The coupling of dosimetry measurements and modeling represents a promising strategy for deciphering the relationship between chemical exposure and disease outcome. To support the development and implementation of biological monitoring programs, quantitative technologies for measuring xenobiotic exposure are needed. The development of portable nanotechnology-based electrochemical (EC) sensors has the potential to meet the needs for low cost, rapid, high-throughput, and ultrasensitive detectors for biomonitoring an array of chemical markers. Highly selective EC sensors capable of pM sensitivity, high-throughput and low sample requirements (<50 μl) are discussed. These portable analytical systems have many advantages over currently available technologies, thus potentially representing the next generation of biomonitoring analyzers. This paper highlights research focused on the development of field-deployable analytical instruments based on EC detection. Background information and a general overview of EC detection methods and integrated use of nanomaterials in the development of these sensors are provided. New developments in EC sensors using various types of screen-printed electrodes, integrated nanomaterials, and immunoassays are presented. Recent applications of EC sensors for assessing exposure to pesticides or detecting biomarkers of disease are highlighted to demonstrate the ability to monitor chemical metabolites, enzyme activity, or protein biomarkers of disease. In addition, future considerations and opportunities for advancing the use of EC platforms for dosimetric studies are discussed.
Biological monitoring (biomonitoring) has the ability to integrate total chemical exposure to assess human dosimetry (Yantasee et al., 2007a). This includes exposure from multiple sources (i.e., air, soil, water, and food residues) and multiple routes of intake (i.e., inhalation, oral, and dermal). A benefit of biomonitoring is the ability to associate the internal dose of a given chemical or metabolite with a measurable effect (either tissue specific or whole body), which can then be used for risk assessment purposes (Friberg and Elinder, 1993; Christensen, 1995; Gilbert and Sale, 2005). Likewise, biomonitoring can be exploited to distinguish between internal (actual) from potential exposure. As suggested by Angerer et al. (2006) and illustrated in Figure 1, the exposure–effect continuum represents a framework for assessing chemical exposures and making both risk assessment and management decisions within epidemiological studies. In this regard, it is suggested that the most meaningful interpretation of epidemiology studies could be realized by accurately assessing chemical exposure with biological effect. However, a major impediment to conducting epidemiology studies is the lack of affordable quantitative technologies that can readily measure chemical exposure markers (biomarkers) using minimally invasive biological fluids (Weis et al., 2005). To address these limitations, inexpensive microanalytical-based sensors are needed that can accurately and precisely process small amounts of biological fluids. Ideally, these sensors can be used for parallel analyses of multiple markers or quickly adapted for detection of a broad range of biomarkers associated with chemical exposure and biological response (Liu et al., 2005; Weis et al., 2005). As reviewed by Weis et al. (2005), microsensor platforms offer great promise because they have the potential to provide rapid, accurate, and quantitative detection of exposure at the level of the individual. The data generated from such devices can then be used to effectively couple environmental and personal exposure assessment in a way that enhances our ability to study the factors that affect health and disease across large populations.
The identification and quantification of target chemicals or their metabolites in biological fluids (blood, urine, and saliva) is still a cornerstone of xenobiotic metabolism research, where the analytes represent the key biological monitoring targets (Gil and Pla, 2001; Angerer et al., 2006). However, the utility of a specific analyte (e.g., chemical metabolite) for quantitative biological monitoring requires an appreciation of its pharmacokinetics; that is, a concentration associated with the rate of absorption, distribution, metabolism, and/or excretion in the relevant biological matrices (Timchalk et al., 2001, 2004a, 2004b). A strategy for the development, validation, and deployment of a chemical biomonitoring platform is illustrated in Figure 2. Key criteria include identification of markers in complex matrices, such as blood, urine or saliva, validation of sensor performance, and deployment of a user-friendly platform. Validation should not only include characteristics of instrument performance (e.g., limit of detection, limit of quantification, linear performance, reproducibility, matrix effects, etc.), but the marker(s) should have positive predictive value that link chemical exposure with adverse health effects.
This review is focused on the development and validation of portable electrochemical (EC) sensors that incorporate nanomaterials as either a signal transducer or as an electroactive species for indirect detection of analyte. Given the sensitivity, flexibility, and miniaturization capabilities, these sensors have the potential to become the next generation of field-deployable analytical instruments. Our intent is to: (1) provide a general overview of EC terminology, detection methods, and integrated use of nanomaterials in the development of EC-based microanalytical instrumentation; (2) highlight recent developments using EC sensors for biomonitoring; (3) illustrate recent applications of nanotechnology-based EC sensors for detection and quantification of biomarkers of exposure or disease; and (4) discuss future considerations and opportunities for advancing the use of EC sensors for dosimetric studies.
