Abstract
To reduce the high mortality rates caused by ovarian cancer, creating high-sensitivity, quick, basic, and inexpensive methods for following cancer antigen 125 (CA-125) levels in blood tests is of extraordinary significance. CA-125 is known as the exclusive glycoprotein employed in clinical examinations to monitor and diagnose ovarian cancer and detect its relapses as a tumor marker. Elevated concentrations of this antigen are linked to the occurrence of ovarian cancer. Herein, we designed organohydrogels (ONOHs) for identifying the level of CA-125 antigen at fast and high sensitivity with electrochemical strategies in a serum medium. The ONOH structures are synthesized with glycerol, agar, and glutaraldehyde and at distinct ratios of onion oil, and then, the ONOHs are characterized with Fourier transform infrared spectroscopy (FTIR) and scanning electron microscope (SEM). Electrochemical measurements are performed by cyclic voltammetry (CV), differential pulse voltammetry (DPV), and electrochemical impedance spectroscopy (EIS) in the absence and presence of CA-125 on the designed ONOHs. For the prepared ONOH-3 electrode, two distinct linear ranges are determined as 0.41–8.3 and 8.3–249.0 U/mL. The limit of quantitation and limit of detection values are calculated as 2.415 and 0.805 μU/mL, respectively, (S/N = 3). These results prove that the developed electrode material has high sensitivity, stability, and selectivity for the detection of the CA-125 antigen. In addition, this study can be reasonable for the practical detection of CA125 in serum, permitting early cancer diagnostics and convenient treatment.
1. Introduction
Tumor markers are structures produced by cancer tumors themselves or as a response to cancer in the presence of cancer by the body. In addition, these structures could be produced against neoplastic conditions like inflammation. Tumor markers containing hormones and several groups of glycoproteins such as enzymes, receptors, and oncofetal antigens could be found in tissues and various body fluids like blood and urine.1−4 Recently, the detection of tumor markers in the blood has become an important subject in cancer research, particularly in monitoring the condition during and after treatment, as well as evaluating the diagnosis and treatment of cancer patients.5 Tumor markers are used for the early diagnosis of cancer in asymptomatic patients.6 Different methods such as chemiluminescence,7,8 enzyme-linked immunosorbent assay (ELISA),9 mass spectrometry,10 array-based optical liquid-crystal (LC) immunodetection,11 fluorescence,12 and immunoradiometric assay13 have been used to detect tumor markers. However, these methods are time-consuming, expensive, labor-intensive, complex, tedious, and not appropriate for nonpoint-of-care applications. Therefore, detecting tumor markers is vital to the development and application of high-sensitivity, fast, and inexpensive detection methods.14−16 Electrochemical sensors (ESs) are of important interest due to their superior features such as rapid return, low cost, simplicity, easy portability, miniaturization, and high sensitivity.17,18
Ovarian cancer is the leading reason for death among female diseases due to its metastasis and recurrence depending on the late diagnosis.19 Almost all malignant and benign ovarian tumors emerge from one of the stromal, germ, and epithelial cells.20 When ovarian cancer is detected early, it can be treated with surgery followed by nonplatinum and platinum chemotherapy.21 Cancer antigen 125 (CA-125) is a submember of the MUCIN 16 family, which is used as a tumor marker of ovarian cancer and could be found at levels between 0.0 and 35.0 U/mL in blood samples.22 Different materials such as cacao oil-based organohydrogels (ONOHs),23 polyanthranilic acid (PAA)-modified glassy carbon screen-printed electrode (GSPE),24 sweet almond oil-based ONOHs,25 ZnO nanorod-Au nanoparticle (NP) nanohybrids,26 AuNPs/screen-printed gold electrode (SPGE),27 benzothiophene derivatives,28−30 and nonimprinted gold nanoelectrode ensemble (GNEE)31 have been used to increase the sensitivity of ES against CA-125. Further, Torati et al. reported that an ES was developed by using the Au nanostructure-modified electrode to detect CA-125. This sensor was found to indicate a good response to detect CA-125 with a 10–100 U/mL concentration range and 5.5 U/mL low detection limit values.32 In another study, Zheng et al. developed an ES by employing Prussian blue-platinum nanoparticles (PB-PtNPs). These PB-PtNPs were incorporated into a polyaniline (PANI) hydrogel to obtain PB-PtNPs-PANI and further enhance the signal. In order to further improve electrical conductivity and immobilize antibody, gold nanoparticles (AuNPs) were deposited on the surface of the PB-PtNPs-PANI hydrogel (Au-PB-PtNPs-PANI hydrogel) and were transferred on the glassy carbon electrode (GCE) to obtain PB-PtNPs-PANI hydrogel/GCE electrode. This electrode was found to exhibit high sensitivity for CA-125 with 4.4 mU/mL detection limit and a wide concentration range of 0.01–5000 U/mL.33
In this study, a novel approach was employed to detect the CA-125 cancer biomarker in serum medium using ESs with onion oil-based ONOHs. Different material-based ESs to detect CA-125 with high sensitivity and selectivity are reported in the literature. This study marks the first instance in the literature in which onion oil-based ONOHs were investigated for the detection of biomarkers with an ES. Hydrogels are structures that represent a large group of materials consisting of hydrophilic matrices that can absorb water at a high rate. The hydrogels offer great potential for healthcare and diagnostic applications due to their nontoxicity, biodegradability, and biocompatibility features.34,35 Hydrogels have been applied in many areas like separation matrices,36 enzyme carriers,37 and biomedical applications, which consist of drug delivery,38 biosensing,39 bone regeneration,40 immunotherapy,41 and tissue engineering.42 ONOHs are gels formed by physical or chemical cross-links of synthetic or naturally derived molecules, and these gels draw significant attention in drug delivery, nanopatterning, and photonics applications.43−46 These are synthesized by dispersing immiscible hydrophobic–hydrophilic polymer networks or hydrophilic polymer networks in a water–organic solvent system. These structures have great potential for smart material application areas due to their superior properties such as water retention and antifreezing, adjustable surface wettability, and solvent resistance. Herein, the synthesis of onion oil-based ONOHs was carried out using agar, glycerol, onion oil, and GA cross-linker through a free radical polymerization process. It is known that high concentrations of 1-methyl-2-propyldisulfane, 1,3-dipropyltrisulfane, and 3-((ethyltrisulfanyl)methyl)-3,4-dihydro-2H-thiopyran structures have been found in onion oil.47 The ES, which was developed using onion oil-based ONOHs without antibiomarkers, exhibited superior sensitivity, stability, and a wide linear range compared to those of the ESs documented in existing literature (Table 1).
