Recent advancements in electrochemical transducer based integrated microfluidic devices for breast cancer specific biomarker detection. (I) Detailed steps involved during the construction of the mFED device for estrogen receptor alpha (ERa) detection. Reproduced with permission. 104 Copyright 2018, Elsevier. (II) Electrochemical fully inkjet printed array for sandwich immunoassay-based detection of HER2. Reproduced with permission. 105 Copyright 2018, Elsevier. (III) Capacitive electrochemical device for the detection of HER2. Reproduced with permission. 106 Copyright 2018, Elsevier.

Recent advancements in electrochemical transducer based integrated microfluidic devices for breast cancer specific biomarker detection. (I) Detailed steps involved during the construction of the mFED device for estrogen receptor alpha (ERa) detection. Reproduced with permission. 104 Copyright 2018, Elsevier. (II) Electrochemical fully inkjet printed array for sandwich immunoassay-based detection of HER2. Reproduced with permission. 105 Copyright 2018, Elsevier. (III) Capacitive electrochemical device for the detection of HER2. Reproduced with permission. 106 Copyright 2018, Elsevier.

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Timely and accurate diagnosis of breast cancer is essential for efficient treatment and the best possible survival rates. Biosensors have emerged as a smart diagnostic platform for the detection of biomarkers specific to the onset, recurrence, and therapeutic drug monitoring of breast cancer. There have been exciting recent developments, including...

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... proposed mFED was fabricated by sandwiching two polystyrene sheets with screen-printed counter electrodes (CEs), reference electrodes (REs), and a microarray of 8 working electrodes (WEs) using adhesive polystyrene cards (Fig. 5I). The surface of the WEs was modied with estrogen response elements (DNA-ERE) to bind target ERa. However, to ensure an amplied electrochemical response, the target ERa was magnetically enriched using anti ERa, and a HRP labeled magnetic particle bioconjugate (MP-Ab-HRP). The resulting bioconjugate was further introduced into the ...
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... the clinical utility of POC devices towards HER2. 105 The proposed device included an electrochemical platform with eight inkjet-printed gold electrode arrays (WEA)s, a CE, and an Ag/AgCl electrode. The device was designed to implement a sandwich immunoassay in the presence of the target analyte, biotin functionalized antibody, and HRP labels (Fig. 5II). The low-cost device (0.25 $) exhibited a quick response (assay time: 15 min) and a DL of 12 pg mL À1 towards HER2. Moreover, the device's analytical performance was reproducible, sensitive, and stable, with standard recoveries ranging from 76% to 103%. Later, the potential of the DNA aptasensor (fabricated through the immobilization ...
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... min) and a DL of 12 pg mL À1 towards HER2. Moreover, the device's analytical performance was reproducible, sensitive, and stable, with standard recoveries ranging from 76% to 103%. Later, the potential of the DNA aptasensor (fabricated through the immobilization of a thiolated HER2 specic aptamer on gold interdigitated microelectrodes (IDmEs)) (Fig. 5III) was combined with capacitive measurements to improvise the analytical response of the biosensor towards HER2. 106 The proposed non-faradaic mode of impedance spectroscopy predominantly relied on the charging currents (rather than faradaic current arising from the oxidation/reduction of the redox couple (Fe 2+ /Fe 3+ )) originating from ...

