Flexible carbon nanomaterial sensors offer a low-cost, facile fabrication approach toward producing sensors at an industrial scale for electrochemical sensing. Graphene and carbon nanotube (CNT) based sensors have been studied, with various fabrication methods available, including producing high-quality thin film graphene and CNTs via chemical vapor deposition (CVD). However, CVD is a high-temperature vacuum process that is low-yielding and consequently costly, hindering its implementation into single-use test strip sensors. Other methods, such as inkjet or aerosol printing, are more cost-effective as they print graphene inks obtained from liquid-phase exfoliation of graphite, which can be performed using large batch processing techniques. Additionally, the laser-induced graphene (LIG) technique directly converts sp3 carbon found in carbon-rich substrates, such as polyimide, into conductive sp2-hybridized carbon found in graphene through a laser scribing technique. Saliva and sweat offer promising biological fluids for precision health monitoring and diagnostics due to the non-invasive nature of their sampling (no need for a blood draw at a laboratory or a fingerstick at home) and due to the abundance of medically relevant analytes. Saliva can also be used for monitoring infections such as COVID-19 infection. Herein, we introduce graphene-based flexible sensors fabricated using scalable manufacturing based on aerosol jet printing (AJP) using custom-formulated graphene inks and laser-induced graphene via direct writing. We report a label-free, high-sensitivity, and rapid-response-time graphene-based electrochemical immunosensor for quantitatively detecting the SARS-CoV-2 Spike Receptor-Binding Domain (RBD) as well as SARS-CoV-2 Spike S1 protein. We demonstrate LIG-based electrochemical sensors for real-time monitoring of glucose, lactate, and sodium in sweat, and potassium and lactate in saliva. Different electrochemical methods are used, including amperometric, potentiometric, coulometric, and impedimetric, to quantify the analytes. All these electrochemical sensors were validated in human saliva and sweat and demonstrated to have limits of detection and linear sensing ranges that are relevant to their sensing applications. Flexibility studies were also performed to evaluate the ability of the sensors to operate under stresses caused by bending, such as those that would be encountered by skin and implanted oral sensors. Results demonstrate the utility of AJP-graphene and LIG for rapid and sensitive measurement of biological analytes and pathogen infection as simple methods for scalable production of non-invasive salivary and perspiration (sweat) health sensors.
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