New Trends in Uric Acid Electroanalysis

: Considering the increasing incidence of hyperuricemia and oxidative stress-related diseases, quantiﬁcation of uric acid has become essential. Therefore, the evolution on sensing devices being favorable, these questions are more often addressed to the ﬁeld of medical researchers. As for many metabolites, (bio)sensors provide a reliable method for screening and evaluation of uric acid status. Due to the numerous categories of (bio)sensors available, choosing the appropriate one is a challenge. This study reviews the scientiﬁc information concerning the most suitable (bio)sensors for quantiﬁcation of uric acid, presenting a list of sensors from the last decade, categorized by conﬁgurations and materials. In addition, this review includes a comparison of sensors according to their interference behavior and sensitivity, offering an objective perspective for identifying devices that are suitable for clinical applications.


Introduction
Uric acid is a metabolic product that results from degradation of purines in the liver. Usually, uric acid is identified from biological fluids, human serum and urine through conventional methods, such as spectroscopy, chromatography, electrochemistry, membrane capillary electrophoresis and spectrophotometric methods, including uricase enzymatic reactions [1]. Importantly, uric acid determination opens the possibility of early intervention in cases of hyperuricemia and preventing the degradation of renal function.
From the electrochemical point of view, uric acid is a weak acid, with two-step dissociation at a pKa 1 of 5.4 and a pKa 2 of 9.8. In the physiological range of pH (7.35-7.45), in the extracellular compartment, uric acid is found mostly (98%) in the form of biurate (deprotonated urate anion or ionized urate), and a very small quantity (<1%) is found as undissociated uric acid [2]. However, in more acid pH media, such as urine (pH 6.5), uric acid is still found mainly as biurate (88%) but with an increased percentage as uric acid (12%) [2,3].
The physiological levels of uric acid are between 3.5 mg/dL and 7.2 mg/dL (210 µM and 430 µM) in males, and between 2.6 mg/dL and 6.0 mg/dL (155 µM and 360 µM) in The oxidative properties of uric acid can be used in developing catalytic methods of detection. Thanks to the high electrochemical capacity of uric acid, for the rapid quantification of uric acid levels, scientists have developed different uric acid detection tools.
Together with uric acid, dopamine and ascorbic acid have similar oxidative behavior and coexist in urine samples [6]. Therefore, uric acid, dopamine and ascorbic acid signals can interfere with each other in the process of electrochemical detection in real samples. These three compounds have a very similar oxidation potential, so their electrochemical detection is very challenging [6] as obtaining separate voltametric peaks is the principal objective [7]. This ma er has been investigated frequently for most types of electrodes, such as conventional sensors, modifiable electrodes and biosensors.
However, dopamine, uric acid and ascorbic acid have individual and cumulative importance because of their role in oxidative stress-related diseases [8]. Parkinson's disease, most of all, lacks a rapid diagnostic method using biological markers for diagnosis of the early stages of the pathology [9] and it is an example where simultaneous detection of the three compounds may be useful [10].
Together with uric acid, dopamine and ascorbic acid have similar oxidative behavior and coexist in urine samples [6]. Therefore, uric acid, dopamine and ascorbic acid signals can interfere with each other in the process of electrochemical detection in real samples. These three compounds have a very similar oxidation potential, so their electrochemical detection is very challenging [6] as obtaining separate voltametric peaks is the principal objective [7]. This matter has been investigated frequently for most types of electrodes, such as conventional sensors, modifiable electrodes and biosensors.
However, dopamine, uric acid and ascorbic acid have individual and cumulative importance because of their role in oxidative stress-related diseases [8]. Parkinson's disease, most of all, lacks a rapid diagnostic method using biological markers for diagnosis of the early stages of the pathology [9] and it is an example where simultaneous detection of the three compounds may be useful [10].
The aim of this paper is to outline the variety of electrodes developed in the last ten years for quantification of uric acid. We investigate different types of modified electrodes and biosensors, comparing their sensitivity, specificity and efficiency for applications in the medical field.

Methodology
We include pertinent studies written in English that were published between 2012 and 2022 and also several older publications. The studies were identified in the PubMed database using relevant keywords including "uric acid detection", "uric acid electroanalysis", "uric acid electrochemical sensors", "uric acid biosensors", and "electrochemical urine test". Considering the purpose of this review, relevant data were also selected based on their medical application.

