Recent Electrochemical Advancements for Liquid-Biopsy Nucleic Acid Detection for Point-of-Care Prostate Cancer Diagnostics and Prognostics

Biosensors Pub Date : 2024-09-14 DOI:10.3390/bios14090443
Joseph Broomfield, Melpomeni Kalofonou, Charlotte L. Bevan, Pantelis Georgiou
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Abstract

Current diagnostic and prognostic tests for prostate cancer require specialised laboratories and have low specificity for prostate cancer detection. As such, recent advancements in electrochemical devices for point of care (PoC) prostate cancer detection have seen significant interest. Liquid-biopsy detection of relevant circulating and exosomal nucleic acid markers presents the potential for minimally invasive testing. In combination, electrochemical devices and circulating DNA and RNA detection present an innovative approach for novel prostate cancer diagnostics, potentially directly within the clinic. Recent research in electrochemical impedance spectroscopy, voltammetry, chronoamperometry and potentiometric sensing using field-effect transistors will be discussed. Evaluation of the PoC relevance of these techniques and their fulfilment of the WHO’s REASSURED criteria for medical diagnostics is described. Further areas for exploration within electrochemical PoC testing and progression to clinical implementation for prostate cancer are assessed.
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用于护理点前列腺癌诊断和预后的液体活检核酸检测的最新电化学进展
目前的前列腺癌诊断和预后检测需要专门的实验室,而且对前列腺癌检测的特异性较低。因此,用于前列腺癌护理点(PoC)检测的电化学设备的最新进展引起了人们的极大兴趣。对相关循环和外泌体核酸标记物的液态活检检测为微创检测提供了可能。电化学设备与循环 DNA 和 RNA 检测相结合,为新型前列腺癌诊断提供了一种创新方法,有可能直接用于临床。将讨论电化学阻抗光谱、伏安法、时变法和使用场效应晶体管的电位传感方面的最新研究。还将介绍对这些技术的 PoC 相关性及其是否符合世界卫生组织的 REASSURED 医学诊断标准进行的评估。此外,还评估了在电化学PoC测试和前列腺癌临床应用方面的进一步探索领域。
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