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______________________________________________________________________ Introduction<br />

beacon are complementary and form a loop through self-hybridization. Coupling of a<br />

fluorophore and a quencher on opposite ends of a beacon results in quenching of fluorescence<br />

when the beacon is closed and a fluorescence signal when the beacon is opened due to<br />

hybridization with a target DNA. Another optical technique commonly used for DNA detection<br />

is surface plasmon resonance, based on the change in the refractive index of a thin metal<br />

substrate modified with a biorecognition interface upon hybridization. Nevertheless, the<br />

required equipment for optical detection is sophisticated and relatively expensive and therefore<br />

not suitable for clinical purposes and point-of-care diagnostics but rather for laboratory<br />

applications. Furthermore, inconsistent yields of target synthesis and labelling as well as nonuniform<br />

rates of photobleaching can result in insufficient readout accuracy required for patient<br />

diagnosis 54 .<br />

Figure 1.13. Optical DNA detection using molecular beacons.<br />

Piezoelectric DNA sensors rely on the mass change upon hybridization with a target DNA that<br />

is correlated with an increase in the fundamental resonance frequency of a crystal 55 . Quartz<br />

crystal microbalance is the most commonly used technique for the real-time monitoring of the<br />

hybridization process 56 . Different strategies to increase the mass change upon hybridization<br />

were used in order to increase the sensitivity, usually by using bulky labels 57,58 .<br />

Point-of-care diagnostics requires fast response, high sensitivity and selectivity, and operation<br />

simplicity. These, coupled with portability, low cost and possibility of miniaturization, are<br />

characteristics of electrochemical DNA sensors, which makes them very attractive for mass<br />

production. Unlike bulky optical readout systems, electrochemical detection can be integrated<br />

1.4 Hybridization detection 22

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