Open Access Article
Iqra Salim
,
Eleanor Fiona Richards and
Jon Ashley
*
School of Pharmaceutical and Biomolecular Sciences, Liverpool John Moores University, 3 Byrom Way, Liverpool, L3 3AF, UK. E-mail: j.ashley@ljmu.ac.uk
First published on 2nd March 2026
Monitoring anti-seizure medications (ASMs) such as carbamazepine is important to ensure that the correct dosage is given to patients, which provides the maximum therapeutic effect. However, therapeutic windows for carbamazepine are narrow and need to be highly tailored towards the patients. Therefore, there is a need for more precise analytical methods for monitoring ASMs. Here we report a new hybrid aptamer/molecularly imprinted nanoparticle (nanoMIP) optical nanosensor utilising fluorescence quenching for the detection of carbamazepine. The nanosensor relies on a co-operative based binding mechanism whereby when the aptamer binds to carbamazepine, it undergoes structural switching to change its 3D conformation and binds to the nanoMIP. Using a solid-phase imprinting technique, we synthesized nanoMIPs that recognise and bind to the aptamer/carbamazepine complexes. The resultant nanoMIPs can then selectively recognise and bind to the aptamer complex, resulting in a switch-off signal. The sensor demonstrated a limit of detection (LOD) of 12.7 nM and excellent sample recoveries of around 95% in 50% human serum.
These clinical imperatives make sensitive, selective, and rapid determination of carbamazepine an ongoing analytical priority.
Conventional carbamazepine assays such as liquid chromatography mass spectrometry (LC-MS) offer excellent sensitivity and selectivity but at the cost of sophisticated instrumentation, trained personnel, lengthy sample preparation, and limited portability.2–6 Other separation methods reported for the quantification of carbamazepine include high-performance liquid chromatography (HPLC)7 and capillary electrophoresis.8 The use of immunoassays and enzyme-linked formats for carbamazepine detection and quantification reduces time-to-result yet can suffer from antibody cross-reactivity, batch-to-batch variability, and cold-chain constraints.9,10 Biosensors such as electrochemical11 and optical sensors12 have emerged as attractive alternatives for therapeutic drug monitoring; however, many reported platforms still face challenges, including sluggish electron-transfer kinetics, surface fouling in complex media, and insufficient discrimination against structurally related interferents such as carbamazepine-10,11-epoxide, oxcarbazepine, and common co-medications.13 Other notable biosensor platforms for the detection of carbamazepine include fluorescence polarisation14 and the use of copper-based nanocomposites.15
Aptamers and molecularly imprinted polymers have emerged as exciting chemical antibodies due to their flexibility in terms of functionality and stability as biorecognition elements in biosensors.16 Several studies have focused on the development of biosensors for the detection of anti-seizure medications utilising these chemical antibodies as effective biorecognition elements. In 2022, Chung et al. developed an electrochemical aptasensor for the detection of carbamazepine, achieving detection limits of 1.25 and 1.82 nM for 5 and 30 min assays, respectively.17 In terms of MIPs, researchers developed molecularly imprinted polymers on carbon paste electrodes to monitor phenobarbital, carbamazepine, and levetiracetam.18
Attempts to combine aptamers and MIPs have resulted in the formation of hybrid aptaMIPs in the field of nanosensors, which allows for the synergistic effects of both aptamers and MIPs, enhancing performance as a multifunctional nanomaterial.19 These hybrid aptaMIPs have been demonstrated as biorecognition elements in biosensors and as sorbent materials in a number of sensor applications.20–22
Hybrid aptaMIP materials have been developed for a variety of target analytes such as viruses, proteins and small molecules.23,24 In 2022, researchers developed a label-free electrochemical nanohybrid MIP aptasensor utilising molecular organic frameworks to detect the Covid-19 virus.25 The nanosensor demonstrated a LOD of 3.3 ± 0.04 PFU mL−1 in electrochemical detection.
In 2016, Jolly et al. utilised an electrochemical sensor for the detection of prostate specific antigens.26 Using a thiolated aptamer and synthesising the MIP through the electro-polymerisation of dopamine, the researchers fabricated a film-based hybrid material that was able to detect prostate specific antigen (PSA) down to a LOD of 1 pg mL−1 (0.029 pM). More recently, Turk et al. demonstrated the electrochemical detection of thrombin using multiwalled carbon nanotubes as the substrate for a MIP/aptamer hybrid.27 The multifunctional material was capable of detecting thrombin down to 1.4 pg mL−1 (0.038 pM).
