Background
Diabetes mellitus is a chronic endocrine disorder marked by an imbalance in blood glucose levels. Emerging clinical evidence suggests that abnormal insulin levels often precede elevated glucose concentrations, highlighting insulin as a critical biomarker for both diabetes and prediabetes. Accurate insulin detection is therefore essential for early diagnosis, especially in point-of-care settings. However, insulin circulates in the blood at much lower concentrations (pM to nM range) compared to glucose (mM range), and thus traditional insulin detection methods remain challenging while relying on bulky instruments.
Results
This study developed two innovative dumbbell probe-based rolling circle amplification (RCA) assays (signal-off and signal-on) for insulin detection with high specificity and stability. In the signal-off method, the aptamer IGA3, upon binding to insulin, inhibits the RCA reaction, leading to a reduced fluorescence signal that enables insulin quantification. It exhibited a linear response to insulin concentrations ranging from 50 pg mL−1 to 8 ng mL−1 in solution, with a detection limit of 2.5 ng mL−1 on microfluidic paper-based analytical devices (μPADs). In the signal-on method, IGA3 was immobilized on magnetic beads and hybridized with a partially complementary fragment (OPC10) to form a biological recognition element. Insulin binding to IGA3 competitively releases OPC10, triggering the RCA reaction and amplifying the fluorescence signal for insulin detection. It demonstrated a linear response to insulin concentrations from 20 pg mL−1 to 2 ng mL−1 in solution, with a detection limit of 1 ng mL−1 on μPADs.
Significance
For the first time, dumbbell probe-based rolling circle amplification assays have been successfully implemented on microfluidic paper-based analytical devices for highly sensitive and specific insulin detection. Combined with glucose detection, this insulin assay in a signal-on or signal-off mode offers a novel, simple strategy for the early diagnosis of diabetes and prediabetes in point-of-care settings.
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