4.7 Review

Advances in the development paradigm of biosample-based biosensors for early ultrasensitive detection of alzheimer's disease

Journal

JOURNAL OF NANOBIOTECHNOLOGY
Volume 19, Issue 1, Pages -

Publisher

BMC
DOI: 10.1186/s12951-021-00814-7

Keywords

Alzheimer's disease; Biosample; Biomarker; Biosensor; Early detection

Funding

  1. National Research Foundation of Korea - Ministry of Science and ICT [NRF-2020R1A4A2002817, 2018R1D1A3B07047434, 2019R1I1A3A01060695]
  2. National Research Foundation of Korea [2018R1D1A3B07047434, 2019R1I1A3A01060695] Funding Source: Korea Institute of Science & Technology Information (KISTI), National Science & Technology Information Service (NTIS)

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This review discusses the current progress, challenges, and future directions of using invasive and noninvasive biosample-based small biosensors for early diagnosis of Alzheimer's disease with specific biomarkers. Various detection scales, biosamples, sensor types, and analyzing techniques for ultrasensitive detection of AD biomarkers are highlighted, along with future trends in enhancing sensor sensitivity and discovering new biomarker types using non-invasive body fluids.
This review highlights current developments, challenges, and future directions for the use of invasive and noninvasive biosample-based small biosensors for early diagnosis of Alzheimer's disease (AD) with biomarkers to incite a conceptual idea from a broad number of readers in this field. We provide the most promising concept about biosensors on the basis of detection scale (from femto to micro) using invasive and noninvasive biosamples such as cerebrospinal fluid (CSF), blood, urine, sweat, and tear. It also summarizes sensor types and detailed analyzing techniques for ultrasensitive detection of multiple target biomarkers (i.e., amyloid beta (A beta) peptide, tau protein, Acetylcholine (Ach), microRNA137, etc.) of AD in terms of detection ranges and limit of detections (LODs). As the most significant disadvantage of CSF and blood-based detection of AD is associated with the invasiveness of sample collection which limits future strategy with home-based early screening of AD, we extensively reviewed the future trend of new noninvasive detection techniques (such as optical screening and bio-imaging process). To overcome the limitation of non-invasive biosamples with low concentrations of AD biomarkers, current efforts to enhance the sensitivity of biosensors and discover new types of biomarkers using non-invasive body fluids are presented. We also introduced future trends facing an infection point in early diagnosis of AD with simultaneous emergence of addressable innovative technologies.

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