Quantum-enhanced biosensing for early detection of neurodegenerative disorders
Background: Early detection of neurodegenerative diseases is an important and unmet clinical need because traditional assays are not sensitive enough to detect low concentrations of biomarkers at the prodromal stages. Objective: This study presents a novel biosensing system based on quantum measurement principles and biomolecular recognition to achieve ultrasensitive detection of biomarkers for Alzheimer’s disease (AD) and Parkinson’s disease (PD) in patient samples. Methods: We developed a hybrid sensor that uses antibody-functionalized nanostructures for selective biomarker capture and nitrogen-vacancy centers in diamond for quantum spin-based readout. The performance was evaluated against standard fluorescence immunoassays of cerebrospinal fluid (CSF) and plasma collected from a clinical cohort (n = 120; 60 AD/PD, 60 controls) in endogenous amyloid-β42 (Aβ42), phosphorylated tau (p-tau181), and α-synuclein. Results: The quantum-enhanced platform detection limits of 12.6 fM for Aβ42, 15.8 fM for p-tau181, and 18.2 fM for α-synuclein are 150–300-fold better than enzyme-linked immunosorbent assay (ELISA). The signal-to-noise ratio increased by ~22 dB, within the quantum-limited scaling. Diagnostic accuracy was high, with an area under the receiver operating characteristic curve ranging from 0.94 to 0.96, superior to ELISA (0.72–0.81). In addition to sensitivity, analytical validation has excellent reproducibility (intra-assay coefficient of variation [CV] ≤ 7.5%, inter-assay CV ≤ 10.8%), high recovery in patients’ plasma and CSF (92–105%), low cross-reactivity (<3%), and a stable sensor performance of seven days of storage. Multiplexed detection reduced the sample volume by 60% and the assay turnaround time by more than threefold compared to ELISA. Conclusion: Quantum-enhanced biosensing is a powerful diagnostic method for detecting biomarkers at clinically relevant concentrations, providing a scalable, noninvasive approach to early diagnosis of neurodegenerative diseases in affected populations. Relevance for patients: Clinical implementation of quantum biosensing has the potential to enable pre-symptomatic disease detection, facilitating earlier therapeutic intervention and improved disease management.
- Yılmaz S, Boz C, Özsarı SH, Yılmaz F, Türkön BF. Effects of Neurological Disorders on Health Expenditure and Economic Output: Dynamic Panel Analysis for OECD Countries. Systems. 2025;13(7):521. doi: 10.3390/systems13070521
- Agnello L, Gambino CM, Ciaccio AM, et al. Molecular Biomarkers of Neurodegenerative Disorders: A Practical Guide to Their Appropriate Use and Interpretation in Clinical Practice. Int J Mol Sci. 2024;25(8):4323. doi: 10.3390/ijms25084323
- Tan SH, Karri V, Tay NWR, et al. Emerging pathways to neurodegeneration: Dissecting the critical molecular mechanisms in Alzheimer’s disease, Parkinson’s disease. Biomed Pharmacother. 2019;111:765-777. doi: 10.1016/j.biopha.2018.12.101
- Alemayehu ZG, Ayalew BD, Sime BL, et al. Dementia in Sub-Saharan Africa: Risk factors, public perception, and management approaches. J Med Surgery, Public Heal. 2025;7:100204. doi: 10.1016/j.glmedi.2025.100204
- Pais M, Martinez L, Ribeiro O, et al. Early diagnosis and treatment of Alzheimer’s disease: new definitions and challenges. Braz J Psychiatry. 2020;42(4):431-441. doi: 10.1590/1516-4446-2019-0735
- Luo Y, Qiao L, Li M, Wen X, Zhang W, Li X. Global, regional, national epidemiology and trends of Parkinson’s disease from 1990 to 2021: findings from the Global Burden of Disease Study 2021. Front Aging Neurosci. 2025;16:1498756. doi: 10.3389/fnagi.2024.1498756
