Immunosensors for Assay of Toxic Biological Warfare Agents

An immunosensor for the assay of toxic biological warfare agents is a biosensor suitable for detecting hazardous substances such as aflatoxin, botulinum toxin, ricin, Shiga toxin, and others. The application of immunosensors is used in outdoor assays, point-of-care tests, as a spare method for more expensive devices, and even in the laboratory as a standard analytical method. Some immunosensors, such as automated flow-through analyzers or lateral flow tests, have been successfully commercialized as tools for toxins assay, but the research is ongoing. New devices are being developed, and the use of advanced materials and assay techniques make immunosensors highly competitive analytical devices in the field of toxic biological warfare agents assay. This review summarizes facts about current applications and new trends of immunosensors regarding recent papers in this area.


Introduction
Testing hazardous toxic materials is an important task in current analytical chemistry. Accurate and timely proof of hazardous materials in the environment or an organism is necessary for choosing the correct countermeasures or therapy. Various instrumental devices are available for the purpose, and accurate and sensitive assays of hazardous toxic materials are possible. Mass spectrometry, chromatography, electrophoresis, and immunochemical methods, such as enzyme-linked immunosorbent assay, can be standard analytical chemistry for toxins [1][2][3][4][5][6][7][8][9][10]. Although standard methods are available and fully applicable, they have disadvantages, such as the price of the device, cost per assay, and demands on staff and other laboratory equipment. Alternative methods are being sought, to serve in situations where standard methods are unsuitable. Simple devices usable in the field, small mobile laboratories, or by a sole investigator in terrain, or devices for point-of-care tests, could provide identification of toxins in sites where other methods are not convenient.
Biosensors, chemosensors, aptasensors, and similar portable and low-cost analytical devices are generally suitable for use outside of laboratories. The concept of biosensors and biosensor-like devices brings an alternative to standard methods because the application of new materials and measurement procedures makes them sensitive up to the level of these standard methods [11,12]. They maintain the concept of simple portable devices that can even be integrated as wearable electronics in the future.
Toxins with military relevance represent a group of harmful substances with serious pathological impacts on the human organism. The test of such toxins with small portable devices is highly desired. It can protect endangered persons, help choose proper therapy, and diagnose the true causative agent of poisoning. Biosensors with bound antibodies, immunosensors, are reviewed here. Recent discoveries are introduced, and the significance of immunosensors is discussed. mistletoe plant Viscum album) [35], and volkensin (a toxic glycoprotein from Adenia volkensii plant) [36] are regulated substances according to the Australia Group. The mentioned toxins are given in Table 1. The Center for Disease Control and Prevention (1600 Clifton Road, Atlanta, GA 30329-4027 USA) distinguishes three basic types of biological warfare agents labeled A, B, and C [37,38]. Group A contains the most dangerous biological warfare agents. Groups B and C are less important as the agents are less dangerous. Serious pathogens, such as Bacillus anthracis, Francisella tularensis, Yersinia pestis, and Variola major belong to group A. Clostridium botulinum toxin (Botulinum toxin) also belongs to the upper-priority group A as a representative of toxic substances.

