The continuous, real-time measurement
of specific molecules in situ in the body would greatly
improve our ability to
understand, diagnose, and treat disease. The vast majority of continuous
molecular sensing technologies, however, either (1) rely on the chemical
or enzymatic reactivity of their targets, sharply limiting their scope,
or (2) have never been shown (and likely will never be shown) to operate
in the complex environments found
in vivo
. Against this background, here we review electrochemical
aptamer-based (EAB) sensors, an electrochemical approach to real-time
molecular monitoring that has now seen 15 years of academic development.
The strengths of the EAB platform are significant: to date it is the
only molecular measurement technology that (1) functions independently
of the chemical reactivity of its targets, and is thus general, and
(2) supports
in vivo
measurements.
Specifically, using EAB sensors we, and others, have already reported
the real-time, seconds-resolved measurements of multiple, unrelated
drugs and metabolites in situ in the veins and tissues
of live animals. Against these strengths, we detail the platform’s
remaining weaknesses, which include still limited measurement duration
(hours, rather than the more desirable days) and the difficulty in
obtaining sufficiently high performance aptamers against new targets,
before then detailing promising approaches overcoming these hurdles.
Finally, we close by exploring the opportunities we believe this potentially
revolutionary technology (as well as a few, possibly competing, technologies)
will create for both researchers and clinicians.