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@PHDTHESIS{Zhou:1009798,
      author       = {Zhou, Lei},
      othercontributors = {Herrmann, Andreas and Offenhäusser, Andreas},
      title        = {{D}evelopment of novel electrochemical aptamer biosensors
                      for point-of-care glycemic control},
      school       = {RWTH Aachen University},
      type         = {Dissertation},
      address      = {Aachen},
      publisher    = {RWTH Aachen University},
      reportid     = {RWTH-2025-03678},
      pages        = {1 Online-Ressource : Illustrationen},
      year         = {2024},
      note         = {Veröffentlicht auf dem Publikationsserver der RWTH Aachen
                      University 2025; Dissertation, RWTH Aachen University, 2024},
      abstract     = {Diabetes mellitus is a disease mainly induced by insulin
                      deficiency and/or insulin resistance, which can cause
                      several complications and seriously reduce the life quality
                      of patients. The early-stage diagnosis of this disease is
                      beneficial not only to diabetes monitoring but also to
                      treatment evaluation. The acute and long-term glycemic
                      control for diabetes patients commonly rely on the
                      assessment of the levels of blood glucose and glycated
                      hemoglobin A1C (HbA1C), respectively. Glycated human serum
                      albumin (GHSA) can be considered an alternative to HbA1C,
                      its lifespan is four times shorter and its concentration in
                      blood is independent of hemic diseases. Besides, the insulin
                      level of patients is also an important factor for diabetes
                      monitoring through glucose metabolism control, thus it is
                      crucial to determine the insulin concentration. Although it
                      is important to assess the blood glucose level, there is
                      also a huge necessity for insulin and GHSA determination. In
                      this thesis, we aim to establish aptamer-based
                      electrochemical sensing platforms to detect insulin and GHSA
                      biomarkers in high selectivity and sensitivity. Firstly, a
                      ratiometric electrochemical aptasensor was proposed by using
                      gold rod electrodes for insulin detection, then the gold rod
                      electrodes were used again for the determination of human
                      serum albumin (HSA) and GHSA, respectively. Finally, the HSA
                      and GHSA detection were transferred from the gold rod
                      electrode to a flexible polymer-MEAs chip to facilitate the
                      dual-detection of the two biomarkers. Firstly, a ratiometric
                      electrochemical aptasensor is proposed to recognize the
                      insulin biomarker by square wave voltammetry (SWV)
                      measurement with a gold rod electrode, which was immobilized
                      with insulin-capturing aptamer in hybridization with
                      partially complementary ssDNA. The capturing aptamer and
                      hybridized ssDNA were modified with redox tags of
                      anthraquinone (AQ) and methylene blue (MB) at the side
                      either far or close to the gold surface, respectively.
                      Moreover, the capturing aptamer was self-assembled on the
                      gold surface through functional groups of double
                      dithiol-phosphoramidite ((DTPA)2) thus a considerably
                      superior aptasensor durability can be obtained.
                      Monofunctional methoxy-polyethylene glycol thiol (PEG) was
                      used as a blocking material to passivate the gold surface
                      undecorated by aptamer molecules. The detection of insulin
                      biomarkers can cause the ssDNA dehybridization from the
                      capturing aptamer which leads to the formation of a typical
                      G-quadruplex structure during the specific binding of
                      insulin. Therefore, the target detection results in an
                      increased AQ current and decreased MB current, both of which
                      can be utilized to evaluate the insulin concentration. The
                      fabrication process as well as the target binding of this
                      aptasensor were characterized by different physical or
                      chemical techniques such as quartz crystal microbalance with
                      dissipation (QCM-D), atomic force microscopy (AFM),
                      electrochemical impedance spectroscopy (EIS), and cyclic
                      voltammetry (CV). The optimal aptamer concentration and
                      target incubation time were sequentially obtained by SWV
                      measurements and used in all further tests. Then, the
                      reliability of this aptasensor could be further improved by
                      operating an AND logic gate, in which the obtained current
                      signal only makes sense when both AQ and MB-induced signals
                      are different from zero. Consequently, this insulin
                      dual-signal aptasensor possesses a comprehensive detection
                      limit as low as 0.15 nM and a detection range of 0.5 nM -
                      2.5 µM, which is promising for the PoC diagnosis.Then, the
                      gold rod electrode was further employed to establish another
                      electrochemical aptasensor for either HSA or GHSA detection.
                      HSA aptamer and GHSA aptamer were accordingly applied. The
                      commonly used blocking material of 6-mercapto-1-hexanol
                      (MCH) was utilized as backfills. The aptasensor production
                      and target binding processes were also characterized with
                      AFM and EIS techniques, followed by the optimization of the
                      experimental conditions including the aptamer concentration
                      as well as the incubation time of targets. Afterwards, the
                      detection of HSA and GHSA were all transferred from gold rod
                      electrodes to the flexible multielectrode arrays
                      (flex⎯MEAs) facilitating the immobilization of respective
                      aptamer receptors. MCH was replaced with PEG backfills which
                      is beneficial to reduce the unspecific adsorption in real
                      blood sample detection. Therefore, the polymer chip is
                      promising for the detection of the two biomarkers only in
                      one mixed sample combined with the cost analysis. In this
                      work, the flex⎯MEAs polymer chip contains two individual
                      sets of gold electrodes, which are independently decorated
                      with respective aptamer receptors. Therefore, this
                      electrochemical aptasensor is capable of simultaneously
                      detecting the HSA and GHSA biomarkers. In this work, the
                      established dual-target aptasensing platform has detection
                      limits of 13 nM and 25 nM for HSA and GHSA, respectively,
                      followed by a comprehensive dynamic detection range of 40 nM
                      - 10 µM, covering the clinically required concentrations.In
                      summary, both the insulin and HSA (GHSA) aptasensors exhibit
                      high selectivity, durability, sensitivity as well as real
                      blood sample detection performance. Benefited from several
                      techniques such as electrochemical impedance spectroscopy,
                      cyclic voltammogram, atomic force microscopy,
                      chronocoulometry, square wave voltammetry, differential
                      pulse voltammetry, and quartz crystal microbalance with
                      dissipation monitoring, the insulin aptasensor for selective
                      quantification of its analyte in diluted real blood samples,
                      in combination with the simultaneous and quantitative
                      detection of HSA and GHSA ratios in concentration, allows a
                      reliable and cheap long-term glycemia control in PoC. Thus,
                      more biomarkers can be included so that a more complete and
                      comprehensive inspection of the glycemic surveillance
                      becomes realistic.},
      cin          = {155910 / 150000 / 057700},
      ddc          = {540},
      cid          = {$I:(DE-82)155910_20190516$ / $I:(DE-82)150000_20140620$ /
                      $I:(DE-82)057700_20231115$},
      typ          = {PUB:(DE-HGF)11},
      doi          = {10.18154/RWTH-2025-03678},
      url          = {https://publications.rwth-aachen.de/record/1009798},
}