Biosensors for the Toxic Biological Warfare Agents Assay
Biosensors are analytical devices that combine a physicochemical transducer and a biorecognition element. While the physicochemical transducers work as a physical sensor, the biorecognition element is responsible for specificity, but it can also initiate chemical or physical processes detectable by the physico-chemical transducer. Biosensor analytical devices have progressed from simple detectors containing crude enzymes, such as glucose oxidase, to complex systems where purposely prepared biological origin molecules, nanomaterials, and other advanced techniques are used [39][40][41][42]. Immunosensors are a variant of a biosensor where an antibody plays the role of a biorecognition element, and an antigen is an analyte [43][44][45][46][47]. Conception in which an immunosensor containing an antibody is detected by an antigen is possible as well [48]. Toxins assay by an immunosensor can work on a direct interaction between immobilized antibodies specific to the toxin and the toxin itself presented in the sample. More complicated assay formats also exist, and sandwich immunocomplexes, competitive immunoassays, formation of complexes with nanoparticles, and other arrangements are known, as described in the chapter devoted to the specific examples. A general principle of an immunosensor for toxin assay is shown in Figure 1. body is detected by an antigen is possible as well [48]. Toxins assay by an immunosensor can work on a direct interaction between immobilized antibodies specific to the toxin and the toxin itself presented in the sample. More complicated assay formats also exist, and sandwich immunocomplexes, competitive immunoassays, formation of complexes with nanoparticles, and other arrangements are known, as described in the chapter devoted to the specific examples. A general principle of an immunosensor for toxin assay is shown in Figure 1. Biological warfare agents, including toxins, can be analyzed by a wide number of biosensors, as seen in the examples in the following text. The use of antibodies as a biorecognition element is quite common for a biological warfare agent assay. An electrochemical paper immunosensor for a B. anthracis assay is an example [49]. Antibodies react with a target molecule, called an antigen, and specifically recognize a site on the antigen called a paratope. The use of antibodies in various analyses has a long tradition, and specific antibodies can be attained in the market. On the other hand, antibodies are sizable molecules, and their production requires the use of animals (polyclonal antibodies) or biotechnology (monoclonal and recombinant antibodies). This means that the production of antibodies is not easily reproducible and can also require a high initial investment in material and work.
Aptamers are another recognition element representing an artificial molecule based on polynucleotides, polydeoxynucleotides, or peptide-binding [50,51]. The use of aptamers for analyses became quite common, and the term aptasensor can be found in the current literature. Using an aptasensor for biological warfare agents is possible, and the application of bacillus anthracis is an example [52,53]. Aptamers exert affinity to the target molecule as antibodies do. Because aptamers are artificial biomolecules, they can be produced by typical chemical technologies, and thus the product can be more attractive to some manufacturers. On the other hand, aptamers can have problems with specificity and affinity concerning the target structures, though their production technology is proven, and some aptamers have good specifications. Biological warfare agents, including toxins, can be analyzed by a wide number of biosensors, as seen in the examples in the following text. The use of antibodies as a biorecognition element is quite common for a biological warfare agent assay. An electrochemical paper immunosensor for a B. anthracis assay is an example [49]. Antibodies react with a target molecule, called an antigen, and specifically recognize a site on the antigen called a paratope. The use of antibodies in various analyses has a long tradition, and specific antibodies can be attained in the market. On the other hand, antibodies are sizable molecules, and their production requires the use of animals (polyclonal antibodies) or biotechnology (monoclonal and recombinant antibodies). This means that the production of antibodies is not easily reproducible and can also require a high initial investment in material and work.
Aptamers are another recognition element representing an artificial molecule based on polynucleotides, polydeoxynucleotides, or peptide-binding [50,51]. The use of aptamers for analyses became quite common, and the term aptasensor can be found in the current literature. Using an aptasensor for biological warfare agents is possible, and the application of bacillus anthracis is an example [52,53]. Aptamers exert affinity to the target molecule as antibodies do. Because aptamers are artificial biomolecules, they can be produced by typical chemical technologies, and thus the product can be more attractive to some manufacturers. On the other hand, aptamers can have problems with specificity and affinity concerning the target structures, though their production technology is proven, and some aptamers have good specifications.
Molecularly imprinted polymers are another affinity material manufactured via chemical processes. Molecularly imprinted polymers can serve in the same way as a biorecognition element and gain specificity to the sensor device [54][55][56]. Molecularly imprinted polymers could be mass-produced by the chemical industry, and any structure can be imprinted in theory. There are, however, some shortcomings that should be taken into account. The specificity of the imprints can be limited. The affinity of the surface to the target molecule is based on the shape and molecular interactions, which are not guaranteed when a homogenous membrane is used, and testing small molecules with defined physical and chemical specifications is an easier task for sensors with molecularly imprinted polymers. Experiences with molecularly imprinted polymers for the preparation of sensors include the Helicobacter pylori virulence factor assay [57], specific extraction of aflatoxins by molecularly imprinted polymers [58], and the human immunodeficiency virus drug assay by Tenofovir [59]. The use of molecularly imprinted polymer will gain more applications when new materials are developed as a platform for in situ membrane manufacturing.
