Development of an electrochemical DNA-based biosensor for the detection of the cardiovascular

Stephanie L Morais1, Júlia M C S Magalhães2, Valentina F Domingues1

  • 1REQUIMTE/LAQV, ISEP, Polytechnic of Porto, Rua Dr. António Bernardino de Almeida, 4249-015, Porto, Portugal.

Talanta
|June 5, 2023
PubMed

Insights

A novel DNA biosensor detects the CYP2C9*3 genetic polymorphism, crucial for warfarin dosing. This rapid, low-cost device aids in preventing adverse drug reactions like hemorrhage or thromboembolism in cardiovascular patients.

Area of Science:

  • Biomedical Engineering
  • Pharmacogenomics
  • Analytical Chemistry

Background:

  • Cardiovascular diseases are leading causes of death, with warfarin commonly prescribed as an anticoagulant.
  • Warfarin exhibits significant dose variability, increasing risks of bleeding or clotting due to factors like CYP2C9*3 genetic polymorphism.
  • Accurate, real-time detection of genetic variations influencing drug metabolism is essential for personalized medicine.

Purpose of the Study:

  • To develop a selective, rapid, and cost-effective electrochemical biosensor for detecting the CYP2C9*3 genetic polymorphism.
  • To enable pre-prescription warfarin dosing adjustments based on individual genetic profiles.
  • To mitigate risks associated with warfarin therapy, such as hemorrhage and thromboembolism.

Main Methods:

  • Designed specific DNA probes for wild-type (A) and variant (C) CYP2C9*3 alleles.
  • Immobilized DNA capture probes on screen-printed gold electrodes using a self-assembled monolayer.
  • Employed a sandwich assay format with enzymatic amplification for enhanced electrochemical detection via chronoamperometry.

Main Results:

  • Achieved a limit of detection of 42 pM for both target DNA sequences.
  • Demonstrated successful discrimination between synthetic DNA targets and denatured genomic DNA.
  • Validated the biosensor's ability to identify non-variant (A/A) and heterozygous (A/C) CYP2C9*3 genotypes.

Conclusions:

  • The developed disposable DNA-based biosensor offers a promising tool for rapid CYP2C9*3 genotyping.
  • This technology can facilitate personalized warfarin therapy, improving patient safety and treatment efficacy.
  • The biosensor's selectivity and sensitivity support its clinical application in pharmacogenetic testing.