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sensors

Article A Reliable BioFET Immunosensor for Detection of p53 Tumour Suppressor in Physiological-Like Environment

Chiara Baldacchini 1 , Antonino Francesco Montanarella 1, Luca Francioso 2, Maria Assunta Signore 2, Salvatore Cannistraro 1,* and Anna Rita Bizzarri 1

1 Biophysics and Nanoscience Centre, DEB, Università degli Studi della Tuscia, 01100 Viterbo, Italy; [email protected] (C.B.); [email protected] (A.F.M.); [email protected] (A.R.B.) 2 CNR-IMM Institute for Microelectronics and Microsystems, Via Monteroni, University Campus, Bld. A/3, 73100 Lecce, Italy; [email protected] (L.F.); [email protected] (M.A.S.) * Correspondence: [email protected]

 Received: 28 September 2020; Accepted: 5 November 2020; Published: 8 November 2020 

Abstract: The concentration of wild-type tumour suppressor p53wt in cells and has a clinical significance for early diagnosis of some types of cancer. We developed a disposable, label-free, field-effect transistor-based immunosensor (BioFET), able to detect p53wt in physiological buffer solutions, over a wide concentration range. Microfabricated, high-purity gold electrodes were used as single-use extended gates (EG), which avoid direct interaction between the transistor gate and the biological solution. Debye screening, which normally hampers target charge effect on the FET gate potential and, consequently, on the registered FET drain-source current, at physiological ionic strength, was overcome by incorporating a biomolecule-permeable polymer layer on the EG electrode surface. Determination of an unknown p53wt concentration was obtained by calibrating the variation of the FET threshold voltage versus the target molecule concentration in buffer solution, with a sensitivity of 1.5 0.2 mV/decade. The BioFET specificity was assessed by control experiments with proteins ± that may unspecifically bind at the EG surface, while 100pM p53wt concentration was established as limit of detection. This work paves the way for fast and highly sensitive tools for p53wt detection in physiological fluids, which deserve much interest in early cancer diagnosis and prognosis.

Keywords: p53; EGFET; immunosensors; BioFET

1. Introduction The transcription factor p53 is considered the most important tumour suppressor for its pivotal role in many cellular processes inducing a number of genes implicated in DNA repair, cell-cycle arrest and apoptosis [1,2]. More than half of human cancers harbour p53 mutations, this reducing wild-type p53 (p53wt) concentration in cells and extracellular physiological fluids in patients with cancer, with respect to the standard nanomolar range characterizing healthy tissues [3,4]. On the other side, high concentrations of p53wt protein in blood have been correlated to asbestosis, cancer of lungs and mesothelioma, even many years before the malignancy became clinically overt [5–7]. Thus, p53wt concentration in cells and blood deserves a clinical significance for the early diagnosis of many important diseases. As a consequence, a variety of techniques have been proposed for p53wt protein assay, including, but not limited to, colorimetry, chemiluminescence, electrochemiluminescence, immunochromatography, enzyme-linked immunosorbent assays (ELISA), surface-enhanced Raman spectroscopy (SERS), surface plasmon resonance (SPR), electrochemistry, standard and field-effect transistor (FET) based amperometry [3,4,8–15].

Sensors 2020, 20, 6364; doi:10.3390/s20216364 www.mdpi.com/journal/sensors Sensors 2020, 20, 6364 2 of 14

In the last years, among various analytical methods, biosensing based on FET technology (also known as BioFET) has drawn the attention of the scientific community for its outstanding properties, both on the basis of sensing performance (i.e., sensitivity, specificity and fast response to target concentration) and of the effective cost and possibility of mass production thanks to semiconductor technology [16,17]. Most importantly, BioFET sensors would overcome issues related to target structural modifications by label introduction, which, in turn, could affect the recognition ability. Finally, BioFET does not need any optical devices for readout, with significant reduction of the biosensor dimensions. In a FET device, the current flow between two suitably polarized terminals (drain and source electrodes), embedded in a semiconductor substrate, is finely modulated by the potential of a third element, the gate electrode. In BioFET, the gate electrode is in contact with an solution in which a stable reference electrode is placed to set the gate surface potential constant. The gate surface is suitably biofunctionalized with receptor molecules that can specifically recognize and capture the target molecules in the solution. If the target molecules are endowed with a net charge, which depends on both their isoelectric point (pI) and the solution pH, capturing of the charged targets onto the FET gate surface results into a variation of its potential due to the charge variation that, in turn, affects the measurable drain-source current [18]. Therefore, a correlation between such a current and the target concentration would allow an unknown concentration in solution to be determined. Although huge efforts have been devoted to the implementation of commercial BioFET, two main drawbacks have limited, up to date, the development of low-cost and disposable devices. The first originates from the presence of species in physiological solutions that hinder the target charge to affect the gate surface potential, above the so-called Debye screening length. This length characterizes the charge screening in under the Debye–Hückel model, and mainly depends on the working solution temperature and ionic strength [17,19,20]. In physiological solutions and ambient temperatures, the Debye screening length is in the order of one nanometer. Since the biomolecules involved in biorecognition processes at the basis of target molecule capture may largely exceed this length, a drastic electrostatic screening of the target charges may occur, with minimal or no effect on the gate surface potential [21]. Buffer dilution reduces the ionic strength of the solution and extends the Debye length; however, this can cause severe issues such as instability of the biomolecules in solution, or reduced affinity of the capturing–target molecule interaction [17]. Nevertheless, it is worth noting that, in some cases, biosensing by means of BioFET has been reported well beyond the Debye length, in high ionic strength solutions, and this has been attributed to the formation of a Donnan equilibrium within the adsorbed target layer, which modifies the charge distribution at the interface, affecting either the interface capacitance [22] or the surface potential [19]. However, a series of loopholes emerged to overcome the Debye screening adverse effect in physiological solutions, which were based on the use of short receptors, such as [23], or nanostructured gate electrodes, such as silicon nanowires or carbon nanotubes [24,25]. Also, a particular sensing layer based on long chain of polyethylene glycol (PEG) polymer has been successfully implemented to extend the Debye length [26–28], thanks to a newly induced Donnan equilibrium [29]. A second drawback is related to the coupling difficulties arising when a semiconducting electronic device (FET) is to be employed in a wet environment. Accordingly, a new device design (EGFET) has been proposed, in which the FET gate is extended through a suitable conductive electrode, the so-called extended gate (EG) [28,30,31]. In such a configuration, a suitably microfabricated electrode, whose upper part can be functionalized with target-capturing molecules, is exposed to the target-containing solution, while the other side of this electrode is placed in contact with the internal FET gate terminal. In such a way, the charge variation effect occurring upon biorecognition is transmitted to the FET gate, resulting analogously in the Ids variation. Then, contamination of the FET silicon die is avoided and the FET can be reused, while the disposable EG can be removed after the measurement. Sensors 2020, 20, 6364 3 of 14