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... [2,[7][8][9][10] Moreover, the cost-effectiveness, minimal clinical specimen requirements, miniaturization, simple operation, and user-friendliness enhance their immunosensing applicability. [7,[11][12][13] To fabricate an electrochemical immunosensor, functional, conductive, and high surface-containing materials have been required. Since the functional group and high surface area improve the immobilization of antibodies against target antigen. ...
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Early diagnosis of cancer can be achieved by detecting associated biomarkers before the appearance of symptoms. Herein, we have developed an electrochemical immunosensor of ionic liquid tailored to molybdenum trioxide‐reduced graphene oxide (MoO3‐rGO‐IL) nanocomposite to detect carcinoembryonic antigen (CEA), a cancer biomarker. The MoO3‐rGO‐IL nanocomposite has been synthesized in situ via the hydrothermal method. The functionalization of 1‐butyl‐3‐methylimidazolium tetrafluoroborate IL with MoO3‐rGO synergistically improves the electrochemical and surface properties of the nanocomposite. The characterization studies revealed that the MoO3‐rGO‐IL nanocomposite is a highly appropriate material for the construction of immunosensors. The material exhibits exceptional electrical conductivity, surface properties, stability, and a large electrochemical effective surface area (13.77×10⁻² cm²) making it ideal for fabricating immunosensors. The quantitative outcome showed that the developed immunosensor (BSA/anti‐CEA/MoO3‐rGO‐IL/GCE) possesses excellent sensitivity, broad linearity from 25 fg mL⁻¹ to 100 ng mL⁻¹, and a low detection limit of 1.19 fg mL⁻¹. Moreover, the remarkable selectivity, repeatability, and efficiency of detecting CEA in serum specimens demonstrated the feasibility of the immunosensor. Thus, the projected electrochemical immunosensor can potentially be utilized for the quantification of CEA in clinical specimens.
... In recent years, several reviews of different biosensors, particularly electrochemical biosensors for early detection of different cancers (especially breast cancer), as well as various biomarkers have been conducted [16][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35]; however, due to the high importance of this subject area, there is a need for these types of studies to be updated annually. In this review, some designed or developed electrochemical biosensors and the methods and strategies of fabricating these types of sensors for the early detection of breast cancer are reviewed, and the limitations and challenges of these investigations as well as the obstacles in their commercialization are investigated. ...
... In addition, under experimental advances like enhanced fabrication techniques( such as nanosphere lithography, electron beam lithography, and nanoimprint lithography) and improved surface functionalization, have been developed considering temperature dependence coating to enable better reproducibility and scalability in biosensor fabrication 23 . Temperature dependence of the coating affects the sensor's response by improving refractive index, signal stability, and establish proper calibration and normalization 55,56 . Further, some computational advances are: high-performance computing, machine learning and data analytics have been applied to handle the large datasets generated by plasmonic biosensors. ...
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... Two major requirements of PEDBCB detecting POCD eligible to be commercialized faces some of the major challenges such as (i) target biomarkers validation, (ii) large sample volume validation, (iii) ultrasensitivity and specificity which is clinically reliable, (iv) sample processing, purification, and amplification duration and protocol, (v) affordability for varied categories of users, (vi) automated analytical procedures, (vii) user-friendly signal readout and ensured reliable detection and (viii) efficient power or storage sources (Gootenberg et al., 2017;Joshi et al., 2021). The CRISPR/Cas diagnostic platforms eventhough is booming with extraordinary sensing efficacy in early BC diagnostics, it still lacks in (i) target amplification procedures, (ii) short shelf life, (iii) nanomaterial degradation in some of the biospecimens, and (iv) design complexities. ...
... They are a cost-effective alternative to traditional diagnostic techniques and are suitable for use in a range of settings, which make them a preferred tool for BC screening programs. The main objective of ongoing research in this field is to enhance the reliability and sensitivity of these sensors, making them a viable and trustworthy technique in BC detection and monitoring [14][15][16]. Nanomaterials are one strategy for improving the feasibility of sensors used in BC diagnosis. They improve sensor sensitivity and specificity, thereby increasing their efficiency in detecting BC biomarkers. ...
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... The fluorescence in situ hybridization (FISH), polymerase chain reaction (PCR) 17 , and immunohistochemical methods are conventional diagnosis assays for HER-2 determination. Due to some restrictions such as the lack of sensitivity, timeconsumption, complexity, and expensiveness in mentioned methods, alternative technologies have been widely studied to more sensitively and effectively detect the HER-2 biomarker 18,19 . These include electrochemical 20-25 , optical 26-31 and piezoelectric biosensors 32,33 . ...
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... 21 Nevertheless, most of the reports have been focussed on the BC biomarkers which have been recognized as metastatic BC biomarkers, which are found at stages I-IV. [12][13][14][15][16][17][18][19][20] Tumor Markers (EGTM) and the American Society of Clinical Oncology (ASCO) guidelines for BC screening even though approved by FDA due sensitivity issues and the lacking confirmation for their significance in early-stage BC control. 22 Other significant DCIS biomarkers include microribonucleic acids (miRNAs), lipids, and the proteins p16, COX-2, Ki67, in addition to HER-2, estrogen and progesterone. ...
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Till date, no systematic review is conducted on electrochemical biosensing of multiplexed breast cancer miRNAs to identify their suitability as an alternative diagnostic tool for ductal carcinoma in-situ (DCIS). Original articles published in English from PUBMED, Science Direct, Scopus, MEDLINE, Cochrane Library, National Centre for Biotechnology Information, and Google scholar during Jan 2012– Feb 2022 were searched using set inclusion criteria. The Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA) 2020 guidelines was followed to report this review. Methodological quality of the included studies was evaluated using Risk of Bias (ROB) assessment criteria. Out of 1973 screened articles, 17 studies were eligible and included in this review wherein, 1 study (5.88%) involving generic neutravidin modified nanolabel probe using biotintylated molecular beacons immobilized metal nanoparticles prepared using one pot assay to detect miRNAs 21 and 141 had low ROB and 16 studies (94.12%) had medium ROB. Medium ROB of majority of the included studies reveals its limited evidence to conclude its suitability for diagnosing DCIS using miRNAs. High quality studies with inter assays and validation are extensively needed for the development of diagnostic tool for DCIS via miRNAs.
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