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Zeolite-gold nanoparticle composite mediated gynecological cancer identification on interdigitated electrode
* Corresponding author: E-mail address: lz3068317@sina.com (Q. Zhou)
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Received: ,
Accepted: ,
Abstract
Gynecological cancer refers to that originating in female reproductive organs, such as the uterus, ovaries, cervix, vagina, and vulva. Early diagnosis helps to provide ideal treatment options and better outcomes. Human papillomavirus (HPV) infection is a major cause of different types of gynecological cancer, in particular ovarian and cervical cancers. This research was focused on developing a highly sensitive HPV biosensor on a nanomaterial-mediated interdigitated electrode sensor. Zeolite nanomaterial was modified on the electrode, and then gold nanoparticle (AuNP)-conjugated capture DNA was immobilized on the zeolite. AuNPs improve the captured DNA immobilization on sensing surfaces, and then a sandwich assay of capture-target-reporter DNA was conducted for Human papilloma virus-16 DNA detection. Further, to enhance the sensing, reporter DNA was attached to AuNPs for the sandwich assay and lowered the target DNA limit of detection to 1 aM on a linear regression [y = 1.3326x - 2.2747; R2 = 0.9196]. In addition, control DNAs did not show notable current changes, confirming specific target DNA identification. This HPV-16 DNA biosensor identifies the virus infection earlier and diagnoses gynecological cancer and its related issues.
Keywords
DNA biosensor
Gynecological cancer
Human papillomavirus
Interdigitated electrode
Zeolite nanomaterial

1. Introduction
Gynecological cancer is a disease of the female reproductive system. It occurs when the cells within these reproductive organs grow uncontrollably [1]. There are five major types of gynecological cancers, namely, uterine, ovarian, cervical, vulvar, and vaginal cancers [2-4]. About 100,000 women are affected by one gynecological cancer in America. Age, family history, obesity, and Human papillomavirus (HPV) infection are the most common causes of gynecological cancer [5,6]. HPV infection is one of the major reasons for gynecological cancers; it is a sexually transmitted infection affecting the human genital regions, including the cervix, vagina, anus, penis, and vulva [7]. There are about 100 different forms of HPV in humans, and 14 of those strains are known to cause cancer. Cervical, vaginal, vulvar, and anal cancers are particularly linked to HPV-16 and 18 [8-10]. More specifically, HPV-18 and HPV-16 are highly correlated with vulvar, vaginal, ovarian, endometrial, and cervical cancers [11]. Cervical cancer is the third most common malignancy in women and is associated with significant morbidity and mortality. Almost 99% of cervical cancers are linked with HPV infection [12-14]. The HPV-16 E7 gene was discovered to be associated with endometrial cancer, demonstrating that oncogenic HPV is a significant contributor to endometrial adenocarcinoma. The HPV DNA sequence was identified in 70% of endometrial tissue [15-17]. Further HPV positive DNA was found in the patients with ovarian cancer [11]. Targeting certain HPV strains helps to identify gynecological cancers and related conditions. Furthermore, monitoring the HPV infection helps prevent gynecological cancer-related issues. This study focused on developing HPV-16 E7 biosensor on a gold nanoparticle (AuNP)-mediated interdigitated electrochemical sensor.
Diagnosing diseases at their earlier stages increases the successful treatment options and survival, so it is necessary to develop a sensor that can detect the biomarkers in living organisms [18-20]. Nanomaterial application in the biomedical field is widely acceptable for various purposes, including biosensors, drug delivery, imaging, drug screening, and therapeutics [21-24]. In particular, nanotechnology shows a great advancement for developing a highly sensitive and selective biosensor to diagnose different diseases. Metal oxide nanomaterials exhibit their unique physiochemical properties at a nanoscale, and work as an excellent supercapacitor and electrocatalysts, holding a promise for improving the selectivity and sensitivity of biosensors [25-30]. In addition, nanomaterials provide excellent electrical, mechanical, and thermal properties, which enhance the functionality of biosensors [31-33]. In this HPV biosensor, two nanomaterials, namely, zeolite and AuNP, were used to enhance the detection of HPV-specific DNA.