Sensors 2020, 20, x 3 of 13

In this paper, we present a label-free EGFET immunosensor for the detection of p53wt, In this paper, we present a label-free EGFET immunosensor for the detection of p53wt, which which benefits from both the extended-gate configuration, in terms of disposability and low-cost benefits from both the extended-gate configuration, in terms of disposability and low-cost production, and the introduction of a suitable PEG layer for the enhancement of the device sensitivity production, and the introduction of a suitable PEG layer for the enhancement of the device sensitivity as due to an extended Debye length. Such a BioFET design allowed us to reach a limit of detection as due to an extended Debye length. Such a BioFET design allowed us to reach a limit of detection (LOD) of 100 pM for p53wt in physiological solutions at room temperature. The BioFET detection (LOD) of 100 pM for p53wt in physiological solutions at room temperature. The BioFET detection range spans over three orders of magnitude (0.1–10 nM), with a sensitivity of 1.5 0.2 mV/decade. range spans over three orders of magnitude (0.1–10 nM), with a sensitivity of 1.5 ± 0.2± mV/decade. AllAll these these features features make make the the proposed proposed biosensorbiosensor particularly suitable suitable for for the the assays assays of ofp53 p53wt atwt theat the concentrationconcentration range range expected expected in cancer in cancer cells withcells p53with gene p53 mutation gene mutation (0.1 nM), (0.1 as well nM), at concentrationsas well at expectedconcentrations in healthy expected cells (1 in nM), healthy and cells beyond. (1 nM), and beyond.

2. Materials2. Materials and and Methods Methods

2.1.2.1. Experimental Experimental Setup Setup ToTo reduce reduce the the FET-to-EGFET-to-EG distance, distance, contact contact resistances resistances and ambient and ambient noise, a noise, commercial a commercial zero- zero-thresholdthreshold n-type n-type metal metal oxide oxide semiconductor semiconductor field-effect field-e transistorffect transistor (MOSFET; (MOSFET; ALD110900A ALD110900A from fromAdvanced Advanced Linear Linear Devices Devices Inc., Sunnyvale, Inc., Sunnyvale, CA, USA) CA, was USA) integrated was integrated in a printed in a circuit printed board circuit (PCB) board (PCB)with with a socket a socket for forconnecting connecting the thesensor sensor chip chip (which (which contains contains the thegold gold EG EGand and two two pseudoreference pseudoreference electrodes,electrodes, see see next next Section Section 2.2 2.2)) and and plugsplugs forfor wiringwiring the the probe probe station station (Figur (Figuree 1a).1a). The The sensor sensor chip chip waswas vertically vertically immersed immersed in in a a custom custom fluidfluid cell, together with with a acommercial commercial bulky bulky Ag/AgCl Ag/AgCl reference reference electrodeelectrode (DriRef-2, (DriRef-2, World World Precision Precision Instruments Instruments Ltd, Hitchin, UK). UK). The The fluid fluid cell cell had had the the dimensions dimensions 3 of 1.0of 1.0 0.5× 0.5 ×3.5 3.5 cm cm3,, and and itit waswas fittedfitted intointo a heavy plastic plastic support support during during measurements, measurements, to ensure to ensure × × stabilitystability and and avoid avoid mechanical mechanical noise. noise. At At a heighta height of of 1.5 1.5 cm cm from from the the bottom bottom of of the the fluid fluid cell, cell, a laterala lateral hole hole allowed the injection of the target solutions into the cell during measurements. The maximum allowed the injection of the target solutions into the cell during measurements. The maximum capacity capacity of the cuvette was 600 μL. The experimental measurements were carried out by a Keithley of the cuvette was 600 µL. The experimental measurements were carried out by a Keithley 2636B 2636B (Tektronix, Beaverton, OR, USA), which have a sensitivity in the fA range for current (Tektronix, Beaverton, OR, USA), which have a sensitivity in the fA range for current measurements measurements and μV range for potential measurements. Two source-meter units (SMUs) of the µ andKeithleyV range apparatus for potential were measurements.used. The SMU1 Two applied source-meter the voltage units between (SMUs) the of drain the Keithley and the apparatussource were used. The SMU1 applied the voltage between the drain and the source electrodes (V ), which electrodes (Vds), which was kept constant at 100 mV for all the experiments, and measuredds the wascorresponding kept constant current at 100 flow mV for(Ids). all The the SMU2 experiments, applied a and potential measured bias (V theref) correspondingto the reference currentelectrode flow (Idsin). solution. The SMU2 applied a potential bias (Vref) to the reference electrode in solution.

2 FigureFigure 1. 1.(a )(a The) The sensor sensor chip chip (10 (10 ×40 40mm mm outerouter dimensions), dimensions), with with the the extended-gate extended-gate gold gold electrode electrode 2 × (sensing(sensing area area 20 20 mm mm)2) and and two two Ag Ag/AgCl/AgCl pseudoreferencespseudoreferences (dar (darkk semicircular semicircular area area around around the thegold gold sensingsensing area), area), connected connected to theto home-madethe home-made printed printe circuitd circuit board, board, where where the commercial the commercial n-type n-type MOSFET ALD110900AMOSFET ALD110900A is plugged inis andplugged four in plugs and four are availableplugs are toavailable connect to the connect printed the circuit printed board circuit (PCB) board with the source-meter units (SMUs). (b) Sketch of the process of the sensor chip.