- Giri PM, Banerjee A, Ghosal A, Layek B. Neuroinflammation in Neurodegenerative Disorders: Current Knowledge and Therapeutic Implications. Int J Mol Sci. 2024;25(7):3995. doi: 10.3390/ijms25073995
- Vasili E, Dominguez-meijide A, Outeiro TF. Spreading of α-Synuclein and Tau: A Systematic Comparison of the Mechanisms Involved. Front Mol Neurosci. 2019;12:107. doi: 10.3389/fnmol.2019.00107
- Congdon EE, Ji C, Tetlow AM, Jiang Y, Sigurdsson EM. Tau-targeting therapies for Alzheimer disease: current status and future directions. Nat Rev Neurol. 2023;19(12):715-736. doi: 10.1038/s41582-023-00883-2
- Bayen S, Lagon X, Cauet C, et al. Time is health: management of Parkinson’s disease in primary care: a retrospective quantitative study of diagnostic and therapeutic timelines. BMC Prim Care. 2025;26(1):217. doi: 10.1186/s12875-025-02911-0
- Fu Y, Wang B, Alu A, et al. Immunosenescence: signaling pathways, diseases and therapeutic targets. Signal Transduct Target Ther. 2025;10(1):250. doi: 10.1038/s41392-025-02371-z
- Mankhong S, Kim S, Lee S, et al. Development of Alzheimer’s Disease Biomarkers: From CSF- to Blood-Based Biomarkers. Biomedicines. 2022;10(4):850. doi: 10.3390/biomedicines10040850
- Mohaupt P, Kindermans J, Vialaret J, et al. Blood-based biomarkers and plasma Aβ assays in the differential diagnosis of Alzheimer’s disease and behavioral-variant frontotemporal dementia. Alzheimers Res Ther. 2024;16(1):279. doi: 10.1186/s13195-024-01647-w
- Cohen L, Cui N, Cai Y, et al. Single Molecule Protein Detection with Attomolar Sensitivity Using Droplet Digital Enzyme-Linked Immunosorbent Assay. ACS Nano. 2020;14(8):9491-9501. doi: 10.1021/acsnano.0c02378
- Lotfipour H, Sobhani H, Dejpasand MT, Sasani Ghamsari M. Application of quantum imaging in biology. Biomed Opt Express. 2025;16(8):3349-3377. doi: 10.1364/BOE.566801
- Malo JY, Lepori L, Gentini L, Chiofalo ML (Marilù). Atomic Quantum Technologies for Quantum Matter and Fundamental Physics Applications. Technologies. 2024;12(5):64. doi: 10.3390/technologies12050064
- Muhammad FA, Elelu SA, Ibrahim GO, et al. Artificial Intelligence Meets Vascular Health: Identifying Molecules for Precision Repair of Barrier Dysfunctions. Biol Sci. 2025;05(02):932–946. doi: 10.55006/biolsciences.2025.5205
- Chen S, Liu T li, Jia Y, Li J. Recent advances in bio-integrated electrochemical sensors for neuroengineering. Fundam Res. 2025;5(1):29-47. doi: 10.1016/j.fmre.2023.11.012
- Song J, Cho E, Lee H, Lee S, Kim S, Kim J. Development of Neurodegenerative Disease Diagnosis and Monitoring from Traditional to Digital Biomarkers. Biosensors. 2025; 15(2),102. doi:10.3390/bios15020102
- Segawa TF, Igarashi R. Nanoscale quantum sensing with Nitrogen-Vacancy centers in nanodiamonds – A magnetic resonance perspective. Prog Nucl Magn Reson Spectrosc. 2023;134–135:20–38. doi: 10.1016/j.pnmrs.2022.12.001
- Tan Y, Hu X, Hou Y, Chu Z. Emerging Diamond Quantum Sensing in Bio-Membranes. Membranes (Basel). 2022;12(10):957. doi: 10.3390/membranes12100957
- Janitz E, Herb K, Völker LA, Huxter WS, Degen CL, Abendroth JM. Diamond surface engineering for molecular sensing with nitrogen-vacancy centers. J Mater Chem C Mater. 2022;10(37):13533-13569. doi: 10.1039/d2tc01258h
- Chen Y, Hong L, Chen L. Quantum interferometric metrology with entangled photons. Front Phys. 2022;10:892519. doi: 10.3389/fphy.2022.892519
- Davis AOC, Sorelli G, Thiel V, Smith BJ, Quantum-enhanced interferometry by entanglement- assisted rejection of environmental noise. Phys Rev A. 2022;105(2):022601. doi: 10.1103/PhysRevA.105.022601