Table 1. Performances of Distinct Electrode Systems Used to Detect CA-125 Compiled from Literature.
biomarker | sensor | concentration range | detection limit | ref. |
---|---|---|---|---|
CA-125 | Ag NPs-GQDs/Ab/BSA/Ag | 0.01 U/mL | 0.01–400 U/mL | (58) |
CA-125 | Co(bpy)33+/MWNTs-Nafion/GC | 1–30 U/mL 30–150 U/mL | 0.36 U/mL | (59) |
CA-125 | FA@H-PANI@CS-HCl | 0.25 pg/mL | 0.001–25 ng/mL | (60) |
CA-125 | Ab2–Ag–Ab1/Au-VBG/BDD/Ta | 0.09 mU/mL | 0.5–100 U/mL | (61) |
CA-125 | MOF-808/CNT/GCE | 0.001–0.1 ng/mL 0.1–30 ng/mL | 0.5 pg/mL | (62) |
CA-125 | BSA/Ab/Au NPs/Cys A/ERGO-P(DA)-GCE | 0.1 U/mL | 0.1–400 U/mL | (63) |
CA-125 | Au-PB-PtNP-PANI hydrogel/GCE | 0.01–5000 U/mL | 4.4 mU/mL | (33) |
CA-125 | MPA/AuNPs@SiO2/QD/mAb | 0–0.1 U/mL | 0.0016 U/mL | (49) |
CA-125 | CuO nanoflakes | 0.77–500 IU/mL | 0.77 IU/mL | (64) |
CA-125 | ONOHs | 0.41–8.3 U/mL | 0.805 μU/mL | this study |
8.3–249 U/mL |
2. Materials and Methods
2.1. Materials
Chemicals like dopamine (98%), agar (99%), glutaraldehyde (GA) (50% in H2O), d-glucose (99.5%), methylene bis(acrylamide) (MBA) (99%), uric acid (≥99%), ethanol (≥99.8%), potassium chloride (KCl) (≥99%), glycerol (≥99%), acetone (≥99.9%), sodium hydrogen phosphate (Na2HPO4) (≥99%), calcium chloride (CaCl2) (≥97%), magnesium dichloride (MgCl2) (≥98%), ascorbic acid (99%), sodium chloride (NaCl) (≥99%), potassium hydrogen phosphate (K2HPO4) (98%), and potassium ferrocyanide (K4[Fe(CN)6]·3H2O) (≥98.5%) were used for the sensor designed and were supplied from Sigma-Aldrich. 0.9% isotonic sodium chloride solution was purchased from the local pharmacy. A potentiostat device (triple electrode system) that was used for measurements was purchased from CH Instruments. Deionized (DI) water that was used for measurements was obtained from a Milli-Q water purification system. All glassy materials were washed with DI water, ethanol, and acetone.
2.2. Electrochemical Measurements
The synthesized steps and characterization methods of the ONOH structures are presented in S1. The preparation steps of the ONOH electrode systems for electrochemical measurements are explained in S2. In addition, the steps of the ES preparation and synthesis are shown in Scheme 1.
Differential pulse voltammetry (DPV), cyclic voltammetry (CV), and electrochemical impedance spectroscopy (EIS) measurements were performed on the ONOHs prepared for the detection of CA-125, which is a tumor marker of ovarian cancer. Initially, CV measurements were performed with a scan rate of 50 mV/s in a pH: 7.4 PBS + 5.0 mM Fe(CN)63–/4– solution at room temperature with all ONOHs and ONOH + CA-125s obtained using CA-125 (500 ng/mL) at room temperature, and the results obtained were compared.
Second, to investigate the effect of the amount of CA-125 on the surface of ONOH-3, CV measurements were performed (scan rate: 50 mV/s) in a pH: 7.4 PBS + 5.0 mM Fe(CN)63–/4– solution. CV measurements were obtained over ONOH-3 + CA-125 generated with CA-125 amount among 1–5000 ng/mL at room temperature for 30 min incubation time. The 500 ng/mL concentration was found to be the best concentration. After determining the best concentration ratio, the effect of incubation time was studied with a scan rate of 50 mV/s in a pH: 7.4 phosphate-buffered saline (PBS) + 5.0 mM Fe(CN)63–/4– solution on ONOH-3 + CA-125 obtained by using CA-125 (500 ng/mL) at distinct incubation times of 10–110 min at room temperature. 30 min was found to be the best incubation time for preparing the ONOH-3 + CA-125 electrode. To understand the electro-oxidation process between CA-125 and ONOH-3, CV measurements were performed in a pH: 7.4 PBS + 5.0 mM Fe(CN)63–/4– solution at room temperature at distinct scan rates of 5–1000 mV/s over ONOH-3 + CA-125 obtained by using CA-125 (500 ng/mL) for 30 min incubation time.
To study load transfer resistance between CA-125 and the ONOH-3 electrode, EIS measurements were carried out in a pH: 7.4 PBS + 5.0 mM Fe(CN)63–/4– solution at room temperature and at distinct potentials between −0.6 and −0.5 V on ONOH-3 + CA-125 obtained by using CA-125 (500 ng/mL) for 30 min.