Biological warfare agents can be analyzed by recognizing specific genes or sequences of their genetic information and using genetic probes, specific sequences of genetic information, etc. These devices proved their functionality in more applications, such as the Ebola virus assay [60,61] agents by detecting their genetic sequences is typically a sensitive and selective approach. These assays also have some disadvantages. First, genetic information is enclosed within cells or viral particles, and only rarely can the genetic information be attained directly. This may cause complications and will probably make it necessary to pretreat samples. Another disadvantage is that toxins cannot be assayed directly by genetic tests. Only a microorganism that produces the toxins can be analyzed.
Biosensors, including immunosensors, are a group of portable analytical devices. Some highly complex biosensors are not suitable for use outside of laboratories, but most of the newly developed biosensors are miniaturized instruments suitable for field tests. The immunosensor for toxic biological warfare agents plays a role in fast identification in order to choose proper countermeasures. The immunosensor should be a single step or based on a limited number of steps, with a minimal requirement of sample pretreatment and personnel operating the device. It is not expected that the immunosensor will replace standard laboratory analytical methods, such as chromatography or mass spectrometry. The standard methods should verify results from the immunosensor when the situation allows. The role of an immunosensor in the toxic biological warfare agent assay can be compared with point-of-care tests based on lateral flow immunochromatography that were found to be useful during the Coronavirus 2019 pandmic, and that were taken as a less expensive, accessible, but less accurate diagnostic alternative to the standard polymerase chain reaction assays [68][69][70][71][72][73].
Biosensors also have shortcomings that should be considered when a new analytical device containing a biosensor is constructed. Compared to the universal standard analytical devices, biosensors are suitable for assaying a specific analyte or a group of defined analytes. The specificity depends on the type of biorecognition element or manufactured molecule. The recognition antibody has to be replaced in the case of an immunosensor for a toxic biological warfare agents assay. This replacement is quite elaborate and cannot be done by a user. Therefore, immunosensors are not universal devices but analytical tools for specific tasks.

Commercial Immunosensors for Toxic Biological Warfare Agents
The research on immunosensors for toxic biological warfare agents is ongoing, and many interesting applications have already been commercialized. The already commercialized devices are outcomes of older research, and they have an actual use for safety purposes. On the other hand, the actual research outcomes are not involved in their construction. Both expensive automatically working analytical devices and cheap disposable detectors can be mentioned as successful adaptations of an immunosensor for the assay of biological warfare agents, including toxins.