Sensors 2020, 20, 6364 4 of 14

2.2. Sensing Chip Microfabrication The sensing chip was microfabricated through the procedure shown in Figure1b, in order to have the gold EG and two Ag/AgCl pseudoreference electrodes on the same silicon chip. The manufacturing procedure was carried on thermal oxidized (100) 4” silicon wafers (n-type) accurately cleaned with an acetone and 2-propanol ultrasonic bath for 15 min and then rinsed in deionised water, followed by hotplate dehydration at 120 ◦C for 600 s. A single layer of AZ5214 reversal image (negative tone) photoresist (MicroChemicals GmbH, Ulm, Germany) about 1.4 µm-thick was dispensed on the silicon substrate and soft-baked at 110 ◦C for 50 s. The patterning of the photoresist was realized by 365 nm optical lithography process in hard contact mode with a Karl Suss MA6 (Suss Microtec, Waterbury Center, VT, USA) tool. The photoresist layer was exposed with a 5” quartz mask with chromium patterns for the realization of the working electrode; after reversal image procedure completion (for AZ5214), the sample was dipped into AZ326 developer to remove soluble photoresist areas. In order to completely remove photoresist residuals from silicon exposed surface and guarantee highly reproducible subsequent etching process, a final five-second spray step with AZ326 developer was added to standard procedure. After photolithographic steps, a Cr/Au thin film (5 nm/200 nm) was deposited by e-beam evaporation, followed by lift-off to pattern the working electrode and the contact paths for reference electrodes (see process graphic Figure1). A second lithography step with the same recipe was performed for the deposition of the silver reference electrodes, completed by a 300 nm silver deposition by e-beam evaporator. After the fabrication of all electrodes, the wafer was fully passivated by 400 nm of ultra-low residual stress (+50 MPa) PECVD silicon nitride, deposited at 350 ◦C. A final photolithography process allows to selectively etch the silicon nitride layer by Inductively Coupled Plasma process with a SF6/O2 mixture to expose working and reference electrodes to the solution. A final measurement of the gold working electrode before and after the plasma process, confirms the average final roughness of about 5 nm. Figure1 also shows the fabricated electrode with two embedded pseudoreference electrodes around the circular working electrode. The electrochemical chloridation of the silver electrodes to Ag/AgCl was performed in 1% NaCl aqueous solution with an applied DC current density of 0.003 mA/mm2 for 90 s, followed by multiple rinses in deionized water. These Ag/AgCl microfabricated pseudoreference electrodes were introduced in the sensing chip design to improve the compactness of the experimental setup; this deserving interest in connection with the developing of future devices. However, preliminary, careful experiments conducted by using these electrodes to set the gate potential to a fixed value, evidenced a tension offset with respect to the bulky commercial electrode (see previous Section 2.1) of about 100 20 mV. Therefore, in order to provide ± experimental results comparable with those reported in the literature with the same MOSFET working also in liquid environment [32], we decided to conduct experiments by using a bulky commercial electrode as reference electrode.

2.3. Extended-Gate Electrode Surface Biofunctionalization

Prior to functionalization, the EG gold electrode was cleaned with H2O2 (Merck Millipore, Darmstadt, Germany) under (UV) light for 30 min, according to the so-called liquid-based peroxide-mediated UV-photooxidation (liquid-UVPO) technique [33]). Then, it was rinsed with deionized water and dried with nitrogen. The biofunctionalization procedure (Figure2) was performed essentially in agreement with that reported by Tarasov and coworkers [28]. It consists of four steps, each one separated by the following by rinsing the EG surface with phosphate-buffered saline (PBS) 1X (147 mM) solution at pH 7.4 for 15 min, to remove unbound molecules, successive rinsing with filtered (0.2 µm filtering membrane pore size) deionized water, and drying by pure nitrogen. First, the EG electrode was incubated with a mixed solution of SH-PEG-COOH (0.5 kDa; Biochempeg, Watertown, MA, USA), and SH-PEG (10 kDa; Merck Millipore), at a concentration ratio of 40 µM to 2 µM, respectively, in PBS 1X solution at pH 7.4, for one hour at room temperature. Furtherly, it was incubated with N-ethyl-N0-(3-(dimethylamino) propyl) carbodiimide (EDC) and N-hydroxysuccinimide (NHS), both purchased from GE Healthcare (Uppsala, Sweden), at 0.4 M/0.1 M SensorsSensors2020 2020, 20, 20, 6364, x 55 of of 14 13

hydroxysuccinimide (NHS), both purchased from GE Healthcare (Uppsala, Sweden), at 0,4 M/0,1 M ratioratio inin PBS PBS 1X 1X solution solution at at pH pH 7.4, 7.4, for for 20 20 min min at at room room temperature. temperature. Then,Then, thethe EGEG electrodeelectrode waswas incubatedincubated overnight overnight at at 4 4◦ °CC with with the the target-capturing target-capturing p53 p53 antibody (mouse (mouse monoclonal monoclonalanti-p53wt, anti-p53wt, PAb1620PAb1620 clone clone antibody; antibody; Merck Merck Millipore) Millipore) atat aa concentration concentration ofof 1313 nMnM inin PBSPBS 1X1X solutionsolution atat pHpH 7.4.7.4. Finally,Finally, to to avoid avoid nonspecific nonspecific binding, binding, thethe unbound unbound sitessites onon thethe electrode electrode surfacesurface werewere blockedblocked byby incubatingincubating it it with with a 1a mg 1 /mg/mLmL bovine bovine serum serum albumin albumin (BSA; (BSA; Merck Merck Millipore) Millipore) solution solution in PBS 1X in solution PBS 1X atsolution pH 7.4 forat pH one 7.4 hour for atone room hour temperature. at room temperature.

FigureFigure 2. 2.Main Main stepssteps ofof goldgold extended-gateextended-gate electrode electrode biofunctionalization biofunctionalization procedure procedure (not (not to to scale). scale).

