Recent Advances in Nanomaterial-Based Human Breath Analytical Technology for Clinical Diagnosis and the Way Forward

Long-Range Epitaxial MOF Electronics for Continuous Monitoring of Human Breath Ammonia

As an important biomarker, ammonia exhibits a strong correlation with protein metabolism and specific organ dysfunction. Limited by the immobile instrumental structure, invasive and complicated procedures, and unsatisfactory online sensitivity and selectivity, current medical diagnosis fails to monitor this chemical in real time efficiently. Herein, we present the successful synthesis of a long-range epitaxial metal-organic framework on a millimeter domain-sized single-crystalline graphene substrate (LR-epi-MOF). With a perfect 30° epitaxial angle and a mere 2.8% coincidence site lattice mismatch between the MOF and graphene, this long-range-ordered epitaxial structure boosts the charge transfer from ammonia to the MOF and then to graphene, thereby promoting the overall charge delocalization and exhibiting extraordinary electrical global coupling properties. This unique characteristic imparts a remarkable sensitivity of 0.1 ppb toward ammonia. The sub-ppb detecting capability and high anti-interference ability enable continuous information recording of breath ammonia that is strongly correlated with the intriguing human lifestyle. Wearable electronics based on the LR-epi-MOF could accurately portray the active protein metabolism pattern in real time and provide personal assistance in health management.

Non-invasive detection of renal disease biomarkers through breath analysis

Breath biomarkers are substances found in exhaled breath that can be used for non-invasive diagnosis and monitoring of medical conditions, including kidney disease. Detection techniques include mass spectrometry (MS), gas chromatography (GC), and electrochemical sensors. Biosensors, such as GC-MS or electronic nose (e-nose) devices, can be used to detect volatile organic compounds (VOCs) in exhaled breath associated with metabolic changes in the body, including the kidneys. E-nose devices could provide an early indication of potential kidney problems through the detection of VOCs associated with kidney dysfunction. This review discusses the sources of breath biomarkers for monitoring renal disease during dialysis and different biosensor approaches for detecting exhaled breath biomarkers. The future of using various types of biosensor-based real-time breathing diagnosis for renal failure is also discussed.

Recent Advances in Gas Detection Methodologies with a Special Focus on Environmental Sensing and Health Monitoring Applications─A Critical Review

With the expansion of the Internet-of-Things (IoT), the use of gas sensors in the field of wearable technology, smart devices, and smart homes has increased manifold. These gas sensors have two key applications─one is the detection of gases present in the environment and the other is the detection of Volatile Organic Compounds (VOCs) that are found in the breath. In this review, we focus systematically on the advancements in the field of various spectroscopic methods such as mass spectrometry-based analysis and point-of-care approach to detect VOCs and gases for environmental monitoring and disease diagnosis. Additionally, we highlight the development of smart sensors that work on the principle of electrochemical detection and provide examples of the same through an extensive literature review. At the end of this review, we highlight various challenges and future perspectives.

Scalable biomimetic sensing system with membrane receptor dual-monolayer probe and graphene transistor arrays

Affinity-based biosensing can enable point-of-care diagnostics and continuous health monitoring, which commonly follows bottom-up approaches and is inherently constrained by bioprobes' intrinsic properties, batch-to-batch consistency, and stability in biofluids. We present a biomimetic top-down platform to circumvent such difficulties by combining a "dual-monolayer" biorecognition construct with graphene-based field-effect-transistor arrays. The construct adopts redesigned water-soluble membrane receptors as specific sensing units, positioned by two-dimensional crystalline S-layer proteins as dense antifouling linkers guiding their orientations. Hundreds of transistors provide statistical significance from transduced signals. System feasibility was demonstrated with rSbpA-ZZ/CXCR4QTY-Fc combination. Nature-like specific interactions were achieved toward CXCL12 ligand and HIV coat glycoprotein in physiologically relevant concentrations, without notable sensitivity loss in 100% human serum. The construct is regeneratable by acidic buffer, allowing device reuse and functional tuning. The modular and generalizable architecture behaves similarly to natural systems but gives electrical outputs, which enables fabrication of multiplex sensors with tailored receptor panels for designated diagnostic purposes.

