Open Access Article
Yinzi Yuea,
Tingting Cuib,
Meijiao Yaoc,
Huayi Fengb,
Lianlin Suc,
Mingming Sun*b and
Shuai Yan
*b
aDepartment of General Surgery, Suzhou TCM Hospital Affiliated to Nanjing University of Chinese Medicine, Suzhou, Jiangsu 215009, China
bDepartment of Anorectal Surgery, Suzhou TCM Hospital Affiliated to Nanjing University of Chinese Medicine, Suzhou, Jiangsu 215009, China. E-mail: 20077840@qq.com; doctor_shuaiyan@njucm.edu.cn
cSchool of Pharmacy, Nanjing University of Chinese Medicine, Nanjing, 210023, Jiangsu, China
First published on 20th March 2026
This work aims to develop an ultrasensitive electrochemical aptameric immunosensor for quantitative liquid-biopsy detection of colorectal cancer (CRC) exosomes. We engineered a glassy carbon electrode modified with a Ti3C2Tx MXene–AuPtPdCu nanoalloy nanocomposite, where uniformly dispersed alloy nanoparticles (8.5 ± 1.2 nm) provide a highly conductive and electrocatalytically active interface, and enable stable immobilization of a thiolated CD63 aptamer via Au–S bonding. Exosome capture forms an interfacial blocking layer that hinders [Fe(CN)6]3−/4− redox probe access, producing a concentration-dependent decrease in differential pulse voltammetry current. Under optimized conditions, the sensor exhibited a linear response from 50 to 5.0 × 104 particles µL−1 (R2 = 0.998) with a detection limit of 19 particles µL−1, and delivered 1.8–2.0× signal amplification relative to monometallic MXene-based controls, consistent with the synergistic effects of multicomponent nanoalloys. The platform showed high selectivity against non-target exosomes and serum proteins, good fabrication reproducibility (inter-electrode RSD < 4.5%), and strong storage stability (94.6% signal retention after 28 days at 4 °C). In clinical serum analysis, CRC patients presented significantly elevated exosome levels compared with healthy controls (2.1 × 104 vs. 0.8 × 104 particles µL−1, p < 0.001), and the results agreed well with a commercial ELISA (R2 = 0.995). These findings demonstrate that MXene-supported AuPtPdCu nanoalloy interfaces can substantially enhance aptamer-based electrochemical exosome quantification, offering a sensitive and reliable strategy for CRC-related liquid biopsy.
However, exosome quantification remains technically challenging. Clinically relevant samples often contain low target abundance, substantial heterogeneity, and high backgrounds of proteins and non-target vesicles.7 Conventional approaches such as nanoparticle tracking analysis, transmission electron microscopy, and immunoblotting are informative but are generally limited by throughput, instrumentation burden, and/or quantification practicality in routine testing workflows.8 Immunoassays such as ELISA provide convenient quantification, yet they can struggle to resolve small concentration differences that may be important for early-stage disease, particularly in high-background biofluids.9,10 The tetraspanin protein CD63, highly abundant on the surface of many exosomes, serves as a canonical exosomal marker and a valuable target for their capture and detection.11,12 Together, these constraints define a clear need for rapid, cost-effective, and ultrasensitive sensing platforms that maintain specificity under real-matrix conditions.13
Electrochemical biosensors have the advantages of high sensitivity, fast response speed, low cost, great miniaturisation potential, simple operation, etc., and have become a powerful alternative technology.14–16 The effectiveness of these sensors largely depends on how the electrode interface is designed. This interface must use materials that can accurately identify the target analyte while also converting the binding interaction into a clear and measurable electrical signal.17 In this setting, two-dimensional nanomaterials—especially Ti3C2Tx MXene—have attracted considerable attention because of their metallic conductivity, hydrophilic surface terminations, and large accessible surface area.18 Ti3C2Tx MXene belongs to a family of two-dimensional transition-metal carbides/nitrides bearing surface terminations such as –O, –OH, and –F, which facilitate biomolecule interfacing and rapid interfacial electron transport. At the same time, Ti3C2Tx is not indefinitely stable in oxygenated aqueous media and can gradually oxidize to TiO2-rich species, with degradation reported to be