DNA Based Biosensor in Diagnosis: A Review

The advent of fast and easy DNA testing has given the space for the Science to develop small and easy-to-handle equipments called Biosensors. DNA based biosensors have been proven very useful and are accorded with much importance in detecting the target genes responsible for diseases. This article enlists different types of biosensors, their basic principle of operating system, the preparation of DNA microarrays, lab-on-a-chip and their role in diseases diagnosis. DNA biosensors provide swift, sensitive, selective, simple and economical detection of DNA hybridization. New strategies for DNA biosensor are enumerated and are used meticulously in recent trends and for future directions. Carbon nanotubes (CNTs) amplify the electrochemical signal when used with DNA hybridization. Electrochemical, piezoelectric, SPR, optical DNA biosensors are used to detect various viruses like hepatitis virus, HCMV, HIV, orthopox virus etc. and also for the diagnosis of various diseases like cancer, tuberculosis, COPD, genetic diseases (sickle cell anemia i.e. due to single point gene mutation), cystic fibrosis, diabetes etc. The methodologies of detecting such diseases using different types of DNA based biosensors and gene chips are described in this article. PCR free DNA chips, cell- omic sensors and nanosensor are emerging tools in the field of diagnosis. Recent advances in developing such devices provide myriads of new opportunities for DNA diagnostics.

Introduction

A rapidly developing area of biotechnology arousing intense scientist interest is that of biosensor. Biosensor has become popular in the field of food analysis [1], bioterrorism [3], environmental [2-3] and in the area of human health monitoring and diagnostics [4-6]. Recent advances are being mad in all areas of biosensors technology. Presently, most fascinating and prospective sensors are immunosensors based on affinity reactions between antibody and antigens and DNA biosensors based on the hybridization between DNA probes and their complementary DNA strands.

In general, biosensor is an analytical device which employs biological recognition properties for a selective analysis. Such sensors combine a biological element with a physiochemical transducer for the electronic signal output which is proportional to the concentration of analytes [7].

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A basic biosensor assembly includes a biological element, transducer and detector. The sensing material may be antibodies, enzymes, whole cell or nucleic acids that form a recognition layer which is integrated with the transducer via immobilization by cross linking, adsorption or covalent binding. Transducers may be amperometric (measuring the current at constant potential) [8], potentiometric (measuring the potential at constant current) [9], piezoelectric (measuring the changes in mass), thermal (measuring the changes in temperature) [10] or optical (detects changes in transmission of light) [11]. The interaction between the analyte and the biological material, used in biosensors may be of two types: a) Bioaffinity sensors: depend on the selective and specific attachment of the target molecule to the surface-attached ligand partner (e.g. antibodies, nucleic acids).

b) Biocatalytic sensors: an immobilized enzyme is used as a tool to recognize the target substrate (sensor strips with immobilized glucose oxidase used for personal monitoring of diabetes). A number of steps, much labor, time and costly instruments are required in usual analytical technique whereas biosensors are economical, fast and simple and can be used in small laboratories and hospitals of remote areas which are devoid of sophisticated instruments facilities.

DNA Biosensors

Nucleic acid recognition process is the basis of DNA Biosensors. These are being developed with a rapid pace with an ambition for inexpensive testing for genetic and infectious disease and for detecting DNA damage and interactions. The study of gene polymorphisms and the analysis of gene sequences play a fundamental role in rapid detection of genetic mutations, opens up new opportunities for reliable diagnosis even before any symptoms of a disease appear. Thus recent advances in developing such devices offer the opportunities for DNA diagnostics.

DNA biosensors are made by immobilizing single stranded (ss) DNA probes on different transducers for measuring the hybridization between the DNA probes and their complementary DNA strands [12-13].

The current methods to identify specific DNA sequence in Biological samples depends on the isolation of double stranded (ds) DNA and further polymerase chain reaction (PCR) to amplify the target sequence of DNA. The PCR product is then subjected to electrophoresis or adsorbed onto a suitable membrane and exposed to a solution containing DNA probe.

Surface Chemistry and Biochemistry

The immobilization of DNA probe onto the transducer plays an important role in the performance of the DNA Biosensor. It should be in well-defined probe orientation and should be readily accessible to the target. The mode of immobilization is the determining factor for the type of environment of probes that are immobilized at the solid surface. On the basis of nature of physical transducer, various schemes can be opted for the DNA probe’s attachment to the surface such as thiolated DNA utilisation for self binding onto gold transducers, the formation of a complex by the use of biotylated DNA with a surface-confined strepavidin or avidin, covalent binding to the gold surface through functional alkanethiol-based monolayer and coupling covalently (carbodiimide) to the functional groups on carbon electrodes or adsorption onto carbon surfaces.