Review of General Terms and Overview of Electrochemical Sensors
EC measurements are based on detection or transport of charge across an electrode. Chemical species, such as molecular ions, are referred to as electroactive species if they can either be oxidized (lose electrons) or reduced (gain electrons) at an electrode surface through the movement of electrons. A detector that measures current when an electroactive solute contacts a working electrode held at a fixed potential with respect to a reference electrode is known as an amperometric detector; whereas measurement of current that develops as a function of variable potential is known as voltammetry. In voltammetry, a variable potential excitation signal is impressed upon a solution through an electrode to generate a characteristic signal at the electrode, known as waveforms and expressed as potential per unit time. Amperometric and voltammetric detectors both generate quantitative information of electrode current versus time, but voltammetry has the added advantage of providing characteristic current response information for reversible reactions by pulsing an applied potential between high and low values. If the added potential is pulsed with short-time intervals between high and low values, the current that flows back and forth through the electrode can be measured during the lifetime of the pulse. As the potential is pulsed in voltammetry between high and low voltage values, the analyte (or product) at the surface of the electrode can undergo a corresponding reduction or oxidation and generate positive or negative current flow. A plot of the difference between the changing current flows (Δi=ihighV−ilowV) versus potential results in a voltammogram that is characteristic for the electroactive species (Skoog and Leary, 1992). When the potential is applied in a staircase fashion a waveform is produced (potential per unit time) and the technique is known as square-wave voltammetry. In stripping analysis, the solute is preconcentrated (electrodeposited) at the surface of the electrode using a constant applied potential before application of a stripping potential (stripping voltammetry) to redissolve the material from the electrode (Figure 3). If the stripping potential is applied as a square wave, the technique is known as square wave stripping voltammetry. Classical amperometric and voltammetric EC methods have been attractive as analytical techniques because they offer detection limits on the order of 10−7 ot 10−8 M, whereas stripping analysis preconcentrates solutes to achieve limits down to 10−10 to 10−11 M (Bard and Faulkner, 1980). As many analytes are electroactive, EC methods are the most widely used alternatives to atomic and/or mass spectroscopic techniques for trace detection of analytes.
EC methods are also more amenable to the development of portable instrumentation because of their simplicity, low power requirements, and ability to be miniaturized. Techniques that are based on manipulation of a liquid sample have been particularly fruitful for detection of toxic chemicals, these include flow-injection analysis and sequential-injection analysis using amperometric detection (Neufeld et al., 2000; Sole and Alegret, 2001; Gilbert and Sale, 2005; Xu et al., 2007), and microelectrical mechanical systems (Wang et al., 2001; Chen et al., 2006a). In each of these injection methods, samples are injected into flow cells and transported by a carrier solution and reacted with select substrates that can be electrochemically detected (Figure 4). By using a calibration curve, analyte concentration can be calculated from the detector response. Flow-injection analysis with amperometric detection, for example, offers the possibility of real-time and continuous-flow detection of toxic compounds within environmental or biological samples, using very small volumes (<20 μl) or high-throughput analysis of numerous samples (3600 injections per h) (Wang and Li, 1990; Liu et al., 2005; Liu and Lin, 2006). Microfabrication technology has been used to develop wholesale separations and detection on a single microelectrical mechanical systems microchip. Most fabrication processes involve photolithography, wet etching, laser ablation, or injection molding to form microchannels, valves, and interconnects on silicon, glass, or polymer substrates (Manz et al., 1991; Belmont et al., 1996; Chen et al., 2006a). Fluid flow or analyte detection is then carried out by electrical methods. Amperometric and conductivity detection have used microelectrical mechanical devices, for example, for the detection of various residues of chemical nerve agents (Wang et al., 2001), nitroaromatic compounds (Wang et al., 2002), and heavy metal ions (Collins and Lu, 2001; Dabek-Zlotorzynska et al., 2003).
Even with the tremendous inventiveness exhibited by numerous researchers, the application of EC methods has been limited because of the need for electrodes with unique electrical and selective properties. However, new developments in material science have now produced a broad range of technologies that are being adapted to increase the utility of EC sensors.
Modern Advances in the Development of Electrochemical Sensors
Recent advances in printing technology and materials science now allows greater flexibility in producing extremely inexpensive, reliable, and selective electrodes for detection of specific analytes. These advances can be grouped into three EC technologies: screen-printed electrodes, integrated nanomaterials, and EC immunoassays. Hybrid devices that incorporate the advantages of each of these new technologies are also being developed. In general, modern advances in the development of low cost and selective EC sensors offer a greater range of applications for analysis of chemical exposure for environmental or biological monitoring. These systems are suitable for the determination of chemicals, metabolites, proteins, metals, inorganic ions, organic compounds, and other biological molecules in a variety of biological matrices.
Various types of carbon-based, plastic, and ceramic materials are being coated with different doping agents to enhance electron transfer or coated with selectivity agents to capture analytes of interest using screen-printing technology (e.g., photolithography). The coated electrodes are then employed as the working electrode in voltammetric analyses (Badihi-Mossberg et al., 2007; Renedo et al., 2007). The coatings may include agents such as metals, complexing molecules, immobilized enzymes, or affinity agents (e.g., antibodies). Screen-printed electrodes can be categorized according to how the electrode is modified: metal-modified, enzyme-modified, or affinity capture-modified (Renedo et al., 2007). Electrodes doped with gold or silver atoms, or coated with gold, mercury, bismuth, or nickel metal films have been used with stripping voltammetry to monitor a variety of hazardous metals and chemicals in biological fluids with detection limits of ng/ml; enzyme-immobilized screen-printed electrodes have been used to detect enzyme activity, pesticide metabolites, phenolic compounds, heavy metals, cholesterol, and glucose in biological matrices by immobilizing an enzyme onto a sol-gel matrix or conductive polymer to ng/ml levels; whereas antibody-immobilized screen-printed electrodes have been used with amperometric and voltammetric detection of antigen in biomatrices at the pg/ml level (Renedo et al., 2007). For a comprehensive review of the latest applications of screen-printed electrodes, see Renedo et al. (2007).