faster in liquid dispersions than in solid-state forms.19–21 Therefore, practical MXene-based biosensors require careful control of storage, processing time, and interfacial assembly conditions.22,23 In the present work, freshly prepared MXene was used for composite fabrication, and the sensing interface was ultimately operated as a solid electrode coating rather than as a long-term aqueous colloid, which helps mitigate—but does not fully eliminate—the impact of MXene oxidation.24 To further increase signal output and overall sensing performance, noble metal nanomaterials are often incorporated. Among these, high-entropy nanoalloys (HENAs), which consist of four or more main elements in nearly equal proportions, have emerged as an important new material system.25 Compared with monometallic or bimetallic nanoparticles, HENAs usually show stronger catalytic activity and better stability, which is driven by synergy, lattice distortion and the so-called cocktail effect.26 We hypothesize that decorating Ti3C2Tx MXene nanosheets with an equimolar AuPtPdCu multi-metal nanoalloy can create a nanocomposite with simultaneously optimized biofunctional anchoring and interfacial electrochemical kinetics. Au was intentionally introduced to enable robust Au–S bonding with the thiolated CD63 aptamer, a widely used stng stable and reproducible nucleic-acid interfaces on noble-metal surfaces.27,28 Pt and Pd were selected as catalytically active and chemically stable noble metals that can accelerate interfacial charge transfer, while Cu was incorporated as a 3d component that modulates the electronic structure and lattice strain of noble-metal lattices, which is frequently reported to enhance activity and durability in alloy electrocatalysts.29 More broadly, multi-principal-element/high-entropy nanoalloys can exhibit ‘cocktail-effect’ synergy and lattice distortion that tune adsorption energetics and charge redistribution, thereby improving electrochemical performance compared with single-metal nanoparticles.30
In this study, we reported on the design and manufacture of a new electrochemical induction sensor for sensitive and selective quantification of CRC-derived exosome.31 The sensor is built on a glass-carbon electrode (GCE) modified by Ti3C2Tx MXene–AuPtPdCu nanoalloy (MXene–NAs) nanocomposite. Then the exosome surface protein CD63-specific tero-modified DNA adaptor was fixed on the surface of MXene–NAs.32 Binding of CRC exosomes onto the aptamer-functionalized interface reduces the faradaic DPV signal of the [Fe(CN)6]3−/4− probe primarily through interfacial blocking, including steric exclusion of probe access and an increase in the electron-transfer barrier at the electrode surface. Because both the DNA phosphate backbone and exosome membranes are negatively charged, an additional electrostatic contribution to suppression of the anionic redox probe may also be present; accordingly, the measured current decrease reflects a combined interfacial effect rather than a purely steric process.33 The magnitude of signal decay increases with the amount of captured exosomes and is used for quantitative analysis. We have comprehensively characterised the synthesised nanocomposites and systematically evaluated the analytical performance of the sensor, including its sensitivity, selectivity, repeatability, stability and application in clinical serum samples. This study aims to propose a new liquid biopsy diagnostic method by combining the complementary advantages of MXenes and high entropy nanoalloys to make early detection of colorectal cancer possible.
000 rpm for 15 minutes). Because the four metal precursors are pre-adsorbed on the same MXene surface and reduced in a single, rapid co-reduction step, co-nucleation is favored over sequential deposition, which helps suppress core–shell growth. Rapid, high-driving-force synthesis routes have been widely reported to yield single-phase solid-solution high-entropy alloy nanoparticles when multiple precursors are reduced together. The product was washed three times with deionized water to remove residual reagents, and then re-dispersed in 5 mL of deionized water to obtain a stable reserve suspension with a concentration of 10 mg mL−1. For the control samples, the synthesis of Mxene–Au, MXene–PT and Mxene–PD followed the same process, but only the corresponding single metal precursors were used.
