Ruthenium Poly(ethylenimine)/Gold Nanoparticles Immobilized on Dendritic Mesoporous Silica Nanoparticles for a CA15‑3 Electrochemiluminescence Immunosensor via Cu₂O@PDA Dual Quenching

The development of a specifically sensitive approach for CA15-3 detection is of great significance for the early diagnosis and treatment monitoring of breast cancer. In the present work, an electrochemiluminescence (ECL) immunosensor was constructed for the sensitive and selective detection of CA15-3 based on a dual-quenching strategy. Ru­(dcbpy)32+, poly­(ethylenimine) (PEI), and gold nanoparticles (AuNPs) were immobilized on dendritic mesoporous silica nanoparticles (DMSNs) (Ru-PEI/AuNPs@DMSNs) with high ECL efficiency due to the high loading amounts of Ru­(dcbpy)32+, the shortened electron-transfer path between the luminophore and coreactant, and the excellent conductivity and localized surface plasmon resonance effect of AuNPs. In the presence of CA15-3, a Cu2O nanoparticles coated with poly­(dopamine) (Cu2O@PDA) nanocomposite was introduced to the synthesized Ru-PEI/AuNPs@DMSNs through antigen–antibody interaction, resulting in a remarkable ECL quenching due to the dual quenchers of Cu2O and PDA. Under the optimal conditions, the fabricated sensor was used to detect CA15-3 in a wide linear range of 5.0 × 10–5–6.0 × 102 U mL–1 with a low limit of detection of 2.4 × 10–6 U mL–1. The dual-quenching ECL immunosensor was successfully applied for the determination of CA15-3 in patient serum, indicating the potential applicability of the present immuosensor for the clinical determination of CA15-3 and other cancer biomarkers

Image_2_Spontaneous pregnancy after tracking ovulation during menstruation: A case report of a woman with premature ovarian insufficiency and repeated failure of in vitro fertilization.JPEG

The diagnosis of premature ovarian insufficiency (POI) is devastating in women of reproductive age because of the small chance of spontaneous pregnancy. Here, we report a very rare case with POI and repeated failure of in vitro fertilization (IVF) where the final result was natural fertilization following guidance to have sexual intercourse during menstruation as ovulation was monitored. Estradiol valerate was used to increase the thickness of the endometrium and stop the menstrual bleeding. There was a serum level of 208.44 IU/L of human chorionic gonadotropin (HCG) 14 days after the ovulation. Later, a series of transvaginal ultrasounds also indicated a normal-appearing intra-uterine pregnancy. A healthy baby girl was delivered at term by means of cesarean section. Our report suggested that although the chance of spontaneous pregnancy is relatively low in patients with POI with repeated IVF failures, as long as ovulation does occur, even if it happens during menstruation, natural pregnancy is still worth trying with a series of proper and personalized treatments.</p

Image_1_Spontaneous pregnancy after tracking ovulation during menstruation: A case report of a woman with premature ovarian insufficiency and repeated failure of in vitro fertilization.JPEG

The diagnosis of premature ovarian insufficiency (POI) is devastating in women of reproductive age because of the small chance of spontaneous pregnancy. Here, we report a very rare case with POI and repeated failure of in vitro fertilization (IVF) where the final result was natural fertilization following guidance to have sexual intercourse during menstruation as ovulation was monitored. Estradiol valerate was used to increase the thickness of the endometrium and stop the menstrual bleeding. There was a serum level of 208.44 IU/L of human chorionic gonadotropin (HCG) 14 days after the ovulation. Later, a series of transvaginal ultrasounds also indicated a normal-appearing intra-uterine pregnancy. A healthy baby girl was delivered at term by means of cesarean section. Our report suggested that although the chance of spontaneous pregnancy is relatively low in patients with POI with repeated IVF failures, as long as ovulation does occur, even if it happens during menstruation, natural pregnancy is still worth trying with a series of proper and personalized treatments.</p

Table_1_Spontaneous pregnancy after tracking ovulation during menstruation: A case report of a woman with premature ovarian insufficiency and repeated failure of in vitro fertilization.DOCX

The diagnosis of premature ovarian insufficiency (POI) is devastating in women of reproductive age because of the small chance of spontaneous pregnancy. Here, we report a very rare case with POI and repeated failure of in vitro fertilization (IVF) where the final result was natural fertilization following guidance to have sexual intercourse during menstruation as ovulation was monitored. Estradiol valerate was used to increase the thickness of the endometrium and stop the menstrual bleeding. There was a serum level of 208.44 IU/L of human chorionic gonadotropin (HCG) 14 days after the ovulation. Later, a series of transvaginal ultrasounds also indicated a normal-appearing intra-uterine pregnancy. A healthy baby girl was delivered at term by means of cesarean section. Our report suggested that although the chance of spontaneous pregnancy is relatively low in patients with POI with repeated IVF failures, as long as ovulation does occur, even if it happens during menstruation, natural pregnancy is still worth trying with a series of proper and personalized treatments.</p