Introduction of peptide nucleic acid (PNA) has paved way for many exciting and new opportunities to DNA biosensors. Peptide Nucleic Acid is a DNA mimic, the only difference is that the sugar-phosphate bone is replaced by a pseudo-peptide one. Like use of surface-confined PNA recognition layers provides remarkable sequence specificity on DNA biosensors and offers other advantages.

DNA dendrimers may also be utilized for imparting extreme sensitivity onto DNA Biosensors. By shape, these are tree-like superstructures which possess numerous ss arms that are able to hybridize to their complementary DNA sequence. The immobilization of these dendritic nucleic acids onto physical transducer gives an amplified response [14].

Recent advances in the field of biomolecular techniques may be used to design new generation miniaturized biosensor.

Types of DNA based Biosensors

1. Optical

Type

• Fiber optics

Biological Element

• Laser Interferometry

Transducer

• DNA

Advantages

• Optical fiber
• Highly sensitive

Disadvantages

• Expensive equipment and not portable
• turbidity interference

2. Electrochemical

Type

• Potentiometric

Biological Element

• Conductometric

Transducer

• Amperometric
• DNA

Advantages

• Carbon paste electrodes
• Cheap, Fast

Limitations

• Interference of highly buffered solution

3. Piezoelectric

Type

• DNA

Biological Element

• Quartz Crystals

Advantages

• highly sensitive, Fast

4. DNA chips

DNA

Quantitative

Optical DNA based Biosensor

Optical methods are the most commonly used for the detection of analytes. DNA optical biosensors are based on a fiber optic which transduces the emission signal to a fluorescent label and that can carry light from one region to another through a series of internal inflections.

The methodology of fiber-optic DNA bio-sensors involves placing of a single stranded DNA probe at the ending-site of fiber and assessing the fluorescent changes resulting from the combination of a fluorescent indicator with the double stranded DNA hybrid [15 – 16].

The first DNA optical bio-sensors were developed by Krull and Co workers using fluorescent indicator ethidium bromide. A fiber-optic DNA sensor array was developed by Watts group for the detection of multiple DNA sequences at one time [17]. The hybridization of fluorescent labeled complementary oligonucleotides was assessed by observing the increase in fluorescence. A real label free optical detection of DNA hybridization can be offered by a different type of optical transduction based on evanescent wave devices. The different types of optical biosensors include:

1.1 Surface Plasmon Resonance (SPR)

It is a quantum optical electrical phenomenon based on the interaction of light with metal surface. Only at specific resonance wavelength of light, the energy carried by photons of light is transferred to packets of electrons (photons) on a metal surface [17].

These biosensors depend on change in surface optical properties (change in resonance angle because of alteration in interfacial refractive index) which results from the surface binding reaction. Thus, these devices integrate the simplicity of SPR with the sensitivity and specificity of wave guiding devices. The SPR signal that is expressed in resonance units is therefore a measure of mass concentration at the senor chip surface [18-20].

1.2 Molecular Beacons (MBs)

MBs are oligonucleotides possessing a stem and loop structure that are labeled with a quencher at one end and a fluorophore on the other end of the stem that converts into fluorescent upon hybridization. MB probes possess high sensitivity and specificity and direct monitoring capability. A biotinylated molecular beacon probe was developed to prepare a DNA sensor using a bridge structure. MB was biotinylated at quencher site of the stem and linked on a glass through streptavidin that act as a bridge between MB and glass matrix. The fluorescence change was measured by confirmation change of MB in the presence of complementary target DNA [21-23].

Quantum – Dot

It is an ultra sensitive nanosensor based on fluorescence resonance energy transfer (FREET) that can detect very low concentration of DNA. In these neon sensors, quantum dots (QDs) are linked to specific DNA probes to capture target DNA. The target DNA strand binds to a fluorescent dye (Fluorophore) labeled reporter strand and thus forming FREET donor – acceptor assembly. Quantum dot also functions as target concentrator as well as FREET energy donor [24]. DNA nanosensor contains two target specific DNA probes i.e. reporter and capture probe. The reporter probe is labeled with fluorophore whereas capture probe is labeled with biotin that binds with streptavidin conjugated with QD [25]. The fluorophore acceptor and QD donor in close proximity produce fluorescence from acceptor by means of FREET on illumination of the donor. The presence of target DNA is indicated by the detection of acceptor emission. The un-hybridized probe does not give fluorescence. The CdSe – Zns core shell nanocrystal can be used as donor and Cy5 (fluorophore) as acceptor for developing QD based DNA nanosensors [25].