2.4.2.4. BiosensingBiosensing ExperimentsExperiments AllAll thethe biosensingbiosensing experimentsexperiments werewere performedperformed byby usingusing PBSPBS 100100 mMmM solutionsolution atat pHpH 8.08.0 asas workingworking bu buffer.ffer. The The ionic ionic strength strength of of the the working working bu bufferffer was was chosen chosen to mimicto mimic the the screening screening length length of physiologicalof physiological solutions solutions [26], while[26], thewhile pH valuethe pH was value selected was somewhat selected highersomewhat than thehigher physiological than the one (7.4), in order to increase the net charge of the p53wt target molecules. Indeed, p53wt (Genscript, physiological one (7.4), in order to increase the net charge of the p53wt target molecules. Indeed, p53wt Piscataway,(Genscript, NJ,Piscataway, USA) has NJ, a pI USA) of 6.3 has in its a unphosphorilatedpI of 6.3 in its unphosphorilated state [15], and thus state it [15], will bearand athus negative it will netbear charge a negative at pH net 8.0 [charge17]. Due at topH the 8.0 geometry [17]. Due of to the the EG geometry sensing areaof the (circular EG sensing gold area (circular on the top gold of µ thearea sensor on the chip top in of Figure the sensor1a) and chip of the in fluidFigure cell, 1a) the and starting of the bu fluidffer cell, volume the wasstarting set atbuffer 350 L,volume to ensure was theset completeat 350 μL, immersion to ensure the of thecomplete EG electrode immersion area. of The the electrolyteEG electrode solution area. The was electrolyte not purged solution to remove was dissolvednot purged oxygen to andremove was exposeddissolved to theoxygen atmosphere and was during exposed the measurements. to the atmosphere during the measurements.Each biosensing experiment consisted of three steps: (i) the BioFET transfer curve (Ids–Vref curve) was acquired by measuring the MOSFET I as a function of V , as applied by the reference electrode, Each biosensing experiment consistedds of three steps: (i) refthe BioFET transfer curve (Ids–Vref curve) while it is dipped in the electrolyte solution; (ii) I at constant both V (100 mV) and V (400 mV) was acquired by measuring the MOSFET Ids as a functionds of Vref, as appliedds by the referenceref electrode, was consecutively measured, until a stable was reached; (iii) I at constant V (100 mV) and while it is dipped in the electrolyte solution; (ii) Ids at constant bothds Vds (100 mV) andds Vref (400 mV) V (400 mV) was consecutively measured while small volumes (20 µL) at increasing concentrations of wasref consecutively measured, until a stable signal was reached; (iii) Ids at constant Vds (100 mV) and p53wt were added by pipetting into the fluid cell (the same working buffer was used, in order to avoid Vref (400 mV) was consecutively measured while small volumes (20 μL) at increasing concentrations current responses as a result of change in pH or ionic strength in the electrolyte [34]). of p53wt were added by pipetting into the fluid cell (the same working buffer was used, in order to avoidTransfer current curves responses from nineas a result different of experimentschange in pH were or ionic used strength to calculate in the the electrolyte average curves. [34]). Per each testedTransfer p53wt concentration, curves from nine five different different experiments biosensing experimentswere used to werecalculate carrier the out.average Data curves. analysis, Per plotting and fitting were performed by using the Microcalc OriginPro 8.5 software product (OriginLab each tested p53wt concentration, five different biosensing experiments were carrier out. Data analysis, Corporation,plotting and Northampton, fitting were MA,performed USA). by using the Microcalc OriginPro 8.5 software product (OriginLab Corporation, Northampton, MA, USA). 3. Results and Discussion

3.1.3. Results BioFET and Transfer Discussion Characteristics

3.1. FigureBioFET3 Transfershows the Characteristics average transfer curve I ds–Vref of the BioFET as obtained when the EG electrode is functionalized with p53wt specific antibody (black curve). For comparison, the average transfer curve obtainedFigure with 3 bareshows gold the EG average surface transfer is also showncurve (redIds–V curve).ref of the The BioFET slope inas theobtained linear regimewhen the of theEG electrode is functionalized with p53wt specific antibody (black curve). For comparison, the average single transfer curves, corresponding to the gm transconductance [17]), has been obtained by a linear fit oftransfer the curves curve in obtained the 300–500 with mV bare range. gold The EG obtained surface is average also shown values (red are curve).(70.5 The2.7) slope10 6inA the/V when linear ± × − theregime EG electrode of the single is clean, transfer and (79.6 curves,1.2) corresponding10 6 A/V when to itthe is biofunctionalized.gm transconductance[17]), has been ± × −

Sensors 2020, 20, x 6 of 13 obtained by a linear fit of the curves in the 300–500 mV range. The obtained average values are (70.5 ± 2.7) × 10−6 A/V when the EG electrode is clean, and (79.6 ± 1.2) × 10−6 A/V when it is biofunctionalized. The threshold voltages (Vth) of the transfer curves have been obtained by applying a linear extrapolation method [35], as shown in Figure 3 (inset). Their average values are (+160 ± 30) mV for clean gold EG electrode, and (−70 ± 40) mV for biofunctionalized gold EG electrode. These deviations from the zero-threshold which characterizes the commercial n-type MOSFET used, could be attributed to a combination of three possible effects: (i) the presence of the electrical double layer (EDL) which is formed in the electrolytic solution; (ii) the presence of the different molecules involved in the electrode functionalization; (iii) changes in the flat band voltage, somewhat correlated to the previous mechanisms [34,36]. In particular, the shift of the threshold (and obviously of the transfer curve) toward positive values, as observed for the clean gold electrode dipped in the electrolytic solution (see Figure 3), is indicative of the accumulation of negative charges at the EG electrode surface. Indeed, when an n-type MOSFET is used as transduction element, the accumulation of negative charges on the EG surface (and then on the FET gate) induces holes in the semiconductor channel and, thus, a decrease of Ids measured at a fixed Vref. Conversely, the threshold shift toward negative values, as registered for the functionalized EG electrode, implies the accumulation of positive charges at this electrode. Based on the obtained transfer curves, we set the working Vref at 400mV, to ensure that the n- type MOSFET is working in the linear regime conditions. In this way, each variation of the recorded

SensorsIds will2020 be, 20 proportional, 6364 to the corresponding shift in the Vth (see inset in Figure 3), with6 ofthe 14 transconductance gm being the proportional constant (ΔIds = −gm ΔVth)) [17].

3,0x10-5 functionalized EG 8,0x10-5

2,0x10-5 ΔIds

-5 6,0x10 1,0x10-5 ΔVth

0,0 -0,4 -0,2 0,0 0,2 0,4

(A) -5

ds 4,0x10 I

2,0x10-5

clean gold EG 0,0 -0,4 -0,2 0,0 0,2 0,4 0,6 0,8 1,0 V (V) ref

Figure 3. BioFET average transfer curvescurves (MOSFET(MOSFET IIdsds as a function ofof thethe VVrefref appliedapplied by the reference electrode),electrode), with standardstandard deviations,deviations, obtained by using asas extendedextended gategate (EG)(EG) aa biofunctionalizedbiofunctionalized gold electrodeelectrode (black(black curve)curve) oror aa barebare goldgold oneone (red(red curve).curve). TheThe VVrefref appliedapplied duringduring thethe biosensingbiosensing experimentsexperiments (400 mV)mV) isis highlightedhighlighted byby aa verticalvertical dasheddashed line.line. TheThe rangerange ofof thethe startingstarting IdsIds valuesvalues (around(around tenten µμA)A) isis highlightedhighlighted byby thethe greygrey area.area. Inset:Inset: bothboth extractionextraction ofof thethe thresholdthreshold voltagevoltage (V(Vthth) fromfrom aa representativerepresentative curve, curve, by by a a linear linear extrapolation extrapolation method method [35 [35],], and and the the correspondence correspondence between between Ids andIds and Vth Vchangesth changes are are shown. shown.