Gold is an established material that has unique electrical and optical properties; it has thus attracted the attention of researchers. Furthermore, gold exhibits low resistance and excellent stability, which makes it a well-suited material for connecting biomolecules with signal transduction in the biosensor system [34,35]. Due to its biocompatibility and inertness, various surface modifications have been made with gold to improve sensing [36]. In this research, the capture and reporter molecules were conjugated to AuNPs for improving target HPV DNA identification. Surface functionalization of a capture molecule is a crucial part of biosensor design for improving target detection. Various studies have proven that higher and proper orientation of biomolecules on the sensing surfaces enhances the analytical performance. In most cases, chemical and physical modifications were carried out for the immobilization of antibodies, proteins, aptamers, and nucleic acids. But this type of modification changes the orientation of biomolecules upon immobilization on sensing surfaces and sometimes negatively attracts other biomolecules, leading to a false-positive result. Researchers have recently focused on nanomaterials for surface functionalization to improve biosensing performance. In this research, two nanomaterials, namely zeolite and AuNPs, were utilized for the efficient immobilization of capture DNA on IDE. To enhance the capture immobilization, DNA was first conjugated with AuNP and then attached to the sensing surfaces. In this process, several DNA molecules can be attached to a single AuNP. When this AuNP-DNA was attached to the sensor, it automatically increased DNA molecules on the sensing surface. Further, to increase the current transduction during hybridization of DNA, the electrode surface was modified with zeolite nanomaterial. Research has proven that zeolite improves the electric current upon biomolecular interactions on the sensing surface. Besides, zeolites provide a better arrangement of AuNP-DNA on the electrode, which helps to increase the hybridization and lower the detection limit [37-39]. Zeolite-modified surfaces were utilized for the identification of proteins and the diagnosis of different diseases. It is combined with other nanomaterials and diagnosing cancers such as cervical and colon cancers. In this work, zeolite was combined with AUNP to develop an HPV biosensor. An interdigitated electrode (IDE) modified by zeolite was utilized to improve the immobilization of AuNP-capture DNA and enhance the current flow upon hybridization with capture and target DNA. Further increment with the sensing performances, the reporter probe was also conjugated to AuNP and performed a sandwich approach to lower the detection limit of HPV-16 DNA.
2. Materials and Methods
2.1. Reagents and biomolecules
(3-Aminopropyl)triethoxysilane (APTES), PEG-COOH, Phosphate buffer saline (PBS; pH 7.4) was ordered from Sigma Aldrich, USA. Aluminium oxide, positive photoresist, ethanol, and resists developer were bought from Futurrex, Inc. The following HPV-16 sequences were synthesized commercially as per the previous reports [40]. Capture DNA: 5′-SH-C6-GAGGAGGAGGATGAAATAGATGGT-3′ or 5′-COOH-C6-GAGGAGGAGGATGAAATAGATGGT-3′; Target DNA: 5′-ACACTTGCAACAAAAGGTTACAATATTGTAATGGGCTCTGTCCGGTTCTGCTTGTCCAGCTGGACCATCTATTTCATCCTCCTCCTC-3′; Reporter: 5′-GTAACCTTTTGTTGCAAGTGT-C6-SH-3′. Zeolite nanomaterials were synthesized from coal mine fly ash (collected from a Thermal power plant, Tamil Nadu, India) by using a sol-gel method as described previously [37]. The base material of sodium aluminosilicate was extracted from the fly ash by using alkaline extraction and converted into zeolite by using the sol-gel method. Both zeolite and AuNP were observed under scanning electron microscopy (FESEM, Hitachi, S-4300 SE, Japan) at 15 kV and 10 WD. Besides, atomic force microscopy observation was demonstrated the resolution at nanoscale by using beam deflection detection of the devices.
2.2. Fabrication of interdigitated electrode
IDE was fabricated with a base substrate of a silicon wafer by using the traditional wet etching technique as described previously [41]. The proper electrode length, gap size, and thickness were adjusted using the AutoCAD software. At first, the buffered oxide etchant was used to clean the silicon substrate, and then silicon dioxide (SiO2) was grown on the wafer by using the oxidation process (1 h at 500°C). On the SiO2, aluminum was deposited using a thermal evaporator. Spin-coating was further utilized to coat the positive photoresist (1 min at 90°C) on the aluminum layer. Using ultraviolet light exposure, a pattern from the mask was transferred to the positive photoresist, and then the electrode was hard baked at 110°C for 1 min. To eliminate the uncovered area, the electrode was submerged in the photoresist developer and the aluminum etching solution. Finally, distilled water and acetone were used to clean the electrode, and the IDE is ready for further surface functionalization.
