Abstract

The evaluation of tumor biomarkers in blood specimens is vital for patients with cervical lesions. Herein, an ultrasensitive surface enhanced Raman scattering (SERS) platform was proposed for simultaneous detection of cervical-lesion-related serum biomarkers. Raman reporter labeled Au–Ag nanoshells (Au–AgNSs) acted as SERS tags and an Au–Ag nanobox (Au–AgNB) array substrate prepared by the oil–water interface self-assembly method was used as a capture substrate. This single-layer Au–AgNB array substrate was proved to have exceptional uniformity by atomic force microscopy and SERS mapping. Numerous “hot spots” and specific adsorption surfaces offered by the Au–AgNB array substrate were confirmed by the finite difference time domain method, which could generate a SERS signal in electromagnetic enhancement. Binding of antigens between antibodies on Au–AgNSs and the Au–AgNB array substrate led to the formation of a sandwich-structure by the two metal nanostructures. Consequently, an ultralow detection limit of 6 pg mL−1 for squamous cell carcinoma antigen (SCCA) and 5 pg mL−1 for survivin in a wide linear logarithmic range of 10 pg mL−1 to 10 μg mL−1 was acquired. High selectivity and reproducibility with relative standard deviations of 7.701% and 6.943% were detected. Furthermore, the simultaneous detection of the two biomarkers in practical specimens was conducted, and the results were consistent with those of the enzyme-linked immunosorbent assay. This platform exhibited good robustness in the rapid and sensitive detection of SCCA and survivin, which could be a promising tool in early clinical diagnosis for different grades of cervical lesions.

Highlights

  • Cervical cancer remains one of the leading causes of death worldwide in gynecological cancer

  • From the distinct lattice structures shown in the diffraction pattern (Fig. 2(c)) and high resolution TEM (HRTEM) images (Fig. 2(d)), single Au–AgNSs contain twinned or polycrystalline structures with a tip lattice spacing of 0.213 nm

  • The Dynamic light scattering (DLS) analysis of Au–AgNSs is shown in Fig. S1 (ESI†), the mean of Au– AgNSs size was found to be 25.2 nm

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Summary

Introduction

Cervical cancer remains one of the leading causes of death worldwide in gynecological cancer. It is estimated that 570 000 women around the world are diagnosed with cervical cancer every year.[1] cervical cancer is still the major cause of cancer-related death among the female population in 42 lowresource countries.[2] signi cant progress has been made in cervical cancer chemotherapy, radiotherapy and 36734 | RSC Adv., 2021, 11, 36734–36747. It is imperative to develop convenient and highly sensitive methods for trace detection of SCCA and survivin in practical specimens

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