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A multi-readout photonic sensor for rapid diagnosis of Von Willebrand disease. 用于血管性血友病快速诊断的多读出光子传感器。
Pub Date : 2026-01-01 Epub Date: 2026-02-02 DOI: 10.1038/s44328-025-00073-8
Jordan N Butt, Robert L Scott, Michael R Bryan, Daniel J Steiner, Rachele Bachmann, Bianca Santonastaso, Madelyn Gatchell, Majed Refaai, Benjamin L Miller

Von Willebrand Disease (VWD) is characterized by improper blood clotting, resulting from qualitative or quantitative changes in Von Willebrand factor (VWF). Diagnosis of VWD currently relies on measuring both the concentration of VWF and its activity by the binding ability to several different proteins, each of which are currently quantified separately. As such, the current diagnosis of VWD is complex and expensive, requiring multiple tests for a positive clinical determination. To address this challenge, we report a multiplexed biosensor that simultaneously measures VWF concentration and binding activity in plasma, enabling rapid diagnosis of VWD and discrimination among multiple subtypes. Using an 18-plex photonic ring resonator in a disposable, lateral flow assay-like format as the core technology, capture of VWF by an immobilized monoclonal antibody results in a red shift in resonance, which is referenced to a nonspecific binding control. Other ring resonators on the chip, functionalized with binding partners of VWF, allow simultaneous measurement of VWF binding to collagen, Factor VIII, and the GP1b receptor. Evaluation of a panel of 37 single-donor human plasma samples previously analyzed using FDA clinically approved assays demonstrated that the sensor has comparable concentration results and was able to accurately identify several categories of VWD (type 1, 2 A, and type 3).

血管性血友病(VWD)是由血管性血友病因子(VWF)的定性或定量变化引起的血液凝固不正常的疾病。目前,VWD的诊断依赖于测量VWF的浓度和其与几种不同蛋白质的结合能力的活性,每种蛋白质目前都是单独量化的。因此,目前对VWD的诊断既复杂又昂贵,需要多次检测才能得出阳性的临床结论。为了解决这一挑战,我们报道了一种多路生物传感器,可以同时测量血浆中VWF的浓度和结合活性,从而实现VWD的快速诊断和多种亚型的区分。使用一次性的18路光子环谐振器作为核心技术,通过固定的单克隆抗体捕获VWF导致共振红移,这参考了非特异性结合控制。芯片上的其他环形谐振器与VWF的结合伙伴功能化,可以同时测量VWF与胶原蛋白、因子VIII和GP1b受体的结合。对先前使用FDA临床批准的检测方法分析的37个单供体人血浆样本的评估表明,该传感器具有可比较的浓度结果,并且能够准确识别几种VWD(1型,2a型和3型)。
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引用次数: 0
Direct observation of small molecule activator binding to single PR65 protein. 直接观察小分子激活剂与单个PR65蛋白的结合。
Pub Date : 2025-01-01 Epub Date: 2025-01-16 DOI: 10.1038/s44328-024-00018-7
Annie Yang-Schulz, Maria Zacharopoulou, Sema Zeynep Yilmaz, Anupam Banerjee, Satyaki Saha, Daniel Nietlispach, Michael Ohlmeyer, Mert Gur, Laura S Itzhaki, Ivet Bahar, Reuven Gordon

The reactivation of heterotrimeric protein phosphatase 2A (PP2A) through small molecule activators is of interest to therapeutic intervention due to its dysregulation, which is linked to chronic conditions. This study focuses on the PP2A scaffold subunit PR65 and a small molecule activator, ATUX-8385, designed to bind directly to this subunit. Using a label-free single-molecule approach with nanoaperture optical tweezers (NOT), we quantify its binding, obtaining a dissociation constant of 13.6 ± 2.5 μM, consistent with ensemble fluorescence anisotropy results but challenging to achieve with other methods due to low affinity. Single-molecule NOT measurements reveal that binding increases optical scattering, indicating PR65 elongation. This interpretation is supported by all-atom molecular dynamics simulations showing PR65 adopts more extended conformations upon binding. This work highlights NOT's utility in quantifying binding kinetics and structural impact, offering insights valuable for drug discovery.