The Role of Nano-Sensors in Breath Analysis for Early and Non-Invasive Disease Diagnosis

Early-stage, precise disease diagnosis and treatment has been a crucial topic of scientific discussion since time immemorial. When these factors are combined with experience and scientific knowledge, they can benefit not only the patient, but also, by extension, the entire health system. The development of rapidly growing novel technologies allows for accurate diagnosis and treatment of disease. Nanomedicine can contribute to exhaled breath analysis (EBA) for disease diagnosis, providing nanomaterials and improving sensing performance and detection sensitivity. Through EBA, gas-based nano-sensors might be applied for the detection of various essential diseases, since some of their metabolic products are detectable and measurable in the exhaled breath. The design and development of innovative nanomaterial-based sensor devices for the detection of specific biomarkers in breath samples has emerged as a promising research field for the non-invasive accurate diagnosis of several diseases. EBA would be an inexpensive and widely available commercial tool that could also be used as a disease self-test kit. Thus, it could guide patients to the proper specialty, bypassing those expensive tests, resulting, hence, in earlier diagnosis, treatment, and thus a better quality of life. In this review, some of the most prevalent types of sensors used in breath-sample analysis are presented in parallel with the common diseases that might be diagnosed through EBA, highlighting the impact of incorporating new technological achievements in the clinical routine.

Aniline dimers serving as stable and efficient transfer units for intermolecular charge-carrier transmission

Because any perturbation in the number of oxidation sites associated with the polymeric backbone can cause changes in the electrical properties, the stability of electrical properties has strongly prevented the wide adoption of most conducting polymers for commercialization, e.g., polyanilines (PANI). Herein, we showed that aniline dimers (AD) had more stable conductivity during redox due to their determinately separate oxidization or reduction units. Instead of intramolecular charge transfer as PANI, AD could serve as effective transfer units to facilitate intermolecular charge-carrier transmission due to low band-gap formation induced by the J-aggregation of AD, ensuring efficient conductivity. Typically, the electrical properties of AD-derived materials will still be stable after 10,000 redox cycles under a high operating voltage, far surpassing PANI under equivalent conditions. Meanwhile, the AD-derived materials could act as effective conducting and sensing layers with good stability. This approach opened an avenue for improving the stability of conductive polymers.

Polyaniline-coated nanoparticles of zinc oxide and copper oxide as antifungal agents against Aspergillus parasiticus

Aspergillus parasiticus (A. parasiticus) is known for producing aflatoxins and is a major threat to the food industry. Green synthesis of nanoparticles (NPs) is a cost-effective and environment-friendly approach. A variety of NPs have been explored as antifungal agents; however, their antifungal characteristics need to be further enhanced to compete with traditional fungicides. The present work describes the green synthesis of ZnO and CuO NPs by precipitation method using aqueous leaf extract of Manilkara zapota and their surface modification through polyaniline (PANI). Still, there is no published study on the application of PANI-coated particles as antifungal agents against A. parasiticus and hence was the focus of this work. The polymer-coated NPs were synthesized, characterized, and investigated for their antifungal properties against A. parasiticus. Textural and structural characterization of PANI-coated and non-coated ZnO and CuO NPs were confirmed through FT-IR, SEM, and XRD techniques. The PANI-coated NPs presented higher fungal growth inhibition (%) as compared to the non-coated ones. The maximum inhibition of 77 ± 2% (n = 3) was shown by PANI/ZnO NPs at a concentration of 12 mmol L^-1 and 72 h of incubation. The non-coated NPs presented a lower inhibition rate with respect to their coated NPs, thus justifying the role of polymeric coating in improving antifungal efficiency.