3.2. StabilityThe threshold Over Time voltages (Vth) of the transfer curves have been obtained by applying a linear extrapolation method [35], as shown in Figure3 (inset). Their average values are ( +160 30) mV for ± cleanThe gold starting EG electrode, Ids current and in ( every70 40) BioFET mV for experiment biofunctionalized (at constant gold V EGds =electrode. 100 mV and These Vref deviations= 400 mV) − ± fromis in range the zero-threshold of 30–40 μA whichand it characterizesalways exhibited the commercial an approximately n-type MOSFET exponential used, increase could beof attributeda few μA tobefore a combination reaching a ofstable three value, possible as shown effects: in (i) Figure the presence 4. A similar of the behaviour electrical is double observed layer also (EDL) when which clean isgold formed EG electrodes in the electrolytic are used. solution; (ii) the presence of the different molecules involved in the electrodeDrift functionalization; of the Ids in BioFET (iii) could changes depend in the on flat leakage band voltage, due to somewhatreference electrode correlated microfabrication to the previous mechanisms[19]. Indeed, [we34, 36found]. In some particular, instabilities the shift (not of shown) the threshold in the gate (and voltage obviously when of our the microfabricated transfer curve) towardAg/AgCl positive pseudoreference values, as electrodes observed for(see the Figure clean 1) gold were electrode used. Therefore, dipped inwe the decided electrolytic to use solution a much (seemore Figure stable3), bulky is indicative Ag/AgCl of the reference accumulation electrode of negative [34], as chargesdiscussed at the in EGSection electrode 2.2. In surface. this case, Indeed, the when an n-type MOSFET is used as transduction element, the accumulation of negative charges on the EG surface (and then on the FET gate) induces holes in the semiconductor channel and, thus, a decrease of Ids measured at a fixed Vref. Conversely, the threshold shift toward negative values, as registered for the functionalized EG electrode, implies the accumulation of positive charges at this electrode. Based on the obtained transfer curves, we set the working Vref at 400mV, to ensure that the n-type MOSFET is working in the linear regime conditions. In this way, each variation of the recorded Ids will be proportional to the corresponding shift in the Vth (see inset in Figure3), with the transconductance gm being the proportional constant (∆I = gm ∆V )) [17]. ds − th 3.2. Stability over Time

The starting Ids current in every BioFET experiment (at constant Vds = 100 mV and Vref = 400 mV) is in range of 30–40 µA and it always exhibited an approximately exponential increase of a few µA before reaching a stable value, as shown in Figure4. A similar behaviour is observed also when clean gold EG electrodes are used. Sensors 2020, 20, x 7 of 13 observed Ids drift can depend only on changes of the surface potential of the gate electrode, which affects the threshold voltage Vth in the transfer curve [34]. An analogous drift of Vth has been frequently observed when oxide materials (i.e., SiO2, Si3N4, Al2O3, Ta2O5) are used for the BioFET gate electrode and directly immersed in the electrolyte solution [17]. This initial current drift has been described in terms of a rate-limiting ion transport from the solution to buried sites on the gate surface, and the application of a dispersive transport model led to a power-law time dependent decay of diffusivity and mobility, consistent with a stretched exponential time dependence of the gate surface charge [34]. To the best of our knowledge, no previous studies have mentioned similar current drifts when a gold EG electrode is immersed in the electrolyte solution. Nevertheless, we can speculate that, in this case, the application of Vref could cause a charge translocation from the gold EG to the gate Sensorselectrode2020 ,of20 ,the 6364 FET, where dispersive transport may occur due to trapped states in the dielectric7 of 14 layer.

4,1x10-5

4,0x10-5 (A) ds I

3,9x10-5

3,8x10-5 0 1000 2000 3000 4000 5000 6000 7000 Time (s)

Figure 4. Representative behaviour ofof thethe drain-sourcedrain-source current current (I (Idsds atat constantconstantV Vdsds = 100100 mV) measured by an n-type MOSFET whose gate electrode is connectedconnected with a biofunctionalized gold extended gate immersed inin an electrolyte solutionsolution (PBS(PBS 100100 mMmM solution,solution, pHpH 8.0), upon the application of a constant

voltage (Vrefref == 400400 mV) mV) through through a a bulky bulky Ag/AgCl Ag/AgCl reference reference electrode. electrode.

3.3. ResponseDrift of theto p53 Ids wtin: Extended-Gate BioFET could dependSurface Potential on leakage Changes due to and reference Detection electrode Limit microfabrication [19]. Indeed, we found some instabilities (not shown) in the gate voltage when our microfabricated Ag/AgCl After current stabilization, the sensor response to p53wt has been tested by continuously pseudoreference electrodes (see Figure1) were used. Therefore, we decided to use a much more stable recording Ids while injecting small volumes (20 μL) of p53wt solutions in the fluid cell. As shown in bulky Ag/AgCl reference electrode [34], as discussed in Section 2.2. In this case, the observed Ids drift Figure 5a–c, p53wt solution injection induces a decrease of Ids, as due to a shift of the Vth towards can depend only on changes of the surface potential of the gate electrode, which affects the threshold positive values, as expected since p53wt bears a net negative charge at pH 8.0 [15]. Protein injections voltage Vth in the transfer curve [34]. An analogous drift of Vth has been frequently observed when have been performed also by sequentially injecting increasing concentrations of p53wt. In this last oxide materials (i.e., SiO2, Si3N4, Al2O3, Ta2O5) are used for the BioFET gate electrode and directly case, at each step, the total Ids response (Ids shift with respect to the starting value) has been associated immersed in the electrolyte solution [17]. This initial current drift has been described in terms of a to the total p53wt concentration (as obtained by cumulating the different injections). Comparable rate-limiting ion transport from the solution to buried sites on the gate surface, and the application of current jumps are observed at the same p53wt concentration, either in single and in multiple injection a dispersive transport model led to a power-law time dependent decay of diffusivity and mobility, experiments. Concentrations of p53wt from 50 pM to 10 nM have been tested, obtaining Ids jumps consistent with a stretched exponential time dependence of the gate surface charge [34]. ranging from about −5.0 × 10−8 A up to about −5.0 × 10−7 A. To the best of our knowledge, no previous studies have mentioned similar current drifts when a The measured current jumps ΔIds have been converted in the corresponding ΔVth, and averaged gold EG electrode is immersed in the electrolyte solution. Nevertheless, we can speculate that, in this per p53wt concentration. The so-called BioFET calibration curve can thus be obtained by plotting the case, the application of Vref could cause a charge translocation from the gold EG to the gate electrode obtained average ΔVth as a function of the p53wt concentration, on a semilogarithmic scale, as shown of the FET, where dispersive transport may occur due to trapped states in the dielectric layer. in Figure 6 [17]. The error bars represent the data standard deviation, which likely depends on

