miRNAs have been a focus of biosensor development over the past decade, with many micro- and nanoscale sensing technologies being applied to this class of analytes. Benefits of many of these schemes lie in their potential for diagnostics at the point of care. However, it is important to point out that for many diagnostic needs, analyses performed in a central laboratory over the multi-hour-to-day timeframe are completely acceptable for many applications, such as in the diagnostic or longitudinal monitoring of relatively slowly progressing diseases, such as cancer. Coupled with these devices have been a number of novel signal transducers, incorporation of modified nucleic acid capture sequences, and the development of new signal amplification strategies. The past few years have shown a movement away from proof-of-principle technology demonstrations and an increasing emphasis on obtaining the sensitivity and sequence selectivity required for clinical applications. A number of reports have also explored low levels of multiplexing; however, most of these studies only analyze 2–3 sequences at a time. Here, we focus broadly on some of the most recent reports considering promising optical, electrochemical/electrical, and magnetoresistive technologies for miRNA detection, emphasizing improvements to analytical sensitivity and selectivity and highlighting some of the more promising demonstrations of multiplexing.
A wide range of optical detection methods have been applied to miRNA detection. Fluorescent dyes and quantum dots directly conjugated to nucleic acids detection probes have been widely explored in FRET-based analyses and also coupled with enzymatic methods for enhanced performance. In these examples, multiplexing must typically be achieved spectrally, which places some constraints on the number of sequences that can be simultaneously assayed. Electrochemiluminescent assays have also been developed that offer promising enzyme- and nucleic acid-based signal enhancement strategies. Surface-tethered optical methods based on plasmons or waveguide properties promise higher levels of multiplexing through the creation of spatially-resolved sensor arrays.
FRET and related approaches
To improve upon microarrays, which most commonly require labeling of the miRNA before detection, fluorescent assays today aim to use fluorescent reporters that bind to the miRNA target via a detection probe. To provide the appropriate specificity, strategies have been designed to ensure that the fluorescent signal is “off” with no miRNA signal is present and “on” when the target is present. Forster resonance energy transfer (FRET) is a common approach to facilitate “on/off” detection schemes. An overview of different FRET-based miRNA detection methods is provided in Figure 5.
Promising multiplexed detection schemes. (A) Fluorescent FRET pairs were used to probe miRNAs-141, 21, and 126 in multiple cancer cell lines. Reproduced from Wu, P.; Tu, Y.; Qian, Y.; Zhang, H.; Cai, C. Chemical Communications 2014, 50, 1012–1014 (ref 52), with permission of The Royal Society of Chemistry. (B) Quantum dot FRET pairs were also used to profile three miRNAs from diluted serum. Reproduced from Qiu, X.; Hildebrandt, N. ACS Nano 2015, 9, 8449–8457 (ref 55). Copyright 2015 American Chemical Society. (C) FRET-based detection was achieved using a fluorescent peptide nucleic acid detection probe adsorbed onto a graphene oxide nanosheet as a quencher. miRNA-21, 125b, and 96 were quantitated in living cells and the relative expression levels were shown to correlate well with Northern blotting. Reproduced from Ryoo, S.-R.; Lee, J.; Yeo, J.; Na, H.-K.; Kim, Y.-K.; Jang, H.; Lee, J. H.; Han, S. W.; Lee, Y.; Kim, V. N.; Min, D.-H. ACS Nano 2013, 7, 5882–5891 (ref 61). Copyright 2013 American Chemical Society.
A simple, but effective, FRET approach used a DNA strand-displacement scheme, where fluorescently tagged DNA capture probes were initially hybridized with a quencher functionalized compliment. When present, the target miRNA displaced the quenching strand and turned “on” the fluorescent signal. This approach was used to detect the presence of 3 miRNA sequences across multiple cell lines with an LOD of 1 fM and a dynamic range of 4 orders of magnitude.52 Despite its simplicity, the main drawback of this approach is the false positive rate, whereby closely related species might displace the quenching strand giving an erroneous result.
Molecular beacons aim to improve specificity by incorporating a fluorescent tag on one end of the sequence and a fluorescent quencher on the other, thus creating a FRET pair on a single capture sequence. With no miRNA present, the strand adopts a thermodynamically stable hairpin geometry with the fluorophore in close proximity to the quenching molecule. Upon hybridization of a target miRNA, the beacon linearizes, causing separation between the fluorophore and quencher and turning “on” the fluorescence.53 The opposite scheme has also been developed where a molecular beacon was created that was initially held “open” via an interaction with a reporter sequence that featured multiple base pair mismatches. In this case, the fluorophore and quencher started off spatially separate, and the presence of the miRNA of interest displaced, allowing the beacon to fold on itself turning “off” the fluorescent signal.54 This simplified assay took only could be run in as little as 10 minutes and achieved better specificity by using locked nucleic acid detection strands. However, the limit of detection (LOD) was limited to 10 nM. Greater multiplexing capabilities of this molecular beacon-FRET approach were achieved with quantum dots, due to their increased brightness and inherent color tunability. Here, three miRNAs were detected in diluted serum without the need for any washing steps, and a LOD of 1 nM was reported.55
While the aforementioned molecular beacon approaches achieved nanomolar LODs, different FRET pairs have shown improved assay performance. Graphene oxide was used as a quencher, where fluorescently tagged miRNA compliments were absorbed onto the surface.56 In the presence of the miRNA target, the capture probe was released and hybridized with the target, generating a fluorescent signal. Further improvements to specificity were made by incorporating peptide nucleic acids into the molecular beacon sequence absorbed onto the graphene oxide surface.57 Improve performance was also achieved by using DNA probes that were approximately three times larger than the miRNA target, thus offering a higher affinity for adsorption onto the substrate and effectively eliminating non-specific desorption of the fluorescent nucleic acid sequence.58 The target binds a region of the capture probe and an introduced exonuclease cleaved the DNA:miRNA hybrid from the quenching substrate turning “on” the fluorescent signal. LODs as low as 3 fM were reported; however, multiplexing capabilities were not investigated.
