Point-of-care (POC) SARS-CoV-2 antigen detection using functionalized aerosol jet-printed organic electrochemical transistors (OECTs)

Ready-to-Use OECT Biosensor toward Rapid and Real-Time Protein Detection in Complex Biological Environments

Organic electrochemical transistor (OECT) sensors are a promising approach for point-of-care testing (POCT) thanks to their high sensitivity and ability to operate in an aqueous environment. However, OECTs suffer from biological fouling at the gate and channel interfaces when exposed to complex biological samples. These nonspecific interactions can often obscure the weak signal from the trace biomarker, compromising the accuracy and sensitivity of measurements and even leading to false detection outcomes. In this study, we developed an intrinsically antifouling OECT by modifying both the gate and channel with phosphorylcholine-functionalized poly(3,4-ethylenedioxythiophene) (PEDOT-PC). This modification notably enhances the OECT performance by leveraging the material's inherent mixed electron-ion conductivity, which increases transconductance and decreases gate voltage. Additionally, the zwitterionic nature of the device enables its ultrasensitive detection of C-reactive protein (CRP) with a limit of detection of 0.11 pg/mL, mediated by calcium ions. This exceptional sensitivity arises from the device's enhanced transconductance and ability to sense through the gate and channel interfaces simultaneously. Furthermore, the zwitterionic OECT sensor has demonstrated the fastest sample-to-result time for protein detection (≤60 s), making it highly suitable for real-time CRP monitoring. Importantly, it provides precise real-time detection of CRP without interference from nonspecific proteins such as bovine serum albumin, fibrinogen, lysozyme, and fetal bovine serum. We envision this intrinsically antifouling OECT device offering a robust biosensing platform for the rapid and convenient detection of biomarkers in complex biological environments, providing a reliable and efficient solution for POCT diagnostics.

Stretchable semiconducting polymer aerogel transistors for high-performance biosensors and artificial synapses

Stretchable organic electrochemical transistors (OECTs) are attractive for high-performance flexible electronics. Poly(3-hexylthiophene) (P3HT) and poly[2,5-(2-octyldodecyl)-3,6-diketopyrrolopyrrole-alt-5,5-(2,5-di(thien-2-yl)thieno [3,2-b]thiophene)] (DPPDTT) are commonly used for OECTs because of their excellent semiconducting properties. However, it is challenging to achieve stretchable and high-performance OECTs based on hydrophobic P3HT and DPPDTT because of their limited ion penetration. Here, unprecedented stretchable high-performance OECTs based on P3HT and DPPDTT aerogels with crimpled porous structures are developed. They are achieved by a pre-stretching strategy combined with sol-gel and template methods. The porous structures of the aerogels with high porosities facilitate ion penetration and transport, leading to the enhanced transconductance of the aerogel-based OECTs compared with those of the dense counterparts. The crimpled porous structures endow the aerogels and OECTs with good stretchability and stretching stability. The stretchable OECT-based biosensors can detect trace amounts of ascorbic acid in complex samples such as sweat, saliva, serum, and fruit juice in real time. Besides, the OECTs can be applied as stretchable artificial synapses for neuromorphic simulation. This work provides a powerful strategy toward stretchable high-performance transistors and flexible electronics.

Advancing transistor-based point-of-care (POC) biosensors: additive manufacturing technologies and device integration strategies for real-life sensing

Infectious pathogens pose a significant threat to public health and healthcare systems, making the development of a point-of-care (POC) detection platform for their early identification a key focus in recent decades. Among the numerous biosensors developed over the years, transistor-based biosensors, particularly those incorporating nanomaterials, have emerged as promising candidates for POC detection, given their unique electronic characteristics, compact size, broad dynamic range, and real-time biological detection capabilities with limits of detection (LODs) down to zeptomolar levels. However, the translation of laboratory-based biosensors into practical applications faces two primary challenges: the cost-effective and scalable fabrication of high-quality transistor sensors and functional device integration. This review is structured into two main parts. The first part examines recent advancements in additive manufacturing technologies-namely in screen printing, inkjet printing, aerosol jet printing, and digital light processing-and evaluates their applications in the mass production of transistor-based biosensors. While additive manufacturing offers significant advantages, such as high quality, cost-effectiveness, rapid prototyping, less instrument reliance, less material waste, and adaptability to diverse surfaces, challenges related to uniformity and yield remain to be addressed before these technologies can be widely adopted for large-scale production. The second part focuses on various functional integration strategies to enhance the practical applicability of these biosensors, which is essential for their successful translation from laboratory research to commercialization. Specifically, it provides a comprehensive review of current miniaturized lab-on-a-chip systems, microfluidic manipulation, simultaneous sampling and detection, wearable implementation, and integration with the Internet of Things (IoT).

The Rising of Flexible Organic Electrochemical Transistors in Sensors and Intelligent Circuits

Flexible electronic devices in biomedicine, environmental monitoring, and brain-like computing have garnered significant attention. Among these, organic electrochemical transistors (OECTs) have been spotlighted in flexible sensors and neuromorphic circuits for their low power consumption, high signal amplification, excellent biocompatibility, chemical stability, stretchability, and flexibility. However, OECTs will also face some challenges on the way to commercialized applications, including the need for improved long-term stability, enhanced performance of N-type materials, integration with existing technologies, and cost-effective manufacturing processes. This review presents the device physics of OECTs in detail, including the evaluation of their various properties and the introduction of different configurations of the aforementioned OECTs. Subsequently, the components of this device and their roles are explained in depth, and the main ways to design and fabricate flexible OECTs are summarized. Following this, we summarize and analyze the principles and applications of OECTs for electrophysiological signal sensing, chemical sensing, biosensing, and sensor arrays. In addition, the concepts of OECT-based digital and neuromorphic circuits and their applications are presented. Finally, the paper summarizes the opportunities and challenges of OECT-based flexible electronics.

