Propagating cascade reactions based
on two proteases are promising
for obtaining high signal amplification. However, in many cases, biosensors
that use cascade reactions do not have low detection limits because
of the inherent slowness of proteolytic reactions. Here, we report
a sensitive electrochemical immunosensor using a high-signal-amplification
method that combines a propagating cascade reaction and a redox cycling
reaction. The cascade reaction uses ecarin and prothrombin: the ecarin
label proteolytically converts inactive prothrombin into active thrombin,
which then proteolytically liberates electroactive p-aminophenol (AP) from an AP-conjugated peptide. The liberated AP
is electrochemically oxidized to p-benzoquinone imine
(QI), regenerated by the reduction of QI by NADH, and then electrochemically
reoxidized. This electrochemical–chemical (EC) redox cycling
reaction significantly increases the electrochemical signal. The developed
immunosensor is also compared with an immunosensor that uses only
a propagating cascade reaction and an immunosensor that uses a single
proteolytic reaction and an EC redox cycling reaction. The detection
limits for thyroid-stimulating hormone (TSH) obtained using the three
immunosensors are 3 pg/mL, 2 ng/mL, and 4 ng/mL, respectively, indicating
that the newly developed immunosensor is more sensitive than the other
two. The measured concentrations of TSH in clinical serum are found
to agree well with those determined using a commercial instrument.