Extracellular vesicle PD-L1 (programmed
death-1 ligand 1) is of
greater value in tumor diagnosis, prognosis, and efficacy monitoring
of anti-PD-1/PD-L1 immunotherapy. However, soluble PD-L1 interferes
with the accurate detection of extracellular vesicle (EV) PD-L1. Here,
we developed a microfluidic differentiation
method for the detection of extracellular PD-L1,
without the interference of soluble, by DNA computation with lipid probes and PD-L1 aptamer as inputs (DECLA). For the developed DECLA method,
a cholesterol-DNA probe was designed that efficiently embeds into
the EV membrane, and an aptamer-based PD-L1 probe was used for PD-L1
recognition. Due to the stable secondary structure of the designed
connector, only cobinding of cholesterol-DNA and PD-L1 affinity probe
induced biotin-labeled connector activation, while soluble PD-L1 cannot
hybridize. As a result, PD-L1 EVs can be efficiently captured by streptavidin-functioned
herringbone chip and quantified by anti-CD63-induced fluorescence
signal. The high specificity of dual-input DNA computation allied
to the high sensitivity of microfluidic-based detection was suitable
for distinguishing lung cancer patients from healthy donors, highlighting
its potential translation to clinical diagnosis and therapy monitoring.