Colorimetric
analysis, which relies on a chemical reaction to facilitate
a change in visible color, is a great strategy for detecting cortisol,
which is necessary to diagnose and manage the wide variety of diseases
related to the hormone, because it is simple in design, inexpensive,
and reliable as a standard cortisol analysis technique. In this study,
four different colorimetric cortisol analyses that use various chromogens,
which include sulfuric acid, Porter–Silber reagent, Prussian
blue, and blue tetrazolium, are studied. Modifications to the classic
Porter–Silber method are made by increasing the carbon content
of the alcohol and adding gold nanoparticles, which result in a twofold
increase in reaction rate and a slight decrease in the limit of detection
(LoD). After a comparison of the reaction rate, LoD, dynamic range,
characteristic peaks, and color stability of all methods, blue tetrazolium
demonstrates a low LoD (97 ng/mL), broad dynamic range (0.05–2
μg/mL), and quick reaction rate (color development as fast as
10 min), which are well within the requirements for human biofluids.
Cortisol in artificial saliva and sweat and in human sweat was determined
while confirming that no excipients or other biomarkers interfered
with the reactions. Twenty-one human sweat samples were tested using
blue tetrazolium and revealed a significant difference between male
and female apocrine cortisol concentrations and showed a highly significant
difference between apocrine and eccrine cortisol concentrations. Colorimetric
methods of cortisol can compete with existing electrochemical sensors
because of their similar accuracy and detection range in certain wearable
biosensor applications. The simplicity of colorimetric methods advances
potential applications in skin-interfaced bio-electronics and point-of-care
devices.