Abstract
Autoimmune diseases occur when the immune system generates proinflammatory molecules and autoantibodies that mistakenly attack their own body. Traditional diagnosis of autoimmune disease is primarily based on physician assessment combined with core laboratory tests. However, these tests are not sensitive enough to detect early molecular events, and quite often, it is too late to control these autoimmune diseases and reverse tissue damage when conventional tests show positivity for disease. It is fortunate that during the past decade, research in nanotechnology has provided enormous opportunities for the development of ultrasensitive biosensors in detecting early biomarkers with high sensitivity. Biosensors consist of a biorecognition element and a transducer which are able to facilitate an accurate detection of proinflammatory molecules, autoantibodies and other disease-causing molecules. Apparently, novel biosensors could be superior to traditional metrics in assessing the drug efficacy in clinical trials, especially when specific biomarkers are indicative of the pathogenesis of disease. Furthermore, the portability of a biosensor enables the development of point-of-care devices. In this review, various types of biomolecule sensing systems, including electrochemical, optical and mechanical sensors, and their applications and future potentials in autoimmune disease treatment were discussed.
Similar content being viewed by others
Abbreviations
- APS:
-
Antiphospholipid syndrome
- RA:
-
Rheumatoid arthritis
- SLE:
-
Systemic lupus erythematosus
- MS:
-
Multiple sclerosis
- SPR:
-
Surface plasmon resonance
- SS:
-
Systemic sclerosis
- IBD:
-
Inflammatory bowel disease
- ACPA:
-
Anti-citrullinated protein antibody
- MWCNT–PS:
-
Multi-walled carbon nanotube–polystyrene
- CFFSP1:
-
Chimeric fibrin–filaggrin synthetic peptide 1
- HRP:
-
Horseradish peroxidase
- ANCA:
-
Anti-neutrophil cytoplasmic antibodies
- SPCE:
-
Screen-printed carbon electrodes
- EIS:
-
Electrochemical impedance spectroscopy
- SERS:
-
Surface-enhanced Raman spectroscopy
- CV:
-
Cyclic voltammetry
- QCM:
-
Quartz crystal microbalance
References
Aghaei A, Hosseini MR, Najafi M (2010) A novel capacitive biosensor for cholesterol assay that uses an electropolymerized molecularly imprinted polymer. Electrochim Acta 55:1503–1508
Arlett J, Myers E, Roukes M (2011) Comparative advantages of mechanical biosensors. Nat Nanotechnol 6:203–215
Beleoken E, Leh H, Arnoux A et al (2013) SPRi-based strategy to identify specific biomarkers in systemic lupus erythematosus, rheumatoid arthritis and autoimmune hepatitis. PLoS One 8:e84600
Ben Mohammadi L, Klotzbuecher T, Sigloch S et al (2014) In vivo evaluation of a chip based near infrared sensor for continuous glucose monitoring. Biosens Bioelectron 53:99–104
Ben Mohammadi L, Klotzbuecher T, Sigloch S et al (2015) Clinical performance of a low cost near infrared sensor for continuous glucose monitoring applied with subcutaneous microdialysis. Biomed Microdevices 17:73
Bertok T, Klukova L, Sediva A et al (2013) Ultrasensitive impedimetric lectin biosensors with efficient antifouling properties applied in glycoprofiling of human serum samples. Anal Chem 85:7324–7332
Bertok T, Šedivá A, Filip J et al (2015) Carboxybetaine modified interface for electrochemical glycoprofiling of antibodies isolated from human serum. Langmuir 31:7148–7157
Bhavsar K, Fairchild A, Alonas E et al (2009) A cytokine immunosensor for Multiple Sclerosis detection based upon label-free electrochemical impedance spectroscopy using electroplated printed circuit board electrodes. Biosens Bioelectron 25:506–509