Integrated Nanomaterials for EC Applications
The advent of nanotechnologies has led to enormous advances not only in basic science but also in detection strategies. Nanomaterials offer new platforms for developing a variety of advanced analytical technologies, including more sensitive and selective EC sensors for biomonitoring. The most studied nanomaterials, carbon nanotubes, metal nanoparticles, and quantum dots (QDs) have been especially targeted for developing novel biosensors (He and Toh, 2006; Liu and Lin, 2006; Pumera et al., 2007; Liu et al., 2007a, 2007b; Wu et al., 2007a, 2007b). Nanomaterials are now being used as signal transducers to mediate current flow or as electroactive tags to indicate the detection of analyte.
Nanomaterials are attractive because of their unique electrical, chemical, and physical properties (i.e., size, composition, conductivity, magnetism, mechanical strength, light absorbing, and emitting properties). Carbon nanotubes, colloid gold, QDs, and zirconium oxide nanoparticles have all been used for EC detection of chemicals in the environment and more recently in biological samples (Liu and Lin, 2005, 2006; Kim et al., 2007; Wang et al., 2008a, 2008c). By utilizing nanomaterials, EC biosensors have shown great promise for detection of chemical markers and biomarkers of exposure primarily because the nanomaterials are used to either capture the marker or amplify the signal associated with detection. Both of these capabilities are important for trace level detection in complex biological matrices. Two approaches are currently used for nanomaterials-based EC biosensors: (1) the use of nanomaterials as the electrical signal transducer and (2) nanomaterials used as electroactive tags for the indirect detection of analyte. Carbon nanotubes and metal nanoparticles have, for example, been used to modify the electrode surface for enhancing EC response due to their electrocatalytic properties (Chen et al., 2007). In addition, silicon nanowires and conducting polymer nanowires have been used as field-effect transistors (Patolsky et al., 2006). Alternatively, some nanoparticles are used as the electroactive reporters for indirect detection of analyte and/or for signal amplification purposes; the most common of which are metal (e.g., colloid gold) and inorganic nanoparticles (e.g., Fe2O3 and CdSe QDs) (Authier et al., 2001; Cui et al., 2007; Wu et al., 2007a, 2007b; Liu et al., 2007b). Collectively, EC assays that integrate nanomaterials have been used for the detection of chemical exposure or biomarkers of disease using a variety of biological matrices (Wang et al., 2003, 2006a; Liu and Lin, 2005, 2006).
Carbon nanomaterials contain nanostructures that seem to be especially suitable for the development of EC biosensors (Tasis et al., 2006). In particular, carbon nanotubes and carbon nanofibers possess conductivity, surface areas, chemical functionalities, and biocompatibility that make them ideal for the development of compound-specific biosensors (Andreescu and Marty, 2006; Trojanowicz, 2006; Du et al., 2007; Kim et al., 2007). Carbon nanotubes are composed of graphite carbon with one or more concentric tubes. Recent studies have shown that carbon nanotubes can enhance the direct electron transfer reactions of some biomolecules, including cytochrome c, catalase, and nicotinamide adenine dinucleotide due to the unique electronic structure, electrical conductivity, and high surface area available on carbon nanotubes for redox reactions (Lin et al., 2005; Liu and Lin, 2006; Wang et al., 2006b, 2008a).
Nanoparticles such as colloidal metals (e.g., gold or silver), inorganic crystals (e.g., QDs), and silica are currently being used as labels, markers, or probes for detection of a wide-range of biomolecules (Guo and Wang, 2007). In most cases, these types of nanoparticles are conjugated to some biomolecule (e.g., DNA, protein, or antibody) and the biomolecule is used for identifying certain biomolecular interactions, cellular translocations, or affinity capture of an analyte of interest. The most common approaches use colloidal gold or QDs as the electroactive species. QDs are nanoscale crystals composed of group II–VI or III–V elements (e.g., CdSe, ZnS, or Fe2O3) that can either absorb light energy and emit photons at characteristic wavelengths (Jamieson et al., 2007; Wang et al., 2008b) or be acid solubilized to generate electroactive metal ions (Wu et al., 2007a, 2007b; Liu et al., 2007b). A variety of EC DNA sensors, for example, have been functionalized with nanoparticles for direct and indirect detection of metal ions, proteins, RNA, and DNA, with detection limits as low as zeptomoles (10−21 mol) (Authier et al., 2001; Drummond et al., 2003; Liu and Lu, 2003; Wang et al., 2003; Tansil and Gao, 2006). Nanoparticle-based EC bioassays for proteins have been reviewed by Wang (2007). There are also considerable efforts to leverage nanoparticle sensitivity with antibody selectivity using EC methods, known as EC immunoassays.