3.3.variability Response in tothe p53 sensorwt: Extended-Gate microfabrication, Surface solution Potential preparation Changes and and Detection volume Limit injection, and also on the antigen concentration. The best regression line (R2 = 0.96), shown by the red line in Figure 6, reveals After current stabilization, the sensor response to p53 has been tested by continuously recording that the BioFET sensor responds to three orders of magnitudewt of the target concentration. Therefore, I while injecting small volumes (20 µL) of p53wt solutions in the fluid cell. As shown in Figure5a–c, ds p53wt solution injection induces a decrease of Ids, as due to a shift of the Vth towards positive values, as expected since p53wt bears a net negative charge at pH 8.0 [15]. Protein injections have been performed also by sequentially injecting increasing concentrations of p53wt. In this last case, at each step, the total Ids response (Ids shift with respect to the starting value) has been associated to the total p53wt concentration (as obtained by cumulating the different injections). Comparable current jumps are observed at the same p53wt concentration, either in single and in multiple injection experiments. Concentrations of p53wt from 50 pM to 10 nM have been tested, obtaining Ids jumps ranging from about 5.0 10 8 A up to about 5.0 10 7 A. − × − − × − Sensors 2020, 20, x 8 of 13

Sensorsthe calibration2020, 20, 6364 curve allows to determine an unknown p53wt concentration from the corresponding8 of 14 measured Vth shift, within the above mentioned range.

FigureFigure 5.5. RealReal timetime acquisitionsacquisitions ofof thethe n-typen-type MOSFETMOSFET drain-sourcedrain-source currentcurrent IdsIds (subtracted(subtracted byby thethe

startingstarting value)value) inin didifferentfferent biosensingbiosensing experiments,experiments, performedperformed inin thethe samesame conditionsconditions (V(Vdsds = 100 mV, µ VVrefref = 400 mV, workingworking bubuffer:ffer: PBS PBS 100 100 mM, mM pH, pH 8.0, 8.0, starting starting volume: volume: 350 350L). μL). (a –(ca)– Singlec) Single injections injections of µ 20of 20L μ ofL theof the working working bu bufferffer with with diluted diluted p53 p53wtwt, resulting, resulting in in a a final final concentration concentration in in the the fluid fluid cellcell ofof 100100 pM,pM, 11 nMnM andand 1010 nM.nM. ((dd)) SingleSingle injectioninjection ofof 2020 µμLL ofof thethe workingworking bubufferffer withwith diluteddiluted HSAHSA (1(1 nMnM finalfinal concentration).concentration). VerticalVertical barsbars indicateindicate thethe proteinproteininjection injectiontime. time.

The measured current jumps ∆I have been converted in the corresponding ∆V , and averaged From the slope of the regressionds line, a sensitivity (σ) of 1.5 ± 0.2 mV/decadeth is obtained, in per p53 concentration. The so-called BioFET calibration curve can thus be obtained by plotting the agreementwt with the indication of the International Union of Pure and Applied (IUPAC) obtained average ∆V as a function of the p53 concentration, on a semilogarithmic scale, as shown in [17]. Such a sensitivityth value, together with thewt tested range of concentration, enables our BioFET as Figure6[ 17]. The error bars represent the data standard deviation, which likely depends on variability suitable tool for the assays of p53wt at concentrations expected in cancer cells with p53 gene mutation in(0.1 the nM), sensor as microfabrication,well at concentrations solution expected preparation in healthy and volume cells (1 injection,nM), and and beyond also on(to the diagnostic antigen concentration. The best regression line (R2 = 0.96), shown by the red line in Figure6, reveals that diseases characterized by high level of p53wt in blood). It is worth noting that the obtained sensitivity theis low BioFET if compared sensor respondsto the limiting to three value orders of 59 of mV/decade, magnitude ofexpected the target if biomolecule concentration. binding Therefore, would thefollow calibration the Nernstian curve allowsmodel toof determineequilibrium an potentia unknownls of p53 ionswt acrossconcentration semipermeable from the membranes corresponding [17]. measuredSuch an extreme Vth shift, value within has thebeen above previously mentioned reported range. for [37] and urea [32] BioFETs with gold From the slope of the regression line, a sensitivity (σ) of 1.5 0.2 mV/decade is obtained, EG. However, there are significant differences between proton equilibria± and macrobiomolecule inbinding agreement equilibria, with the which indication imply of thethat International the Nernst Unionmodel ofwould Pure and not Applied apply to Chemistry protein binding (IUPAC) [17]. [17]. Such a sensitivity value, together with the tested range of concentration, enables our BioFET as suitable Indeed, much lower sensitivity values (down to about 10−3 mV/decade) have been reported for toolprotein for biosensing the assays via of BioFET p53wt at with concentrations gold EG [38]. expected in cancer cells with p53 gene mutation (0.1 nM),To test as well the atspecificity concentrations of the expectedBioFET, we in healthyhave an cellsalysed (1 nM),the current and beyond response (to diagnostic to the addition diseases of characterizedtwo other biomolecules by high level (BSA of p53 anwtd humanin blood). serum It is worthalbumin—HSA), noting that thewhic obtainedh also bear sensitivity a negative is low net if comparedcharge at tothe the working limiting valuebuffer of pH, 59 mVby/ decade,injecting expected them in if biomoleculethe sensor bindingfluid cell would at comparable follow the Nernstian model of equilibrium potentials of across semipermeable membranes [17]. Such an concentrations and volumes with respect to p53wt. A representative current response obtained as extremeconsequence value of has the beeninjection previously of 20 μL reported of working for buffer glucose with [37 1] nM and of urea HSA [32 is] shown BioFETs in withFigure gold 5c. The EG. However,injection of there HSA are or significant BSA generally differences gives rise between to current proton variations equilibria in and the macrobiomolecule (–5.0 ± 3.0) × 10−8 A binding range, equilibria, which imply that the Nernst model would not apply to protein binding [17]. Indeed, resulting lower than the p53wt induced current changes (except for the 50 pM concentration). The 3 much lower sensitivity values (down to about 10− mV/decade) have been reported for protein corresponding Vth variation is in the 0.6 ± 0.4 mV range, and it is represented, in Figure 6, by the grey biosensingarea at the bottom. via BioFET This with offset gold is likely EG [38 due]. to unspecific interactions between the proteins and the EG biofunctionalized electrode [17,39], and it can be considered as a blank signal.