The sensitivity of ONOH-3 against CA-125 was determined with DPV measurements in a pH: 7.4 PBS + 5.0 mM Fe(CN)63–/4– solution at room temperature on ONOH-3s and ONOH-3 + CA-125s produced with distinct concentrations of CA-125 of 0.01–5000 ng/mL for 30 min.
To analyze the effect on the electro-oxidation process between CA-125 and ONOH-3 of structure molecules found in serum medium, CV (scan rate: 50 mV/s) and EIS (0.0 V) measurements were performed in 2.5 mM uric acid + pH: 7.4 PBS, 0.1 mM dopamine + pH: 7.4 PBS, 4.7 mM glucose + pH: 7.4 PBS, and 0.1 mM ascorbic acid + pH: 7.4 PBS over ONOH-3 and ONOH-3 + CA-125 produced by using CA-125 (500 ng/mL) for 30 min.
Finally, the effects of salts found in serum medium on the electro-oxidation process between ONOH-3 and CA-125 were studied with EIS (0.0 V) and CV (scan rate: 50 mV/s) in an artificial solution and a 0.9% isotonic sodium chloride solution over ONOH-3 + CA-125 produced with CA-125 (500 ng/mL) for 30 min. An artificial serum was prepared with d-glucose (4.7 mM), uric acid (2.5 mM), CaCl2 (5.0 mM), KCl (4.5 mM), and MgCl2 (1.6 mM).
3. Results and Discussion
The developed ONOH structure was characterized by FT-IR and scanning electron microscopy (SEM). The FT-IR spectra of onion oil, ONOH (OH), and onion oil-based ONOH structures are given in Figure 1a. The peaks of onion oil were observed as strong and moderate on average at 2930 cm–1 (C–H bonds), 2860 cm–1 (C–H bonds), 1740 cm–1 (C=O and C–O bonds), 1440 cm–1 (C–H bonds), 1170 cm–1 (C=O and C–O bonds), and 720 cm–1 (C=C bonds). Among these peak intensities, those at 2930, 2860, 1740, 1440, 1170, and 720 cm–1 are seen as low intensities in the spectrum of the ONOH structure. In addition, peak intensities at 3310 cm–1 (O–H bonds), 2930 cm–1 (C–H bonds), 1440 cm–1 (C–H bonds), and 1030 cm–1 (C=O and C–O bonds) cm–1 due to the ONOH structure can be observed. These peaks appeared with higher intensity in comparison to those of the OH structures. It can be stated that after onion oil was incorporated into the OH network, bands from distinctive aromatic compounds became visible. The peaks observed at 3310, 2930, and 1030 cm–1 in the ONOH structure have deepened or widened. These changes occurring on the characteristic peaks indicate that the ONOH structures were successfully synthesized with onion oil.
The surface morphology analysis of onion oil-based ONOH was performed with an SEM device. SEM images of the ONOH structure are given in Figure 1b,c. It is seen that the oil globules of onion oil in the ONOH structure penetrated well toward the surface. It can be seen that the onion oil globules have a homogeneous distribution on the ONOH surface. The ONOH surface was observed to be flat with a background caused by onion oil.
Electrochemical measurements of the synthesized ONOHs were performed using DPV, EIS, and CV techniques to detect the CA-125. CV measurements, initially, on ONOHs were obtained at potentials between −0.7 and 0.7 V and room temperature (scan rate: 50 mV/s). All results are presented in Figure 2. No oxidation peaks were observed in the measurements obtained without CA-125. In addition, among the synthesized ONOHs, ONOH-2 had the best activity in terms of total potential (Figure 2a). Measurements with ONOH + CA-125 obtained by incubation (30 min) with CA-125 (500 ng/mL) showed forward and backward peaks between 0.0 and 0.6 potentials. These peaks are electro-oxidation peaks belonging to CA-125 (Figure 2b). ONOH-3 + CA-125 displayed the highest activity with 0.9096 mA/cm2 (909.6 μ/cm2) at a 0.33 potential of forward peak and 0.8761 mA/cm2 (876.1 μ/cm2) at a −0.37 potential of backward peak values (Figure 2c). These values were found to be very promising results according to the studies reported in the literature.48,49 Moreover, ONOH-1 + CA-125 showed the lowest performance with 0.5304 mA/cm2 (530.4 μ/cm2) at a 0.31 potential of forward peak and 0.5291 mA/cm2 (529.1 μ/cm2) at a −0.37 potential of backward peak values (Figure 2b). It can be noted that these results are quite interesting for the detection of CA-125.
After determining that ONOH-3 shows the best performance among the ONOHs prepared, measurements were performed over ONOH-3 + CA-125 for optimum concentration and incubation time. Measurements were taken with the CV technique at a 50 mV/s scan rate between −0.6 and 0.5 potentials over ONOH-3 + CA-125 obtained by using CA-125 (1–5000 ng/mL) for 30 min. The results are given in Figure 3a. The electro-oxidation peaks among 0.0–0.6 potentials were observed for all concentration ratios. A regular increase from 1 to 500 ng/mL (Figure 3c) and a regular decrease from 500 to 5000 ng/mL (Figure 3d) in maximum current density were observed. The maximum current density was obtained for a 500 ng/mL CA-125 concentration. To study the incubation time effect, CV measurements were performed with a scan rate: 50 mV/s between −0.6 and −0.5 potentials over ONOH-3 + CA-125 obtained by using CA-125 (500 ng/mL) for a distinct incubation time of 10–110 min at room temperature. Results are presented in Figure 3b. A regular increase in current density between 10 and 30 min and a regular decrease between 30 and 110 min were observed. The maximum current density was seen for ONOH-3 + CA-125 prepared with a 30 min incubation time.