A Literature Review and Framework Proposal for Halitosis Assessment in Cigarette Smokers and Alternative Nicotine-Delivery Products Users

Halitosis is a health condition which counts cigarette smoking (CS) among its major risk factors. Cigarette smoke can cause an imbalance in the oral bacterial community, leading to several oral diseases and conditions, including intraoral halitosis. Although the best approach to decrease smoking-related health risks is quitting smoking, this is not feasible for many smokers. Switching to potentially reduced-risk products, like electronic vapor products (EVP) or heated tobacco products (HTP), may help improve the conditions associated with CS. To date, there have been few systematic studies on the effects of CS on halitosis and none have assessed the effects of EVP and HTP use. Self-assessment studies have shown large limitations owing to the lack of reliability in the participants' judgment. This has compelled the scientific community to develop a strategy for meaningful assessment of these new products in comparison with cigarettes. Here, we compiled a review of the existing literature on CS and halitosis and propose a 3-layer approach that combines the use of the most advanced breath analysis techniques and multi-omics analysis to define the interactions between oral bacterial species and their role in halitosis both in vitro and in vivo. Such an approach will allow us to compare the effects of different nicotine-delivery products on oral bacteria and quantify their impact on halitosis. Defining the impact of alternative nicotine-delivery products on intraoral halitosis and its associated bacteria will help the scientific community advance a step further toward understanding the safety of these products and their potentiall risks for consumers.

Highly Selective and Sensitive Detection of Volatile Sulfur Compounds by Ionically Conductive Metal-Organic Frameworks

High selectivity to specific analyte is essential for chemical sensors but difficult to achieve. For most chemical sensors, although the response to the target analyte can be more significant than interference analytes, they still show obvious responses to the interference analytes. Here, highly selective chemical sensors are developed with negligible responses to other interference vapors. Instead of the widely investigated electronically conductive metal-organic frameworks (EC-MOFs), ionically conductive MOFs (IC-MOFs) are used as the sensing materials, and the unique interaction between the ion charge carrier and the analyte is utilized to achieve high sensing selectivity. Through the modulation of the metal nodes (Cu, Co, Ni, Zn, Mg) and organic ligands (H₂ TCPP, H₂ THPP, H₄ BTEC), sensor arrays based on a set of IC-MOFs are fabricated and achieve highly selective detection toward volatile sulfur compounds (VSCs). H₂ S and CH₃ SH can be selectively detected at concentrations down to 1 ppb and 1 ppm, respectively. The facile preparation and low cost endow the device with disposability. These results suggest new approaches for the development of highly selective chemical sensors.

Breath volatile organic compound analysis: an emerging method for gastric cancer detection

Gastric cancer is a common malignancy, being the fifth most frequently diagnosed cancer and the fourth leading cause of cancer-related deaths worldwide. Diagnosis of gastric cancer at the early stage is critical to effectively improve the survival rate. However, a substantial proportion of patients with gastric cancer in the early stages lack specific symptoms or are asymptomatic. Moreover, the imaging techniques currently used for gastric cancer screening, such as computed tomography and barium examination, are usually radioactive and have low sensitivity and specificity. Even though endoscopy has high accuracy for gastric cancer screening, its application is limited by the invasiveness of the technique. Breath analysis is an economic, effective, easy to perform, non-invasive detection method, and has no undesirable side effects on subjects. Extensive worldwide research has been conducted on breath volatile organic compounds (VOCs), which reveals its prospect as a potential method for gastric cancer detection. Many interesting results have been obtained and innovative methods have been introduced in this subject; hence, an extensive review would be beneficial. By providing a comprehensive list of breath VOCs identified by gastric cancer would promote further research in this field. This review summarizes the commonly used technologies for exhaled breath analysis, focusing on the application of analytical instruments in the detection of breath VOCs in gastric cancers, and the alterations in the profile of breath biomarkers in gastric cancer patients are discussed as well.