Immunoassay-based sensors have been developed to exploit the high degree of specificity and affinity of antibodies for specific antigens (Liu et al., 2007a, 2007b; Wu et al., 2007a, 2007b). In this particular application, a given chemical, metabolite, or modified protein can act as the antigen, and an EC response linked to antibody binding with the antigen. Generally, the antibody or analyte of interest is immobilized on a membrane, magnetic bead, or EC transducer, and the analyte is measured by signal derived from a conjugated tag that is attached to either the antibody or analyte. Two types of immunoassays are generally employed: a competitive active site assay or the sandwich assay. In the competitive immunoassay, the analytes within a matrix compete with an analog analyte for antibody sites and the signal from the analog is used to calculate how much analyte of interest was captured. The analog is labeled or tagged in some fashion (e.g., enzyme or nanoparticle), and it is the tag that ultimately generates detectable electroactive species. In this assay, the amount of analyte present is calculated by determining the ratio of analog signal relative to the known maximum amount of signal possible for a known concentration of analog (Lin et al., 2007; Zacco et al., 2007). The second type of immunoassay utilizes a primary antibody to selectively capture the analyte from the matrix and a secondary antibody containing a signaling device to quantify the captured analyte. The two antibodies effectively sandwich the analyte in between them and the approach is referred to as a sandwich immunoassay. Conventionally, enzymes are conjugated on the secondary antibody and used to generate signal in the biological technique known as enzyme-linked immunosorbent assay (ELISA). With the addition of substrate (unrelated to the analyte) the enzyme selectively cleaves the substrate to generate signal (i.e., light, fluorescence, ions, etc.). With EC assays, tags that generate electroactive species are ideal and a variety of nanomaterials are being evaluated as potential tags when conjugated to antibodies. Metal nanoparticles such as colloidal gold or CdSe QDs are typically used, and commercial kits are available for conjugation to antibodies (Knecht et al., 1986; Hainfeld and Powell, 2000; Merkoci et al., 2005; Jain, 2007; Wang, 2007).On the basis of these approaches, several immunosensors have been developed for the detection of a range of xenobiotics and protein biomarkers of disease including: the herbicide chlorsulphuron, polychlorinated biphenyls, polycyclic aromatic hydrocarbons, 2,4,6-trichloroanisole, pesticide metabolites, human myoglobin, cardiac troponin, and creatine kinase (Velasco-Arjona et al., 1997; Galve et al., 2002; Piras and Reho 2005; Liu et al., 2005, 2006; Dong et al., 2007; Renedo et al., 2007). EC immunoassays routinely achieve detection limits in the low pM range and three orders of dynamic range using <50 μl of sample.
EC Sensors for Biomonitoring
There have been a number of recent overviews discussing advances in the application of EC sensors for industrial hygiene and environmental monitoring (Ashley, 2003; Hanrahan et al., 2004), as well as the development of personal exposure biomonitors for heavy metals (Yantasee et al., 2007a, 2007b) and ChE biosensors (Andreescu and Marty, 2006). As reviewed by Ashley (2003), EC sensors have been developed for field monitoring of a broad range of chemical contaminants including: inorganic gases and vapors (carbon monoxide, carbon dioxide, sulfur dioxide, nitric, and nitric oxide), volatile organic hydrocarbons, aldehydes and ketones, heavy metals, pesticides, and some persistent pollutants. However, as noted by Weis et al. (2005) the utilization of these sensors for human studies and in particular biological monitoring has not yet been fully realized.
Considerable effort has also been made to develop sensor platforms that monitor toxic metals or chemical xenobiotics in environmental applications (i.e., in air, water, or soil) (Sadik and Van Emon, 1996; Sole and Alegret, 2001; Hanrahan et al., 2004), but there is a general lack of publications that specifically focus on the detection and quantification for human biomonitoring. It is important to note that in some cases sensor systems that have been developed for environmental monitoring may be utilized with biological samples with minimum validation; but in other cases methods must be dramatically modified to instead detect a metabolic byproduct or avoid fouling of the sensor due to matrix effects. For example, a number of EC-based sensor platforms have been developed for the detection of the phenoxyacetic acid herbicide 2,4-D in a range of environmental media (Kröger et al., 1998; Haláamek et al., 2001; Kim et al., 2007). In the case of human biomonitoring, 2,4-D is readily absorbed and excreted primarily unchanged in the urine (Arnold and Beasley, 1989; Timchalk 2004); hence, the primary issue for adapting the environmental sensor systems for human biomonitoring is to optimize performance for urine matrix effects and validate the sensor against biological samples (i.e., urine) containing 2,4-D. In other cases it may not be feasible to directly adapt environmental sensors for human biomonitoring, particularly in those situations where the environmental chemical undergoes extensive in vivo metabolism. In all cases, however, field trials will be required to validate the EC sensor performance against conventional methods. Recently, Yantasee et al. (2007a, 2007b) performed validation studies of nanotechnology-based capture of toxic metals from biological matrices and subsequent quantification using EC methods. Results from a lead dosing study of rats demonstrated that the EC sensor was capable of detection limits of 0.44 and 0.46 p.p.b. with %RSD of 4.9 and 2.4 in 50% urine and 10% blood, respectively (Yantasee et al., 2007b). The sensor results were very similar to lead concentration values as measured by ICP MS, but EC sensor data were generated within 3 min per sample using 60 μl of matrix whereas ICP MS required considerably more sample preparation.
