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Dual-Biosensor for Five Drugs Detection in Precision Oncology
Francesca Rodino1, Myriam Briki1,2, Thierry Buclin2
1Bio/CMOS Interfaces Laboratory (BCI), École Polytechnique Fédérale de Lausanne, 2000 Neuchâtel, Switzerland.
Abstract:
The increasing demand for precision medicine, particularly in oncology, requires innovative solutions to address patient-specific inter-individual variability in drug response. Therapeutic drug monitoring (TDM) is crucial for optimizing treatment efficacy and minimizing toxic side effects, enabling precise dosage adjustments tailored to the patient's individual metabolic profile. Electrochemical biosensors offer a cost-effective, simple, and portable solution with rapid response times, making them ideal for point-of-care applications. In this work, we propose a novel dual-biosensor platform for TDM, designed to simultaneously detect multiple chemotherapeutic agents-cyclophosphamide, ifosfamide, etoposide, methotrexate, and 5-fluorouracil-for precision oncology. Following real clinical treatment scenarios, the system uses only two working electrodes integrated into a single electrochemical sensing platform, significantly reducing complexity and cost. By integrating MWCNTs with cytochrome P450 enzymes (CYP3A4 and CYP2B6), our platform achieves enhanced electron transfer and substrate specificity, enabling sensitive and selective detection of the five chemotherapeutic drugs, individually and in combination, within clinically relevant ranges. Designed for portability and rapid analysis, this dual-biosensor platform enables real-time, cost-effective drug monitoring at the point-of-care, advancing personalized cancer treatment with greater precision and accessibility.
Insights
This study introduces a novel dual-biosensor for real-time therapeutic drug monitoring (TDM) of multiple chemotherapy drugs. This point-of-care platform enhances precision oncology by enabling personalized cancer treatment.
Area of Science:
- Biomedical Engineering
- Analytical Chemistry
- Oncology
Background:
- Precision medicine in oncology requires monitoring patient-specific drug responses.
- Therapeutic drug monitoring (TDM) is vital for optimizing chemotherapy efficacy and minimizing toxicity.
- Electrochemical biosensors offer portable, rapid, and cost-effective solutions for point-of-care applications.
Purpose of the Study:
- To develop a novel dual-biosensor platform for simultaneous TDM of multiple chemotherapeutic agents.
- To enable real-time, cost-effective drug monitoring for personalized cancer treatment.
- To address patient-specific variability in drug response for improved oncology outcomes.
Main Methods:
- Integration of multi-walled carbon nanotubes (MWCNTs) with cytochrome P450 enzymes (CYP3A4 and CYP2B6).
- Development of a dual-electrode electrochemical sensing platform for simultaneous detection.
- Detection of cyclophosphamide, ifosfamide, etoposide, methotrexate, and 5-fluorouracil within clinically relevant ranges.
Main Results:
- The dual-biosensor platform demonstrated sensitive and selective detection of five key chemotherapeutic drugs.
- Enhanced electron transfer and substrate specificity were achieved through MWCNT-enzyme integration.
- The system successfully monitored drugs individually and in combination under simulated clinical conditions.
Conclusions:
- The proposed dual-biosensor platform provides a portable, rapid, and cost-effective solution for TDM in precision oncology.
- This technology facilitates real-time drug level assessment at the point-of-care, advancing personalized cancer therapy.
- The platform enhances the precision and accessibility of cancer treatment by enabling tailored dosage adjustments.
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