To analyze the electro-oxidation process between ONOH-3 and CA-125, EIS and CV measurements were performed. CV measurements were performed over ONOH-3 + CA-125s obtained by using CA-125 (500 ng/mL) for 30 min at the distinct scan rates (5–1000 mV/s) and −0.6–0.5 potentials. Results are shown in Figure 4a. A regular increase in maximum current density was observed from 5 to 1000 mV/s. This event shows that a diffusion-controlled electrochemical reaction occurs on the surface of ONOH-3. The stability of ONOH-3 + CA-125 was researched on the 50 cycles with CV in the pH: 7.4 PBS + 5.0 mM Fe(CN)63–/4– solution from −0.6 to 0.5 potentials, and the results are given in Figure 4b. It was observed that the CV stability of ONOH-3 + CA-125 showed a rapid decrease in the first eight cycles and then stabilized after the eighth cycle. These results prove that the ONOH-3 + CA-125 electrode has high stability and repeatability properties.
EIS measurements were performed at 5 mV amplitude, and distinct potentials between −0.6 and 0.5 V over ONOH-3 + CA-125 were obtained by using CA-125 (500 ng/mL) for 30 min at room temperature. EIS is a technique that is frequently used in analyzing materials in areas such as biology, electrochemistry, medicine, material science, and sensor. The Nyquist plots obtained from EIS data take place at a linear cross-section and a semicircular area expressing a diffusion-controlled reaction and load transfer resistance (Rct) on the material surface.50−54 The Nyquist plots are given in Figure 4c. A gradual decrease between −0.6 (59.82 Ω) and 0.0 (9.55 Ω) potentials and a gradual increase between 0.0 (9.55 Ω) and 0.5 (75.23 Ω) potentials were observed in the semicircular area. When the diameter of these semicircles is large, the charge transfer resistance is large, and when it is small, the charge transfer resistance is small. The small charge transfer resistance is expressed that occurs fast oxidation kinetics of CA-125 antigen electro-oxidation over the surface of ONOH-3.47,55−57 The lowest charge transfer resistance was obtained over a potential of 0.0 (9.55 Ω), and this potential can be the onset potential for the electro-oxidation of the CA-125 antigen. Moreover, at 0.0 potential, both the semicircle expressing the electron transfer and the linear part expressing the diffusion-controlled reaction were observed, and these results support the results found in the scan rate study (Figure 4a–c).
Features that determine the sensitivity such as limit of detection (LOD) and limit of quantification (LOQ) of the ES were researched via DPV in a pH: 7.4 PBS + 5.0 mM Fe(CN)63–/4– solution over ONOH-3 + CA-125 obtained by using varying CA-125 amounts of 0.01–5000 ng/mL for 30 min at room temperature. All DPV results and maximum current densities vs concentrations plots are presented in Figure 5. A linear increase in maximum current densities was observed for concentrations between 0.01 and 500 ng/mL, and a linear decrease in maximum current densities was observed for concentrations between 500 and 5000 ng/mL (Figure 5a–d). It was found that the sensor works in two different linear ranges as follows: 0.5–10 and 10–300 ng/mL (Figure 5a,b). R2s for these two different linear ranges are designated as 0.9509 and 0.9383 (Figure 5e,f), respectively. From all these data, LOD and LOQ values were calculated as 0.805 and 2.415 μU/mL, respectively. These values were found to be lower than the values of the sensors reported in the literature for the detection of CA-125 (Table 1).
To study the interference effect on the electro-oxidation reaction between CA-125 and ONOH-3 of structure molecules like uric acid, glucose, ascorbic acid, and dopamine that were found in serum medium, EIS and CV measurements were performed. CV results (scan rate: 50 mV/s) and EIS data (5 mV amplitude and 0.0 V) were obtained over ONOH-3 + CA-125 obtained using CA-125 (500 ng/mL) for 30 min and in pH: 7.4 PBS + 2.5 mM uric acid, pH: 7.4 PBS + 0.1 mM dopamine, pH: 7.4 PBS + 4.7 mM glucose, and pH: 7.4 PBS + 0.1 mM ascorbic acid solutions. CV results and the Nyquist plots are presented in Figures 6 and 7, respectively. In Figure 6, it can be seen that the effects of ascorbic acid, uric acid, glucose, and dopamine structures on the electro-oxidation process were very low between ONOH-3 and CA-125. At the same time, when measurements were performed over ONOH-3 without CA-125, no electro-oxidation peaks were observed (Figure 6). However, it can be seen that this caused a potentially small shift upward in the maximum current density of glucose and dopamine structures (Figure 6b–d). Conversely, it was found that the uric acid structure causes a slight downward area shift as the potential on the maximum current density (Figure 6a). Among these structures, it was observed that ascorbic acid has the weakest effect on the oxidation between CA-125 and ONOH-3 (Figure 6c). In the Nyquist plots obtained over ONOH-3 without CA-125, high electron transfer resistances were observed that corresponded to the presence of CA-125 for all structure molecules. Data obtained over ONOH-3 + CA-125 were found to be close to each other(Figure 7). It can be clearly stated that the EIS results and CV results are harmonious.
Finally, to investigate the effect on the electro-oxidation process between ONOH-3 and CA-125 of the salts found in the blood, measurements were carried out in artificial and isotonic serums with CV and EIS techniques over ONOH-3 + CA-125s obtained by using CA-125 (500 ng/mL) for 30 min. The results are shown in Figure 8. It may clearly be seen in CV results that no effects on the electro-oxidation of the salts exist (Figure 8a). In the same way, similar electron transfer resistances were also observed in the Nyquist plots (Figure 8b).
