Binary transition metal oxide modified laser-scribed graphene electrochemical aptasensor for the accurate and sensitive screening of acute myocardial infarction

Two-dimensional nanozyme nanoarchitectonics customized electrochemical bio diagnostics and lab-on-chip devices for biomarker detection

Recent developments in nanomaterials and nanotechnology have advanced biosensing research. Two-dimensional (2D) nanomaterials or nanozymes, such as metal oxides, graphene and its derivatives, transition metal dichalcogenides, metal-organic frameworks, carbon-organic frameworks and MXenes, have garnered substantial attention in recent years owing to their unique properties, including high surface area, excellent electrical conductivity, and mechanical flexibility. Moreover, 2D nanozymes exhibit intrinsic enzyme-mimicking properties, including those of peroxidase, oxidase, catalase, and superoxide dismutase, making them well-suited for detecting biomarkers of interest and developing bio diagnostics at the point-of-care. Since 2D nanosystems offer ultra-high sensitivity, label-free detection, and real-time analysis, point-of-care testing and multiplexed biomarker detection, the demand is growing. Additionally, their biocompatibility and scalable fabrication make them cost-effective for widespread adoption. This review discusses the advantages of 2D nanozymes and their recent advancements in biosensing applications. This review summarizes the latest developments in 2D nanozymes, focusing on their synthesis, biocatalytic capabilities, and advancements in developing bio diagnostics and lab-on-chip devices for detecting cancer and non-cancer biomarkers. In addition, existing challenges and prospects in 2D nanozyme-based biosensors are identified, highlighting their biosensing potential and advocating for their expanded application in bio diagnostics and lab-on-chip devices.

Electroanalytical overview: the use of laser-induced graphene sensors

Laser-induced graphene, which was first reported in 2014, involves the creation of graphene by using a laser to modify a polyimide surface. Since then, laser-induced graphene has been extensively studied for application in different scientific fields. One beneficial approach is the use of laser-induced graphene coupled with electrochemistry, where there is a growing need for disposable, conductive, reproducible, flexible, biocompatible, sustainable, and economical electrodes. In this mini overview, we explore the use of laser-induced graphene as the basis of electroanalytical sensors. We first introduce laser-induced graphene, before moving to the use of laser-induced graphene electrodes highlighting the various approaches and different laser parameters used to produce different graphene micro and macro structures, whilst describing how these structures are characterised and benchmarked for those working in the field of laser-induced graphene electrodes for comparison aspects. Next, we turn to the use of laser-induced graphene electrodes as the basis of electrochemical sensing platforms towards key analytes and its use in the development of biosensors. We provide a critical overview of the use of laser-induced graphene sensors compared to screen-printed and additive manufactured electrodes, providing future suggestions for the field.

Laser-induced graphene-based aptasensor for the selective detection of Escherichia coli in urine samples

A Laser-Induced Graphene-based (LIG) electrode covalently functionalized with an aptamer (P12-55) was used to develop an aptasensor detecting Escherichia coli in urine samples. Recent strides in material science have spotlighted LIG for exceptional attributes like robust mechanical resistance, superior conductivity, extensive surface area, and facile synthesis/patterning on various polymeric substrates. Variations in the aptasensor charge transfer resistance upon interaction with bacterial cells were evaluated by electrochemical impedance spectroscopy. Tests in phosphate buffer saline solution showed the aptasensor linear response for E. coli between 100 and 103 CFU/mL. The sensor proved to be selective for E. coli as a negligible response was observed in the presence of Staphylococcus aureus or Pseudomonas aeruginosa. Finally, the sensor was calibrated in urine samples spiked with a known concentration of E. coli cells. Its characteristics make the aptasensor viable for low-cost and portable devices identifying pathogenic microorganisms at the point-of-need. Due to the short response time (about 30 min), we believe that these sensing devices may significantly improve control and management of urinary tract infections.