Before surface modification, the glassy carbon electrode (GCE) was polished successively on a polishing pad with 1.0, 0.3 and 0.05 µm alumina slurry, and then ultrasonically cleaned in ethanol and deionized water for 5 minutes respectively. After cleaning, dry the electrodes through a high-purity nitrogen gas flow. To construct the sensing layer, 5 µL of MXene–NAS suspension (1.0 mg mL−1) was dropped onto GCE and dried at room temperature. The electrode was gently rinsed with deionized water to remove the loosely adhering substances, and MXene–NAs/GCE was obtained. For the fixation of the aptamer, the modified electrode was immersed in a 1.0 µM thiol-functionalized CD63 aptamer solution prepared in PBS (pH 7.4) and incubated at 4 °C for 12 hours. In this step, the thiol group firmly binds to the Au atoms in the nanoalloy through the Au–S covalent interaction.28 After the incubation step, the electrodes are rinsed with PBS to remove excess aptamers and those that bind in a non-specific manner. To seal the unoccupied surface sites and reduce non-specific adsorption, the electrode (Apt/MXene–NAS/GCE) was further treated with 1 mM 6-mercapto-1-hexanol (MCH) for 1 hour, and then rinsed with PBS. The assembled aptamer sensor should be stored at 4 °C when not in use.
Cyclic voltammetry was performed at a scanning rate of 50 mV s−1. Electrochemical impedance spectroscopy tests were conducted within the frequency range of 0.1 Hz to 100 kHz, with an alternating current disturbance of 5 mV applied at the formal potential of REDOX pairs. When conducting exosome analysis, the prepared aptamer sensor was incubated with different concentrations of colorectal cancer exosomes (taken from cell culture supernatants or patient serum) in PBS (pH 7.4) at 37 °C for 60 minutes. Then rinse the electrode with electrode buffer to remove unbound exosomes. Then the differential pulse voltammetry (DPV) curves were recorded in the same [Fe(CN)6]3−/4− electrolyte. The conditions of differential pulse voltammetry were optimized and set as a pulse amplitude of 50 mV, a pulse width of 50 ms, and a step potential of 5 mV.35,36 The variation of peak current in differential pulse voltammetry (defined as ΔI = I0 − I) is used as the quantitative response signal.
Fig. 1 shows the morphological characteristics of the synthesized layered Ti3C2Tx nanosheets. The SEM image (Fig. 1A) reveals a characteristic accordion-like, layered structure, which is a hallmark of successfully etched MAX phase powders. After delamination via sonication, the TEM image (Fig. 1B) shows large, transparent, and sheet-like structures, confirming the exfoliation of the bulk material into thin nanosheets with lateral dimensions of several micrometers. The wrinkled and flexible appearance is typical for 2D materials prepared by liquid-phase exfoliation.37
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| Fig. 1 Morphological characterization of Ti3C2Tx MXene. (A) SEM image of multi-layered Ti3C2Tx after HF etching. (B) TEM image of delaminated, few-layered Ti3C2Tx nanosheets. | ||
To further confirm the successful synthesis and exfoliation, XRD analysis was conducted (Fig. 2A). The XRD profile of the original Ti3AlC2 MAX phase displays several well-defined diffraction peaks, with the strongest signal appearing at 39.0°, which is assigned to the (104) plane. Following HF treatment, the typical diffraction features of Ti3AlC2, including the prominent (104) reflection, were no longer observed, indicating successful removal of the Al layer. A new prominent peak emerged at a much lower 2θ value of 6.5°, which is assigned to the (002) plane of Ti3C2Tx. The (002) peak decreased from ∼9.5° in the MAX phase to 6.5°, indicating that the c lattice parameter has increased significantly from 18.6 to 27.2 Å. The increase in interlayer distance is due to the elimination of the Al layer and the insertion of water molecules and surface groups such as –OH and –F in the etching process, thus confirming the effective conversion of the MAX phase into Mxene.20,21 Use an atomic force microscope to detect the thickness of the stripped nanofilm. As shown in Fig. 2B, the representative AFM image of Ti3C2Tx deposited on the mica substrate shows sheet-like characteristics consistent with the TEM results. The height profile shows that the thickness of a single nanochip is about 1.8 nm, which is very consistent with the expected thickness (∼1 nm) of a single Ti3C2Tx layer when considering the contribution of the surface end and adsorption water.5 These observations verify effective exfoliation into single- or few-layer nanosheets, a key factor for increasing surface area and offering plentiful anchoring sites for subsequent nanoalloy growth.38,39
The morphology of MXene–AuPtPdCu (MXene–NAs) nanocomposites was characterised by TEM (Fig. 3). As shown in Fig. 3A, on the surface of the relatively bright and transparent MXene nanochip, dark nanoparticles are evenly and densely distributed, and obvious aggregation is rarely observed. This uniform distribution is mainly due to the fact that the abundant surface functional groups on MXene provide effective anchor positioning points for metal precursor ions, enabling them to be reduced in situ.40,41 The statistical analysis of more than 100 particles shows that the average diameter of nanoalloys is 8.5 ± 1.2 nm. The HRTEM image shows further structural information (Fig. 3B). The lattice stripe with a surface spacing of 0.228 nm is clearly observed, which corresponds to the (111) surface of the face-centred cubic (fcc) structure.42 It is worth noting that this spacing falls between the (111) surfaces of pure Au, Pt, Pd and Cu, indicating the formation of a uniform alloy, not a physical mixture of individual metal nanoparticles.34 In addition, the selective region electron diffraction (SAED) diagram shown in Fig. 3B shows obvious polycrystalline rings corresponding to the (111), (200), (220) and (311) planes of the fcc structure, which further confirms the successful synthesis of crystal nanoalloys.
