AccScience Publishing / JCTR / Online First / DOI: 10.36922/JCTR025440076
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ORIGINAL ARTICLE

Quantum-enhanced biosensing for early detection of neurodegenerative disorders

Innocent Ojeba Musa1* Miracle Uwa Livinus2 Mustapha Abdulsalam1 Stephen Olaide Aremu3 Sunday Zeal Bala4 Madinat Hassan5,6,7 Shehu Sani8 Job Oloruntoba Samuel9 Adamu Mustapha9 Abioye Olabisi Peter10 Helen Auta Shnada9 Jeremiah David Bala9 Imam Muzeenat Oyinkansola11 Katimu Yusuf12 Amirah Abdulrahman13
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1 Department of Microbiology, Skyline University Nigeria, Kano, Nigeria
2 Department of Biochemistry, Skyline University Nigeria, Kano, Nigeria
3 Department of Medicine Surgery, Faculty of General Medicine, Siberian State Medical University, Tomsk, Siberia, Russian Federation
4 Department of Pharmaceutical Sciences, University of Maryland Eastern Shore, Princess Anne, Maryland, United States of America
5 Foresight Institute of Research and Translation (FIRAT), Kigali, Rwanda
6 Khayr Cancer Health Initiative (KCHI), Kaduna State, Nigeria
7 Department of Biological Sciences, Faculty of Science, Air Force Institute of Technology (AFIT), Kaduna State, Nigeria
8 Department of Community Health, School of Public Health, University of Port Harcourt, Port Harcourt, Rivers State, Nigeria
9 Department of Microbiology, Federal University of Technology, Minna, Niger State, Nigeria
10 Department of Public Health, Federal University of Technology, Minna, Niger State, Nigeria
11 Department of Medicine and Surgery, Bowen University, Iwo, Osun State, Nigeria
12 Department of Microbiology, Federal University Gashua, Gashua, Yobe State, Nigeria
13 Department of Medicine and Surgery, Gombe State University, Gombe, Nigeria
Received: 28 October 2025 | Revised: 8 April 2026 | Accepted: 18 June 2026 | Published online: 2 July 2026
© 2026 by the Author(s). This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution -Noncommercial 4.0 International License (CC-by the license) ( https://creativecommons.org/licenses/by-nc/4.0/ )
Abstract

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.

Keywords
Alzheimer’s disease
Early diagnosis
Neurodegenerative disorders
Nitrogen-vacancy centers
Parkinson’s disease
Quantum biosensing
Funding
None.
Conflict of interest
The authors declare no competing interests related to this work.
References
  1. 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
  2. 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
  3. 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
  4. 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
  5. 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
  6. 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
  7. 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
  8. 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
  9. 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
  10. 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
  11. 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
  12. 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
  13. 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
  14. 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
  15. 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
  16. 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
  17. 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
  18. 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
  19. 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
  20. 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
  21. 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
  22. 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
  23. Chen Y, Hong L, Chen L. Quantum interferometric metrology with entangled photons. Front Phys. 2022;10:892519. doi: 10.3389/fphy.2022.892519
  24. 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
  25. 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
  26. 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
  27. 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
  28. 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
  29. 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
  30. 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
  31. Crowther JR. The ELISA guidebook. Springer Science and Business Media. 2000;149. doi: 10.1385/1592590497
  32. 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
  33. 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
  34. 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
  35. Degen CL, Reinhard F, Cappellaro P. Quantum sensing. Rev Mod Phys. 2017;89(3):035002. doi: 10.1103/RevModPhys.89.035002
  36. 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
  37. 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
  38. 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
  39. 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
  40. 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
  41. 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
  42. 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
  43. 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
  44. 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
  45. 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
  46. 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
  47. 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
  48. 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
  49. 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
  50. 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
  51. 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
  52. 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
  53. 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
  54. 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
  55. 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
  56. 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
  57. 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
  58. 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
  59. 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
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Journal of Clinical and Translational Research, Electronic ISSN: 2424-810X Print ISSN: 2382-6533, Published by AccScience Publishing