Results and Discussion
An abundance of sensors has been developed to detect uric acid from standard solutions and real samples, so this review outlines a wide variety of electrodes based on the type and configuration of materials and the electrodes' behavior in relation to interferent compounds ( Figure 2). heart a ack risk [17], cataracts [17], tooth decay [17], improper bone development [17], loss of appetite [17], weakened cartilage [17], skin hemorrhages [17], impaired digestion [17], septic shock [18], and diabetes mellitus [19]. The aim of this paper is to outline the variety of electrodes developed in the last ten years for quantification of uric acid. We investigate different types of modified electrodes and biosensors, comparing their sensitivity, specificity and efficiency for applications in the medical field.

Methodology
We include pertinent studies wri en in English that were published between 2012 and 2022 and also several older publications. The studies were identified in the PubMed database using relevant keywords including "uric acid detection", "uric acid electroanalysis", "uric acid electrochemical sensors", "uric acid biosensors", and "electrochemical urine test". Considering the purpose of this review, relevant data were also selected based on their medical application.

Results and Discussion
An abundance of sensors has been developed to detect uric acid from standard solutions and real samples, so this review outlines a wide variety of electrodes based on the type and configuration of materials and the electrodes' behavior in relation to interferent compounds ( Figure 2). Results show a good linearity for increasing analyte concentration and a low limit of detection (LOD) for most sensors and biosensors. However, it has to be considered that some require expensive materials, such as platinum [7] or gold [20], or surface modifications and activation reactions. Others utilize electrochemical copolymerization [21], functionalization with nanoparticles [22], or electro activation with enzymes [23], which usually require more time and resources as their functionalization needs to be verified and controlled before use [24].
In the past ten years, a large variety of electrochemical sensors for detection of uric acid and interferent compounds (ascorbic acid, dopamine) have been characterized [25]. Results show a good linearity for increasing analyte concentration and a low limit of detection (LOD) for most sensors and biosensors. However, it has to be considered that some require expensive materials, such as platinum [7] or gold [20], or surface modifications and activation reactions. Others utilize electrochemical copolymerization [21], functionalization with nanoparticles [22], or electro activation with enzymes [23], which usually require more time and resources as their functionalization needs to be verified and controlled before use [24].
In the past ten years, a large variety of electrochemical sensors for detection of uric acid and interferent compounds (ascorbic acid, dopamine) have been characterized [25]. Based on the studies reviewed, there appears to be a large group of highly sensitive sensors for detection and quantification of uric acid from serum or urine samples [25].
Non-enzymatic sensors are the most common electroanalysis device for detection of urinary compounds, but biosensors are a feasible alternative [26]. Some common modifications of sensors include using glassy carbon electrodes, graphene oxide electrodes or carbon nanotubes [26].
Broadly, there are several major types of modification path-transition metal-modified electrodes (Table 1), including gold-coated electrodes ( Table 2), chemically modified electrodes (Table 3) and biosensors (Table 4). In addition, this article presents an overview of the main types of newly developed electrodes.

Transition Metal Nanoparticles for Uric Acid Detection
It has been demonstrated that transition metal oxide nanoparticles can be used widely in electrochemical detection due to their high biocompatibility, electrochemical stability and good conductivity [39][40][41]. In addition, their low cost and wide availability are advantageous characteristics, especially regarding titanium and palladium [39,42].
Their photocatalytic and electrochemical properties are based on high their hydrophobicity, electron-rich state, good conductivity and biocompatibility. The conductivity of these materials results from hybridization of the d orbital of the metal ion and the p orbital of the oxygen atoms [43]. Their shape, size and large surface area offer improved stability and sensitivity due to electron transfer process and the adsorption of the biomolecules [39,43].
In particular, CuO enables better selectivity and sensitivity due to its narrow band gap energy of 1.2 eV to 1.5 eV and anode electrochemical charging. Additionally, CuO has high catalytic activity, a nontoxic nature, high optical absorption and is low cost, making it suitable for electrochemical applications [40].
This review covers some recently developed electrodes (Table 1) and expands on several examples of different electrode configurations.