Biomarkers of Organophosphate Pesticide Exposure
Considerable efforts are also being made to develop EC sensors that can be used for biomonitoring of pesticide biomarkers. Organophosphorus insecticides constitute a large class of chemical pesticides that are widely used (Aspelin, 1992, 1994) and have been involved in more poisoning cases than any other single class of insecticide (Al-Saleh, 1994). These chemicals have a high affinity for binding to and inhibiting the enzyme acetylcholinesterase (AChE), an enzyme specifically responsible for the destruction of the neurotransmitter acetylcholine (ACh) within nerve tissue (Ecobichon, 2001). As the cholinergic system is widely distributed within both the central and peripheral nervous systems, chemicals that inhibit AChE are known to produce a broad range of well-characterized symptoms (for review see Savolainen, 2001). A comparison of the AChE inhibition dynamics for the interaction of ACh, and the “active” insecticide metabolite chlorpyrifos-oxon (organophosphate) with AChE is illustrated as an example in Figure 5. Both substrates have relatively high affinities for AChE and readily complex with the enzyme; however, the rates of hydrolysis and reactivation of AChE following phosphorylation of the active site will be drastically slower than for the hydrolysis of the acetylated enzyme (Ecobichon, 2001). For organophosphorus insecticide biomonitoring, sensor development has mainly focused on the measurement of ChE activity and quantification of major metabolites. Current efforts are also underway in our laboratory to detect the organophosphate chemical adducts that preferentially form on proteins (e.g., ChE) in the relevant biological matrices. Biomonitoring offers one of the best approaches for accurately assessing human dosimetry and for determining risk from chemical exposures (Friberg and Elinder, 1993; Christensen, 1995; Timchalk et al., 2001, 2007a, 2007b). In the case of organophosphorus insecticides, blood and urine have been the primary matrices for evaluation of both dosimetry (parent and metabolites) and ChE activity (Peoples and Knaak, 1982; Nolan et al., 1984; Chester, 1993; Timchalk et al., 2002). However, other matrices such as saliva are being investigated and may offer a single non-invasive matrix for assessing both ChE activity and dosimetry (Borzelleca and Skalsky, 1980; Ryhanen, 1983; Kousba et al., 2003; Henn et al., 2006; Timchalk et al., 2004, 2007a).
Diethylphosphorothionates, for example, are one of the major subclasses of organophosphorus insecticides, which include a number of commonly used pesticides, such as chlorpyrifos, diazinon, and parathion. A representative scheme (Figure 6) for the metabolism of chlorpyrifos shows that it undergoes CYP450-mediated oxidative desulfation or dearylation to form chlorpyrifos-oxon (the neurotoxic moiety) or 3,5,6-trichloro-2-pyridinol (TCP) and diethylthiophosphate, respectively (Chambers and Chambers, 1989; Ma and Chambers, 1994). Hepatic and extrahepatic esterases such as paraoxonase and cholinesterase effectively metabolize chlorpyrifos-oxon to form TCP and diethylphosphate. Dialkylphosphates, such as diethylphosphate and diethylthiophosphate, have long been used as general urinary biomarkers for this class of insecticides (Hardt and Angerer, 2000; Bradman et al., 2005; CDC, 2005; Timchalk et al., 2007b). For assessing human exposure to specific organophosphorus insecticides, the metabolite containing the organic moiety, such as TCP in the case of chlorpyrifos, has been used as this is a specific biomarker found in urine (Nolan et al., 1984; Barr et al., 2004; Berkowitz et al., 2004; Eskenazi et al., 2004; CDC, 2005; Timchalk et al., 2007b).
In addition, the chemical reactivity and covalent binding of organophosphorus insecticides and nerve agents with blood and tissue proteins produce novel chemical adducts (known as alkylphosphorylation and simply referred to as phosphorylation) on specific matrix proteins that have the potential to be exploited as biomarkers of exposure. The most common modification is phosphorylation of cholinesterase (either AChE or butyrylcholinesterase) and subsequent inactivation of cholinesterase, leading to cholinergic system failure. Phosphorylated adducts have also been detected on other proteins, including carboxylesterase, neuropathy target esterase, trypsin, chymotrypsin, and human serum albumin (Ooms and van Dijk, 1966; Boter and Ooms, 1967; Ecobichon and Comeau, 1973; Johnson, 1975; Fonnum et al., 1985; Johnson and Glynn, 1995; Black et al., 1999; Elhanany et al., 2001; Peeples et al., 2005; Li et al., 2007). Biomonitoring of protein adducts extends the time interval between exposure and sampling and may be a suitable approach to detect low-level exposure. In this regard, Polhuijs et al. (1997) developed a procedure for the analysis of phosphorylated binding sites, which is based on reactivation of the phosphorylated enzyme with fluoride ions. On the basis of these methods, it was suggested that detection levels in the range of ∼0.01% inhibited butyrylcholinesterase should be quantifiable. This represents a detection level that is several orders of magnitude greater than what is currently possible on the basis of measuring cholinesterase activity. Thus, three different types of biomarkers of OP exposure are available which can be used to provide information as to the subclass of pesticide involved (e.g., organophosphate versus carbamate), extent of exposure, and used to determine the association with adverse health: cholinesterase activity, chemical metabolites, and phosphorylated protein.
Applications of EC Sensors for Biomonitoring AChE Activity
The utility and advantage of using carbon nanotubes in EC biosensors is demonstrated below in two examples that seek to monitor biological enzyme activity as a way to assess chemical exposure. Each uses an enzyme immobilized on a screen-printed carbon nanotube electrode but one type is for the direct detection of substrate hydrolysis products, whereas the other is an indirect method that relies on a redox (electron exchange) reaction to generate hydrogen peroxide (H2O2).