To verify the elemental composition and spatial distribution of the nanoalloys on the MXene support, HAADF-STEM and EDX mapping were performed (Fig. 4). The HAADF-STEM image (Fig. 4A), where the brightness is proportional to the atomic number (Z-contrast), clearly shows the high-Z nanoalloys as bright spots against the darker MXene background. The corresponding EDX maps (Fig. 4B–E) demonstrate a perfect overlap in the spatial distribution of Au, Pt, Pd, and Cu, providing compelling evidence that these elements are co-located within the same nanoparticles, thus confirming the formation of a quinary nanoalloy structure. The maps for Ti and C (Fig. 4F and G) show their distribution across the entire area, consistent with the underlying MXene support. Quantitative EDX analysis (Table 1) shows that the atomic fractions of Au, Pt, Pd, and Cu are 24.1%, 25.8%, 25.3%, and 24.8%, respectively. These values closely match the equimolar ratio of metal precursors employed during synthesis.43 We note that area EDX mapping primarily supports co-localization at the nanometre scale and may not fully exclude a very thin segregated shell because of the intrinsic spatial-resolution limits of X-ray signal generation in nanoparticles.
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| Fig. 4 (A) HAADF-STEM image of the MXene–AuPtPdCu nanocomposite. (B–G) EDX maps of Au, Pt, Pd, Cu, Ti, and C confirm nanoalloy formation and distribution on the MXene sheet. | ||
| Element | Precursor molar ratio (%) | Atomic% (from EDX) | Atomic% (from XPS) |
|---|---|---|---|
| Au | 25.0 | 24.1 | 23.8 |
| Pt | 25.0 | 25.8 | 26.1 |
| Pd | 25.0 | 25.3 | 25.5 |
| Cu | 25.0 | 24.8 | 24.6 |
Analyse the crystal structure of MXene–NAs composite materials with XRD correspondence, and show the characteristic peak of Ti3C2Tx at 6.3° (002), slightly shifted from the pristine MXene, which may be due to the interaction with the nanoalloys. In addition to the MXene peak, a broad diffraction peak is observed at 2θ = 39.8°. This peak can be attributed to the (111) reflection of the fcc structure of the AuPtPdCu nanoalloy. Au, Pt, Pd or Cu do not have separate peaks, but there are single, wide alloy peaks, indicating the formation of a solid solution alloy structure.44,45 The lattice parameter calculated by the diffraction peak is 3.96 Å, which is between the constituent metals, which is in line with the Vigard law of the alloy system. In addition, the obvious peak width reflects the small grain size of the nanoalloy. According to the Scherrer equation, the grain size is estimated to be about 8.1 nm, which is consistent with the grain size obtained by TEM analysis. The surface composition and chemical state of MXene–NAs composite materials were studied using X-ray photoelectron energy spectrum (XPS). The wide scanning spectrum shows clear signals of Ti, C, O, F, Au, Pt, Pd and Cu, and no other impurity elements were observed. The detection of O and F is expected because these elements come from the surface end of Ti3C2Tx produced during HF etching. The quantitative element composition obtained by XPS is shown in Table 2, which is consistent with the EDX analysis results, which further verifies the expected successful formation of composite materials. In order to obtain more detailed information on the internal electronic structure of nanoalloys and the interaction between elements, we further analysed the high-resolution XPS spectrum, as shown in Fig. 5. The Au 4f spectrum (Fig. 5A) can be inversely convolutioned into two peaks of 83.8 eV (Au 4f7/2) and 87.5 eV (Au 4f5/2), corresponding to