异三聚体蛋白磷酸酶2A (PP2A)通过小分子激活剂的再激活是治疗干预的兴趣,因为它的失调与慢性疾病有关。本研究的重点是PP2A支架亚基PR65和设计用于直接结合该亚基的小分子激活剂ATUX-8385。利用纳米孔径光镊(NOT)的无标记单分子方法,我们量化了它的结合,得到了13.6±2.5 μM的解离常数,与集合荧光各向异性结果一致,但由于亲和力低,其他方法难以实现。单分子NOT测量表明,结合增加了光学散射,表明PR65伸长。这一解释得到了全原子分子动力学模拟的支持,显示PR65在结合时采用了更广泛的构象。这项工作突出了NOT在定量结合动力学和结构影响方面的效用,为药物发现提供了有价值的见解。
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引用次数: 0
A method for blood pressure hydrostatic pressure correction using wearable inertial sensors and deep learning. 一种基于可穿戴惯性传感器和深度学习的血压静压校正方法。
Pub Date : 2025-01-01 Epub Date: 2025-01-31 DOI: 10.1038/s44328-024-00021-y
David A M Colburn, Terry L Chern, Vincent E Guo, Kennedy A Salamat, Daniel N Pugliese, Corey K Bradley, Daichi Shimbo, Samuel K Sia

Cuffless noninvasive blood pressure (BP) measurement could enable early unobtrusive detection of abnormal BP patterns, but when the sensor is placed on a location away from heart level (such as the arm), its accuracy is compromised by variations in the position of the sensor relative to heart level; such positional variations produce hydrostatic pressure changes that can cause swings in tens of mmHg in the measured BP if uncorrected. A standard method to correct for changes in hydrostatic pressure makes use of a bulky fluid-filled tube connecting heart level to the sensor. Here, we present an alternative method to correct for variations in hydrostatic pressure using unobtrusive wearable inertial sensors. This method, called IMU-Track, analyzes motion information with a deep learning model; for sensors placed on the arm, IMU-Track calculates parameterized arm-pose coordinates, which are then used to correct the measured BP. We demonstrated IMU-Track for BP measurements derived from pulse transit time, acquired using electrocardiography and finger photoplethysmography, with validation data collected across 20 participants. Across these participants, for the hand heights of 25 cm below or above the heart, mean absolute errors were reduced for systolic BP from 13.5 ± 1.1 and 9.6 ± 1.1 to 5.9 ± 0.7 and 5.9 ± 0.5 mmHg, respectively, and were reduced for diastolic BP from 15.0 ± 1.0 and 11.5 ± 1.5 to 6.8 ± 0.5 and 7.8 ± 0.8, respectively. On a commercial smartphone, the arm-tracking inference time was ~134 ms, sufficiently fast for real-time hydrostatic pressure correction. This method for correcting hydrostatic pressure may enable accurate passive cuffless BP monitors placed at positions away from heart level that accommodate everyday movements.

无袖带无创血压(BP)测量可以实现早期不显眼的异常血压模式检测,但是当传感器放置在远离心脏水平的位置(如手臂)时,其准确性会受到传感器相对于心脏水平位置变化的影响;这种位置变化会产生静水压力变化,如果不加以纠正,可导致测量血压波动数十毫米汞柱。校正静水压力变化的标准方法是使用将心脏液位计连接到传感器的大体积充满液体的管。在这里,我们提出了一种替代方法,以纠正变化的流体静压使用不显眼的可穿戴惯性传感器。这种方法被称为IMU-Track,它使用深度学习模型分析运动信息;对于安装在手臂上的传感器,IMU-Track计算参数化的手臂姿态坐标,然后使用这些坐标来校正测量的BP。我们展示了IMU-Track的血压测量方法,该方法是通过心电图和手指光体积脉搏图获得的脉搏传递时间,并收集了20名参与者的验证数据。在这些参与者中,对于手掌高度低于或高于心脏25厘米的人,收缩压的平均绝对误差分别从13.5±1.1和9.6±1.1降低到5.9±0.7和5.9±0.5 mmHg,舒张压的平均绝对误差分别从15.0±1.0和11.5±1.5降低到6.8±0.5和7.8±0.8。在商用智能手机上,手臂跟踪推断时间为~134 ms,足以实现实时静水压力校正。这种校正静水压力的方法可以使放置在远离心脏水平位置的精确被动无袖套血压监测仪适应日常运动。
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引用次数: 0
Metabolite microextraction on surface-enhanced Raman scattering nanofibres and D2O probing accelerate antibiotic susceptibility testing. 表面增强拉曼散射纳米纤维代谢物微提取和D2O探针加速了抗生素药敏试验。
Pub Date : 2025-01-01 Epub Date: 2025-06-02 DOI: 10.1038/s44328-025-00039-w
Malama Chisanga, Claudèle Lemay-St-Denis, Xinran Wei, Yuzhang Liang, Mengdi Lu, Wei Peng, Joelle N Pelletier, Jean-Francois Masson