Single laser synthesis of gold nanoparticles-polypyrrole-chitosan on laser-induced graphene for ascorbic acid detection

The simultaneous synthesis of gold nanoparticles (AuNPs) and graphene by laser ablation was demonstrated. The in-situ synthesis was performed by laser ablation of a polymer substrate covered with a gold precursor dispersion. The gold precursor was prepared in a copolymer solution of pyrrole (Py) and chitosan (Chi) to improve the nucleation of gold embedded on the laser-induced graphene electrode (LIGE). The morphology of AuNPs-pPy-Chi/LIGE was studied by scanning electron microscopy and characterized electrochemically by cyclic voltammetry. A comprehensive investigation of the electrochemical and physical features of the AuNPs-pPy-Chi/LIGE was carried out. The parameters of differential pulse voltammetry were adjusted to enhance the response to ascorbic acid (AA). The AuNPs-pPy-Chi/LIGE produced two linear ranges: from 0.25 to 5.00 and 5.00-25.00 mmol L-1. The limit of detection was 0.22 mmol L-1. Hundreds of electrodes were tested to demonstrate the excellent reproducibility of the AuNPs-pPy-Chi/LIGE fabrication. Overall, the proposed electrode allows the successful detection of AA in orange juice products with acceptable accuracy (recoveries = 97 ± 2 to 109.1 ± 0.7). The preparation strategy of the proposed AuNPs-pPy-Chi/LIGE could be adapted to detect other compounds or biomarkers.

Capacitive immunosensing at gold nanoparticle-decorated reduced graphene oxide electrodes fabricated by one-step laser nanostructuration

Nanostructured electrochemical biosensors have ushered in a new era of diagnostic precision, offering enhanced sensitivity and specificity for clinical biomarker detection. Among them, capacitive biosensing enables ultrasensitive label-free detection of multiple molecular targets. However, the complexity and cost associated with conventional fabrication methods of nanostructured platforms hinder the widespread adoption of these devices. This study introduces a capacitive biosensor that leverages laser-engraved reduced graphene oxide (rGO) electrodes decorated with gold nanoparticles (AuNPs). The fabrication involves laser-scribed GO-Au3+ films, yielding rGO-AuNP electrodes, seamlessly transferred onto a PET substrate via a press-stamping methodology. These electrodes have a remarkable affinity for biomolecular recognition after being functionalized with specific bioreceptors. For example, initial studies with human IgG antibodies confirm the detection capabilities of the biosensor using electrochemical capacitance spectroscopy. Furthermore, the biosensor can quantify CA-19-9 glycoprotein, a clinical cancer biomarker. The biosensor exhibits a dynamic range from 0 to 300 U mL-1, with a limit of detection of 8.9 U mL-1. Rigorous testing with known concentrations of a pretreated CA-19-9 antigen from human fluids confirmed their accuracy and reliability in detecting the glycoprotein. This study signifies notable progress in capacitive biosensing for clinical biomarkers, potentially leading to more accessible and cost-effective point-of-care solutions.

Synergism of Holmium Orthovanadate/Phosphorus-Doped Carbon Nitride Nanocomposite: Nonenzymatic Electrochemical Detection of Hydrogen Peroxide

Developing efficient and robust electrode materials for electrochemical sensors is critical for real-time analysis. In this paper, a hierarchical holmium vanadate/phosphorus-doped graphitic carbon nitride (HoVO4/P-CN) nanocomposite is synthesized and used as an electrode material for electrochemical detection of hydrogen peroxide (H2O2). The HoVO4/P-CN nanocomposite exhibits superior electrocatalytic activity at a peak potential of -0.412 V toward H2O2 reduction in alkaline electrolytes while compared with other reported electrocatalysts. The HoVO4/P-CN electrochemical platform operated under the optimized conditions shows excellent analytical performance for H2O2 detection with a linear concentration range of 0.009-77.4 μM, a high sensitivity of 0.72 μA μM-1 cm-2, and a low detection limit of 3.0 nΜ. Furthermore, the HoVO4/P-CN-modified electrode exhibits high selectivity, remarkable stability, good repeatability, and satisfactory reproducibility in detecting H2O2. Its superior performance can be attributed to a large specific surface area, high conductivity, more active surface sites, unique structure, and synergistic action of HoVO4 and P-CN to benefit enhanced electrochemical activity. The proposed HoVO4/P-CN electrochemical platform is effectively applied to ascertain the quantity of H2O2 in food and biological samples. This work outlines a promising and effectual strategy for the sensitive electrochemical detection of H2O2 in real-world samples.