For this type of optical bio sensors fluorescent dyes used as standard labels are very expensive and can rapidly photo bleach. An alternate used is chemiluncinscence format, which overcomes the use of fluorescent dyes.

A Fiber-optic DNA biosensor array

A new method of preparing the fiber-optic DNA biosensor and its array for the simultaneous detection of multiple genes is described. The optical fibers were made into fiber-optic DNA biosensors by adsorbing and immobilizing the oligonucleotide probe on its end but were first treated with poly-l-lysine. The fiber-optic DNA biosensor array was well prepared by assembling the fiber-optic DNA biosensors in a bundle in which each fiber carried a different DNA probe. Hybridization of fluorescent- labeled cDNA of Rb1 gene, N-ras gene and Rb1 p53 gene to the DNA array was monitored CCD camera. A good result was achieved [61].

2. Electrochemical DNA Bio sensors

These are very useful devices for sequence specific biosensing of DNA. The inherent miniaturization of such devices and advance micro fabrication technology make them excellent tool to diagnose DNA. DNA hybridization is detected electrochemically by monitoring the current response at fixed potential. Detection of hybridization is also commonly done through the increased current of a redox indicator or from other changes induced by hybridization in electrochemical parameters such as capacitance or conductivity [26-28].

The discovery of carbon nano tubes (CNTs) plays an important role in development of electrochemical DNA sensors. Various CNT based electrochemical are developed because the combination of unique electrical, thermal, chemical, mechanical and 3-D spatial properties of CNTs with DNA hybridization offers the possibility of creating DNA bio sensors with specificity, simplicity, high sensitivity and multiplexing. Two major groups in which CNTs divided are – single walled CNTs (SWCNTs) that are comprised of a single graphite sheet rolled with a tube and multi walled CNTs (MWCNTs) that are concentric & closed graphite tubes [29].

CNT enables immobilization of DNA molecules and also used as powerful amplifier to amplify signal transduction of hybridization [30]. Two types are generally used to immobilize the CNT on electrodes – aligned and non-aligned.

Two approaches are generally used for the immobilization of bio molecules onto CNTs that are non covalent attachment (physical absorption) and covalent binding (some cross linker agents (1-ethyl – 3-3 dimethylaminopropyl) carbodilimide hydrochloride (EDC)/N-hydroxysuccinimide (NHS)] or affinity binding (avidin – biotin interaction).

CNT also act as novel indicator of hybridization. The application of arrayed CNT into DNA chip requires small amount of sample and development of CNT base biosensor has an important role in DNA based diagnostics in hospitals or at home [30]. Various methods are used for immobilizations step i.e. for attaching the DNA probe onto the solid surface that are – (a) the use of thiolated DNA probe for self assembled monolayers (SEM) onto gold transducers by covalently bonding to the gold surface through functional alkanethiol based monolayers.(b) Attachment of biotinylated DNA probe through biotin avidin interaction on electrode surface for e.g. avidin modified polyaniline electro chemically deposited onto a Pt disc electrode for direct detection of E. Coli by immobility a 5′ biotin labeled probe using a differential pulse Voltametric technique in the presence of methylene blue as an DNA hybridization indicator [31,32]. The electrochemical DNA biosensors may be labeled free and labeled based.

Label Free

In this direct detection technique the target molecule does not need to be labeled [27]. The elimination of labeling steps simplifies the readout the speed and ease of nucleic acid assays. Thus recently increased attention has been accorded to new label free electrochemical detection schemes. There is a possibility in exploiting the changes in DNA’s intrinsic electroactivity (Guanine oxidation peak of hybridization). To deal with the drawbacks of the probe sequences i.e. absence of G, guanines were substituted by inosine residues (pairing with C) and detection of hybridization was done through the target DNA guanine signal. The change in the guanine oxidation and intrinsic DNA redox signals detects the chemical and physical damage [33].

Label Based

In label based electrochemical biosensor specific organic dyes, enzymes or metal complexes are used for hybridization detection. Redox active molecules such as methylene blue, dacinomycin that is inserted between the dsDNA and gives signal which is used for detecting hybridization [26] (e.g. of two commercialized DNA chips based on redox active molecules are eSensor TM produced by Motorola life sciences [34], Inc. and Genlyser TM by Toshiba)[35].