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Glassy carbon electrode coated with titanium dioxide nanoparticles.
Titanium dioxide (TiO2) has wide applicability in the configuration of electrochemical sensors and biosensors, in water treatment and in other domains [39,[44][45][46][47]. This transition metal oxide is harmless and highly chemically stable [40].
Rajeswari et al., present a new titanium nanoparticle-coated glassy carbon electrode for detection of uric acid (UA), which was tested in standard solutions and real urine samples [39]. The sensor was morphologically characterized by scanning electron microscopy (SEM) and energy dispersive X-ray analysis (EDX) techniques. Under optimized conditions, the electrochemical measurements were performed by differential pulse voltammetry (DPV) in a neutral medium (phosphate buffer solution, pH 7.0). The oxidation peaks of uric acid appeared in a concentration range of 1 µM to 9 µM, with a limit of detection at 0.764 µM. Regarding the real urine samples tests, a TiO 2 NPs/GCE sensor demonstrated high selectivity against urine interferent compounds, with a recovery of 97.0% to 99.6%, which makes it suitable for medical applications [39].
Palladium nanoparticles are another type of advantageous transition metal nanoparticles. They are similar to titanium [39] because of their rapid electron transfer, high conductivity, low cost and good electrochemical stability [39,42,48]. A novel nanocomposite, consisting of palladium nanoparticles (PdNPs) and reduced graphene oxide was demonstrated to detect uric acid, dopamine and ascorbic acid. After the construction of the sensor, CV and EIS measurements were successfully performed. Under optimal conditions, the best peak potential for UA, DA and AA was determined using the DPV technique in a phosphate buffer solution of pH 7.2. The detection limit was comparable with other electrodes measurements ( Table 2) at 0.1 mM, 1 µM, and 16.67 µM for AA, DA and UA, respectively. Additionally, the detection linear ranges were low at 0.5 mM to 3.5 mM (AA), 3 µM to 15 µM, 15 µM to 42 µM (DA), and 0.3 µM to 1.4 mM (UA) [43]. The electrode showed good separation of peaks, discriminating between analytes present in human serum samples, with recovery rates from 96.6% to 108.5% [43].

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A glassy carbon electrode coated with copper oxide.
Copper oxide nanoparticles, as well as NiO, SnO, ZnO, CO 3 O 4 , and MgO, are suitable for use in electrochemical devices, such as sensors and biosensors [40,48,49]. One configuration of a copper nanoparticle-based electrode is the CuO/GCE electrode for detection of uric acid (UA). The electrode was morphologically characterized by XRD, FESEM and EDS. Uric acid was subjected optimally to cyclic voltammetry measurements in a phosphate buffer of pH 7.4. According to the optimization parameters, the best anodic peak potential of uric acid was found at 0.4 mV, with a limit of detection of 0.6 µM and at linear range of 0.001 mM to 351 mM. The selectivity of the electrode was successfully demonstrated in urine samples tests, with recovery rates from 95.56% to 104% [40]. AA = ascorbic acid, Cys = cysteine, DA = dopamine, E = epinephrine, G = glucose, SWV = square wave voltammetry, UA = uric acid, UR = urea; 1 = Glassy carbon electrode based on modified methylcellulose by graphene oxide and Fe 3 O 4 nanoparticles; 2 = Glassy carbon electrode coated with titanium dioxide nanoparticles; 3 = Palladium nanoparticles/reduced graphite oxide nanocomposite on a glassy carbon electrode; 4 = SnO 2 nanoparticles/multi-walled carbon nanotubes/carbon paste electrode; 5 = Glassy carbon electrode coated with copper oxide; 6 = Glassy carbon electrode modified with ruthenium oxide nanoparticles; 7 = MoS 2 nanosheet arrays/carbon nanofibers; 8 = CuO nano-rice-modified glassy carbon electrode; 9 = N-doped carbon nanotubes functionalized with Fe 3 O 4 nanoparticles; 10 = Glassy carbon electrode modified with ZnO nanowire arrays on 3D graphene foam.