Metallic nanostructure-based aptasensors for robust detection of proteins

There is a significant need for fast, cost-effective, and highly sensitive protein target detection, particularly in the fields of food, environmental monitoring, and healthcare. The integration of high-affinity aptamers with metal-based nanomaterials has played a crucial role in advancing the development of innovative aptasensors tailored for the precise detection of specific proteins. Aptamers offer several advantages over commonly used molecular recognition methods, such as antibodies. Recently, a variety of metal-based aptasensors have been established. These metallic nanomaterials encompass noble metal nanoparticles, metal oxides, metal-carbon nanotubes, carbon quantum dots, graphene-conjugated metallic nanostructures, as well as their nanocomposites, metal-organic frameworks (MOFs), and MXenes. In general, these materials provide enhanced sensitivity through signal amplification and transduction mechanisms. This review primarily focuses on the advancement of aptasensors based on metallic materials for the highly sensitive detection of protein targets, including enzymes and growth factors. Additionally, it sheds light on the challenges encountered in this field and outlines future prospects. We firmly believe that this review will offer a comprehensive overview and fresh insights into metallic nanomaterials-based aptasensors and their capabilities, paving the way for the development of innovative point-of-care (POC) diagnostic devices.

Aptamer-functionalized field-effect transistor biosensors for disease diagnosis and environmental monitoring

Nano-biosensors that are composed of recognition molecules and nanomaterials have been extensively utilized in disease diagnosis, health management, and environmental monitoring. As a type of nano-biosensors, molecular specificity field-effect transistor (FET) biosensors with signal amplification capability exhibit prominent advantages including fast response speed, ease of miniaturization, and integration, promising their high sensitivity for molecules detection and identification. With intrinsic characteristics of high stability and structural tunability, aptamer has become one of the most commonly applied biological recognition units in the FET sensing fields. This review summarizes the recent progress of FET biosensors based on aptamer functionalized nanomaterials in medical diagnosis and environmental monitoring. The structure, sensing principles, preparation methods, and functionalization strategies of aptamer modified FET biosensors were comprehensively summarized. The relationship between structure and sensing performance of FET biosensors was reviewed. Furthermore, the challenges and future perspectives of FET biosensors were also discussed, so as to provide support for the future development of efficient healthcare management and environmental monitoring devices.

Recent advancements of nanomodified electrodes - Towards point-of-care detection of cardiac biomarkers

The increasing number of deaths from cardiovascular diseases has become a substantial concern in both developed and underdeveloped countries. Rapid and on-site monitoring of this disease is urgently important to control, prevent and make awareness of public health. Recently, a lot of focus has been placed on nanomaterials and modify these nanomaterials have been explored to detect cardiac biomarkers. By implementing biosensors that are modified with novel recognition elements and more stable nanomaterials, the use of electrochemistry for point-of-care devices is more realistic every day. This review focuses on the current state of nanomaterials conjugated biorecognition elements (enzyme integrated with nanomaterials, antibody conjugated nanomaterials and aptamer conjugated nanomaterials) for electrochemical cardiovascular disease detection. Specifically, a lot of attention has been given to the trends toward more stable biosensors that have increased the potential to be used as point-of-care devices for the detection of cardiac biomarkers due to their high stability and specificity. Moreover, the recent progress on biomolecule-free electrochemical nanosensors for cardiovascular disease detection has been considered. At last, the possibility and drawbacks of some of these techniques for point-of-care cardiac device development in the future have been discussed.