4. Conclusions
In this study, we improved an ES with onion oil-based novel ONOHs to detect CA-125 in a serum medium. The ONOHs were analyzed via distinct water–organic solutions, FT-IR, and SEM. The ES was designed by incubating CA-125 on the ONOHs without anti-CA-125. CV measurements were performed with the ES designed in the absence and presence of the CA-125 antigen. An incubation time of 30 min and a concentration of 500 ng/mL CA-125 were determined as optimal conditions for the designed sensor. The current densities directly proportional to the amount of onion oil in the ONOHs were observed. ONOH-3 among the ONOHs exhibited the highest performance with a maximum current density value of 0.9097 mA/cm2 under optimal conditions. Furthermore, the electron transfer resistance of ONOH-3 in the presence of CA-125 was found to be low in the absence of CA-125. The LOD and LOQ values of the sensor were determined to be 0.805 and 2.415 μU/mL, respectively, and the detection limits were found in two different linear ranges of 0.5–10 and 10–300 ng/mL. These results indicate that it has a very high sensitivity to CA-125 of ONOH-3. ONOH-3 was found to have a high selectivity to CA-125 despite interference effects of distinct structure molecules found in the serum medium. In addition, it was also seen that there was no effect of salts found in the serum medium of electrochemical reaction between ONOH-3 and CA-125 antigen when measurements were carried out in an artificial serum. Results show that onion oil embedded in the 3D network porous morphology of the ONOH increased the electrocatalytic activity and caused low charge transfer resistance in the CA-125 electro-oxidation reaction. This positive effect caused the designed onion oil-based ONOHs to exhibit high sensitivity, good stability, high selectivity, and low detection limits toward CA-125. As a result, these results prove that ONOH-3 has great hope for clinical applications of ovarian cancer due to its high sensitivity, selectivity, and stability against CA-125 antigen.
Acknowledgments
O.F.E. thanks the Scientific and Technological Research Council of Turkey (TUBITAK) (2211-A) and the Council of Higher Education (YOK) (100/2000) for the scholarships provided.
Supporting Information Available
The Supporting Information is available free of charge at https://pubs.acs.org/doi/10.1021/acsomega.3c09149.
Synthesis of organo-hydrogels, production of the ES with ONOHs, and swelling test results of the ONOHs (PDF)
The authors declare no competing financial interest.
Supplementary Material
References
- Han S. N.; Lotgerink A.; Gziri M. M.; Van Calsteren K.; Hanssens M.; Amant F. Physiologic variations of serum tumor markers in gynecological malignancies during pregnancy: a systematic review. BMC Med. 2012, 10, 86. 10.1186/1741-7015-10-86. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Chen S.; Yu Z.; Wang Y.; Tang J.; Zeng Y.; Liu X.; Tang D. Block-polymer-restricted sub-nanometer Pt nanoclusters nanozyme-enhanced immunoassay for monitoring of cardiac troponin I. Anal. Chem. 2023, 95, 14494–14501. 10.1021/acs.analchem.3c03249. [DOI] [PubMed] [Google Scholar]
- Yu Z.; Tang J.; Gong H.; Gao Y.; Zeng Y.; Tang D.; Liu X. Enzyme-Encapsulated Protein Trap Engineered Metal–Organic Framework-Derived Biomineral Probes for Non-Invasive Prostate Cancer Surveillance. Adv. Funct. Mater. 2023, 33, 2301457. 10.1002/adfm.202301457. [DOI] [Google Scholar]
- Qiu Z.; Shu J.; Tang D. Near-infrared-to-ultraviolet light-mediated photoelectrochemical aptasensing platform for cancer biomarker based on core–shell NaYF4: Yb, Tm@ TiO2 upconversion microrods. Anal. Chem. 2018, 90, 1021–1028. 10.1021/acs.analchem.7b04479. [DOI] [PubMed] [Google Scholar]
- Bangar M. A.; Shirale D. J.; Chen W.; Myung N. V.; Mulchandani A. Single conducting polymer nanowire chemiresistive label-free immunosensor for cancer biomarker. Anal. Chem. 2009, 81, 2168–2175. 10.1021/ac802319f. [DOI] [PubMed] [Google Scholar]
- Duffy M. J. Tumor markers in clinical practice: a review focusing on common solid cancers. Med. Princ. Pract. 2012, 22, 4–11. 10.1159/000338393. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Zong C.; Wu J.; Wang C.; Ju H.; Yan F. Chemiluminescence imaging immunoassay of multiple tumor markers for cancer screening. Anal. Chem. 2012, 84, 2410–2415. 10.1021/ac203179g. [DOI] [PubMed] [Google Scholar]
- Kim J.; Kim J.; Rho T. H. D.; Lee J. H. Rapid chemiluminescent sandwich enzyme immunoassay capable of consecutively quantifying multiple tumor markers in a sample. Talanta 2014, 129, 106–112. 10.1016/j.talanta.2014.05.020. [DOI] [PubMed] [Google Scholar]
- Ambrosi A.; Airo F.; Merkoci A. Enhanced gold nanoparticle based ELISA for a breast cancer biomarker. Anal. Chem. 2010, 82, 1151–1156. 10.1021/ac902492c. [DOI] [PubMed] [Google Scholar]