Biela A, Watkinson M, Meier UC et al (2015) Disposable MMP-9 sensor based on the degradation of peptide cross-linked hydrogel films using electrochemical impedance spectroscopy. Biosens Bioelectron 68:660–667
Bleher O, Schindler A, Yin MX et al (2014) Development of a new parallelized, optical biosensor platform for label-free detection of autoimmunity-related antibodies. Anal Bioanal Chem 406:3305–3314
Bottazzo G, Florin-Christensen A, Doniach D (1974) Islet-cell antibodies in diabetes mellitus with autoimmune polyendocrine deficiencies. Lancet 2:1279–1283
Buhl A, Metzger JH, Heegaard NH et al (2007) Novel biosensor-based analytic device for the detection of anti-double-stranded DNA antibodies. Clin Chem 53:334–341
Caduff A, Dewarrat F, Talary M et al (2006) Non-invasive glucose monitoring in patients with diabetes: a novel system based on impedance spectroscopy. Biosens Bioelectron 22:598–604
Cai D, Ren L, Zhao H et al (2010) A molecular-imprint nanosensor for ultrasensitive detection of proteins. Nat Nanotechnol 5:597–601
Castle JR, Pitts A, Hanavan K et al (2012) The accuracy benefit of multiple amperometric glucose sensors in people with type 1 diabetes. Diabetes Care 35:706–710
Cha HS, Kim T, Kim JY et al (2004) Autoantibodies to glucose-6-phosphate isomerase are elevated in the synovial fluid of rheumatoid arthritis patients. Scand J Rheumatol 33:179–184
Chen Z, Tabakman SM, Goodwin AP et al (2008) Protein microarrays with carbon nanotubes as multicolor Raman labels. Nat Biotechnol 26:1285–1292
Choi SH, Lee JW, Sim SJ (2005) Enhanced performance of a surface plasmon resonance immunosensor for detecting Ab-GAD antibody based on the modified self-assembled monolayers. Biosens Bioelectron 21:378–383
Conrad K, Schößler W, Hiepe F et al (2002) Autoantibodies in systemic autoimmune diseases. Pabst Science Publishers, Lengerich
Conrad K, Schößler W, Hiepe F et al (2011) Autoantibodies in organ specific autoimmune diseases: a diagnostic reference. Pabst Science Publishers, Lengerich
Costenbader KH, Gay S, Alarcón-Riquelme ME et al (2012) Genes, epigenetic regulation and environmental factors: which is the most relevant in developing autoimmune diseases? Autoimmun Rev 11:604–609
Daniels JS, Pourmand N (2007) Label-free impedance biosensors: opportunities and challenges. Electroanalysis 19:1239–1257
Davidson A, Diamond B (2001) Autoimmune diseases. N Engl J Med 345:340–350
de Gracia Villa M, Jiménez-Jorquera C, Haro I et al (2011) Carbon nanotube composite peptide-based biosensors as putative diagnostic tools for rheumatoid arthritis. Biosens Bioelectron 27:113–118
Derkus B, Emregul E, Yucesan C et al (2013) Myelin basic protein immunosensor for multiple sclerosis detection based upon label-free electrochemical impedance spectroscopy. Biosens Bioelectron 46:53–60
Drouvalakis KA, Bangsaruntip S, Hueber W et al (2008) Peptide-coated nanotube-based biosensor for the detection of disease-specific autoantibodies in human serum. Biosens Bioelectron 23:1413–1421
Fakhrullin RF, Vinter VG, Zamaleeva AI et al (2007) Quartz crystal microbalance immunosensor for the detection of antibodies to double-stranded DNA. Anal Bioanal Chem 388:367–375
Fiegel F, Buhl A, Jaekel HP et al (2010) Autoantibodies to double-stranded DNA–intermethod comparison between four commercial immunoassays and a research biosensor-based device. Lupus 19:957–964
Giannetto M, Mattarozzi M, Umiltà E et al (2014) An amperometric immunosensor for diagnosis of celiac disease based on covalent immobilization of open conformation tissue transglutaminase for determination of anti-tTG antibodies in human serum. Biosens Bioelectron 62:325–330