Design and synthesis of nickel-doped cobalt molybdate microrods: An effective electrocatalyst for the determination of antibiotic drug ronidazole

Ronidazole (RDZ) is a veterinary antibiotic drug that has been used in animal husbandry as feed. However, improper disposal and illegal use of pharmaceuticals have severely polluted water resources. Doping/substitution of metal ions is an effective strategy to change the material's crystal phase, morphology, and electrocatalytic activity. In this work, nickel (Ni²⁺)-doped cobalt molybdate microrods (NCMO MRs) were prepared for the electrochemical detection of RDZ. The catalyst was prepared by reflux method followed by calcination at 500 °C. The prepared catalyst was confirmed by various spectroscopic and microscopic analyses. XRD and Raman spectroscopy demonstrated that the phase transition from β-CoMoO₄ to α-CoMoO₄ was achieved by Ni²⁺ doping. The SEM analysis showed that cobalt molybdate (CMO) microrods were self-assembled during Ni²⁺ doping and formed an urchin-like structure, and the average diameter of the MRs was ±50 nm. The electrocatalytic activity of the catalysts was analyzed using the CV technique. The NCMO MRs/GCE exhibited the higher current response than the pristine CMO. The electron transfer coefficient (α = 0.56) and heterogeneous rate constant (ks = 0.32 s^-1) of NCMO MRs/GCE were evaluated by kinetic studies. In addition, the diffusion coefficient of RDZ was determined to be 2.32 × 10^-5 cm²/s. Moreover, NCMO MRs/GCE exhibits a low detection limit for RDZ (15 nM) as well as a higher sensitivity (1.57 μA μM^-1 cm^-2). The fabricated RDZ sensor was successfully applied to analysis of lake and tap water samples. Based on the results, we believe that the as-prepared NCMO MRs/GCE is a viable electrode material for RDZ sensors in environmental monitoring.

Graphitic Carbon Nitride and IGZO Bio-FET for Rapid Diagnosis of Myocardial Infarction

Acute myocardial infarction (AMI), commonly known as a heart attack, is a life-threatening condition that causes millions of deaths every year. In this study, a transistor-based biosensor is developed for rapid and sensitive detection of cardiac troponin-I (cTnI), a diagnostic biomarker of AMI. A biosensing technique based on a field effect transistor (FET), which uses indium gallium zinc oxide (IGZO) as an excellent semiconducting channel, is integrated with nanosheet materials to detect cTnI. Porous carbon nitride (PCN) decorated with gold nanoparticles (Au NPs) is used as a bridge between the solid-state device and the biorecognition element. We demonstrate that this biosensor is highly sensitive and has an experimental limit of detection of 0.0066 ng/mL and a dynamic range of 0.01 ng/mL-1000 ng/mL. This is the first report of a semiconducting metal oxide FET cardiac biomarker sensor combined with PCN for the detection of cTnI. The reported compact microsystem paves the way for rapid and inexpensive detection of cardiac biomarkers.

Ruthenium and Nickel Molybdate-Decorated 2D Porous Graphitic Carbon Nitrides for Highly Sensitive Cardiac Troponin Biosensor

Two-dimensional (2D) layered materials functionalized with monometallic or bimetallic dopants are excellent materials to fabricate clinically useful biosensors. Herein, we report the synthesis of ruthenium nanoparticles (RuNPs) and nickel molybdate nanorods (NiMoO₄ NRs) functionalized porous graphitic carbon nitrides (PCN) for the fabrication of sensitive and selective biosensors for cardiac troponin I (cTn-I). A wet chemical synthesis route was designed to synthesize PCN-RuNPs and PCN-NiMoO₄ NRs. Morphological, elemental, spectroscopic, and electrochemical investigations confirmed the successful formation of these materials. PCN-RuNPs and PCN-NiMoO₄ NRs interfaces showed significantly enhanced electrochemically active surface areas, abundant sites for immobilizing bioreceptors, porosity, and excellent aptamer capturing capacity. Both PCN-RuNPs and PCN-NiMoO₄ NRs materials were used to develop cTn-I sensitive biosensors, which showed a working range of 0.1–10,000 ng/mL and LODs of 70.0 pg/mL and 50.0 pg/mL, respectively. In addition, the biosensors were highly selective and practically applicable. The functionalized 2D PCN materials are thus potential candidates to develop biosensors for detecting acute myocardial infractions.

