Highly
sensitive and facile detection of low levels of protein
markers is of great significance for the early diagnosis and efficacy
monitoring of diseases. Herein, aided by an efficient tyramine-signal
amplification (TSA) mechanism, we wish to report a simple but ultrasensitive
immunoassay with signal readout on a portable personal glucose meter
(PGM). In this study, the bioconjugates of tyramine and invertase
(Tyr-inv), which act as the critical bridge to convert and amplify
the protein concentration information into glucose, are prepared following
a click chemistry reaction. Then, in the presence of a target protein,
the sandwich immunoreaction between the immobilized capture antibody,
the target protein, and the horseradish peroxidase (HRP)-conjugated
detection antibody is specifically performed in a 96-well microplate.
Subsequently, the specifically loaded HRP-conjugated detection antibodies
will catalyze the amplified deposition of a large number of Tyr-inv
molecules onto adjacent proteins through highly efficient TSA. Then,
the deposited invertase, whose dosage can faithfully reflect the original
concentration of the target protein, can efficiently convert sucrose
to glucose. The amount of finally produced glucose is simply quantified
by the PGM, realizing the highly sensitive detection of trace protein
markers such as the carcinoembryonic antigen and alpha fetoprotein
antigen at the fg/mL level. This method is simple, cost-effective,
and ultrasensitive without the requirement of sophisticated instruments
or specialized laboratory equipment, which may provide a universal
and promising technology for highly sensitive immunoassay for in vitro
diagnosis of diseases.