Surface-Enhanced Raman Sensing of Semi-Volatile Organic Compounds by Plasmonic Nanostructures

Facile detection of indoor semi-volatile organic compounds (SVOCs) is a critical issue to raise an increasing concern to current researchers, since their emissions have impacted the health of humans, who spend much of their time indoors after the recent incessant COVID-19 pandemic outbreaks. Plasmonic nanomaterial platforms can utilize an electromagnetic field to induce significant Raman signal enhancements of vibrational spectra of pollutant molecules from localized hotspots. Surface-enhanced Raman scattering (SERS) sensing based on functional plasmonic nanostructures has currently emerged as a powerful analytical technique, which is widely adopted for the ultra-sensitive detection of SVOC molecules, including phthalates and polycyclic aromatic hydrocarbons (PAHs) from household chemicals in indoor environments. This concise topical review gives updated recent developments and trends in optical sensors of surface plasmon resonance (SPR) and SERS for effective sensing of SVOCs by functionalization of noble metal nanostructures. Specific features of plasmonic nanomaterials utilized in sensors are evaluated comparatively, including their various sizes and shapes. Novel aptasensors-assisted SERS technology and its potential application are also introduced for selective sensing. The current challenges and perspectives on SERS-based optical sensors using plasmonic nanomaterial platforms and aptasensors are discussed for applying indoor SVOC detection.

Porous Inorganic Materials for Bioanalysis and Diagnostic Applications

Porous inorganic materials play an important role in adsorbing targeted analytes and supporting efficient reactions in analytical science. The detection performance relies on the structural properties of porous materials, considering the tunable pore size, shape, connectivity, etc. Herein, we first clarify the enhancement mechanisms of porous materials for bioanalysis, concerning the detection sensitivity and selectivity. The diagnostic applications of porous material-assisted platforms by coupling with various analytical techniques, including electrochemical sensing, optical spectrometry, and mass spectrometry, etc., are then reviewed. We foresee that advanced porous materials will bring far-reaching implications in bioanalysis toward real-case applications, especially as diagnostic assays in clinical settings.

Role of the oral microbiome, metabolic pathways, and novel diagnostic tools in intra-oral halitosis: a comprehensive update

Halitosis or oral malodor is one of the most common reasons for the patients' visit to the dental clinic, ranking behind only dental caries and periodontitis. In the present times, where social and professional communications are becoming unavoidable, halitosis has become a concern of growing importance. Oral malodor mostly develops due to the putrefaction of substrates by the indigenous bacterial populations. Although culture-based studies have provided adequate information on halitosis, the high throughput omics technologies have amplified the resolution at which oral microbial community can be examined and has led to the detection of a broader range of taxa associated with intra-oral halitosis (IOH). These microorganisms are regulated by the interactions of their ecological processes. Thus to develop effective treatment strategies, it is important to understand the microbial basis of halitosis. In the current review, we provide an update on IOH in context to the role of the oral microbiome, metabolic pathways involved, and novel diagnostic tools, including breathomics. Understanding oral microbiota associated with halitosis from a broader ecological perspective can provide novel insights into one's oral and systemic health. Such information can pave the way for the emergence of diagnostic tools that can revolutionize the early detection of halitosis and various associated medical conditions.

Metal oxide-based gas sensors for detection of exhaled breath markers

Exhaled breath test is a typical disease monitoring method for replacing blood and urine samples that may create discomfort for patients. To monitor exhaled breath markers, gas biomedical sensors have undergone rapid progress for non‐invasive and point‐of‐care diagnostic devices. Among gas sensors, metal oxide‐based biomedical gas sensors have received remarkable attention owing to their unique properties, such as high sensitivity, simple fabrication, miniaturization, portability and real‐time monitoring. Herein, we reviewed the recent advances in chemoresistive metal oxide‐based gas sensors with ZnO, SnO₂ and In₂O₃ as sensing materials for monitoring a range of exhaled breath markers (i.e., NO, H₂, H₂S, acetone, isoprene and formaldehyde). We focused on the strategies that improve the sensitivity and selectivity of metal oxide‐based gas sensors. The challenges to fabricate a functional gas sensor with high sensing performance along with suggestions are outlined.