Piezoelectric DNA Biosensor

These are the mass sensitive devices rely on quartz crystal that oscillate at a defined frequency when oscillation voltage is applied. Increased attention has been given to piezoelectric method due to their simplicity, cost, sensitivity and real time label free detection. The quartz crystal microbalance is an extremely sensitive piezoelectric device that monitors the hybridization events. These biosensors DNA probe is immobilized on the surface of oscillation crystal. The increased mass due to hybridization reaction results in change in oscillating frequency [36-37].

A Piezoelectric sensor for determination of genetically modified soyabean roundup ready [RR soyabean] by immobilizing probe related to 5-enolpyrllvylshikimate 3-phosphate synthase (EPSPS) gene onto gold piezoelectrodes [38].

For detecting a point mutation in a human gene (apolipoprotein-E polymorphism) a combination of DNA piezoelectric biosensor and PCR was developed by immobilizing biotinylated probe on the streptavidin coated gold surface of quartz crystal. The hybridization probes with complementary, non-complementary and mismatched DNA of synthetic as well as amplified PCR samples from human blood DNA was taken out and the device was able to distinguish polymorphism [39].

Colorimetric or Strip type DNA sensor

Using these sensors the direct detection of DNA hybridization is possible [40-42]. The dry-reagent strip type biosensor has been developed for visual detection of double stranded DNA within a short time [43]. Oligonucleotides conjugated gold particle is used as probe. The main advantage of these biosensors is not requiring any instruments, multiple incubation and washing steps.

Integral part of strip consists of gold particles, with oligo (dT) attached to their surface. Biotinylated PCR products are hybridized with poly (dA) tailed oligo, switched to the top of strip and immersed in the appropriate buffer. With the migration of buffer in upward direction, the nanoparticles that are linked through target DNA through poly (dA/dT) hybridization are rehydrated. Immobilized streptavidin then capture the hybrid in the controlled zone of the strip. The test is 8-10 times more sensitive than ethidium bromide in agarose gel electrophoresis. The detection limit is abysmally low of 2 fmol of amplified DNA products.

DNA Biochips

Microarrays, DNA arrays, gene chips or biochips are same terminology often being intermixed. DNA microarrays are small, solid supports which themselves are usually microscopic slides, but can also be silicon chips or nylon membranes onto which the sequences from thousands of different genes are immobilized, or attached, at fixed locations. The DNA may be spotted, or synthesized directly onto the support. DNA microarrays detect the change in gene expression levels, genomic gained and losses, mutations in DNA and infectious agents, diagnosis of genetic diseases, drug screening or forensic analysis.

Developing the methods for detecting target hybridization, designing probe arrays, data analysis and reconstructing the target sequence are required for successful implementation of DNA chip technology. Such array technology thus forms the basis of integration of molecular biology, surface and analytical chemistry, advanced micro fabrication, robotics, software and automation.

In this technique, RNA extracted from two samples are labeled with two different fluorochromes (generally the green cyanine 3 and the red cyanine 5 (Cy3, Cy5)) before being hybridized to a biochip consisting of large numbers of cDNAs/oligonucleotides arranged orderly onto a glass microscopic slide. After hybridization, a scanner records excitation of the two fluorochromes at given wavelengths and the intensity of the fluorescence emission signals that is proportional to transcript levels in the biological samples. The data is analyzed using specific software that enables clustering of genes with similar expression patterns, with the assumption that they share common biological functions [33, 44].

A new ultrasensitive electronic sensor has been developed by Singapore scientists that would speed up effectively DNA testing for disease diagnosis and biological research. The novel electronic sensor array would be faster, accurate and cost-efficient. Excellent sensitivity has been shown by the Nanogap Sensor Array in detecting the trace amounts of DNA. By saving time and cutting expenses, newly developed Nanogap Sensor Array offers a scalable and viable alternative for DNA testing. The presence of DNA is translated into an electrical signal by biosensor for computer analysis. The distinctively and meticulously designed sensor chip has the ability to detect DNA efficiently. The novel vertical nanostructure design and two different surfaces of the sensor allow ultrasensitive detection of DNA [45].

Lab-on-a-chip (LOC)

Lab Chip is a device which involves preparation of sample and detection of DNA array. The objective of this technology is to integrate multiple processes, including collection of sample and pretreatment of it with the DNA extraction, hybridization and detection, on single self-contained microchip i.e. on a microfluidic platform. The capability to do all the processes on a single chip merits excellent advantages in terms of cost, speed, efficacy, effectiveness, contamination, sample consumption and automation. Laboratory transportation to the source of sample will be enabled by such miniaturization of analytical instrumentation. The development of these credit-card sized microlaboratories is commonly based on latest micromachining and microfabrication technologies, utilizing processes well known in the manufacture of electronic circuitry [14].