Gold-Coated Electrodes
Gold nanoparticles have demonstrated good stability and biocompatibility [54]. Gold is the most stable transition metal in electrochemical analysis [55], but its main drawback is the cost. Despite this, recently, a series of gold nanoparticle composite electrodes have been manufactured and tested successfully for detection of uric acid and interferent compounds (Table 2) [27,[29][30][31][32][33][34][35][36]. Because of the high conductivity properties of gold nanoparticle [27,56], this metal is preferred for the configuration of sensors [27]. In addition to gold nanoparticles, the most used component for the sensor base are glassy carbon electrodes (GCE) [28]. In combination with reduced graphene oxide (rGO), the sensitivity of the sensor can be increased by reducing the detection limit and amplifying the electric signal [57]. This effect results from graphene's properties as a two-dimensional carbon material with a large surface area and high conductivity. One important drawback of graphene is the hydrophobic properties resulting from the π-π interactions between individual layers, which reduce the solubility [58].
Thus, in the oxidized form, GO provides hydrophilicity and increased catalytic properties through the presence of negatively charged groups of oxygenated functional groups (hydroxyl, carboxyl and epoxy groups), although GO is less conductive than the non-oxidized form. In order to achieve better conductivity, GO was combined with conductive materials, such conductive polymers (polypyrrole, poly(3,4-ethylenedioxythiophene), polyaniline and others) [30]. Table 2 presents different types of highly sensitive gold-coated sensors for detection of uric acid and interferent compounds, as well as a short overview of some electrodes.
This material designed by Safitri et al., consists of a modified glassy carbon electrode with a graphene oxide and gold nanorod covering and was designed and optimized for detection of uric acid [27]. The graphene oxide was synthesized by the modified Hummers' method [59], and the synthesis of the gold nanorods was performed using the Nikoobakht and El-Sayed method [27,59]. The design, statistical and mathematical analysis and optimization were performed with specialized software, and the influence of GO and AuNR on the uric acid oxidation curves was studied using a central composite design (CCD) method. The deposition of the two composites onto the electrode was characterized by TEM, SEM, EDS and XDR images. The measurements were performed with a threeelectrode cell potentiostat-working electrode (glassy carbon electrode), a reference electrode (Ag/AgCl electrode) and an auxiliary electrode (platinum wire electrode) [27].
The optimization study was performed with the differential pulse voltammetry (DPV) technique and cyclic voltammetry (CV). However, the DPV technique demonstrated higher sensitivity and peak isolation in comparison with CV. For DPV, the optimum experimental parameters were established: the uric acid peak potential was between +0.2 V and +1.0 V, with a 50 mV s −1 scan rate, a potential step of 5 mV, a potential pulse of 25 mV, and a pulse time of 0.01 s. The standard calibration curve represented the relation between the concentration of uric acid and the potential peak current of uric acid. The measurements were performed for a uric acid concentration range of 10 µM to 90 µM in KCl solution. The results showed a LOD at 0.4 µM and a quantification limit of 1.0 µM, which is comparable to other highly sensitive uric acid sensors [27,30,37,[60][61][62][63][64]. The electrode exhibited good stability and selectivity, as shown in Table 2, by performing repeated measurements in the presence of ascorbic acid (AA), dopamine (DA), glucose (G), magnesium and urea (UR). Moreover, it was used to perform real urine sample tests with satisfactory results [27].
Tan et al., present an electrode based on carbon fiber paper, modified with a polypyrole/graphene oxide composite and coated with gold nanoparticles [30]. It combines non-reduced GO with polypyrole (PPy) for better conductivity. The electrode was evaluated using SEM and EDS images. The measurements performed using DPV in a neutral medium (pH 7.0) indicated a linear range between 2 µM and 360 µM for uric acid (UA), with a detection limit at 1.68 µM. An investigation of the electrode's behavior in the presence of ascorbic acid (AA) and dopamine (DA) showed a high selectivity for uric acid. The linear ranges for AA and DA were 10 µM to 1600 µM and 0.2 µM to 60 µM; the LOD values for AA and DA were 2.43 µM and 0.115 µM, respectively. Additionally, the same conditions were applied for analysis of real samples and provided good results. Among the electrodes presented in Table 2, the AuNPs@GO/PPy/CFP electrode showed good selectivity but still requires improvement in terms of LOD and detection range [30].
This new flexible electrode is based on a polyethylene terephthalate (PET) substrate coated with indium tin oxide (ITO) and combined with reduced graphene oxide (rGO) and gold nanoparticles (AuNPs) [65]. The characterization of the sensor was performed with EDS and SEM analyses. Uric acid detections were performed by linear sweep voltammetry (LSV) and appeared at 0.4 V. In the optimization study, uric acid showed the best oxidation potential at pH 8 in nitrate buffer solution, with a limit of detection of 3.6 µM and a linear range between 10 µM and 500 µM. The measurements were performed with a three-electrode cell (standard calomel electrode (reference), Pt wire (counter electrode), and ITO-rGO-AuNPs (working electrode)). The interference test was performed in the presence of a high concentration of ions (ammonium, chloride and sodium) and ascorbic acid, with an insignificant effect on the uric acid curve [65]. Finally, testing of real samples (milk and urine) showed results comparable with those of other devices and validated the sensor for medical applications [65].

