Open Access Article
Giulia
Siciliano
*a,
Maria Serena
Chiriacò
a,
Francesco
Ferrara
a,
Antonio
Turco
a,
Luciano
Velardi
b,
Maria Assunta
Signore
b,
Marco
Esposito
a,
Giuseppe
Gigli
a and
Elisabetta
Primiceri
*a
aInstitute of Nanotechnology, CNR-Nanotec, via per Monteroni, 73100, Lecce, Italy. E-mail: giulia.siciliano@nanotec.cnr.it; elisabetta.primiceri@nanotec.cnr.it
bInstitute for Microelectronics and Microsystems, CNR-IMM, via per Monteroni, 73100, Lecce, Italy
First published on 2nd August 2023
Oral cancer is one of the most common types of cancer in Europe and its large diffusion requires, together with prevention, the development of low-cost and reliable portable platforms for its diagnosis, with features of high selectivity and sensitivity. In this study, the development and characterization of a molecularly imprinted polymer (MIP)-based electrochemical sensor for TGF-β1 detection are reported. The optimized biosensor is a potential tool for the early screening of oral cancer. A biomimetic surface has been obtained by electropolymerization of o-phenylenediamine (o-PD) on platinum electrodes, in the presence of TGF-β1 as a template molecule. MIP synthesis, template removal and TGF-β1 rebinding have been monitored by Differential Pulse Voltammetry (DPV). Atomic Force Microscopy (AFM) has been performed to investigate and characterize the surface morphology and the influence of the washing step on MIP and NIP (non-imprinted polymer as the control) while the thickness of the polymer layer has been measured by Scanning Transmission Electron Microscopy (STEM) analysis. The MIP sensor performance has been tested in both buffer solution and saliva samples with TGF-β1, showing a linear response in the considered range (from 20 ng ml−1 down to 0.5 ng ml−1), an outstanding LOD of 0.09 ng mL−1 and affinity and selectivity to TGF-β1 also in the presence of interfering molecules. The sensor was used also for the detection of target molecules in spiked saliva samples with good recovery results suggesting the possibility of the use of the proposed system for large scale fast screening in oral cancer diagnosis.
Transforming growth factor β (TGF-β) includes three forms (TGF-β1, 2 and 3) which are expressed by all cells in human blood and play a key role in many processes such as cell growth, differentiation, apoptosis and immune responses. TGF-β signaling plays multiple roles in cancer, since it exhibits a tumor-suppressive activity in normal cells but a tumor-promoting role in malignant cells.15–17 The expression of TGF-β has been studied in many types of cancer, including breast, colorectal, prostate, and liver cancer.18,19 It was demonstrated that in early-stage tumors, the levels of TGF-β are associated with a favorable prognosis, since the TGF-β pathway promotes cell cycle arrest and apoptosis.20,21 In contrast, in advanced tumors, the TGF-β pathway promotes tumor progression and metastasis20,21 by stimulating invasion, cancer cell motility, and cell stemness.16 Regarding the role of TGF-β1 in oral cancer, Chen et al. demonstrated that patients affected by locally advanced oral cancer overexpressed TGF-β1.22 Together with IL-10, TNF-alpha, and VEGF, TGF-β regulatory cytokine is secreted by the stromal cells in a tumor environment and it has been found both in serum and in saliva secretion.23 Polz-Dacewicz et al., considering a cohort of around 80 patients, found that the concentration of serum TGF-β in patients was higher than that in healthy controls (11.3 ng ml−1vs. 7.8 ng ml−1) and the gap was higher in saliva, where the levels were of 24.1 ng ml−1 and 14.8 ng ml−1 for patients and controls, respectively.24 It is not difficult to predict that a minimally invasive assay like saliva sampling could represent a powerful means to broaden the application of early screening of oral cancer.25–27 Nowadays, the determination of TGF-β1 is mostly based on ELISA colorimetric kits that exploit sandwich-immunoassay for its quantification in the range from hundreds to thousands of pg mL−1. However, this approach has several shortcomings, such as not being rapid or suitable for near-to-bed diagnosis. The use of electrochemical methods for the determination of TGF-β1 can overcome these limitations, making them competitive in terms of LOD and selectivity.