The analyzer Raptor by Research International (Monroe, WA, USA) is an automatic, portable fluorometric assay system for monitoring up to four toxins, viruses, bacteria, spores, fungi, and other diverse targets, and it can be designated an immunosensor. It is a battery-powered portable device of 28.0 × 17.3 × 20.5 cm and 6.45 kg and is suitable for indoor and outdoor applications. It works on the principle of fluorescence immunoassay, which takes place in four independent channels, meaning that up to four biological warfare agents can be analyzed simultaneously. One assay takes 15 min to complete. All steps are automated, and flow forced by a peristaltic pump is responsible for the delivery of samples and the solutions of monoclonal antibodies with bound fluorophore labels to a chamber where another antibody has already been immobilized. Optical fibers excite the fluorophore, and an optical waveguide detects fluorescence when an immunocomplex with the analyte is formed in the flow-through cell. The principle of the Raptor function is depicted in Figure 2. The Raptor device can analyze a wide group of biological warfare agents. The exact type of agent depends on the regencies used. Toxic biological warfare agents can be proven with quite low detection limits: up to 0.1 ng/mL for staphylococcal enterotoxin B, 5 ng/mL for ricin, and up to 1 ng/mL for botulinum toxin [74][75][76][77][78][79][80]. chamber where another antibody has already been immobilized. Optical fibers excite the fluorophore, and an optical waveguide detects fluorescence when an immunocomplex with the analyte is formed in the flow-through cell. The principle of the Raptor function is depicted in Figure 2. The Raptor device can analyze a wide group of biological warfare agents. The exact type of agent depends on the regencies used. Toxic biological warfare agents can be proven with quite low detection limits: up to 0.1 ng/mL for staphylococcal enterotoxin B, 5 ng/mL for ricin, and up to 1 ng/mL for botulinum toxin [74][75][76][77][78][79][80]. Fluorescence measurement also uses another immunosensor for a biological warfare agents assay: Biosensor 220R by MSA (Pittsburgh, PA, USA). This immunosensor works automatically and uses magnetic microspheres with specific antibodies and a fluorescent tag with specific antibodies [81]. A complex is formed when an analyte is presented in a sample, the complex is held in a flow through a magnetic cell and washed, and its Fluorescence measurement also uses another immunosensor for a biological warfare agents assay: Biosensor 220R by MSA (Pittsburgh, PA, USA). This immunosensor works automatically and uses magnetic microspheres with specific antibodies and a fluorescent tag with specific antibodies [81]. A complex is formed when an analyte is presented in a sample, the complex is held in a flow through a magnetic cell and washed, and its fluorescence is measured. The manufacturer does not disclose detailed information about the magnetic particles and antibodies. The whole device is suitable for indoor and outdoor performance. It is battery-powered, 27 × 25 × 14 cm in size, and weighs 2.7 kg. The manufacturer claims a sensitivity for ricin and staphylococcal enterotoxin B < 1 ng for an assay lasting 5 min.
Lateral flow tests, also known as lateral flow immunoassays, are an analytical tool for the semiquantitative analysis of various chemicals, drugs, semiquantitative substances, biochemical and immunochemical markers, and microorganisms [82][83][84][85][86][87][88]. Toxic biological warfare agents can also be analyzed by lateral flow tests, and some manufacturers offer these immunoassay devices specific to toxins of security interest. Manufacturer Advnt Biotechnologies (Phoenix, AZ, USA) produces lateral flow tests for various biological warfare agents. There are tests for a single agent or for up to five agents analyzed in one assay. The tests for a single agent are named BADD (Biowarfare Agent Detection Devices); the tests for five simultaneous agents are called the Pro Strips Rapid Screening System. Other analytical specifications are the same for both tests. The detection limit for ricin and staphylococcal enterotoxin B is 10 ng/mL, the botulinum toxin variant A has a detection limit of 33 ng/mL, and the botulinum toxin variant B has a detection limit of 500 ng/mL for an assay that requires a sample size of 0.2 mL and a time of 3 min. The practical use of these strips was described in the papers cited for the assay of ricin [89] and the A variant of botulinum toxin [90]. Alexeter Technologies manufactures (Wheeling, IL, USA) similar lateral flow tests under the trade name BioDetect (test of a single biological warfare agent), RAID 5 (up to five contemporary assayed biological warfare agents), RAID 8 (up to eight contemporary assayed biological warfare agents), and RAID 10 (up to 10 contemporary assayed biological warfare agents). Ricin, staphylococcal enterotoxin B, and botulinum toxin are covered by these tests, but the manufacturer does not offer an assay for other toxic biological warfare agents. The assay takes 15 min to complete, though other analytical specifications are not disclosed by the manufacturer. Practical testing for ricin was described by Slotved et al. [89]. Lateral flow tests are also produced by other manufacturers. ANP Technologies (Newark, DE, USA) produce lateral flow tests for biological warfare agents and infectious microorganisms. Botulinum toxin A, ricin, and staphylococcal enterotoxin B tests are offered as tools for toxin assay. The manufacturer provides the tests for single target and multiplex assays suitable for the contemporary detection of two, four, five, and ten biological warfare agents. An example of a multiplexed lateral flow test is depicted in Figure 3.