the metal Au(0). These values show a negative displacement compared with the volume Au (84.0 eV), indicating that Au atoms gain electrons from more electropositive Cu and Pd atoms.46,47 Similarly, the Pt 4f spectrum (Fig. 5B) shows two characteristic peaks, 70.9 eV (Pt 4f7/2) and 74.2 eV (Pt 4f5/2) respectively. Compared with the body Pt (71.2 eV), the binding energy of the two peaks is slightly reduced, indicating that there is electronic interaction inside the alloy. In contrast, the Pd 3d spectrum (Fig. 5C) presents Pd(0) signals at 335.5 eV (Pd 3d5/2) and 340.8 eV (Pd 3d3/2), and they transfer to higher binding energy relative to the body Pd (335.1 eV). The Cu 2p spectrum (Fig. 5D) is characterised by the peaks of Cu(0) at 932.9 eV (Cu 2p3/2) and 952.7 eV (Cu 2p1/2). In addition, weak satellite features are observed, indicating a small degree of surface oxidation to Cu(II), a phenomenon commonly reported for copper-based nanoparticles. The binding energy of Cu(0) is also positively shifted compared to bulk Cu (932.6 eV). These shifts in binding energies are a hallmark of charge redistribution and strong electronic interactions among the constituent metals, providing definitive proof of alloy formation at the atomic level. These trends are consistent with alloying-related electronic interaction and charge redistribution among the constituent metals (initial-state effects). At the same time, we acknowledge that for small supported nanoparticles, measured BE shifts can also include final-state contributions arising from differences in core–hole screening/relaxation that depend on particle size, morphology, and the local dielectric environment. Therefore, the observed shifts are most appropriately interpreted as predominantly reflecting alloying-induced electronic interaction, with possible partial contributions from nanoscale final-state screening effects. Importantly, alloy formation in our material is supported not only by XPS but also by the intermediate fcc(111) lattice spacing in HRTEM, the single broad fcc(111) diffraction feature in XRD without separate monometallic peaks, and the strong spatial overlap of Au/Pt/Pd/Cu in STEM–EDX mapping, collectively indicating a solid–solution nanoalloy rather than a physical mixture. The concurrent core-level shifts in Au/Pt/Pd/Cu further support an electronically coupled alloyed state, which would be less expected for strongly segregated multi-domain particles.48
| Electrode | (Rs) (Ω) | (Rct) (Ω) | (Q) (×10−5) S s(n)) | (n) |
|---|---|---|---|---|
| Bare GCE | 21.4 | 350.2 | 8.9 | 0.90 |
| MXene–NAs/GCE | 19.8 | 45.1 | 24.0 | 0.88 |
| Apt/MXene–NAs/GCE | 20.7 | 851.6 | 13.0 | 0.86 |
| Exo/Apt/MXene–NAs/GCE | 22.1 | 2603.5 | 7.1 | 0.84 |
The chemical state of the MXene support was also examined (Fig. 6). The Ti 2p spectrum (Fig. 6A) is complex, showing multiple components corresponding to Ti–C bonds (455.0 eV), Ti2+ (456.1 eV), Ti3+ (457.3 eV), and a small amount of TiO2 (458.8 eV) from surface oxidation. The C 1s spectrum (Fig. 6B) can be decomposed into C-ti (281.8 eV), C–C (284.8 eV), C–O (286.5 eV) and O–C
O (288.9 eV). These characteristics are typical of Ti3C2Tx MXene and indicate that the basic MXene framework is largely preserved after nanoalloy deposition. We note that the Ti 2p spectrum also contains a minor TiO2-related contribution, which is consistent with the limited surface oxidation commonly reported for Ti3C2Tx during aqueous processing. However, the persistence of Ti–C/C–Ti signals together with the low Rct of MXene–NAs/GCE and the stable sensing response over 28 days indicates that such oxidation remains limited and does not compromise the functional role of the MXene support within the timescale of this study.49
