In this paper, we demonstrate an electrochemical method for detection of the heart failure biomarker, N-terminal prohormone brain natriuretic peptide (NT-proBNP). The approach is based on a paper electrode assembly and a metalloimmunoassay; it is intended for eventual integration into a home-use sensor. Sensing of NT-proBNP relies on the formation of a sandwich immunoassay and electrochemical quantification of silver nanoparticle (AgNP) labels attached to the detection antibodies (Abs). There are four important outcomes reported in this article. First, compared to physisorption of the detection Abs on the AgNP labels, a 27-fold increase in signal is observed when a heterobifunctional cross-linker is used to facilitate this labeling. Second, the assay is selective in that it does not cross-react with other cardiac natriuretic peptides. Third, the assay forms in undiluted human serum (though the electrochemical analysis is carried out in buffer). Finally, and most important, the assay is able to detect NT-proBNP at concentrations between 0.58 and 2.33 nM. This performance approaches the critical NT-proBNP concentration threshold often used by physicians for risk stratification purposes: ~0.116 nM.

Herein, we describe a new molecular autocatalytic reaction scheme based on a H2O2-mediated deprotection of a boronate ester probe into a redox cycling compound, generating an exponential signal gain in the presence of O2 and a reducing agent or enzyme. For such a purpose, new chemosensing probes built around a naphthoquinone/naphthohydroquinone redox-active core, masked by a self-immolative boronic ester protecting group, were designed. With these probes, typical autocatalytic kinetic traces with characteristic lags and exponential phases were obtained using either a UV-visible or fluorescence optical detection, or also using an electrochemical monitoring. Detection of concentrations as low as 0.5 µM H2O2 and 0.5 nM of a naphthoquinone derivative were achieved in a relatively short time (< 1 hr). From kinetic analysis of the two cross-activated catalytic loops associated to the autocatalysis, the key parameters governing the autocatalytic reaction network were determined, indirectly showing that the analytical performances are currently limited by the slow nonspecific self-deprotection of boronate probes. Collectively, the present results demonstrate the potential of this new exponential molecular amplification strategy, which, due to its generic nature and modularity, is quite promising for coupling to a wide range of bioassays involving H2O2 or redox cycling compounds, or for being used as a new building block in the development of more complex chemical reaction networks.