While the simplicity of FRET based assays provide many advantages for in vitro diagnostics, they also can facilitate the quantitative profiling of miRNA expression in vivo. For example, a duplex DNA FRET probe was used to detect the intracellular presence of miRNA-294, a marker for neuronal cell differentiation,59 and a molecular beacon approach allowed for imaging of miRNA-126 as a general marker for ischemia.53 Another interesting development involved a single stranded FRET probe that was delivered into cells, where it bound to the complimentary miRNA, and was loaded into the RISC complex. The FRET probe was then hydrolyzed and liberated the fluorescent reporter, allowing the detection of miR-10b, a metastatic marker associated with breast cancer.60 Ryoo, et.al. described an approach with graphene oxide as the quenching substrate used to simultaneously detect the presence of 3 miRNA in living cells.61 A similar approach employing carbon nitride nanosheets as a quencher was also demonstrated.62 While these devices are able to identify the presence of miRNA targets in living cells, these workflows ultimately suffer from poor sensitivity and a limited dynamic range.
The aforementioned FRET-based strategies were stoichiometric, that is a single miRNA molecule led to a single fluorophore being turned “on” or “off”. In order to achieve better gain, several target recycling strategies have been reported by which a single miRNA can lead to multiple fluorophore signatures. Several promising target recycling strategies are highlighted schematically in Figure 6.
Target recycling approaches. (A) Duplex specific nuclease recycling was used to study the differential expression of three miRNAs in six cancer cell lines. Reproduced from Yin, B.-C.; Liu, Y.-Q.; Ye, B.-C. Journal of the American Chemical Society 2012, 134, 5064–5067 (ref 70). Copyright 2012 American Chemical Society. (B) Toehold-mediated amplification facilitated effective target recycling and detection of miRNA-21 in four cell lines. However, improvements to this assay could focus on quantitating multiple targets per sample. Reprinted from Analytica Chemica Acta, Vol. 888, Huang, R.; Liao, Y.; Zhou, X.; Xing, D. Toehold-mediated nonenzymatic amplification circuit on graphene oxide fluorescence switching platform for sensitive and homogeneous microRNA detection, pp. 162–172 (ref 71). Copyright 2015, with permission from Elsevier. (C) A nickase based recycling strategy combined with the use of a DNA polymerase exponentially amplified nucleic acid sequences related to the target of interest. These dsDNA produces were stained with an intercalating fluorescent dye, and the signal intensity was proportional to the initialtarget concentration. Reproduced from Liu, H.; Li, L.; Wang, Q.; Duan, L.; Tang, B. Analytical Chemistry 2014, 86, 5487–5493 (ref 73). Copyright 2014 American Chemical Society.
Duplex-specific nuclease (DSN), and enzyme that recognizes and selectively cleaves the DNA strand from a DNA:miRNA duplex was employed to detect miRNA, resulting in the release of either a fluorophore or a DNA strand to induce a detectable signal. After cleavage of the DNA, the miRNA is free to bind to another DNA capture sequence and the DSN process is repeated. In this way, a single miRNA strand can interact with thousands of reporter sequences giving high levels of signal gain. This general strategy has been broadly incorporated into a wide variety of optical detection assays, including a fluorescently-tagged molecular beacons,63 DNAzyme capture probes,64 graphene oxide quenching assays,65 WS2 quenching assays,66 magnetic beads,67 gold nanoparticle quenching assays,68 and gold nanoparticle aggregation assays.69 A great example showing the potential of the DSN assay was shown by Yin and co-workers, who designed a simple FRET-based strategy that allowed three miRNA sequences to be simultaneously detected down to 1 fM across a dynamic range close to 5 orders of magnitude.70
Other target regeneration strategies utilized toehold-mediated recycling and nickase based recycling. In both of these approaches, after target recycling the capture probes are introduced to the sample of interest and when the miRNA is present it either linearizes upon hybridization71 or dissociates from a quenching substrate.72 These techniques eliminate the need for fluorescent dye conjugated directly capture probes by staining the hybrid product with an intercalating fluorescent dye. This strategy achieved picomolar detection limits and a dynamic range of 3–4 orders of magnitude. The nickase based strategy immobilized the target miRNA on a graphene oxide substrate to protect from RNases. A stem loop primer was then introduced and hybridized with the miRNA target, which caused desorption of the miRNA from the graphene oxide. Exponential amplification was then achieved in the presence of a DNA polymerase through target recycling using a nicking enzyme. The resulting dsDNA products were stained with an intercalating fluorescent dye. The intercalating dye approach has the advantage of having multiple fluorescent dyes per target rather than only a single fluorophore conjugated to a single capture probe, giving a LOD of 11 fM and 3 order of magnitude dynamic range.73 Of course the limitation of the intercalating dye approach is that the dye will stain any nucleic acid duplex without the sequence specificity that can be engineered using covalently attached fluorophores conjugated to specific strands. Another nickase based recycling approach relied on the formation of a three way junction consisting of the target miRNA sequence, an assistant DNA probe, and an Hg2+ intercalated molecular beacon. Upon complex formation, the intercalated Hg2+ was liberated and able to quench the fluorescent signal from the linearized molecular beacon.74 This approach gave a detection limit of detection of 0.16 nM and a dynamic range of 3 orders of magnitude.
Like fluorescence, electorchemiluminescence (ECL) can be used to produce a detectable optical signal that is proportional to the miRNA concentration in a sample. ECL is an alternative approach to lamp or laser based excitation, where an electrochemical excitation can create a luminescent response in the presence of an ECL reporter molecule. This flexible excitation approach, which generally is a turn “on” response, does not require the use of specific wavelength lasers to selectively excite a fluorescent dye. Additionally, these approaches often show exquisite sensitivity due to the elimination of background fluorescent interfering species in solution. As an example of an ECL-based approach to detect miRNAs, a sandwich hybridization approach was successfully used to profile a single miRNA in three cell lines.75 Without any sample recycling or signal amplification, this strategy produced an LOD of 100 pM and a dynamic range of approximately 3 orders of magnitude. While these numbers are respectable, signal amplification strategies can be invoked to further increase limits of detection, improve specificity, and extend dynamic range.
Variations of the hybridization chain reaction and enzymatic amplification can both be utilized for eletrochemiluminescent signal amplification. The hybridization chain reaction allows for a dramatic increase in dsDNA length that is catalyzed in the presence of a target miRNA. This allows for various ECL co-reactants, such as [Ru(phen)3]2+–76 and hemin-conjugated DNAzymes,77 to intercalate into the resulting duplex. The LODs for these techniques were 1 and 1.7 fM, respectively, with linear dynamic range of 4 orders of magnitude.