Generally, two approaches have been used for characterization of cholinesterase activity in biological matrices using carbon nanotube-based EC biosensors: either a single-step system utilizing indigenous cholinesterase and appropriate substrate (Liu and Lin, 2006) or a binary method where cholinesterase is combined with choline oxidase (ChO) to generate and detect H2O2 as an electroactive end product (Guerrieri and Palmisano, 2001; Lin et al., 2004). The cholinesterase activity in either system is monitored by measuring the oxidation or reduction current of the product of the enzymatic reaction(s).
The first example of a cholinesterase-immobilized screen-printed electrode reaction series is shown in Eqs. (1) and (2) (Liu and Lin, 2006). In this sensor, AChE was self-assembled on top of a carbon nanotube (graphite carbon) surface and integrated with a flow injection system using amperometric monitoring for the detection of hydrolyzed acetylthiocholine substrate. The carbon nanotube acts in this case as both a convenient platform for enzyme immobilization and efficient electron transducer to monitor inhibition of the enzyme in the presence of the pesticide paraoxon. The single-step reaction involved AChE hydrolysis of a known amount of acetylthiocholine substrate:
The subsequent oxidation of the thiocholine (TCh) at the electrode surface gives rise to a current that constitutes a quantitative measurement of the enzymatic activity:
As AChE activity is inversely related to the amount of paraoxon present in the system, the sensor can be used for quantification of inhibitor present in the matrix. This sensor was sensitive to sub pM levels (pg/ml) of paraoxon and 20% AChE inhibition after six minutes of exposure (incubation) using 20 μl of sample.
In some cases, it may be necessary to indirectly detect enzyme inhibition by adding reagents that are more amenable for detection by EC methods. In the following binary enzyme system (Eqs. (3) and (4)), AChE enzymatically cleaves the neurotransmitter ACh in vivo into acetate and choline, and choline is subsequently converted to an aldehyde and hydrogen peroxide (H2O2) by ChO for the amperometric detection of H2O2 (Lin et al., 2004):
For this system, the carbon nanotube-EC method produced a detection limit of 50 nM organophosphate pesticide and a sensitivity of 0.48% inhibition/μM enzyme (Lin et al., 2004).
In both of the carbon nanotube sensor examples, the presence of any chemical inhibitor of AChE, such as an organophosphate pesticide, would lead to lower current measurements. A comparison with normal activity levels could then be used to calculate the level of chemical exposure. The sensitivity of these types of sensors depends considerably on the chosen method of enzyme immobilization, transducer material employed, rate and number of chemical reaction(s), and sensitivity for a given electroactive species. Carbon nanotube detection of the single-step production of TCh, for example, was much better than the binary production of H2O2 by ∼60-fold. In both cases, use of a carbon nanotube electrode generated much greater S/N responses compared with an unmodified carbon screen-printed electrode, indicating a catalytic advantage. This advantage is attributed to the large surface area of the carbon nanotube available for redox reactions.
Applications of EC Immunosensors for Biomonitoring Metabolites or Protein Markers
Direct monitoring of key chemical or protein markers associated with a specific pesticide or disease offers the ability to quickly assess individuals. Competitive and sandwich-type EC immunoassays are being developed in our laboratories to provide the selectivity and sensitivity required for personalized biomonitoring. In addition, portable EC sensor platforms are being developed to integrate the EC sensor within an automated sample processor (Liu et al., 2005, 2006; Wu et al., 2007a, 2007b; Liu et al. 2007b).
Two types of competitive binding EC immunoassays for the indirect detection of metabolite are being optimized using either an enzyme-tagged analog for detection of H2O2 (Liu et al. 2005, 2006) or a QD-tagged analog for detection of acid hydrolyzed Cd ions (Wu et al., 2007a, 2007b; Liu et al. 2007b).
A competitive EC immunoassay for the quantification of TCP, a metabolite marker for the insecticide chlorpyrifos, was recently developed (Liu et al., 2005, 2006). In this case, anti-TCP antibody was immobilized on magnetic particles to capture TCP, followed by the addition of sample and horseradish-peroxidase (HRP) enzyme-tagged TCP (analog), then addition of the HRP substrate 3,3′,5,5′-tetramethyl-benzidine dihydrochloride (TMB) to generate electroactive H2O2 (Figure 7) (Liu et al., 2005). Using a sequential-injection analysis system to automatically deliver reagents and sample (Figure 4), antibody-coated magnetic beads (TCP-AB-MBs) were first pumped to a specific zone of the “reactor tube”, where a magnetic field was applied to capture the beads for further reactions. After an initial washing step, a premixed sample solution containing TCP and HRP-labeled TCP was introduced into the “reactor tube” containing the antibody-immobilized beads and incubated for ∼20 min. Once the reaction was complete, the beads were washed again and the HRP substrate, TMB, was injected into the “reactor tube” to generate H2O2. Finally, the production of H2O2 product was sent to a thin-layer flow cell for EC measurement (Figure 7). The reduction current required to reduce H2O2 at the electrode surface is proportional to the amount of TCP present in the sample.
The selectivity of the TCP/HRP-TCP EC immunoassay was determined by using compounds structurally similar to TCP, including 2,4,5-trichlorophenol, 2,4-dichlorophenol, chlorpyrifos, chlorpyrifos-methyl, and trichlopyr. The results of these comparisons are presented in Table 1. For each insecticide, metabolite or structurally related chemical, a 50% inhibition concentration (IC50) was determined and compared with the TCP IC50 and the extent of cross-reactivity (CR) was calculated (Liu et al., 2006). The structurally related compounds such as 2,4,5-trichlorophenol and 2,4-dichlorophenol demonstrated low cross reactivity (≤2%); whereas, the parent pesticides chlorpyrifos, chlorpyrifos-methyl, and trichlopyr showed little to no cross reactivity (<0.01%) (Liu et al., 2006). These results demonstrated that the TCP antibody coated magnetic beads were highly selective for TCP.
