Defective Fe Metal–Organic Frameworks Enhance Metabolic Profiling for High-Accuracy Diagnosis of Human Cancers

Cancers heavily threaten human life; therefore, a high-accuracy diagnosis is vital to protect human beings from the suffering of cancers. While biopsies and imaging methods are widely used as current technologies for cancer diagnosis, a new detection platform by metabolic analysis is expected due to the significant advantages of fast, simple, and cost-effectiveness with high body tolerance. However, the signal of molecule biomarkers is too weak to acquire high-accuracy diagnosis. Herein, precisely engineered metal–organic frameworks for laser desorption/ionization mass spectrometry, allowing favorable charge transfer within the molecule–substrate interface and mitigated thermal dissipation by adjusting the phonon scattering with metal nodes, are developed. Consequently, a surprising signal enhancement of ≈10 000-fold is achieved, resulting in diagnosis of three major cancers (liver/lung/kidney cancer) with area-under-the-curve of 0.908–0.964 and accuracy of 83.2%–90.6%, which promises a universal detection tool for large-scale clinical diagnosis of human cancers.