ORIGINAL RESEARCH article

Front. Neurol.

Sec. Neurological Biomarkers

Volume 16 - 2025 | doi: 10.3389/fneur.2025.1615457

This article is part of the Research TopicBlood, Cerebrospinal Fluid, and Vascular Biomarkers for DementiaView all 18 articles

Synergistic effects of surface-enhanced Raman spectroscopy and enzyme-linked immunoassays in diagnosis of Alzheimer's disease, mild cognitive impairment, and late-life depression

Provisionally accepted
Xi  MeiXi Mei1*Zheng  ZhaoZheng Zhao1Juan  WangJuan Wang1Conglong  QiuConglong Qiu1Longhui  LiLonghui Li1Changchun  XiongChangchun Xiong2Shanshan  ZhuShanshan Zhu2Chengying  ZhengChengying Zheng1
  • 1Affiliated Kangning Hospital of Ningbo University, Ningbo, China
  • 2Ningbo University, Ningbo, Zhejiang Province, China

The final, formatted version of the article will be published soon.

Background: Objective tests that can be used to identify neurodegenerative diseases and neuropsychiatric disorders are urgently needed. The primary objective of this study is to evaluate the diagnostic accuracy of Surface-Enhanced Raman Spectroscopy (SERS), a novel blood-based detection method, in differentiating neurodegenerative diseases and neuropsychiatric disorders. Additionally, we aim to assess the synergistic diagnostic performance of combining SERS with Enzyme-Linked Immunosorbent Assay (ELISA) technology for Alzheimer's disease (AD), mild cognitive impairment (MCI), and late-life depression (LLD).In total, 23 patients with AD, 24 with MCI, 20 with LLD, and 20 cognitively normal (control) individuals were enrolled. ELISA and SERS were used to test various biomarkers in the AD, MCI, LLD, and control groups.Results: Amyloid-β, tau, brain-derived neurotrophic factor, proinflammatory cytokine IL-1β, and growth differentiation factor-15 levels as measured using ELISA significantly differed among the four groups (P<0.05). SERS peaks at 592 (P=0.038), 725 (P=0.001), 1003 (P=0.010), 1331 (P=0.000), and 165 cm -1 (P=0.000) likewise significantly differed among the four groups. The area under the curve was significantly higher after combining multiple blood indicators than that with single-blood indicators.Combining SERS and ELISA can significantly increase diagnostic accuracy for AD, MCI and LLD. The findings are expected to provide potential therapeutic targets for precise intervention in these diseases, thereby contributing to improved clinical stratification and personalized treatment strategies.

Keywords: Alzheimer's disease, Mild Cognitive Impairment, late-life depression, Enzyme-Linked Immunosorbent Assay, surface-enhanced Raman spectroscopy

Received: 28 Apr 2025; Accepted: 09 Jun 2025.

Copyright: © 2025 Mei, Zhao, Wang, Qiu, Li, Xiong, Zhu and Zheng. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Xi Mei, Affiliated Kangning Hospital of Ningbo University, Ningbo, China

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