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Poly(diallyldimethylammonium chloride)-functionalized reduced graphene oxide and polyoxometalates-doped Au nanoparticle sensor Bai et al., configured a sensitive sensor by combining poly(diallyldimethylammonium chloride) (PDDA) with graphene sheets and polyoxometalates-doped Au nanoparticles [34]. This configuration is advantageous for the detection of uric acid because of the attraction between the positively charged polyelectrolytes and non-covalently functionalized graphene sheets [34,66,67]. In addition, the presence of gold nanoparticles enhances the electrode stability through electrostatic attraction. The configuration of the composite was investigated using atomic force microscopy (AFM), SEM and X-ray photoelectron spectra (XPS) [30].
Measurements were performed by a three-cell electrode consisting of the working electrode (composite film-modified electrode coated on ITO), a counter electrode (a twisted platinum wire) and a reference electrode (Ag/AgCl) in a phosphate buffer solution of pH 7.0. Uric acid was tested under optimized conditions and showed high sensitivity and good interference stability. The suitable analytical technique for this electrode was DPV, which revealed a uric acid peak at +350 mV, with a detection range between 2.5 × 10 −7 and 1.5 × 10 −4 and an LOD value of 0.08. In terms of stability, the sensor appeared to have long-term storage stability, even after 28 days of storage in dry conditions at room temperature. An interference study of the electrode was performed with human urine samples and demonstrated good average recovery of 97.92% [34].

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A sensor based on reduced graphene oxide functionalized by poly(amido-amine), multi-walled carbon nanotubes and Au nanoparticles.
Another type of sensor differing from other reduced graphene oxide-Au composites ( Table 2) was created and characterized by Wang et al. [35]. For the configuration of this nanohybrid, RGO-PAMAM-MWCNTs-AuNPs, the authors utilized reduced graphite oxide as the sensor base in combination with poly(amido-amine) (PAMAM) dendrimers and multi-walled carbon nanotubes coated with gold nanoparticles for higher performance in the detection of uric acid and interferent molecules.
PAMAN dendrimers have a branched structure that benefits future synthesis and confers structural homogeneity, mostly in the presence of metal nanoparticles [35,[68][69][70][71]. SEM images were used to study the sensor's morphology. The sensor optimization for detection of uric acid (UA), ascorbic acid (AA) and dopamine (DA) showed an optimal pH of 4.0 in phosphate buffer solution when performing differential pulse voltammetry (DPV) [35].
Regarding the interference study, in the mixture of the three compounds, three separate anodic peaks were detected at 0.06 V, 0.32 V and 0.44 V, corresponding to AA, DA and UA, respectively. The electrochemical signal appeared in the linear ranges of 20 µM to 1.8 mM, 10 µM to 0.32 mM, and 1 µM to 0.114 mM for AA, DA and UA, respectively, with detection limits at 6.7 µM, 3.3 µM and 0.33 µM. Despite the fact that no real samples were tested, this sensor showed promising results with good catalytic activity and high sensitivity, providing a visible peak separation between the interferent compounds [35].

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Nafion-based electrode modified with Azure A-coated carbon nanotubes coated with gold nanoparticles.
A different multi-walled carbon nanotubes composite was created, but in contrast to RGO-PAMAM-MWCNTs-AuNPs [35], it was prepared on a nafion base with N0, N0dimethylphenothiazin-5-ium-3,7-diamine (AzA) molecules attached to the multi-walled nanotubes and coated with gold nanoparticles [36]. The AzA molecules were chosen because of the strong interaction between their positive charge and the negative charge of the carboxyl groups of MWCNTs [36,66,67]. This bond provides stability to the composite in electrochemical detections [32,72,73]. The performance of the sensor was demonstrated by testing AA, DA, UA and tryptophan (Trp) in a phosphate buffer solution of pH 7.0 in a mixture of solutions and also from real urine and milk samples. For the characterization of the sensor morphology, TEM images were obtained [36].