- Ahmad A, Imran M, Haseeb A. Biomarkers as Biomedical Bioindicators: Approaches and Techniques for the Detection, Analysis, and Validation of Novel Biomarkers of Diseases. Pharmaceutics. 2023;15(6):1630. doi: 10.3390/pharmaceutics15061630
- Wang Y, Huang X, Wu G, et al. Biomaterials for biomarker imaging and detection. J Adv Res. 2026;83:219-251. doi: 10.1016/j.jare.2025.07.049
- Schirhagl R, Chang K, Loretz M, Degen CL. Nitrogen- Vacancy Centers in Diamond : Nanoscale Sensors for Physics and Biology. Annu Rev Phys Chem. 2014;65(1):83- 105. doi: 10.1146/annurev-physchem-040513-103659
- Hermanson G. Introduction to Bioconjugation. In: Bioconjugate Techniques, 3rd ed. Academic Press, Inc; 2013:1–125. doi: 10.1016/B978-0-12-382239-0.00005-4
- Bowen DM, Sims NR, Davison A. Biochemical changes in Alzheimer’s disease in relation to histopathology, clinical findings and pathogenesis. In: Transmitter Biochemistry of Human Brain Tissue. London: MacMillan; 1981:253–268. doi: 10.1007/978-1-349-05932-4_18
- Barry JF, Schloss JM, Bauch E, et al. Sensitivity optimization for NV-diamond magnetometry. Rev Mod Phys. 2020;92(1):015004. doi: 10.1103/RevModPhys.92.015004
- Crowther JR. The ELISA guidebook. Springer Science and Business Media. 2000;149. doi: 10.1385/1592590497
- Hampel H, O’Bryant SE, Molinuevo JL, et al. Blood-based biomarkers for Alzheimer disease: mapping the road to the clinic. Nat Rev Neurol. 2018;14(11):639-652. doi: 10.1038/s41582-018-0079-7
- Zhao Z, Yeoh PSQ, Zuo X, et al. Vision transformer-equipped Convolutional Neural Networks for automated Alzheimer’s disease diagnosis using 3D MRI scans. Front Neurol. 2024;15:1490829. doi: 10.3389/fneur.2024.1490829
- Rissin DM, Kan CW, Campbell TG, et al. Single-molecule enzyme-linked immunosorbent assay detects serum proteins at subfemtomolar concentrations. Nat Biotechnol. 2010;28(6):595-599. doi: 10.1038/nbt.1641
- Degen CL, Reinhard F, Cappellaro P. Quantum sensing. Rev Mod Phys. 2017;89(3):035002. doi: 10.1103/RevModPhys.89.035002
- Pirandola S, Bardhan BR, Gehring T, Weedbrook C, Lloyd S. Advances in Photonic Quantum Sensing. Nature. 2018;12(12):724-733. doi: 10.1038/s41566-018-0301-6
- Balasubramanian G, Chan IY, Kolesov R, et al. Nanoscale imaging magnetometry with diamond spins under ambient conditions. Nature. 2008;455(7213):648-651. doi: 10.1038/nature07278
- Mamin HJ, Kim M, Sherwood MH, et al. Nanoscale nuclear magnetic resonance with a nitrogen-vacancy spin sensor. Science. 2013;339(6119):557-560. doi: 10.1126/science.1231540
- Lovchinsky I, Sushkov AO, Urbach E, et al. Nuclear magnetic resonance detection and spectroscopy of single proteins using quantum logic. Science. 2016;351(6275):836-841. doi: 10.1126/science.aad8022
- Kucsko G, Maurer PC, Yao NY, et al. Nanometre-scale thermometry in a living cell. Nature. 2013;500(7460):54-58. doi: 10.1038/nature12373
- Ovod V, Ramsey KN, Mawuenyega KG, et al. Amyloid β concentrations and stable isotope labeling kinetics of human plasma specific to central nervous system amyloidosis. Alzheimers Dement. 2017;13(8):841-849. doi: 10.1016/j.jalz.2017.06.2266
- Barthélemy NR, Horie K, Sato C, Bateman RJ. Blood plasma phosphorylated-tau isoforms track CNS change in Alzheimer’s disease. J Exp Med. 2020;217(11):e20200861. doi: 10.1084/jem.20200861
- Schindler SE, Bollinger JG, Ovod V, Mawuenyega KG. High-precision plasma β-amyloid 42/40 predicts current and future brain amyloidosis. Neurology. 2019;93(17):e1647-e1659. doi: 10.1212/WNL.0000000000008081