Sensors for surveillance of RNA viruses: a One Health perspective

RNA viruses, especially those capable of cross-species transmission, pose a serious threat to human, animal, and environmental health, as exemplified by the 2024 outbreak of the highly pathogenic avian influenza H5N1 virus in cattle, unpasteurised milk, and workers on dairy farms in the USA. This escalating risk of a new RNA virus pandemic highlights the urgent need to implement One Health strategies. However, the centralised virus detection systems currently in use fall short of meeting the required level of virus surveillance and infection diagnosis, particularly in resource-limited regions. In this context, the latest advancements in RNA virus-sensing technologies offer promising solutions. Through interdisciplinary collaboration, these sensors can achieve sensitivity and reliability similar to that of standard laboratory equipment and offer several advantages, such as compact size, affordability, and operational simplicity. In this Review, we highlight the latest advances in sensing technologies for detecting different biomarkers of viral infections (RNA, antigens, and antibodies). We further compare the sensing principles and performances of these technologies and discuss the possibility of deployment of these sensors in the One Health approach and the challenges expected in this pursuit. In conclusion, the widespread use of RNA virus sensors is expected to enhance the effectiveness of surveillance systems for infectious diseases.

Construction of AlGaN/GaN high-electron-mobility transistor-based biosensor for ultrasensitive detection of SARS-CoV-2 spike proteins and virions

The COVID-19 pandemic has highlighted the need for rapid and sensitive detection of SARS-CoV-2. Here, we report an ultrasensitive SARS-CoV-2 immunosensor by integration of an AlGaN/GaN high-electron-mobility transistor (HEMT) and anti-SARS-CoV-2 spike protein antibody. The AlGaN/GaN HEMT immunosensor has demonstrated the capability to detect SARS-CoV-2 spike proteins at an impressively low concentration of 10-22 M. The sensor was also applied to pseudoviruses and SARS-CoV-2 ΔN virions that display the Spike proteins with a single virion particle sensitivity. These features validate the potential of AlGaN/GaN HEMT biosensors for point of care tests targeting SARS-CoV-2. This research not only provides the first HEMT biosensing platform for ultrasensitive and label-free detection of SARS-CoV-2.

Organic Electrochemical Transistors for Biomarker Detections

The improvement of living standards and the advancement of medical technology have led to an increased focus on health among individuals. Detections of biomarkers are feasible approaches to obtaining information about health status, disease progression, and response to treatment of an individual. In recent years, organic electrochemical transistors (OECTs) have demonstrated high electrical performances and effectiveness in detecting various types of biomarkers. This review provides an overview of the working principles of OECTs and their performance in detecting multiple types of biomarkers, with a focus on the recent advances and representative applications of OECTs in wearable and implantable biomarker detections, and provides a perspective for the future development of OECT-based biomarker sensors.

Organic Mixed Ionic-Electronic Conductors for Bioelectronic Sensors: Materials and Operation Mechanisms

The field of organic mixed ionic-electronic conductors (OMIECs) has gained significant attention due to their ability to transport both electrons and ions, making them promising candidates for various applications. Initially focused on inorganic materials, the exploration of mixed conduction has expanded to organic materials, especially polymers, owing to their advantages such as solution processability, flexibility, and property tunability. OMIECs, particularly in the form of polymers, possess both electronic and ionic transport functionalities. This review provides an overview of OMIECs in various aspects covering mechanisms of charge transport including electronic transport, ionic transport, and ionic-electronic coupling, as well as conducting/semiconducting conjugated polymers and their applications in organic bioelectronics, including (multi)sensors, neuromorphic devices, and electrochromic devices. OMIECs show promise in organic bioelectronics due to their compatibility with biological systems and the ability to modulate electronic conduction and ionic transport, resembling the principles of biological systems. Organic electrochemical transistors (OECTs) based on OMIECs offer significant potential for bioelectronic applications, responding to external stimuli through modulation of ionic transport. An in-depth review of recent research achievements in organic bioelectronic applications using OMIECs, categorized based on physical and chemical stimuli as well as neuromorphic devices and circuit applications, is presented.

Electrochemical protein biosensors for disease marker detection: progress and opportunities

The development of artificial intelligence-enabled medical health care has created both opportunities and challenges for next-generation biosensor technology. Proteins are extensively used as biological macromolecular markers in disease diagnosis and the analysis of therapeutic effects. Electrochemical protein biosensors have achieved desirable specificity by using the specific antibody-antigen binding principle in immunology. However, the active centers of protein biomarkers are surrounded by a peptide matrix, which hinders charge transfer and results in insufficient sensor sensitivity. Therefore, electrode-modified materials and transducer devices have been designed to increase the sensitivity and improve the practical application prospects of electrochemical protein sensors. In this review, we summarize recent reports of electrochemical biosensors for protein biomarker detection. We highlight the latest research on electrochemical protein biosensors for the detection of cancer, viral infectious diseases, inflammation, and other diseases. The corresponding sensitive materials, transducer structures, and detection principles associated with such biosensors are also addressed generally. Finally, we present an outlook on the use of electrochemical protein biosensors for disease marker detection for the next few years.