2.3. AuNP-DNA conjugation
The conjugation of AuNP-DNA was prepared by using a thiol-linker. A 30 nM of (5 µL) thiolated capture DNA was mixed with 25 µL of AuNP and kept for 30 min. The AuNP-DNA conjugation was rinsed with distilled water and recovered by centrifugation at a speed of 10000 x g for 10 min. Similarly, the other capture DNA concentrations (60, 120, 250, 500, and 1000 nM) were also conjugated with AuNP to identify a suitable capture DNA concentration. The same method was used to conjugate AuNP with a reporter DNA. The constant concentration of 500 nM of reporter DNA was used to conjugate AuNP and create a sandwich pattern.
2.4. Capture DNA immobilization on IDE with/without AuNP
Capture DNA was attached to the IDE through an APTES-zeolite linker. IDE was first immersed in potassium chloride (1%) for the hydroxylation process (5 min) and then rinsed the IDE with distilled water. Further, zeolite-APTES (1 mg/mL; [38]) was added to the IDE and kept for 3 h, followed by washing with diluted ethanol. Besides, different concentrations (60 to 1000 nM) of 5 µL of AuNP-capture DNA were added, and the responses of the current were recorded. For another experiment, capture DNA (60-1000 nM) without AuNP (COOH-capture DNA) was added on zeolite-APTES modified IDE, and the current responses were compared. Then, 5 µL of the sample was used for all the surface functionalization, and 10 µL of PBS was used to rinse the surface after each immobilization.
2.5. Comparison detection of HPV-16 DNA with and without GNP
To improve the target DNA identification, AuNP-conjugated capture DNA was used for HPV-16 DNA detection. Briefly, 5 µL of capture DNA was immobilized on the zeolite-modified IDE (kept for 30 min), and then 1 mg/mL of PEG-COOH was added to the surface and rested for 30 min. After that, the target DNA with a concentration of 1 fM was added to the electrode and then waited for 30 min to allow the interaction of the target DNA with the capture DNA. A 5 µL sample was used for each experiment, and the electrode was washed with 10 reaction volumes of PBS before record the current responses. The same experiment was conducted with AuNP-conjugated capture DNA with the same concentration for comparison.
2.6. Sandwich identification of HPV-16 target DNA
On the capture DNA-target attached IDE, reporter DNA was added to make a sandwich strategy of capture-target-reporter DNA. For this experiment, 1 fM of target DNA was introduced on the optimized capture DNA (500 nM) attached to IDE, and then 500 nM of reporter DNA was added; the current response was recorded. To enhance the detection, the same experiment was performed with 500 nM of reporter DNA conjugated with AuNP. The current responses with and without GNP-conjugated reporter DNA were compared. In this HPV sensor, PEG-COOH was added after the capture DNA attachment to block the excess spaces on the electrode. A 5 µL sample was used for each experiment, and the electrode was washed with 10 reaction volumes of PBS before record the current responses.
2.7. Limit of detection of target DNA
To identify the limit of detection, target DNA with different dilutions was tested with a sandwich detection. The following steps are involved in the HPV-DNA detection. (i) IDE was dipped in KOH (1%) for 5 min; (ii) APTES-zeolite (1 mg/mL diluted in ethanol) was introduced and rested for 2 h; (iii) Optimized capture DNA-AuNP (diluted in PBS) conjugation was added and rested for 30 min: (iv) 1 mg/mL of PEG-COOH was added for 30 min; (v) Target DNA (1 aM to 1 pM) or target DNA-AuNP was added and kept for 30 min. The electrode was rinsed with 10 µL of PBS, and then the current-voltage graph was monitored to observe the hybridization.