Performance of the sequential-injection analysis competitive EC immunoassay was optimized by adjusting reaction volumes and incubation times (Liu et al., 2005). Figure 8a shows the typical square-wave voltammagram responses with increasing TCP analyte concentrations. Well-defined peak shapes were used to calculate the concentration of the corresponding TCP in the sample matrix. The normalized signals, expressed as 100(I/I0) (where I and I0 are the reduction peak heights obtained with TCP standards and blank sample, respectively) were plotted versus TCP concentration. A sigmoidal-shaped calibration curve for TCP was used to calculate TCP in the sample (as is characteristic of a competitive immunoassay) (Figure 8b). The linear measuring range was 0.01–2.0 μg/l, and the relative standard deviation was below 3.9% (n=6). A detection limit was calculated from competitive curves as the analyte concentration for which the normalized signal was 90%. The detection limit was estimated to be ∼6 ng/l.
To build in signal amplification and eliminate the need for enzyme-driven electroactive species, QDs can be used as tags along with the appropriate electrode sensor. For the competitive EC immunoassay, a QD can either be conjugated directly onto a metabolite (if the chemistry is appropriate) or conjugated to a chemically compatible structural analog, then used as the competitive analog. EC signal can then be generated by incubating the QD tag with acid (e.g., 1 M HCl) and detecting the hundreds to thousands of metal ions that dissolve from each QD.
Recently, we demonstrated the ultrasensitive detection and selection capability of QD-tagged sandwich immunoassays. Using commercially available monoclonal antibodies and QD conjugation kits (Invitrogen, Eugene, OR, USA), EC immunosensors were developed for ng/ml or pg/ml detection of interleukin-1α (Figure 9) or prostate-specific antigen (Figure 10), respectively, in human plasma (Wu et al., 2007a, 2007b; Liu et al., 2007a, 2007b). For detection of interleukin-1α, an immune and inflammatory response cytokine, primary interleukin-1α antibody was bound to streptavidin-coated magnetic beads and QDs consisting of a CdSe core/ZnS coat were conjugated to secondary antibodies to sandwich the antigen, followed by acid hydrolysis (1 M HCl) of the QDs and detection of Cd2+ ions with a bismuth/mercury coated screen-printed electrode using square-wave voltammetry (Figure 9). A detection limit of 18 pM (or 1.8 fmol) of cytokine could be detected in 200 μl of sample with a linear range of 0.5–50 ng/ml. For detection of prostate specific antigen in human serum, a disposable EC immunosensors was manufactured containing separate zones for primary and secondary antigen capture (Figure 10). Primary monoclonal antibodies were conjugated with QDs and immobilized onto a glassy fiber pad and incubated with sample to capture the antigen, then the QD–antibody–antigen complex was migrated to a second zone containing immobilized secondary antibody for capture of tagged complex, followed by the addition of HCl at the second zone, solubilization of the QD and EC detection of Cd2+ ions as the ions traversed laterally to the electrode surface hidden beneath a nitrocellulose membrane (Figures 10 and 11a). Prostate specific antigen could be detected down to 20 pg ml−1 with 20 min of total incubation time. The EC assay was compared with results obtained from a commercially available ELISA prostate specific antigen kit (Alpha Diagnostics International) and similar concentration values were obtained for each assay but the reproducibility of the EC assay did vary more at lower concentrations; at 0.5 ng/ml the EC assay had a %CV of 24.5% whereas ELISA produced 7.1%, but at 2 ng/ml the EC assay had a 2.5% CV whereas ELISA produced 8.2%. These first set of experiments are quite promising and further optimizations and improvements are underway to enhance sample migration, analyte capture, and signal detection. In addition, we have integrated the disposable EC immunoassay into a self-contained platform that can be interfaced with a computer containing the appropriate software (Figure 11b). Our focus is to develop low cost disposable immunochromatographic strips that can be rapidly evaluated in a fashion similar to glucose monitors used by diabetic patients.
Interpretation of Sensor Biomonitoring Results
An important consideration is whether the sensor platforms have adequate sensitivity to detect and quantify at environmentally relevant exposure concentrations. In this regard, computational dosimetry modeling has been used to establish the sensitivity to detect TCP in saliva and blood of humans following repeated oral exposures to chlorpyrifos (Timchalk et al., 2007b). To accomplish this, a physiologically based pharmacokinetic and pharmacodynamic model was used to simulate dosimetry and dynamic response in humans (Timchalk et al., 2002). The model simulated repeated dietary exposure to chlorpyrifos over a 72 h period at the established EPA Reference Dose (RfD) of 0.003 mg/kg/day (EPA, 1994). The results from these simulations and the reported detection limits for a commercial TCP ELISA and the EC immunoassay are presented in Figure 12. These simulations suggest that the EC immunoassay theoretically has the needed sensitivity to detect TCP in both blood and saliva based upon the anticipated range of concentrations at the RfD level. Future in vivo studies are needed to substantiate the model simulations and validate the detection limits for the sensor platforms.