Laser-scribed Graphene Electrodes Functionalized with Nafion/Fe3O4 Nanohybrids for the Ultrasensitive Detection of Neurotoxin Drug Clioquinol

The analysis of pharmaceutical active ingredients plays an important role in quality control and clinical trials because they have a significant physiological effect on the human body even at low concentrations. Herein, a flexible three-electrode system using laser-scribed graphene (LSG) technology, which consists of Nafion/Fe₃O₄ nanohybrids immobilized on LSG as the working electrode and LSG counter and reference electrodes on a single polyimide film, is presented. A Nafion/Fe₃O₄/LSG electrode is constructed by drop coating a solution of Nafion/Fe₃O₄, which is electrostatically self-assembled between positively charged Fe₃O₄ and negatively charged Nafion on the LSG electrode and is used for the first time to determine a neurotoxicity drug (clioquinol; CQL) in biological samples. Owing to their porous 3D structure, an enriched surface area at the active edges and polar groups (OH, COOH, and -SO₃H) in Nafion/Fe₃O₄/LSG electrodes resulted in excellent wettability to facilitate electrolyte diffusion, which gave ∼twofold enhancement in electrocatalytic activity over LSG electrodes. The experimental parameters affecting the analytical performance were investigated. The quantification of clioquinol on the Nafion/Fe₃O₄/LSG electrode surface was examined using differential pulse voltammetry and chronoamperometry techniques. The fabricated sensor displays preferable sensitivity (17.4 μA μM^-1 cm^-2), a wide linear range (1 nM to 100 μM), a very low detection limit (0.73 nM), and acceptable selectivity toward quantitative analysis of CQL. Furthermore, the reliability of the sensor was checked by CQL detection in spiked human blood serum and urine samples, and satisfactory recoveries were obtained.

'All In One' SARS-CoV-2 variant recognition platform: Machine learning-enabled point of care diagnostics

Point of care (PoC) devices are highly demanding to control current pandemic, originated from severe acute respiratory syndrome Coronavirus 2 (SARS-CoV-2). Though nucleic acid-based methods such as RT-PCR are widely available, they require sample preparation and long processing time. PoC diagnostic devices provide relatively faster and stable results. However they require further investigation to provide high accuracy and be adaptable for the new variants. In this study, laser-scribed graphene (LSG) sensors are coupled with gold nanoparticles (AuNPs) as stable promising biosensing platforms. Angiotensin Converting Enzyme 2 (ACE2), an enzymatic receptor, is chosen to be the biorecognition unit due to its high binding affinity towards spike proteins as a key-lock model. The sensor was integrated to a homemade and portable potentistat device, wirelessly connected to a smartphone having a customized application for easy operation. LODs of 5.14 and 2.09 ng/mL was achieved for S1 and S2 protein in the linear range of 1.0-200 ng/mL, respectively. Clinical study has been conducted with nasopharyngeal swabs from 63 patients having alpha (B.1.1.7), beta (B.1.351), delta (B.1.617.2) variants, patients without mutation and negative patients. A machine learning model was developed with accuracy of 99.37% for the identification of the SARS-Cov-2 variants under 1 min. With the increasing need for rapid and improved disease diagnosis and monitoring, the PoC platform proved its potential for real time monitoring by providing accurate and fast variant identification without any expertise and pre sample preparation, which is exactly what societies need in this time of pandemic.