- Concha-Marambio L, Pritzkow S, Shahnawaz M, Farris CM, Soto C. Seed amplification assay for the detection of pathologic alpha-synuclein aggregates in cerebrospinal fluid. Nat Protoc. 2023;18(4):1179-1196. doi: 10.1038/s41596-022-00787-3
- Espay AJ, Lees AJ, Cardoso F, et al. The α-synuclein seed amplification assay: Interpreting a test of Parkinson’s pathology. Parkinsonism Relat Disord. 2025;131:107256. doi: 10.1016/j.parkreldis.2024.107256
- Okuzumi A, Hatano T, Matsumoto G, et al. Propagative α-synuclein seeds as serum biomarkers for synucleinopathies. Nat Med. 2023;29(6):1448-1455. doi: 10.1038/s41591-023-02358-9
- Janelidze S, Teunissen CE, Zetterberg H, et al. Head-to- Head Comparison of 8 Plasma Amyloid-β 42/40 Assays in Alzheimer Disease. JAMA Neurol. 2021;78(11):1375-1382. doi: 10.1001/jamaneurol.2021.3180
- González-escalante A, Milà-alomà M, Brum WS, Ashton NJ, Ortiz-romero P, Shekari M. A plasma biomarker panel for detecting early amyloid-β accumulation and its changes in middle-aged cognitively unimpaired individuals at risk for Alzheimer’sdisease. eBioMedicine. 2025;116:105741. doi: 10.1016/j.ebiom.2025.105741
- Lantero J, Thomas R, Marc KK, Calvet S, Troakes C, King A. Plasma p ‑tau181 accurately predicts Alzheimer’s disease pathology at least 8 years prior to post ‑mortem and improves the clinical characterisation of cognitive decline. Acta Neuropathol. 2020;140(3):267-278. doi: 10.1007/s00401-020-02195-x
- Ahmadivand A, Gerislioglu B, Ramezani Z, Kaushik A, Manickam P, Ghoreishi SA. Functionalized terahertz plasmonic metasensors: Femtomolar-level detection of SARS-CoV-2 spike proteins. Biosens Bioelectron. 2021;177:112971. doi: 10.1016/j.bios.2021.112971
- Krishnan SK, Nataraj N, Meyyappan M, Pal U. Graphene- Based Field-Effect Transistors in Biosensing and Neural Interfacing Applications: Recent Advances and Prospects. Anal Chem. 2023;95(5):2590-2622. doi: 10.1021/acs.analchem.2c03399
- Yu T, Wei Q. Plasmonic molecular assays: Recent advances and applications for mobile health. Nano Res. 2018;11(10):5439-5473. doi: 10.1007/s12274-018-2094-9
- Wang Z, Dai W, Zhang Z, Wang H. Aptamer-Based Graphene Field-Effect Transistor Biosensor for Cytokine Detection in Undiluted Physiological Media for Cervical Carcinoma Diagnosis. Biosensors. 2025;15(3):138. doi: 10.3390/bios15030138
- Marcuello C, Lim K, Nisini G, Pokrovsky VS, Conde J, Ruggeri FS. Nanoscale Analysis beyond Imaging by Atomic Force Microscopy: Molecular Perspectives on Oncology and Neurodegeneration. Small Sci. 2025;5(11):2500351. doi: 10.1002/smsc.202500351
- Li RX, Shang X, Shen PQ, Zhu YF, Gao EQ, Yue Q. Ultrasensitive electrochemical detection of amyloid-β peptide using a homochiral metal–organic framework binding to the L-diphenylalanine targeting site. ACS Sens. 2025;10(10):7260-7269. doi: 10.1021/acssensors.4c03425
- Cai H, Pang Y, Fu X, Ren Z, Jia L. Plasma biomarkers predict Alzheimer’s disease before clinical onset in Chinese cohorts. Nat Commun. 2023;14(1):6747. doi: 10.1038/s41467-023-42596-6
- Hopper DA, Shulevitz HJ, Bassett LC. Spin Readout Techniques of the Nitrogen-Vacancy Center in Diamond. Micromachines. 2018;9(9):437. doi: 10.3390/mi9090437
- Boretti A, Rosa L, Blackledge J, Castelletto S. Nitrogen-vacancy centers in diamond for nanoscale magnetic resonance imaging applications. Beilstein J Nanotechnol. 2019;10:2128-2151. doi: 10.3762/bjnano.10.207
- Li Y, Gerritsma FA, Kurdi S, et al. A Fiber-Coupled Scanning Magnetometer with Nitrogen-Vacancy Spins in a Diamond Nanobeam. ACS Photonics. 2023;10(6):1859-1865. doi: 10.1021/acsphotonics.3c00259