Enzymatic amplification strategies have been deployed using rolling circle amplification to form DNAzymes,78 cyclic exponential amplification recycling,79 doxorubicin conjugated quantum dots,80 T7 exonuclease recycling and downstream silver deposition,81 ECL quenching via Phi29 DNA polymerase mediated strand displacement,82 and a dual target amplification strategy with combined ECL and fluorescence detection.83 With one exception, all of these strategies report LODs ranging between 10 fM and 100s of aM with dyamic ranges varying 2–5 orders of magnitude. However, the stand displacement system reported a remarkable detection limit of 3.3 aM and a dynamic range of 5 order of magnitude.82 Importantly, none of these examples demonstrated multiplexing capacity, likely in part due to the fact that ECL reporter molecules are not specific to an individual miRNA sequence, similar to that described above for the intercalating dye systems.
Plasmonic and Photonic Approaches
While fluorescence based detection has the benefit of enabling detection in free-solution, it is ultimately limited by the fact that a label is required for detection. Likewise, there are a fixed number of labels (i.e. fluorescent dyes or FRET pairs) that are easily detected with unique, non-overlapping signatures, which limits multiplexing capabilities. Additionally, it is often difficult remove excess fluorescent reporter sequences from solution if a FRET pair is not used, creating a large amount of background signal. In the case of electrochemiluminescence, multiplexing capabilities are difficult due to the need for multi-electrode arrays that can require unique potentiostatic control, and the fact that many ECL reporter molecules are not specific to an individual miRNA sequence. As alternatives that capture the spatial multiplexing features of traditional microarrays, methods that detect surface-hybridization through changes in optical properties, such as refractive index in the case of surface plasmon resonance (SPR) and other approaches, have grown in popularity. These techniques can often be operated in label-free sensing modes or combined with different enhancement strategies to further improve analytical performance metrics.
In addition to established label free detection modalities, such as conventional Kretschmann geometry surface plasmon resonance84, other sensing mechanisms have been explored for applications in miRNA analysis, including nano-particle scattering on flexible silicon substrates,85 surface enhanced Raman spectroscopy,86 functionalized gold nanoprisims attached to silanized glass,87 Mach-Zehender interferometers,88 and total internal fluorescence microscopy.89 An impressive gold nanowire plasmonic based detection mechanism was developed as a microfluidic lateral flow assay. A detection limit of 100 aM was achieved for a bi-temperature sandwich based hybridization scheme. The cDNA-modified gold nanowire was incubated at a low temperature to ensure specific base pairing with a target miRNA in solution, followed by an elevated temperature exposure to a LNA functionalized presenting a Cy5 that was detected via its surface-enhanced Raman scattering signal.90 This strategy showed the multiplexing capacity to detect 4 miRNAs simultaneously over a dynamic range of six orders of magnitude. A schematic representation of this detection method is shown in in Figure 7A.
Successful multiplexing strategies using plasmonic based biosensors. (A) Plasmonic nanowires detected the presence of four miRNA targets using locked nucleic acid capture probes and Cy5 functionalized reporter locked nucleic acid sequences. These optimized nanosensors were used to profile the expression of four miRNAs from RNA isolated from two tissue types. Reproduced from Ultra-Specific Zeptmole microRNA Detection by Plasmonic Nanowire Interstice Sensor with Bi-Temperature Hybridization, Kang, T.; Kim, H.; Lee, J. M.; Lee, H.; Choi, Y.-S.; Kang, G.; Seo, M.-K.; Chung, B. H.; Jung, Y.; Kim, B. Small, Vol. 10, Issue 20 (ref 91). Copyright 2014 Wiley. (B) A novel ultra-low fouling surface plasmon resonance imaging biosensor detected four miRNAs from erythrocyte lysate. A gold nanoparticle signal enhancement strategy was used to improve limits of detection. Clinical utility was shown by analyzing chances in expression profiles of miR-16, 181, 34a, and 125b in ‘normal’ clinical samples and ones with myelodysplastic syndrome. Reprinted from Biosensors and Bioelectronics, Vol. 70, Vaisocherová, H.; Šípová, H.; Víšová, I.; Bocková, M.; Špringer, T.; Laura Ermini, M.; Song, X.; Krejčík, Z.; Chrastinová, L.; Pastva, O.; Pimková, K.; Dostálová Merkerová, M.; Dyr, J. E.; Homola, J., Rapid and sensitive detection of multiple microRNAs in cell lysate by low-fouling surface plasmon resonance biosensor, pp. 226–231 (ref 95). Copyright 2015, with permission from Elsevier.
Additional label free miRNA sensors aimed to improve upon previously outlined weaknesses. For instance, to avoid diffusion limitations experienced by surface based measurement modalities, a solution-based stem loop primer-functionalized plasmonic nanoparticle aggregation assay was developed. Upon hybridization of the target, the plasmon resonance shifts due to a change in distance between nanoparticles in the aggregate. The magnitude of this shift can then be related to the solution phase concentration.91 The LOD of this assay is 10s of fM; however, the dynamic range was limited to a single order of magnitude.
In an effort to achieve point-of-care miRNA detection, Gao and co-authors developed a lateral flow nanoparticle aggregation assay. Hybridization of a miRNA to cDNA-modified particles produced a visual colorimetric change on account of nanoparticle aggregation in less than 20 minutes.92 To increase sensitivity, a next generation sensor was developed that used nanoparticles conjugated to horseradish peroxidase that, in a subsequent step, catalyzed the oxidation of TMB to produce a blue product. This amplification step improved the limit of detection from 60 pM to 7.5 pM.93 A potential drawback is the lack of multiplexing capabilities as different targets would require parallel detection using separate devices.