Graphene-Based Biosensors for Molecular Chronic Inflammatory Disease Biomarker Detection

Chronic inflammatory diseases, such as cancer, diabetes mellitus, stroke, ischemic heart diseases, neurodegenerative conditions, and COVID-19 have had a high number of deaths worldwide in recent years. The accurate detection of the biomarkers for chronic inflammatory diseases can significantly improve diagnosis, as well as therapy and clinical care in patients. Graphene derivative materials (GDMs), such as pristine graphene (G), graphene oxide (GO), and reduced graphene oxide (rGO), have shown tremendous benefits for biosensing and in the development of novel biosensor devices. GDMs exhibit excellent chemical, electrical and mechanical properties, good biocompatibility, and the facility of surface modification for biomolecular recognition, opening new opportunities for simple, accurate, and sensitive detection of biomarkers. This review shows the recent advances, properties, and potentialities of GDMs for developing robust biosensors. We show the main electrochemical and optical-sensing methods based on GDMs, as well as their design and manufacture in order to integrate them into robust, wearable, remote, and smart biosensors devices. We also describe the current application of such methods and technologies for the biosensing of chronic disease biomarkers. We also describe the current application of such methods and technologies for the biosensing of chronic disease biomarkers with improved sensitivity, reaching limits of detection from the nano to atto range concentration.

3D Concentric Electrodes-Based Alternating Current Electrohydrodynamics: Design, Simulation, Fabrication, and Potential Applications for Bioassays

Two-dimensional concentric asymmetric microelectrodes play a crucial role in developing sensitive and specific biological assays using fluid micromixing generated by alternating current electrohydrodynamics (ac-EHD). This paper reports the design, simulation, fabrication, and characterization of fluid motion generated by 3D concentric microelectrodes for the first time. Electric field simulations are used to compare electric field distribution at the electrodes and to analyze its effects on microfluidic micromixing in 2D and 3D electrodes. Three-dimensional devices show higher electric field peak values, resulting in better fluid micromixing than 2D devices. As a proof of concept, we design a simple biological assay comprising specific attachment of streptavidin beads onto the biotin-modified electrodes (2D and 3D), which shows ~40% higher efficiency of capturing specific beads in the case of 3D ac-EHD device compared to the 2D device. Our results show a significant contribution toward developing 3D ac-EHD devices that can be used to create more efficient biological assays in the future.

Inherent Surface Activation of Laser-Scribed Graphene Decorated with Au and Ag Nanoparticles: Simultaneous Electrochemical Behavior toward Uric Acid and Dopamine

Laser-scribed graphene electrodes (LSGEs) have attracted great attention for the development of electrochemical (bio)sensors due to their excellent electronic properties, large surface area, and high porosity, which enhances the electrons' transfer rate. An increasing active surface area and defect sites are the quickest way to amplify the electrochemical sensing attributes of the electrodes. Here, we have found that the activation procedure coupled to the electrodeposition of metal nanoparticles resulted in a significant amplification of the active area and the analytical performance. This preliminary study is supported by the demonstration of the simultaneous electrochemical sensing of dopamine (DA) and uric acid (UA) by the electrochemically activated LSGEs (LSGE*s). Furthermore, the electrodeposition of two different metal nanoparticles, gold (Au) and silver (Ag), was performed in multiple combinations on working and reference electrodes to investigate the enhancement in the electrochemical response of LSGE*s. Current enhancements of 32, 27, and 35% were observed from LSGE* with WE:Au/RE:LSG/CE:LSGE, WE:Au/RE:Au/CE:LSGE, and WE:Au/RE:Ag/CE:LSGE, compared to the same combinations of LSGEs without any surface activation. A homemade and practical potentiostat, KAUSTat, was used in these electrochemical depositions in this study. Among all of the combinations, the surface area was increased 1.6-, 2.0-, and 1.2-fold for WE:Au/RE:LSG/CE:LSGE, WE:Au/RE:Au/CE:LSGE, and WE:Au/RE:Ag/CE:LSGE prepared from LSGE*s, respectively. To evaluate the analytical performance, DA and UA were detected simultaneously in the presence of ascorbic acid. The LODs of DA and UA are calculated to be ∼0.8 and ∼0.6 μM, respectively. Hence, this study has the potential to open new insights into new surface activation strategies with a combination of one-step nanostructured metal depositions by a custom-made potentiostat. This novel strategy could be an excellent and straightforward method to enhance the electrochemical transducer sensitivity for various electrochemical sensing applications.