- Terenghi M.; Elviri L.; Careri M.; Mangia A.; Lobinski R. Multiplexed determination of protein biomarkers using metal-tagged antibodies and size exclusion chromatography– inductively coupled plasma mass spectrometry. Anal. Chem. 2009, 81, 9440–9448. 10.1021/ac901853g. [DOI] [PubMed] [Google Scholar]
- Su H.-W.; Lee Y.-H.; Lee M.-J.; Hsu Y.-C.; Lee W. Label-free immunodetection of the cancer biomarker CA125 using high-Δn liquid crystals. J. Biomed. Opt. 2014, 19, 077006. 10.1117/1.JBO.19.7.077006. [DOI] [PubMed] [Google Scholar]
- Xu X.; Ji J.; Chen P.; Wu J.; Jin Y.; Zhang L.; Du S. Salt-induced gold nanoparticles aggregation lights up fluorescence of DNA-silver nanoclusters to monitor dual cancer markers carcinoembryonic antigen and carbohydrate antigen 125. Anal. Chim. Acta 2020, 1125, 41–49. 10.1016/j.aca.2020.05.027. [DOI] [PubMed] [Google Scholar]
- Sallam K. M.; El-Bayoumy A.; Mehany N. Development of solid phase immunoradiometric assay for determination of carcinoembryonic antigen as a tumor marker. J. Radioanal. Nucl. Chem. 2016, 307, 1375–1383. 10.1007/s10967-015-4602-7. [DOI] [Google Scholar]
- Akter R.; Rahman M. A.; Rhee C. K. Amplified electrochemical detection of a cancer biomarker by enhanced precipitation using horseradish peroxidase attached on carbon nanotubes. Anal. Chem. 2012, 84, 6407–6415. 10.1021/ac300110n. [DOI] [PubMed] [Google Scholar]
- Zeng R.; Qiu M.; Wan Q.; Huang Z.; Liu X.; Tang D.; Knopp D. Smartphone-based electrochemical immunoassay for point-of-care detection of SARS-CoV-2 nucleocapsid protein. Anal. Chem. 2022, 94, 15155–15161. 10.1021/acs.analchem.2c03606. [DOI] [PubMed] [Google Scholar]
- Yu Z.; Gong H.; Xu J.; Li Y.; Zeng Y.; Liu X.; Tang D. Exploiting photoelectric activities and piezoelectric properties of NaNbO3 semiconductors for point-of-care immunoassay. Anal. Chem. 2022, 94, 3418–3426. 10.1021/acs.analchem.2c00066. [DOI] [PubMed] [Google Scholar]
- Burcu Bahadır E.; Kemal Sezgintürk M. Applications of electrochemical immunosensors for early clinical diagnostics. Talanta 2015, 132, 162–174. 10.1016/j.talanta.2014.08.063. [DOI] [PubMed] [Google Scholar]
- Jing L.; Xie C.; Li Q.; Yang M.; Li S.; Li H.; Xia F. Electrochemical biosensors for the analysis of breast cancer biomarkers: From design to application. Anal. Chem. 2022, 94, 269–296. 10.1021/acs.analchem.1c04475. [DOI] [PubMed] [Google Scholar]
- Barani M.; Bilal M.; Sabir F.; Rahdar A.; Kyzas G. Z. Nanotechnology in ovarian cancer: Diagnosis and treatment. Life Sci. 2021, 266, 118914. 10.1016/j.lfs.2020.118914. [DOI] [PubMed] [Google Scholar]
- Reid B. M.; Permuth J. B.; Sellers T. A. Epidemiology of ovarian cancer: a review. Cancer Biol. Med. 2017, 14, 9–32. 10.20892/j.issn.2095-3941.2016.0084. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Roett M. A.; Evans P. Ovarian cancer: an overview. Am. Fam. Physician 2009, 80, 609–616. [PubMed] [Google Scholar]
- Das J.; Kelley S. O. Protein detection using arrayed microsensor chips: tuning sensor footprint to achieve ultrasensitive readout of CA-125 in serum and whole blood. Anal. Chem. 2011, 83, 1167–1172. 10.1021/ac102917f. [DOI] [PubMed] [Google Scholar]
- Er O. F.; Alpaslan D.; Dudu T. E.; Aktas N.; Kivrak H. Novel Cacao oil-based organo-hydrogels to detect carcinoma antigen 125 in serum medium; synthesis, characterization, and electrochemical measurements. Mater. Chem. Phys. 2022, 292, 126795. 10.1016/j.matchemphys.2022.126795. [DOI] [Google Scholar]
- Taleat Z.; Ravalli A.; Mazloum-Ardakani M.; Marrazza G. CA 125 immunosensor based on poly-anthranilic acid modified screen-printed electrodes. Electroanalysis 2013, 25, 269–277. 10.1002/elan.201200425. [DOI] [Google Scholar]
- Er O. F.; Alpaslan D.; Dudu T. E.; Aktas N.; Celik S.; Kivrak H. A novel carbohydrate antigen 125 electrochemical sensor based on sweet almond oil organo-hydrogels. Mater. Chem. Phys. 2023, 298, 127441. 10.1016/j.matchemphys.2023.127441. [DOI] [Google Scholar]
- Gasparotto G.; Costa J. P. C.; Costa P. I.; Zaghete M. A.; Mazon T. Electrochemical immunosensor based on ZnO nanorods-Au nanoparticles nanohybrids for ovarian cancer antigen CA-125 detection. Mater. Sci. Eng. C 2017, 76, 1240–1247. 10.1016/j.msec.2017.02.031. [DOI] [PubMed] [Google Scholar]
- Ravalli A.; Dos Santos G. P.; Ferroni M.; Faglia G.; Yamanaka H.; Marrazza G. New label free CA125 detection based on gold nanostructured screen-printed electrode. Sens. Actuators, B 2013, 179, 194–200. 10.1016/j.snb.2012.10.017. [DOI] [Google Scholar]
- Er O. F.; Kivrak H.; Ozok O.; Çelik S.; Kivrak A. A novel electrochemical sensor for monitoring ovarian cancer tumor protein CA 125 on benzothiophene derivative based electrodes. J. Electroanal. Chem. 2022, 904, 115854. 10.1016/j.jelechem.2021.115854. [DOI] [Google Scholar]