Sensors 2020, 20, 6364 9 of 14 Sensors 2020, 20, x 9 of 13

FigureFigure 6. CalibrationCalibration curve curve of ofthe the BioFET BioFET for forthe detection the detection of p53 ofwt p53, as wtobtained, as obtained by plotting by plotting the average the

averagevalues of values the threshold of the threshold voltage (V voltageth) variation (Vth) as variation a function as of a functionthe p53wt of concentration the p53wt concentration in PBS 100 mM in PBSpH 8.0, 100 on mM a semilogarithmic pH 8.0, on a semilogarithmic scale. The error scale. bars Therepresent error barsthe stan representdard deviation. the standard The regression deviation. Theline regression(R2 = 0.96) lineis reported (R2 = 0.96) in red. is reported From the in red.slope From of the the regression slope of the line, regression the sensitivity line, the σ sensitivity= 1.5 ± 0.2 σmV/decade= 1.5 0.2 is mV obtained./decade isThe obtained. grey area The in grey the areabottom in the represents bottomrepresents the range theof V rangeth variations of Vth variations obtained ± obtained by injecting the working buffer with diluted other proteins (0.6 0.4 mV), which can be by injecting the working buffer with diluted other proteins (0.6 ± 0.4 mV), which± can be considered as consideredthe blank signal. as the blank signal.

ToDetermination test the specificity of a blank of the signal BioFET, allows we have us analysedto calculate the the current BioFET response LOD, to which the addition is defined of two by otherIUPAC biomolecules as the smallest (BSA measure and human that can serum be reasonably albumin—HSA), detected which for a also given bear analytical a negative procedure, net charge and at thewhich working is obtained buffer by pH, the by blank injecting signal them incremented in the sensor by fluid a certain cell at number comparable of times concentrations of its standard and volumesdeviation with (SD), respect depending to p53 onwt the. A confidence representative level current required response [17]. For obtained BioFET asdevices consequence with gold of EG, the injectionthe LOD ofhas 20 beenµL ofcalculated working by bu theffer value with 1of nM the ofblan HSAk signal is shown incremented in Figure by5c. three The times injection its standard of HSA or BSA generally gives rise to current variations in the (–5.0 3.0) 10 8 A range, resulting lower deviation [40]. Other authors calculated the LOD as three times± the× standard− deviation of the blank thansignal the divided p53wt inducedby the slope current of the changes calibration (except curv fore [38]. the 50 We pM have concentration). obtained the The LOD corresponding of our BioFET V byth variation is in the 0.6 0.4 mV range, and it is represented, in Figure6, by the grey area at the bottom. calculating ±+ k SD blank per k = 1, 2, 3, obtaining LOD = 130, 190 and 290 pM, respectively. On Thisthe other offset hand, is likely some due authors to unspecific refer interactionsto the LOD betweensimply as the to proteins the lowest and thetarget EG concentration biofunctionalized that electrodeprovide a [ 17detectable,39], and sensor it can beresponse considered visually, as a blankbased signal. on the calibration plot [28,32]. In such a case, a LODDetermination of 100 pM is obtained of a blank for signal our BioFET. allows us to calculate the BioFET LOD, which is defined by IUPAC as theA smallest LOD of measure 100 pM thatobtained can be in reasonably physiological detected solution for a is given a good analytical result procedure,if compared and with which the is obtained by the blank signal incremented by a certain number of times of its standard deviation previously realized BioFET for p53wt, for which a label-free detection of 100 nM in diluted buffer has (SD),been dependingreported [15]. on On the the confidence other hand, level the required LOD of [ 17ou].r BioFET For BioFET is from devices one to with four gold orders EG, of the magnitude LOD has beenhigher calculated than those by the previously value of thereported blank signal for optica incrementedl by three (see times Introduction), its standard except deviation for [40the]. Othercolorimetric authors assay, calculated which the has LOD a LOD asthree of 5 nM times [9]. the However, standard our deviation BioFET of is the able blank to detect signal label-free divided by the slope of the calibration curve [38]. We have obtained the LOD of our BioFET by calculating p53wt in physiological buffer, while most of the previously proposed methodologies (excepted SPR <[4])Vth are blank label-requiring> + k SD blank perand/or k = 1,need 2, 3, dilution obtaining of LOD the =medium130, 190 (with and 290a few pM, exception respectively. [3,9,11,13]). On the other hand, some authors refer to the LOD simply as to the lowest target concentration that provide Moreover, thank to the chosen antibody, our BioFET is highly specifically sensitive only to p53wt, aexcluding detectable the sensor mutated response forms; visually, this avoiding based onmisleadi the calibrationng (unsorted) plot [outputs.28,32]. In Finally, such a our case, BioFET a LOD has of 100the pMclear is obtainedadvantages for of our reduced BioFET. dimension, low cost and capability to work with small sample volumes,A LOD which of 100render pM it obtained a good candidate in physiological for the future solution development is a good resultof portable if compared devices. with the previously realized BioFET for p53wt, for which a label-free detection of 100 nM in diluted buffer has3.4. beenEnergetics reported of the [Adsorption15]. On the Process other hand, the LOD of our BioFET is from one to four orders of magnitude higher than those previously reported for optical biosensors (see Introduction), except for The BioFET response to the target adsorption can further provide on the energetics the colorimetric assay, which has a LOD of 5 nM [9]. However, our BioFET is able to detect label-free of the receptor-target binding, by applying models based on the Langmuir adsorption isotherm. This p53wt in physiological buffer, while most of the previously proposed methodologies (excepted SPR [4]) has been previously obtained both from real-time measurements through flow cells [41,42] and by are label-requiring and/or need dilution of the medium (with a few exception [3,9,11,13]). Moreover, static measurements such as in our case [26,27,39,43,44]. Within this context, and taking into account the offset observed when nonspecific adsorption occurs (ΔV0), the Vth variation can be described by:

Sensors 2020, 20, 6364 10 of 14

thank to the chosen antibody, our BioFET is highly specifically sensitive only to p53wt, excluding the mutated forms; this avoiding misleading (unsorted) outputs. Finally, our BioFET has the clear advantages of reduced dimension, low cost and capability to work with small sample volumes, which render it a good candidate for the future development of portable devices.