In this work, we demonstrate the high performances of the first TGF-β1 MIP electrochemical sensor tested on a saliva sample as a screening tool for oral cancer. In particular the design and synthesis of the artificial macromolecular receptor for TGF-β1 based on molecular imprinting were achieved by electro-polymerization of the functional monomer, o-phenylenediamine (o-PD), in the presence of TGF-β1 as the target molecule. PoPD diamine was chosen as it is an insulating polymer able to grow in a self-limiting manner, producing a very thin layer to facilitate protein template removal. The MIP is obtained using three process steps: polymerization, template removal and rebinding. The analytical performance of the developed sensor was evaluated both in buffer solution and in a complex matrix such as saliva. In order to demonstrate the high affinity and specificity of the synthetic receptor for the template molecule, the rebinding test was performed also in the presence of another protein as an interfering molecule, namely interleukine-10 chosen for its chemical structure being similar to that of TGF-β1. The overall results about the sensor performance indicate that this approach is particularly attractive and promising for the detection of TGF-β1 to quickly diagnose oral cancer. The use of artificial receptors based on MIP as an alternative to antibodies has been exploited here for the first time in a saliva sample without requiring any labeling steps and with only simple pre-treatment.28,29 For these reasons, the developed sensor is suitable for point of care diagnostics since it allows very fast and simple analysis in a single step. The integration of MIPs into miniaturized devices, combined with their long shelf-life and no need for refrigerated storage, makes them innovative and powerful tools for developing easy and portable devices for liquid biopsy with the aim to increase the life expectancy of patients.
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1 v/v) and NaOH 0.25 M at 50 °C for 15 minutes was tested. The characterization of imprinted electrodes was carried out by the DPV technique in the presence of 10 mM K3[Fe(CN)6]/K4[Fe(CN)6], (1
:
1) at room temperature (22 °C). The binding properties of the MIP modified electrodes were investigated by incubating them with spiked PBS solution at different concentrations of TGF-β1 for 1 h. The electrodes were then washed with PBS to remove the excess protein not specifically adsorbed to the sensor surface. The NIP receptor was used as a control. Devices were characterized by electrochemical measurements in the presence of 10 mM K3[Fe(CN)6]/K4[Fe(CN)6], (1
:
1) at room temperature. The MIP sensor was tested also in a complex matrix such as artificial saliva, by incubating MIP modified electrodes with artificial saliva solutions containing different concentrations of TGF-β1 for 1 h.
To measure the polymer thickness, Scanning Transmission Electron Microscopy (STEM) characterization was performed by means of a Merlin Zeiss microscope on a TEM grid covered with a PoPD layer synthesized under the same conditions as those for the sensor devices. In order to obtain Z contrast sensitiveness from the images, the STEM was configured in high-angle annular dark-field mode (HAADF).
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| Scheme 1 Schematic representation of TGF-β1 MIP receptor fabrication using in situ electrochemical polymerization on single-use platinum microelectrodes patterned on glass substrates. | ||
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| Fig. 1 TGF-β1 MIP receptor formation using in situ electrochemical polymerization. Cyclic voltammetric deposition of 0.1 mg mL−1o-PD in the presence of 1 μg mL−1 TGF-β1 (A) and in its absence (B). | ||
The polymer morphology has been studied by STEM in Z-contrast mode on a TEM grid after PoPD coating: high-magnification STEM images (Fig. 2) of the polymer-surface highlight an average thickness of about 10 nm and a uniform PoPD deposition.
The obtained MIP receptor films were then treated with different solutions in order to explore the best conditions for template removal. Solvent extraction is an important aspect in the preparation of MIP, affecting the resulting binding properties. The solvent should suppress the interaction between the polymer and the template and allow fast diffusion of the template from the polymer film. Among the different bathing solutions reported for template extraction,13 two were tested in this work, namely a solution of acetic acid 5% and an alkaline medium based on ethanol–water (EtOH/H2O 2
:
1 v/v) solution containing 0.25 M NaOH. Imprinted electrodes before and after the template removal by solutions were investigated by the DPV technique. The solution of acetic acid 5% was found to be a poor solvent for PoPD, leading to an ineffective release of the template (Fig. S2†). In contrast, the alkaline medium tested for 15 min at 50 °C proved to be more effective in quantitatively removing the template11 (Fig. 3). Specifically, the alkaline medium suppresses the interaction between the positively charged polymer and the TGF-β1 adsorbed on it by electrostatic interactions30 and also prevents the degradation of the PoPD film and the denaturation of template molecules at extreme pH.13 As a matter of fact, the DPV results of imprinted electrodes before and after template removal carried out in the presence of 10 mM K3[Fe(CN)6]/K4[Fe(CN)6], (1
:
1) at room temperature show that the washing step with NaOH in EtOH/H2O increases the peak current since after the template removal the empty imprinted sites increase the surface area and the diffusion on the electrode surface, thus favoring the electron transfer between the solution and the electrode. The obtained data indicate that the use of NaOH in EtOH/H2O as washing solution leads to an effective release of the template molecule, and thus it has been selected for the fabrication of the MIP sensor.