- Er O. F.; Kivrak H.; Ozok O.; Kivrak A. Novel 5-(2-phenylbenzo [b] thiophen-3-yl) furan-2-carbaldehyde based ovarian cancer carbohydrate antigen 125 electrochemical sensor. Mater. Chem. Phys. 2022, 291, 126560. 10.1016/j.matchemphys.2022.126560. [DOI] [Google Scholar]
- Kivrak H.; Er O. F.; Ozok O.; Celik S.; Kivrak A. Synthesis and characterization of 4-(2-(4-methoxyphenyl) benzo [b] thiophen-3-yl) benzaldehyde for carbohydrate antigen 125 electrochemical detection and molecular docking modeling. Mater. Chem. Phys. 2022, 281, 125951. 10.1016/j.matchemphys.2022.125951. [DOI] [Google Scholar]
- Viswanathan S.; Rani C.; Ribeiro S.; Delerue-Matos C. Molecular imprinted nanoelectrodes for ultra sensitive detection of ovarian cancer marker. Biosens. Bioelectron. 2012, 33, 179–183. 10.1016/j.bios.2011.12.049. [DOI] [PubMed] [Google Scholar]
- Torati S. R.; Kasturi K. C.; Lim B.; Kim C. Hierarchical gold nanostructures modified electrode for electrochemical detection of cancer antigen CA125. Sens. Actuators, B 2017, 243, 64–71. 10.1016/j.snb.2016.11.127. [DOI] [Google Scholar]
- Zheng Y.; Wang H.; Ma Z. A nanocomposite containing Prussian Blue, platinum nanoparticles and polyaniline for multi-amplification of the signal of voltammetric immunosensors: highly sensitive detection of carcinoma antigen 125. Microchim. Acta 2017, 184, 4269–4277. 10.1007/s00604-017-2470-2. [DOI] [Google Scholar]
- Vázquez-González M.; Willner I. Stimuli-Responsive Biomolecule-Based Hydrogels and Their Applications. Angew. Chem., Int. Ed. 2020, 59, 15342–15377. 10.1002/anie.201907670. [DOI] [PubMed] [Google Scholar]
- Mishra S. B.; Mishra A. K.. Polymeric hydrogels: A review of recent developments. Polymeric Hydrogels as Smart Biomaterials; Springer, 2016; pp 1–17. [Google Scholar]
- Bird S. P.; Baker L. A. Biologically modified hydrogels for chemical and biochemical analysis. Analyst 2011, 136, 3410–3418. 10.1039/c0an00871k. [DOI] [PubMed] [Google Scholar]
- Keller S.; Teora S. P.; Hu G. X.; Nijemeisland M.; Wilson D. A. High-Throughput Design of Biocompatible Enzyme-Based Hydrogel Microparticles with Autonomous Movement. Angew. Chem. 2018, 130, 9962–9965. 10.1002/ange.201805661. [DOI] [PubMed] [Google Scholar]
- Olak T.; Turan A.; Alpaslan D.; Dudu T. E.; Aktaş N. Developing poly (Agar-co-Glycerol-co-Thyme Oil) based organo-hydrogels for the controlled drug release applications. J. Drug Delivery Sci. Technol. 2020, 60, 102088. 10.1016/j.jddst.2020.102088. [DOI] [Google Scholar]
- Culver H. R.; Clegg J. R.; Peppas N. A. Analyte-responsive hydrogels: intelligent materials for biosensing and drug delivery. Acc. Chem. Res. 2017, 50, 170–178. 10.1021/acs.accounts.6b00533. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Zhao C.; Qazvini N. T.; Sadati M.; Zeng Z.; Huang S.; De La Lastra A. L.; Zhang L.; Feng Y.; Liu W.; Huang B.; et al. A pH-triggered, self-assembled, and bioprintable hybrid hydrogel scaffold for mesenchymal stem cell based bone tissue engineering. ACS Appl. Mater. Interfaces 2019, 11, 8749–8762. 10.1021/acsami.8b19094. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Li L.; Wang Y.; Pan L.; Shi Y.; Cheng W.; Shi Y.; Yu G. A nanostructured conductive hydrogels-based biosensor platform for human metabolite detection. Nano Lett. 2015, 15, 1146–1151. 10.1021/nl504217p. [DOI] [PubMed] [Google Scholar]
- Van Vlierberghe S.; Dubruel P.; Schacht E. Biopolymer-based hydrogels as scaffolds for tissue engineering applications: a review. Biomacromolecules 2011, 12, 1387–1408. 10.1021/bm200083n. [DOI] [PubMed] [Google Scholar]
- Alpaslan D.; Dudu T. E.; Aktaş N. Synthesis and characterization of novel organo-hydrogel based agar, glycerol and peppermint oil as a natural drug carrier/release material. Mater. Sci. Eng. C 2021, 118, 111534. 10.1016/j.msec.2020.111534. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Alpaslan D.; Dudu T. E.; Aktas N. Evaluation of poly (agar-co-glycerol-co-castor oil) organo-hydrogel as a controlled release system carrier support material. Polym. Bull. 2022, 79, 5901. 10.1007/s00289-021-03777-9. [DOI] [Google Scholar]
- Zhang X.; Wang Y.; Luo X.; Lu A.; Li Y.; Li B.; Liu S. O/W Pickering emulsion templated organo-hydrogels with enhanced mechanical strength and energy storage capacity. ACS Appl. Bio Mater. 2019, 2, 480–487. 10.1021/acsabm.8b00674. [DOI] [PubMed] [Google Scholar]
- Helgeson M. E.; Moran S. E.; An H. Z.; Doyle P. S. Mesoporous organohydrogels from thermogelling photocrosslinkable nanoemulsions. Nat. Mater. 2012, 11, 344–352. 10.1038/nmat3248. [DOI] [PubMed] [Google Scholar]
- Er Ö.; Alpaslan D.; Erşen Dudu T.; Demi̇r Kivrak H. Novel CA-125 antigen determination in serum by electrochemical methods with onion oil-containing organo-hydrogels. MANAS J. Eng. 2023, 11, 124–135. 10.51354/mjen.1242313. [DOI] [Google Scholar]