The practical use of these strips was described in the papers cited for the assay of ricin [89] and the A variant of botulinum toxin [90]. Alexeter Technologies manufactures (Wheeling, IL, USA) similar lateral flow tests under the trade name BioDetect (test of a single biological warfare agent), RAID 5 (up to five contemporary assayed biological warfare agents), RAID 8 (up to eight contemporary assayed biological warfare agents), and RAID 10 (up to 10 contemporary assayed biological warfare agents). Ricin, staphylococcal enterotoxin B, and botulinum toxin are covered by these tests, but the manufacturer does not offer an assay for other toxic biological warfare agents. The assay takes 15 min to complete, though other analytical specifications are not disclosed by the manufacturer. Practical testing for ricin was described by Slotved et al. [89]. Lateral flow tests are also produced by other manufacturers. ANP Technologies (Newark, DE, USA) produce lateral flow tests for biological warfare agents and infectious microorganisms. Botulinum toxin A, ricin, and staphylococcal enterotoxin B tests are offered as tools for toxin assay. The manufacturer provides the tests for single target and multiplex assays suitable for the contemporary detection of two, four, five, and ten biological warfare agents. An example of a multiplexed lateral flow test is depicted in Figure 3. The assay by lateral flow test can be further improved by using a digital reader to measure the coloration of lines, and automatizes manipulation with samples. The device BioHawk LF by Research International is an example. It can even collect samples from aerosols via an external wetted wall cyclone, and perform automated detection of The assay by lateral flow test can be further improved by using a digital reader to measure the coloration of lines, and automatizes manipulation with samples. The device BioHawk LF by Research International is an example. It can even collect samples from aerosols via an external wetted wall cyclone, and perform automated detection of biological warfare agents and their identification in a total elapsed time of 10-25 min. The device is suitable for outdoor use, and its small size of 47.0 × 24.8 × 36.5 cm with a weight of 13 kg makes it single-person portable. The commercially available immunosensors for the assay of toxic biological warfare agents are summarized in Table 2.

Progress on Immunosensors for Toxic Biological Warfare Agents Assay
Research on a new immunosensor for the assay of toxic biological warfare agents brings improvements, making devices more competitive to standard methods. New materials typically improve expected specifications, such as decreasing limits of detection and sample volume on one side and making the assay simple on the other. Miniaturization additionally leads to savings on raw materials and production costs.
An immunosensor that works on the principle of the Raman scattering-lateral flow immunoassay was developed by Jia et al. [91]. Composite gold-silicon oxide nanoparticles were chosen for the assay as fluorescent labels. Variants of the immunosensor for the ricin, botulinum toxin, and staphylococcal enterotoxin B assay were developed. The toxins were analyzed with a detection limit of 0.1 ng/mL for ricin and botulinum toxin A, of 0.05 ng/mL for staphylococcal enterotoxin B, and the time per single measurement was 15 min. A voltametric immunosensor was developed to detect vacuolating cytotoxin A from Helicobacter pylori [92]. Although this toxin is not listed among biological warfare agents, the assay provides promising results and can be easily adapted for other bacterial toxins. The authors prepared a graphitic carbon nitride/zinc oxide nanocomposite electrochemically deposited on gold electrodes, further immobilized antibodies via carbodiimide and Nhydroxysuccinimide, and vacuolating cytotoxin A was detected by voltammetry. The detection limit for the assay was equal to 0.1 ng/mL for vacuolating cytotoxin A with a linear range of calibration between 0.1 and 12.8 ng/mL and a time per test of 10-15 min. An electrochemiluminescence immunosensor for a ricin assay was developed on a platform of screen-printed electrodes [93]. The immunosensor contained magnetic beads with antibodies specific for ricin immobilized through streptavidin-biotin. A sandwich was formed in the presence of ricin with CdSe/ZnS quantum dots, the immunocomplex formed on the magnetic beads was magnetically separated, and electrochemiluminescence was measured. The immunosensor had a detection limit of 5.5 pg/mL and a linear assay range of 0.01-100 ng/mL. Magnetic beads were also used in the work by Atanasova and colleagues concerning the detection of aflatoxin M1 [94]. The magnetic nanoparticlebased fluorescent immunoassay provided a limit of detection for aflatoxin M1 2.9 pg/mL and a linear calibration range of 3.0 to 100 pg/mL. An immunosensor for aflatoxins was also developed in the work of Peltomaa et al. [95]. They developed a non-competitive immunoassay in which a primary anti-aflatoxin antibody was bound via streptavidin to magnetic beads, and an immunocomplex was formed in the presence of aflatoxin B1 with a secondary Eu-labeled antibody. Fluorescence was measured after the magnetic separation. The assay had a detection limit of 70 pg/mL for an assay lasting 15 min.