Electrochemical Behavior of Three-Dimensional Cobalt Manganate with Flowerlike Structures for Effective Roxarsone Sensing

Rational design and construction of the finest electrocatalytic materials are important for improving the performance of electrochemical sensors. Spinel bioxides based on cobalt manganate (CoMn₂O₄) are of particular importance for electrochemical sensors due to their excellent catalytic performance. In this study, three-dimensional CoMn₂O₄ with the petal-free, flowerlike structure is synthesized by facile hydrothermal and calcination methods for the electrochemical sensing of roxarsone (RXS). The effect of calcination temperature on the characteristics of CoMn₂O₄ was thoroughly studied by in-depth electron microscopic, spectroscopic, and analytical methods. Compared to previous reports, CoMn₂O₄-modified screen-printed carbon electrodes display superior performance for the RXS detection, including a wide linear range (0.01-0.84 μM; 0.84-1130 μM), a low limit of detection (0.002 μM), and a high sensitivity (33.13 μA μM^-1 cm^-2). The remarkable electrocatalytic performance can be attributed to its excellent physical properties, such as good conductivity, hybrid architectures, high specific surface area, and rapid electron transportation. More significantly, the proposed electrochemical sensor presents excellent selectivity, good stability, and high reproducibility. Besides, the detection of RXS in river water samples using the CoMn₂O₄-based electrochemical sensor shows satisfactory recovery values in the range of 98.00-99.80%. This work opens a new strategy to design an electrocatalyst with the hybrid architecture for high-performance electrochemical sensing.

Rapid Point-of-Care COVID-19 Diagnosis with a Gold-Nanoarchitecture-Assisted Laser-Scribed Graphene Biosensor

The global pandemic caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) virus has revealed the urgent need for accurate, rapid, and affordable diagnostic tests for epidemic understanding and management by monitoring the population worldwide. Though current diagnostic methods including real-time polymerase chain reaction (RT-PCR) provide sensitive detection of SARS-CoV-2, they require relatively long processing time, equipped laboratory facilities, and highly skilled personnel. Laser-scribed graphene (LSG)-based biosensing platforms have gained enormous attention as miniaturized electrochemical systems, holding an enormous potential as point-of-care (POC) diagnostic tools. We describe here a miniaturized LSG-based electrochemical sensing scheme for coronavirus disease 2019 (COVID-19) diagnosis combined with three-dimensional (3D) gold nanostructures. This electrode was modified with the SARS-CoV-2 spike protein antibody following the proper surface modifications proved by X-ray photoelectron spectroscopy (XPS) and scanning electron microscopy (SEM) characterizations as well as electrochemical techniques. The system was integrated into a handheld POC detection system operated using a custom smartphone application, providing a user-friendly diagnostic platform due to its ease of operation, accessibility, and systematic data management. The analytical features of the electrochemical immunoassay were evaluated using the standard solution of S-protein in the range of 5.0-500 ng/mL with a detection limit of 2.9 ng/mL. A clinical study was carried out on 23 patient blood serum samples with successful COVID-19 diagnosis, compared to the commercial RT-PCR, antibody blood test, and enzyme-linked immunosorbent assay (ELISA) IgG and IgA test results. Our test provides faster results compared to commercial diagnostic tools and offers a promising alternative solution for next-generation POC applications.