3.4. Energetics of the Adsorption Process The BioFET response to the target adsorption can further provide information on the energetics of the receptor-target binding, by applying models based on the Langmuir adsorption isotherm. This has been previously obtained both from real-time measurements through flow cells [41,42] and by static measurements such as in our case [26,27,39,43,44]. Within this context, and taking into account the offset observed when nonspecific adsorption occurs (∆V0), the Vth variation can be described by:

Cp53 ∆Vth = ∆V0 + ∆Vth max × KD + Cp53

∆Vthmax is the potential variation associated at the surface saturation, Cp53 is the p53wt concentration in solution, and KD is the dissociation constant at the chemical equilibrium:

[p53] + [PAb1620] [p53][PAb1620] ↔

The experimental ∆Vth as a function of Cp53 have been replotted, up to the saturation level (i.e., up to 50 nM), in linear scale, in Figure7. As for Figure6, the experimental errors could mainly originate from variability in the sensor microfabrication, solution preparation, volume injection and antigen concentration. In the measurements performed at 50 nM concentration, in addition to the variability induced by the above mentioned issues, it should be taken into account the variability in the sensor surface preparation, which become critical in the saturation regime, when the number of available binding site on the electrode represents an upper limit to charge accumulation at the gate surface. The data have been fitted with the proposed model (red line), obtaining a good match (R2 = 0.96). From the fitting analysis, an offset value of 1.0 0.4 mV is obtained, which is consistent with ± the blank signal represented by the grey area in Figure6. The dissociation constant of the interaction 8 among p53wt and its conformational antibody PAb1620 is also obtained, as K = (2.2 1.3) 10 M. D ± × − This corresponds to an affinity constant K = 1/K 4.5 107 M 1 that is only slightly lower A D ≈ × − than those previously reported between p53wt protein and PAb241, PAb246 or consensus ds-DNA (6.9 108 M 1, 3.7 108 M 1 and 1.1 108 M 1, respectively [4]). Indeed, the monoclonal × − × − × − antibody we used (PAb1620) binds an epitope on the surface of correctly folded p53wt, and, upon binding, allosterically inhibits p53wt binding to DNA. However, it is highly sensitive to protein unfolding or mutation (even single aminoacidic mutation) and p53wt is known to assume different conformations, not all of which are recognized by PAb1620 [45]. This could partially justify the observed KD, which, on the other hand, has not been so far reported in the literature. An even lower 6 affinity (K = 3.5 10 M) has been reported by SPR for the binding of a peptide cloning the p53wt D × − binding site to PAb1620 [45]. Sensors 2020, 20, x 10 of 13

C ∆V ∆V ∆V K C

ΔVthmax is the potential variation associated at the surface saturation, Cp53 is the p53wt concentration in solution, and KD is the dissociation constant at the chemical equilibrium: [p53] + [PAb1620] ↔ [p53][PAb1620]

The experimental ΔVth as a function of Cp53 have been replotted, up to the saturation level (i.e., up to 50 nM), in linear scale, in Figure 7. As for Figure 6, the experimental errors could mainly originate from variability in the sensor microfabrication, solution preparation, volume injection and antigen concentration. In the measurements performed at 50 nM concentration, in addition to the variability induced by the above mentioned issues, it should be taken into account the variability in the sensor surface preparation, which become critical in the saturation regime, when the number of available binding site on the electrode represents an upper limit to charge accumulation at the gate surface. The data have been fitted with the proposed model (red line), obtaining a good match (R2 = 0.96). From the fitting analysis, an offset value of 1.0 ± 0.4 mV is obtained, which is consistent with the blank signal represented by the grey area in Figure 6. The dissociation constant of the interaction among p53wt and its conformational antibody PAb1620 is also obtained, as KD = (2.2 ± 1.3) × 10−8 M. This corresponds to an affinity constant KA = 1/KD ≈ 4.5 × 107 M−1 that is only slightly lower than those previously reported between p53wt protein and PAb241, PAb246 antibodies or consensus ds-DNA (6.9 × 108 M−1, 3.7 × 108 M−1 and 1.1 × 108 M−1, respectively [4]). Indeed, the monoclonal antibody we used (PAb1620) binds an epitope on the surface of correctly folded p53wt, and, upon binding, allosterically inhibits p53wt binding to DNA. However, it is highly sensitive to protein unfolding or mutation (even single aminoacidic mutation) and p53wt is known to assume different conformations, not all of which are recognized by PAb1620 [45]. This could partially justify the observed KD, which, on the other hand, has not been so far reported in the literature. An even lower affinity (KD = 3.5 × 10−6 M) has been reported by SPR for the binding of a peptide cloning the p53wt binding site to Sensors 2020, 20, 6364 11 of 14 PAb1620 [45].

Figure 7. Mean threshold voltage (Vth) changes as a function of the p53wt concentration in PBS 100 mM Figure 7. Mean threshold voltage (Vth) changes as a function of the p53wt concentration in PBS 100 pH 8.0 solution. The error bars represent the data standard deviation. The data have been fitted by an mM pH 8.0 solution. The error bars represent the data standard deviation. The data have been fitted adapted version of the Langmuir adsorption model including an offset to take into account the blank by an adapted version of the Langmuir adsorption model including an offset to take into account the signal (see text). The parameters extracted by fitting the experimental data according to the Langmuir blank signal (see text). The parameters 2extracted by fitting the experimental data according to the adsorption model (continuous red line; R = 0.96) are: offset ∆V0 = 1.0 0.4 mV, ∆Vthmax = (10.1 2.2) 2 Langmuir adsorption model8 (continuous red line; R = 0.96) are: offset± ΔV0 = 1.0 ± 0.4 mV, ΔV±thmax = mV, KD = (2.2 1.3) 10− M. (10.1 ± 2.2) mV,± KD =× (2.2 ± 1.3) × 10−8 M. 4. Conclusions

We have developed a BioFET for the detection, in physiological-like solution, of the wild-type form of the tumour suppressor p53, whose concentration in cells and blood has a clinical significance for early diagnosis of some types of cancer and other importantly related diseases. We have implemented the device with a sensing electrode constituted by a carefully microfabricated high-purity gold electrode acting as a disposable extended gate. The sensing electrode is, on one of its ends, placed in the biological solution and, on the other end, connected to the MOSFET gate. Electrostatic (Debye) screening by the solution ions is mitigated by creating at the EG surface a Donnan-like membrane, permeable to the target biomolecules, by means of suitable PEG polymers entering in the biofunctionalization procedure. We have thus obtained a BioFET with disposable biosensing element, endowed with a quite good sensitivity (1.5 0.2 mV/decade). The BioFET LOD can be as low as 100 pM with a very good specificity ± toward p53wt. The range of significance is spanning over three orders of magnitude, falling in the range of p53wt concentrations that are suitable for early diagnosis and prognosis of cancer. All these features pave the way for a future development of a related point-of-care device, provided that it is, compactly, coupled to a suitable microelectronic system able to reveal, process and display at high resolution and statistically significant, with the aim to reduce dimension and cost, by remaining highly competitive with standard immunoassays.

Author Contributions: Data curation, A.F.M.; formal analysis, C.B.; funding acquisition, A.R.B; Investigation, A.F.M.; methodology, L.F. and M.A.S.; supervision, S.C.; writing—original draft, C.B.; writing—review and editing, S.C. and A.R.B. All authors have read and agreed to the published version of the manuscript. Funding: This research received no external funding. Conflicts of Interest: The authors declare no conflict of interest. Sensors 2020, 20, 6364 12 of 14

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