Rapid analysis of cytology samples obtained by minimally invasive sampling is essential in clinical diagnosis, yet existing diagnostic methods are often cumbersome and time-consuming. To rapidly detect the scanty number of cells in specimens, a multifunctional detection probe based on DNA nanoflower structure was prepared in this study, which possesses both signal output capability of fluorescence and oxidation reaction (colorimetric assay) for ultra-sensitive cancer cell detection. Firstly, DNA nanoflowers encapsulating horseradish peroxidase (HRP-DNA Nanoflowers, HDFs) were prepared by the rolling circle amplification (RCA) reaction and then hybridized with the aptamers labeled with fluorophores to construct the multivalent aptamer HDFs (Multi-Aptamer-HDFs) with fluorescence effect and efficient cancer cell targeting. The Multi-Aptamer-HDFs probe can be used to detect fresh clinical cytology specimens directly for fluorescence observation with sensitivity and specificity of 88.64%, and 84.85%, respectively. In addition, Multi-Aptamer-HDFs has peroxidase activity due to the encapsulation of HRP, which can catalyze the oxidation of substrates such as ABTS and DAB for color development. Therefore, we applied Multi-Aptamer-HDFs to one-step staining of clinical cytology cell blocks with a sensitivity of 88.41% and a specificity of 83.33%, which required fewer steps and reagents with a significantly shorter time required for immunocytochemical staining. The multifunctional probe, Multi-Aptamer-HDFs, prepared in this study is expected to be better applied in the rapid cellular analyses and one-step immunostaining, which is expected to provide a new means for rapid on-site assessment and on-site preliminary diagnosis.
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