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| Fig. 6 High-resolution XPS spectra of the MXene–AuPtPdCu nanocomposite showing the (A) Ti 2p and (B) C 1s regions, which confirm the characteristic chemical states of the Ti3C2Tx MXene support. | ||
Use Raman spectroscopy to detect the vibration characteristics of the material (Fig. 7A). The original Ti3C2Tx shows a typical Raman band at about 200
370 and 620 cm−1, which is caused by the vibration of Ti, C and the surface terminal base.50 After loading the AuPtPdCu nanoalloy, the position of these strips changed slightly, and the relative strength also changed. This change is characterised by the surface-enhanced Raman scattering (SERS) effect caused by the local surface plasma resonance of precious metal nanoparticles. This behaviour reflects the strong electron coupling between nanoalloys and MXene carriers, which is conducive to charge transfer and electrochemical applications.51,52
In addition, aptamer immobilization was first supported by FTIR spectroscopy (Fig. 7B). After incubation with the thiolated CD63 aptamer, new bands appeared at approximately 1654, 1240, and 1080 cm−1, assignable to nucleobase-associated vibrations and phosphate stretching modes of the DNA backbone. This interpretation is further supported by the ζ-potential shift observed for the dispersion-phase analogue after aptamer treatment. Because FTIR and ζ-potential are not fully quantitative descriptors of surface loading, we further examined the aptamer-functionalized interface by XPS. Compared with MXene–NAs, the Apt/MXene–NAs surface exhibited the appearance of a P 2p signal centered at ∼133 eV, attributable to phosphate groups from the immobilized DNA aptamer, together with an increased N 1s contribution, providing stronger chemical evidence for successful aptamer immobilization on the Au-containing nanoalloy interface.
After fixing the CD63 adapting (curve c), the peak current decreases and the ΔEp increases. This behavior can be explained by the negatively charged phosphate skeleton of the DNA adaptive body, which can repel [Fe(CN)6]3−/4−, and the biomolecular layer itself partially prevents electron transfer. After the subsequent CRC exosome binding (curve d), this blocking effect was further enhanced.55 Because the exosome body is a relatively large vesicle, their capture on the electrode surface forms an insulating layer, which strongly restricts the entry of the redox probe, resulting in a significant reduction in current response.56 This improvement stems from the high electrical conductivity and the increased electrochemically accessible surface created by the nanostructured MXene–AuPtPdCu coating. To quantify the active-area change during stepwise fabrication, we estimated the electrochemically active surface area (ECSA) from scan-rate-dependent CVs of a reversible redox probe using the Randles–Ševčík relationship (ip ∝ A·ν1/2). Under identical electrolyte/probe conditions, the calculated ECSA increased from 0.073 cm2 for bare GCE to 0.156 cm2 after MXene–NAs modification (≈2.14-fold), confirming that the composite coating exposes additional accessible electroactive sites. After aptamer immobilization, the ECSA decreased to 0.140 cm2, and further decreased to 0.108 cm2 after exosome capture, consistent with progressive surface blocking by the negatively charged aptamer layer and the insulating vesicle adlayer that limits probe access and electron transfer.
