Abstract

Regular monitoring of blood α-fetoprotein (AFP) and/or carcino-embryonic antigen (CEA) levels is important for the routine screening of liver cancer. However, AFP and CEA have a much lower specificity than des-γ-carboxyprothrombin (DCP) to detect liver cancer. Therefore, the study reported here was designed, to develop a screen-printed DCP immunosensor incorporating zinc oxide nanoparticles, for accurate determination of DCP. The designed immunosensor shows low detection limits for the detection of DCP: 0.440 ng/mL (based on impedance measurement), 0.081 ng/mL (based on real part of impedance measurement) and 0.078 ng/mL (based on imaginary part of impedance measurement), within the range of 3.125 ng/mL to 2000 ng/mL. In addition, there was little interference to DCP determination by molecules such as Na+, K+, Ca2+, Cl−, glucose, urea, and uric acid. It is therefore concluded that the DCP immunosensor developed and reported here is simple, inexpensive and effective, and shows promise in the rapid screening of early-stage liver cancer at home with a point-of-care approach.

Highlights

  • Cancers was top of the leading causes of death (28.4%) in Taiwan in 2012, as reported by the Ministry of Health and Welfare (Taiwan) [1,2]

  • Benign liver diseases can cause an increase in blood AFP levels, and carcino-embryonic antigen (CEA) is commonly used for screening several forms of cancer, not liver cancer [7,8]

  • Both the use of AFP and CEA could potentially lead to misdiagnosis

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Summary

Introduction

Cancers was top of the leading causes of death (28.4%) in Taiwan in 2012, as reported by the Ministry of Health and Welfare (Taiwan) [1,2]. Benign liver diseases can cause an increase in blood AFP levels, and CEA is commonly used for screening several forms of cancer, not liver cancer [7,8]. Both the use of AFP and CEA could potentially lead to misdiagnosis

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