Cell-omic sensors

Cell based detection systems can be combined with the microarray probes generating the hybrid arrays of cells within arrays of DNA/protein probs. This allows multiparameters analysis [46].

Applications of DNA Biosensors

Biosensors plays a distinguished role in the field of environmental quality, food analysis, study of biomolecules and their interactions, drug development, crime detection, medical diagnosis, quality control, industrial process control, detection system for biological warfare agents, manufacturing of pharmaceuticals and replacement organs. The applications of DNA biosensor can be classified into three broad categories: sequencing, mutation detection and matching detection [47]. Their main use is for diseases diagnosis. Numerous diseases can be diagnosed and variety of infectious agents can be detected using DNA biosensors.

1. Viral diseases

By DNA microarrays

Either viral detection were being carried by immunological techniques (i.e. use of enzyme-linked immunosorbent assays (ELISAs) for the detection of circulating virus-specific antibodies) or PCR – based techniques (i.e. reverse transcriptase (RT) – PCR is used to detect the presence of specific viral genes). Both these approaches possess some limitations. Immunological tests need specific antisera and the production of antisera is laborious and time-consuming task whereas PCR is prone to failure in its ability to identify multiple viruses simultaneously [48]. Therefore, recent advances in DNA and protein microarray methodology fulfill the need of a rapid and sensitive detection of viral infections (also identify multiple viruses in parallel).

DNA microarrays for viral analysis can be divided into – viral chips and host chips. Each not only detects and identifies but also monitor the viral populations.

In 1999, the first viral DNA microarray for the temporal profiling of viral (human cytomegalovirus, HCMV) gene expression was described. Viral replication or de novo protein synthesis was blocked by treatment of infected cells with cycloheximide or ganciclovir and then the expression profiles of viral genes was generated using microarray. Using this approach, the HCMV genes were classified to immediate-early, early or late expression classes, on the basis of their expression profile in response to the drug treatments. This can be used as an identifying hybridization signature for the molecular staging of an infection [49].

Orthopoxvirus causes smallpox and has two subtypes – variola major and variola minor, of differing pathogenicity. This problem of orthopoxvirus subtype discrimination was solved by producing an array capable of correctly identifying the four of the orthopoxvirus species by laassri etal. [50].

HIV genotyping was done using chip technology [51]. A unique signature that is derived from viral is provided by viral chips.

Host chip is used for examining the host response i.e. changes in host gene expression. This provides a molecular signature of infection. Cummings and Relman exposed an idea of host chips [52].

Van’t wout etal. examined HIV – 1 infection in CD4+ T-cells to detect changes in host gene expression that were specific to HIV infection [53].

Proinflammatory genes and genes involved in endoplasmic reticulum stress pathways, cell cycle, and apoptosis were the host gene signatures identified.

Detection of hepatitis B virus

Hepatitis B virus (HBV) is one of the causative agents of viral hepatitis which is leading cause of liver cancer. Infection of HBV is a public health menace for worldwide resulting acute and chronic clinical consequences. Acute HBV infection may lead to liver failure or may progress to chronic liver disease. Some chronically infected individuals may subsequently suffer cirrhosis and liver failure or develop hepatocellular carcinoma. Effective antiviral therapy may inhibit or retard the progression to severe liver disease.

By DNA optical biosensor

Bacterial alkaline phosphatase (phoA) gene and hepatitis B virus (HBV) DNA were used as target DNA. For capturing the target gene onto streptavidin – coated magnetic beads, a biotinylated DNA probe was used. A calf intestine alkaline phosphatase – labeled DNA probe was used for subsequent enzymatic chemiluminescence’s detection. The detection cycle was less than 30 min, excluding the DNA hybridization time that was about 100 min. at fematomole or picogramme levels both phoA gene and HBV DNA could be detected. No response signal was obtained when in sample target DNA did not exist [54].

By Piezoelectric DNA biosensor

HBV nucleic acid probe was immobilized onto the coated gold surface of quartz crystal using polyethyleneimine adhesion, glutaraldehyde cross-linking (PEI-Glu) method or the physical adsorption method. Better results were obtained with the coated crystal with the PEI – Glu method to immobilized HBV nucleic acid probe than physical adsorption method with respect to sensitivity, reproducibility and stability. With the hybridization reaction, the mass is increasing that resulted change in oscillating frequency. The frequency shifts of hybridization have better linear relationship with the amount of HBV DNA, when the amount was in range of 0.02-0.14 microgram/ml [55].