The CV results are consistent with the EIS analysis results, and they are highly sensitive to changes in interface resistance. The Nyquist diagram in Fig. 8B shows the hypothetical impedance (−Z′) and the actual impedance (Z′), in which the diameter of the high-frequency semicircle reflects the charge transfer resistance (Rct). The exposed GCE (curve a) shows a small semicircle, corresponding to 350 Ω Rct. After being modified by MXene–NAs, the figure is close to the vertical line, and the Rct is greatly reduced to 45 Ω, confirming that the nanocomposite layer has excellent electrical conductivity. On the contrary, due to the insulating properties of the DNA layer, the adhesion of the adaptive body leads to a sharp increase in Rct to 850 Ω. After the exosome is captured, Rct reaches a maximum value of 2600 Ω, indicating that the binding event constitutes a substantial obstacle to charge transfer.32 Table 2 summarizes the fitted EIS parameters during stepwise assembly, including the charge-transfer resistance Rct and the constant-phase-element parameters (Q, n) used to describe the non-ideal double layer. In addition to the marked increase in Rct after aptamer immobilization and exosome capture, the fitted CPE/effective Cdl values also changed systematically, indicating alteration of the interfacial double layer caused by biomolecular adsorption and surface blocking. Collectively, the progressive faradaic suppression in CV/DPV and the marked increase in Rct after aptamer immobilization and exosome capture indicate the formation of an increasingly blocking interfacial adlayer that limits redox-probe access and slows interfacial electron transfer. We note that for the anionic [Fe(CN)6]3−/4− probe, the observed signal decrease can arise from a combination of steric exclusion and electrostatic effects, and EIS is, in principle, sensitive to both resistive and capacitive interfacial changes upon biomolecule adsorption.
This charge-based effect is further supported by ζ-potential measurements performed on a dispersion-phase analogue of the surface functionalization, where aptamer treatment shifted the ζ-potential of MXene–NAs from −21.0 ± 1.8 mV to −27.6 ± 1.5 mV, consistent with incorporation of the negatively charged phosphate backbone. We now clarify in the revised manuscript that this result should be viewed as supportive rather than quantitative, and we therefore include XPS-based evidence of the DNA phosphate signal as a stronger orthogonal confirmation of aptamer immobilization.
The corresponding calibration curve is shown in Fig. 10B, showing the DPV peak current change (ΔI) as a function of the exosome concentration logarithm. A good linear relationship was found in the range of 50 to 5 × 104 particles per µL. The linear regression equation is ΔI (µA) = 3.85
log[exo] (particle per µL) – 4.52, and the correlation coefficient (R2) is 0.998. The LOD was calculated using the 3σ/S criterion, where S is the slope of the calibration curve and σ is the standard deviation of repeated blank responses (ΔI) recorded in the absence of exosomes. Here, the blank was defined as the DPV response obtained after incubating the prepared Apt/MXene–NAs/GCE in exosome-free PBS (pH 7.4) under the same conditions used for analysis (37 °C, 60 min), followed by DPV measurement in 5.0 mM [Fe(CN)6]3−/4− containing 0.1 M KCl. The blank was measured using multiple independently prepared electrodes and/or repeated runs (n ≥ 10), and σ was taken as the standard deviation of these blank ΔI values. Based on these blank measurements in buffer, the analytical LOD was 19 particles per µL. Because matrix constituents can increase blank variability and thereby inflate σ, we additionally define a matrix blank using 10-fold diluted, exosome-depleted human serum processed identically, and we report the corresponding matrix-based LOD (3σmatrix/S) as a practical estimate for real samples. The detection limit is very low, which proves the high sensitivity of the proposed sensor. Table 3 compares the performance of our adaptor sensor with other recently reported exosome detection methods.