2.8. Specific HPV-16 DNA identification
To identify a selective target DNA, three different experiments were conducted with control molecules on the capture-target DNA modified IDE. 1 pM of non-complementary sequence of target DNA, single- and triple-mismatch target DNAs were used for control experiments. One picomolar of these three DNAs was added to the capture DNA (500 nM) modified IDE instead of the target DNA, and then 500 nM of reporter DNA was added. After rinsing the electrode with PBS, the current-voltage graph was recorded and compared with the specific target DNA identification.
3. Results and Discussion
Diagnosing and monitoring gynecological cancers with suitable biomarkers is mandatory to control disease progression and improve patient outcomes. HPV-16 E7 type is responsible for most gynecological cancers, and monitoring the level of HPV-16 helps to identify the gynecological cancer and its related issues. Herein, HPV-16 sandwich sensing with capture and reporter DNAs was developed for quantifying the HPV-16 target DNA. Figure 1 shows the schematic illustration for HPV-16 biosensing on a nanomaterial-modified IDE. IDE was initially hydroxylated with KOH, and then APTES-zeolite was added. The intactness and uniformity of zeolite and AuNP were observed under scanning electron microscopy and atomic force microscopy. Besides, it is apprarent that the observed particles are at the nanoscale size. (Figures 2a-d). AuNP-capture probe was further added, and then the excess IDE was covered with PEG-COOH. After that, HPV-16 target DNA was added and then sandwiched by a reporter DNA conjugated with AuNP. In this HPV sensor, each functionalization is carefully conducted to improve the target and capture DNA hybridization. Before the zeolite modification, the hydroxylated surface with KOH highly improves the APTES-zeolite attachment. Furthermore, capture DNA-conjugated with AuNP increases the capture DNA numbers on IDE. On the surface of a single AuNP, higher numbers of AuNPs were attached, which increased the amount of capture DNA on the IDE. In addition, zeolite was covered with APTES, which also attracts a higher AuNP-DNA. This strategy of combining zeolite and AuNP for capture DNA immobilization on IDE helps to enhance the DNA-DNA complementation. Further improving the current responses, reporter DNA was conjugated with AuNP and performed a sandwich-based analysis with capture-target-reporter DNAs. Apart from that, the hybridization of the target with capture and reporter DNA changes the charges on the surface of IDE and increases the flow of current, which serves as a foundation of the proposed detection system.

- Schematic illustration of HPV-16 biosensor on nanomaterial-modified IDE. IDE was initially dipped in KOH and then APTES-zeolite was added. AuNP-capture probe was further added followed by PEG-COOH. After that, HPV-16 target DNA was added and then sandwiched with reporter DNA-AuNP.

- Morphological observation. (a) Observation of Zeolite under scanning electron microscopy. (b) Zeolite under atomic force microscopy. (c) Observation of AuNP under scanning electron microscopy. (d) AuNP under atomic force microscopy.
3.1. Comparison of capture DNA immobilization on IDE with/without AuNP
Capture probe immobilization is a crucial part and plays a major role in improving the HPV biosensor. Various research has proved that higher and organized immobilization of detection molecules on the sensing surface improves the target identification. Nanomaterial-mediated biomolecular immobilization helps to enhance the process with lower level of signal to noise ratio. In this study, zeolite and AuNP were used to immobilize the capture DNA on IDE, and the obtained result was compared with no AuNP. Figure 3(a) shows the capture DNA immobilization without AuNP, the current level of bare IDE was 9.44 E-19 A, after modified with APTES-zeolite, current was changed to 1.38 E-08 A, which indicates the surface was modified with zeolite nanomaterial. On the surface, different concentrations of COOH-capture DNA were added. The current responses were clearly increased with increasing DNA concentrations. A 60 and 120 nM of DNA shows a gradual increment of current responses; 250 nM of DNA shows the drastic current changes and then stabilized the increment. From 500 nM of capture DNA, the current responses seem saturated, indicating that there is no space on the IDE surface for the binding of capture DNA. In a second experiment, the same experiment was conducted with AuNP-conjugated capture DNA. As shown in Figure 3(b), 60 nM of capture DNA shows higher responses than the previous experiment without AuNP. In all the concentrations of capture DNA, the current responses were higher when capture DNA conjugated with AuNP and saturated at 500 nM (Figure 4a). This was due to the higher DNA attached on the AuNP and increased its number on the sensing surfaces. Various research has proven that nanomaterial modified biomolecules are more stable and increase their numbers on the sensing electrode. Apart from that these nanomaterials improve the electric flow upon hybridization of DNAs on the electrode. Current research used nanomaterials (zeolite and AuNP), they play an important role for increasing capturing DNA immobilization on IDE. On the surface of AuNP, higher capture DNA was immobilized, which increases its number on zeolite-modified IDE. In addition, zeolite and AuNP provides a better arrangement of capture DNA and helps to improve the detection of target DNA.