Techniques like traditional Kretschmann geometry SPR and SPR imaging have previously been applied to the detection of miRNAs; however, when operated in label-free assays, limits of detection are only modest, as the small size of a captured miRNA does not cause a large change in refractive index at the sensor surface. To improve upon these detection limits, several label-included signal amplification strategies have been developed. Many of these approaches involve a high mass recognition element that can recognize and bind directly to the cDNA:miRNA duplex at the sensor surface. A simple example is that of Vaisocherova and coworkers, where a DNA functionalized nanoparticle recognized half of a miRNA sequence where the other half will be bound to an SPR sensor, forming a conventional sandwich complex. Using this approach, illustrated in Figure 7B, they demonstrated a 4-plex assay for miRNA detection in cell lysate with a LOD of 0.5 pM.94 Another approach used biotin-streptavidin interactions to engender a 24-fold increase in detection sensitivity.95 Lastly, an alternative method used DSN and monitored the decrease in signal over time as the cDNA strand was displaced from the surface. Importantly, the miRNA released from the SPR chip surface can rebind to other cDNAs thereby effectively recycling the target. This assay gave a detection limit of 3 fM and could differentiate miR-21 concentrations in total RNA solutions extracted from the blood of a variety of cancer patients.96
Two notable non-plasmonic, photonic detection technologies have also recently shown promise for miRNA analysis. Cunningham and co-workers have pioneered the development photonic crystals for biosensing applications and have demonstrated their applicability to the detection of miRNAs. Photonic crystals were engineered to enhance the fluorescence signal of tagged miRNA sequences hybridized to a cDNA capture probes on the sensor surface.97 Due to the localization of the electric field the fluorophores experience during excitation and enhanced signal extraction of the fluorophore emission through coupling to modes of the photonic crystal, signal gains of more than 8,000 were reported. This sensor was used to quantitate the expression of miRNA-21 and achieved a 0.1 pM LOD. It is also interesting that the ability to quantitate both miRNA and proteins using the same sensing modality. In attempts to cut down the volume needed to complete analysis, the fluorescence enhanced photonic crystal approach was adapted to a submicron fluid channel.98 This hybridization based assay was dependent on miRNAs binding with molecular beacons functionalized at the photonic crystal surface. Using the narrower channel geometry, only 20 nL of sample was needed to complete analysis.
Silicon photonic microring resonators have also been demonstrated for the detection of miRNAs, 99,100 as well as full length mRNAs.101 A simple detection scheme was developed by monitoring direct hybridization of miRNA targets to DNA capture probes on the photonic ring resonator surface.99 The binding event caused a change in refractive index, which, in turn, created a detectable change in resonant wavelength that can be related to the concentration of the target of interest. Using this approach, it took ten minutes to simultaneously profile four miRNAs, and an LOD of 2 nM was reached. To improve the sensing attributes of the platform, a RNA:DNA heteroduplex specific antibody, S9.6, was used.100 After miRNA:DNA capture probe hybridization, the antibody was introduce to the sensor surface and allowed to bind. The added mass of the antibody at the sensor surface caused a larger shift in the resonance wavelength due to a larger change in the refractive index close to the sensor surface. This resulted in improvements to the LOD of over 2 orders of magnitude (10 pM) and a dynamic range over 4 orders of magnitude. Impressively, this assay was able to quantitate four miRNA simultaneously from total RNA isolated from mouse brain tissue.
Electrochemical sensors are well-established for a number of classes of target analytes, and obvious successes, such as the portable glucose meter, have established their capabilities for simple, rapid, and low cost bioanalysis. Not surprisingly, there has been considerable growth in the area of electrochemical biosensors for miRNA. Given the requirement for measuring current or voltages at a solid electrode, electrochemical miRNA biosensors are typically based on hybridization at the electrode surface, and similar to plasmonic and photonic optical sensors, can be operated in label free and label-enhanced assay formats. As discussed below, detection is commonly achieved through the measurement of a redox signal or a change in capacitance or impedance.
Label-free approaches to electrochemical detection
Label free detection assays are the simplistic electrochemical measurement schemes, relying only upon target hybridization to a surface-bound capture probe. An example of this strategy involved a novel carbon nanofiber functionalized screen printed electrode functionalized with a capture probe having electrochemically-inactive inosine in place of guanine. Hybridization of the miRNA target then generated a detectable guanine oxidation peak that was measured using differential pulse voltammetry with a detection limit of 1.5 μM.102 However, in comparison with other techniques, the sensitivity of this assay can be greatly improved.
Alternative electrode materials have resulted in significantly improved sensitivity. For instance, a RNA duplex specific binding protein, p19, was immobilized on an electrode surface and only when an RNA duplex was present was a signal due to tryptophan oxidation detected. The LOD of this assay was reported at 160 nM.103 Carbon nanotube functionalized glassy carbon electrodes were used to increase guanine oxidation current density by a factor of ~3 over conventional glassy carbon electrodes, achieving a LOD of 1 pM.104 Another method involved using a quinone based conducting polymer as a redox transducer on a functionalized electrode surface. Differential currents were detected based on the orientation of the DNA capture probe—collapsed on the surface in the absence of the target, yet linear and lifted off the electrode when hybridized to the target miRNA, allowing for more efficient diffusion of counter-ions to the surface. Here, the electrode material had a large influence on the sensitivity, where an LOD of 650 fM was obtained using a glassy carbon electrode105 and 8 fM for a carbon nanotube functionalized electrode.106 Using a similar diffusion based mechanism, a Pd-nanoparticle functionalized electrode was used and changes in the ability of H2O2 to diffuse to the electrode surface was measured. When the miRNA was present, it effectively prohibited diffusion in a concentration dependent manner. A detection limit of 1.7 pM can be achieved using this method.107 Additionally, these techniques show an extended dynamic ranging from 3–5 orders of magnitude.
Labeling with electroactive tags
Another approach to detect hybridization events is to label the miRNA:capture probe duplex with an electroactive species to yield a detectable signal. This was achieved by introducing copper ions to the hybrid which electrostatically interact with the negative nucleic acid backbone and catalyze the turnover of ascorbate.108 Similar approaches used methylene blue as a label.109 Methylene blue has a higher affinity for ssDNA versus miRNA hybrids. miRNA binding therefore decreased the electrochemical for methylene blue, as detected via voltammetry. The limits of detection for these approaches were reported as 8.2 fM and 0.5 fM, respectively.