Experimental and Computational Study on the Selective Interaction of Functionalized Gold Nanoparticles with Metal Ions: Sensing Prospects

Herein, we have developed citrate-, glutathione-, and ascorbate-functionalized gold nanoparticles (AuNPs) to examine their interactions with diverse heavy metal ions, such as Cd, Mn, Cr, Fe, Co, Pb, Hg, Zn, and Ti. These interactions are crucial in defining the final outcome of AuNP-based sensing/removal of heavy metals. We have evaluated these interactions by analyzing the variations in the color and spectroscopic signals of functionalized AuNPs. Additionally, the obtained results were also compared and validated with the computational studies. It has been observed that citrate-AuNPs and GSH-AuNPs displayed high selectivity toward Cr and Mn with E_force values of -23.4 and -14.0 kJ/mol, respectively. Likewise, the ascorbate-AuNPs displayed sensitivity for multiple ions, for example, Cd, Fe, and Mn, with an E_force value of -19.6 kJ/mol. A detailed analysis focusing on the electrostatic charges, ionic sizes, and interaction energy values has been provided to show specific interactions between functionalized AuNPs and heavy metal ions. The respective mechanisms of interaction between heavy metal ions and functionalized AuNPs have been explored with the help of experimental and computational outcomes.

Role of gold nanoparticles in advanced biomedical applications

Gold nanoparticles (GNPs) have generated keen interest among researchers in recent years due to their excellent physicochemical properties. In general, GNPs are biocompatible, amenable to desired functionalization, non-corroding, and exhibit size and shape dependent optical and electronic properties. These excellent properties of GNPs exhibit their tremendous potential for use in diverse biomedical applications. Herein, we have evaluated the recent advancements of GNPs to highlight their exceptional potential in the biomedical field. Special focus has been given to emerging biomedical applications including bio-imaging, site specific drug/gene delivery, nano-sensing, diagnostics, photon induced therapeutics, and theranostics. We have also elaborated on the basics, presented a historical preview, and discussed the synthesis strategies, functionalization methods, stabilization techniques, and key properties of GNPs. Lastly, we have concluded this article with key findings and unaddressed challenges. Overall, this review is a complete package to understand the importance and achievements of GNPs in the biomedical field.

Nanomaterial-based immunosensors for ultrasensitive detection of pesticides/herbicides: Current status and perspectives

The increasing level of pesticides and herbicides in food and water sources is a growing threat to human health and the environment. The development of portable, sensitive, specific, simple, and cost-effective sensors is hence in high demand to avoid exposure or consumption of these chemicals through efficient monitoring of their levels in food as well as water samples. The use of nanomaterials (NMs) for the construction of an immunosensing system was demonstrated to be an efficient and effective option to realize selective sensing against pesticides/herbicides. The potential of such applications has hence been demonstrated for a variety of NMs including graphene, carbon nanotubes (CNTs), metal nanoparticles, and nano-polymers either in pristine or composite forms based on diverse sensing principles (e.g., electrochemical, optical, and quartz crystal microbalance (QCM)). This article evaluates the development, applicability, and performances of NM-based immunosensors for the measurement of pesticides and herbicides in water, food, and soil samples. The performance of all the surveyed sensors has been evaluated on the basis of key parameters, e.g., detection limit (DL), sensing range, and response time.

Humidity-Resistive Optical NO Gas Sensor Devices Based on Cobalt Tetraphenylporphyrin Dispersed in Hydrophobic Polymer Matrix

We report on an optical nitrogen oxide (NO) gas sensor device using cobalt tetraphenylporphyrin (CoTPP) dispersed in three kinds of hydrophobic polymer film matrix (polystyrene (PSt), ethylcellulose (EC), and polycyclohexyl methacrylate (PCHMA)) to improve humidity resistance. Our approach is very effective because it allows us to achieve not only high humidity resistance, but also a more than sixfold increase in sensitivity compared with CoTPP film due to the high dispersion of CoTPP in the polymer film. The limit of detection was calculated as 33 ppb for the CoTPP-dispersed EC film, which is lower than that of CoTPP film (92 ppb).