- Capture probe immobilization (a) Without AuNP, (b) With AuNP. In both cases the current responses were increased when increase the capture DNA load.

- (a) Comparison of capture probe immobilization. In all the target DNA, the current level was higher when capture DNA was conjugated with AuNP and it was saturated from 500 nM Comparison detection. (b) HPV-16 target DNA detection by capture DNA without AuNP (only capture DNA).
3.2. Comparison on detection of HPV-16 target DNA by capture DNA
Target DNA for HPV-16 was detected by the immobilized capture DNA. Figure 4(b) shows the target DNA identification with and without immobilization of AuNP on capture DNA. As shown in figure, after the capture DNA attachment, IDE was blocked with PEG-COOH, there is a negligible current change noticed. After that, 1 fM of target DNA was introduced, current was changed from 1.08 E-07 A to 5.98 E-07 A, which confirmed the capture and target DNA hybridization. In another experiment, the same 1 fM of target DNA was detected with capture DNA-AuNP. As shown in Figure 5(a), the current response was increased from 2.8 E-07 A to 7.82 E-07 A. It was noticed that higher current response with AuNP conjugated capture DNA due to higher capture DNA immobilization on IDE assisted by AuNP. Without AuNP, limited capture DNA was attached on amine-modified zeolite and limited its interaction with target DNA. Previously research was done with DNA aptamer-conjugated gold nanorod improved the aptamer attachment on sensing electrode and improves cortisol detection with electrochemical sensor [42]. In the current research, added the zeolite nanomaterial with AuNP for improving the surface functionalization and electric flow. When capture DNA was attached on the surface of AuNP, number of capture DNA was increased on zeolite-modified IDE, attracts higher number of target DNA and increases the current flow.

- (a) HPV-16 target DNA detection by capture DNA with AuNP. Higher current response was noted with AuNP conjugated capture DNA. (b) Target DNA detection comparison with and without reported DNA-AuNP. 1 fM of target DNA detection with and without the conjugation of AuNP with reporter DNA. AuNP conjugated reporter DNA shows the higher current responses for the same concentration of target DNA.
3.3. Effect of reporter DNA-AuNP conjugation for the detection of target DNA
To improve the current responses for HPV-16 sensor, the sandwich strategy of capture-target-reporter DNA was performed. Reporter DNA was conjugated with AuNP and dropped on the capture-target DNA immobilized IDE. Figure 5(b) shows 1 fM of target DNA detection with and without conjugation of AuNP to reporter DNA. As shown in figure, the AuNP conjugated reporter DNA shows the higher current responses for the same concentration of target DNA. This was due to the increment of reporter DNA complementation on target DNA through AuNP. In both cases, capture and reporter DNA modified with AuNP increases the stability of DNA and improves the detection of target DNA.
Since AuNP conjugated reporter DNA shows the higher current responses for the target DNA identification, the target DNA was diluted from 1 aM to 1 pM and performed the sandwich assay with capture and reporter DNA conjugated with AuNP. As shown in Figure 6(a), 1 aM of target DNA increases the current responses from 7.82 E-07 to 8.66 E-07 A, which confirms the sandwich assay of capture-target-reporter DNA. Further increase the target DNA to 10 aM, 100 aM, 1 fM, 10 fM, 100 fM, and 1 pM, current also increased to 1.39 E-06 A, 1.79 E-06 A, 2.69 E-06 A, 4.49 E-06 A, 6.9 E-06 A, and 8.73 E-06 A, respectively. 1, 10, and 100 of capture DNA shows the gradual increment of current responses was recorded, while it increasing drastically from 1 fM (Figure 6b). The difference of the response of current was calculated and plotted in a linear regression line and calculated the detection limit of HPV-16 target DNA to 10 aM with an R2 value of 0.9196 (Figure 7a). This lower level of limit of detection was achieved through the surface functionalization of nanomaterials, namely zeolite and AuNP.

