Clostridium perfringens can produce up to 17 different toxins. Its isotypes include 5 toxinotypes: A, B, C, D, and E, which produce 4 main lethal toxins: Alpha, beta, epsilon, and iota. Strains B and D synthesize the epsilon toxin (ETX) (
1).
Epsilon toxin (32.9 kDa) is secreted in the form of an inactive protoxin and can be activated by extracellular serine proteases, such as trypsin, α-chymotrypsin, and k-protease, which eliminate 10-13 N-terminal and/or 22-29 C-terminal amino acid residues. This activated toxin is resistant to proteases in the gastrointestinal tract of mammals (
2). Moreover, ETX is one of the most potent toxins known and is responsible for severe diseases in humans and livestock, including enterotoxemia, gastrointestinal, gas gangrene, necrotic enteritis, and enteritis, all of which have significant economic implications worldwide. In addition, ETX is classified as a potential biological weapon, a category B biological agent, and a potential bioterrorism agent. Therefore, rapid detection of ETX is essential (
3).
Various techniques have been used to detect ETX, including mass spectrometry (MS) (
4,
5), enzyme-linked immunosorbent assay (ELISA) (
2,
6), toxin-susceptible cell cultures (
7,
8), polymerase chain reaction (PCR) (
9,
10), and enzyme immunoassay (EIA) (
11,
12). Mass spectrometry is a novel method that overcomes the cross-reactivity issues seen in antibody-based assays. Enzyme-linked
immunosorbent assay is a sensitive, quantitative method (
6), but it faces challenges related to antibody cross-reactivity and complex matrix effects (
4). Cell culture assays using the Madin-Darby canine kidney (MDCK) cell line have been used to detect ETX, but other cell lines are toxin-resistant. Toxin genes are usually amplified using real-time PCR techniques. This is because
Clostridium toxin genes are mainly located on extrachromosomal elements, and they can be transmitted within different
Clostridium strains or even other bacterial species. This inter-species genetic transmission is problematic, especially when only genes from a single species are targeted. Enzyme immunoassay methods are commonly used to target toxins because they are sensitive and rapid. However, the number of false-positive results is high (
6). Therefore, a quick and simple method is required to detect enteropathogenic bacteria such as C. perfringens. Aptamer-based techniques have been introduced as potential alternatives to traditional methods such as ELISA. Aptamers are single-stranded RNA or DNA oligonucleotide or peptide molecules that form unique 3-dimensional structures due to intramolecular attractions between nucleotides (
13). They exhibit high-affinity binding to specific target molecules, including antibodies, metal ions, polysaccharides, lipids, and positively/negatively charged proteins (
14,
15). The affinity of aptamers for their targets is equal to or even higher than that of most monoclonal antibodies (mAbs) (
16). The dissociation constants (Kd) of aptamer-target complexes range from picomolar to low-micromolar scales (
17). Aptamers are highly stable, small, low cost-effective, alkaline pH, heat tolerant, chemically synthesizable, and batch-to-batch reproducible. They also have no restrictions regarding target size or immune response (
18-
21). DNA aptamers, in particular, offer a new generation of nucleic acid nanostructure-based biomedical tools and diagnostic platforms for molecular recognition (
22,
23).
The Systematic Evolution of Ligands by Exponential Enrichment (SELEX) technique is a method to separate particular aptamers that detect aptamers connected to the target from nucleic acid libraries via the immobilization of cell surface proteins on a solid phase (
24). This method offers a short selection period, high efficiency, and fast separation time.