Rapid antibiotic susceptibility tests (AST) are vital for the effective treatment of disease, necessitating the development of analytical tools to address unmet needs in healthcare. Leveraging the sensitivity of plasmonic nanosensors and isotopic labelling has the potential to accelerate AST. Here, we developed surface-enhanced Raman scattering (SERS)-based nanofibre sensors and heavy water [deuterium oxide (D2O)] labelling (SERS-DIP) for detecting the minimum inhibitory concentration (MIC) and AST for trimethoprim (TMP) against E. coli. SERS-DIP rapidly detected the MIC of TMP for the susceptible strain in 2 h. TMP-resistant cells retained the metabolic activity regardless of TMP levels, confirming the resistance phenotype. Kinetic analysis of D uptake by resistant cells treated with TMP (2 × MIC) revealed increasing D levels proportional to peak redshifts over time, confirmed by machine learning-driven data exploration. Our results demonstrate the utility of nanofibre-enabled SERS-DIP for robust AST, uncovering new spectral biomarkers that may impact clinical medicine.

快速抗生素敏感性试验(AST)对于有效治疗疾病至关重要,因此有必要开发分析工具来解决医疗保健方面未满足的需求。利用等离子体纳米传感器的灵敏度和同位素标记有可能加速AST。在这里,我们开发了基于表面增强拉曼散射(SERS)的纳米纤维传感器和重水[氧化氘(D2O)]标记(SERS- dip),用于检测甲氧苄啶(TMP)对大肠杆菌的最低抑制浓度(MIC)和AST。SERS-DIP在2 h内快速检测出敏感菌株TMP的MIC。无论TMP水平如何,耐TMP细胞都保持了代谢活性,证实了耐TMP表型。用TMP (2 × MIC)处理的耐药细胞对D摄取的动力学分析显示,随着时间的推移,D水平与峰值红移成正比,机器学习驱动的数据探索证实了这一点。我们的研究结果证明了纳米纤维支持的SERS-DIP对于强大的AST的实用性,揭示了可能影响临床医学的新的光谱生物标志物。
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引用次数: 0
Optical biosensors for diagnosing neurodegenerative diseases. 诊断神经退行性疾病的光学生物传感器。
Pub Date : 2025-01-01 Epub Date: 2025-05-02 DOI: 10.1038/s44328-025-00040-3
Khuong Duy Mac, Judith Su

Neurodegenerative diseases involve the progressive loss of neurons in the brain and nervous system, leading to functional decline. Early detection is critical for improving outcomes and advancing therapies. Optical biosensors, some of which offer rapid, label-free, and ultra-sensitive detection, have been applied to early diagnosis and drug screening. This review examines the principles and performance of different optical biosensors used for diagnosing neurodegenerative diseases and discusses potential future advancements.

神经退行性疾病涉及大脑和神经系统神经元的逐渐丧失,导致功能下降。早期发现对于改善结果和推进治疗至关重要。光学生物传感器,其中一些提供快速,无标签和超灵敏的检测,已应用于早期诊断和药物筛选。本文综述了用于诊断神经退行性疾病的不同光学生物传感器的原理和性能,并讨论了潜在的未来进展。
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引用次数: 0
A passive blood separation sensing platform for point-of-care devices. 一种用于即时护理设备的被动血液分离传感平台。
Pub Date : 2025-01-01 Epub Date: 2025-05-02 DOI: 10.1038/s44328-025-00038-x
Cameron Gilroy, Callum D Silver, Casper Kunstmann-Olsen, Lisa M Miller, Steven D Johnson, Thomas F Krauss

The blood test is one of the most performed investigations in clinical practice, with samples typically analysed in a centralised laboratory. Many of these tests monitor routine conditions that would benefit from a point-of-care approach, reducing the burden on practitioners, patients and healthcare systems. Such a decentralised model requires the development of sophisticated, yet easy-to-use technology; however, platforms that combine high-performance with low-cost and simplicity remain scarce. Moreover, most research papers only address a subset of requirements and study specific aspects in isolation. A systems approach that considers the interplay between each element of the technology is clearly required to develop a coherent solution. Here, we present such a systems approach in the context of testing for C-reactive protein (CRP), a commonly requested test in clinical practise that indicates inflammation and is particularly relevant for monitoring patients with chronic diseases, e.g. those with rheumatoid arthritis or who are undergoing cancer therapy. The approach we take here features an entirely passive microfluidic cartridge for blood separation, integrated with a high-performance sensing platform which we have tested in a real-world context. The device is compatible with a handheld detection unit and is simple to use yet can accurately detect CRP levels at clinically relevant levels.