A further step is to directly label the miRNA:capture probe duplexes with either electroactive or catalytic labels. For example, aptamer based capture probes have been designed to bind HRP only when the miRNA is present. This approach offered picomolar LODs, but suffered from the poor specificity of the aptamer sequence.110 Specificity was improved by using a miRNA:DNA specific antibody, S9.6, which, as illustrated in Figure 8A, could then be bound by an ALP-modified IgG antibody and used to achieve a LOD of 0.4 fM.111 Another approach involved ferrocene-boronic acid modified gold nanoparticles, where the boronic acid could form a covalent bond with the ribose sugar of the miRNA bound at the electrode surface. The electrochemical signal from the ferrocene group was then detected using differential pulse voltammetry to give a miRNA detection limit of 1 nM.112
Promising electrochemical signal enhancement approaches by adding an electroactive label to miRNA:DNA hybrids. (A) Labeling was achieved using the S9.6 antibody that binds specifically to RNA:DNA heteroduplexes. After antibody binding, ALP was then conjugated to the surface and provided an electrochemical signal. Reprinted from Electrochemica Acta, Vol. 165, Wang, M.; Li, B.; Zhou, Q.; Yin, H.; Zhou, Y.; Ai, S. Label-free, Ultrasensitive and Electrochemical Immunosensing Platform for microRNA Detection Using Anti-DNA:RNA Hybrid Antibody and Enzymatic Signal Amplification, pp. 130–135 (ref 111). Copyright 2015, with permission from Elsevier. (B) Nanoparticle labeling was achieved using biotin-streptavidin attachement chemistry. This approach was used to identify changes in miRNA-21 expression in serum between healthy patients and patients with various cancer types. Reproduced from Cheng, F.-F.; He, T.-T.; Miao, H.-T.; Shi, J.-J.; Jiang, L.-P.; Zhu, J.-J. ACS Applied Materials & Interfaces 2015, 7, 2979–2985 (ref 118). Copyright 2015 American Chemical Society. (C) A sandwich hybridization based labeling approach was developed using methylene blue conjugated reporter probes that bound to the surface only when the miRNA was present. This strategy effectively placed four methylene blue molecules near the electrode for every one target miRNA, allowing for effective signal amplification. The power of this strategy was sown by detecting three miRNAs in parallel. Reproduced from Labib, M.; Khan, N.; Berezovski, M. V. Analytical Chemistry 2015, 87, 1395–1403 (ref 113). Copyright 2015 American Chemical Society.
Sandwich hybridization based assays have also been shown to facilitate the addition of electroactive species, where a functionalized reporter DNA sequence hybridizes to a DNA capture probe only in the presence of the miRNA target. This approach had the benefit of facilitating the use of a wide variety of reporter tags and electroactive labels. Methylene blue (MB) labeled reporter sequences were designed to bind with the capture probe as well as additional helper sequences to allow the binding of 4 MB molecules per miRNA sequence. An LOD of 100 fM was reported using this assay, coined SensQ, and multiplexing capabilities were demonstrated by the simultaneous quantitation of 3 miRNAs.113 The mechanism of this promising detection platform is shown in Figure 8B.
Another approach utilized aminated reporter detection probes covalently bound to apoferritin-encapsulated copper nanoparticles. Hybridization of the target miRNA led to a pH shift at the electrode, resulting in the release of copper ions from the nanoparticles, which were detected with a LOD of 3.5 fM and a linear range spanning from 0.01 to 10 pM.114 This assay was further modified using streptavidin functionalized reporter sequences to effectively bind multiple apoferritin nanoparticles per reporter strand due to the fact that streptavidin molecules can bind multiple biotins. Trypsase was used to digest the nanoparticles and induce Cu release, and the multivalent streptavidin linkage improved the detection limit by a factor of 10—down to 0.35 fM, with a corresponding improvement in dynamic range as well.115
Biotinylated reporter probes were also used to bind with ALP functionalized streptavidin to provide 0.4 pM LODs and a linear range from 1 pM to 100 nM.116 A similar approach using digoxin functionalized reporter sequences to bind with a HRP-functionalized anti-digoxin antibody claimed a LOD of 0.79 fM with a seven order of magnitude dynamic range. The key innovation of the digoxin based assay that leads to large improvement in sensitivity was the use of a Au and Ag modified dendrimer-chitosan-graphene composite electrode.117 The largest sensitivity enhancements were seen using biotinylated reporter sequences to bind with streptavidin functionalized titanium phosphate nanospheres that have incorporated Cd2+ ions. After binding of the nanospheres to the miRNA:capture probe duplex, [Ru(NH3)6]3+ electrostatically interacted with the nucleic acid backbone and served as an electron carrier between the electrode surface and the nanosphere. The electrochemical response of Cd2+ was then used to quantify the presence of miRNA sequences. Impressively, this workflow reaches an LOD of 0.76 aM with linear range spanning seven orders.118 This impressive detection strategy is shown in Figure 8C.
Redox cycling reactions have also been developed in an attempt to provide high sensitivity miRNA detection. These labeling approaches seek to eliminating diffusion limitations in solution using mercaptophenylboronic acid,119 APBA120 and DNAzyme121 functionalized gold nanoparticles. Despite promise, these early efforts did not show performance metric improvements over the previously discussed electroactive tagging approaches.
Signal amplification via conjugation of multiple electroactive reporters
The small size of miRNA typically means that the sequence can only be covalently tagged with a single label. Similar to that described above for optical methods, target recycling methods can be employed to generate larger per-target electrochemical signals through either the hybridization chain reactions or enzymatic lengthening processing. Particularly effective strategies in this vein are highlighted in Figure 9.
Electrochemical signal amplification using enzymatic approaches to modify the miRNA:capture probe structure at the sensor surface. (A) Target recycling via RNase A was initially used to increase the number of targets that bound to the surface. The detectable electrochemical signal was then amplified via hybridization chain reaction which formed multiple hemin associated G-quadruplexes and thus an electrochemical signal. Reprinted from Sensors and Actuators B, Vol. 195, Xiang, G.; Jiang, D.; Luo, F.; Liu, F.; Liu, L.; Pu, X. Sensitive detection of microRNAs using hemin/G-quadruplex concatamers as trace labels and RNA endonuclease-aided target recycling for amplification, pp. 515–519 (ref 130). Copyright 2014, with psermission from Elsevier. (B) A nicking enzyme based recycling strategy that relies on DNA polymerase amplification was used to create multiple detection sequences that are proportional to the miRNA target concentration. This is followed by hybridization chain reaction where the primers are designed to associate with silver nanoclusters. Reproduced from Yang, C.; Shi, K.; Dou, B.; Xiang, Y.; Chai, Y.; Yuan, R. ACS Applied Materials & Interfaces 2015, 7, 1188–1193 (ref 132). Copyright 2015 American Chemical Society. (C) Rolling circle amplification was also shown to be an effective way to facilitate binding of multiple electroactive species, in this case Ruhex, per miRNA target. Reproduced from Yao, B.; Liu, Y.; Tabata, M.; Zhu, H.; Miyahara, Y. Chemical Communications 2014, 50, 9704–9706 (ref 135), with permission of The Royal Society of Chemistry.