Although biomonitoring offers one of the best approaches for accurately assessing human dosimetry and for determining risk from both occupational and environmental exposure to xenobiotics (Friberg and Elinder, 1993; Christensen, 1995) the ability to better interpret the results of biomonitoring is also needed (Hays et al., 2007). One potentially useful approach is to use “reverse dosimetry” to back-extrapolate a population-based distribution of biomonitoring data to a distribution of exposure doses (Hays et al., 2007). In this regard, Tan et al. (2007) recently used a “reverse dosimetry” approach to integrate outputs from physiologically based pharmacokinetic modeling, exposure characterizations, and Monte Carlo and statistical analyses to estimate the distribution of exposures to trihalomethanes which could then be compared with animal-based health standards (i.e., RfD). With regard to the organophosphate insecticide chlorpyrifos a similar approach was used based on a simple pharmacokinetic model of TCP urinary excretion kinetics to estimate dosimetry in children (Rigas et al., 2001). In this particular study, however, the reverse pharmacokinetic modeling of urinary TCP generally over predicted dose. As suggested by Rigas et al. (2001) and others, exposure to organophosphate breakdown products such as TCP as residues on food or in the environment could contribute to the greater than expected amounts of TCP in urine (Wilson et al. 2003; Lu et al., 2005; Morgan et al., 2005; Timchalk et al., 2007b). One way to strengthen predictive assessments would be to develop computational dosimetry models based on metabolic endpoints and multiple biomarkers (e.g., for pesticide exposures: cholinesterase inhibition, metabolites, and protein biomarkers).
Summary Considerations for EC Sensors and Future Opportunities
Disposable EC sensors offer a wide-range of applications for analysis of chemical compounds within biological systems, given they are minimally susceptible to matrix effects and are selective for the compound of interest. An important consideration for sensor development is the optimization of the sensor performance in a broad range of biological matrices (i.e., blood, urine, saliva) that are routinely used to biological monitoring (Yantasee et al., 2007a). Specifically, the EC sensor must be validated for analytical performance and cross-validated with well-established analytical methods, such as mass spectrometry and ELISA. Characteristics such as accuracy, precision, sensitivity, selectivity, repeatability, and stability should be addressed. Second, a robust evaluation is needed to assess the potential for detection interference using biological matrices. Third, in vivo animal and in vitro human validation studies are needed to assess the selectivity, sensitivity, and robustness of the sensor platforms. And finally, appropriate field evaluation studies are needed to ascertain the performance of the sensor platforms under a broad range of robust conditions that exist in the “real-world”.
Future opportunities exist to investigate the use of alternative affinity or sequestration stationary phases, such as titanium oxide, zirconium oxide, aptamers (small nucleic acids strands), chelators, self-assembled monolayers, polymer-modified nanoparticles, and nanostructured hydrogels (Flounders et al., 1999; Singh et al., 1999; Liu and Lin, 2005; Mattigod et al., 2005; Nayak and Lyon, 2005; Castellana et al., 2006; Yantasee 2007b; Li and Ho, 2008; Li et al., 2008; Xiao and Li, 2008). In addition, throughput could be extended by developing multichannel, parallel, and multiplexed detection of multiple analytes (Tang et al., 2002; Dong et al., 2007; Polsky et al., 2008).
We are all routinely exposed to a broad range of chemicals that are present within the environment; including pollutants within the air we breathe, the food we eat, and the water we drink. Exposure to these chemicals may be associated with our home or work environments, as part of our jobs, or as lifestyle choices. Epidemiology studies have been utilized to ascertain an association between environmental chemical exposures and human disease. As recently noted, current epidemiology study designs are seriously hampered due to the inability to make definitive associations between chemical exposures and disease (Weis et al., 2005). Biomonitoring studies that can routinely measure chemical and biological molecular markers of exposure and the development of dosimetry models that can factor in these markers offers the potential to better understand the risk factors associated with adverse health. Inexpensive, sensitive, flexible, and portable biomonitoring tools need to be developed that can handle the logistics of monitoring the myriad of markers associated with chemical exposures among different populations. The development of portable nanotechnology-based EC sensors has the potential to meet the needs for low cost, rapid, high-throughput, and ultrasensitive bioassays for biomonitoring an array of chemical markers. Highly selective EC sensors capable of pM sensitivity, high-throughput (3600 samples per h) with low sample requirements (<50 μl) have already been demonstrated; and improved EC sensors are on the horizon. To advance the utility and improve the quality of these sensors for risk assessment and epidemiological studies, it would be ideal to form close collaborations between chemists, toxicologists, and epidemiologists.
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This work was performed at Pacific Northwest National Laboratory (PNNL) supported partially by grant number NS058161-01 from the National Institutes of Health CounterACT Program through the National Institute of Neurological Disorders and Stroke, partially by CDC/NIOSH Grant R01 OH008173, and partially by grant number U54 ES16015 from the National Institute of Environmental Health Sciences (NIEHS), NIH. The contents of this publication are solely the responsibility of the authors and do not necessarily represent the official views of the Federal Government. The research described in this paper was partly performed at the Environmental Molecular Sciences Laboratory, a national scientific user facility sponsored by the DOE's Office of Biological and Environmental Research and located at PNNL. PNNL is operated by Battelle for DOE under Contract DE-AC05-76RL01830.
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