| Sensing platform | Detection method | Linear range (particles per mL) | LOD (particles per mL) | Assay time per measurement | Operational complexity | Sample volume | Reproducibility/realistic-matrix performance | Reference |
|---|---|---|---|---|---|---|---|---|
| MXene–AuPtPdCu aptameric electrode | DPV | 5.0 × 104–5.0 × 107 | 1.9 × 104 | ∼60 min incubation + <5 min DPV readout | Moderate (single capture step, label-free electrochemical readout) | 200 µL | Inter-electrode RSD 4.5%; intra-assay RSD 3.2%; serum spike recovery 96.8–104.2% (RSD < 5.0%) | This work |
| AuPt NCs/Ti3C2-MXene | ECL | 1.0 × 105–5.0 × 108 | 2.0 × 104 | NR | High (ECL labeling and optical instrumentation) | NR | NR | 58 |
| AuNP-based biosensor | SPR | 1.1 × 108–1.1 × 1011 | 9.6 × 104 | NR | Moderate–High (chip functionalization and SPR system) | NR | Tested in diluted serum; detailed RSD NR | 59 |
| Magnetic beads/AuNPs | Colorimetric | 2.5 × 106–1.0 × 1010 | 1.6 × 105 | NR | High (magnetic separation and multistep labeling) | NR | NR | 60 |
| nPLEX nano-plasmonic chip | Nano-plasmonic | 6.7 × 105–1.0 × 1012 | 3.0 × 106 | NR | Moderate (microfabricated chip with optical readout) | NR | NR | 61 |
The corresponding calibration relationship is shown in Fig. 10B, in which the DPV peak current change (ΔI) is drawn according to the logarithm of the exosome concentration. A clear linear dependence was obtained in the concentration range of 50 to 5 × 104 particles per µL. The regression formula ΔI (µA) = 3.85
log[exo]particles per µL – 4.52 is obtained by linear fitting, and the correlation coefficient (R2) is 0.998, which is very linear. The detection limit LOD is determined by the 3σ/S method. S is the slope of the calibration curve, and σ is the standard deviation of the blank signal when the detection level is 19 particles per µL. The low detection limit also reflects the good sensitivity of the sensor. Table 3 shows the performance comparison of this sensor with other recently published exosome detection strategies. The results show that our sensor has a low or equivalent LOD and a wide linear range, highlighting its competitive advantage in clinical applications.11,59
To highlight the critical role of the AuPtPdCu high-entropy nanoalloy, the performance of the fully constructed aptasensor was compared with control sensors fabricated with monometallic (MXene–Au, MXene–Pt, MXene–Pd) and unmodified GCE platforms (Fig. 10C). Under the same conditions for detecting 1 × 103 particles per µL of exosomes, the aptasensor based on MXene–AuPtPdCu exhibited a ΔI of 7.02 µA. In contrast, the signals change from the sensors made of MXene–Au, MXene–Pt, and MXene–Pd are much smaller: 4.15 µA, 3.58 µA, and 3.81 µA, respectively. The bare GCE modified with the aptamer showed a negligible response. This result unequivocally demonstrates the superior performance of the high-entropy nanoalloy, which can be attributed to the synergistic electrocatalytic effects and enhanced conductivity arising from the multi-component alloy structure, leading to significant signal amplification.
CRC exosomes used for analytical calibration were isolated from colorectal cancer cell-culture supernatants, while vesicles used for clinical analysis were obtained from human serum samples. Briefly, samples were subjected to sequential low-speed centrifugation to remove cells and debris, followed by exosome enrichment using ultracentrifugation (or the authors' actual kit/method, if different). The final pellet was resuspended in sterile PBS and stored at −80 °C until use. Particle concentration and size distribution were determined by nanoparticle tracking analysis (NTA), which showed a predominant vesicle population within the expected exosome size range. Vesicle morphology was confirmed by transmission electron microscopy, and the exosomal identity was verified by marker proteins such as CD63/CD81/TSG101 (with an appropriate negative marker such as calnexin, if available).62 Exosome concentrations used in the electrochemical assay were expressed as particles per µL based on NTA results.
| Sample | Spiked (particles per µL) | Found (particles per µL) | Recovery (%) | RSD (%) |
|---|---|---|---|---|
| 1 | 100 | 96.8 | 96.8 | 4.8 |
| 2 | 1000 | 1042.1 | 104.2 | 3.5 |
| 3 | 10 000 |
9855.7 | 98.6 | 4.1 |
The current clinical assessment is limited by the small single-center sample size (n = 10 per group) and the absence of stage stratification. We did not perform an a priori power analysis for this pilot feasibility set; instead, we use effect sizes and confidence intervals to summarize the observed separation and to inform future study design, noting that post hoc power based on observed effects is not a reliable substitute for prospective planning. In future work, we will conduct a prospective, multi-center validation enrolling CRC patients across stages (I–IV) together with appropriate controls, using standardized pre-analytical handling and blinded testing, with a pre-specified sample-size calculation targeting adequate precision for estimated accuracy metrics (e.g., AUC/sensitivity/specificity confidence intervals) and/or stage-wise comparisons, consistent with reporting guidance for diagnostic/biomarker studies.
Supplementary information (SI) is available. See DOI: https://doi.org/10.1039/d6ra01343k.
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