To date, strategies for creating hybrid nanoMIP/aptamer materials have included utilising chemically modified aptamers with polymerizable groups and terminally functionalised aptamers. The most common method has been to modify the terminal group of the aptamers with a polymerizable moiety and treat the aptamer as a functional macromonomer.22
Hybrid aptamer molecularly imprinted polymer nanoparticles were also developed against oxidized low-density lipoproteins as a strategy for reducing internalisation by macrophages.28
Another approach was demonstrated by Sullivan et al. who took the antibiotic moxifloxacin and chemically modified thymine groups throughout the aptamer to convert the aptamer into a multi-sited crosslinker which was then incorporated into the MIP using solid phase imprinting.29 Another approach used specifically for electrochemical sensors is to use terminally functionalised aptamers and bioconjugate the aptamer to a gold electrode surface.26,30 The aptamer functionalised gold electrode is then electropolymerized using thionine or dopamine as monomers.
Recently, we demonstrated a strategy for the synthesis of hybrid aptaMIP materials (also known as nanoMIP beacons) where the aptamer is incorporated as part of the template rather than as a functional monomer.31 This approach allows for a unique bio-recognition through a pseudo co-operative binding mechanism where the aptamer is used as a ligand that first recognises the analyte. Upon binding the analyte, the 3D conformation of the aptamer in its complex changes (structure-switching32), which can then be recognised by the MIP. This strategy provides a convenient way to incorporate aptamers and MIPs into sandwich-based assays whereby the MIP mimics the capture antibody and the aptamer acts as the reporter.
Here, we report an optical based nanosensor for the detection of carbamazepine that integrates an aptamer containing a black hole quencher and 5′ labelled amino groups and MIP integrated with a fluorescent-labelled monomer. When the aptamer binds to the carbamazepine causing its 3D conformation to change through structure-switching, the aptamer–carbamazepine complex is recognised by the nanoMIP and binds, causing a switch-off signal. In contrast, the aptamer in its unbound state showed little binding towards the nanoMIP, demonstrating a co-operative based binding mechanism and improved selectivity and robustness compared to aptamer-and MIP-only biosensors. The developed nanosensor will act as the basis for point-of-care (POC) monitoring of ASMs in clinically relevant samples.
NanoMIP synthesis employed the following monomers and cross linkers: N-isopropylacrylamide (NIPAm), N-tert-butylacrylamide (TBAm), acrylic acid (AAc), N-(3 aminopropyl)methacrylamide HCl (APM), and N,N′-methylenebisacrylamide (BIS). Polymerisation was initiated with ammonium persulfate (APS) and catalysed with N,N,N′,N′-tetramethylethylenediamine (TEMED). Fluorescein O-acrylate was included for fluorescent labelling and all monomers and crosslinkers were obtained from Sigma Aldrich. Carbamazepine, diclofenac, ethosuximide and sodium valproate were purchased from Sigma Aldrich. Carbamazepine 10,11-epoxide (carbamazepine epoxide) was purchased from BioSynth UK. Sample recovery experiments were performed using human serum from Sigma Aldrich. Fluorescence measurements were carried out on a Tecan Synergy plate reader or CLARIOstar Plus using black 96 well plates, with excitation at 465 nm and emission collected from 500 to 610 nm (gain 80, bandwidth 20 nm). Transmission electron microscopy (TEM) images were acquired on a Field Electron and Ion Company (FEI) Morgagni instrument.
A 100 mL pre-polymerisation solution containing NIPAm (0.34 mmol), AAc (0.032 mmol), TBAm (0.26 mmol), BIS (0.013 mmol), APM (0.06 mmol), fluorescein-O-acrylate (1.29 µmol), and 10 µM carbamazepine in 50 mM Tris buffer (pH 7.4) was prepared and degassed by nitrogen for 30–60 min. Separately, the bead bed was degassed by vacuum sonication for 30 min. 30 mL of the pre-polymerisation mixture was then percolated through the bead bed. Polymerisation was initiated by first adding TEMED (30 µL), followed by 500 µL of APS solution (10%). The reaction proceeded for 16 h with overhead stirring using a paddle designed to sit within the solid-phase cartridge in the liquid overlayer.