- (a) Target DNA detection by sandwich strategy. Target DNA was diluted from 1 aM to 1 pM and performed the sandwich. Clear increment on current responses was noted for all the target DNA concentrations. (b) Current response of target DNA detection. When increase the concentration of target DNA concentrations, level of current responses were increased.

- (a) Linear regression analysis. The difference in the response of current was calculated and plotted, and the detection limit of HPV-16 target DNA to 1 aM with an R2 value of 0.9196. (b) Target DNA-specific detection was performed with the sample containing control DNAs. There are no noticeable current changes with the control samples, confirming the specific target DNA of HPV-16 identification.
3.4. Specific detection of target DNA from the mixed DNA samples
The sample containing single and triple mismatched and non-complementary DNAs was used to validate target DNA specific detection. The target DNA was substituted with 1 pM of each of these three DNAs, and the current reactions were noted for comparison. Figure 7(b) illustrates that the control samples do not exhibit any discernible current responses, showing the specific target DNA of HPV-16 identification. In any sensor, reducing biofouling is mandatory to enhance the specific detection of target molecule. Since several sensors involving the chemical, physical, or electrostatic interactions for immobilizing capture molecules may cause the nonspecific binding of the target molecule and leading to a false positive result. To reduce that, a blocking agent was used to improve the specific interaction of biomolecules. With surface functionalization in this study, amine-modified zeolite was used to immobilize the capture DNA. In general, amine surfaces easily attract other biomolecules non-specifically through electrostatic interactions, which leads to a false-positive. To reduce that, the herein used PEG-COOH is used as the blocking molecule to suppress the biofouling. PEG-COOH binds to the free amine surfaces and prevents the binding of target DNA or reported DNA on the amine-modified IDE surfaces. So, all the controlled molecules did not show current responses compared with the specific hybridization of target DNA with capture and reporter DNA.
4. Conclusions
Gynecological cancer originates from the reproductive organs, such as uterine, ovaries, cervical, vaginal, and vulvar. Early identification of this cancer helps to provide ideal treatment options and a better outcome. HPV infection is a major reason for different types of gynecological cancer, so that HPV biosensor was developed here for diagnosing gynecological cancer on zeolite nanomaterial-modified IDE. Zeolite was seeded on IDE through amine modification, then capture, reporter DNAs were conjugated with AuNP, and enhanced the detection through capture-target-reporter DNA-based sandwich pattern. A higher number of capture DNA was achieved on the zeolite-modified electrode through an amine-linker. On these surfaces, target DNA was added and sandwiched by reporter DNA. The AuNP-conjugated capture and reporter DNA enhances the current flow and improves the detection of target DNA. This zeolite and AuNP-mediated biosensor identified target DNA as low as 1 aM. Furthermore, control DNAs such as single-, triple-mismatched sequences did not show current increment, confirming the specific target DNA identification. This HPV-16 DNA biosensor identifies HPV infection earlier and helps to diagnose gynecological cancer.
Acknowledgment
Xi’an International Medical Center Hospital, Youth project (No. :2020QN010). Lanzhou Science and Technology Development Guiding Plan Project (No. :2022-ZD-63).
CRediT authorship contribution statement
Qian Zhu: Data curation, Formal analysis, Investigation, Writing original draft preparation, Writing-Reviewing and Editing. Qingyun Zhou: Conceptualization, Formal analysis, Methodology, Funding acquisition, Project administration, Resources, Writing-Reviewing and Editing. Thangavel Lakshmipriya, Subash C.B. Gopinath: Formal analysis, Validation, Visualization, Writing-Reviewing and Editing. Hemavathi Krishnan: Formal analysis, Writing-Reviewing and Editing. All are read and agreed with the content of manuscript.
Declaration of competing interest
There are no conflicts of interest.
Use of artificial intelligence (AI)-assisted technology for manuscript preparation
The authors confirm that there was no use of artificial intelligence (AI)-assisted technology for assisting in the writing or editing of the manuscript and no images were manipulated using AI.
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