Real-time monitoring of thrombin activity is essential for preventing, diagnosing, and treating coagulation-related diseases. Herein, we present a simple, disposable electrochemiluminescence (ECL) biosensor for thrombin activity assay based on screen-printed electrodes (SPE). The thrombin-specific peptide substrate Mpr (4-Methoxybenzyl group)-GGRK-Fc (ferrocene) was identified from four candidates using molecular docking and specificity constant experiments. Mpr-GGRK-Fc exhibited the highest apparent specificity constant (kcat/KM) of 2.09 × 1012 M−1 s−1, indicating superior affinity and specificity for thrombin. Thrombin catalyzes the cleavage of Mpr-GGRK-Fc, resulting in the detachment of Fc from the electrode surface, which leads to an increase in ECL intensity. Under optimal conditions, the biosensor exhibits a wide linear range from 1.0 × 10−4 U/mL to 1.0 U/mL, with a low detection limit of 4.02 × 10−5 U/mL. The biosensor shows high specificity for thrombin among a range of proteins. Compared to commercial fluorescence kits, our biosensor offers superior sensitivity, selectivity, and stability in detecting thrombin activity in whole blood, making it a promising tool for bedside clinical applications.
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