Beads were rinsed with eight bed volumes of deionised water to remove unreacted species, low affinity material, and free carbamazepine imprinted nanoparticles. High affinity nanoMIP beacons were subsequently eluted by incubating the bead column in pre-warmed water (60 °C) for 15 min and collecting the eluate under vacuum. This elution was performed three times. Final nanoMIP preparations were stored at 4 °C until use.
Glass beads for the synthesis of a positive nanoMIP control were prepared in the same manner but without carbamazepine during the aptamer incubation and in the pre-polymerisation mixture. The absence of residual (leached) carbamazepine was confirmed by ultraviolet (UV) absorption (Fig. S2). Glass beads were regenerated by soaking in water for 2–4 h followed by ten 30 mL washes with deionised water.
000 nM) in 50 mM tris buffer pH 7.4. The extent of binding and quenching was also determined for the positive nanoMIP control by incubating 50 μL of the positive nanoMIP control with 50 μL of the carbamazepine aptamer at different concentrations (10–10
000 nM) in 50 mM Tris buffer pH 7.4.
The selectivity of the sensor was determined by incubating a premix of carbamazepine aptamer or SS (5 μM) with 1 mL of nanoMIP beacon (0.25 mg mL−1) in 50 mM tris buffer pH 7.4. 50 μL of this solution was incubated with the highest concentration of each ASM (15 μM) and the extent of fluorescence quenching was measured from the [(I0/I) − 1] ratio vs. the concentration of carbamazepine.
The ability of the nanoMIP beacons to detect carbamazepine in 50% diluted human serum samples was assessed by determining the sample recoveries of carbamazepine in the presence of the aptamer ligand and nanoMIP beacon. Sample recoveries were determined by premixing 5 μM of carbamazepine aptamer or SS with 1 mL of nanoMIP (0.25 mg mL−1) in 50 mM Tris buffer pH 7.4. 50 μL of this solution was incubated with spiked concentrations of carbamazepine (100, 500 and 1200 nM) in 50% human serum and compared to the unspiked sample. The stability of nanoMIP fluorescence was assessed by measuring the fluorescence of 100 µL of nanoMIP beacon (0.25 mg mL−1) at 0, 1, 2, 4, 8, 12, and 24 h. The normalized fluorescence change was calculated as ΔF/F0 = (Ft − F0)/F0, where F0 is the mean fluorescence at 0 h and Ft is the mean fluorescence at each subsequent timepoint. Fluorescence measurements were obtained, and the fluorescence quenching was determined from the Stern–Volmer ratio [(I0/I) − 1]. The found concentrations were determined by extrapolation of the Stern–Volmer ratio from the linear Stern–Volmer plot, and the unspiked sample was assumed to be zero.
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| Scheme 1 Overview of the solid-phase synthesis technique for synthesizing nanoMIPs against carbamazepine aptamer complexes. | ||
The solid-phase imprinting technique allows for the aptamer adopt a single orientation via nucleophilic conjugation of the amino-terminated aptamer to epoxide-bearing glass beads. When thiolated aptamers were initially used, reduction of the disulphide groups with (tris(2-carboxyethyl)phosphine) (TCEP) gave rise to an undesirable side reaction on the black hole quencher with loss of colour, suggesting that thiolated aptamers are incompatible with black hole quenchers as dual terminal functional groups on the aptamer. Therefore, aptamers with an amino group on the 5′ end and a black hole quencher on the 3′ end were immobilised onto the epoxide functionalised glass beads. To effectively immobilise these aptamers, a high pH carbonate buffer at pH 9.0 was used. The functionalisation of the carbamazepine aptamers on the glass beads was confirmed after incubation by comparing the intensity of the aptamer band on a native PAGE gel (Fig. 1S). Nanodrop optical density (OD) measurements were also performed at 260 nm to confirm the functionalisation of the aptamer on the glass beads. Carbamazepine was incubated with the glass beads in order to form the aptamer/carbamazepine template. The formation of the aptamer/carbamazepine template on the glass beads was confirmed using a UV spectrometer before and after incubation (Fig. S2) and subsequent washes. Glass beads containing the aptamer on its own were also prepared for the synthesis of the nanoMIP positive control (formed in the absence of carbamazepine). Pre-polymerisation mixtures were prepared containing functional monomers, a fluorescein labelled monomer, a crosslinker and a free carbamazepine template. The pre-polymerisation mixture was also buffered in Tris buffer at 7.4 pH to prevent hydrolysis of the DNA aptamer at low pH by acrylic acid. NanoMIPs were synthesized using chemical-based polymerisation with TEMED and APS with different concentrations of the fluorescent monomer.