Chemically Modified Electrodes
Polymers combined with graphene oxide (GO) provide satisfactory conductivity due to the π-π links between the polypyrrole and GO layers. Non-reduced GO provides a sufficient quantity of oxygen functional groups to enhance the electrochemical signal for detection of uric acid and interference molecules (AA and DA) [76].
In order to resist the adsorption of nonspecific biomolecules, electrochemical systems using antifouling sensing interfaces were developed. One conductive polymer, poly(3,4ethylenedioxythiophene) (PEDOT), appears to have higher conductivity, a faster electrochemical response and to be more stable in comparison with polyaniline (PANI) and polypyrrole (Ppy). This is the consequence of its increased flexibility and high porosity, which permit rapid adsorption of the biomolecules [57]. These designs are recommended for their accuracy and sensitivity in detecting different disease biomarkers in complex biological fluids.
These designs show biocompatibility with tissue, great electrochemical stability and broad applicability in electrochemical characterization of different bioactive compounds, such as uric acid, urea, ammonia, glucose and nitrite [57,[74][75][76]. Moreover, polymer filmmodified electrodes are a cheaper variant of electrodes with results that are comparable with those of metal electrodes and biosensors [74][75][76]. Regarding real samples detection, CMEs showed satisfactory results that were in agreement with other types of sensors [74][75][76].
For the configuration of the sensor, the graphene oxide was reduced to ErGO, combined with PEDOT:PSS and doped on a GCE [76]. This sensor was developed for detection of uric acid from standard solutions, but also from artificial saliva, simultaneously with dopamine. The optimal parameters were obtained using CV and DPV techniques by performing the measurements on artificial saliva solution. It was found that the uric acid peak potential was stronger and more stable, according to the DPV measurements, allowing measurement of uric acid at a large range of concentrations from 10 µM to 100 µM. The limit of detection of uric acid was 1.08 µM, which is under the normal human saliva concentration of uric acid. The interference tests successfully exhibited the separation of uric acid and dopamine peaks at 140 mV and 40 mV using standard solutions. Moreover, the sensor displayed reproducibility in detection of uric acid from artificial saliva and also high selectivity when testing for uric acid in human saliva [76].
Another conductive polymer-modified electrode has been developed by Zhang et al., for electrochemical identification of uric acid and interferent compounds, the Poly(2-(Nmorpholine)ethane sulfonic acid)/RGO electrode [75]. The PMES/RGO/GCE was studied using scanning electron microscopy (SEM) and electrochemical impedance spectroscopy (EIS). The electrochemical detection was performed with both cyclic voltammetry and differential pulse voltammetry techniques, and the optimal pH was found to be 7.0. The uric acid oxidation peak potential was identified with DPV scanning at around 180 mV to 320 mV [75].
The simultaneous detection of AA, DA and UA was successful, with very good separation of the oxidation peaks. The linear ranges for AA, DA and UA were determined as 1.0 mM to 30 mM (30 mM to 100 mM), 0.05 mM to 100 mM, and 0.1 mM to 100 mM, respectively. In addition, the limit of detection for each compound was 0.43 mM, 0.0062 mM and 0.056 mM, respectively. In an interferent study, the electrochemical influences of Lcystine, L-lysine, L-tyrosine, and glucose on a mixture of AA, DA and UA were investigated. The results showed insignificant interference. Finally, the electrode demonstrated good selectivity and stability in testing real samples (human serum) [75].
Researchers have developed a metalorganic framework (MOF) consisting of a structure with Zn ions and four nitrogen atoms of 4-benzimidazole and named the Zeolite Imidazolate Framework (ZIF-11) [14,52]. This structure has not only great thermal and chemical stability but also an adjustable pore size. ZIF-11 is rarely used for detection of uric acid from urine. The electrode was observed through X-ray diffraction (XRD), scanning electron microscopy (SEM), and nitrogen adsorption/desorption isotherms [14].
The study of the electrochemical behavior of uric acid was performed with a differential pulse-anodic stripping voltammetry (DP-ASV) technique in a buffer solution of pH 7. The best linear concentration ranges of uric acid were 20 µM to 540 µM, and the limit of detection was identified at 0.48 µM. Concerning the interference measurements, the ZIF-11/GCE electrode showed high selectivity in the presence of glucose, ascorbic acid, sodium benzoate, saccharine, xanthine, hypoxanthine, KCl, Na 2 CO 3 , Na 2 SO 4 and CaCO 3 . Furthermore, when testing urine samples, the ZIF-11/GCE electrode exhibited a good recovery of uric acid, from 94.52% to 104.48%, which recommends this method for medical applications [14].
A new type of screen-printed carbon electrode was constructed using an amino groupmodified vertically-ordered mesoporous silica-nanochannel film (VMSF) and electrochemically reduced graphene oxide (ErGO). This configuration showed a sensitive response with a low limit of detection (LOD: 129 nM) in a uric acid concentration range of 0.5 µM to 180 µM [86]. This sensor configuration consists of a conductive adhesion layer (ErGO) that enhances the electrochemical potential and offers good sensitivity. Vertically-ordered mesoporous silica-nanochannel film (VMSF) offers stability, sensitivity and enhanced specificity. This is due to the vertical arrangement of nanochannels and the large number of hydroxyl groups, which offer direct contact with the substrate and improved permeability properties. Additionally, the ultrasmall volume and the large surface of the nanochannels enable higher selectivity by removing undesirable larger molecules and permitting complex electrochemical detection without sample pre-treatment. Moreover, the modification of VMSF with amino groups leads to a shift to positive electrical charge, resulting in better stability in interactions with negatively charged molecules [81,82,86].
To demonstrate the selectivity capacity of the sensor, standard sample measurements were performed in the presence of interferent molecules (ascorbic acid, dopamine, ions-Na + , K + , Ca 2+ , Mg 2+ , glucose and urea). The results showed clear separation of peaks from AA and UA and no interaction with the positively charged molecules [86]. Consequently, this sensor configuration demonstrated enhanced bioactive performance for uric acid detection from whole blood [81,86].