Botulinum toxin A was measured by an immunosensor, in which specific antibodies were attached to gold nanoparticles, a sandwich immunocomplex was formed with botulinum toxin and antibodies on fluorescent probe particles, and diffusivity was measured [96]. The assay had a detection limit of 10 pg/mL for a measurement time of 2 min, and botulinum toxin A was measured in a calibration range of 0.01-500 ng/mL. In another work, the simultaneous detection of botulinum toxins A and E was performed by a voltametric assay [97]. The immunosensor comprised magnetic core/metal-organic framework nanoparticles covered with antibodies specific to botulinum toxins and monoclonal antibodies labeled with polystyrene@polydopamine/cadmium and silver. The assay had a dynamic range of 0.1-1000 pg/mL and a limit of detection of 0.04 pg/mL for botulinum toxin A, and a dynamic range of 0.5-1000 pg/mL and a limit of detection of 0.16 pg/mL for botulinum toxin E.
The botulinum toxin assay was also developed in the work of Kumar et al. [98]. They chose the toxoid form of botulinum toxin types C and D for their analysis, and the porous silicon Fabry-Perot interferometer as a platform for a competitive immunoassay. It was covered with a gelatin membrane and botulinum toxoid. Primary antibodies specific for toxoid and secondary antibodies labeled with horse radish peroxidase were used, and peroxidase-catalyzed oxidation of 4-chloro-1-naphthol using hydrogen peroxide created insoluble products. The botulinum toxin in a sample was completed with the immobilized toxoid for the antibodies applied. Reflectivity spectra were collected, and calibration was performed. The assay had a linear response of 10 pg/mL to 10 ng/mL and a limit of detection of 4.8 pg/mL for an assay occurring in nearly real-time.
The immunosensor for toxins can also use complex and more expensive platforms to achieve outstanding specifications. Shiga toxins were, for instance, analyzed with surface plasmon resonance imaging [99]. This immunosensor contained immobilized immunoglobulin G on 50 nm gold film and proved Shiga toxoid Stx1 in a label-free mode with a detection limit of 50 ng/mL in an assay lasting 20 min. The signal can be further improved by applying gold nanoparticles covered with anti-Shiga toxin antibodies. The sensitivity of the assay improves when the immunosandwich forms, and the limit of detection is around 1 pg/mL. Surface plasmon resonance was used to detect ricin and abrin in another article [100]. A sandwich immunocomplex comprised of a protein G, a magnetic bead with an antibody, analyte, and secondary antibody, was formed and placed at the site of the proper sensor chip. The assay contained a magnetic separation step that enriched the analyte and improved sensitivity. The limit of detection for abrin and ricin assay was equal to 0.6 ng/mL. Immunocomplex formation on the surface plasmon resonance chip was also used in work by Stern et al. [101]. The authors co-immobilized antibodies against ricin, and agglutinins were assayed in the first step. Adding an antibody specific for ricin formed a sandwich immunocomplex, and the level of ricin could be differentiated from the level of agglutinin. The detection limit was equal to 3 ng/mL for ricin and 6 ng/mL for agglutinin in an assay providing the assay results in real-time. The total analysis time, including sample processing, was less than 30 min. The newly developed immunosensors for the toxic biological warfare agent assay are summarized in Table 3.
