Nucleic acids, which include DNA and RNA, are a type of classic biological macromolecule widely used for storing and transmitting genetic information. DNA is the carrier and transmitter of genetic information in all living systems, consisting of four different deoxynucleotide monomers, as is common knowledge. Each monomer consists of a phosphate group, deoxyribose, and one of four nitrogenous nucleobases, while the nucleobases include thymine (T), adenine (A), guanine (G), and cytosine (C) [
17,
18]. Watson and Crick reported the double helix structure of DNA for the first time in 1953, leading to extensive research on DNA structure [
19]. DNA, the traditional genetic molecule, has attracted a great deal of interest due to its exceptional sequence programmability, high molecular recognition accuracy, and numerous biological functions. Due to their biocompatibility, simple synthesis, ease of modification and functionalization, and modular structure, nucleic acid probes, particularly DNA probes, have been widely used over the past few decades. In addition, they can be combined with various signal amplification techniques to achieve additional functions [
20,
21,
22]. According to the spatial dimension of nanostructures, the DNA nanomaterials commonly used in current research are mainly categorized into the typical assembling strategies of one-dimensional (1D), two-dimensional (2D), and three-dimensional (3D) nanostructures [
21]. DNA-based nanomaterials and functional DNA sequences (Aptamer, DNAzyme, i-motif, G-quadruplex, etc.) endow DNA nanostructures with functions such as targeting, stimulating responses, and regulating life activities, which demonstrate unique advantages in disease diagnosis and cancer therapy [
23,
24]. The fluorescent labeling of DNA is a common technique used for many applications in bioanalysis and imaging. Environmentally sensitive fluorophores can sense the interaction of DNA with other (biological) molecules by altering some measurable property of the fluorescence (the intensity, wavelength, or lifetime) [
16].
2. Application of Cell Membrane Imaging
2.1. Monitoring Imaging Triggered by the Tumor Cell Microenvironment
The tumor microenvironment (TME) is a physical and biochemical system that plays a significant role in the occurrence, development, metastasis, and drug resistance of tumors [
25]. In general, the tumor microenvironment’s physiological state is distinct from that of normal tissue. Tumor tissue can be distinguished from normal tissue according to a number of physiological characteristics, including the overexpression of ATP, an acidic pH, hypoxia, a high level of reactive oxygen species (ROS), and the overexpression of enzymes. Consequently, these characteristics have become increasingly desirable as diagnostic and therapeutic targets [
26,
27].
2.1.1. ATP
Adenosine triphosphate (ATP) is a fundamental biomolecule involved in numerous biochemical synthesis and metabolic processes. For a deeper understanding of the related cellular processes, it is crucial to examine the distribution of, and changes in, ATP outside the cell [
28].
Utilizing DNA tweezers and cleavage aptamers, Zhong et al. [
30] proposed a ratiometric DNA nanoswitch (
Figure 1A). The nanoswitch consists of three uniquely designed ssDNA chains that are attached to the cell membrane via cholesterol. First, the DNA tweezers are in the open state, causing the fluorescent groups to separate and produce a low fluorescence resonance energy transfer (FRET) ratio. FRET is a mechanism that describes the transfer of energy between a photosensitive chromophore donor and an acceptor, and it is widely used in biochemistry and other areas [
31].
ATP imaging analysis alone is typically insufficient for sensitive analysis, so researchers frequently employ signal amplification for more sensitive ATP imaging. Catalytic hairpin assembly (CHA) and hybridization chain reaction (HCR) are two of the most widely used signal amplification strategies. The CHA is a reaction in which hairpin DNA can be activated by specific nucleic acid sequences and automatically forms a stable double-stranded body via thermodynamic entropy gain [
32]. The HCR reaction requires the involvement of both hairpin DNAs, and in the presence of a target, one of the hairpin DNAs can be opened, which, in turn, triggers the opening of the other hairpin DNA to trigger the creation of the HCR, generating a long double-stranded tandem of DNA [
33]. Wang et al. [
34] proposed the signal amplification strategy of extracellular ATP-activated HCR amplification, which enables accurate and sensitive tumor cell detection. In complex biological matrices, this method has promising application potential. In addition, by altering the sequence of the corresponding aptamer, this method can be used to detect various types of tumor cells (
Figure 1B).
Figure 1. ATP imaging of the cell membrane. (
A) Mechanism of the cell-surface anchored ratiometric DNA nanoswitch for the imaging of extracellular ATP [
30]. The Apt-trigger probe consisted of two components: a ZYsls aptamer for specific binding to SMMC-7721 cells and a trigger sequence for initiating the HCR assembly. (
B) (
a) Schematic illustration of the extracellular ATP-activated hybridization chain reaction for cancer cell detection. (
b) Flow cytometry assays and confocal fluorescence imaging of SMMC-7721 cells incubated with Apt-trigger/H1-ATP aptamer/H2 with or without the addition of ATP [
34].