Biosensors for Detection of Uric Acid
Biosensor electrodes demonstrate good sensitivity over time but have greater cost and stability issues [23]. There are three processes involved in biosensing: measuring the concentration of an active redox substrate or product (e.g., H 2 O 2 ); detection of resulting potential from electron exchange in the enzyme-transducer site; or direct electron transfer at the exchange site between the enzyme and electrode surface [23].
In addition to these, some new biosensors have proven their effectiveness for determining uric acid from different standard mixtures and from real samples. Table 4 presents a comparison of the latest biosensors developed for detection of uric acid. Most of the biosensors compared have proven high sensitivity, with LOD values from 0.15 µM to 0.83 µM [23,[96][97][98]103] and also good selectivity in real samples [23,[96][97][98]103,104]. The most sensitive of these electrodes are outlined below [96][97][98]100,102,103].
Phthalocyanine (Pc) is an organic molecule which demonstrates stable biochemical interactions with transition metal ions, forming metallophthalocyanines (MPcs), and also with reduced graphite oxide [103]. π-π non-covalent interactions can be established between MPcs and rGO for better electrochemical potency. Moreover, MPcs has prosthetic groups of heme enzymes, making it conducive to faster electron transfer, in particular by modification with uricase. Therefore, the new biosensor zinc tetraaminophthalocyanine-functionalized graphene nanosheets/GCE with uricase show a high electrochemical capacity for detection of uric acid. This was confirmed by testing for uric acid under optimized conditions. The concentration range optimized for detection of uric acid was between 0.5 µM and 100 µM, and the detection limit was very low at 0.15 µM. This biosensor exhibits reasonable sensitivity in human urine samples, which suggests it as one of the best devices for the detection of uric acid [103].
The ferrocene-conjugated uricase biosensor comprises a nafion polymer membrane deposited on a glassy carbon electrode, which enhances the enzyme stability and catalytic efficiency of the biosensor [23]. The structure and morphology of the biosensor was studied by AFM, ATR-FTIR and EDX. The optimization of uric acid detection was performed with differential pulse voltammetry (DPV) and amperometry in a 7.4 phosphate buffer solution. Measurements showed the uric acid oxidation peak at 0.370 V and two concentrations ranges: 500 nM to 50 µM, and 25 µM to 600 µM. The lower limit of detection was registered at 0.23 µM. The biosensor showed a good reproducibility response (coefficients of variation: 1.6% and 2.1%) and also very good selectivity in terms of interference in serum samples (confidence limit: >95%) [23].
Considering future medical technologies, nanoparticles (NPs) will be central to developing new sensing devices because of their extremely small dimensions in the nanometer (nm) range, wide availability (found in nature or laboratory manufactured) and electrochemical properties [105,106].
The outlook for uric acid electroanalysis involves different configurations of nanocomposites. Carbon nanotubes (CNTs), including multi-walled nanotubes (MWCNTs) and single-walled nanotubes (SWCNTs) [107], are the most preferred for wide range of biological metabolites [108][109][110][111] because of their large specific surface area, enhanced activity and great stability. Moreover, nanocomposites amplify the electron transfer, resulting in a rapid and higher potential response [107].
The scientific literature [115] also mentions different approaches and emerging strategies to develop reliable biosensors that consider different active and passive anti-biofouling strategies (Figure 3), thereby extending their applications to biological samples for clinical diagnostics, personalized medicine, point-of-care testing, and wearable devices. analyzed was the zinc tetraaminophthalocyanine-functionalized graphene nanosheets/GCE with uricase [103] with a limit of detection of 0.15 µM [103].
Considering future medical technologies, nanoparticles (NPs) will be central to developing new sensing devices because of their extremely small dimensions in the nanometer (nm) range, wide availability (found in nature or laboratory manufactured) and electrochemical properties [105,106].
The outlook for uric acid electroanalysis involves different configurations of nanocomposites. Carbon nanotubes (CNTs), including multi-walled nanotubes (MWCNTs) and single-walled nanotubes (SWCNTs) [107], are the most preferred for wide range of biological metabolites [108][109][110][111] because of their large specific surface area, enhanced activity and great stability. Moreover, nanocomposites amplify the electron transfer, resulting in a rapid and higher potential response [107].
The scientific literature [115] also mentions different approaches and emerging strategies to develop reliable biosensors that consider different active and passive anti-biofouling strategies (Figure 3), thereby extending their applications to biological samples for clinical diagnostics, personalized medicine, point-of-care testing, and wearable devices. The abovementioned anti-biofouling strategies aim to delay the biofouling process and remove the accumulation of different bioactive compounds, if necessary. There is also the possibility of using combinations of different materials (materials with natural morphology and surface stability) and transducers to achieve a be er long-term reliability. The abovementioned anti-biofouling strategies aim to delay the biofouling process and remove the accumulation of different bioactive compounds, if necessary. There is also the possibility of using combinations of different materials (materials with natural morphology and surface stability) and transducers to achieve a better long-term reliability.

