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Updated: Jun 6, 2025

Single Droplet Digital Polymerase Chain Reaction for Comprehensive and Simultaneous Detection of Mutations in Hotspot Regions
Published on: September 25, 2018
Enzyme-assisted upconversion fluorescence-encoded biosensing system for simultaneous detection of multiple sites EGFR
Haiyang Gao1, Gao Si2, Zhendong Wang1
1Pharmacy College, Henan University of Chinese Medicine, Zhengzhou, 450046, PR China.
This study presents a novel fluorescent biosensing system for rapid, simultaneous detection of two key epidermal growth factor receptor (EGFR) mutations, L858R and 19Del, crucial for non-small cell lung cancer diagnosis and treatment.
Area of Science:
- Biomedical Engineering
- Nanotechnology
- Molecular Diagnostics
Background:
- Epidermal growth factor receptor (EGFR) mutations are critical drivers in various cancers, necessitating rapid detection for effective patient treatment.
- Accurate identification of specific EGFR mutations, such as L858R and 19Del, guides personalized therapy in non-small cell lung cancer (NSCLC).
Purpose of the Study:
- To develop a highly sensitive fluorescent biosensing system for simultaneous detection of L858R and 19Del EGFR mutations.
- To enhance signal amplification through lanthanide ion-doped upconversion nanoparticles (UCNPs) and polymerization reactions.
Main Methods:
- Preparation of two distinct UCNPs (NaYF4:Yb,Er and NaYF4:Yb,Tm) with unique fluorescence profiles.
- Signal amplification via cDNA hybridization, atom transfer radical polymerization (ATRP), and magnetic bead separation.
- Detection of mutations by analyzing characteristic upconversion fluorescence spectra after enzymatic cleavage.
Main Results:
- Simultaneous quantitative detection of L858R and 19Del mutations with a wide detection range (10 fM to 10 nM).
- Achieved ultra-low detection limits: 2.44 fM for L858R and 2.13 fM for 19Del.
- Demonstrated effective differentiation from wild-type and other mutations, with results consistent with qPCR.
Conclusions:
- The developed UCNP-based biosensing system offers high sensitivity and specificity for simultaneous EGFR mutation detection.
- This technology shows significant potential for early diagnosis and precision treatment of NSCLC.
- The system's performance supports its application in clinical diagnostics and personalized cancer therapy.
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