By electrochemical DNA biosensor

An electrochemical DNA biosensor that is a glassy carbon electrode (GCE) modified with label free21mer single-stranded (ss) oligonucleotides (related to hepatitis B virus sequence) via covalent immobilization. [Cu(dmp)(H2O)Cl2] (dmp = 2,9-dimethyl-1,10-phenanthroline) is used as an electrochemical indicator. The method is simple, economical and allows the accumulation of copper complex within the DNA layer. Cyclic voltammetry and differential pulse voltammetry were used for electrochemical detection. The detection of hybridization is accomplished by using [Cu(dmp)(H2O)Cl2], where electroactivity and strong association with the immobilized dsDNA segment lead to significantly enhanced voltammetric signal.

The differential pulse voltammograms for the cathodic signals of [Cu(dmp)(H2O)Cl2] at a bare GCE, and at ss- and dsDNA-modified GCEs are also recorded. The peak currents of [Cu(dmp)(H2O)Cl2] increased in the order of bare GCE, ssDNA/GCE, and dsDNA/GCE. After hybridization process, a greater peak current was observed from dsDNA/GCE than at ssDNA/GCE, because that more [Cu(dmp)(H2O)Cl2] molecules are concentrated or bound to dsDNA helix than to ssDNA. Thus, [Cu(dmp)(H2O)Cl2] can be used as an electroactive indicator for recognition of the surface hybridization process.

The sensitivity of the electrochemical hybridization assay was investigated by varying the target oligonucleotides concentration. The different current value obtained in the DPV response of [Cu(dmp)(H2O)Cl2] after hybridization of probe with target is recorded with three repetitive measurements. The current response at about 0.485V increased in proportion to the amount of the target sequence used [56].

Detection of hepatitis C 3a virus

An electrochemical DNA biosensor i.e. a gold electrode modified with a monolayer of a peptide nucleic acid probe and 6-mercapto-1-hexanol was used that depends on covalent binding of the14-mer PNA probe (related to the HCV genotype 3a (pHCV3a) core/E1 region) onto the electrode. This self-assembled PNA could selectively hybridize with a complementary sequence in solution to give dsPNA-DNA on the surface, and this increases the peak current of methylene blue (MB) which is used for detecting target DNA sequence. Diagnostic performance of the biosensor is described and the detection limit was found to be 5.7 Ã- 10−11 M with a relative standard deviation of 1.4% in phosphate buffer solution, pH 7.0. This sensor exhibits high reproducibility and could be used to detect the target DNA for seven times after the regeneration process [57].

Cystic fibrosis

Mikkelsen’s team, pioneered the utilization of redox indicators, demonstrated utility of electrochemical DNA biosensor for detecting the cystic fibrosis F508 deletion sequence which is associated with 70% of cystic fibrosis patients. For the 4000-base DNA fragment, 1.8 fmol was the detection limit in relation to a Co(bpy)33+ indicator. High selectivity for the disease sequence (not for normal DNA) was accomplished by doing the hybridization at high (43°C) temperature [14].

3. Diabetes

Diabetes is a worldwide public health problem. The diagnosis and management of diabetes requires a tight monitoring of blood glucose levels. Thus millions of diabetics test their blood glucose levels daily by making glucose the most commonly tested analyte. The challenge is to provide such reliable and tight glycemic control. Electrochemical biosensors for glucose thus play a leading role. Amperometric enzyme electrodes, based on glucose oxidase (GOx) bound to electrode transducers, have thus been found the subject of substantial research [58].

Glucose sensors are commonly used to measure the blood glucose level of diabetes patients. Using the latest DNA chip technology, many scientists at Diabetes Center have discovered the implication of new gene in the cause of type 2 diabetes. They created an abnormality in one of these genes known as ARNT (aryl hydrocarbon receptor nuclear translocator gene which is a member of a family of transcription factors) in mice and the mice developed changes in insulin secretion which were same as in patients with type 2 diabetes.

The ARNT is required for the development of normal embryo. It is also related to responses to hypoxic stress condition and certain environmental toxins, such as dioxin and thus for integrating genetic and environmental insults it is present at specific potential sites. The expression of many other genes in the cell is regulated by transcription factors like ARNT and thus they are the master regulators of cellular functions.

The first use of DNA chips has been represented by this study,