Conclusions
This review collates findings concerning recently developed sensing devices for the detection of uric acid in the presence of interferent compounds, investigating their possible use as point-of-care technologies. In the research field of uric acid electroanalysis, the developed sensors demonstrated high sensitivity, very good specificity and rapid response in biological fluids, such as whole blood, human serum, urine, and saliva. In comparison with conventional tests for urinalysis, such as spectroscopy, chromatography, membrane capillary electrophoresis, and spectrophotometric methods, sensors proved to be better suited from the point of view of rapid quantification, reusability and costs. Additionally, in comparison with the dipstick test, sensors are more sensitive and specific, providing much more exact quantification of the substrate analyzed [105].
Reviewing the past ten years of developments in uric acid sensors, it can be observed that there is an increasing trend towards using polymeric nanostructures to enhance the electrode's catalytic activity [116]. In addition, low-dimensional carbon nanomaterials are still preferred for their exceptional performance in electrical conductivity and the formation of strong bonds with positive charge materials [116]. Biosensors are also undergoing constant development and improvement, ensuring remarkable results in the detection of uric acid.
Among the articles reviewed, the best results regarding the limit of detection and concentration range were reported for the 3D unmodified 'as-grown' epitaxial graphene nanowall arrays (EGNWs), which were distinguished by an extremely and unprecedented low limit of detection of 0.033 nM (Table 4) [93].
Overall, the majority of the described sensors had satisfactory results in relation to the electrochemical activity of uric acid. In particular, a higher catalytic performance was identified at chemically modified electrodes ( Table 3). The anti-interference capacity was studied in all cases using standard solutions and also real samples (human urine, serum, milk, saliva), but the best results were obtained by biosensors (Table 4).
Accordingly, a large variety of sensors and biosensors are suitable for medical applications, such as screening for hyperuricemia or gout, or as adjuvant in the diagnosis of other medical conditions.