Enzyme free miRNA recycling techniques, such as mismatch catalytic hairpin assemblies that convert one miRNA molecule into a DNA duplex122 and toehold mediated strand displacement reactions123 have been interfaced with electrochemical detection to reach limits of detection of 0.6 pM and 1.4 fM, respectively. Sensitivities of the catalyzed hairpin assembly were improved 3-fold using TiO2 nanoparticles and redox cycling.124 Enzymatic recycling can also be achieved using double-stranded nuclease125 and T7 exonuclease,126 where LODs were 1 fM and 0.17 fM, respectively. Significant improvements in sensitivity were when LNA G-quaduplex-hemin DNAzymes were located in close proximity to the electrode surface. As the target miRNA target bound, it was degraded by double stranded nuclease making the DNAzyme more accessible to hemin binding and signal amplification. This gave an impressive detection limit of 8 aM; however, the linear range reported was prohibitively narrow.127
Hybridization chain reactions are another amplification technique that do not require enzymatic processing yet can provide “gain” by improving accessibility for signal reporter molecules to intercalate between base pairs. Studies have used this workflow with [Ru(NH3)6]3+ as an intercalating agent to achieve a six order of magnitude dynamic range and an LOD of 100 aM.128 Li and co-workers were able to combine multiple p19 proteins on a magnetic bead and use a hybridization chain reaction mechanism using novel DSA molecules as signal reporters reporting a detection limit of 6 aM.129 Unfortunately, this assay is only linear over one order of magnitude. Target recycling via RNaseA was also combined with the hybridization chain reaction using GC rich sequences that allow for enhanced DNAzyme activity resulting in a LOD of 100 fM with a dynamic range of over 5 orders of magnitude.130
Other methodologies have combined DNA lengthening and target recycling amplification techniques. For example, catalyzed hairpin assembly and hybridization chain reaction were combined with a methylene blue-based read-out,131 and a nicking enzyme and DNA polymerase were utilized to amplify the miRNA target before a hybridization cascade using stem loop primers, which facilitated silver nanocluster association.132 Unfortunately, the limit of detection in both cases was in the femtomolar range, most likely due to the off target response of closely related miRNA species.131 Both assays reported dynamic ranges of 5 orders of magnitude.
Additional enzymatic amplification approaches have also been investigated using a variety of DNA polymerase processing approaches. A simple approach used DNA polymerase to add biotinylated nucleotides as the miRNA strand was elongated to facilitate downstream streptavidin conjugated gold nanoparticle association and signal amplification. This provided a LOD of 99.2 fM and a dynamic range of four orders of magnitude. 133 An alternative approach used strand displacement amplification, enabled by a nicking enzyme and DNA polymerase, followed by sandwich hybridization of the capture probe, the amplification product, and then a biotinylated reporter sequence to bind to streptavidin-HRP conjugates. Using this approach an LOD of 40 pM is achieved with a dynamic range of 2 orders of magnitude.134 A third strategy relied on rolling circle amplification to lengthen a DNA sequence through the production of thousands of repeated sequences. This added sequence was used to conjugate redox probes135 or to prevent diffusion of electroactive species from the electrode surface,136 resulting in LODs of 100 fM and 1.2 fM and dynamic ranges of 4 and 2 order of magnitudes, respectively. Isothermal exponential amplification reaction (EXPAR) has also been explored via sandwich hybridization of the EXPAR product and a biotinylated reporter for ALP amplification137 or DNAzyme formation.138
Lastly, an emerging method, shown in Figure 10A, used design rules from DNA nanotechnology to improve the orientation of capture probes at the surface, thereby mitigating the negative consequences of poor sterics of the electroactive labeling species and reducing and non-specific binding to the electrode surface. This general approach method was utilized in several different assay formats, including a sandwich hybridization assay,139 a target recycling process using a silver nanoparticle functionalized signal probe,140 a rolling circle amplification process,141 and with a hybridization chain reaction scheme.142 The LODs for these respective assays were 1 fM, 0.4 fM, 50 aM, and 10 aM respectively. Additionally, dynamic ranges spanned between 4–6 orders of magnitude. These results underscore how rational surface functionalization can have a profound effect on the ultimate performance of the sensor.
General electrochemical sensing improvements and additional strategies for generating a detectable signal. (A) DNA nanotechnology has been used to improve surface functionalization by ensuring reproducible capture probe orientation at the electrode surface. Reproduced from Ge, Z.; Lin, M.; Wang, P.; Pei, H.; Yan, J.; Shi, J.; Huang, Q.; He, D.; Fan, C.; Zuo, X. Analytical Chemistry 2014, 86, 2124–2130 (ref 142). Copyright 2014 American Chemical Society. (B) Impedance can be used to detect the presence of miRNAs. Here, three different detection regimes (label free detection, protein binding based signal amplification, and protein dissociation based signal amplification) were identified to extend the dynamic range over 10 orders of magnitude. Reproduced from Labib, M.; Khan, N.; Ghobadloo, S. M.; Cheng, J.; Pezacki, J. P.; Berezovski, M. V. Journal of the American Chemical Society 2013, 135, 3027–3038 ref 146). Copyright 2013 American Chemical Society. (C) Based on impedance, field effect transistors are a simple way to achieve multiplexing capabilities with very low limits of detection. Reproduced from CMOS-Compatible Silicon Nanowire Field-Effect Transistors for Ultrasensitive and Label-Free microRNAs sensing, Lu, N.; Gao, A.; Dai, P.; Song, S.; Fan, C.; Wang, Y.; Li, T. Small, Vol. 10, Issue 10, (ref 154). Copyright 2014, Wiley.
