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Introduction
Cancer is one of the leading life-threatening diseases all over the
world with over 200 types identifed and higher than 1500 deaths
occurring every day. Despite of recent technological advancements,
late diagnosis and poor prognosis are leading reasons for poor survival
rate of cancer patients. The conventional methods, including magnetic
resonance imaging, biopsy and ultrasound are not effcient for early
stage cancer detection, due to their dependence on the phenotypic
properties of the tumor.
1
Cancer is a multistage disease, and a complex
range of genetic and epigenetic alterations which disturb the cellular
signaling are associated with its onset and progression and result
in tumorigenic malignancy and transformation.
2
The biomarkers
are molecules which undergo important alterations during cancer
and carry high clinical signifcance. Biomarkers may be proteins,
isoenzymes, nucleic acids, metabolites or hormones and are classifed
as prognostic, predictive and diagnostic.
3
Diagnostic biomarkers are
used for the detection of the disease, whereas the information about
course of recurrence of the disease is given by prognostic biomarkers.
On the other hand, the response to treatment is estimated by predictive
biomarkers.
4,5
The change in the level or presence or absence of specifc
biomarkers in a cell often is an indication of cancer development.
Cancer-specifc detection and identifcation of these biomarkers
could help in early monitoring and diagnosis of disease progression.
6
The traditional enzyme-linked immunosorbent assay (ELISA) or
Polymerase chain reaction (PCR) based methods for biomarkers
detection; suffer technological limitations such as consumption of
expensive reagents in every assay and slow detection.
7
Also, being
manual techniques, these methods are not profcient in the continuous
monitoring of the patient during treatment. Besides, within the cell
multiple events are associated with all cancers involving more then
one molecule. Thus simultaneous detection of multiple biomarkers for
correct diagnosis and prognosis is required.
8,9
Why biosensors for cancer diagnosis?
Clinical cancer diagnosis is now focusing on developing analytical
techniques, which are clearly capable of sensitive and parallel detection
of biomarkers rendering useful point-of-care testing. For detecting
cancer monoclonal antibodies, aptamers and antigens are used to bind
micro Ribonucleic acids (miRNAs) corresponding single stranded
Deoxyribonucleic acid (ssDNA). The recognition signal is converted
to electrical signal by a device called transducer. The transducer may be
optical (luminescence, fuorescence, interferometry and colorimetric),
calorimetric (thermistors), electrochemical (by, Amperometry,
potentiometry and conductometry/impedimetry), or based upon mass
changes (acoustic waves/ piezoelectric), and are needed because
they give high noise signals and radios, high performance, have
great resolution, cheap instrumentation and give consistent results.
10
Electrochemical biosensors are the widely used and calorimetric are
the least explored.
11
Low levels of biomarkers can be measured by
them in physiological samples which can assist in the diagnosis of
cancer at an early stage because of their lower minimum detection
limits. Besides, the reuse of biorecognition molecules and avoidance
of a time lapse between the sample preparation and analysis is also
facilitated by them. Moreover, high potentiality for simultaneous
detection of multiple biomarkers is shown by biosensors.
3
Detection
of several biomarkers has been successfully done by different types of
biosensors (Figure 1).
Figure 1 Common biomarkers utilized for cancer detection.
Int J Biosen Bioelectron. 2017;3(4):313‒316 313
© 2017 Patel et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which
permits unrestricted use, distribution, and build upon your work non-commercially.
Biosensors and biomarkers: promising tools for
cancer diagnosis
Volume 3 Issue 4 - 2017
Jainish Patel, Prittesh Patel
Uka Tarsadia University, India
Correspondence: Prittesh Patel, CG Bhakta Institute of
Biotechnology, Uka Tarsadia University, Bardoli, Maliba Campus,
Surat, Gujarat, India, Tel +91 9913668812,
Email pritteshpatel@gmail.com
Received: October 31, 2017 | Published: November 08, 2017
Abstract
Due to its high death rate, cancer has been one of the most researched diseases all
over the globe. A biosensor is an analytical device, used for the detection of an analyte
that combines a biological component with a physicochemical detector. Nowadays,
there is an increasing interest in developing cancer biosensors as they show superior
analytical performance and real-time measurement. Further with recent advances in
molecular biology and bioengineering, biosensors diagnosis of cancer has taken a
new direction. Due to high specificity and promise of early diagnosis, biosensors are
prime candidates for current and future cancer diagnosis. With ever increasing list of
biomarkers associated with various types of cancer and innovation in bioengineering,
the future for diagnosis of cancer seems promising. In present article we have
discussed various biosensors and biomarkers as a promising tool for cancer diagnosis.
Keywords: bioengineering, biosensor, biomarker, cancer, carcinoma, diagnosis,
disease, detector, potentiometric, impedimetric
International Journal of Biosensors & Bioelectronics
Review Article
Open Access