Simultaneous quantitation of cytokeratin-19 fragment and carcinoembryonic antigen in human serum via quantum dot-doped nanoparticles

Abstract A novel quantum dot-doped polystyrene nanoparticles-based lateral flow test strips (QPs-LFTS) system was developed to simultaneously detect a cytokeratin-19 fragment (CYFRA 21-1) and carcinoembryonic antigen (CEA) in human serum to aid the diagnosis and prognosis of lung cancer. Quantum dot-doped carboxylate-functionalized polystyrene nanoparticles (QPs) were prepared and introduced as fluorescent reporters in QPs-LFTS. The detection was based on a sandwich immunoassay and performed on lateral flow test strips, with an assay time of 15 min. The strips were read by a fluorescence strip reader to obtain the fluorescence peak heights of the test lines (H T ) and the control line (H C ). The ratio of H T /H C was used for quantitation. The QPs showed excellent photoproperties and good performance. Under optimal conditions, the QPs-LFTS system exhibited a wide linear range for CYFRA 21-1 (1.3–480 ng/mL) and CEA (2.8–680 ng/mL). The detection limits for CYFRA 21-1 and CEA were 0.16 and 0.35 ng/mL, respectively. The recovery and reproducibility of the method were satisfactory. Furthermore, excellent correlations ( n =120, R 2 =0.9862, P n =70, R 2 =0.9509, P