Electrochemical impedance is another electrochemical property that can be measured in a way to reflect the presence of a targeted miRNA sequence. Strategies to induce a change in charge transfer include the enzymatic turnover of an insulating polymer via DNAzymes,143 hemin conjugated carboxylic graphene144 and DNAzyme functionalized gold nanoparticles145. These assays reported detection limits ranging from 100s of aM to 10 of fM LODs with dynamic ranges of 1.5, 3.5, and 4.5 orders, respectively. The assay that shows the largest gain to sensitivity and specificity of any label addition method is based on a three part impedance system and developed by Labib and coworkers.146 Here, the first step of the assay was to measure the hybridization event of the target miRNA and RNA capture probe. If the signal could not be detected, the p19 RNA binding protein, which is specific to small 21–23 bp RNA duplex via electrostatic and hydrogen bonding interactions between the β-sheet formed by the p19 homodimer and the sugar-phosphate backbone of the dsRNA, was used to amplify the impedance signal. Lastly, a DNA compliment could be added to induce the disassociation of the p19 protein from the electrode signal to further amplify the signal. All three steps form a “three-mode” electrochemical sensor, and each “mode” had a different linear range that together allowed quantitative detection between 10 aM and 1 μM. This multi-step assay is highlighted in Figure 10B. Because of the non-specific nature of the p19 protein, multiplexing must be achieved by splitting the sample into separate volumes; however, the team reported a 3 plex assay in total RNA and validated the results with qPCR.
Magnetic bead-enhanced electrochemical detection
Mass transfer limits are significant hurdles to ultrasensitive target detection. An appealing general approach to circumvent these Langmurian limitations is to use magnetic beads that can diffuse quickly through solution to capture targets of interest, but then be localized onto the surface of a detection element using an external magnetic field. This approach has been widely exploited as a method of sample pre-concentration for a range of analyte classes in both label and label free measurement strategies. Below are several examples where magnetic beads were combined with electrochemical-based read out schemes.
Using a similar inosine-substituted capture probe as described above, arrays of screen printed electrodes were used in combination with magnetic beads to enable multiplexed measurement of miRNAs with increased sensitivity. After pre-concentration with magnetic beads, an alkaline treatment released the duplexes from the beads where they are then absorbed on graphite screen printed electrodes and guanine oxidation is measured. Multiplexing capabilities were shown by running three reactions in parallel with a limit of detection of 143 nM.147 A different iteration of this workflow incubated miRNA solutions with Os(VI)bipy, which electrostatically associates to the miRNA. Magnetic beads with complimentary DNA capture probes were then used to capture target miRNA. The labeled target miRNA were thermally released and quantitated using the peak current detected from the Os label using a mercury drop electrode.148 The main drawback of this strategy this the limited dynamic range that covers approximately 1 order of magnitude. Additionally, redox cycling can improve specificity and extend dynamic range. Workflows have been presented that are dependent on the ligation of a magnetic bead functionalized capture probe and a biotinylated reporter sequence. Conjugation of SA-ALP to the complex catalyzes the production of an electroactive species, 1-naphthol. The supernatant of this process is collected and introduced to a separate electrode, where the concentration of 1-napthol is measured through redox cycling. The LOD was reported to be 3.55 fM and a dynamic range of 4 orders of magnitude.149
Magnetic beads and electrodes have also been employed in tandem. For example, magnetic beads were used to detect biotinylated duplex specific nuclease products. In the presence of the target miRNA, the biotinylated probe was fully digested; however, in the absence of target, it was left intact. These products were absorbed onto a streptavidin coated magnetic bead and pulled down to a magnetic electrode, where an impedance measurement was made. The fully digested probes give lower impedance values compared to the intact capture probes that have a high charge density. This workflow resulted in an LOD of 60 aM and a dynamic range of 2 orders of magnitude.150 An alternative approach uses branching magnetic beads that hybridize to multiple miRNA targets through the formation of Y junctions. As a result of this branching, multiple HRP moieties could bind to the y junctions, and when pulled down to the electrode surface, could give a LOD of 0.22 aM and a four order of magnitude dynamic range.151
An additional approach immobilizes the RNA duplex specific protein, p19, on magnetic beads and uses it as a capture probe for biotinylated RNA capture probe:miRNA hybrids following streptavidin-HRP conjugation. This complex was then pulled down to the electrode where a detectable catalytic current was measured giving a 40 pM LOD.152 However, the approximately 1 order of magnitude is limiting for many applications. The ultimate limit of this p19-based detection approach results from the nanomolar affinity of the RNA duplex:p19 interaction, as a higher affinity would yield lower limits of detection. Lastly, a DNA ligase-dependent sandwich hybridization/redox amplification strategy was reported having a gold nanocluster-ALP complex functionalized to a sequence-specific reporter. After ligation to the MB in the presence of the miRNA, the gold nanocluster-ALP complex catalyzed the production of silver nanoclusters which absorbed onto the bound DNA strand. The resulting product was then brought to the surface via a magnetic electrode and the silver content quantitated. The limit of detection using this approach is 21.5 aM with a dynamic range of 3 orders of magnitude.153
Field Effect Transistors
Field effect transistors (FETs) are an attractive class of sensors from the perspective of potentially low-cost devices that have high sensitivivity to binding-induced changes in charge near the sensor surface. The sensing mechanism of FETs is illustrated in Figure 10C. Recent efforts have aimed at demonstrating the versatility of this transducer through the use of CMOS-compatible silicon nanowire transistors,154 gold nanoparticle functionalized graphene FETs,155 and p19 functionalized FETs,156 with LODs of 0.13 fM, 10 fM, and 1 aM, respectively. The main drawback of this assay is the shallow sensing depth in solution, which is limited by the Debye length. This precludes the use of many labeling or strand extension techniques as they will occur outside the sensing window.
Since their discovery in the 1990s, our understanding of miRNAs has unraveled a new layer of regulatory control over gene expression in organisms. As the importance of miRNAs has become clearer, the number of platforms available to analyze these molecules has grown. Initially efforts focused on applying and modifying traditional techniques from molecular biology to allow for the analysis of miRNAs. For example, the creation of stem loop primers and new enzymatic methods that facilitated qRT-PCR and microarrays to be applied to this class of small RNAs. These techniques were essential to early breakthroughs; however, they are now being replaced with new workflows that offer greater coverage of global expression changes, as evidenced by the rapid gains in next generation sequencing, as applied to small RNA analysis.