Gnanapavan S, Hegen H, Khalil M et al (2014) Guidelines for uniform reporting of body fluid biomarker studies in neurologic disorders. Neurology 83:1210–1216
Grieshaber D, MacKenzie R, Voeroes J et al (2008) Electrochemical biosensors-sensor principles and architectures. Sensors 8:1400–1458
Hamilton MJ, Snapper SB, Blumberg RS (2012) Update on biologic pathways in inflammatory bowel disease and their therapeutic relevance. J Gastroenterol 47:1–8
Hughes-Austin JM, Deane KD, Derber LA et al (2013) Multiple cytokines and chemokines are associated with rheumatoid arthritis-related autoimmunity in first-degree relatives without rheumatoid arthritis: studies of the Aetiology of Rheumatoid Arthritis (SERA). Ann Rheum Dis 72:901–907
Iaccarino L, Ghirardello A, Canova M et al (2011) Anti-annexins autoantibodies: their role as biomarkers of autoimmune diseases. Autoimmun Rev 10:553–558
Iskandar HN, Ciorba MA (2012) Biomarkers in inflammatory bowel disease: current practices and recent advances. Transl Res 159:313–325
Joda H, Beni V, Alakulppi N et al (2014) Medium-high resolution electrochemical genotyping of HLA-DQ2/DQ8 for detection of predisposition to coeliac disease. Anal Bioanal Chem 406:2757–2769
Justino CI, Rocha-Santos TA, Duarte AC (2010) Review of analytical figures of merit of sensors and biosensors in clinical applications. TrAC Trends Anal Chem 29:1172–1183
Kergaravat SV, Beltramino L, Garnero N et al (2013) Electrochemical magneto immunosensor for the detection of anti-TG2 antibody in celiac disease. Biosens Bioelectron 48:203–209
Kim JY, Lee MH, Jung KI et al (2003) Detection of antibodies against glucose 6-phosphate isomerase in synovial fluid of rheumatoid arthritis using surface plasmon resonance (BIAcore). Exp Mol Med 35:310–316
Kobeissy FH, Gulbakan B, Alawieh A et al (2014) Post-genomics nanotechnology is gaining momentum: nanoproteomics and applications in life sciences. OMICS 18:111–131
Konstantinov KN, Sitdikov RA, Lopez GP et al (2009) Rapid detection of anti-chromatin autoantibodies in human serum using a portable electrochemical biosensor. Biosens Bioelectron 24:1949–1954
Kunz M, Ibrahim SM (2009) Cytokines and cytokine profiles in human autoimmune diseases and animal models of autoimmunity. Mediators Inflamm 2009:979258
La Belle JT, Bhavsar K, Fairchild A et al (2007) A cytokine immunosensor for multiple sclerosis detection based upon label-free electrochemical impedance spectroscopy. Biosens Bioelectron 23:428–431
Länge K, Rapp BE, Rapp M (2008) Surface acoustic wave biosensors: a review. Anal Bioanal Chem 391:1509–1519
Lin CC, Yang YM, Chen YF et al (2008) A new protein A assay based on Raman reporter labeled immunogold nanoparticles. Biosens Bioelectron 24:178–183
Liu Z, Cho B, Ouyang T, Feldman B (2012) Miniature amperometric self-powered continuous glucose sensor with linear response. Anal Chem 84:3403–3409
Maecker HT, Lindstrom TM, Robinson WH et al (2012) New tools for classification and monitoring of autoimmune diseases. Nat Rev Rheumatol 8:317–328
Martín-Yerga D, Costa-García A (2015) Towards a blocking-free electrochemical immunosensing strategy for anti-transglutaminase antibodies using screen-printed electrodes. Bioelectrochemistry 105:88–94
Martín-Yerga D, González-García MB, Costa-García A (2014) Electrochemical immunosensor for anti-tissue transglutaminase antibodies based on the in situ detection of quantum dots. Talanta 130:598–602
Mascini M, Tombelli S (2008) Biosensors for biomarkers in medical diagnostics. Biomarkers 13:637–657
