identification of disease, which would provide viable alternatives to liquid biopsy as well as point-of-care testing techniques for early identification of cancers.
Abstract
Early cancer identification is necessary to reduce mortality. Traditional methods for identifying cancers can be problematic. Tissue biopsies are invasive procedures, and immunoassays vary widely in their sensitivity while requiring complex laboratory instrumentation. Therefore, there is a need for portable, rapid, and noninvasive point-of-care stations. Phage-based biosensors have emerged as a means to satisfy the requirements for these types of tools. This article examines phage-based biosensors in three categories: electrochemical, optical, and acoustic. Electrochemical sensors utilize label-free (EIS, SWV) methodologies to achieve highly sensitive detection of circulating tumor cells and cancer biomarkers. Optical biosensors utilizing either quantum dots or liquid crystals can provide up to 20-fold greater sensitivity than ELISA tests. Acoustic biosensors utilizing piezoelectric resonators can deliver results rapidly (< 5 min) and portably. In addition, arrays of phage can be utilized in conjunction with deep learning technologies to facilitate early and noninvasive detection of lung cancer through breath analysis of volatile organic compounds. Additional advantages of using phage-based biosensors include: very high stability, low cost of production, genetically tailorability, and usability across different applications, which would provide viable alternatives to liquid biopsy as well as point-of-care testing techniques for early identification of cancers. While clinical validation and multiplexing are currently recognized as areas that require further refinement/development within this field, phage-based sensors have great potential for use in the early identification of disease.
This review summarizes relevant biosensor types, including electrochemical, optical, mass-sensitive, microfluidic, nano-biosensors (recently developed), and hydrogel-based systems with discussion of their underlying analytical principles and performance for clinically important cancer biomarkers.
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Breast cancer is a complex heterogeneous disease that continues to impose a substantial global burden on women's health. Analysis of ESR1 gene expression using non-invasive liquid biopsy has significant prognostic value, serving as an indicator of poor prognosis and overall survival (OS) in patients with ER+/HER-2- (Es...
Alaa Abdelmohaymen Khalil, Waleed O Arafat, A. F. El-Bab et al.· Bioelectrochemistry· 0 citations
A minimally invasive low-cost paper-based point-of-care electrochemical sensing platform has been developed for early-stage detection of breast cancer and offers significant advantages, including affordability, ease of use, rapid response, and quantitative detection capability.
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