Highly Selective Optical Strip Nanosensor for Point-of-Care Detection of α-AMY Levels in Human Saliva: A Biomarker for Dental Caries in Clinical Chemistry
摘要
α-Amylase (α-AMY) is a key biomarker associated with the development and progression of dental caries due to its ability to bind its alpha portion to the Streptococcus mutans. Herein, we design a colorimetric sensor for monitoring salivary α-AMY levels by using graphitic carbon nitride-cadmium tungsten oxide (GCN-CdWO4) nanocomposite as a nanozyme probe and 3,3′,5,5′-tetramethylbenzidine (TMB) as its substrate. The GCN-CdWO4 nanocomposite is responsible for the catalytic conversion of TMB to oxidized TMB (oxi-TMB) without using exogenous hydrogen peroxide (H2O2). The optical response of GCN-CdWO4 nanocomposite is quenched when coated with starch (ST), as the ST layer blocks TMB access to nanocomposite. However, upon α-AMY binding, the optical response is restored due to the hydrolysis of ST. Fourier transform infrared spectroscopy (FTIR), X-ray diffraction (XRD), field emission scanning electron microscopy (FESEM), and dynamic light scattering (DLS) were performed to characterize the synthesized graphitic carbon nitride (GCN), tungsten oxide (WO3) and GCN-CdWO4 nanocomposite. The sensor fabrication process was examined using FESEM and optical microscopy. The designed sensor exhibited a broad linear range (0.18–24 U/mL) with a lower limit of detection (LOD) of 0.01 U/mL under optimized conditions. It demonstrated exceptional sensitivity and improved reproducibility and stability over 4 weeks. Practical validation was performed by monitoring α-AMY levels in spiked artificial saliva, yielding recovery (96 to 104%), and clinical samples of patients with mild to acute dental caries of different age groups, demonstrating its effectiveness in real-world applications.