Disposable electrochemical immunosensor for analysis of cystatin C, a CKD biomarker
Paula Lopes1, Estefanía Costa-Rama1, Idalina Beirão2
1REQUIMTE/LAQV, Instituto Superior de Engenharia do Porto, Instituto Politécnico, Rua Dr. António Bernardino de Almeida 431, 4200-072, Porto, Portugal.
Insights
A novel immunosensor accurately detects cystatin C (CysC), a key biomarker for chronic kidney disease (CKD). This cost-effective biosensor offers a sensitive and precise tool for improved CKD diagnosis and patient care.
Area of Science:
- Biomedical Engineering
- Analytical Chemistry
- Clinical Diagnostics
Background:
- Cystatin C (CysC) monitoring is crucial for diagnosing and understanding diseases like chronic kidney disease (CKD).
- Despite its correlation with CKD risk and progression, CysC's clinical application remains limited.
Purpose of the Study:
- To develop a simple, sensitive, and cost-effective immunosensor for CysC detection.
- To validate the immunosensor's performance for potential clinical use in CKD management.
Main Methods:
- Development of an immunosensor utilizing screen-printed electrodes and a sandwich immunoassay.
- Optimization of sensor conditions for enhanced sensitivity and linear detection range.
- Validation of sensor accuracy by comparing CysC quantification in CKD serum samples with a standard nephelometric immunoassay.
Main Results:
- The immunosensor demonstrated a linear detection range of 10-100 ng/mL with a low detection limit of 6.0 ng/mL.
- High sensitivity (6.4 ± 0.3 μA ng⁻¹mL⁻² cm⁻²) and precision (RSD ≤ 6.2%) were achieved.
- CysC levels measured by the immunosensor in CKD serum samples correlated well with results from a particle-enhanced nephelometric immunoassay.
Conclusions:
- The developed immunosensor is a promising tool for the rapid, sensitive, and cost-effective detection of CysC.
- This technology has the potential to significantly improve diagnostic capabilities and patient care for individuals with CKD.
- The immunosensor's performance suggests its suitability for clinical applications.
Abstract:
Specific monitoring of cystatin C (CysC) levels in biological fluids is critical for diagnosis, treatment and mechanistic understanding of a spectrum of diseases, particularly chronic kidney disease (CKD). Despite evidences that CysC correlates with the high risk and/or progression of CKD, its use in clinical practice is still scarce. In this context, we report the development of a simple and sensitive immunosensor for the detection of CysC. The biosensor combines the technology of cost-effective screen-printed electrodes with the high specificity of a sandwich immunoassay. Optimized conditions showed that the sensor operates in a linear range between 10 and 100 ng mL-1, with a detection limit and a sensitivity of 6.0 ng mL-1 and 6.4 ± 0.3 μA ng mL-1 cm-2, respectively. Moreover, the sensor provided precise results (RSD ≤ 6.2%) and the quantification of CysC in CKD serum samples revealed to be in agreement with the values obtained by a particle-enhanced nephelometric immunoassay. In this light, the proposed immunosensor qualifies for clinical application, constituting a step forward in the development of fast, sensitive and cost-effective diagnostic tools that can improve the current medical care settings of CKD patients.
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