血液检查是临床实践中进行最多的调查之一,通常在集中实验室对样本进行分析。许多这些检测监测常规情况,将受益于护理点的方法,减轻从业者,患者和医疗保健系统的负担。这种去中心化的模式需要开发复杂但易于使用的技术;然而,结合高性能、低成本和简单性的平台仍然很少。此外,大多数研究论文只涉及需求的一个子集,并孤立地研究特定方面。显然,开发连贯的解决方案需要考虑技术各元素之间相互作用的系统方法。在这里,我们在c反应蛋白(CRP)检测的背景下提出了这样的系统方法,c反应蛋白(CRP)是临床实践中常用的检测方法,用于指示炎症,特别适用于监测慢性疾病患者,例如类风湿关节炎患者或正在接受癌症治疗的患者。我们在这里采用的方法是一种完全被动的用于血液分离的微流体盒,与我们在现实环境中测试过的高性能传感平台相结合。该设备与手持检测装置兼容,使用简单,但可以准确检测临床相关水平的CRP水平。
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引用次数: 0
AI in SERS sensing moving from discriminative to generative. SERS 传感中的人工智能从判别型转向生成型。
Pub Date : 2025-01-01 Epub Date: 2025-02-21 DOI: 10.1038/s44328-025-00033-2
Steven M Quarin, Der Vang, Ruxandra I Dima, George Stan, Pietro Strobbia

This perspective discusses the present and future role of artificial intelligence (AI) and machine learning (ML) in surface-enhanced Raman scattering (SERS) sensing. Our goal is to guide the reader through current applications, mainly focused on discriminative approaches aimed at developing new and improved SERS diagnostic capabilities, towards the future role of AI in SERS sensing, with the use of generative approaches to design new materials and biomaterials.

这个观点讨论了人工智能(AI)和机器学习(ML)在表面增强拉曼散射(SERS)传感中的现在和未来的作用。我们的目标是引导读者了解当前的应用,主要集中在旨在开发新的和改进的SERS诊断能力的判别方法,以及人工智能在SERS传感中的未来作用,使用生成方法设计新材料和生物材料。
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引用次数: 0
Organic electrolyte gated field effect transistor for detecting alpha synuclein longitudinally in Parkinsonism mouse model. 有机电解质门控场效应晶体管在帕金森小鼠模型中纵向检测α -突触核蛋白。
Pub Date : 2025-01-01 Epub Date: 2025-11-07 DOI: 10.1038/s44328-025-00057-8
Srishti Johri, Dennis Chan, Roslyn S Massey, Daniel Knight, Maria C DeRosa, Matthew R Holahan, Ravi Prakash

Parkinson's Disease (PD) is an age-progressive disorder caused by misfolding of alpha-synuclein (α-Syn) that can begin years before clinical symptoms appear, making early diagnosis crucial for timely intervention. In this study, a novel antibody-functionalized Organic Electrolyte-Gated Field-Effect-Transistor (Ab-OEGFET) biosensor was implemented to detect α-Syn levels in blood serum samples from an A53T Transgenic (TG) mouse line. PD-like pathology was examined in blood serum using Ab-OEGFET devices and in brain tissue samples using Western Blot and immunohistochemistry. Different forms (monomeric, phosphorylated, oligomeric) of α-Syn were identified in low volumes of blood serum samples collected from TG and Wild Type (WT) populations of mice at ages 2, 5 and 8 months, and the biosensor response was correlated to Blot and immunohistochemistry results. The Ab-OEGFETs performance in this study is a promising result towards a minimally invasive blood biomarker-based multianalyte testing strategy for early screening of PD and similar neurodegenerative disease pathologies.