The co-operative binding mechanism and fluorescence properties of the nanoMIPs were recorded and optimised on the fluorescence plate reader. The fluorescence signal was recorded for the nanoMIPs in the presence of different concentrations of carbamazepine aptamers and scrambled sequences (SS) in the absence of carbamazepine respectively. The fluorescence scans for the nanoMIPs in the presence of both carbamazepine aptamers (Fig. 2A) and scrambled sequences (SS) (Fig. 2B) demonstrated only a small decrease in signal, which can be attributed to dynamic quenching, confirming that neither the aptamer or the SS control bind strongly to the nanoMIPs up to a maximum concentration of 10 µM, when carbamazepine analyte is absent. In contrast, the positive nanoMIP control (Fig. 2C), synthesized against the carbamazepine aptamer only, showed a significant quenching effect in fluorescence with increasing carbamazepine aptamer concentration in the absence of the carbamazepine analyte. When comparing the fluorescence of the nanoMIP and positive nanoMIP control in the presence of either the aptamer or SS (Fig. 2D), we can confirm that the aptamer does not bind to the nanoMIP in its unbound state and there is little to no non-specific binding by the SS, and if carbamazepine is absent during the imprinting of the positive nanoMIP control, the carbamazepine aptamer can be recognised in its unbound conformation. As with most structure switching-based aptamers, carbamazepine undergoes a change in 3D conformation when it binds to the carbamazepine analyte, which is thermodynamically more favourable than the aptamer in its unbound state, which could only be partially folded or could exist in alternative folded conformations.
The dynamic range of the nanoMIPs was determined to be between 45 and 1200 nM and the limit of detection (LOD) was determined from the standard deviation of 3 blank samples. The LOD was determined to be 12.7 ± 2.6 nM under optimal buffer conditions.
The selectivity of the nanoMIPs were determined by incubating a fixed concentration of aptamer (5 μM) with each ASM (15 μM) and measuring the degree of quenching of the nanoMIPs, as shown in Fig. 4.
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| Fig. 4 Selectivity of nanoMIPs towards different ASMs in the presence of both the SS and carbamazepine aptamer, respectively (n = 3). | ||
The nanoMIPs showed a significant amount of quenching with carbamazepine in the presence of the aptamer and little to zero signal change when the nanoMIPs were incubated with other ASMs. The lack of fluorescence quenching was most striking in the case of carbamazepine epoxide which has a similar structure to carbamazepine. There was also very little quenching of the nanoMIP signal in the presence of the SS and all ASMs.
Finally, we assessed the accuracy of the sensor in simulated human serum samples by spiking different concentrations of carbamazepine into 50% human serum to represent concentrations across the linear range within the linear dynamic range (100, 500, and 1000 nM) and a fixed concentration of aptamer (5 μM). Table 1 shows that the sample recoveries were measured and varied between 95.6 and 96.1%. The precision of the sensor varied with an RSD of between 2.9 and 3.2%. These results suggest that the developed nanosensor is robust enough to be used in a clinical setting. The blank nanoMIP fluorescence signal was stable over 24 h, showing ∼1.0% mean drift (ΔF/F0 = −0.99% from 0 to 24 h) with ∼1% variability (pooled %CV ≈ 1.0%) (Fig. S3).
| Spiked concentration in 50% human serum | Observed concentration | Recovery % | RSD % |
|---|---|---|---|
| 100 | 96 ± 1.23 nM | 95.6 | 3.2 |
| 500 | 480 ± 3.5 nM | 96 | 3.1 |
| 1000 | 960 ± 7.2 nM | 96.1 | 2.9 |
Data for this article, including fluorescence measurements and TEM images, are available at the LJMU data repository at https://opendata.ljmu.ac.uk/.
| This journal is © The Royal Society of Chemistry 2026 |