Metzger J, von Landenberg P, Kehrel M et al (2007) Biosensor analysis of beta2-glycoprotein I-reactive autoantibodies: evidence for isotype-specific binding and differentiation of pathogenic from infection-induced antibodies. Clin Chem 53:1137–1143
Mills KH (2011) TLR-dependent T cell activation in autoimmunity. Nat Rev Immunol 11:807–822
Mohammed MI, Desmulliez MP (2011) Lab-on-a-chip based immunosensor principles and technologies for the detection of cardiac biomarkers: a review. Lab Chip 11:569–595
Nassef HM, Bermudo Redondo MC, Ciclitira PJ et al (2008) Electrochemical immunosensor for detection of celiac disease toxic gliadin in foodstuff. Anal Chem 80:9265–9271
Nassef HM, Civit L, Fragoso A, O’Sullivan CK (2009) Amperometric immunosensor for detection of celiac disease toxic gliadin based on Fab fragments. Anal Chem 81:5299–5307
Neves MM, González-García MB, Nouws HP et al (2012) Celiac disease detection using a transglutaminase electrochemical immunosensor fabricated on nanohybrid screen-printed carbon electrodes. Biosens Bioelectron 31:95–100
Neves MM, González-García MB, Nouws HP et al (2013) An electrochemical deamidated gliadin antibody immunosensor for celiac disease clinical diagnosis. Analyst 138:1956–1958
Niewold TB (2011) Interferon alpha as a primary pathogenic factor in human lupus. J Interferon Cytokine Res 31:887–892
Ortiz M, Joda H, Höth J et al (2015) Bleed-to-read disposable microsystems for the genetic and serological analysis of celiac disease markers with amperometric detection. Electrophoresis 36:1920–1926
Petri M, Orbai AM, Alarcón GS et al (2012) Derivation and validation of the Systemic Lupus International Collaborating Clinics classification criteria for systemic lupus erythematosus. Arthritis Rheum 64:2677–2686
Pickup JC (2015) Banting Memorial Lecture 2014* technology and diabetes care: appropriate and personalized. Diabet Med 32:3–13
Qureshi A, Gurbuz Y, Niazi JH (2012) Biosensors for cardiac biomarkers detection: a review. Sens Actuators B: Chem 171:62–76
Real-Fernandez F, Colson A, Bayardon J et al (2008) Ferrocenyl glycopeptides as electrochemical probes to detect autoantibodies in multiple sclerosis patients’ sera. Biopolymers 90:488–495
Real-Fernandez F, Passalacqua I, Peroni E et al (2012) Glycopeptide-based antibody detection in multiple sclerosis by surface plasmon resonance. Sensors 12:5596–5607
Real-Fernández F, Rossi G, Panza F et al (2015) Surface plasmon resonance method to evaluate anti-citrullinated protein/peptide antibody affinity to citrullinated peptides. Methods Mol Biol 1348:267–274
Ronkainen NJ, Halsall HB, Heineman WR (2010) Electrochemical biosensors. Chem Society Rev 39:1747–1763
Rosales-Rivera L, Acero-Sánchez J, Lozano-Sánchez P et al (2011) Electrochemical immunosensor detection of antigliadin antibodies from real human serum. Biosens Bioelectron 26:4471–4476
Rossi G, Real-Fernández F, Panza F et al (2014) Biosensor analysis of anti-citrullinated protein/peptide antibody affinity. Anal Biochem 465:96–101
Rovin BH, Song H, Birmingham DJ et al (2005) Urine chemokines as biomarkers of human systemic lupus erythematosus activity. J Am Soc Nephrol 16:467–473
Rubin RL, Wall D, Konstantinov KN (2014) Electrochemical biosensor for quantitation of anti-DNA autoantibodies in human serum. Biosens Bioelectron 51:177–183
Schindler AR, Bleher O, Thaler MA et al (2015) Diagnostic performance study of an antigen microarray for the detection of antiphospholipid antibodies in human serum. Clin Chem Lab Med 53:801–808
Schlichtiger A, Baier C, Yin MX et al (2013) Covalent attachment of functionalized cardiolipin on a biosensor gold surface allows repetitive measurements of anticardiolipin antibodies in serum. Anal Bioanal Chem 405:275–285