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| Fig. 3 DPV characterization of the MIP before washing (red line) and after template removal (blue line) with NaOH in EtOH/H2O solution. | ||
An atomic force microscope (AFM) was used to investigate the surface topography of the polymeric layers. The AFM images of imprinted and non-imprinted polymers, before and after the template removal, are shown in Fig. 4.
The AFM images reveal a marked difference in the roughness. As shown in Fig. 4, the NIP film was relatively more uniform and flatter than the MIP one with a calculated RMS value of 0.5 nm; on the other hand the MIP showed a rougher surface, with a calculated RMS value of 1 nm, which may be due to the presence of TGF-β1 template molecules inside the polymeric film which changes the polymerization process and thus the film structure. After the washing step to remove the template the roughness values decrease in both cases (MIP and NIP) without significant differences from each other. Even if the RMS values are very similar, the morphologies of MIP and NIP samples show a clear difference in topographic features: the NIP sample shows a uniform surface while the MIP one is characterized by the presence of several nanoholes.
:
1) at room temperature. The electrochemical characterization of MIP-modified electrodes was carried out by the DPV technique in the potential range −0.2–0.8 V at a scan rate of 100 mV s−1, and the results are reported in Fig. 5A. After the removal of TGF-β1 with NaOH in EtOH/H2O, an increase of the redox peaks (blue line) was observed as a result of the presence of empty cavities in the MIP which can favor the diffusion of the redox probe at the electrode surface. The rebinding test with TGF-β1 20 ng mL−1 (red line) then showed a reduction in the peak current, since some of the cavities were occupied by TGF-β1 molecules impeding the electron transfer between the electrode and the redox probe. After rebinding, the reduction of the redox peak suggests an efficient steric hindrance among TGF-β1 and the biomimetic sites. DPV measurements recorded on a control electrode modified with the non-imprinted polymer (NIP) revealed instead the absence of significant differences between the peak current values obtained during the three steps of NIP construction (Fig. 5B). These data indicate the absence of unspecific interactions and further support the specificity of the achieved interaction among the TGF-β1 target and the realized MIP film together with high sensitivity of the MIP-based sensor.
To further investigate the MIP-TGF-β1 binding and evaluate the sensing performance, the biosensors were incubated with binding buffer solution containing increasing concentrations of TGF-β1, ranging from 0.5 to 20 ng mL−1, for 1 hour; then, a washing step was performed. Every electrode was regenerated by the washing step and used for rebinding tests for a maximum of three concentrations for calibration, since beyond this value the degradation of the polymer film could affect the measurement, resulting in a variability lower than 6%. Each measurement was performed three times and the relative error was estimated as 6% of the mean value. DPV was used to monitor the ferro/ferrocyanide probe response as affected by TGF-β1 binding on the MIP-receptor. Data reported in Fig. 6A show a decrease of redox peak currents of the ferro/ferrocyanide couple with increasing TGF-β1 concentration, since more and more imprinted sites are rebound and the binding of the protein with MIP blocks the electron transfer on the electrode surface. The calibration plot, constructed by plotting the MIP current intensities (i) normalized with respect to the washed MIP current intensity (i0) as a function of the logarithm of TGF-β1 concentration, is reported in Fig. 6B. The MIP-modified electrode displayed a linear response in the tested concentration range from 0.5 to 20 ng mL−1 with a detection limit of 0.09 ng mL−1 calculated as 3.3s/slope (where s = 0.00597 and the slope = 0.2129), a sensitivity of 0.2129 and R2 = 1.
The imprinting factor, defined as the ratio between MIP and NIP currents recorded and calculated for a concentration of 20 ng mL−1, showed a high value equal to 32.38 demonstrating a strong increase of the interaction between TGF-β1 and the imprinted polymer compared to the non-imprinted one.
In order to demonstrate the selectivity of the electrochemical biosensor towards the target molecule, the developed MIP was incubated with a buffer solution containing interleukine-10 at a concentration of 20 ng mL−1. IL-10 was chosen as the interfering molecule since it has a chemical structure similar to TGFβ-1. The electrochemical characterization of MIP-modified electrodes was carried out by the DPV technique and the results are reported in Fig. 7. The obtained data showed a considerable difference between the TGF-β1 signal and the peak current of interleukine-10. The rebinding test with TGF-β1 20 ng mL−1 (red line) gave a peak current value similar to that obtained after electro-polymerization of o-PD (black line). The data obtained after the binding with interleukine-10 revealed instead that there are no significant differences between the peak current values obtained during the washing step of MIP construction, indicating the absence of specific interactions between interleukine-10 and the biomimetic sites. These results indicate that the significant difference in the interaction between the proteins and the binding cavities in the polymer further supports the high affinity and specificity of the synthetic receptor for the template molecule realized in this work.