While RNA sequencing will continue to be a valuable tool for discovery and fundamental studies, emerging biosensor technologies are posed to play a role in translating basic biomolecular insights into the clinic. The last few years have seen tremendous growth in this area. Optical and electrochemical biosensors have been prominent for decades, but recent improvements in sensitivity, dynamic range, time to result, and surface functionalization have rendered them amenable to miRNA analysis. Novel materials and reagents, such as metallic nanoparticles, semiconductor quantum dots, and intercalating small molecule fluorescent dyes, as well as advantageous electrical and optical properties of innovative micro- and nanostructures continue to open up new opportunities, resulting in detection limits down to aM levels and dynamic ranges spanning seven orders of magnitude. Additionally, these measurements have been made in a wide array of biofluids with minimal, if any, sample pre-treatment, greatly simplifying the analytical workflows compared to existing gold standard techniques from molecular biology. Armed with these and other new detection methodologies, the analytical community is now poised to shift attention from sensor development to deployment where the ultimate successes will be judged by the ability to make meaningful impacts in the clinical space.
While emerging techniques have shown tremendous improvements in sensitivity, specificity, and dynamic range, advances are needed on several fronts in order for the ultimate potential of these technologies to be realized. More attention needs to be given to make these assays capable of making multiplexed measurements. Moreover, the development of disease-relevant diagnostics will only be achieved through coupling with bioinformaticians to parse global expression profiles into clinically-actionable biomarker panels
Challenges with multiplexing
In recent years, it is becoming increasingly clear that miRNA panels can be used in clinical applications, as numerous reports describe the use of miRNA biomarkers for a range of human diseases.157,158 Additionally, systems level studies are revealing the interconnectivity between miRNAs and targets within regulatory networks. To this end, predictive bioinformatic approaches are still needed to both predict miRNA targets and help deconvolve complex miRNA-mRNA regulatory interactions.
Quite possibly due to a paucity of robust technologies able to perform multiplexed analysis on statistically-relevant patient populations, there are a limited number of reports that demonstrate the utility of multiplexed panels. As the push towards multiplexing continues, considerable challenges must be overcome in terms of differentiating between sequences having high levels of similarity, which is difficult to achieve because of subtle thermodynamic differences in hybridization-based assays. A further complication with multiplexing is dynamic range, as miRNAs expression levels can vary by more than 5 orders of magnitude, which would be difficult to span is sequences having highly disparate concentrations were included in a single panel.
Optical detection methods have led the way in terms of the analytical capacity to perform multiplexed detection. Studies featuring both fluorescence and plasmonic sensors were used to demonstrate three-52,55,61,70 and four-plex90,94 assays with a relatively short time to result. However, increased clinical utility will likely be gained beyond proof-of-principle studies as the multiplexing is increased into the 10s of targets. Electrochemical sensors have also been shown to be promising for miRNA detection, with reported demonstrations of up to three-plex assays using a variety of different specific detection mechanisms.113,146,147,151 However, the instrumentation required to facilitate multiplexed detection requires either parallel analysis, which then requires multiple sample aliquots, or more complex instrumentation that involves multi-electrode configurations and multiple potentiostats.
Challenges in informatics and the identification of disease-relevant miRNA panels
While the engineering of multiplexed detection approaches is promising from the perspective of technology alone, a significant challenge remains in the informatics behind panel construction. Next generations sequencing approaches can provide an almost overwhelming amount of expression information that must be informatically-reduced in the appropriate disease and population statistical context. As multiplexed detection approaches continue to mature, progress in informatics will ideally ripen at an equivalent rate.
One difficulty in correlating miRNA expression with their functional effects on disrupting mRNA translation stems from how miRNAs are bioinformatically identified. As opposed to siRNA, miRNAs do not require a perfect antisense match against a potential mRNA target. These so-called “noncanonical” miRNA-mRNA interactions are not confined to translational repression through binding to the 3′ untranslated region (UTR) of the mRNA, as originally suspected, but play multiple complex and not completely understood roles in mRNA regulation.159 To this end, recent studies have aimed to build bioinformatics approaches that broadly consider both canonical and noncanonical miRNA-mRNA targets,160,161 and other promising computational tools applied to miRNAs have recently been reviewed.162
In addition to challenges associated with target prediction, another layer of computational complexity lies in the fact that multiple miRNAs often act on single mRNA targets, and therefore it is difficult to conclude what effect a single miRNA has on a biological state. Despite this multi-factorial regulation, a number of single miRNA knockout studies exist in the literature although their relevance to a broad understanding of miRNAs in disease is not clear. Therefore, incredible opportunities exist for sensor scientists to work together with bioinformaticians to develop multiplexed panels that can together assemble technologies and relevant panels to help elucidate deep and meaningful correlations between multi-node regulatory networks.
Challenges in matching technologies to appropriate clinical needs
In order to achieve widespread use outside academic labs, miRNA assays must be cost-effective and easy to use. This is an important consideration when engineering signal amplification steps that require complicated liquid handling steps. Additionally, researchers must consider the tradeoff between time to result and assay sensitivity. Depending on the application, label free assays that can be completed in 10 minutes might suffice; whereas, signal amplification techniques that provide sensitivity improvements that take 2 hours or more to complete might be required for other applications. Lastly, the pre-analytical requirements for different technologies and applications must be considered. That is, a label free assay might suffice for applications where miRNA has been extracted for a sample of interest, whereas one may have to leverage signal amplification and pre-concentration strategies to make high fidelity measurements directly from highly complex matrices.
In order to optimize assays and determine the appropriate balance between time to result, sensitivity, and multiplexing capabilities, interdisciplinary collaborations between analytical chemists, clinical chemists, clinical practitioners, and statisticians/bioinformaticians will be essential. Appropriate large sample set studies will not only validate emerging sensor technologies, but more importantly also establish the broad utility of panel-based diagnostics that will then have impact beyond any one specific technology platform.
Read the Full Study: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5818206/