Atherosclerosis conditions are often assessed in the
clinic by
measuring blood viscosity, blood flow, and blood lesion levels. In
alignment with precision medicine, it is essential to develop convenient
and noninvasive approaches for atherosclerosis diagnostics. Herein,
an integrated electrochemical sensor was successfully demonstrated
for simultaneously detecting cholesterol, transferrin, and K+ in sweat, all biomarker indicators of atherosclerosis. The sensing
substrate was based on carbon quantum dots integrated within multiwalled
carbon nanotubes, creating a hybrid framework with low electron transfer
resistance and highly efficient electron transfer rate, yielding a
highly electrochemical active platform for ultrasensitive detection
of trace sweat biomarkers. To ensure specificity to corresponding
targets, the sensing mechanisms were based on molecular recognition
reactions of cholesterol and β-cyclodextrin, transferrin and
molecular cavities, and K+ and ion-selective permeation
membrane. Moreover, the integrated nonenzymatic sensor exhibited excellent
long-term stability. Furthermore, the practical utility of the sensor
was successfully demonstrated by the simultaneous detection of three
atherosclerosis biomarkers in sweat from volunteers who underwent
predesigned daily activities. The sensor shows promise for convenient
indexing of atherosclerosis conditions in a noninvasive way.