Seo P, Stone JH (2004) The antineutrophil cytoplasmic antibody-associated vasculitides. Am J Med 117:39–50
Shoenfeld Y, Tincani A, Gershwin ME (2012) Sex gender and autoimmunity. J Autoimmun 38:J71–J73
Singh V, Krishnan S (2015) Voltammetric immunosensor assembled on carbon-pyrenyl nanostructures for clinical diagnosis of type of diabetes. Anal Chem 87:2648–2654
Skerra A (2007) Alternative non-antibody scaffolds for molecular recognition. Curr Opin Biotechnol 18:295–304
Soper SA, Brown K, Ellington A et al (2006) Point-of-care biosensor systems for cancer diagnostics/prognostics. Biosens Bioelectron 21:1932–1942
Suurmond J, Diamond B (2015) Autoantibodies in systemic autoimmune diseases: specificity and pathogenicity. J Clin Invest 125:2194
Tamayo J, Kosaka PM, Ruz JJ et al (2013) Biosensors based on nanomechanical systems. Chem Soc Rev 42:1287–1311
Tan EM (2012) Autoantibodies, autoimmune disease, and the birth of immune diagnostics. J Clin Invest 122:3835–3836
Teunissen C, Petzold A, Bennett J et al (2009) A consensus protocol for the standardization of cerebrospinal fluid collection and biobanking. Neurology 73:1914–1922
Trabucchi A, Guerra LL, Faccinetti NI et al (2012) Surface plasmon resonance reveals a different pattern of proinsulin autoantibodies concentration and affinity in diabetic patients. PLoS One 7:e33574
Trabucchi A, Iacono RF, Guerra LL et al (2013) Characterization of insulin antibodies by Surface Plasmon Resonance in two clinical cases: brittle diabetes and insulin autoimmune syndrome. PLoS One 8:e84099
Turner AP (2013) Biosensors: sense and sensibility. Chem Soc Rev 42:3184–3196
Vega B, Calle A, Sánchez A et al (2013) Real-time detection of the chemokine CXCL12 in urine samples by surface plasmon resonance. Talanta 109:209–215
Wang J (2001) Glucose biosensors: 40 years of advances and challenges. Electroanalysis 13:983
Wang CW, Manne U, Reddy VB et al (2010) Development of combination tapered fiber-optic biosensor dip probe for quantitative estimation of interleukin-6 in serum samples. J Biomed Opt 15:067005
Wu T, Xie C, Wang HW et al (2007) Elevated urinary VCAM-1, P-selectin, soluble TNF receptor-1, and CXC chemokine ligand 16 in multiple murine lupus strains and human lupus nephritis. J Immunol 179:7166–7175
Wu T, Du Y, Han J et al (2013) Urinary angiostatin–a novel putative marker of renal pathology chronicity in lupus nephritis. Mol Cell Proteomics 12:1170–1179
Yoo G, Bong JH, Kim S et al (2014) Microarray based on autodisplayed Ro proteins for medical diagnosis of systemic lupus erythematosus (SLE). Biosens Bioelectron 57:213–218
Zhang Z, Xiao F, Guo Y et al (2013) One-pot self-assembled three-dimensional TiO2-graphene hydrogel with improved adsorption capacities and photocatalytic and electrochemical activities. ACS Appl Mater Interfaces 5:2227–2233
Zhou W, Yin Z, Du Y et al (2013) Synthesis of few-layer MoS2 nanosheet-coated TiO2 nanobelt heterostructures for enhanced photocatalytic activities. Small 9:140–147
Zhu C, Zeng Z, Li H et al (2013) Single-layer MoS2-based nanoprobes for homogeneous detection of biomolecules. J Am Chem Soc 135:5998–6001
Acknowledgments
This work is partly supported by the Lupus Research Institute and the startup fund from the University of Houston (to T. Wu).
Author information
Authors and Affiliations
Corresponding author
About this article
Cite this article
Zhang, X., Zambrano, A., Lin, ZT. et al. Immunosensors for Biomarker Detection in Autoimmune Diseases. Arch. Immunol. Ther. Exp. 65, 111–121 (2017). https://doi.org/10.1007/s00005-016-0419-5
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00005-016-0419-5