帕金森病(PD)是一种由α-突触核蛋白(α-Syn)错误折叠引起的年龄进行性疾病,可在临床症状出现前数年开始,因此早期诊断对于及时干预至关重要。本研究利用一种新型抗体功能化的有机电解质门控场效应晶体管(Ab-OEGFET)生物传感器检测A53T转基因(TG)小鼠血清样品中的α-Syn水平。使用Ab-OEGFET装置检测血清中pd样病理,使用Western Blot和免疫组织化学检测脑组织样本。在2、5和8月龄TG和野生型(WT)小鼠的低体积血清样本中鉴定出不同形式(单体、磷酸化、寡聚)的α-Syn,其生物传感器反应与Blot和免疫组织化学结果相关。在这项研究中,ab - oegfet的表现为一种基于血液生物标志物的微创多分析物检测策略提供了一个有希望的结果,可用于PD和类似神经退行性疾病病理的早期筛查。
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引用次数: 0
Plasmonic biosensors and actuators for integrated point-of-care diagnostics. 用于综合护理点诊断的等离子体生物传感器和执行器。
Pub Date : 2025-01-01 Epub Date: 2025-12-08 DOI: 10.1038/s44328-025-00050-1
Han Truong, Trung Hoang, Kyungwha Chung, Luke P Lee

Nanoplasmonic optical antennas function as sensors and actuators, facilitating rapid and selective on-site molecular diagnostics for personalized precision medicine. Here, we highlight advancements in plasmonic biosensors and actuators within point-of-care diagnostics platforms, including optical trapping, cell lysis and ultrafast photonic polymerase chain reaction. Furthermore, we discuss nanoplasmonic optical sensing technologies, and commercial optical diagnostic systems. Nanoplasmonic optical antennas are essential to photonic sample-to-answer systems, significantly enhancing advancing preventive, personalized, and precision medicine.

纳米等离子体光学天线作为传感器和致动器,为个性化精准医疗提供快速和选择性的现场分子诊断。在这里,我们重点介绍了等离子体生物传感器和执行器在即时诊断平台中的进展,包括光捕获、细胞裂解和超快光子聚合酶链反应。此外,我们还讨论了纳米等离子体光学传感技术和商用光学诊断系统。纳米等离子体光学天线是光子样品到应答系统必不可少的,它显著地促进了预防性、个性化和精准医学的发展。
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引用次数: 0
A same day α-synuclein RT-QuIC seed amplification assay for synucleinopathy biospecimens. 同日α-突触核蛋白RT-QuIC种子扩增法检测突触核蛋白病生物标本。
Pub Date : 2025-01-01 Epub Date: 2025-02-11 DOI: 10.1038/s44328-024-00023-w
Sabiha Parveen, Parvez Alam, Christina D Orrù, Sarah Vascellari, Andrew G Hughson, Wen-Quan Zou, Thomas G Beach, Geidy E Serrano, David S Goldstein, Bernardino Ghetti, Giovanni Cossu, Giada Pisano, Beatrice Pinna, Byron Caughey

Parkinson's disease (PD), dementia with Lewy bodies (DLB), and other synucleinopathies are characterized by the accumulation of abnormal, self-propagating aggregates of α-synuclein. RT-QuIC or seed amplification assays are currently showing unprecedented diagnostic sensitivities and specificities for synucleinopathies even in prodromal phases years in advance of the onset of Parkinsonian signs or dementia. However, commonly used α-synuclein seed amplification assays take ≥48 h to perform as applied to patients' diagnostic biospecimens. Here, we report the development of a faster α-synuclein RT-QuIC assay that is as analytically sensitive as prior assays of this type, but can be completed in ≤12 h for brain, skin, and intestinal mucosa, with positive signals often arising in <5 h. CSF assays took a few hours longer. Our same-day α-synuclein RT-QuIC (sdRT-QuIC) assay should increase the practicality, cost-effectiveness, and throughput of measurements of pathological forms of α-synuclein for fundamental research, clinical diagnosis, and therapeutics development.

帕金森病(PD)、路易体痴呆(DLB)和其他突触核蛋白病的特征是α-突触核蛋白异常、自我繁殖聚集体的积累。RT-QuIC或种子扩增检测目前显示出前所未有的诊断敏感性和特异性,甚至在帕金森症状或痴呆发作前几年的前驱期也能诊断出突触核蛋白病。然而,常用的α-突触核蛋白种子扩增检测在用于患者诊断性生物标本时需要≥48小时才能完成。在这里,我们报道了一种更快的α-突触核蛋白RT-QuIC检测方法的发展,该方法与先前的这种类型的检测方法一样具有分析敏感性,但可以在≤12小时内完成对脑、皮肤和肠粘膜的检测,阳性信号通常出现在
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引用次数: 0
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