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Co-profiling of exosomal proteins and microRNAs using single microbead confinement for breast cancer diagnosis.

Created on 07 Sep 2026

Authors

Zhiheng Luo, Pengbo Zhang, Mou Li, Xuejian Cui, Zixuan Liu, Baoshui Zhang, Hao Wang, Fangfang Wang, Tian Qiu, Zhengping Li

Published in

Biosensors & bioelectronics. Volume 314. Pages 119196. Sep 04, 2026. Epub Sep 04, 2026.

Abstract

Tumor-derived exosomes (TEXs) hold immense promise as biomarkers for cancer diagnosis, but sensitive and accurate identification is hindered by their intrinsic heterogeneity and extreme scarcity. Co-profiling of exosomal protein and microRNA (miRNA) at the single-molecule level may greatly enhance the precision of cancer diagnosis and prognosis. Herein, we present a single microbead-confined dual-mode detection system that selectively captures TEXs for concurrent quantification of protein and miRNA biomarkers. Exosomal proteins are quantified by measuring fluorescence signal concentrated on a single microbead-based enrichment platform. After on-bead lysis, individual miRNA is recognized by the two peptide nucleic acids (PNAs) to form a strict one-to-one correspondence with the intense light-scattering signal of gold nanoparticles (AuNPs), enabling single-molecule counting analysis. Through comprehensive profiling, a panel of four conjoint biomarkers achieve the highest diagnostic accuracy of 98.33%, outperforming any individual markers or alternative combinations. Importantly, this is the first demonstration of a universal PNA modification strategy that harnesses a DNA mediator to prevent AuNPs self-aggregation. This platform can also be adapted to other cancers by simply changing the aptamers and PNAs to target corresponding biomarkers, showing significant potential for advancing exosome-based liquid biopsies and accelerating the development of next-generation clinical diagnostic tools.

PMID:
42702176
Bibliographic data and abstract were imported from PubMed on 07 Sep 2026.

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