- Li T.; Shu B.; Jiang B.; Ding L.; Qi H.; Yang M.; Qu F. Ultrasensitive multiplexed protein biomarker detection based on electrochemical tag incorporated polystyrene spheres as label. Sens. Actuators, B 2013, 186, 768–773. 10.1016/j.snb.2013.06.104. [DOI] [Google Scholar]
- Johari-Ahar M.; Rashidi M.; Barar J.; Aghaie M.; Mohammadnejad D.; Ramazani A.; Karami P.; Coukos G.; Omidi Y. An ultra-sensitive impedimetric immunosensor for detection of the serum oncomarker CA-125 in ovarian cancer patients. Nanoscale 2015, 7, 3768–3779. 10.1039/C4NR06687A. [DOI] [PubMed] [Google Scholar]
- Faruk Er O.; Ulas B.; Ozok O.; Kivrak A.; Kivrak H. Design of 2-(4-(2-pentyllbenzo [b] thiophen-3-yl) benzylidene) malononitrile based remarkable organic catalyst towards hydrazine electrooxidation. J. Electroanal. Chem. 2021, 888, 115218. 10.1016/j.jelechem.2021.115218. [DOI] [Google Scholar]
- Kivrak H.; Selçuk K.; Er O. F.; Aktas N. Electrochemical Cysteine Sensor on Novel Ruthenium Based Ternary Catalyst. Int. J. Electrochem. Sci. 2021, 16, 210519. 10.20964/2021.05.48. [DOI] [Google Scholar]
- Er O. F.; Caglar A.; Kivrak H. Enhanced electrochemical glucose oxidation in alkaline solution over indium decorated carbon supported palladium nanoparticles. Mater. Chem. Phys. 2020, 254, 123318. 10.1016/j.matchemphys.2020.123318. [DOI] [Google Scholar]
- Ciucci F. Modeling electrochemical impedance spectroscopy. Curr. Opin. Electrochem. 2019, 13, 132–139. 10.1016/j.coelec.2018.12.003. [DOI] [Google Scholar]
- Chang B.-Y.; Park S.-M. Electrochemical impedance spectroscopy. Annu. Rev. Anal. Chem. 2010, 3, 207–229. 10.1146/annurev.anchem.012809.102211. [DOI] [PubMed] [Google Scholar]
- Ulas B.; Caglar A.; Kivrak A.; Kivrak H. Atomic molar ratio optimization of carbon nanotube supported PdAuCo catalysts for ethylene glycol and methanol electrooxidation in alkaline media. Chem. Pap. 2019, 73, 425–434. 10.1007/s11696-018-0601-9. [DOI] [Google Scholar]
- Ulas B.; Alpaslan D.; Yilmaz Y.; Dudu T. E.; Er O. F.; Kivrak H. Disentangling the enhanced catalytic activity on Ga modified Ru surfaces for sodium borohydride electrooxidation. Surface. Interfac. 2021, 23, 100999. 10.1016/j.surfin.2021.100999. [DOI] [Google Scholar]
- Er Ö.; Cavak A.; Aldemi̇r A.; Demi̇r Kivrak H. Investigation of hydrazine electrooxidation performance of carbon nanotube supported Pd monometallic direct hydrazine fuel cell anode catalysts. MANAS J. Eng. 2020, 8, 90–98. 10.51354/mjen.801182. [DOI] [Google Scholar]
- Jafari M.; Hasanzadeh M.; Solhi E.; Hassanpour S.; Shadjou N.; Mokhtarzadeh A.; Jouyban A.; Mahboob S. Ultrasensitive bioassay of epitope of Mucin-16 protein (CA 125) in human plasma samples using a novel immunoassay based on silver conductive nano-ink: A new platform in early stage diagnosis of ovarian cancer and efficient management. Int. J. Biol. Macromol. 2019, 126, 1255–1265. 10.1016/j.ijbiomac.2019.01.009. [DOI] [PubMed] [Google Scholar]
- Chen S.; Yuan R.; Chai Y.; Min L.; Li W.; Xu Y. Electrochemical sensing platform based on tris (2, 2′-bipyridyl) cobalt (III) and multiwall carbon nanotubes–Nafion composite for immunoassay of carcinoma antigen-125. Electrochim. Acta 2009, 54, 7242–7247. 10.1016/j.electacta.2009.07.035. [DOI] [Google Scholar]
- Ren X.; Wang H.; Wu D.; Fan D.; Zhang Y.; Du B.; Wei Q. Ultrasensitive immunoassay for CA125 detection using acid site compound as signal and enhancer. Talanta 2015, 144, 535–541. 10.1016/j.talanta.2015.06.086. [DOI] [PubMed] [Google Scholar]
- Li H.; Qin J.; Li M.; Li C.; Xu S.; Qian L.; Yang B. Gold-nanoparticle-decorated boron-doped graphene/BDD electrode for tumor marker sensor. Sens. Actuators, B 2020, 302, 127209. 10.1016/j.snb.2019.127209. [DOI] [Google Scholar]
- Biswas S.; Lan Q.; Xie Y.; Sun X.; Wang Y. Label-Free Electrochemical Immunosensor for Ultrasensitive Detection of Carbohydrate Antigen 125 Based on Antibody-Immobilized Biocompatible MOF-808/CNT. ACS Appl. Mater. Interfaces 2021, 13, 3295–3302. 10.1021/acsami.0c14946. [DOI] [PubMed] [Google Scholar]
- Hasanzadeh M.; Sahmani R.; Solhi E.; Mokhtarzadeh A.; Shadjou N.; Mahboob S. Ultrasensitive immunoassay of carcinoma antigen 125 in untreated human plasma samples using gold nanoparticles with flower like morphology: a new platform in early stage diagnosis of ovarian cancer and efficient management. Int. J. Biol. Macromol. 2018, 119, 913–925. 10.1016/j.ijbiomac.2018.08.008. [DOI] [PubMed] [Google Scholar]
- Raghav R.; Srivastava S. Copper (II) oxide nanoflakes based impedimetric immunosensor for label free determination of cancer antigen-125. Sens. Lett. 2016, 14, 97–101. 10.1166/sl.2016.3591. [DOI] [Google Scholar]
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