Introducing new immunosensors into practice is not an easy task. It requires not only assembling the particular parts but also using original nanomaterials and antibodies, and their production is a condition for getting an immunosensor into the market. Generally, producing biosensors and immunosensors has a great practical perspective, and their use by various consumers is expected [102,103]. Immunosensors for toxic biological warfare agents assays are devices designed for the military, police, or other organizations. The introduction of immunosensors to these consumers will highly depend on governmental support or acquisitions. The fact that one immunosensor typically detects only one type of toxic biological warfare agent is a disadvantage. Militaries tend to require a single analyzer for a wide number of analytes, and that the analyses are performed by trained staff for whom education in analytical chemistry, bioanalytical chemistry, or similar disciplines is necessary. There can also be problems with the manufacturing processes in which new materials are used, and shortcomings in quality or reproducibility can occur. The limitations mentioned here should be considered when the introduction of an immunosensor is planned. On the other hand, the benefits of small, portable, and cheap analytical devices for security practices are undeniable. The practical spread of the immunosensor for toxic biological warfare agents will depend on the verification of their potential by military specialists. If the first of the new types of immunosensors are at least partially successful, further propagation of them for toxic biological warfare agents can be expected. diffusivity measurement of sandwich immunocomplexes comprised of gold nanoparticles with antibodies, analyte, and antibodies on fluorescent probe particles botulinum toxin limit of detection 10 pg/mL, calibration range 0.01-500 ng/mL, assay time 2 min [96] voltametric immunosensor containing magnetic particles with antibodies forming a sandwich with analyte and other antibodies labeled with Ag or Cd nanoparticles botulinum toxin A and E dynamic range 0.1-1000 pg/mL and limit of detection 0.04 pg/mL (botulinum toxin A); dynamic range 0.5-1000 pg/mL and limit of detection 0.16 pg/mL (botulinum toxin E) [97] Fabry-Perot interferometric competitive immunoassay using primary and peroxidase-labeled secondary antibody, precipitation of 4-chloro-1-naphthol by peroxidase was responsible for the detected signal toxoid form of botulinum toxin type C and D linear response 10 pg/mL to 10 ng/mL, limit of detection 4.8 pg/mL, assay going in nearly real time [98] surface plasmon resonance imaging, antibody bound on gold film, signal improved by adding of gold nanoparticles with immobilized antibodies Shiga toxin-tested on toxoid limit of detection 50 ng/mL for label-free assay, 1 pg/mL when gold-immuno-nanoparticles are applied, assay time 20 min [99] surface plasmon resonance combined with magnetic separation ricin and abrin limit of detection 0.6 ng/ml [100] surface plasmon resonance with antibodies immobilized on chip and secondary antibody used for specific ricin assay and signal improvement ricin, agglutinin 3 ng/mL for ricin, 6 ng/mL for agglutinin, assay time including sample processing 30 min [101]

Conclusions
Toxins represent a substantial risk to human health; they can be present in the environment, food, and drugs or accompany infectious diseases. They are also a threat that can be misused for military or terrorist activities. Early detection is a necessity for helping to decide what countermeasures or therapies should be chosen. Although current analytical techniques are accurate and reliable, early test detection for outdoor measurement or pointof-care diagnosis is extremely helpful. Immunosensors can provide a highly sensitive assay and the possibility to perform testing outside of standard laboratories. Recent discoveries and the implementation of new materials make immunosensors highly sensitive and capable of detecting toxins in very low concentrations. At the same time, these devices are typically inexpensive, small, are readily integrated into portable or even wearable electronics, and perform point-of-care tests. The currently commercialized immunosensors are fully applicable. The newly developed ones will further improve possibilities for toxin assay.

Conflicts of Interest:
The author declares no conflict of interest.