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| Fig. 7 Electrochemical evaluation of template rebinding with interleukine-10 (purple line) with respect to the washing step (dashed blue line) and rebinding with TGF-β1 (red line). | ||
| Samples | Added (ng mL−1) | Found (ng mL−1) | Recovery (%) | RSD (%) |
|---|---|---|---|---|
| TGF-β1 | 1 | 0.095 | 95 ± 2 | 23 |
| TGF-β1 | 5 | 5.100 | 102 ± 3 | 34 |
| TGF-β1 | 20 | 19.200 | 96 ± 3 | 39 |
The polymer surface/nanofilm was characterized by AFM, STEM and electrochemical measurements in order to monitor all the steps of MIP fabrication, namely synthesis, template removal and subsequent target analyte binding. The MIP based sensor demonstrated high selectivity and high sensitivity with a linear response to the TGF-β1 concentration in buffer solution and a LOD of 0.09 ng ml−1 (corresponding to 3.6 pM) that is largely below the pathological levels of TGF-β1 in saliva. As a proof of concept, the realized MIP was tested with spiked artificial saliva, mimicking real conditions under which the assay could be used for diagnostic screening. The features of the MIP and its ability to bind the selected analyte were not affected by the different fluids used, thus demonstrating the readiness of the developed platform to be used in real settings.
In Table 2, the main characteristics of our sensing platform have been compared with those of other biosensors reported in the literature against TGF-β1.
| Reference | LOD | Sample | Detection methods | Capture probe | Main features |
|---|---|---|---|---|---|
| 32 | 10 pg mL−1 | Urine | Amperometry | Antibodies | Sandwich immunoassay with biotin-anti-TGF conjugated with peroxidase-labelled streptavidin polymer |
| 33 | 0.95 pg mL−1 | Human saliva | Amperometry | Antibodies | Sandwich immunoassay with V-Phe SWCNT(HRP)-anti-TGF conjugates as carrier tags |
| 34 | 20.1 pM−1 | Cell culture medium | Fluorescence | Antibodies | Microfluidic device integrated with the fluorescent microbead-based assay |
| 35 | 1000 pg mL−1 | Hepatic stellate cells | Voltammetry | Aptamers | Aptamers labelled with redox reporters |
| 36 | 570 pg mL−1 | Clinical serum | Impedance | Antibodies | Completely label free |
| Present work | (3.6 pM) | Artificial saliva | Voltammetry | MIP | Completely label free |
At the moment, few methods are available for the determination of TGF-β1: in particular, commercial ELISA colorimetric kits based on sandwich-immunoassay are usually employed for TGF-β1 quantification in the range from hundreds to thousands of pg mL−1. This benchtop approach is not suitable for quick and near-to-bed diagnosis and requires trained staff to perform all the analytical steps. To overcome the limits of traditional techniques some other groups developed sensing platforms for TGF-β1 determination. Similar electrochemical devices exploiting the use of antibodies or aptamers as recognition elements have been proposed but the performances in terms of LOD and simplicity of the test of our MIP-based sensor demonstrated competitive results since it does not require any labelling step. Sanchez-Tirado and co-workers developed analytical methods with very low LOD and tested them on saliva samples. It is important to underline that to achieve results, a standard approach requires a sandwich-based assay and the use of enzyme and electroactive molecules to amplify the signal. It represents an additional cost and requires additional steps to perform the analysis. Conversely, our device is very fast and simple to be used since the analysis can be done in a single step; for these reasons it is an ideal candidate as a tool for POC diagnostics.
The use of MIP instead of biological probes offers several advantages in terms of cost and physical and chemical stability (long shelf-life and no need for refrigerated storage), two aspects that have a paramount importance in the development of devices to be used outside a research laboratory and in near-to-bed diagnosis and self-diagnostics.
The novelty of our MIP-based approach relies on the fact that the developed miniaturized sensor is sensitive and selective and could be successfully applied in liquid biopsy at the POC; in fact, it can detect molecules at very low concentrations as required in biofluids and it demonstrated no unspecific interaction with interfering molecules and complex biological matrices such as saliva.
Footnote |
| † Electronic supplementary information (ESI) available. See DOI: https://doi.org/10.1039/d3an00958k |
| This journal is © The Royal Society of Chemistry 2023 |