Review highlights advancements in gas sensors using 2D materials for disease diagnosis via breath analysis, suggesting future integration with AI.
Exhaled breath analysis has emerged as a promising non-invasive approach for disease diagnosis, leveraging gas sensors for their high sensitivity, portability, and real-time monitoring capabilities. Two-dimensional nanomaterials, such as graphene, transition metal dichalcogenides (TMDs), MXenes, black phosphorus, and metal–organic frameworks (MOFs), exhibit exceptional gas-sensing properties due to their atomic-scale thickness, ultra-large specific surface area, and tunable electronic structures. These characteristics enable enhanced gas adsorption and room-temperature operation, making them ideal for detecting ppb-level biomarkers like acetone, ammonia, and nitric oxide in breath. However, sensors based on pristine 2D materials face challenges including slow response/recovery kinetics, poor stability, weak humidity resistance, and limited selectivity in complex breath environments. To address these limitations, functionalization strategies have been developed to engineer material properties. Key approaches include heteroatom doping to modulate electronic band structures, heterojunction construction to facilitate charge transfer and improve selectivity, and noble metal decoration for catalytic enhancement of gas adsorption. Additionally, light irradiation has been employed to regulate the carrier concentration on the surface of sensitive materials. These strategies significantly boost sensor performance, achieving ppb-level detection limits, robust humidity resistance, and rapid response. Future directions involve integrating functionalized 2D materials into wearable, multiplexed sensor arrays for simultaneous biomarker detection, coupled with machine learning for real-time diagnostic platforms.
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Zhang et al. (2026) studied this question.
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